Amendment #1, dated 12/31/02, to Agreement No. 20010259


EXHIBIT 10.29 
 
Amendment #1 dated December 31, 2002 to Agreement No. 20010259 
 
This Amendment #1 to Agreement No. 20010259 (Amendment”)
is being entered by and between Amgen USA Inc. (“Amgen”), a wholly-owned subsidiary of Amgen Inc., and Total Renal Care, Inc., a subsidiary of DaVita Inc., including the freestanding dialysis center affiliate(s) listed on Appendix B
(collectively, Dialysis Center”). 
 
WHEREAS, Amgen and Dialysis Center entered into Agreement No. 20010259 (the Agreement”) effective January 1, 2002; and 
 
WHEREAS, the parties now wish to amend the Agreement to extend the term for an additional year, to incorporate the terms and
conditions for the purchase of Aranesp® (darbepoetin alfa) exclusively for the treatment of dialysis patients,
and to modify certain incentive option provisions. 
 
NOW, THEREFORE, in consideration of the premises and of the mutual covenants, representations and warranties set forth herein, the parties agree as follows: 
 
SECTION 1.    Definitions: References.    Unless
otherwise specifically defined herein, each term used in this Amendment which is defined in the Agreement shall have the meaning assigned to such term in the Agreement. Except as amended and supplemented hereby, all of the terms of the Agreement are
incorporated herein by reference, shall remain and continue in full force and effect, and are hereby ratified and confirmed in all respects. 
 
SECTION 2.    Amendment of Section 1. Term of Agreement:    Section 1 is
hereby amended to extend the Term of the Agreement through December 31, 2003. Accordingly, Section 1 is amended and restated in its entirety to read as follows: 
 


	1.	Term of Agreement.    The “Term” of this Agreement shall be defined as January 1, 2002 (“Commencement Date”) through
December 31, 2003 (“Termination Date”). 

 
Notwithstanding the foregoing, all payments, calculations, reconciliations, vesting, and other actions connected with Qualified Purchases made during the period January 1, 2002 through December 31, 2002, and the discounts and
incentives for which Dialysis Center is eligible thereon, which are required by the Agreement to occur, be measured, or be performed at the end of or within specified periods in relation to the “Term”, shall continue to be required to
occur, be measured, or be performed at or within the specified time periods so stated, as if the Term were to expire on December 31, 2002. 
 
SECTION 3.    Amendment of Section 2. Dialysis Center Affiliates:    Section
2 is hereby amended for the period January 1, 2003 through December 31, 2003, as follows: 
 

	2.	 Dialysis Center Affiliates.    Only those Dialysis Center affiliates (‘Affiliates”) listed on Appendix B which is
incorporated by reference hereto and made a part of this Agreement will be eligible to participate under this Agreement. Affiliates eligible to participate under this Agreement shall be facilities owned in whole or in part by Dialysis Center or for
which Dialysis Center provides management or administrative services including such services as the purchasing and billing of EPOGEN® (Epoetin alfa) and Aranesp® (darbepoetin alfa) (collectively, “Products”).
Additions to the Affiliates listed on Appendix B may be made pursuant to the request of Dialysis Center’s corporate headquarters and are subject to approval and acknowledgment by Amgen in writing, and such approval and acknowledgment shall not
be unreasonably withheld, conditioned or delayed. Dialysis Center may delete Affiliates from participation in this Agreement at any time, in its sole discretion. Amgen requires reasonable notice before the effective date of change (the
“Administrative Effective Date”) for any addition or deletion of Affiliates. Notwithstanding the immediately 



 

1 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 


	 	 
preceding sentence, Amgen agrees to coordinate with Dialysis Center’s Authorized Wholesalers (as defined in Section 4 of the Agreement)
[DELETED] any and all purchases made by Dialysis Center [DELETED] pursuant to which Dialysis Center is legally authorized to purchase Products for such added Affiliate [DELETED]; all such purchases by Dialysis Center during such period shall
constitute “Qualified Purchases” under this Agreement and shall be included for purposes of eligibility and calculation of each and every discount and incentive provided hereunder and in Appendix A which is incorporated by reference hereto
and made a part of this Agreement, including but not limited to [DELETED] set forth in Section 2 of Appendix A for EPOGEN® purchases and including but not limited to [DELETED] set forth in Section 1 of Appendix A for Aranesp®, so long as Amgen is not obligated to pay the same discount or incentive attributable to the same purchases to any person or entity other than Dialysis Center. Amgen reserves the right in its reasonable discretion to terminate any
Affiliates with regard to participation in this Agreement. Termination of any Affiliate by Amgen shall be effective (a) immediately in instances in which Amgen determines, in its sole discretion, that such immediate termination is required by law or
order of any court or regulatory agency or as a result of negligence or willful misconduct in the use or administration of Products by such Affiliate; or (b) upon thirty (30) days prior written notice to Dialysis Center in all other instances;
provided, that such termination shall be effective before the expiration of such thirty (30) days where Dialysis Center requests or consents to such earlier termination. 


 
SECTION 4.    Amendment of Section 3, Own
Use:    Section 3 is hereby amended for the period January 1, 2003 through December 31, 2003, as follows: 
 

	3.	Own Use.    Dialysis Center hereby certifies that Products purchased hereunder shall be for Dialysis Center’s “own use” for
the exclusive treatment of dialysis patients. 

 
SECTION 5.    Amendment of Section 4. Authorized Wholesalers:    Section 4 is hereby amended for the period January 1, 2003 through December 31, 2003, as follows:

 

	4.	Authorized Wholesalers.    Attached hereto as Appendix C is a complete list, as of the date of execution of this Amendment, of the
wholesalers from which Dialysis Center intends to purchase Products. All of the wholesalers so designated by Dialysis Center are hereby approved by Amgen to participate in this program and are deemed “Authorized Wholesalers”. Notification
of proposed changes to the list of Authorized Wholesalers must be provided to Amgen in writing at least thirty (30) days before the effective date of the proposed change; provided, however, that Amgen will use its best efforts to accept a change on
fewer than thirty (30) days’ notice. Amgen reserves the right, in its reasonable discretion, to reject or terminate, with reasonable notice, any wholesaler with regard to participation in this Agreement, so long as (a) Amgen rejects or
terminates such wholesaler with respect to providing Products to any and all purchasers of Products, or (b) such wholesaler independently requests Amgen to remove it as an Authorized Wholesaler for Dialysis Center. Amgen also reserves the right, in
its reasonable discretion, to accept wholesalers with regards to participation in this Agreement, but Amgen agrees that it shall accept any wholesaler designated by Dialysis Center which provides Products to other purchasers approved by Amgen.
Dialysis Center agrees to request all Authorized Wholesalers to submit product sales information to a third-party sales reporting organization designated by Amgen. In the event Amgen terminates any Authorized Wholesaler from which Dialysis Center is
purchasing Products, Amgen will work with Dialysis Center to identify other possible Authorized Wholesalers from which Dialysis Center may purchase Products and/or, in the case of an emergency and subject to credit qualification as well as receipt
and approval of an “Application for Direct Ship Account”, use reasonable efforts in attempting to establish a temporary direct purchase relationship between Dialysis Center and Amgen until such time as an alternative Authorized Wholesaler
can be secured, which in no event shall exceed sixty (60) days. If Dialysis Center purchases directly from Amgen as contemplated immediately above, all purchases made from Amgen shall be deemed “Qualified Purchases” (as defined below) and
all such purchases shall be accounted for in the calculation of the discounts and incentives provided for in this Agreement and in Appendix A. 

 

2 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 

 
SECTION
6.    Amendment of Section 5, Qualified Purchases:    Section 5 is hereby amended for the period January 1, 2003 through December 31, 2003, as follows: 
 

	5.	Qualified Purchases.    Only Products purchased under this Agreement by Dialysis Center through Authorized Wholesalers (or directly from
Amgen as provided in Section 4 above), as confirmed by Amgen based on sales tracking data, will be deemed “Qualified Purchases”. 

 
SECTION 7.    Amendment of Section 6, Commitment to Purchase:    Section 6 is
hereby amended for the period January 1, 2003 through December 31, 2003, as follows: 
 

	6.	Commitment to Purchase.    Dialysis Center agrees to purchase Products for all of its dialysis use requirements for recombinant human
erythropoietin, and Amgen agrees to supply through Authorized Wholesalers all orders as placed by Dialysis Center. Notwithstanding the foregoing, Amgen expressly acknowledges and agrees that Dialysis Center may participate in clinical trials
involving the administration of other products for the management of anemia in dialysis patients. Dialysis Center may purchase another brand of recombinant human erythropoietin for its dialysis use requirements only for the time, and only to the
extent, that Amgen has notified Dialysis Center’s corporate headquarters in writing that Amgen cannot supply EPOGEN® or Aranesp® within and for the time period reasonably required by Dialysis Center. Any such
notification shall be given by Amgen at least thirty (30) days prior to the date on which Amgen will cease supplying EPOGEN® or Aranesp® to Dialysis Center, unless an act or event described in Section 16 of the
Agreement, or an order of a regulatory agency or other action arising out of patient safety concerns, requires the giving of shorter notice. In the event that Amgen fails to supply Dialysis Center with EPOGEN® or Aranesp®
as ordered, Dialysis Center shall be entitled, at a minimum, to have the same proportion of its purchase orders fulfilled at all times as other purchasers of EPOGEN® or Aranesp®
and, upon request, Amgen shall provide written assurances of same to Dialysis Center. 

 
SECTION 8.    Amendment of Section 8, Discounts:    Section 8 is hereby amended for the
period January 1, 2003 through December 31, 2003, as follows: 
 

	8.	 Discounts.    Dialysis Center shall qualify for discounts and incentives subject to material compliance with the terms and conditions
of this Agreement as well as the schedules and terms set forth in Appendix A. Discounts in arrears will be paid in the form of a wire transfer to Dialysis Center’s corporate headquarters, and Amgen Inc. hereby guarantees Amgen’s obligation
to pay all discounts earned by Dialysis Center hereunder. Discounts in arrears will be calculated in accordance with Amgen’s discount calculation policies based on Qualified Purchases using Amgen’s standard [DELETED] as the calculation
price, except as otherwise provided hereunder or as set forth in Appendix A. Payment amounts, as calculated by Amgen, must equal or exceed $100.00 for the applicable period to qualify, and are subject to audit and final determination by arbitration,
as provided in Appendix A hereto. Subject to the section entitled “Termination”, in the event that Amgen is notified in writing that Dialysis Center, and/or any Affiliate(s) (the “Acquired Party”) is acquired by another entity or
a change of control otherwise occurs with respect to any Acquired Party, any discounts which may have been earned hereunder for all periods preceding such acquisition or change of control shall be paid in the form of a wire transfer to Dialysis
Center’s corporate headquarters, subject to the conditions and requirements described herein. For purposes of all of the discounts paid in arrears contained herein, including, without limitation, those discounts and incentives provided in
Appendix A, if any Affiliates are added to or deleted from this Agreement during any [DELETED] the period January 1, 2003 through December 31, 2003 of this Amendment, Amgen shall appropriately adjust Dialysis Center’s purchases for the relevant
periods (x) for deleted Affiliates, by excluding purchases by such Affiliates effective from the effective date of their deletion and during the relevant [DELETED] used for comparison, or (y) for added Affiliates, by including any purchases made by
such acquired Affiliates effective from the date they are added to the list of Affiliates on Appendix B and during the relevant [DELETED] used for comparison, and by including any purchases made by any de novo 



 

3 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 


	 	 
Affiliates commencing in the [DELETED] in which they commence operations. Amgen and Dialysis Center agree that, for purposes of determining
eligibility for and calculation of all discounts and all incentives provided in this Agreement (including, without limitation, all discounts and incentives as are set forth in Appendix A), a Qualified Purchase of EPOGEN® or Aranesp® shall be deemed made on the date of invoice to Dialysis Center from an Authorized Wholesaler. Upon any termination of this Agreement, Amgen shall pay to Dialysis Center all discounts and incentives earned by Dialysis Center through
the date of termination. Failure of Dialysis Center to qualify for or receive any particular discount or incentive hereunder shall not automatically affect its qualification for or receipt of any other discount or incentive provided under this
Agreement. 


 
SECTION
9.    Amendment of Section 9. Treatment of Discounts:    Section 9 is hereby amended for the period January 1, 2003 through December 31, 2003, as follows: 
 

	9.	Treatment of Discounts.    a) Dialysis Center agrees that it will properly disclose and account for any discount or other reduction in
price earned hereunder, in whatever form (i.e., pricing, discount, or incentive), in a way that complies with all applicable federal, state, and local laws and regulations, including without limitation, Section 1128B(b) of the Social Security Act
and its implementing regulations. Section 11 28B(b) requires that a provider of services properly disclose and appropriately reflect the value of any discount or other reduction in price earned in the costs claimed or charges made by the provider
under a federal health care program, as that term is defined in Section 11288(f). Dialysis Center also agrees that, if required by such statutes or regulations, it will (i) claim the benefit of such discount received, in whatever form, in the fiscal
year in which such discount was earned or the year after, (ii) fully and accurately report the value of such discount in any cost reports filed under Title XVIII or Title XIX of the Social Security Act, or a state health care program, and (iii)
provide, upon request by the U.S. Department of Health and Human Services or a state agency or any other federally funded state health care program, the information furnished to Dialysis Center by Amgen concerning the amount or value of such
discount. Dialysis Center’s corporate headquarters agrees that it will advise all Affiliates, in writing, of any discount received by Dialysis Center’s corporate headquarters hereunder with respect to purchases made by such Affiliates and
that said Affiliates will account for any such discount in accordance with the above stated requirements. 

 
b) In order to assist Dialysis Centers compliance with its obligations as set forth in Section 9(a) immediately above, Amgen agrees that,
along with the [DELETED] delivery of its payment on the [DELETED] earned hereunder, it will provide to Dialysis Center a statement on a [DELETED] basis stating the incentives and discounts earned by Dialysis Center in a particular [DELETED] with the
itemization Product purchases made in a particular [DELETED] and the [DELETED] (as defined in Appendix A, Section 3(b)), both broken down by Affiliates; and any other information that Dialysis Center may request that is reasonably available to Amgen
and necessary for Dialysis Center to obtain in order to comply with its obligation as set forth in Section 9(a). 
 
SECTION 10.    Amendment of Section 10, Data Collection:    Section 10 is
hereby amended for the period January 1, 2003 through December 31, 2003, as follows: 
 

	10.	 Data Collection.    Dialysis Center agrees that it will at all times comply with all federal, state, or local laws or regulations
relating to patient privacy of medical records, and that all data to be provided to Amgen pursuant to this Agreement, shall be in a form that does not disclose the identity or name of any patient or other patient-identifying information such as
address, telephone number, birth date, all or part of a social security number, medical record number or prescription number. Dialysis Center and Amgen agree that not later than April 1, 2003 they will use and accept only those patient identifiers
compliant with the federal medical privacy standards codified under 45 C.F.R. parts 160 and 164 pursuant to the Health Insurance Portability and Accountability Act (“HIPAA”). Dialysis Center acknowledges that the data to be supplied to
Amgen pursuant to this Agreement shall be used to support verification of the discounts and incentives 



 

4 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 


	 	 
referenced herein, as well as for Amgen-sponsored research concerning the role of EPOGEN® in improving treatment outcomes and quality of life of dialysis patients. Dialysis Center shall consistently use a unique alpha-numeric code (which
shall not be the same as part or all of the patient’s social security number) as a “case identifier” to track the care rendered to each individual patient over time, and such case identifier shall be included in the data provided to
Amgen. The key or list matching patient identities to their unique case identifiers shall not be provided to Amgen personnel. In furtherance of Amgen research, Dialysis Center may agree from time to time, on terms to be negotiated separately by the
parties, to use its key to update the patient care data by linking it with information concerning health outcomes, quality of life, and other pertinent data that may become available to Amgen from other sources. Any such linking of data sources
shall not provide the identity of any patient to Amgen. Amgen and Amgen Inc. agree that they will maintain data supplied under this Agreement in confidence, they will not use such data to identify or contact any patient, and they will at all times
comply with all federal, state, or local laws or regulations relating to patient records. [DELETED]. Amgen and Amgen Inc. shall not sell or resell any data obtained pursuant to this Agreement. Additionally, any use by Amgen or Amgen Inc. of any such
data outside of Amgen, Amgen Inc. or Dialysis Center shall be in a format which does not identify Dialysis Center as the source of such data, unless otherwise permitted in writing by Dialysis Center. No reports by Amgen or Amgen Inc. concerning
analyses of the data or the results of such research shall disclose the identity of any patient. Nothing in this Agreement shall limit Dialysis Center’s use of its own patient case data, including, without limitation, any and all data to be
supplied to Amgen hereunder. 


 
SECTION 11.    Amendment of Section 13. Warranties:    Section 13 is hereby amended for the period January 1, 2003 through December 31, 2003, as follows: 
 

	13.	Warranties.    Each party represents and warrants to the other that this Amendment (a) has been duly authorized, executed, and delivered
by it, (b) constitutes a valid, legal, and binding agreement enforceable against it in accordance with the terms contained herein, and (c) does not conflict with or violate any of its other contractual obligations, expressed or implied, to which it
is a party or by which it may be bound. The party executing this Amendment on behalf of Dialysis Center specifically warrants and represents to Amgen that it is authorized to execute this Amendment on behalf of and has the power to bind Dialysis
Center and the Affiliates to the terms set forth in this Amendment. The parties executing this Amendment on behalf of Amgen and Amgen Inc. specifically warrant and represent to Dialysis Center that they are authorized to execute this Amendment on
behalf of and have the power to bind Amgen and Amgen Inc. to the terms set forth in this Amendment. Amgen warrants that the Products purchased pursuant to this Agreement (a) are manufactured in accordance with all applicable federal, state and local
laws and regulations pertaining to the manufacturing of the Products including without limitation, the Federal Food, Drug, and Cosmetic Act and implementing regulations, and meet all specifications for effectiveness and reliability as required by
the United States Food and Drug Administration, and (b) when used in accordance with the directions on the labeling, are fit for the purposes and indications described in the labeling. Amgen agrees that it will promptly notify Dialysis Center once
it determines that there has been any material defect in any of the Products delivered to Dialysis Center. 

