Document:

exv10w2

    Exhibit 10.2

    EXECUTION COPY

 

    AMENDMENT
    NO. 2

 

    Dated as of September 28, 2010

 

    to

 

    FIFTH AMENDED AND RESTATED

 

    TRANSFER AND ADMINISTRATION AGREEMENT

 

    Dated as
    of November 17, 2009

 

    THIS AMENDMENT NO. 2 (this “Amendment”) dated
    as of September 28, 2010 is entered into by and among
    (i) NMC FUNDING CORPORATION, a Delaware corporation (the
    “Transferor”), (ii) NATIONAL MEDICAL CARE,
    INC., a Delaware corporation, as collection agent (the
    “Collection Agent”), (iii) the
    “Conduit Investors,” “Bank Investors” and
    “Administrative Agents” identified on the signature
    pages hereto and (iv) WESTLB AG, NEW YORK BRANCH, as agent
    (the “Agent”).

 

    PRELIMINARY
    STATEMENTS

 

    A. The Transferor, the Collection Agent, the Conduit
    Investors, the Bank Investors, the Administrative Agents and the
    Agent are parties to that certain Fifth Amended and Restated
    Transfer and Administration Agreement dated as of
    November 17, 2009 (as amended or otherwise modified prior
    to the date hereof, the “TAA”). Capitalized
    terms used herein and not otherwise defined shall have the
    meanings ascribed to them in the TAA.

 

    B. In addition, the parties hereto have agreed to amend the
    TAA on the terms and conditions hereinafter set forth.

 

    NOW, THEREFORE, in consideration of the premises set forth
    above, and other good and valuable consideration, the receipt
    and sufficiency of which is hereby acknowledged, the parties
    hereto agree as follows:

 

    Section 1. Amendments
    to TAA. As of the Effective Date (as defined below), subject
    to the conditions precedent set forth in Section 4
    of this Amendment, the TAA is hereby amended as follows:

 

    1.1 Applicable Margin. The definition of
    “Applicable Margin” in Section 1.1 is
    hereby amended to change the percentage set forth therein from
    “2.75%” to “2.00%”.

 

    1.2 Extension. The definition of “Commitment
    Termination Date” in Section 1.1 is hereby
    amended to change the date set forth therein from
    “October 15, 2010” to “September 27,
    2011”.

 

    1.3 Facility Limit. The definition of “Facility
    Limit” in Section 1.1 is hereby amended to
    change the dollar amount set forth therein from
    “$650,000,000” to “$700,000,000”.

 

    1.4 Removal of Paradigm Funding LLC and Addition of
    Compass US Acquisition LLC.

 

    (a) The definition of “Agreement” on page 1
    of the TAA is hereby amended to change the reference therein
    from “PARADIGM FUNDING LLC” to “COMPASS US
    ACQUISITION LLC”.

 

    (b) The following definition is hereby added to
    Section 1.1 immediately following the definition of
    “Commitment Termination Date” therein:

 

    ‘‘Compass” means Compass US Acquisition
    LLC, a Delaware limited liability company, together with its
    successors and permitted assigns.

 

    (c) The definition of “Paradigm” in
    Section 1.1 is hereby deleted.

 

    (d) Each of the definitions of “Administrative
    Agent”, “Collateral Agent”, “Conduit
    Investor” and “Related Group” in
    Section 1.1, the last sentence of Section
    2.6(b) and the last sentence of Section 9.6 are
    hereby amended to change any references set forth therein from
    “Paradigm” to “Compass”.

 

    (e) To the extent not already otherwise addressed in this
    Amendment, the TAA is hereby amended to delete any other
    reference to “Paradigm” in each place where such name
    appears and to substitute therefore a reference to
    “Compass” in each such place.

 

    1.5 Removal of Bayerische Landesbank, New York Branch
    and Giro Balanced Funding Corporation.

 

    (a) The cover of the TAA is hereby amended to delete the
    words “BAYERISCHE LANDESBANK, NEW YORK BRANCH”.

 

    (b) The definition of “Agreement” on the first
    page of the TAA is hereby further amended to delete the words
    “Bayerische Landesbank, New York Branch, as an
    Administrative Agent,” and “Giro Balanced Funding
    Corporation, a Delaware Corporation, as a Conduit
    Investor,” therein.

 

    (c) The definition of “Conduit Investor” in
    Section 1.1 is hereby further amended to delete the
    words “GBFC,” therein.

 

    (d) Clause (ii) of each of the definitions of
    “Administrative Agent” and “Related Group”
    in Section 1.1 are hereby amended to replace each
    such clause with “(ii) [Reserved],”.

