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<!--Modified on: 6/29/2026 9:17:53 PM-->
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  <xsd:element name="EmployeeBenefitPlanChangeInNetAssetAvailableForBenefitIncreaseFromDefinedContributionByEmployer" id="fms_EmployeeBenefitPlanChangeInNetAssetAvailableForBenefitIncreaseFromDefinedContributionByEmployer" type="xbrli:monetaryItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" xbrli:balance="debit" />
  <xsd:element name="EmployeeBenefitPlanParticipantInvestmentOptionsAbstract" id="fms_EmployeeBenefitPlanParticipantInvestmentOptionsAbstract" type="xbrli:stringItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="EmployeeBenefitPlanParticipantInvestmentOptionsTextBlock" id="fms_EmployeeBenefitPlanParticipantInvestmentOptionsTextBlock" type="dtr-types:textBlockItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="EmployeeBenefitPlanStableValueSeparateAccountAbstract" id="fms_EmployeeBenefitPlanStableValueSeparateAccountAbstract" type="xbrli:stringItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="EmployeeBenefitPlanStableValueSeparateAccountTextBlock" id="fms_EmployeeBenefitPlanStableValueSeparateAccountTextBlock" type="dtr-types:textBlockItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="ScheduleOfParticipantEmployerMatchingContributionAndEarningsVestingPercentageTableTextBlock" id="fms_ScheduleOfParticipantEmployerMatchingContributionAndEarningsVestingPercentageTableTextBlock" type="dtr-types:textBlockItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="EmployeeBenefitPlanScheduleOfParticipantInvestmentOptionsTableTextBlock" id="fms_EmployeeBenefitPlanScheduleOfParticipantInvestmentOptionsTableTextBlock" type="dtr-types:textBlockItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="EmployeeBenefitPlanScheduleOfPlanInvestmentAtNetAssetValueTableTextBlock" id="fms_EmployeeBenefitPlanScheduleOfPlanInvestmentAtNetAssetValueTableTextBlock" type="dtr-types:textBlockItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="EmployeeBenefitPlanMinimumServicePeriodForPlanEligibilityPermanentEmployee" id="fms_EmployeeBenefitPlanMinimumServicePeriodForPlanEligibilityPermanentEmployee" type="xbrli:durationItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="EmployeeBenefitPlanMinimumServicePeriodForPlanEligibilityTemporaryEmployee" id="fms_EmployeeBenefitPlanMinimumServicePeriodForPlanEligibilityTemporaryEmployee" type="xbrli:durationItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="EmployeeBenefitPlanMinimumServiceHoursForPlanEligibility" id="fms_EmployeeBenefitPlanMinimumServiceHoursForPlanEligibility" type="xbrli:decimalItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="EbpParticipantContributionPretaxMinimumAnnualCompensationToTotalCompensationPercentage" id="fms_EbpParticipantContributionPretaxMinimumAnnualCompensationToTotalCompensationPercentage" type="dtr-types:percentItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="EbpDiscretionaryProfitSharingContributionsVestingPercentage" id="fms_EbpDiscretionaryProfitSharingContributionsVestingPercentage" type="dtr-types:percentItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="EmployeeBenefitPlanDiscretionaryProfitSharingContribution" id="fms_EmployeeBenefitPlanDiscretionaryProfitSharingContribution" type="xbrli:monetaryItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" xbrli:balance="debit" />
  <xsd:element name="EmployeeBenefitPlanUnallocatedAssetsDeposits" id="fms_EmployeeBenefitPlanUnallocatedAssetsDeposits" type="xbrli:monetaryItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" xbrli:balance="debit" />
  <xsd:element name="EmployeeBenefitPlanUnallocatedAssets" id="fms_EmployeeBenefitPlanUnallocatedAssets" type="xbrli:monetaryItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="instant" abstract="false" xbrli:balance="debit" />
  <xsd:element name="EmployeeBenefitPlanThresholdServicePeriodForPlanEligibilityDefinedContributions" id="fms_EmployeeBenefitPlanThresholdServicePeriodForPlanEligibilityDefinedContributions" type="xbrli:durationItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="EmployeeBenefitPlanMinimumServicePeriodForPlanAllocationDefinedContributions" id="fms_EmployeeBenefitPlanMinimumServicePeriodForPlanAllocationDefinedContributions" type="xbrli:durationItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="EmployeeBenefitPlanDefinedContributionsVestingPercentage" id="fms_EmployeeBenefitPlanDefinedContributionsVestingPercentage" type="dtr-types:percentItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="LessThan1YearOfServiceCompletedMember" id="fms_LessThan1YearOfServiceCompletedMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="MoreThan1ButLessThan2YearsOfServiceCompletedMember" id="fms_MoreThan1ButLessThan2YearsOfServiceCompletedMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="MoreThan2ButLessThan3YearsOfServiceCompletedMember" id="fms_MoreThan2ButLessThan3YearsOfServiceCompletedMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="MoreThan3ButLessThan4YearsOfServiceCompletedMember" id="fms_MoreThan3ButLessThan4YearsOfServiceCompletedMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="MoreThan4ButLessThan5YearsOfServiceCompletedMember" id="fms_MoreThan4ButLessThan5YearsOfServiceCompletedMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="MoreThan5YearsOrMoreOfServiceCompletedMember" id="fms_MoreThan5YearsOrMoreOfServiceCompletedMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="EmployeeBenefitPlanParticipantVestingPercentage" id="fms_EmployeeBenefitPlanParticipantVestingPercentage" type="dtr-types:percentItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="EmployeeBenefitPlanTerminatedEmployeesMaximumVestedBalanceForLumpSumDisbursement" id="fms_EmployeeBenefitPlanTerminatedEmployeesMaximumVestedBalanceForLumpSumDisbursement" type="xbrli:monetaryItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="instant" abstract="false" xbrli:balance="debit" />
  <xsd:element name="EmployeeBenefitPlanTerminatedEmployeesMinimumVestedBalanceForDeferredDisbursement" id="fms_EmployeeBenefitPlanTerminatedEmployeesMinimumVestedBalanceForDeferredDisbursement" type="xbrli:monetaryItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="instant" abstract="false" xbrli:balance="debit" />
  <xsd:element name="EmployeeBenefitPlanPlanTerminationVestingPercentage" id="fms_EmployeeBenefitPlanPlanTerminationVestingPercentage" type="dtr-types:percentItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="EmployeeBenefitPlanNoteReceivableFromParticipantTerm" id="fms_EmployeeBenefitPlanNoteReceivableFromParticipantTerm" type="xbrli:durationItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="EmployeeBenefitPlanNoteReceivableFromParticipantAccountMaximumNumberOfLoans" id="fms_EmployeeBenefitPlanNoteReceivableFromParticipantAccountMaximumNumberOfLoans" type="xbrli:integerItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="BlackrockLargeCapBlendIndexFundOptionMember" id="fms_BlackrockLargeCapBlendIndexFundOptionMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="BlackrockMidCapIndexFundOptionMember" id="fms_BlackrockMidCapIndexFundOptionMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="BlackrockSmallCapIndexFundOptionMember" id="fms_BlackrockSmallCapIndexFundOptionMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="BlackrockInternationalIndexFundOptionMember" id="fms_BlackrockInternationalIndexFundOptionMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="BlackrockU.s.DebtIndexFundOptionMember" id="fms_BlackrockU.s.DebtIndexFundOptionMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="BlackrockTipsIndexFundOptionMember" id="fms_BlackrockTipsIndexFundOptionMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="BlackrockEmergingMarketsIndexFundOptionMember" id="fms_BlackrockEmergingMarketsIndexFundOptionMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="MassMutualStableValueSeparateAccountOptionMember" id="fms_MassMutualStableValueSeparateAccountOptionMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="TargetDateRetirementFundsOptionMember" id="fms_TargetDateRetirementFundsOptionMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="TargetRetirementIncomeFundOptionMember" id="fms_TargetRetirementIncomeFundOptionMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="TargetRetirement2025FundOptionMember" id="fms_TargetRetirement2025FundOptionMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="TargetRetirement2030FundOptionMember" id="fms_TargetRetirement2030FundOptionMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="TargetRetirement2035FundOptionMember" id="fms_TargetRetirement2035FundOptionMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="TargetRetirement2040FundOptionMember" id="fms_TargetRetirement2040FundOptionMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="TargetRetirement2045FundOptionMember" id="fms_TargetRetirement2045FundOptionMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="TargetRetirement2050FundOptionMember" id="fms_TargetRetirement2050FundOptionMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="TargetRetirement2055FundOptionMember" id="fms_TargetRetirement2055FundOptionMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="TargetRetirement2060FundOptionMember" id="fms_TargetRetirement2060FundOptionMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="TargetRetirement2065FundOptionMember" id="fms_TargetRetirement2065FundOptionMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="VanguardLongTermBondIndexFundOptionMember" id="fms_VanguardLongTermBondIndexFundOptionMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="FreseniusCompanyStockFundOptionMember" id="fms_FreseniusCompanyStockFundOptionMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="EmployeeBenefitPlanCreditingInterestRate" id="fms_EmployeeBenefitPlanCreditingInterestRate" type="dtr-types:percentItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="instant" abstract="false" />
  <xsd:element name="EmployeeBenefitPlanNumberOfBusinessDaysToCureContractBreach" id="fms_EmployeeBenefitPlanNumberOfBusinessDaysToCureContractBreach" type="xbrli:durationItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="EmployeeBenefitPlanFairValueNetTransfersAmongLevel12Or3" id="fms_EmployeeBenefitPlanFairValueNetTransfersAmongLevel12Or3" type="xbrli:monetaryItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" xbrli:balance="debit" />
  <xsd:element name="EquityIndexFundMember" id="fms_EquityIndexFundMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="Russell2000IndexFundMember" id="fms_Russell2000IndexFundMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="MidCapitalizationEquityIndexFundMember" id="fms_MidCapitalizationEquityIndexFundMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="U.s.DebtIndexFundMember" id="fms_U.s.DebtIndexFundMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="BlackrockMsciAcwiExU.s.IndexFundMember" id="fms_BlackrockMsciAcwiExU.s.IndexFundMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="U.s.TreasuryInflationProtectionSecuritiesFundMember" id="fms_U.s.TreasuryInflationProtectionSecuritiesFundMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="EmergingMarketsIndexNonLendableFundMember" id="fms_EmergingMarketsIndexNonLendableFundMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="BlackrockInstitutionalTrustCompanyMember" id="fms_BlackrockInstitutionalTrustCompanyMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="EmployeeBenefitPlanManagementFees" id="fms_EmployeeBenefitPlanManagementFees" type="xbrli:monetaryItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" xbrli:balance="debit" />
  <xsd:element name="EmployeeBenefitPlanPlanRecordKeepingFees" id="fms_EmployeeBenefitPlanPlanRecordKeepingFees" type="xbrli:monetaryItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" xbrli:balance="debit" />
  <xsd:element name="EmployeeBenefitPlanNoteReceivableFromParticipantAbstract" id="fms_EmployeeBenefitPlanNoteReceivableFromParticipantAbstract" type="xbrli:stringItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="EmployeeBenefitPlanNoteReceivableFromParticipantTextBlock" id="fms_EmployeeBenefitPlanNoteReceivableFromParticipantTextBlock" type="dtr-types:textBlockItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="EmployeeBenefitPlanNoteReceivableFromParticipantTable" id="fms_EmployeeBenefitPlanNoteReceivableFromParticipantTable" type="xbrli:stringItemType" substitutionGroup="xbrldt:hypercubeItem" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="EmployeeBenefitPlanNoteReceivableFromParticipantLineItems" id="fms_EmployeeBenefitPlanNoteReceivableFromParticipantLineItems" type="xbrli:stringItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="BlackrockInstitutionalTrustCompanyN.a.Member" id="fms_BlackrockInstitutionalTrustCompanyN.a.Member" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="FreseniusMedicalCareAgCo.KgaaMember" id="fms_FreseniusMedicalCareAgCo.KgaaMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="VanguardLongTermBondIndexFundMember" id="fms_VanguardLongTermBondIndexFundMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="InterestBearingCashMember" id="fms_InterestBearingCashMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="MassachusettsMutualLifeInsuranceCompanyMember" id="fms_MassachusettsMutualLifeInsuranceCompanyMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="BrokerageLinkMember" id="fms_BrokerageLinkMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="EmployeeBenefitPlanGroupAnnuityContractMember" id="fms_EmployeeBenefitPlanGroupAnnuityContractMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="EmployeeBenefitPlanMinimumServicePeriodForHigherAllocationDiscretionaryProfitSharingContributions