 

5 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 

 
SECTION
12.    Amendment of Section 14, Notices:    Section 14 is hereby amended for the period January 1,2003 through December 31, 2003, as follows: 
 

	14.	Notices.    Any notice or other communication required or permitted hereunder (excluding purchase orders) shall be in writing and shall be
deemed given or made three (3) days after deposit in the United States mail with proper postage for first-class registered or certified mail prepaid, return receipt requested, or when delivered personally or by facsimile (receipt verified and
confirmed by overnight mail), or one (1) day following traceable delivery to a nationally recognized overnight delivery service with instructions for overnight delivery, in each case addressed to the parties as follows (or at such other addresses as
the parties may notify each other of in writing): 

 
If to Dialysis Center: 
Total Renal Care, Inc. 
21250 Hawthorne Boulevard, Suite 800 
Torrance, CA 90503-5517 
Attn: Chief Financial Officer 
Fax No.: (310) 792-9281

 
with a copy to: 
Total Renal Care, Inc. 
21250 Hawthorne Boulevard, Suite 800 
Torrance, CA
90503-5517 
Attn: General Counsel 
Fax No.: (310) 792-0044 
 
If to Amgen: 
Amgen USA Inc. 
One Amgen Center Drive, M/S 37-2-B

Thousand Oaks, CA 91320-1789 
Attn: Gail Gilbotowski, Manager, Contract Administration 
Fax No.: (805) 376-8554 
 
with a copy to: 
Amgen USA Inc. 
One Amgen Center Drive, M/S 27-4-A

Thousand Oaks, CA 91320-1789 
Attn: General Counsel 
Fax No.: (805) 447-1000 
 
If to Amgen Inc.: 
Amgen Inc. 
One Amgen Center Drive, M/S 37-2-B 
Thousand Oaks, CA 91320-1789 
Attn: Gail Gilbotowski, Manager, Contract Administration 
Fax No.: (805) 376-8554 
 
with a copy to: 
Amgen Inc. 
One Amgen Center Drive, M/S 27-4-A 
Thousand Oaks, CA 91320-1789 
Attn: General Counsel 
Fax No.: (805) 447-1000 
 

6 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 

 
SECTION
13.    Amendment of Section 15. Compliance with Health Care Pricing and Patient Privacy Legislation and Statutes:    Section 15 is hereby amended for the period January 1, 2003 through
December 31, 2003, as follows: 
 

	15.	Compliance with Health Care Pricing and Patient Privacy Legislation and Statutes; Data Use Agreement.    a) Notwithstanding anything
contained herein to the contrary, in order to assure compliance, as determined by either party, in its sole discretion, with any existing federal, state or local statute, regulation or ordinance, or at any time following the enactment of any
federal, state, or local law or regulation that in any manner reforms, modifies, alters, restricts, or otherwise affects the pricing of or reimbursement available for Products, including but not limited to the enactment of any reimbursement rule,
guideline, final program memorandum, coverage decision, pricing decision, instruction or the like by the Centers for Medicare and Medicaid Services (“CMS”) or any of Dialysis Centers Medicare fiscal intermediaries, or any change in
reimbursement systems that in any manner reforms, modifies, alters, restricts or otherwise affects the reimbursement available to Dialysis Center for any of the Products, either party may, in its sole discretion, upon thirty (30) days notice, seek
to modify this Agreement in accordance with the procedure referenced below or exclude any Affiliates from participating in this Agreement unless such Affiliate(s) certifies in writing that they are, or will be, exempt from the provisions thereunder.
If such affected Affiliate(s) does not so certify and is therefore excluded from participating in this Agreement, Dialysis Center and Amgen shall meet and in good faith seek to mutually agree to modify this Agreement to accommodate any such change
in law or regulation, with the intent that, if possible, the essential terms and the pricing structure [DELETED] shall be retained at least at the applicable tier as in effect immediately prior to such Affiliate’s exclusion. If the parties in
good faith determine such modification is not possible, the parties shall seek to modify the Agreement in another manner acceptable to both parties. If the parties, after ninety (90) days are unable to agree upon such a modification, Amgen shall be
entitled to terminate the Agreement on no less than thirty (30) days’ notice. In the event there is a future change in Medicare, Medicaid, or other federal or state statute(s) or regulation(s) or in the interDretation thereof, which renders
any of the material terms of this Aoreement unlawful or unenforceable, this Agreement shall continue only if amended by the Darties as a result of good faith negotiations as necessary to bring the Agreement into comDliance with such statute or
regulation. 

 
b)
Notwithstanding anything contained herein to the contrary, in order to assure compliance, as determined by either party in its sole discretion, with any existing federal, state or local statute, regulation or ordinance relating to patient privacy of
medical records, or at any time following the enactment of any federal, state, or local law or regulation relating to patient privacy of medical records that in any manner reforms, modifies, alters, restricts, or otherwise affects any of the data
received or to be received in connection with any of the incentives contemplated under this Agreement, either party may, in its discretion, upon thirty (30) days’ notice, seek to modify this Agreement. Dialysis Center and Amgen shall meet and
in good faith seek to mutually agree to modify this Agreement to accommodate any such change in law or regulation, with the intent to, if possible, retain the essential terms of the affected incentive and pricing structure. If the parties in good
faith determine that such modification is not possible, the parties shall seek to modify the Agreement in another manner acceptable to both parties. If the parties, after ninety (90) days, are unable to agree upon such a modification, either party
shall be entitled to terminate the affected incentive upon thirty (30) days’ notice. 
 
(c) Notwithstanding anything contained herein to the contrary, this Agreement is effective only as of the date the parties hereto execute a mutually agreeable Data Use Agreement pursuant to which
Dialysis Center may disclose a Limited Data Set of patient information to Amgen (as specified in the Data Use Agreement and which shall include, at a minimum, the data fields to be received by Amgen in connection with this Agreement) for purposes of
Amgen’s Research and Public Health analyses and Dialysis Center’s Health Care Operations. Unless otherwise specifically defined in this Agreement, each capitalized term used in this 

 

7 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 


	 	 
Section 15(c) shall have the meaning assigned to such term by HIPAA. If Dialysis Center terminates the Data Use Agreement for any reason,
Amgen shall be entitled to terminate this Agreement immediately. The parties acknowledge and agree that they have entered into a Data Use Agreement (“DUA”) in connection with the disclosure to Amgen of certain patient information, as
described in Section 23 of this Agreement. Without limitation of the foregoing, Amgen and Dialysis Center agree to negotiate in good faith to further amend the Agreement and/or enter into such additional agreements to the extent necessary to allow
Dialysis Center to disclose to Amgen patient data (including any individually identifiable health information), and to otherwise comply with the Standards of Privacy of Individually Identifiable Health Information (the “Standards”)
promulgated or to be promulgated by the Secretary of Health and Human Services in accordance with the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) or other related regulations or statutes. Dialysis Center and Amgen
agree that they will fully comply with all such Standards and that they will amend the Agreement and/or enter into additional agreements in order to incorporate any material terms required by the Standards prior to the compliance date specified in
the regulations for such Standards. Without limiting the generality of the foregoing, Amgen and Dialysis Center specifically agree to enter into such amendment(s) or agreement(s), as may be appropriate or necessary as determined by the parties, to
permit the disclosure to and access and use by Amgen of patient data (including individually identifiable health information) in order to allow the provision by Amgen of the Good Pharmaceutical Practice Support Services for EPOGEN® as provided to Dialysis Center consistent with past practice and defined in Section 21 of this Agreement. In the
event Dialysis Center and Amgen have not amended the Agreement and/or entered into such additional agreements by the compliance date for such Standards, and except for the obligations of the Parties under the DUA, (1) Dialysis Center shall be
entitled to cease disclosure of patient data (including any individually identifiable health information) to Amgen in connection with Amgen’s provision of Good Pharmaceutical Practice Support Services as defined in Section 21 of this Agreement,
and (2) Amgen shall be entitled to cease providing Good Pharmaceutical Practice Support Services, as defined in Section 21 of this Agreement, to Dialysis Center, in each case notwithstanding any past practice or as otherwise may be contemplated by
the Agreement.” 


 
SECTION 14.    Amendment of Section 18. Entire Agreement:    Section 18 is hereby amended for the period of January 1, 2003 through December 31, 2003, as follows:

 

	18.	Entire Agreement.    The Agreement (as modified by this Amendment) together with the DUA and all of the Appendices attached hereto and
thereto, constitutes the entire understanding between the parties and supersedes all prior or oral written proposals, agreements or commitments pertaining to the subject matter herein and therein. 

 
SECTION 15.    Amendment of
Section 19. [DELETED]:    Section 19 is hereby amended for the period January 1, 2003 through December 31, 2003, as follows: 
 

	19.	[DELETED] 

 
SECTION 16.    Addition of Section 21. Good Pharmaceutical Practice Supi,ort Services for EPOGEN®:    Section 21 is hereby added for
the period January 1, 2003 through December 31, 2003, as follows: 
 

	21.	Good Pharmaceutical Practice Support Services for EPOGEN®:    In order to advance the common clinical objectives of the parties under this Agreement, Amgen agrees to provide to Dialysis Center the
following good pharmaceutical practice standard support services which it provides to all customers, at no additional cost or charge: 

 
(a) Clinical support team of nephrology specialists who provide clinical information about anemia management, offer non-patient-specific
advice about the use of EPOGEN® in the treatment of patients with end-stage renal disease, and answer general
questions about EPOGEN®, anemia management, and reimbursement presented by a facility’s clinical staff;

 

8 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 

 
(b)
Patient education materials; 
 
(c) EPOGEN® reimbursement hotline; and 
 
(d) 24-hour emergency drug information service. 
 
Amgen agrees to furnish such services only in cooperation with Dialysis Center’s facilities, in a manner
consistent with Dialysis Center’s policies and procedures, and in accordance with the terms otherwise set forth in this Agreement, including without limitation Section 22 hereof. 
 
SECTION 17.    Addition of Section 22,
Access:    Section 22 is hereby added for the period January 1, 2003 through December 31, 2003, as follows: 
 

	22.	Access.    Amgen agrees that it and its agents and employees shall, at all times, comply with all applicable laws and regulations, and
with Dialysis Center’s general policies and procedures, regulations and guidelines regarding product promotion and access to Dialysis Center’s facilities and personnel. Amgen’s discussion of its Products shall be in compliance with
all applicable laws and regulations. 

 
SECTION 18.    Addition of Section 23 HIPAA Compliance/Data Use Agreement:    Section 23 is hereby added for the period January 1, 2003 through December 31, 2003, as
follows: 
 

	23.	HIPAA Compliance/Data Use Agreement.    Amgen and Dialysis Center acknowledge and agree that not later than April 14, 2003 certain of the
patient information and data delivered to Amgen hereunder must be in a format that is compliant with the privacy standards of HIPAA. In connection with the foregoing, the Parties have executed and delivered, contemporaneously herewith, a Data Use
Agreement (“DUA”) which specifies the limited data set format of patient information that may be delivered to Amgen under this Agreement and the DUA. The parties acknowledge and agree that the rights and obligations of the parties under
the DUA are a supplement to the rights and obligations hereunder. 

 
SECTION 19.    Amendment to Appendix A: Discount Pricing. Schedule, and Terms:    Appendix A is hereby amended and restated in its entirety
for the period of January 1, 2003 through December 31, 2003 to read as follows: 
 

	1.	Pricing—Aranesp®.    During the period January 1, 2003 through December 31, 2003, Dialysis Center may purchase Aranesp® through Authorized Wholesalers at [DELETED], which shall be equal to the [DELETED]. Amgen reserves the right to change the [DELETED] at any time.
Resulting prices do not include any wholesaler markup, service fees, or other charges. No other discounts, including discounts in arrears, are applicable to Aranesp purchased under this Agreement. 

 

	2.	Pricing—EPOGEN®.    During the period January 1, 2003 through December 31, 2003, Dialysis Center may purchase EPOGEN® through Authorized Wholesalers at [DELETED], which shall be equal to the [DELETED]. Amgen reserves the right to change the [DELETED] at any time.
Notwithstanding any such change(s), the [DELETED] that is applicable to Dialysis Center throughout the Term shall be the [DELETED]. Resulting prices do not include any wholesaler markup, service fees, or other charges. In the event that [DELETED]
are effectuated at any time [DELETED] Dialysis Center’s [DELETED] for Qualified Purchases of EPOGEN® shall
[DELETED]. All discounts earned in arrears during the Term of the Amendment shall be calculated based upon the [DELETED] of this Agreement, such that any [DELETED] contained in any of the discounts or incentives set forth in this Appendix A shall
[DELETED] in the [DELETED]. 

 

	3.	[DELETED]. Dialysis Center may qualify for a [DELETED] provided it meets the criteria described below in this Section 3. The [DELETED] is designed to improve
patient outcomes by encouraging [DELETED].1 

 

	a.	 Requirements:    In order to qualify for the [DELETED] during the period January 1, 2003 through December 31, 2003, Dialysis
Center’s aggregate Qualified Purchases of EPOGEN® and Aranesp® by all 



 

9 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 


	 	 
Affiliates as listed on Appendix B on the effective date of this Amendment and all new approved Affiliates (whether by acquisition, to the
extent that either Amgen or Dialysis Center can provide adequate data concerning such Affiliates’ purchases for the same time period from 2001, or de novo) must equal or exceed [DELETED] of the aggregate Qualified Purchases of EPOGEN® by those same Affiliates for the same [DELETED] from 2001 as set forth in the [DELETED] contained in section 5(a)
below, and as adjusted pursuant to section 5(a) (the [DELETED]). The [DELETED] shall be calculated using the formula described in Section 5(a) below. In addition, no more than [DELETED] of Dialysis Center’s [DELETED] taken on an overall basis
(and not separately for each Affiliate) may have [DELETED] (as defined in Section 3(b) below) [DELETED] during the applicable [DELETED] of the period January 1, 2003 through December 31, 2003. If either of these criteria is not met during any given
[DELETED] of the period January 1, 2003 through December 31, 2003, Dialysis Center will not qualify for the [DELETED] during that [DELETED]. Failure of Dialysis Center to qualify for the [DELETED] during a particular [DELETED] shall not affect
Dialysis Center’s eligibility to qualify during any other [DELETED] of the period January 1, 2003 through December 31, 2003, nor shall Dialysis Center’s qualification during a particular [DELETED] automatically result in qualification
during any other [DELETED]. Notwithstanding the foregoing, if Dialysis Center has not satisfied the [DELETED] for any particular [DELETED], then, at the end of the Term of this Agreement, Amgen will conduct an analysis to determine if Dialysis
Center has achieved the required [DELETED]. If Dialysis Center has achieved the [DELETED], Amgen will [DELETED]. Reconciliation payments will be made [DELETED]. [DELETED] a reconciliation payment, the payment will be made within [DELETED] after
[DELETED], and receipt by Amgen of all required Data as set forth in Section 3(a)(i) below. [DELETED] a reconciliation payment, [DELETED] will pay [DELETED] within [DELETED] after receipt of [DELETED]. 


 
In order to participate in the [DELETED], Dialysis Center
must also provide the following data items to Amgen or to a data collection vendor specified and paid for by Amgen, on a [DELETED] basis, and no later than [DELETED] days after the end of each [DELETED]. In those cases in which Amgen directs
Dialysis Center to submit the following information to a data collection vendor, Dialysis Center shall be deemed to have timely submitted the information to such data collection vendor so long as it does so on a [DELETED] basis and no later than
[DELETED] days after the end of each [DELETED], regardless of the date on which such vendor, in turn, submits such information to Amgen: 


	1	[DELETED] 

 
 

	 	i)	all [DELETED] for each dialysis patient, the date of each test, and a consistent, unique, alphanumeric identifier (sufficient to consistently track an individual
patient without in any way disclosing the identity of the patient), along with the name, address and phone number of the particular Affiliate at which each patient received treatment (collectively, the “Data”); provided, however, that
Dialysis Center shall be required to submit such test results only for those dialysis patients whose test results are actually determined by laboratories owned and operated by Dialysis Center. Amgen may utilize the Data for any legal purpose, and
reserves the right to audit all Data, provided that any audit shall not permit access to information disclosing the identity of any patient. Under no circumstances on or after April 1, 2003 should the Data include any patient identifiable
information including, without limitation, name, address, telephone number, birth date, all or part of a social security number, medical record number or prescription number. The identity of the Affiliate and of the account submitting the Data and
any association with the Data will remain confidential. The [DELETED] must be derived from [DELETED] taken immediately before dialysis treatment using any [DELETED] testing method [DELETED] and must be reported to the [DELETED], and must be
submitted [DELETED] in a format acceptable to Amgen. Hand written reports are not acceptable; only electronic submission of the Data will be accepted, and 

 

10 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 

 

	 	ii)	upon execution of this Amendment, Dialysis Center shall simultaneously provide to Amgen an executed “Certification Letter”, a copy of which is attached
hereto as Exhibit #1. Amgen hereby acknowledges that it has received such required Certification Letter, in a form and substance satisfactory to Amgen. Delivery of such Certification Letter shall serve to qualify Dialysis Center’s participation
in the [DELETED] throughout the period January 1,2003 through December 31, 2003 of this Agreement for the limited purpose of certification of the accuracy of the data submitted to Amgen hereunder. 