 

    (e) The definitions of “BayernLB” and
    “GBFC” in Section 1.1 are hereby deleted.

 

    (f) Section 9.7(d) is hereby amended to delete the
    words “or, in the case of GBFC, to such Conduit
    Investor,”.

 

    (g) To the extent not already otherwise addressed in this
    Amendment, the TAA is hereby amended to delete any other
    reference to BayernLB or GBFC in each place where such name
    appears.

 

    1.6 Name Change from Calyon New York Branch to Credit
    Agricole Corporate and Investment Bank, New York.

 

    (a) The cover of the TAA, the definition of
    “Agreement” on the first page of the TAA and
    clause (v) of the definition of “Administrative
    Agent” in Section 1.1 are hereby further
    amended to replace the words “Calyon New York Branch”
    with “Credit Agricole Corporate and Investment Bank, New
    York” thereon or therein, as applicable.

 

    (b) The definition of “Calyon” in
    Section 1.1 is hereby deleted.

 

    (c) The following definition is hereby added to
    Section 1.1 immediately following the definition of
    “CP Tranche Period End Date” therein:

 

    ‘‘Credit Agricole” means Credit Agricole
    Corporate and Investment Bank, New York, together with its
    successors and permitted assigns.

 

    (d) Clause (v) of the definition and “Related
    Group” in Section 1.1 is hereby further amended
    to replace the word “Calyon” with “Credit
    Agricole”.

 

    (e) To the extent not already otherwise addressed in this
    Amendment, the TAA is hereby amended to replace any other
    reference to Calyon in each place where such name appears with
    Credit Agricole.

 

    1.7 Additional Amendments.

 

    (a) Section 10.3 is hereby amended in its
    entirety to read as set forth on the amended Section 10.3
    attached to this Amendment as Exhibit 1.

 

    (b) Schedule I is hereby amended in its
    entirety to read as set forth on the amended Schedule I
    attached to this Amendment as Exhibit 2.

 

    (c) Schedule II is hereby amended in its
    entirety to read as set forth on the amended Schedule II
    attached to this Amendment as Exhibit 3.

    

    2

 

    (d) The fourth page of each of
    Exhibit D-2
    (Form of Concentration Account Agreement) and
    Exhibit D-3
    (Form of Intermediate Concentration Account Agreement) is hereby
    amended to replace the words “1211 Avenue of the Americas,
    New York, New York 10036” with “7 World Trade Center,
    250 Greenwich Street, New York, New York 10007”.

 

    (e) Exhibit H is hereby amended in its entirety
    to read as set forth on the amended Exhibit H attached to
    this Amendment as Exhibit 4.

 

    (f) Exhibit I is hereby amended in its entirety
    to read as set forth on the amended Exhibit I attached to
    this Amendment as Exhibit 5.

 

    (g) Exhibit J is hereby amended in its entirety
    to read as set forth on the amended Exhibit J attached to
    this Amendment as Exhibit 6.

 

    (h) Exhibit P is hereby amended to replace the
    form of “Reaffirmation of Parent Guaranty” therein
    with the form attached to this Amendment as Exhibit 7.

 

    Section 2. Removal
    of Paradigm. Paradigm hereby confirms that there are no
    Aggregate Unpaids owing to Paradigm as of the Effective Date and
    each of the parties hereto hereby acknowledges and agrees that
    upon the execution of this Amendment, Paradigm will cease to be
    a party to the TAA and will have no further rights, obligations
    or liabilities thereunder; provided, however, that
    (a) the rights and remedies of Paradigm with respect to any
    representation and warranty made or deemed to be made by the
    Transferor pursuant to the TAA, (b) the rights of Paradigm
    under the indemnification and payment provisions of
    Article VIII of the TAA, and (c) the agreement of
    Paradigm set forth in Section 10.9 of the TAA, shall be
    continuing and shall survive the execution of this Amendment and
    the removal of Paradigm as a party to the TAA.

 

    Section 3. Removal
    of BayernLB and GBFC.