" id="fms_EmployeeBenefitPlanMinimumServicePeriodForHigherAllocationDiscretionaryProfitSharingContributions" type="xbrli:durationItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="EmployeeBenefitPlanMinimumServicePeriodCompanyMatchingContributions" id="fms_EmployeeBenefitPlanMinimumServicePeriodCompanyMatchingContributions" type="xbrli:durationItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="EmployeeBenefitPlanMinimumServicePeriodForCompanyProfitSharing" id="fms_EmployeeBenefitPlanMinimumServicePeriodForCompanyProfitSharing" type="xbrli:durationItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="EmployeeBenefitPlanUnallocatedAssetsDecreaseFromPaymentOfPlanExpenses" id="fms_EmployeeBenefitPlanUnallocatedAssetsDecreaseFromPaymentOfPlanExpenses" type="xbrli:monetaryItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" xbrli:balance="credit" />
  <xsd:element name="EmployeeBenefitPlanParticipantVestingPercentageUponDeathTotalAndPermanentDisabilityOrAttainmentOfNormalRetirementAge" id="fms_EmployeeBenefitPlanParticipantVestingPercentageUponDeathTotalAndPermanentDisabilityOrAttainmentOfNormalRetirementAge" type="dtr-types:percentItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="EmployeeBenefitPlanTerminatedEmployeesDeferredDisbursementAgeOfEmployee" id="fms_EmployeeBenefitPlanTerminatedEmployeesDeferredDisbursementAgeOfEmployee" type="xbrli:decimalItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="EmployeeBenefitPlanEmployeesAgeOfEligibilityToTakeInServiceDistributions" id="fms_EmployeeBenefitPlanEmployeesAgeOfEligibilityToTakeInServiceDistributions" type="xbrli:decimalItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="CollectiveInvestmentFundsBlackrockInstitutionalTrustCompanyN.a.Member" id="fms_CollectiveInvestmentFundsBlackrockInstitutionalTrustCompanyN.a.Member" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="CollectiveInvestmentFundsOtherMember" id="fms_CollectiveInvestmentFundsOtherMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="FreseniusMedicalCareAgCo.Member" id="fms_FreseniusMedicalCareAgCo.Member" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="ColumbiaDividendIncomeInstitutionalMember" id="fms_ColumbiaDividendIncomeInstitutionalMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="SchroderInternationalAlphaFundMember" id="fms_SchroderInternationalAlphaFundMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="CohenSteersU.s.RealtyFundClassMember" id="fms_CohenSteersU.s.RealtyFundClassMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="PioneerBondFundMember" id="fms_PioneerBondFundMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="GqgPartnersEmergingMarketsEquityCitFundMember" id="fms_GqgPartnersEmergingMarketsEquityCitFundMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="BrandywineglobalHighYieldFundMember" id="fms_BrandywineglobalHighYieldFundMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="FidelityBehavioralSmallMidCapEquityFundMember" id="fms_FidelityBehavioralSmallMidCapEquityFundMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="JpmorganLargeCapGrowthFundMember" id="fms_JpmorganLargeCapGrowthFundMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="EmployeeBenefitPlanMinimumInvestmentInNetAssetsPercentage" id="fms_EmployeeBenefitPlanMinimumInvestmentInNetAssetsPercentage" type="dtr-types:percentItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" />
  <xsd:element name="FullerthalerBehavioralSmallCapEquityFundClassR6Member" id="fms_FullerthalerBehavioralSmallCapEquityFundClassR6Member" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="T.RowePriceInternationalDiscoveryAdministrativeMember" id="fms_T.RowePriceInternationalDiscoveryAdministrativeMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="MorganStanleyMember" id="fms_MorganStanleyMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="AcadianEmergingMarketsEquityAdministrativePoolMember" id="fms_AcadianEmergingMarketsEquityAdministrativePoolMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="FreseniusT.RowePriceIncomeFundAdministrativePoolMember" id="fms_FreseniusT.RowePriceIncomeFundAdministrativePoolMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="StableValueSeparateAccountsMember" id="fms_StableValueSeparateAccountsMember" type="dtr-types:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="true" />
  <xsd:element name="EmployeeBenefitPlanAdministrativeFees" id="fms_EmployeeBenefitPlanAdministrativeFees" type="xbrli:monetaryItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" abstract="false" xbrli:balance="debit" />
</xsd:schema>