 

	b.	Calculation:    Assuming Dialysis Center has fulfilled all requirements as described in Section 3(a) above, the [DELETED] for Dialysis
Center will be calculated as follows: 

 
The [DELETED] for each dialysis patient will be based upon the average of all [DELETED] gathered for each patient during the applicable [DELETED] of the period January 1, 2003 through December 31, 2003. The [DELETED] of all dialysis
patients with [DELETED], will be determined by [DELETED] the total [DELETED] of dialysis patients with [DELETED] by the total [DELETED] of dialysis patients treated by Dialysis Center during that [DELETED]. 
 

	c.	 Payment:    The [DELETED] will be calculated on a [DELETED] basis and paid to Dialysis Center’s corporate headquarters within
[DELETED] days after receipt by Amgen of all required data. If any Affiliates are added to or deleted from this Agreement during any [DELETED] of the period January 1, 2003 through December 31, 2003, Amgen shall appropriately adjust Dialysis
Center’s purchases for the relevant periods by including any purchases made by any acquired Affiliates during the relevant [DELETED] and also during the period(s) used for comparison, and by including any purchases made by any de novo
Affiliates commencing in the [DELETED] in which they commence operations, and by excluding any purchases made by any deleted Affiliates during the relevant [DELETED] and also during the period(s) used for comparison. Payment is contingent upon
meeting the [DELETED] and receipt by Amgen of all required [DELETED] Data for each corresponding [DELETED]. If the Data is received more than [DELETED] days after the last day of any [DELETED] within a given [DELETED], the total Qualified Purchases
of EPOGEN® attributable to Dialysis Center during such [DELETED] will be excluded from the calculation of the
[DELETED] for that [DELETED]. Notwithstanding the foregoing, if Amgen receives all required Data from a minimum of [DELETED] of all Affiliates within the definition of “Dialysis Center” within the time frame referenced in Section 3(a)
above for any [DELETED] within a given [DELETED], the total Qualified Purchases of EPOGEN® attributable to
Dialysis Center during such [DELETED] will be included in the calculation of the [DELETED] for that [DELETED]. If Amgen receives all required data from [DELETED] of all Affiliates within the definition of “Dialysis Center” within the time
frame referenced in Section 3(a) above for any [DELETED] within a given [DELETED], the total Qualified Purchases of EPOGEN® attributable to those Affiliates that have submitted the required data during such [DELETED] will be included in the calculation of the [DELETED] for that [DELETED]. If Amgen receives all required Data from less than [DELETED] of
all Affiliates within the definition of “Dialysis Center” for any [DELETED] within a given [DELETED], no Qualified Purchases of Dialysis Center during such [DELETED] will be included in the calculation of the [DELETED] for that [DELETED].
At any time during the period January 1, 2003 through December 31, 2003 of this Agreement, if Amgen determines that any Affiliate(s) is consistently not submitting the required Data, Amgen reserves the right in its sole discretion to exclude such
Affiliate’s Qualified Purchases of EPOGEN® from the calculation of the [DELETED] for any relevant
[DELETED]. [DELETED] payments will be made based upon the Data received from the previous [DELETED], and will equal a percentage of Dialysis Center’s total Qualified Purchases of EPOGEN® during that [DELETED] (exclusive of any Qualified Purchases of EPOGEN® made by Dialysis Center or any Affiliate not meeting the Data submission requirements described above) as governed by the [DELETED] schedule listed
below. If Amgen determines that any Affiliate is consistently not submitting the required Data, Amgen and Dialysis Center will work collaboratively in resolving such matters. Notwithstanding the foregoing, payment for any period from January 1, 2003
through 



 

11 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 


	 	 
December 31, 2003 that is not equivalent to a complete [DELETED] will be based on an average of the Data that is available for that
period. If the EPOGEN® package insert language or the National Kidney Foundation’s Kidney Disease Outcomes
Quality Initiative Guidelines change, then Amgen and Dialysis Center will meet and in good faith seek to mutually agree to modify this Agreement to accommodate any such change, with the intent to retain the essential terms of the [DELETED]. If the
parties, after ninety (90) days, are unable to agree upon such a modification, Amgen shall be entitled to terminate the [DELETED], Amgen warrants and represents that, as of the execution date of this Amendment, it has not submitted to any United
States regulatory authorities any proposed changes to the EPOGEN® package insert that would materially affect
the [DELETED] throughout the Term of this Amendment. In addition, at the [DELETED], Amgen will conduct an analysis to determine if Dialysis Center has achieved the [DELETED] (contemplated by Section 3(a) above) throughout the period January 1,
2003 through December 31, 2003. If [DELETED] Dialysis Center has achieved the [DELETED], then Amgen will perform a reconciliation calculation in connection with all previous [DELETED] calculations and appropriately adjust the [DELETED] for all
relevant [DELETED] during the period January 1, 2003 through December 31, 2003 in which a [DELETED] was not paid based upon the failure of Dialysis Center to attain the minimum [DELETED] growth requirement (as referenced in Section 3(a) above).
However, if at the [DELETED], the [DELETED] has not been met, Amgen will perform a reconciliation calculation in connection with all previous [DELETED] payments of the period January 1, 2003 through December 31, 2003, which may result in [DELETED].
The [DELETED] payment and any other discount or incentive earned in arrears (other than the [DELETED] set forth in Section 4 below) corresponding to the last [DELETED] of the Term ([DELETED]), if any, shall not be due and owing until, and shall be
subject to, reconciliation by Amgen. Reconciliation payments will be made by [DELETED], within [DELETED] days after the [DELETED] and receipt by Amgen of all required Data as set forth in Section 3(a)(i) above. 


 

	 [DELETED] of all dialysis
 patients with [DELETED]

	  	 [DELETED]
 Percent
 [DELETED]
 as defined

	  	 [DELETED]
 Percent
 [DELETED]
 as defined

	  	 [DELETED]
 Percent
 [DELETED]
 as defined


	 package insert

	  	 in Section 5(a)

	  	 in Section 5(a)

	  	 in Section 5(a)


	 [DELETED]
	  	 [DELETED]
	  	 [DELETED]
	  	 [DELETED]


 
Dialysis Center shall have the right, at its own cost and expense, at all times to audit all Data and all calculations relevant to the determination of eligibility for and amount of [DELETED] to be awarded to Dialysis Center
hereunder. The parties shall meet and confer in good faith to resolve any disagreements arising out of these matters. If the parties are unable to resolve any such disagreement within ninety (90) days, the parties shall submit such disagreement to
binding arbitration in accordance with the Commercial Arbitration Rules of the American Arbitration Association, except that the parties shall be entitled to expanded discovery. Dialysis Center and Amgen shall each name one arbitrator, and the
arbitrators so chosen shall, within thirty (30) days thereafter, name a third neutral arbitrator. The arbitration award, as decided by a majority of the arbitrators, may be entered as a judgment in accord with applicable law by any court having
jurisdiction. Venue for the arbitration shall be Los Angeles County, California. Each party shall be responsible for its own attorneys’ fees, and the costs of the arbitration and of the arbitrators shall be shared equally by the parties;
provided, however, that if the decision of the arbitrators finds that either of the parties has acted in bad faith, the party acting in bad faith alone shall be required to bear one hundred percent (100%) of the costs and expenses of the arbitration
and of the arbitrators, as well as one hundred percent of the attorney’s fees of the other party. The arbitrators shall have the authority to award interest in respect to any monetary award. 
 

	d.	 Vesting:    Dialysis Center’s [DELETED] will vest [DELETED], subject to the reconciliation referenced above, and will be paid in
accordance with the terms and conditions described in this Section 3. In the event that the [DELETED] paid to Dialysis Center [DELETED] exceed Dialysis Center’s [DELETED] the difference between the [DELETED] paid and the [DELETED] within
[DELETED] after Dialysis Centers 



 

12 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 


	 	 
receipt of [DELETED]. Similarly, in the event that Dialysis Center’s [DELETED] exceeds the [DELETED] that have been paid to Dialysis
Center, [DELETED] the difference between the [DELETED] and the [DELETED] paid. 


 

	e.	[DELETED] Data Submission:    To participate in the [DELETED], Dialysis Center must electronically submit [DELETED], rather than
[DELETED], measurements. Such measurements must be submitted for all dialysis patients at each Affiliate whose test results are actually determined in labs owned and operated by Dialysis Center along with all other information described in Section
3(a) above. Amgen no longer accepts [DELETED] test results. 

 

	4.	 [DELETED].    Dialysis Center shall be eligible to receive a [DELETED] if certain data elements are transmitted electronically to
Amgen. The [DELETED] will be calculated as a percentage of the Qualified Purchases of EPOGEN® attributable to
Dialysis Center during the applicable [DELETED]. Failure of Dialysis Center to qualify during a particular [DELETED] shall not affect Dialysis Center’s eligibility to qualify during any other [DELETED] of the period January 1, 2003 through
December 31, 2003, nor shall Dialysis Center’s qualification during a particular [DELETED] automatically result in qualification during any other [DELETED]. In order to qualify for the [DELETED], the following [DELETED] must be submitted to
Amgen by all Affiliates pursuant to Section 15(c) of the Agreement in an electronic format acceptable to Amgen (Excel; Lotus 123.wki; or text file that is tab delimited, comma delimited, or space delimited): Facility ID, Patient ID (sufficient to
consistently track an individual patient without in any way disclosing the identity of the patient), peritoneal dialysis (“PD”) denotation (a PD patient shall be defined as a patient who receives at least one (1) peritoneal dialysis
treatment during a given month), [DELETED] delivered for each patient per treatment (but only for patients of Affiliates using the CRIS or Snappy systems), [DELETED] for each patient once per [DELETED], and all [DELETED] with their corresponding
draw dates for each patient; provided, however, that Dialysis Center shall be required to submit such test results only for those dialysis patients whose test results are actually determined by laboratories owned and operated by Dialysis Center.
Such [DELETED] must be submitted, on a [DELETED] basis, and no later than [DELETED] days after the end of each [DELETED]. Notwithstanding the foregoing, if Amgen receives all required data from a minimum of [DELETED] of all Affiliates within the
definition of “Dialysis Center” within the time frame set forth herein for any [DELETED] within a given [DELETED], the total Qualified Purchases of EPOGEN® attributable to Dialysis Center during such [DELETED], will be included in the calculation of the [DELETED] for that [DELETED]. If Amgen receives
all required data from [DELETED] of all Affiliates within the definition of “Dialysis Center” within the time frame set forth herein for any [DELETED] within a given [DELETED], the total Qualified Purchases of EPOGEN® attributable to those Affiliates that have submitted the required data during such [DELETED] will be included in the
calculation of the [DELETED] for that [DELETED]. If Amgen receives all required data from less than [DELETED] of all Affiliates within the definition of “Dialysis Center” for any [DELETED] within a given [DELETED], no Qualified Purchases
of Dialysis Center during such [DELETED] will be included in the calculation of the [DELETED] for that [DELETED]. However, if Amgen reasonably determines that any Affiliate is consistently not submitting the required data, Amgen and Dialysis Center
will work collaboratively in resolving such inconsistencies. Amgen will use its best efforts to notify Dialysis Center in writing, no later than [DELETED] after the receipt and acceptance by Amgen of the Data, of the identity of all those
Affiliates, if any, which have failed to meet the Data submission requirements for that [DELETED]. Amgen reserves the right in its sole discretion to exclude any consistently non-reporting Affiliate’s Qualified Purchases of EPOGEN® from the calculation of the [DELETED] for any relevant [DELETED]. Amgen will remit any earned [DELETED] payments
within [DELETED] days after the end of each [DELETED], contingent upon receipt by Amgen of all required data. The [DELETED] will vest at the end of each [DELETED] and will be reconciled at the end of each [DELETED] based on the actual Qualified
Purchases of EPOGEN® made by Dialysis Center during such [DELETED]. The reconciliation payment will be made
within [DELETED] days after the end of such [DELETED]. In addition to the foregoing, the [DELETED] will also be subject to reconciliation [DELETED] and Amgen may withhold 



 

13 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 


	 	 
payment of the [DELETED] payment subject to such reconciliation. The final reconciliation payment will be made within [DELETED] days of the
[DELETED], contingent upon receipt by Amgen of all required data. Dialysis Center shall have the right, at its own cost and expense, at all times to audit all Data and all calculations relevant to the determination of eligibility for and amount of
[DELETED] to be paid to Dialysis Center hereunder. 


 
The parties shall meet and confer in good faith to resolve any disagreements arising out of these matters. If the parties are unable to resolve any such disagreement within ninety (90) days, the parties shall submit such
disagreement to binding arbitration in accordance with the Commercial Arbitration Rules of the American Arbitration Association, except that the parties shall be entitled to expanded discovery. Dialysis Center and Amgen shall each name one (1)
arbitrator, and the arbitrators so chosen shall, within thirty (30) days thereafter, name a third neutral arbitrator. The arbitration award, as decided by a majority of the arbitrators, may be entered as a judgment in accord with applicable law by
any court having jurisdiction. Venue for the arbitration shall be Los Angeles County, California. Each party shall be responsible for its own attorneys’ fees, and the costs of the arbitration and of the arbitrators shall be shared equally by
the parties; provided, however, that if the decision of the arbitrators finds that either of the parties has acted in bad faith, the party acting in bad faith alone shall be required to bear one hundred percent (100%) of the costs and expenses of
the arbitration and of the arbitrators, as well as one hundred percent of the attorney’s fees of the other party. The arbitrators shall have the authority to award interest in respect to any monetary award. 
 

	5.	[DELETED].    Dialysis Center may qualify for the [DELETED] as described below. 

 

	a.	Calculation:    Dialysis Center’s [DELETED] will be calculated in accordance with the following formula. 

 
Where                                     
   [DELETED] = AxB 
 
A = [DELETED] of EPOGEN® during the relevant [DELETED] by all Affiliates. 
B = A percent in accordance with the [DELETED] schedule listed below. 
C = [DELETED]. 
D = [DELETED]. 
 
[DELETED] 
 
For purposes
of calculating [DELETED], Amgen will [DELETED] of EPOGEN® and Aranesp® during each [DELETED] of the period January 1, 2003 through December 31, 2003 by all Affiliates listed on Appendix B on the Commencement Date of
this Amendment and all new approved Affiliates (whether by acquisition, to the extent that either Amgen or Dialysis Center can provide adequate data concerning such Affiliates’ [DELETED], or de novo), [DELETED] of EPOGEN®, for the [DELETED]. [DELETED] represents the actual annual [DELETED] of EPOGEN® derived from [DELETED]. Additionally, the [DELETED] has been reconciled to address Affiliates acquired or deleted from the Agreement through
[DELETED]. If any Affiliates are added to or deleted from the Agreement from [DELETED], Amgen shall appropriately adjust Dialysis Center’s [DELETED] for the relevant periods (x) for deleted Affiliates, by excluding [DELETED] by such Affiliates
effective from the effective date of their deletion and during the relevant [DELETED] used for [DELETED], or (y) for added Affiliates, by including any [DELETED] made by such acquired Affiliates effective from the date they are added to the list of
Affiliates on Appendix B and during the relevant [DELETED] used for [DELETED], and by including any [DELETED] made by any de novo Affiliates commencing in the [DELETED] in which they commence operations . In addition, no later than [DELETED] days
following the [DELETED], Amgen will conduct an analysis to determine the [DELETED] achieved by Dialysis Center during the [DELETED], by [DELETED] of EPOGEN® and Aranesp® during the [DELETED] by all Affiliates listed on
Appendix B on the effective date of this Amendment and all new approved Affiliates (whether by acquisition, to the extent that either Amgen or Dialysis Center can provide adequate data concerning such Affiliates’ [DELETED], or de novo)
[DELETED] of EPOGEN® for the [DELETED]. For purposes of 

 

14 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 


	 	 
calculating the [DELETED] of EPOGEN® and Aranesp® [DELETED] period shall be derived using
Amgen’s prevailing [DELETED] for all EPOGEN® [DELETED] made in [DELETED] (including [DELETED] by acquired
and/or deleted Affiliates as defined above), and Amgen’s prevailing [DELETED] of this Agreement ([DELETED]) for all EPOGEN® and Aranesp® [DELETED] made in [DELETED]. 


 
[DELETED] 
 
Estimated payments will be made each [DELETED] within
[DELETED] days after receipt by Amgen of all [DELETED] data using Amgen’s discount calculation policies, and the [DELETED] will be reconciled within [DELETED] days after [DELETED]. 
 

	b.	Vesting:    Dialysis Center’s [DELETED] will vest [DELETED] and will be paid in accordance with Section 8 of this Agreement. In the
event that the [DELETED] paid to Dialysis Center [DELETED] exceed Dialysis Center’s [DELETED] the difference between the [DELETED] paid and the [DELETED] within [DELETED] of Dialysis Center’s receipt of [DELETED]. Similarly, in the event
that Dialysis Center’s [DELETED] exceeds the [DELETED] that have been paid to Dialysis Center, [DELETED] the difference between the [DELETED] and the [DELETED] paid. 

 
Dialysis Center shall have the right, at its own cost and expense, at all times to audit all Data and all
calculations relevant to the determination of eligibility for and amount of [DELETED] to be awarded to Dialysis Center hereunder, including, without limitation, the [DELETED] above. The parties shall meet and confer in good faith to resolve any
disagreements arising out of these matters. If the parties are unable to resolve any such disagreement within ninety (90) days, the parties shall submit such disagreement to binding arbitration in accordance with the Commercial Arbitration Rules of
the American Arbitration Association, except that the parties shall be entitled to expanded discovery. Dialysis Center and Amgen shall each name one arbitrator, and the arbitrators so chosen shall, within thirty (30) days thereafter, name a third
neutral arbitrator. The arbitration award, as decided by a majority of the arbitrators, may be entered as a judgment in accord with applicable law by any court having jurisdiction. Venue for the arbitration shall be Los Angeles County, California.
Each party shall be responsible for its own attorneys’ fees, and the costs of the arbitration and of the arbitrators shall be shared equally by the parties; provided, however, that if the decision of the arbitrators finds that either of the
parties has acted in bad faith, the party acting in bad faith alone shall be required to bear one hundred percent of the costs and expenses of the arbitration and of the arbitrators, as well as one hundred percent (100%) of the attorney’s fees
of the other party. The arbitrators shall have the authority to award interest in respect to any monetary award. 
 

	5.	[DELETED].    Dialysis Center may [DELETED] for the [DELETED] as described below. 

 

	 	a.	Throughout the Term of this Agreement, Amgen hereby elects [DELETED] to be organized by Dialysis Center throughout the Term of this Agreement [DELETED].
Dialysis Center may, from time to time and in its sole discretion, establish or alter the [DELETED], so long as during the Term, [DELETED] will include Dialysis Center [DELETED]. In consideration for the [DELETED], and to receive all of the
[DELETED] generally accorded by Dialysis Center to all [DELETED], Amgen will provide to Dialysis Center [DELETED] to Dialysis Center throughout the Term of this Agreement. Dialysis Center [DELETED] shall provide to Amgen, within [DELETED] following
the [DELETED], documentation regarding [DELETED]. [DELETED] Dialysis Center in the [DELETED] within [DELETED] following the [DELETED]. [DELETED] for any period during the Term that is not [DELETED] will be based [DELETED]. Such [DELETED] immediately
upon the conclusion, at any time during the Term, of the [DELETED]. 

 

	 	b.	Amgen may elect [DELETED] that may be organized from time to time by Dialysis Center during the Term, in addition to the [DELETED], on such additional terms and
conditions as shall generally apply to [DELETED]. [DELETED] Amgen of a [DELETED] under this Section shall not entitle Amgen [DELETED] in any such [DELETED]. 

 

15 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 

 

	 	c.	[DELETED]. The parties shall meet and confer in good faith to resolve any disagreements arising out of these matters. If the parties are unable to resolve any such
disagreement within a reasonable time period, the parties shall submit such disagreement to binding arbitration in accordance with the Commercial Arbitration Rules of the American Arbitration Association, except that the parties shall be entitled to
expanded discovery. Dialysis Center and Amgen shall each name one arbitrator, and the arbitrators so chosen shall, within 30 days thereafter, name a third neutral arbitrator. The arbitration award, as decided by a majority of the arbitrators, may be
entered as a judgment in accord with applicable law by a court having jurisdiction. Venue for the arbitration shall be Los Angeles County, California. Each party shall be responsible for its own attorneys’ fees, and the costs of the arbitration
and of the arbitrators shall be shared equally by the parties; provided, however, that if the decision of the arbitrators finds that either of the parties has acted in bad faith, the party acting in bad faith alone shall be required to bear one
hundred percent (100%) of the costs and expenses of the arbitration and of the arbitrators, as well as one hundred percent (100%) of the attorney’s fees of the other party. The arbitrators shall have the authority to award interest in respect
to any monetary award. 

