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Exhibit 10.iii

                       FIRST AMENDMENT TO LEASE AGREEMENT

         This First Amendment to Lease Agreement ("Lease Amendment") will become
effective upon execution by Lessor and Lessee, and is dated as of the last date
shown opposite the signatures of the parties hereto.

         WHEREAS, on February 1, 1988, RUSSELL ACREE, M.D. ("Lessor") entered
into a Lease Agreement ("Lease Agreement") with GAMBRO HEALTHCARE RENAL CARE,
INC., formerly known as COMMUNITY DLALYSIS CENTERS, INC. ("Lessee") for the
leasing of 2,855 square feet of space, known as 203 E. Robinston Street, Adel,
Georgia 31620 ("Premises"), for a period of five (5) years, plus one five year
option, commencing February 1, 1988, and expiring January 31, 1998; and

         WHEREAS, on 4/15/98 1998, Lessor and Lessee entered into a Lease
Extension Agreement extending the term of the Lease Agreement through April 30,
1998, and

         WHEREAS, the Lease Agreement, as modified by the Lease Extension
Agreement, shall collectively be referred to herein as the "Lease Agreement";
and

         WHEREAS, Lessor and Lessee wish to amend the terms of the Lease
Agreement as set forth below.

         NOW THEREFORE, in consideration of the mutual covenants and agreements
herein contained, the benefits to each party resulting herefrom and for other
valuable consideration, the receipt and sufficiency of which are irrevocably and
unconditionally hereby acknowledged, the parties hereto, intending to be fully
legally bound, agree as follows:

         1.       The Lease Agreement between the Lessor and Lessee is hereby
                  extended, commencing on May 1, 1998, and fully terminating on
                  April 30, 2003, unless sooner terminated or extended as
                  provided herein.

         2.       If Lessee is not then in default of any provisions of this
                  Lease Agreement, Lessee may renew this Lease Agreement for an
                  additional five (5) year period ("Renewal Option"), commencing
                  immediately upon termination of this the lease term as set
                  forth in Item 1 of this Lease Amendment. This Renewal Option
                  shall be exercised by Lessee by providing written notice to
                  Lessor if its intention to renew, not less than two hundred
                  twenty (220) days prior to the expiration of the base lease
                  term, as extended herein ("Base Lease Term"). The monthly rent
                  payable during the Renewal Option shall be determined by
                  agreement between the Lessee and Lessor not later than one
                  hundred eighty (180) days prior to the expiration of the Base
                  Lease Term. If the Lessee and Lessor have not been able to
                  agree upon a mutually acceptable rent figure for the Renewal
                  Option by the date which shall be one hundred eighty (180)
                  days


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                  prior to the expiration of the Base Lease Term, Lessee may
                  withdraw its notice to renew the Lease Agreement for the
                  Renewal Option, and the Lease Agreement shall expire on April
                  30, 2003, as if the notice to exercise the Renewal Option had
                  never been given.

         3.       The Rent payable for the period May 1, 1998 through April 30,
                  2003 shall be One Thousand Nine Hundred Thirty and 00/100
                  Dollars ($1,930.00) per month, with the rent for any period of
                  less than a full month being prorated according to the number
                  of days during the partial month that the Lessee remains in
                  possession of the Premises.

         4.       Lessor agrees, at its expense, to have the following work
                  performed at the Premises within __________ (___) days of the
                  date of execution of this Lease Amendment;

                  a.       Repaint the exterior of the Premises using the same
                           color scheme as is currently being used for the
                           Premises;
                  b.       Upgrade the landscaping, and remove the tree stump
                           located near the entrance to the Premises;
                  c.       Install decorative shutters on all front windows of
                           the Premises; and d. Reseal all windows and doors
                           located on the exterior of the Premises.

         5.       Lessee's address for all purposes under the Lease Agreement is
                  hereby changed to: 1919 Charlotte Avenue, Nashville, Tennessee
                  37203.

         6.       All of the terms, covenants and conditions of the Lease
                  Agreement not modified herein, remain in full force and
                  effect, and shall become a part of this Lease Amendment.

        IN WITNESS WHEREOF, the Lessor and Lessee have executed this Lease
Amendment on the day and year shown opposite each party's signature.

                             ACREE INVESTMENTS, LTD.

                                               /s/ Russell Acree
Date: 4-14-98                               _______________________________
                                            Russell Acree, Chief Financial
                                              Officer

Date: 4/30/98                               GAMBRO Healthcare Renal
                                            Care, Inc. (LESSEE)

                                                /s/ Ralph Z. Levy, Jr.
                                            By:____________________________
                                                     Ralph Z. Levy, Jr.
                                            Title: Vice President and General
                                                       Counsel