 

	 	d.	Amgen hereby acknowledges receipt of a copy of Dialysis Center’s current [DELETED] and [DELETED], and agrees to be bound by the terms thereof. Dialysis Center
agrees that, except as provided in the [DELETED], none of its agents, representatives or employees (“Agents”) shall otherwise [DELETED] Amgen for any other [DELETED], for Dialysis Center or any of its agents or facilities, whether
[DELETED], at any [DELETED] or pursuant to any other [DELETED]. Amgen acknowledges and agrees that, except as provided in the [DELETED], it shall not [DELETED] any such other [DELETED] to Dialysis Center, its Agents, or its facilities.


 

16 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 

Appendix B 
 
List of Dialysis Center Affiliates 
 

	 ACIS

	  	 Account Name

	  	 Address

	  	 City

	  	 State

	  	 Zip


	 108669
	  	 Scottsbluff Dialysis Center
	  	 3812 Avenue B.
	  	 Scottsbluff
	  	 NE
	  	 69361

	 208876
	  	 DaVita Chinle Dialysis Facility
	  	 U.S. Highway 191, Po Box 897
	  	 Chinle
	  	 AZ
	  	 86503

	 208878
	  	 DaVita of Sterling Dialysis Center
	  	 46396 Benedict Drive, Suite 100
	  	 Sterling
	  	 VA
	  	 20164

	 208880
	  	 Continental Dialysis Center—Manassas
	  	 8409 Dorsey Circle, Suite 101
	  	 Manassas
	  	 VA
	  	 20110

	 208881
	  	 DaVita Desert Mountain Dialysis
	  	 9220 East Mountainview Road, Suite 105
	  	 Scottsdale
	  	 AZ
	  	 85258

	 208882
	  	 DaVita Los Angeles Dialysis Center
	  	 2250 South Western Avenue, Suite 100
	  	 Los Angeles
	  	 CA
	  	 90018

	 208885
	  	 DaVita Monterey Park Dialysis Center, Inc.
	  	 2560 Corporate Place, Building D, Suites 100-101
	  	 Monterey Park
	  	 CA
	  	 91754

	 208891
	  	 DaVita—Lawrenceburg Dialysis
	  	 555 Eads Parkway, Suite 200
	  	 Lawrenceburg
	  	 IN
	  	 47025

	 208894
	  	 Renal Treatment Center—Madison
	  	 220 Clifty Drive Unit K
	  	 Madison
	  	 IN
	  	 47250

	 208970
	  	 DaVita Hayward Dialysis Center
	  	 22477 Maple Court
	  	 Hayward
	  	 CA
	  	 94541

	 208978
	  	 Renal Treatment Center of Fort Valley
	  	 557 North Camelia Boulevard
	  	 Fort Valley
	  	 GA
	  	 31030

	 208991
	  	 DaVita Midtown Atlanta
	  	 121 Linden Avenue
	  	 Atlanta
	  	 GA
	  	 30308

	 209042
	  	 Walnut Creek Dialysis Center
	  	 108 La Casa Via, Suites 100 And 106
	  	 Walnut Creek
	  	 CA
	  	 94598

	 209049
	  	 Platte Place Dialysis, A Total Renal Care Facility
	  	 2361 East Platte Place
	  	 Colorado Springs
	  	 CO
	  	 80909

	 209050
	  	 DaVita—Thornton Dialysis Center
	  	 8800 Fox Drive
	  	 Thornton
	  	 CO
	  	 80260

	 209089
	  	 Mid-Town Macon Dialysis
	  	 657 Hemlock Street, Suite 100
	  	 Macon
	  	 GA
	  	 31201

	 209125
	  	 DaVita Dba: Southfield Dialysis Center
	  	 23077 Greenfield Road, Suite 104
	  	 Southfield
	  	 MI
	  	 48075

	 209127
	  	 North Oakland Dialysis Facility
	  	 450 North Telegraph
	  	 Pontiac
	  	 MI
	  	 48341

	 209334
	  	 Bay Area Dialysis Center, Inc.
	  	 1101 9th Street North
	  	 St. Petersburg
	  	 FL
	  	 33701

	 209338
	  	 New Port Richey Kidney Center
	  	 4807 Grand Boulevard
	  	 New Port Richey
	  	 FL
	  	 34652

	 209343
	  	 Hernando Kidney Center
	  	 2985-A Landover Boulevard
	  	 Spring Hill
	  	 FL
	  	 34608

	 209346
	  	 DaVita—Pompano Beach Artificial Kidney Center
	  	 1311 East Atlantic Boulevard
	  	 Pompano Beach
	  	 FL
	  	 33060

	 209351
	  	 Fort Lauderdale Renal Associates, Inc.
	  	 6264 North Federal Highway
	  	 Fort Lauderdale
	  	 FL
	  	 33308

	 209406
	  	 Mid-Columbia Kidney Center
	  	 117 South 3rd Avenue
	  	 Pasco
	  	 WA
	  	 99301

	 209425
	  	 Continental Dialysis Center—Springfield Trc
	  	 8350a Traford Lane
	  	 Springfield
	  	 VA
	  	 22152

	 209426
	  	 East End Dialysis Center of Total Renal Care, Inc.
	  	 2201 East Main Street, Suite 100
	  	 Richmond
	  	 VA
	  	 23223

	 209439
	  	 Continental Dialysis Center—Woodbridge Dialysis
	  	 2751 Killarney Drive
	  	 Woodbridge
	  	 VA
	  	 22192

	 209507
	  	 Total Renal Care—Bedford Dba: Heb Dialysis Center
	  	 1401 Brown Trail, Suite A
	  	 Bedford
	  	 TX
	  	 76022

	 209518
	  	 DaVita Dialysis
	  	 5610 Almeda Road
	  	 Houston
	  	 TX
	  	 77004

	 209519
	  	 DaVita—Southwest San Antonio Dialysis
	  	 7515 Barlite Boulevard
	  	 San Antonio
	  	 TX
	  	 78224

	 209520
	  	 Total Renal Care
	  	 1211 East Commerce
	  	 San Antonio
	  	 TX
	  	 78205

	 209523
	  	 Total Renal Care—Victoria
	  	 1405 Victoria Station Drive
	  	 Victoria
	  	 TX
	  	 77901

	 209524
	  	 Fourth Street Dialysis
	  	 3101b North 4th Street
	  	 Longview
	  	 TX
	  	 75605

	 209751
	  	 Total Renal Care, Dba: Camp Hill Dialysis Center
	  	 425 North 21st Street, Plaza 21, First Floor
	  	 Camp Hill
	  	 PA
	  	 17011

	 209754
	  	 Franklin Dialysis Center
	  	 Garfield Duncan Building, 700 Spruce Street
	  	 Philadelphia
	  	 PA
	  	 19106

	 209763
	  	 Total Renal Care—Exton
	  	 710 Springdale Drive
	  	 Exton
	  	 PA
	  	 19341

	 209776
	  	 Renal Treatment Center—Upland
	  	 1 Medical Boulevard, Professional Office Building Ii, Suite 120
	  	 Upland
	  	 PA
	  	 19013

	 209915
	  	 Southeastern Dialysis Center
	  	 608 Pecan Lane
	  	 Whiteville
	  	 NC
	  	 28472

	 209925
	  	 Southeastern Dialysis of Wilmington
	  	 2215 Yaupon Drive
	  	 Wilmington
	  	 NC
	  	 28401

	 209929
	  	 Asheville Kidney Center for Dialysis—A Total Renal Care Facility
	  	 10 Mcdowell Street
	  	 Asheville
	  	 NC
	  	 28801

	 209953
	  	 Richmond Kidney Center
	  	 1366 Victory Boulevard
	  	 Staten Island
	  	 NY
	  	 10301

	 209962
	  	 South Brooklyn Nephrology Center, Inc.
	  	 3915 Avenue V.
	  	 Brooklyn
	  	 NY
	  	 11234

	 209970
	  	 South Bronx Kidney Center
	  	 1940 Webster Avenue
	  	 Bronx
	  	 NY
	  	 10457

	 210054
	  	 DaVita—Four Corners Dialysis Center
	  	 815/817 West Broadway
	  	 Farmington
	  	 NM
	  	 87401


 

17 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 


	 ACIS

	  	 Account Name

	  	 Address

	  	 City

	  	 State

	  	 Zip


	 210097
	  	 DaVita—Las Vegas Dialysis Center
	  	 3100 West Charleston, Suite 100
	  	 Las Vegas
	  	 NV
	  	 89102

	 210134
	  	 Renal Treatment Center—St. Louis
	  	 2610 Clark Avenue
	  	 St. Louis
	  	 MO
	  	 63103

	 210178
	  	 DaVita Burnsville Dialysis
	  	 303 East Nicollet, Suite 363
	  	 Burnsville
	  	 MN
	  	 55337

	 210179
	  	 DaVita Coon Rapids Dialysis
	  	 3960 Coon Rapids Boulevard, Suite 309
	  	 Coon Rapids
	  	 MN
	  	 55433

	 210198
	  	 Minneapolis Dialysis Center of DaVita
	  	 825 South 8th Street, Suite Sl42
	  	 Minneapolis
	  	 MN
	  	 55404

	 210271
	  	 Total Renal Care—Northwest Baltimore Mount Washington
	  	 1340 Smith Avenue
	  	 Baltimore
	  	 MD
	  	 21209

	 210276
	  	 Downtown Dialysis Center
	  	 821 North Eutaw Street, Suite 401
	  	 Baltimore
	  	 MD
	  	 21201

	 210278
	  	 Total Renal Treatment—Berlin Dialysis Center
	  	 314 Franklin Avenue, Suite 306 Berlin Professional Center
	  	 Berlin
	  	 MD
	  	 21811

	 210286
	  	 DaVita Easton Dialysis
	  	 402 Marvel Court
	  	 Easton
	  	 MD
	  	 21601

	 210287
	  	 DaVita Rockville
	  	 14915 Broschart Road, Suite 100
	  	 Rockville
	  	 MD
	  	 20850

	 210335
	  	 DaVita—Tri-Parish Chronic Renal Center
	  	 2345 St. Claude Avenue
	  	 New Orleans
	  	 LA
	  	 70117

	 210350
	  	 DaVita—Westbank Chronic Renal Center
	  	 4422 General Meyer Avenue, Suite 103
	  	 New Orleans
	  	 LA
	  	 70131

	 210359
	  	 DaVita New Orleans
	  	 4528 Freret Street
	  	 New Orleans
	  	 LA
	  	 70115

	 210381
	  	 Woodland Dialysis Center
	  	 912 Woodland Drive
	  	 Elizabethtown
	  	 KY
	  	 42701

	 210397
	  	 DaVita—Wichita Dialysis
	  	 909 North Topeka
	  	 Wichita
	  	 KS
	  	 67214

	 210423
	  	 Batesville Dialysis Center
	  	 232 State Road 129 North
	  	 Batesville
	  	 IN
	  	 47006

	 210453
	  	 Granite City Dialysis—Total Renal Care
	  	 1300 Neidringhaus Avenue
	  	 Granite City
	  	 IL
	  	 62040

	 210456
	  	 DaVita Logan Square Dialysis Services, Inc.
	  	 2659 North Milwaukee Avenue
	  	 Chicago
	  	 IL
	  	 60647

	 210461
	  	 Total Renal Care—Hyde Park Kidney Center
	  	 1437-39 East 53rd Street
	  	 Chicago
	  	 IL
	  	 60615

	 210462
	  	 Lincoln Park Dialysis Services—Total Renal Care
	  	 3157 North Lincoln Avenue
	  	 Chicago
	  	 IL
	  	 60657

	 210528
	  	 Elberton Dialysis Facility, Incorporated
	  	 325 North Mcintosh Street
	  	 Elberton
	  	 GA
	  	 30635

	 210530
	  	 DaVita of Vidalia
	  	 1806 Edwina Drive
	  	 Vidalia
	  	 GA
	  	 30474

	 210544
	  	 DaVita Griffin Dialysis Center
	  	 731 South 8th Street
	  	 Griffin
	  	 GA
	  	 30224

	 210546
	  	 DaVita Washington Dialysis Center
	  	 154 Washington Plaza
	  	 Washington
	  	 GA
	  	 30673

	 210549
	  	 DaVita—Southwest Atlanta Nephrology
	  	 3620 Martin Luther King Drive
	  	 Atlanta
	  	 GA
	  	 30331

	 210555
	  	 DaVita Jonesboro
	  	 118 Stockbridge Road
	  	 Jonesboro
	  	 GA
	  	 30236

	 210588
	  	 The Center for Kidney Disease
	  	 1190 Northwest 95th Street, Suite 208
	  	 Miami
	  	 FL
	  	 33150

	 210593
	  	 Lejeune Dialysis Center, Inc.
	  	 4338 Northwest 7th Street
	  	 Miami
	  	 FL
	  	 33126

	 210604
	  	 Delray Artificial Kidney Center
	  	 16244 South Military Trail, Suite 110
	  	 Delray Beach
	  	 FL
	  	 33484

	 210608
	  	 Bayonet Point—Hudson Kidney Center
	  	 14144 Nephron Lane
	  	 Hudson
	  	 FL
	  	 34667

	 210621
	  	 DaVita—Port Charlotte Artificial Kidney Center
	  	 4300 Kings Highway, Suite 406, Box D17
	  	 Port Charlotte
	  	 FL
	  	 33980

	 210635
	  	 Interamerican Dialysis Institute, Inc.
	  	 7815 Coral Way, Suite 119
	  	 Miami
	  	 FL
	  	 33155

	 210645
	  	 Boca Raton Artificial Kidney Center
	  	 998 Northwest 9th Court
	  	 Boca Raton
	  	 FL
	  	 33486

	 210651
	  	 DaVita—Panama City Dialysis
	  	 615 Highway 231
	  	 Panama City
	  	 FL
	  	 32405

	 210655
	  	 Dialysis Associates of the Palm Beaches, Inc.
	  	 2611 Poinsettia Avenue
	  	 West Palm Beach
	  	 FL
	  	 33407

	 210661
	  	 South Broward Artificial Kidney Center
	  	 4401 Hollywood Boulevard
	  	 Hollywood
	  	 FL
	  	 33021

	 210684
	  	 DaVita—Grant Park Dialysis
	  	 5000 Burroughs Avenue, Northeast
	  	 Washington
	  	 DC
	  	 20019

	 210723
	  	 DaVita Pikes Peak Dialysis Center
	  	 2120 East La Salle Street
	  	 Colorado Springs
	  	 CO
	  	 80909

	 210725
	  	 DaVita Lakewood Dialysis Center
	  	 1750 North Pierce Street, Suite B.
	  	 Lakewood
	  	 CO
	  	 80214

	 210738
	  	 United Dialysis Center
	  	 2880 Atlantic Avenue, Suite 230
	  	 Long Beach
	  	 CA
	  	 90806

	 210748
	  	 Antelope Dialysis Center, Dba: Total Renal Care—Antelope Clinic
	  	 6406 Tupelo Drive, Suite A
	  	 Citrus Heights
	  	 CA
	  	 95621

	 210750
	  	 DaVita—Corona Dialysis Center
	  	 1820 Fullerton Avenue, Suite 180
	  	 Corona
	  	 CA
	  	 92881

	 210754
	  	 DaVita Palm Desert Dialysis Center, Inc.
	  	 41-501 Corporate Way
	  	 Palm Desert
	  	 CA
	  	 92260

	 210757
	  	 DaVita Garey Dialysis Center
	  	 1880 North Garey Avenue
	  	 Pomona
	  	 CA
	  	 91767

	 210759
	  	 DaVita—Paramount Dialysis Center
	  	 8319 Alondra Boulevard
	  	 Paramount
	  	 CA
	  	 90723

	 210764
	  	 Satellite Dialysis Centers, Inc.
	  	 1729 North Olive Avenue, Suite 9
	  	 Turlock
	  	 CA
	  	 95382

	 210776
	  	 DaVita Pacific Coast Dialysis Center
	  	 1416 Centinela Avenue
	  	 Inglewood
	  	 CA
	  	 90302

	 210779
	  	 DaVita Wilshire Dialysis Center
	  	 1212 Wilshire Boulevard
	  	 Los Angeles
	  	 CA
	  	 90017

	 210780
	  	 Satellite Dialysis Centers, Inc.
	  	 1255 North Dutton Avenue, Park Center 2
	  	 Santa Rosa
	  	 CA
	  	 95401

	 210781
	  	 Satellite Dialysis Centers, Inc.
	  	 40 Pennylane, Suite 1
	  	 Watsonville
	  	 CA
	  	 95076

	 210790
	  	 DaVita Hemet Dialysis Center
	  	 1330 South State Street, Suite B.
	  	 San Jacinto
	  	 CA
	  	 92583


 

18 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 


	 ACIS

	  	 Account Name

	  	 Address

	  	 City

	  	 State

	  	 Zip


	 210796
	  	 DaVita—Eaton Canyon Dialysis Center
	  	 2551 East Washington Boulevard
	  	 Pasadena
	  	 CA
	  	 91107

	 210799
	  	 DaVita—Piedmont Dialysis
	  	 2710 Telegraph Avenue
	  	 Oakland
	  	 CA
	  	 94612

	 210800
	  	 Satellite Dialysis Centers, Inc.
	  	 136 East Columbia Way
	  	 Sonora
	  	 CA
	  	 95370

	 210805
	  	 Manzanita Dialysis Center, Dba: Total Renal Care—Manzanita
	  	 5120 Manzanita Avenue, Suites 140 And 160
	  	 Carmichael
	  	 CA
	  	 95608

	 210806
	  	 Salinas Valley Dialysis Services, Inc.
	  	 955 Blanco Circle, Suite C
	  	 Salinas
	  	 CA
	  	 93901

	 210808
	  	 Satellite Dialysis Centers, Inc.
	  	 393 Blossom Hill Road, Suite 110
	  	 San Jose
	  	 CA
	  	 95123

	 210809
	  	 DaVita—Beverly Hills Dialysis Center
	  	 8762 West Pico Boulevard
	  	 Los Angeles
	  	 CA
	  	 90035

	 210815
	  	 DaVita Whittier Dialysis Center
	  	 10155 Colima Road
	  	 Whittier
	  	 CA
	  	 90603

	 210827
	  	 Covina Dialysis Center
	  	 1547 West Garvey Avenue
	  	 West Covina
	  	 CA
	  	 91791

	 210833
	  	 Downey Dialysis Center
	  	 8630 Florence Avenue
	  	 Downey
	  	 CA
	  	 90240

	 210835
	  	 Satellite Dialysis Centers, Inc.
	  	 2121 Alexian Drive
	  	 San Jose
	  	 CA
	  	 95116

	 210838
	  	 South Sacramento Dialysis Center, Dba: Total Renal Care—South Sacramento
	  	 7000 Franklin Boulevard, Suite 880
	  	 Sacramento
	  	 CA
	  	 95823

	 210843
	  	 DaVita Garfield Hemodialysis Center
	  	 118 Hilliard Avenue
	  	 Monterey Park
	  	 CA
	  	 91754

	 210844
	  	 Yuba City Dialysis Center, Dba: Total Renal Care—Yuba City
	  	 1007 Live Oak Boulevard, Suite B-4
	  	 Yuba City
	  	 CA
	  	 95991

	 210851
	  	 Satellite Dialysis
	  	 2128 Soquel Avenue
	  	 Santa Cruz
	  	 CA
	  	 95062

	 210852
	  	 Valley Dialysis Center
	  	 16149 Hart Street
	  	 Van Nuys
	  	 CA
	  	 91406

	 210853
	  	 Chico Dialysis Center, Dba: Total Renal Care—Chico
	  	 530 Cohasset Road
	  	 Chico
	  	 CA
	  	 95926

	 210855
	  	 Satellite Dialysis Centers, Inc.
	  	 1410 Marshall Street
	  	 Redwood City
	  	 CA
	  	 94063

	 210867
	  	 DaVita Lakewood Dialysis Center
	  	 4645 Silva Street
	  	 Lakewood
	  	 CA
	  	 90712

	 210872
	  	 Riverside Dialysis Center
	  	 4361 Latham Street, Suite 100
	  	 Riverside
	  	 CA
	  	 92501

	 210873
	  	 Satellite Dialysis Centers, Inc.
	  	 1329 Spanos Court, Building D
	  	 Modesto
	  	 CA
	  	 95355

	 210874
	  	 DaVita University Dialysis Center
	  	 300 University Avenue, Suite 103
	  	 Sacramento
	  	 CA
	  	 95825

	 210876
	  	 Redding Dialysis Center, Dba: Total Renal Care—Redding
	  	 1876 Park Marina Drive
	  	 Redding
	  	 CA
	  	 96001

	 210878
	  	 Satellite Dialysis Larkspur #771
	  	 565 Sir Francis Drake Boulevard
	  	 Greenbrae
	  	 CA
	  	 94904

	 210889
	  	 Satellite Dialysis Centers, Inc.
	  	 1175 Saratoga Avenue, Suite 14
	  	 San Jose
	  	 CA
	  	 95129

	 210893
	  	 Community Hemodialysis Unit of San Francisco
	  	 1800 Haight Street
	  	 San Francisco
	  	 CA
	  	 94117

	 210897
	  	 Kidney Dialysis Care Units
	  	 3600 East Martin Luther King, Junior Boulevard
	  	 Lynwood
	  	 CA
	  	 90262

	 210978
	  	 Tuba City Dialysis
	  	 500 Edgewater Drive
	  	 Tuba City
	  	 AZ
	  	 86045

	 210979
	  	 Total Renal Care, Dba: Scottsdale Dialysis Center
	  	 7321 East Osborn Drive
	  	 Scottsdale
	  	 AZ
	  	 85251

	 211005
	  	 Phenix City Dialysis Center
	  	 1900 Opelika Road
	  	 Phenix City
	  	 AL
	  	 36867

	 213230
	  	 Placerville Dialysis Center, Dba: Total Renal Care—Placerville
	  	 3964 Missouri Flat Road, Suite J.
	  	 Placerville
	  	 CA
	  	 95667

	 213248
	  	 Total Renal Care—Carroll County Dialysis Facility
	  	 412 Malcolm Drive, Suite 310
	  	 Westminster
	  	 MD
	  	 21157

	 213260
	  	 DaVita—Boulder Dialysis Center
	  	 2880 Folsom Street, Suite 110
	  	 Boulder
	  	 CO
	  	 80304

	 213274
	  	 DaVita—Arden Hills Dialysis
	  	 3900 Northwoods Drive, Suite 110
	  	 Arden Hills
	  	 MN
	  	 55112

	 213279
	  	 Total Renal Care—Crystal City Dialysis
	  	 Highway 61 South And I. 55
	  	 Crystal City
	  	 MO
	  	 63019

	 213287
	  	 DaVita—Bluff City Dialysis
	  	 2400 Lucy Lee Parkway, Suite E.
	  	 Poplar Bluff
	  	 MO
	  	 63901

	 213288
	  	 Mount Dora Dialysis
	  	 2744 West Old Highway 441
	  	 Mount Dora
	  	 FL
	  	 32757

	 213290
	  	 Venture Dialysis Center, Inc.
	  	 16855 Northeast 2nd Avenue, Suite 205
	  	 North Miami Beach
	  	 FL
	  	 33162

	 213295
	  	 North Palm Beach Dialysis Center, Inc.
	  	 3375 Burns Road, Suite 101
	  	 Palm Beach Gardens
	  	 FL
	  	 33410

	 213305
	  	 Total Renal Care—Tamarac Artificial Kidney Center
	  	 7140-48 West Mcnab Road
	  	 Tamarac
	  	 FL
	  	 33321

	 213319
	  	 DaVita—Nephrology Center of Augusta, Inc.
	  	 1238 D’Antignac Street
	  	 Augusta
	  	 GA
	  	 30901

	 213323
	  	 Renal Treatment Center—Columbus
	  	 6228 Bradley Park Drive, Suite B.
	  	 Columbus
	  	 GA
	  	 31904

	 213324
	  	 Dialysis Care of Mecklenburg
	  	 3515 Latrobe Drive
	  	 Charlotte
	  	 NC
	  	 28211

	 213327
	  	 Dialysis Care of Rockingham County
	  	 251 West King’S Highway
	  	 Eden
	  	 NC
	  	 27288

	 213331
	  	 Dialysis Care of Richmond
	  	 Highway 177 South, Behind Britthaven
	  	 Hamlet
	  	 NC
	  	 28345

	 213339
	  	 DaVita Milledgeville
	  	 400 South Wayne Street
	  	 Milledgeville
	  	 GA
	  	 31061


 

19 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 


	 ACIS

	  	 Account Name

	  	 Address

	  	 City

	  	 State

	  	 Zip


	 213343
	  	 Dialysis Care of Moore
	  	 #16 Regional Drive, Suite 1-4
	  	 Pinehurst
	  	 NC
	  	 28374

	 213347
	  	 Dialysis Care of Rowan
	  	 1406 B. West Innes Street
	  	 Salisbury
	  	 NC
	  	 28144

	 213362
	  	 Lake County Dialysis
	  	 918 South Milwaukee
	  	 Libertyville
	  	 IL
	  	 60048

	 213366
	  	 Total Renal Care Olympia Fields
	  	 4557b West Lincoln Highway
	  	 Matteson
	  	 IL
	  	 60443

	 213376
	  	 Total Renal Care—Lincolnland
	  	 1112 Centre West Drive
	  	 Springfield
	  	 IL
	  	 62704

	 213391
	  	 Garden City Dialysis Center of Total Renal Care
	  	 310 East Walnut
	  	 Garden City
	  	 KS
	  	 67846

	 213393
	  	 Total Renal Care—Independence Dialysis
	  	 801 West Myrtle
	  	 Independence
	  	 KS
	  	 67301

	 213398
	  	 Taylor County Dialysis Facility
	  	 101 Kingswood Drive
	  	 Campbellsville
	  	 KY
	  	 42718

	 213410
	  	 DaVita—Midwest City
	  	 2801 Park Lawn Drive, Suite 304
	  	 Midwest City
	  	 OK
	  	 73110

	 213426
	  	 St. Charles Dialysis Unit
	  	 3600 Prytania Street, Suite 83
	  	 New Orleans
	  	 LA
	  	 70115

	 213433
	  	 Slidell Kidney Care
	  	 1150 Robert Boulevard, Suite 240
	  	 Slidell
	  	 LA
	  	 70458

	 213451
	  	 DaVita—Shawnee Dialysis Center
	  	 2508 North Harrison Avenue
	  	 Shawnee
	  	 OK
	  	 74804

	 213471
	  	 DaVita—Marshall Dialysis
	  	 1301 South Washington
	  	 Marshall
	  	 TX
	  	 75670

	 213484
	  	 Total Renal Care—Northwest San Antonio
	  	 8132 Fredericksburg Road
	  	 San Antonio
	  	 TX
	  	 78229

	 213496
	  	 Upstate Dialysis Center, Inc.
	  	 308 Mills Avenue
	  	 Greenville
	  	 SC
	  	 29605

	 213498
	  	 Greer Kidney Center, Inc.
	  	 211 Village Drive
	  	 Greer
	  	 SC
	  	 29651

	 213504
	  	 Meherrin Dialysis Center, Inc.
	  	 201-A Weaver Avenue
	  	 Emporia
	  	 VA
	  	 23847

	 213540
	  	 Edina Dialysis of Total Renal Care
	  	 6550 York Avenue South, Suite 100
	  	 Edina
	  	 MN
	  	 55435

	 213542
	  	 Marshall Dialysis of Total Renal Care
	  	 300 South Bruce Street
	  	 Marshall
	  	 MN
	  	 56258

	 213544
	  	 Red Wing Dialysis DaVita
	  	 1407 West 4th Street
	  	 Red Wing
	  	 MN
	  	 55066

	 213547
	  	 St. Croix Falls Dialysis—Total Renal Care
	  	 744 Louisiana East
	  	 St. Croix Falls
	  	 WI
	  	 54024

	 213560
	  	 Southeastern Dialysis Center, Inc.
	  	 14 Office Park Drive
	  	 Jacksonville
	  	 NC
	  	 28546

	 213561
	  	 Southeastern Dialysis of Kenansville
	  	 305 Beasley Street
	  	 Kenansville
	  	 NC
	  	 28349

	 213570
	  	 Georgetown On the Potomac Dialysis Center
	  	 3223 K Street Northwest, Suite 110
	  	 Washington
	  	 DC
	  	 20007

	 213582
	  	 Gulf Coast Dialysis, Inc.
	  	 3300 Tamiami Trail, Suite 101a
	  	 Port Charlotte
	  	 FL
	  	 33952

	 213674
	  	 Bertha Sirk Dialysis Center, Inc.
	  	 5820 York Road, Suite 10
	  	 Baltimore
	  	 MD
	  	 21212

	 213722
	  	 DaVita—Bhs Dialysis Services
	  	 1255 East 3900 South
	  	 Salt Lake City
	  	 UT
	  	 84124

	 213723
	  	 Alhambra Dialysis Center, Dba: Total Renal Care—Alhambra
	  	 1315 Alhambra Boulevard, Suite 100
	  	 Sacramento
	  	 CA
	  	 95816

	 213727
	  	 DaVita St. Paul Dialysis
	  	 555 Park Street, Suite 180
	  	 St. Paul
	  	 MN
	  	 55103

	 213728
	  	 Regional Kidney Disease Program of Total Renal Care, Dba: West St. Paul Dialysis
	  	 1555 Livingston
	  	 West St. Paul
	  	 MN
	  	 55118

	 213742
	  	 DaVita—Northwest Bethany
	  	 7800 Northwest 23rd Street, Suite A
	  	 Bethany
	  	 OK
	  	 73008

	 213749
	  	 Sylva Dialysis Center
	  	 655 Asheville Highway
	  	 Sylva
	  	 NC
	  	 28779

	 213820
	  	 DaVita—University Park Dialysis Center
	  	 3986 South Figueroa Street
	  	 Los Angeles
	  	 CA
	  	 90037

	 216245
	  	 DaVita Norwalk Dialysis Center
	  	 12375 East Imperial Highway
	  	 Norwalk
	  	 CA
	  	 90650

	 216247
	  	 DaVita—Cincinnati
	  	 815 Eastgate Boulevard South
	  	 Cincinnati
	  	 OH
	  	 45245

	 216368
	  	 DaVita Lufkin Dialysis
	  	 509 Chestnut Village
	  	 Lufkin
	  	 TX
	  	 75901

	 216792
	  	 DaVita Cass Lake Dialysis
	  	 602 Grand Utley Street
	  	 Cass Lake
	  	 MN
	  	 56633

	 216796
	  	 Rosebud Dialysis of DaVita
	  	 1 Soldier Creek Road
	  	 Rosebud
	  	 SD
	  	 57570

	 217091
	  	 DaVita Greater El Monte Dialysis Center
	  	 1938 Tyler Avenue, Suite J-168
	  	 El Monte
	  	 CA
	  	 91733

	 217182
	  	 DaVita—Provo
	  	 1134 North 500 West
	  	 Provo
	  	 UT
	  	 84604

	 218763
	  	 DaVita—Gary
	  	 4802 Broadway
	  	 Gary
	  	 IN
	  	 46408

	 218764
	  	 DaVita—Hammond
	  	 222 Douglas Street
	  	 Hammond
	  	 IN
	  	 46320

	 219028
	  	 Northwest Kidney Center, Llp
	  	 11029 Northwest Freeway
	  	 Houston
	  	 TX
	  	 77092

	 219160
	  	 Southeastern Dialysis Center, Inc.
	  	 704 South Dickerson
	  	 Burgaw
	  	 NC
	  	 28425

	 219611
	  	 Complete Dialysis Care, Inc.
	  	 7850 West Sample Road
	  	 Coral Springs
	  	 FL
	  	 33065

	 219739
	  	 Piedmont Dialysis Center
	  	 2285 Peachtree Road, Suite 200
	  	 Atlanta
	  	 GA
	  	 30309

	 219743
	  	 DaVita—Doctors Dialysis Center of East Los Angeles
	  	 4036 East Whittier Boulevard, Suite 100
	  	 Los Angeles
	  	 CA
	  	 90023

	 219857
	  	 DaVita—Peralta Renal Center
	  	 450 30th Street
	  	 Oakland
	  	 CA
	  	 94609

	 219952
	  	 Continental Dialysis Center—Alexandria
	  	 5999 Stevenson Avenue, Suite 100
	  	 Alexandria
	  	 VA
	  	 22304

	 219968
	  	 Total Renal Care—Cape May Courthouse
	  	 144 Magnolia Drive
	  	 Cape May Courthouse
	  	 NJ
	  	 08210


 

20 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 


	 ACIS

	  	 Account Name

	  	 Address

	  	 City

	  	 State

	  	 Zip


	 220161
	  	 Baltimore County Dialysis Facility (Mason-Dixon Dialysis Facility)
	  	 9635a Liberty Road
	  	 Randallstown
	  	 MD
	  	 21133

	 220477
	  	 Life Care Dialysis Center
	  	 221 West 61st Street
	  	 New York
	  	 NY
	  	 10023

	 220649
	  	 DaVita—Hopewell Dialysis
	  	 301 West Broadway
	  	 Hopewell
	  	 VA
	  	 23860

	 221169
	  	 Catskill Dialysis and Renal Disease Center
	  	 Route 42 And Lloyd Lane
	  	 Monticello
	  	 NY
	  	 12701

	 221297
	  	 DaVita—Miami Lakes Artifical Kidney Center
	  	 14600 60th Avenue Northwest
	  	 Miami Lakes
	  	 FL
	  	 33014

	 221360
	  	 Waterloo Dialysis Center
	  	 4200 North Lamar Street, Suite 100
	  	 Austin
	  	 TX
	  	 78756

	 221633
	  	 Total Renal Care—Kingwood
	  	 2300 Green Oaks, Suite 500
	  	 Kingwood
	  	 TX
	  	 77339

	 221765
	  	 Renal Care of Buffalo, Inc.
	  	 550 Orchard Park Road, Suite B104
	  	 Buffalo
	  	 NY
	  	 14224

	 221767
	  	 Faribault Dialysis of Total Renal Care
	  	 201 South Lyndale Avenue
	  	 Faribault
	  	 MN
	  	 55021

	 221850
	  	 Hope Again Dialysis
	  	 1207 State Route V.V.
	  	 Kennett
	  	 MO
	  	 63857

	 221965
	  	 Ocean Garden Dialysis Center
	  	 1738 Ocean Avenue
	  	 San Francisco
	  	 CA
	  	 94112

	 221973
	  	 Satellite Home Care Llc—Modesto
	  	 1208 Floyd Avenue
	  	 Modesto
	  	 CA
	  	 95350

	 221981
	  	 DaVita—Duncan Dialysis
	  	 2645 West Elk
	  	 Duncan
	  	 OK
	  	 73533

	 221999
	  	 Dialysis Care of Anson County
	  	 923 East Caswell Street
	  	 Wadesboro
	  	 NC
	  	 28170

	 223140
	  	 DaVita—Altus Dialysis Center
	  	 205 South Park Lane, Suite 130
	  	 Altus
	  	 OK
	  	 73521

	 223253
	  	 Total Renal Care—Wilmington Dialysis
	  	 700 Lea Boulevard, Suite G2
	  	 Wilmington
	  	 DE
	  	 19802

	 223507
	  	 DaVita—East Bay Peritoneal Dialysis
	  	 13939 East 14th Street, Suite 110
	  	 San Leandro
	  	 CA
	  	 94578

	 223774
	  	 DaVita—North Las Vegas
	  	 2300 Mcdaniel Street
	  	 North Las Vegas
	  	 NV
	  	 89030

	 224112
	  	 Total Renal Care—Northeast Philadelphia
	  	 518 Knorr Street
	  	 Philadelphia
	  	 PA
	  	 19111

	 224113
	  	 South Philadelphia Dialysis Center
	  	 109 Dickinson Street
	  	 Philadelphia
	  	 PA
	  	 19147

	 224329
	  	 Central City Dialysis Center
	  	 1300 Murchison Street, Suite 320
	  	 El Paso
	  	 TX
	  	 79902

	 224349
	  	 DaVita Dialysis Center of Middle Georgia
	  	 747 Second Street
	  	 Macon
	  	 GA
	  	 31201

	 224554
	  	 Renal Treatment Center—East St. Louis
	  	 129 North Eighth Street 3rd Floor
	  	 East St. Louis
	  	 IL
	  	 62201

	 224565
	  	 DaVita—East Wichita Dialysis
	  	 320 North Hillside
	  	 Wichita
	  	 KS
	  	 67214

	 225103
	  	 Total Renal Care Dba: Lincoln Park Capd
	  	 3929 North Central, Suite 1
	  	 Chicago
	  	 IL
	  	 60634

	 225471
	  	 DaVita—Winter Haven
	  	 400 Security Square
	  	 Winter Haven
	  	 FL
	  	 33880

	 225512
	  	 Honesdale Dialysis Center—A Total Renal Care Facility
	  	 Maple Avenue—Route 6—Sturbridge Mall
	  	 Honesdale
	  	 PA
	  	 18431

	 225679
	  	 Greenspring Dialysis Center, Inc.
	  	 3825 Greenspring Avenue
	  	 Baltimore
	  	 MD
	  	 21211

	 225731
	  	 DaVita—Stillwater Dialysis Center
	  	 406 East Hall Of Fame Avenue, Suite 300
	  	 Stillwater
	  	 OK
	  	 74075

	 225777
	  	 Federal Way Community Dialysis Center
	  	 1109 South 348th Street
	  	 Federal Way
	  	 WA
	  	 98003

	 225836
	  	 Gettysburg Dialysis
	  	 26 Springs Avenue, Suite C
	  	 Gettysburg
	  	 PA
	  	 17325

	 225939
	  	 Renal Treatment Centers—Palmerton
	  	 185-C Delaware Avenue
	  	 Palmerton
	  	 PA
	  	 18071

	 226257
	  	 DaVita—Temecula Dialysis
	  	 40945 County Center Drive, Suite G.
	  	 Temecula
	  	 CA
	  	 92591

	 226385
	  	 Flamingo Park Kidney Center
	  	 901 East 10th Avenue
	  	 Hialeah
	  	 FL
	  	 33010

	 226403
	  	 Nephrology Center of Waynesboro
	  	 163 South Liberty Street
	  	 Waynesboro
	  	 GA
	  	 30830

	 226418
	  	 Nephrology Center of Statesboro
	  	 4b College Plaza
	  	 Statesboro
	  	 GA
	  	 30458

	 226421
	  	 Devita—Denison
	  	 1220 Reba Mcentire Lane
	  	 Denison
	  	 TX
	  	 75020

	 226683
	  	 DaVita Hendersonville Dialysis Center
	  	 500 Beverly Hanks Center, Highway 25 North
	  	 Hendersonville
	  	 NC
	  	 28792

	 226735
	  	 DaVita—Omni
	  	 9350 Kirby, Suite 110
	  	 Houston
	  	 TX
	  	 77054

	 226754
	  	 DaVita—Mission Dialysis of El Cajon
	  	 858 Fletcher Parkway
	  	 El Cajon
	  	 CA
	  	 92020

	 226851
	  	 Dialysis of Reading
	  	 2201 Dengler Street
	  	 Reading
	  	 PA
	  	 19606

	 226979
	  	 Total Renal Care—Vacaville
	  	 1241 Alamo Drive, Suite 7
	  	 Vacaville
	  	 CA
	  	 95687

	 226982
	  	 DaVita—Fairfield Dialysis Center
	  	 604 Empire Street
	  	 Fairfield
	  	 CA
	  	 94533

	 226987
	  	 Total Renal Care—Lakeport
	  	 804 11th Street
	  	 Lakeport
	  	 CA
	  	 95453

	 226989
	  	 DaVita—Napa Dialysis Center
	  	 3900—C Bel Aire Plaza
	  	 Napa
	  	 CA
	  	 94558

	 227012
	  	 DaVita—Mountain Vista Dialysis Center
	  	 401 B. East Highland Avenue
	  	 San Bernardino
	  	 CA
	  	 92404

	 227022
	  	 Dialysis Care of Rutherford County
	  	 226 Commercial Drive
	  	 Forest City
	  	 NC
	  	 28043

	 227112
	  	 DaVita—Norman
	  	 1818 West Lindsey, B. 104
	  	 Norman
	  	 OK
	  	 73069

	 227123
	  	 Marianna Dialysis
	  	 4319 Lafayette
	  	 Marianna
	  	 FL
	  	 32446

	 227124
	  	 South County Dialysis
	  	 7800 Arroyo Circle
	  	 Gilroy
	  	 CA
	  	 95020

	 227252
	  	 DaVita—Sunrise Dialysis Center, Inc.
	  	 13039 Hawthorne Boulevard
	  	 Hawthorne
	  	 CA
	  	 90250

	 227267
	  	 DaVita—Claremore Dialysis Center
	  	 202 East Blue Starr Drive
	  	 Claremore
	  	 OK
	  	 74017

	 227272
	  	 DaVita—Tahlequah Dialysis Center
	  	 228 North Bliss Avenue
	  	 Tahlequah
	  	 OK
	  	 74464

	 227277
	  	 DaVita—Broken Arrow Dialysis Center
	  	 601 South Aspen Avenue
	  	 Broken Arrow
	  	 OK
	  	 74012


 

21 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 


	 ACIS

	  	 Account Name

	  	 Address

	  	 City

	  	 State

	  	 Zip


	 227279
	  	 DaVita—Tulsa
	  	 4436 South Harvard
	  	 Tulsa
	  	 OK
	  	 74135

	 227310
	  	 DaVita Valley View Dialysis
	  	 26900 Cactus Avenue
	  	 Moreno Valley
	  	 CA
	  	 92555

	 227449
	  	 Burlington Dialysis Center
	  	 873 Heather Road
	  	 Burlington
	  	 NC
	  	 27215

	 227497
	  	 DaVita—San Leandro
	  	 198 East 14th Street
	  	 San Leandro
	  	 CA
	  	 94577

	 227605
	  	 DaVita—Valparaiso
	  	 606 Lincolnway
	  	 Valparaiso
	  	 IN
	  	 46383

	 227684
	  	 Livingston Dialysis Center
	  	 203 North Houston Street
	  	 Livingston
	  	 TX
	  	 77351

	 227863
	  	 DaVita—Dialysis Care of Franklin County
	  	 1706 North Carolina Highway 39 North
	  	 Louisburg
	  	 NC
	  	 27549

	 227906
	  	 Total Renal Care Union City Dialysis Center
	  	 32930 Alvarado Niles Road, Suite 300
	  	 Union City
	  	 CA
	  	 94587

	 227908
	  	 Total Renal Care—Pleasanton, Aka: Pleasanton Dialysis Center
	  	 5720 Stoneridge Mall Road, Suites 140 And 160
	  	 Pleasanton
	  	 CA
	  	 94588

	 227954
	  	 Maplewood Dialysis DaVita
	  	 2785 White Bear Avenue
	  	 Maplewood
	  	 MN
	  	 55109

	 227956
	  	 DaVita Deerfield Beach
	  	 1983 West Hillsboro Boulevard
	  	 Deerfield Beach
	  	 FL
	  	 33442

	 227976
	  	 Montevideo Dialysis DaVita
	  	 824 North 11th Street
	  	 Montevideo
	  	 MN
	  	 56265

	 228000
	  	 DaVita—Oklahoma City
	  	 4140 West Memorial Road, Suite 107
	  	 Oklahoma City
	  	 OK
	  	 73120

	 228033
	  	 DaVita—Santa Ana Dialysis
	  	 1820 East Deere Avenue
	  	 Santa Ana
	  	 CA
	  	 92705

	 228035
	  	 DaVita Brea Dialysis Center
	  	 595 Tamarack Avenue, Suite A
	  	 Brea
	  	 CA
	  	 92821

	 228047
	  	 Total Renal Care—Howell
	  	 3502 Route 9 South, Howell Heritage Plaza
	  	 Howell
	  	 NJ
	  	 07731

	 228191
	  	 North Houston Kidney Center, L.L.P
	  	 380 West Little York
	  	 Houston
	  	 TX
	  	 77076

	 228218
	  	 Renal Treatment Center—East Macon
	  	 750 Baconsfield Drive, Suite 103
	  	 Macon
	  	 GA
	  	 31211

	 228252
	  	 Dialysis Care of Edgecombe County
	  	 3206 Western Boulevard
	  	 Tarboro
	  	 NC
	  	 27886

	 228544
	  	 Total Renal Care—North Houston
	  	 129 Little York
	  	 Houston
	  	 TX
	  	 77076

	 228587
	  	 DaVita—Leesburg Dialysis
	  	 801 East Dixie Avenue, Suite 108-A
	  	 Leesburg
	  	 FL
	  	 34748

	 228591
	  	 Norfolk Dialysis Center—A Total Renal Care Facility
	  	 962 Norfolk Square
	  	 Norfolk
	  	 VA
	  	 23502

	 228652
	  	 Pd Central
	  	 1401 North 24th Street, Suite 2
	  	 Phoenix
	  	 AZ
	  	 85008

	 228659
	  	 Total Renal Care—Chesapeake
	  	 1400 Crossways Boulevard, Crossways Ii, Suite 106
	  	 Chesapeake
	  	 VA
	  	 23320

	 228667
	  	 DaVita Newport News Dialysis
	  	 700 Newmarket Square
	  	 Newport News
	  	 VA
	  	 23605

	 228696
	  	 DaVita—Aurora Dialysis
	  	 1411 South Potomac, Suite 100
	  	 Aurora
	  	 CO
	  	 80012

	 228697
	  	 DaVita—Westminster Dialysis Center
	  	 9053 Harland Street, Unit 90
	  	 Westminster
	  	 CO
	  	 80030

	 228704
	  	 Lonestar Dialysis Center
	  	 8560 Monroe Road
	  	 Houston
	  	 TX
	  	 77075

	 228756
	  	 DaVita—Denver Dialysis
	  	 1719 East 19th Avenue
	  	 Denver
	  	 CO
	  	 80218

	 228757
	  	 DaVita South Denver Dialysis
	  	 990 East Harvard Avenue
	  	 Denver
	  	 CO
	  	 80210

	 228768
	  	 DaVita—Littleton
	  	 209 West County Line Road
	  	 Littleton
	  	 CO
	  	 80129

	 228898
	  	 Redwood Falls Dialysis DaVita
	  	 100 Fallwood Road
	  	 Redwood Falls
	  	 MN
	  	 56283

	 228976
	  	 DaVita—Lodi Community Dialysis, Inc.
	  	 2415 West Vine Street, Suite 106
	  	 Lodi
	  	 CA
	  	 95242

	 229029
	  	 Mount Adams Kidney Center
	  	 512 2nd Avenue
	  	 Zillah
	  	 WA
	  	 98953

	 229034
	  	 DaVita—Buena Vista
	  	 347 Highway 41 North
	  	 Buena Vista
	  	 GA
	  	 31803

	 229074
	  	 Dialysis Care of Wayne County
	  	 2403 Wayne Memorial Drive
	  	 Goldsboro
	  	 NC
	  	 27530

	 229102
	  	 DaVita Macomb Kidney Center
	  	 11885 East 12 Mile Road, Suites 100a-100b
	  	 Warren
	  	 MI
	  	 48093

	 229111
	  	 DaVita—Sparks Dialysis
	  	 2345 East Prater Way, Suite 100
	  	 Sparks
	  	 NV
	  	 89434

	 229133
	  	 Total Renal Care—Venice
	  	 816 Pinebrook Road
	  	 Venice
	  	 FL
	  	 34292

	 229218
	  	 Total Renal Care—Virginia Beach
	  	 740 Independence Circle
	  	 Virginia Beach
	  	 VA
	  	 23455

	 229403
	  	 Dialysis Care of Hoke County
	  	 403 South Main Street
	  	 Raeford
	  	 NC
	  	 28376

	 229404
	  	 Dialysis Care of Montgomery County
	  	 318 North Main Street
	  	 Troy
	  	 NC
	  	 27371

	 229459
	  	 Southeastern Dialysis Center of Elizabethtown
	  	 101 Dialysis Drive
	  	 Elizabethtown
	  	 NC
	  	 28337

	 229618
	  	 Total Renal Care, Dba: Southeastern Dialysis Center of Shallotte
	  	 4740 Shallotte Avenue
	  	 Shallotte
	  	 NC
	  	 28470

	 229662
	  	 DaVita Moultrie Dialysis Center
	  	 2419 South Main Street
	  	 Moultrie
	  	 GA
	  	 31768

	 229685
	  	 Total Renal Care Dialysis East
	  	 7200 Gateway East, Suite B.
	  	 El Paso
	  	 TX
	  	 79915

	 229739
	  	 Sioux Falls Community Dialysis of DaVita
	  	 Mckennan Hospital, 800 East 21st Street, 4th Floor
	  	 Sioux Falls
	  	 SD
	  	 57105

	 229797
	  	 DaVita Premier Dialysis
	  	 7612 Atlantic Avenue
	  	 Cudahy
	  	 CA
	  	 90201

	 230041
	  	 Dialysis Specialists of Dallas, Dba: Elmbrook Kidney Center
	  	 7920 Elmbrook, Suite 108
	  	 Dallas
	  	 TX
	  	 75247

	 230061
	  	 DaVita Dialysis
	  	 611 Electric Avenue
	  	 Lewistown
	  	 PA
	  	 17044


 

22 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 


	 ACIS

	  	 Account Name

	  	 Address

	  	 City

	  	 State

	  	 Zip


	 230157
	  	 DaVita—Conroe Dialysis
	  	 500 Medical Center Boulevard, Suite 175
	  	 Conroe
	  	 TX
	  	 77304

	 230256
	  	 DaVita—Crescent City Dialysis
	  	 3909 Bienville Street, Suite 1b
	  	 New Orleans
	  	 LA
	  	 70119

	 230300
	  	 DaVita Kayenta Dialysis Facility
	  	 Highway 163, Po Box 217
	  	 Kayenta
	  	 AZ
	  	 86033

	 230340
	  	 Miami Beach Kidney Center
	  	 400 Arthur Godfrey Road, Suite 402
	  	 Miami Beach
	  	 FL
	  	 33140

	 230633
	  	 Port Chester Dialysis Unit
	  	 38 Bulkley Avenue
	  	 Port Chester
	  	 NY
	  	 10573

	 230685
	  	 Ocala Regional Kidney Center—West
	  	 9401 Southwest Highway 200, Building 600, Suite 601
	  	 Ocala
	  	 FL
	  	 34481

	 230708
	  	 Milford Dialysis Center—A Total Renal Care Facility
	  	 10 Buist Road, County Commerce Center
	  	 Milford
	  	 PA
	  	 18337

	 230792
	  	 DaVita Pine City Dialysis
	  	 129 East 6th Avenue
	  	 Pine City
	  	 MN
	  	 55063

	 230899
	  	 Total Renal Care—Bridgewater Dialysis Center
	  	 2121 Route 22 West
	  	 Bound Brook
	  	 NJ
	  	 08805

	 230900
	  	 Mitchell Community Dialysis of DaVita
	  	 525 North Foster
	  	 Mitchell
	  	 SD
	  	 57301

	 230911
	  	 El Milagro Dialysis Center
	  	 2800 South Interstate Highway 35 Iii Fountain Park Plaza, Suite 120
	  	 Austin
	  	 TX
	  	 78704

	 230926
	  	 Total Renal Care—North Philadelphia Dialysis Center
	  	 3409-3411 Germantown Avenue
	  	 Philadelphia
	  	 PA
	  	 19140

	 231099
	  	 DaVita—Elk City
	  	 1710 West 3rd Street, Suite 101
	  	 Elk City
	  	 OK
	  	 73644

	 231100
	  	 Renal Treatment Centers—Pocono
	  	 447 Office Plaza—100 Plaza Court, Suite B.
	  	 East Stroudsburg
	  	 PA
	  	 18301

	 231179
	  	 Renal Treatment Center—Lake Wales
	  	 1348 State Route 60 East
	  	 Lake Wales
	  	 FL
	  	 33853

	 231194
	  	 Total Renal Care—Houston Kidney Center, Cypress Station
	  	 221 H Fm 1960 West
	  	 Houston
	  	 TX
	  	 77090

	 231261
	  	 DaVita Dialysis West
	  	 1250 East Cliff Drive, Suite B.
	  	 El Paso
	  	 TX
	  	 79902

	 231283
	  	 DaVita Shiprock Dialysis Center
	  	 Us Highway 666 North, Po Box 2156
	  	 Shiprock
	  	 NM
	  	 87420

	 231288
	  	 DaVita—West Mount Houston Dialysis
	  	 2506 West Mount Houston Road, Suite A
	  	 Houston
	  	 TX
	  	 77038

	 231411
	  	 Gulf Breeze Dialysis
	  	 1121 Overcash Drive
	  	 Dunedin
	  	 FL
	  	 34698

	 231423
	  	 Ocala Regional Kidney Center—East
	  	 2870 Southeast 1st Avenue
	  	 Ocala
	  	 FL
	  	 34471

	 231460
	  	 DaVita Minnetonka Dialysis Unit
	  	 17809 Hutchins Drive
	  	 Minnetonka
	  	 MN
	  	 55345

	 231577
	  	 Potrero Hill Dialysis Center
	  	 1750 Cesar Chavez Street, Suite A
	  	 San Francisco
	  	 CA
	  	 94124

	 231579
	  	 DaVita Kenner Regional Dialysis Center
	  	 200 West Esplanade Avenue, Suite 100
	  	 Kenner
	  	 LA
	  	 70065

	 231673
	  	 DaVita—Mission Dialysis Center of San Diego
	  	 7007 Mission Gorge Road
	  	 San Diego
	  	 CA
	  	 92120

	 231710
	  	 DaVita Arvada Dialysis
	  	 9950 West 80th, Suite 25
	  	 Arvada
	  	 CO
	  	 80005

	 231721
	  	 Dialysis Care of Martin County
	  	 100 Medical Drive
	  	 Williamston
	  	 NC
	  	 27892

	 231824
	  	 New Center Dialysis, P.C.
	  	 3011 West Grand Boulevard, Suite 650
	  	 Detroit
	  	 MI
	  	 48202

	 231889
	  	 Sunrise Dialysis Center, Dba: Total Renal Care—Sunrise
	  	 2951 Sunrise Boulevard, Suite 145
	  	 Rancho Cordova
	  	 CA
	  	 95742

	 231977
	  	 Total Renal Care—Cleveland
	  	 600 East Houston Avenue, Suite 630
	  	 Cleveland
	  	 TX
	  	 77327

	 232013
	  	 Linden Dialysis
	  	 522 North Wood Avenue
	  	 Linden
	  	 NJ
	  	 07036

	 232027
	  	 Total Renal Care—Chestertown
	  	 100 Brown Street
	  	 Chestertown
	  	 MD
	  	 21620

	 232039
	  	 Delta-Sierra Dialysis Center—Total Renal Care
	  	 555 West Benjamin Holt Drive, Suite 200
	  	 Stockton
	  	 CA
	  	 95207

	 232130
	  	 Novi Kidney Center, P.C.
	  	 47250 West Ten Mile Road
	  	 Novi
	  	 MI
	  	 48374

	 232195
	  	 Riverdale Dialysis
	  	 170 West 233rd Street
	  	 Riverdale
	  	 NY
	  	 10463

	 232253
	  	 Riverside Dialysis DaVita
	  	 606 24th Avenue South, Suite 701
	  	 Minneapolis
	  	 MN
	  	 55454

	 232257
	  	 DaVita Doctors Dialysis Center of Montebello
	  	 1721 West Whittier Boulevard
	  	 Montebello
	  	 CA
	  	 90640

	 232258
	  	 DaVita Home Dialysis
	  	 825 South Eighth Street, Sl16
	  	 Minneapolis
	  	 MN
	  	 55404

	 232512
	  	 Lake Dialysis
	  	 221 North First Street
	  	 Leesburg
	  	 FL
	  	 34748

	 232606
	  	 Ihs—Bronx Dialysis Center
	  	 1615 Eastchester Road
	  	 Bronx
	  	 NY
	  	 10461

	 232647
	  	 Dialysis Center At St. Mary
	  	 1205 Langhorne-Newtown Road Asb First Floor
	  	 Langhorne
	  	 PA
	  	 19047

	 232653
	  	 Total Renal Care—Loma Vista
	  	 1382-A Lomaland
	  	 El Paso
	  	 TX
	  	 79935

	 232723
	  	 Pine Island Kidney Center
	  	 1871 North Pine Island Road
	  	 Plantation
	  	 FL
	  	 33322

	 232816
	  	 Renal Treatment Centers—Longview
	  	 425 North Fredonia, Suite 300
	  	 Longview
	  	 TX
	  	 75601

	 232987
	  	 Total Renal Care—Winfield
	  	 1315 East 4th Avenue
	  	 Winfield
	  	 KS
	  	 67156

	 233084
	  	 Total Renal Care—Tomball Dialysis
	  	 27720-A Tomball Parkway
	  	 Tomball
	  	 TX
	  	 77375

	 233105
	  	 Total Renal Care—Ghent Dialysis Center
	  	 901 Hampton Boulevard, Suite 200
	  	 Norfolk
	  	 VA
	  	 23507

	 233195
	  	 Dialysis Center of Middle Georgia
	  	 509 North Houston Road
	  	 Warner Robins
	  	 GA
	  	 31093


 

23 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 


	 ACIS

	  	 Account Name

	  	 Address

	  	 City

	  	 State

	  	 Zip


	 233257
	  	 Dialysis Center of Gonzales
	  	 428 St. Andrew Street
	  	 Gonzales
	  	 TX
	  	 78629

	 233407
	  	 DaVita—Forest Lake Dialysis Unit
	  	 1068 South Lake Street
	  	 Forest Lake
	  	 MN
	  	 55025

	 233509
	  	 DaVita—USC Kidney Center
	  	 2310 Alcazar Street
	  	 Los Angeles
	  	 CA
	  	 90089

	 233510
	  	 DaVita Hollywood Dialysis Center
	  	 5108 Sunset Boulevard
	  	 Los Angeles
	  	 CA
	  	 90027

	 233532
	  	 DaVita South San Antonio Dialysis
	  	 1313 Southeast Military Drive, Suite 111
	  	 San Antonio
	  	 TX
	  	 78214

	 233683
	  	 Total Renal Care At Union Plaza
	  	 810 First Street, Northeast, Suite 100
	  	 Washington
	  	 DC
	  	 20002

	 233712
	  	 Palmer Dialysis Center—A Total Renal Care Facility
	  	 30 Community Drive
	  	 Easton
	  	 PA
	  	 18045

	 233797
	  	 Crystal River Dialysis Center
	  	 7435 West Gulf To Lake Highway
	  	 Crystal River
	  	 FL
	  	 34429

	 233800
	  	 Total Renal Care—Mesa Vista Dialysis Facility
	  	 2400 North Oregon, Suite C
	  	 El Paso
	  	 TX
	  	 79902

	 234551
	  	 Lakewood Community Dialysis Center
	  	 5919 Lakewood Town Center Boulevard, Suite A
	  	 Lakewood
	  	 WA
	  	 98499

	 234651
	  	 Cyfair Dialysis Center
	  	 9110 Jones Road, Suite 110
	  	 Houston
	  	 TX
	  	 77065

	 234652
	  	 Katy Dialysis Center
	  	 22233 Katy Freeway
	  	 Katy
	  	 TX
	  	 77450

	 234653
	  	 Memorial Dialysis
	  	 10000 Old Katy Road, Suite 210b
	  	 Houston
	  	 TX
	  	 77055

	 234667
	  	 Sherman Dialysis Center
	  	 205 West Lamberth Road
	  	 Sherman
	  	 TX
	  	 75092

	 234849
	  	 DaVita Printer’s Place Dialysis Center
	  	 2802 International Circle
	  	 Colorado Springs
	  	 CO
	  	 80910

	 234928
	  	 Eastmont Dialysis Center
	  	 7200 Bancroft Avenue, Suite 220
	  	 Oakland
	  	 CA
	  	 94605

	 234932
	  	 DaVita Harbor-UCLA
	  	 21602 South Vermont Avenue
	  	 Torrance
	  	 CA
	  	 90502

	 234933
	  	 Complete Dialysis Care South
	  	 111 Southwest 23rd Street, Suite D
	  	 Fort Lauderdale
	  	 FL
	  	 33315

	 235075
	  	 Total Renal Care—Atlantic City
	  	 2720 Atlantic Avenue
	  	 Atlantic City
	  	 NJ
	  	 08401

	 235086
	  	 Total Renal Care—Parsons
	  	 1902 South Highway 59, Building B. Labette County Medical Center
	  	 Parsons
	  	 KS
	  	 67357

	 235089
	  	 Renal Treatment Center—Decatur
	  	 1987 Candler Road
	  	 Decatur
	  	 GA
	  	 30032

	 235090
	  	 DaVita—Newton
	  	 1223 Washington Road
	  	 Newton
	  	 KS
	  	 67114

	 235096
	  	 DaVita Montclair Dialysis Center
	  	 5050 Palo Verde Street, Suite 100
	  	 Montclair
	  	 CA
	  	 91763

	 235258
	  	 DaVita Michigan Kidney Center—Brighton
	  	 7960 West Grand River, Suite 210
	  	 Brighton
	  	 MI
	  	 48114

	 235294
	  	 DaVita Woodbury Dialysis
	  	 1850-3 Weir Drive
	  	 Woodbury
	  	 MN
	  	 55125

	 235295
	  	 Lakeview Dialysis DaVita
	  	 927 West Churchill Street
	  	 Stillwater
	  	 MN
	  	 55082

	 235296
	  	 DaVita Capitol Dialysis
	  	 555 Park Street, Suite 230
	  	 St. Paul
	  	 MN
	  	 55103

	 235302
	  	 Atlantic Artificial Kidney Center
	  	 6 Industrial Way West, Meridian Center #3
	  	 Eatontown
	  	 NJ
	  	 07724

	 235311
	  	 Waconia Dialysis DaVita
	  	 490 Maple Street, Suite 110
	  	 Waconia
	  	 MN
	  	 55387

	 235321
	  	 University Peritoneal Dialysis Center, Dba: Total Renal Care University Peritoneal Dialysis
	  	 300 University Avenue, Suite 122
	  	 Sacramento
	  	 CA
	  	 95825

	 235367
	  	 Renal Treatment Center—Harrisburg
	  	 2601 North Third Street 3rd Floor, Main Building
	  	 Harrisburg
	  	 PA
	  	 17110

	 235399
	  	 DaVita—Michigan City
	  	 120 Dunes Plaza
	  	 Michigan City
	  	 IN
	  	 46360

	 235532
	  	 DaVita Main Place Dialysis
	  	 972 Town And Country Road
	  	 Orange
	  	 CA
	  	 92868

	 235556
	  	 DaVita—Owings Mills
	  	 10 Cross Road, Suite 110
	  	 Owings Mills
	  	 MD
	  	 21117

	 235571
	  	 Elk River Kidney Center, Llc
	  	 216 South Bridge Street
	  	 Elkton
	  	 MD
	  	 21921

	 235634
	  	 Hudson Valley Dialysis Center, Inc.
	  	 155 White Plains Road, Suite 107
	  	 Tarrytown
	  	 NY
	  	 10591

	 235687
	  	 DaVita—Derby
	  	 250 West Red Powell Road
	  	 Derby
	  	 KS
	  	 67037

	 235688
	  	 Hill Country Dialysis
	  	 1820 Peter Garza Street
	  	 San Marcos
	  	 TX
	  	 78666

	 235746
	  	 DaVita—Edmond Dialysis
	  	 50 South Baumann Avenue
	  	 Edmond
	  	 OK
	  	 73034

	 235772
	  	 DaVita—Munster
	  	 8317 Calumet Avenue, Suite A
	  	 Munster
	  	 IN
	  	 46321

	 235774
	  	 Moncrief Dialysis Center
	  	 800 West 34th Street
	  	 Austin
	  	 TX
	  	 78705

	 235783
	  	 Renal Treament Center of Wheaton
	  	 11941 Georgia Avenue, Wheaton Park Shopping Center
	  	 Wheaton
	  	 MD
	  	 20902

	 235809
	  	 Jennersville Dialysis Center—A Total Renal Care Facility
	  	 1011 West Baltimore Pike Avenue
	  	 West Grove
	  	 PA
	  	 19390

	 235905
	  	 Memorial Dialysis Center
	  	 4427 South Robertson Street
	  	 New Orleans
	  	 LA
	  	 70115

	 235931
	  	 DaVita Glendora Dialysis Center
	  	 120 West Foothill Boulevard
	  	 Glendora
	  	 CA
	  	 91741

	 235955
	  	 Children’s Memorial Dialysis Center—Total Renal Care
	  	 2611 North Halsted
	  	 Chicago
	  	 IL
	  	 60614

	 236041
	  	 Total Renal Care, Dba: North Highlands Dialysis Center
	  	 4986 Watt Avenue
	  	 North Highlands
	  	 CA
	  	 95660

	 236059
	  	 Total Renal Care
	  	 111 Michigan Avenue Northwest
	  	 Washington
	  	 DC
	  	 20010


 

24 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 


	 ACIS

	  	 Account Name

	  	 Address

	  	 City

	  	 State

	  	 Zip


	 261006
	  	 Houston Kidney Center Southwest
	  	 11111 Brooklet Drive, Building 100, Suite 100
	  	 Houston
	  	 TX
	  	 77099

	 274903
	  	 Peninsula Nephrology, Inc. Dba: San Mateo Dialysis Center
	  	 2000 South El Camino Real
	  	 San Mateo
	  	 CA
	  	 94403

	 274929
	  	 DaVita—Pipestone Dialysis Center
	  	 911 5th Avenue Southwest
	  	 Pipestone
	  	 MN
	  	 56164

	 274930
	  	 Dialysis Care of Kannapolis
	  	 1607 North Main Street
	  	 Kannapolis
	  	 NC
	  	 28081

	 274931
	  	 Dialysis Care of North Mecklenberg
	  	 9030 Glenwater Drive
	  	 Charlotte
	  	 NC
	  	 28262

	 274973
	  	 Total Renal Care of Fairfax
	  	 8501 Arlington Boulevard, Suite 100
	  	 Fairfax
	  	 VA
	  	 22031

	 275219
	  	 Ocala Regional Kidney—South Unit
	  	 13940 Us Highway 441
	  	 Lady Lake
	  	 FL
	  	 32159

	 275316
	  	 Peekskill—Cortland Dialysis Center
	  	 Pike Plaza, Route 6, Suite 15
	  	 Cortlandt Manor
	  	 NY
	  	 10567

	 275453
	  	 Oakland Peritoneal Dialysis Center
	  	 3300 Webster Street, Suite 306
	  	 Oakland
	  	 CA
	  	 94609

	 275472
	  	 Rocky Hill Connecticut
	  	 1845 Silas Deane Highway
	  	 Rocky Hill
	  	 CT
	  	 06067

	 275487
	  	 DaVita Mission Dialysis Center
	  	 1181 Broadway
	  	 Chula Vista
	  	 CA
	  	 91911

	 275488
	  	 DaVita—Mission Dialysis Center of Oceanside
	  	 2227-B El Camino Real, Camino Town And Country Shopping Center
	  	 Oceanside
	  	 CA
	  	 92054

	 275567
	  	 DaVita—Cortez Dialysis
	  	 610 East Main Street, Suite C
	  	 Cortez
	  	 CO
	  	 81321

	 275579
	  	 Boston Post Road Dialysis Center
	  	 4026 Boston Road
	  	 Bronx
	  	 NY
	  	 10466

	 275609
	  	 Queens Dialysis Center
	  	 118-01 Guy Brewer Boulevard
	  	 Jamaica
	  	 NY
	  	 11434

	 275809
	  	 Dialysis Center At Oxford Court
	  	 930 Town Center Drive, Suite G. 100
	  	 Langhorne
	  	 PA
	  	 19047

	 275901
	  	 DaVita Midvalley Dialysis Center
	  	 5578 South 1900 West
	  	 Taylorsville
	  	 UT
	  	 84118

	 275902
	  	 DaVita Bountiful Dialysis
	  	 724 West 500 South, Suite 300
	  	 West Bountiful
	  	 UT
	  	 84087

	 275948
	  	 DaVita Lowry Dialysis Center
	  	 7465 East 1st Avenue, Suite A
	  	 Denver
	  	 CO
	  	 80230

	 276120
	  	 Ira of Orlando, Llp
	  	 14050 Town Loop Boulevard
	  	 Orlando
	  	 FL
	  	 32837

	 276179
	  	 DaVita Crescent Heights Dialysis
	  	 8151 Beverly Boulevard
	  	 Los Angeles
	  	 CA
	  	 90048

	 276364
	  	 DaVita Grand Blanc Dialysis
	  	 3625 Genesys Parkway
	  	 Grand Blanc
	  	 MI
	  	 48439

	 276603
	  	 Antioch Dialysis Center
	  	 3100 Delta Fair Boulevard
	  	 Antioch
	  	 CA
	  	 94509

	 276604
	  	 Bay Breeze Dialysis
	  	 11465 Ulmerton Road
	  	 Largo
	  	 FL
	  	 33778

	 276615
	  	 Appomattox Dialysis Center
	  	 15 West Old Street
	  	 Petersburg
	  	 VA
	  	 23803

	 276630
	  	 Mcdonough Dialysis Center
	  	 114 Dunn Avenue
	  	 Mcdonough
	  	 GA
	  	 30253

	 276702
	  	 Total Renal Care, Dba: Cleve Hill Dialysis Center
	  	 1461 Kensington Avenue
	  	 Buffalo
	  	 NY
	  	 14215

	 276807
	  	 DaVita Renal Care—UCLA Dialysis Center
	  	 200 Ucla Medical Plaza, Suite 565
	  	 Los Angeles
	  	 CA
	  	 90095

	 276941
	  	 Dialysis Treatment Center
	  	 745 Pine Street
	  	 Macon
	  	 GA
	  	 31201

	 276942
	  	 East Point Dialysis
	  	 2669 Church Street
	  	 East Point
	  	 GA
	  	 30344

	 277077
	  	 Ypsilanti Dialysis Center—DaVita
	  	 2766 Washtenaw, Washetenaw Fountain Plaza
	  	 Ypsilanti
	  	 MI
	  	 48197

	 277104
	  	 DaVita Jackson Dialysis Center
	  	 234 West Louis Glick Highway
	  	 Jackson
	  	 MI
	  	 49201

	 277257
	  	 Imperial Care, Inc.
	  	 3680 East Imperial Highway, 2nd Floor
	  	 Lynwood
	  	 CA
	  	 90262

	 277259
	  	 Olympic View Dialysis Center
	  	 125 16th Avenue East, Csb-5th Floor
	  	 Seattle
	  	 WA
	  	 98112

	 277271
	  	 Coney Island Dialysis
	  	 26-48 Brighton 11 Street
	  	 Brooklyn
	  	 NY
	  	 11235

	 277272
	  	 Yonkers Dialysis Center
	  	 575 Yonkers Avenue
	  	 Yonkers
	  	 NY
	  	 10704

	 277273
	  	 Soundview Dialysis Center
	  	 1622-24 Bruckner Boulevard
	  	 Bronx
	  	 NY
	  	 10473

	 277274
	  	 Port Washington Dialysis
	  	 50 Seaview Boulevard
	  	 Port Washington
	  	 NY
	  	 11050

	 277275
	  	 Lynbrook Dialysis Center
	  	 147 Scranton Avenue
	  	 Lynbrook
	  	 NY
	  	 11563

	 277295
	  	 Total Renal Care—Muncy
	  	 Route 405
	  	 Muncy
	  	 PA
	  	 17756

	 277498
	  	 Dialysis Systems of Covington—DaVita
	  	 210 Greenbriar Boulevard
	  	 Covington
	  	 LA
	  	 70433

	 277540
	  	 DaVita Englewood Dialysis
	  	 3247 South Lincoln Street
	  	 Englewood
	  	 CO
	  	 80110

	 277619
	  	 Dyker Heights Dialysis Center
	  	 1435 86th Street
	  	 Brooklyn
	  	 NY
	  	 11228

	 277642
	  	 Purcellville Dialysis Center of Total Renal Care
	  	 280 North Hatcher Avenue
	  	 Purcellville
	  	 VA
	  	 20132

	 277648
	  	 Rivertowne Dialysis Center At Oxon Hill
	  	 6192 Oxon Hill Road
	  	 Oxon Hill
	  	 MD
	  	 20745

	 277654
	  	 Ira of Celebration
	  	 1154 Celebration Boulevard
	  	 Celebration
	  	 FL
	  	 34747

	 277689
	  	 Pratt Dialysis Center of Total Renal Care
	  	 203 South Watson Suite 110
	  	 Pratt
	  	 KS
	  	 67124

	 278156
	  	 Total Renal Care At Celia Dill Dialysis Center
	  	 Barns Office Center, Suite 206, Stoneleigh Avenue
	  	 Carmel
	  	 NY
	  	 10512

	 278233
	  	 Arcadia Dialysis Center
	  	 1341 East Oak Street
	  	 Arcadia
	  	 FL
	  	 34266

	 278238
	  	 DaVita—East Chicago
	  	 4320 Fir Street, Suite 404
	  	 East Chicago
	  	 IN
	  	 46312

	 278248
	  	 Rose Garden Dialysis Center
	  	 999 West Taylor Street
	  	 San Jose
	  	 CA
	  	 95126


 

25 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 


	 ACIS

	  	 Account Name

	  	 Address

	  	 City

	  	 State

	  	 Zip


	 278253
	  	 El Camino Dialysis Center
	  	 2490 Grant Road
	  	 Mountain View
	  	 CA
	  	 94040

	 278254
	  	 Evergreen Dialysis Center
	  	 2060 Aborn Road
	  	 San Jose
	  	 CA
	  	 95121

	 278534
	  	 Henderson Dialysis Center
	  	 1002 Highway 79 North
	  	 Henderson
	  	 TX
	  	 75652

	 278545
	  	 Clarkston Dialysis of DaVita
	  	 6770 Dixie Highway, Suite 205
	  	 Clarkston
	  	 MI
	  	 48346

	 278548
	  	 Total Renal Care—South Hayward Dialysis Center
	  	 254 Jackson Street
	  	 Hayward
	  	 CA
	  	 94544

	 278568
	  	 Lee Street Dialysis
	  	 5155 Lee Street Northeast
	  	 Washington
	  	 DC
	  	 20019

	 278786
	  	 Timpanogos Dialysis Center
	  	 852 North 500 West, Suite 200
	  	 Provo
	  	 UT
	  	 84604

	 278794
	  	 Garden City Dialysis
	  	 1100 Stewart Avenue
	  	 Garden City
	  	 NY
	  	 11530

	 279024
	  	 Harford Road Dialysis Center
	  	 5800 Harford Road
	  	 Baltimore
	  	 MD
	  	 21214

	 279025
	  	 DaVita Washington Plaza Dialysis Center
	  	 516-522 East Washington Boulevard
	  	 Los Angeles
	  	 CA
	  	 90015

	 279028
	  	 Total Renal Care At Richmond Community
	  	 1510 North 28th Street, Suite 110
	  	 Richmond
	  	 VA
	  	 23223

	 280304
	  	 DaVita-South County Dialysis
	  	 4145 Union Road
	  	 St. Louis
	  	 MO
	  	 63129

	 280350
	  	 DaVita—Detroit Dialysis
	  	 2674 East Jefferson
	  	 Detroit
	  	 MI
	  	 48207

	 280386
	  	 Nephrology Center of South Augusta
	  	 1631 Gordon Highway, Suite 1b
	  	 Augusta
	  	 GA
	  	 30906

	 280403
	  	 DaVita of Haines City
	  	 110 Patterson Road
	  	 Haines City
	  	 FL
	  	 33844

	 280404
	  	 Nephrology Center of Louisville
	  	 1011 Peachtree Street
	  	 Louisville
	  	 GA
	  	 30434

	 280414
	  	 Orangevale Dialysis
	  	 9267 Greenback Lane, Suite A-2
	  	 Orangevale
	  	 CA
	  	 95662

	 280489
	  	 DaVita—Okmulgee Dialysis Center
	  	 1101 South Belmont, Suite #204
	  	 Okmulgee
	  	 OK
	  	 74447

	 280490
	  	 DaVita—Central Tulsa Dialysis
	  	 1124 South St. Louis Avenue
	  	 Tulsa
	  	 OK
	  	 74120

	 280491
	  	 DaVita—Miami Dialysis Center
	  	 200 2nd Avenue Southwest
	  	 Miami
	  	 OK
	  	 74354

	 280492
	  	 DaVita—Muskogee Community Dialysis
	  	 2913 Azalea Park Boulevard
	  	 Muskogee
	  	 OK
	  	 74401

	 280495
	  	 DaVita—Stilwell Dialysis Center
	  	 319 North 2nd Street
	  	 Stilwell
	  	 OK
	  	 74960

	 280496
	  	 Pahrump Dialysis Center
	  	 1460 East Calvada Boulevard
	  	 Pahrump
	  	 NV
	  	 89048

	 280591
	  	 The New York United Dialysis Center
	  	 406 Boston Post Road
	  	 Port Chester
	  	 NY
	  	 10573

	 280820
	  	 DaVita Fort Pierce
	  	 1801 South 23rd Street, Suite 1
	  	 Fort Pierce
	  	 FL
	  	 34950

	 280825
	  	 White Plains Dialysis Center
	  	 200 Hamilton Avenue, Space 13b
	  	 Whiteplains
	  	 NY
	  	 10601

	 280829
	  	 DaVita—Cherokee Dialysis Center
	  	 53 Echota Church Road
	  	 Cherokee
	  	 NC
	  	 28719

	 281010
	  	 DaVita Hope Dialysis Center
	  	 300 Marcella Road
	  	 Hampton
	  	 VA
	  	 23666

	 281016
	  	 Seneca County Dialysis
	  	 65 St. Francis Street, Betty Jane Center
	  	 Tiffin
	  	 OH
	  	 44883

	 281046
	  	 Dialysis Systems of Hammond—DaVita
	  	 2570 Southwest Railroad Avenue, Suite A
	  	 Hammond
	  	 LA
	  	 70403

	 281058
	  	 Great Bridge Dialysis—Total Renal Care
	  	 745 North Battlefield Boulevard
	  	 Chesapeake
	  	 VA
	  	 23320

	 281071
	  	 Dulaney Towson Dialysis Center
	  	 113 West Road
	  	 Towson
	  	 MD
	  	 21204

	 281079
	  	 Bloomington Dialysis DaVita
	  	 8591 Lyndale Avenue South
	  	 Bloomington
	  	 MN
	  	 55420

	 281227
	  	 DaVita—Kenneth Hahn Plaza Dialysis Center
	  	 11854 Wilmington Avenue
	  	 Los Angeles
	  	 CA
	  	 90059

	 281338
	  	 Florin Dialysis Center—Total Renal Care
	  	 7000 Stockton Boulevard
	  	 Sacramento
	  	 CA
	  	 95823

	 281406
	  	 Kent Community Dialysis
	  	 21501 84th Avenue South
	  	 Kent
	  	 WA
	  	 98032

	 281411
	  	 Queens Village Dialysis
	  	 222-02 Hempstead Avenue
	  	 Queens Village
	  	 NY
	  	 11429

	 281412
	  	 South Las Vegas Dialysis Center—DaVita
	  	 4711 Industrial Road
	  	 Las Vegas
	  	 NV
	  	 89103

	 281661
	  	 DaVita—Rialto Dialysis
	  	 1850 North Riverside Avenue, Suite 150
	  	 Rialto
	  	 CA
	  	 92376

	 281662
	  	 DaVita Commerce City Dialysis
	  	 6320 Holly Street
	  	 Commerce City
	  	 CO
	  	 80022

	 281735
	  	 Weaverville Dialysis Center—Total Renal Care
	  	 329 Merrimon Avenue
	  	 Weaverville
	  	 NC
	  	 28787

	 281772
	  	 Bricktown Dialysis
	  	 525 Jack Martin Boulevard, Suite 200
	  	 Brick
	  	 NJ
	  	 08723

	 281789
	  	 Kidney Care Perry, Llc
	  	 1027 Keith Drive
	  	 Perry
	  	 GA
	  	 31069

	 281992
	  	 DaVita Longmont Dialysis
	  	 1700 Kylie Drive, Suite 170
	  	 Longmont
	  	 CO
	  	 80501

	 284522
	  	 DaVita Lakewood Crossing Dialysis
	  	 1057 South Wadsworth Boulevard
	  	 Lakewood
	  	 CO
	  	 80226

	 285249
	  	 DaVita—Summerlin Dialysis Center
	  	 653 Town Center Drive, Building 2, Suite 70
	  	 Las Vegas
	  	 NV
	  	 89144

	 285270
	  	 Dialysis of Georgia, L.L.C.
	  	 1565 East Highway 34, Suite A
	  	 Newnan
	  	 GA
	  	 30265

	 285733
	  	 Home Pharmacy Services C/O Cvs Procare Pharmacy
	  	 6622 Fannin Street
	  	 Houston
	  	 TX
	  	 77006

	 285735
	  	 Satellite Dialysis Centers—Sunnyvale
	  	 155 North Wolfe Road
	  	 Sunnyvale
	  	 CA
	  	 94086

	 285886
	  	 DaVita Dialysis Unit—Hopi Health Care Center
	  	 Highway 264—Mile Marker 388
	  	 Polacca
	  	 AZ
	  	 86042

	 286073
	  	 Dialysis of Georgia, Llc—Gainesville
	  	 2545 Flintridge Road, Suite 130
	  	 Gainesville
	  	 GA
	  	 30501

	 287115
	  	 DaVita Forest Park Dialysis Center
	  	 380 Forest Parkway
	  	 Forest Park
	  	 GA
	  	 30297

	 305989
	  	 Independent Renal Center—DaVita
	  	 12392 Highway 40
	  	 Independence
	  	 LA
	  	 70443


 

26 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 


	 ACIS

	  	 Account Name

	  	 Address

	  	 City

	  	 State

	  	 Zip


	 306244
	  	 South San Francisco Dialysis
	  	 205 Kenwood Way
	  	 South San Francisco
	  	 CA
	  	 94080

	 312200
	  	 DaVita of Woodstock
	  	 2001 Professional Parkway, Suite 100
	  	 Woodstock
	  	 GA
	  	 30188

	 314625
	  	 Puyallup Dialysis Center
	  	 716-C South Hill Park
	  	 Puyallup
	  	 WA
	  	 98373

	 314626
	  	 Pelham Parkway Dialysis Center
	  	 1400 Pelham Parkway South/A-1, Building 5
	  	 Bronx
	  	 NY
	  	 10461

	 314628
	  	 Queens Dialysis At South Flushing
	  	 71-12 Park Avenue
	  	 Flushing
	  	 NY
	  	 11365

	 314821
	  	 DaVita First Landing Dialysis Center
	  	 1745 Camelot Drive, Suite 100
	  	 Virginia Beach
	  	 VA
	  	 23454

	 317405
	  	 DaVita #476—Iris City Dialysis
	  	 521 North Expressway Village, Suite 1509
	  	 Griffin
	  	 GA
	  	 30223

	 317860
	  	 Dialysis of Georgia, Llc—Ellijay
	  	 91 Southside Church Street
	  	 Ellijay
	  	 GA
	  	 30540

	 318370
	  	 East Aurora Dialysis
	  	 482 South Chambers Road
	  	 Aurora
	  	 CO
	  	 80017

	 319087
	  	 Satellite Dialysis Windsor
	  	 911 Medical Center Plaza, Suite 16
	  	 Windsor
	  	 CA
	  	 95492

	 319171
	  	 Pearland Dialysis
	  	 6516 Broadway
	  	 Pearland
	  	 TX
	  	 77581

	 319589
	  	 DaVita Sapulpa Dialysis Center
	  	 9647 Ridgeview Street
	  	 Tulsa
	  	 OK
	  	 74131

	 319590
	  	 DaVita—Indio Dialysis
	  	 46-767 Monroe Street, Suite 101
	  	 Indio
	  	 CA
	  	 92201

	 319618
	  	 Lake Elsinore Dialysis
	  	 32291 Mission Trail Road, Building S.
	  	 Lake Elsinore
	  	 CA
	  	 92530

	 319642
	  	 DaVita Pin Oak Dialysis
	  	 1302 Pin Oak Road
	  	 Katy
	  	 TX
	  	 77494

	 319884
	  	 DaVita Merrillville Dialysis
	  	 9223 Taft Street
	  	 Merrillville
	  	 IN
	  	 46410

	 319932
	  	 DaVita—Hermiston Dialysis Center
	  	 1155 West Linda Avenue
	  	 Hermiston
	  	 OR
	  	 97838

	 320534
	  	 Ocala Regional Kidney Center—North
	  	 2620 West Highway 316
	  	 Citra
	  	 FL
	  	 32113

	 320621
	  	 DaVita Flushing Dialysis
	  	 3469 Pierson Place
	  	 Flushing
	  	 MI
	  	 48433

	 320622
	  	 DaVita Clinton Dialysis Center
	  	 150 South 31st Street
	  	 Clinton
	  	 OK
	  	 73601

	 320624
	  	 DaVita Neptune Dialysis
	  	 2180 Bradley Avenue
	  	 Neptune
	  	 NJ
	  	 07753

	 320625
	  	 Minneapolis North East Hennepin Dialysis
	  	 1049 10th Avenue South East
	  	 Minneapolis
	  	 MN
	  	 55414

	 320727
	  	 Soledad Dialysis
	  	 901 Los Coches Drive
	  	 Soledad
	  	 CA
	  	 93960

	 323958
	  	 DaVita St. Louis Park Dialysis
	  	 6490 Excelsior Boulevard
	  	 St. Louis Park
	  	 MN
	  	 55426

	 342101
	  	 Satellite Dialysis Home Training
	  	 1530 Meridian Avenue, Suite 100
	  	 San Jose
	  	 CA
	  	 95125

	 344531
	  	 Tustin Dialysis Center
	  	 2090 North Tustin Avenue
	  	 Santa Ana
	  	 CA
	  	 92705

	 344533
	  	 Chadbourn Dialysis Center
	  	 210 East Strawberry Boulevard
	  	 Chadbourn
	  	 NC
	  	 28431

	 344551
	  	 Fowlerville Dialysis
	  	 206 East Grand River
	  	 Fowlerville
	  	 MI
	  	 48836

	 344606
	  	 Bakers Ferry Dialysis #0456
	  	 3645 Bakers Ferry Road
	  	 Atlanta
	  	 GA
	  	 30331

	 344607
	  	 Irvine Dialysis Center
	  	 16255 Laguna Canyon Road
	  	 Irvine
	  	 CA
	  	 92618

	 344612
	  	 Madison Dialysis Center
	  	 302 North Highway Street
	  	 Madison
	  	 NC
	  	 27025

	 344838
	  	 Davison Dialysis Center
	  	 1011 South State Road
	  	 Davison
	  	 MI
	  	 48423

	 344957
	  	 Maryville Dialysis Center
	  	 2130 Vadalabene Drive
	  	 Maryville
	  	 IL
	  	 62062

	 345184
	  	 Southfield West Dialysis Center
	  	 21900 Melrose, Southfield Tech Center, Building #2
	  	 Southfield
	  	 MI
	  	 48075

	 345193
	  	 Northeast Wichita Dialysis Center
	  	 2630 North Webb Road, Building 100, Suite 100
	  	 Wichita
	  	 KS
	  	 67226

	 345205
	  	 DaVita Swannanoa Dialysis Center #1508
	  	 2305 Us Highway 70
	  	 Swannanoa
	  	 NC
	  	 28778

	 345241
	  	 Misson Hills Dialysis
	  	 2700 North Stanton
	  	 El Paso
	  	 TX
	  	 79902

	 345294
	  	 Yakima Dialysis Center #1539
	  	 110 South 9th Avenue
	  	 Yakima
	  	 WA
	  	 98902


 

27 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 

Appendix C 
 
List of Authorized Wholesalers 
 
To ensure you receive the appropriate discount, it is important for Amgen to have your current list of
Authorized Wholesalers. The following list represents the Wholesalers Amgen currently has associated with Dialysis Center’s contract. Please update the list by adding or deleting Wholesalers, as necessary. 
 
American Medical Distributors, Inc., Subsidiary of BelIco Drug Corporation

180 Route 109 
West Babylon, NY
11704 
 
AmenSource Corporation 
100 Friars Lane 
Thorofare, NJ 08086

 
ASD Specialty Healthcare, Subsidiary of Bergen Brunswig Drug Co.

1851 Monetary Lane 
Carrollton,
TX 75006 
 
Bergen Brunswig Drug Company 
283 Sand Island Access Road 
Honolulu, HI
96819 
 
Bergen Brunswig Drug Company 
P0 Box 5916 
Orange, CA 92613 
 
Henry Schein Incorporated 
5 Harbor Park Drive 
Port Washington, NY 11050

 
Metro Medical Supply, Inc. 
1911 Church Street 
Nashville, TN 37203

 
Metro Medical Wholesale Supply, Inc. 
1911 Church Street 
Nashville, TN 37203

 
Priority Healthcare Corporation Charise Charles Division

285 West Central Parkway Suite 1704 
Altmamonte Springs, FL 32714 
 

28 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 

Exhibit #1 
 
Certification Letter 
 
                    ,
200     
 
Total Renal Care, Inc. 
21250 Hawthorne Boulevard, Suite 800 
Torrance, CA 90503 
Attention: Kim Brady 
 

	RE:	EPOGEN® (Epoetin alfa)
Agreement No. 20010259 as amended 

 
Dear                                     
                    
 
Thank you for your participation in the [DELETED]. In order for us to enroll you, we require that a duly authorized representative of your
organization sign the certification below. 
 
Upon
receipt of this executed document, we will calculate the value of your incentive. If we do not receive the executed certification, we cannot provide you with this incentive. 
 
If you have any questions regarding this letter please contact me at (805) 447-1000. Thank you for your
assistance in returning this certification. 
 
Sincerely,

 
Outcomes Incentive Analyst 
 
CERTIFICATION: 
 
On behalf of Total Renal Care, Inc. and all eligible
Affiliates participating in the [DELETED] under Agreement No. 20010259 as amended, the undersigned hereby certifies that the [DELETED] data and any other data required to be submitted (herein referred to as “Data”), for each eligible
Affiliate during the period January 1, 2003 through December 31, 2003 of this Agreement shall include the required Data from all dialysis patients from each such Affiliate, (excluding those patients whose data is obtained from laboratories not
owned or operated by Total Renal Care, Inc.), and shall not include Data from non-patients. The party executing this document also represents and warrants that it (i) has no reason to believe that the submitted Data will be incorrect, and (ii) is
authorized to make this certification on behalf of all eligible Affiliates submitting Data. 
 
TOTAL RENAL CARE, INC. 
 

	 Signature:
	  	

	 Print Name:
	  	

	 Print Title:
	  	

	 Date:
	  	


 

29 








Amendment #1 dated December 31, 2002 to Agreement No. 20010259 (continued)

 

Please retain one fully executed original for your records and return the other fully
executed original to Amgen. 
 
The parties
executed this Amendment as of the dates set forth below. 
 

	 AMGEN USA INC.
	 	 	 	 TOTAL RENAL CARE, INC.

	
	 Signature:
	 	
	 	 	 	 Signature:
	 	

	 Print Name:
	 	
	 	 	 	 Print Name:
	 	

	 Print Title:
	 	
	 	 	 	 Print Title:
	 	

	 Date:
	 	
	 	 	 	 Date:
	 	


 
Amgen
Inc. hereby agrees to be bound by certain provisions of this Agreement, as amended, as set forth herein. 
 

	 AMGEN INC.

	
	 Signature:
	 	

	 Print Name:
	 	

	 Print Title:
	 	

	 Date:
	 	


 

30