 

    3.1 BayernLB hereby confirms that the Aggregate Unpaids
    owing to BayernLB (in its capacity as a Bank Investor and as an
    Administrative Agent) and GBFC, if paid no later than
    2:00 p.m. New York time on September 28, 2010 (the
    “Payout Date”) in same day funds, will be
    $57,577.61 (the “Payout Amount”). The Payout
    Amount includes, without limitation, (i) the aggregate
    outstanding Net Investment held by BayernLB and GBFC,
    (ii) all accrued and unpaid Discount owing to BayernLB and
    GBFC and (iii) all fees, expenses and other amounts payable
    to BayernLB and GBFC under the Transaction Documents. Each of
    the parties hereto hereby acknowledges and agrees that upon
    receipt by BayernLB of the Payout Amount on the Payout Date as
    described above, BayernLB and GBFC will cease to be parties to
    the TAA and will have no further rights, obligations or
    liabilities thereunder; provided, however, that
    (a) the rights and remedies of BayernLB and GBFC with
    respect to any representation and warranty made or deemed to be
    made by the Transferor pursuant to the TAA, (b) the rights
    of BayernLB and GBFC under the indemnification and payment
    provisions of Article VIII of the TAA, and (c) the
    agreement of BayernLB and GBFC set forth in Section 10.9 of
    the TAA, shall be continuing and shall survive payment of the
    Payout Amount and the removal of BayernLB and GBFC as parties to
    the TAA. The Payout Amount shall be payable in immediately
    available funds on the Payout Date in accordance with such
    wiring instructions as BayernLB may furnish to the Transferor.

 

    3.2 The parties hereto acknowledge that an adjustment to
    the Net Investment held by the respective Related Groups is
    required to be made on the Effective Date in order to ensure
    that the Net Investment held by the Investors in each Related
    Group is proportional to their respective Related Group Limits
    (as determined after giving effect to this Amendment).
    Accordingly, on the Effective Date, the Transferor shall request
    such Incremental Transfers, and make such repayments, in each
    case a non-pro rata basis among the Related Groups, such that by
    the close of business on the Effective Date the Net Investment
    held by the Investors in the respective Related Groups shall be
    proportional to their respective Related Group Limits.

 

    Section 4. Conditions
    Precedent. This Amendment shall become effective and be
    deemed effective as of September 28, 2010 (the
    “Effective Date”) subject to the Agent’s
    receipt of the following, each in form and substance
    satisfactory to each Administrative Agent:

 

    (a) counterparts of this Amendment duly executed by the
    Transferor, the Collection Agent, the Conduit Investors,
    the Bank Investors, the Administrative Agents and the Agent;

    

    3

 

    (b) a reaffirmation of the Parent Agreement, substantially
    in the form of Exhibit 3 attached hereto, duly executed by
    each of FMCAG and FMCH;

 

    (c) confirmation that all fees due and payable on or before
    the Effective Date have been paid in full;

 

    (d) to the extent requested by any Conduit Investor, such
    Conduit Investor shall have received confirmation from each
    Rating Agency rating the Commercial Paper of such Conduit
    Investor or its Related CP Issuer that the execution and
    delivery of this Amendment and the transactions contemplated
    hereby will not result in the reduction or withdrawal of the
    then current rating of the Commercial Paper issued by such
    Conduit Investor or its Related CP Issuer; and

 

    (e) such other documents, instruments, certificates and
    opinions as the Agent or any Administrative Agent shall
    reasonably request.

 

    Section 5. Covenants,
    Representations and Warranties of the Transferor and the
    Collection Agent.

 

    5.1 Upon the effectiveness of this Amendment, each of the
    Transferor and the Collection Agent hereby reaffirms all
    covenants, representations and warranties made by it in the TAA
    and agrees that all such covenants, representations and
    warranties shall be deemed to have been remade as of the
    Effective Date.

 

    5.2 Each of the Transferor and the Collection Agent hereby
    represents and warrants that (i) this Amendment constitutes
    the legal, valid and binding obligation of such party,
    enforceable against it in accordance with its terms and
    (ii) upon the effectiveness of this Amendment, no
    Termination Event or Potential Termination Event shall exist
    under the TAA.

 

    Section 6. Reference
    to and Effect on the TAA.

 

    6.1 Unless otherwise indicated, all references in this
    Amendment to a specific “Section”,
    “Schedule”, “Exhibit” and other subdivision
    are to such Section, Schedule, Exhibit or other subdivision of
    the TAA.

 

    6.2 Upon the effectiveness of this Amendment, each
    reference in the TAA to “this Agreement,”
    “hereunder,” “hereof,” “herein,”
    “hereby” or words of like import shall mean and be a
    reference to the TAA as amended hereby, and each reference to
    the TAA in any other document, instrument and agreement executed
    and/or
    delivered in connection with the TAA shall mean and be a
    reference to the TAA as amended hereby.

 

    6.3 Except as specifically amended hereby, the TAA and all
    other documents, instruments and agreements executed
    and/or
    delivered in connection therewith shall remain in full force and
    effect and are hereby ratified and confirmed.

 

    6.4 The execution, delivery and effectiveness of this
    Amendment shall not operate as a waiver of any right, power or
    remedy of any Investor, any Administrative Agent or the Agent
    under the TAA or any other document, instrument, or agreement
    executed in connection therewith, nor constitute a waiver of any
    provision contained therein.

 

    Section 7. Governing
    Law. THIS AMENDMENT SHALL BE GOVERNED AND CONSTRUED IN
    ACCORDANCE WITH THE INTERNAL LAWS (AS OPPOSED TO THE CONFLICT OF
    LAW PROVISIONS) AND DECISIONS OF THE STATE OF NEW YORK.

 

    Section 8. Execution
    in Counterparts. This Amendment may be executed in any
    number of counterparts and by different parties hereto in
    separate counterparts, each of which when so executed and
    delivered shall be deemed to be an original and all of which
    taken together shall constitute but one and the same instrument.
    Delivery of an executed counterpart of this Amendment by
    facsimile shall be equally as effective as delivery of an
    original executed counterpart of this Amendment. Any party
    delivering an executed counterpart of this Amendment by
    facsimile shall also deliver an original executed counterpart of
    this Amendment but the failure to deliver an original executed
    counterpart shall not affect the validity, enforceability and
    binding effect of this Amendment.

 

    Section 9. Headings.
    Section headings in this Amendment are included herein for
    convenience of reference only and shall not constitute a part of
    this Amendment for any other purpose.

    

    4

 

    IN WITNESS WHEREOF, the parties hereto have caused this
    Amendment to be executed by their respective officers thereunto
    duly authorized as of the date first written above.

 

    NMC FUNDING CORPORATION,

    as Transferor

 

			
	 	    By: 
	
    /s/  Mark
    Fawcett

			
	 	      
	
    Name: Mark Fawcett

    Title: Vice President & Treasurer

 

    NATIONAL MEDICAL CARE, INC., as

    Collection Agent

 

			
	 	    By: 
	
    /s/  Mark
    Fawcett

			
	 	      
	
    Name: Mark Fawcett

    Title: Vice President & Treasurer

 

 

    Signature
    Page Amendment No. 2 to Fifth Amended and Restated
    Transfer

    and Administration Agreement

    

    5

 

    WESTLB AG, NEW YORK BRANCH, as Agent, an

    Administrative Agent and as a Bank Investor

 

			
	 	    By: 
	
    /s/  Matthew
    F. Tallo

			
	 	      
	
    Name: Matthew F. Tallo

    Title: Executive Director

 

			
	 	    By: 
	
    /s/  Vesselina
    Koleva

			
	 	      
	
    Name: Vesselina Koleva

    Title: Director

 

    COMPASS US ACQUISITION LLC,

    as a Conduit Investor

 

			
	 	    By: 
	
    /s/  Doris
    J. Hearn

			
	 	      
	
    Name: Doris J. Hearn

    Title: Vice President

 

    Confirmed and Acknowledged by:

 

    PARADIGM FUNDING LLC,

    as a discontinued Conduit Investor

 

			
	    By: 
	
    /s/  Doris
    J. Hearn

	 

			
	      
	
    Name: Doris J. Hearn
	 

    Title: Vice President

 

 

    Signature
    Page Amendment No. 2 to Fifth Amended and Restated
    Transfer

    and Administration Agreement

    

    6

 

    BAYERISCHE LANDESBANK, NEW YORK BRANCH, as an Administrative
    Agent and as a Bank Investor

 

			
	 	    By: 
	
    /s/  Wolfgang
    Veigl

			
	 	      
	
    Name: Wolfgang Veigl

    Title: First Vice President

 

			
	 	    By: 
	
    /s/  L.A.
    Wynter

			
	 	      
	
    Name: Lori-Ann Wynter

    Title: Vice President

 

    GIRO BALANCED FUNDING CORPORATION,

    as a Conduit Investor

 

			
	 	    By: 
	
    /s/  Kevin
    P. Burns

			
	 	      
	
    Name: Kevin P. Burns

    Title: Vice President

 

 

    Signature
    Page Amendment No. 2 to Fifth Amended and Restated
    Transfer

    and Administration Agreement

    

    7

 

    THE BANK OF NOVA SCOTIA, as an

    Administrative Agent and as a Bank Investor

 

			
	 	    By: 
	
    /s/  Darren
    Ward

			
	 	      
	
    Name: Darren Ward

    Title: Director, Asset-Backed Finance

 

    LIBERTY STREET FUNDING LLC,

    as a Conduit Investor

 

			
	 	    By: 
	
    /s/  Jill
    A. Russo

			
	 	      
	
    Name: Jill A. Russo

    Title: Vice President

 

 

    Signature
    Page Amendment No. 2 to Fifth Amended and Restated
    Transfer

    and Administration Agreement

    

    8

 

    CREDIT AGRICOLE CORPORATE AND

    INVESTMENT BANK, NEW YORK

    (f/k/a Calyon New York Branch), as an Administrative Agent and
    as a Bank Investor

 

			
	 	    By: 
	
    /s/  Konstantina
    Kourmpetis

			
	 	      
	
    Name: Konstantina Kourmpetis

    Title: Managing Director

 

			
	 	    By: 
	
    /s/  Sam
    Pilcer

			
	 	      
	
    Name: Sam Pilcer

    Title: Managing Director

 

    ATLANTIC ASSET SECURITIZATION LLC,

    as a Conduit Investor

 

    By: Credit Agricole Corporate and Investment Bank,

    New York (f/k/a Calyon New York Branch), its
    Attorney-in-Fact

 

			
	 	    By: 
	
    /s/  Konstantina
    Kourmpetis

			
	 	      
	
    Name: Konstantina Kourmpetis

    Title: Managing Director

 

			
	 	    By: 
	
    /s/  Sam
    Pilcer

			
	 	      
	
    Name: Sam Pilcer

    Title: Managing Director

 

 

    Signature
    Page Amendment No. 2 to Fifth Amended and Restated
    Transfer

    and Administration Agreement

    

    9

 

    BARCLAYS BANK PLC, as an Administrative Agent

 

			
	 	    By: 
	
    /s/  Jeffrey
    Goldberg

			
	 	      
	
    Name: Jeffrey Goldberg

    Title: Director

 

    SALISBURY RECEIVABLES COMPANY, LLC, as a Conduit Investor and a
    Bank Investor

 

			
	 	    By: 
	
    /s/  Janette
    Lieu

			
	 	      
	
    Name: Janette Lieu

    Title: Director

 

 

    Signature
    Page Amendment No. 2 to Fifth Amended and Restated
    Transfer

    and Administration Agreement

    

    10

 

    ROYAL BANK OF CANADA, as an Administrative Agent and as a Bank
    Investor

 

			
	 	    By: 
	
    /s/  Robert
    S. Jones

			
	 	      
	
    Name: Robert S. Jones

    Title: Authorized Signatory

 

			
	 	    By: 
	
    /s/  Edward
    V. Westerman

			
	 	      
	
    Name: Edward V. Westerman

    Title: Authorized Signatory

 

    OLD LINE FUNDING, LLC,

    as a Conduit Investor

 

			
	 	    By: 
	
    /s/  Robert
    S. Jones

			
	 	      
	
    Name: Robert S. Jones

    Title: Authorized Signatory

 

 

    Signature
    Page Amendment No. 2 to Fifth Amended and Restated
    Transfer

    and Administration Agreement

    

    11

 

    LANDESBANK HESSEN-THUERINGEN

    GIROZENTRALE, as a Bank Investor

 

			
	 	    By: 
	
    /s/  Brandauer

			
	 	      
	
    Name: BRANDAUER

    Title: VP

 

			
	 	    By: 
	
    /s/  Heisig

			
	 	      
	
    Name: HEISIG

    Title: VP

 

 

    Signature
    Page Amendment No. 2 to Fifth Amended and Restated
    Transfer

    and Administration Agreement

    

    12

 

    EXHIBIT 1

 

    NEW
    SECTION 10.3

    to

    

    FIFTH AMENDED AND RESTATED

    

    TRANSFER AND ADMINISTRATION AGREEMENT

 

    [Attached]

 

    Section 10.3. Notices.
    Except as provided below, all communications and notices
    provided for hereunder shall be in writing (including telecopy
    or electronic facsimile transmission or similar writing) and
    shall be given to the other party at its address or telecopy
    number set forth below or at such other address or telecopy
    number as such party may hereafter specify for the purposes of
    notice to such party. Each such notice or other communication
    shall be effective (i) if given by telecopy when such
    telecopy is transmitted to the telecopy number specified in this
    Section 10.3 and confirmation is received, (ii) if
    given by mail 3 Business Days following such posting, postage
    prepaid, U.S. certified or registered, (iii) if given
    by overnight courier, one (1) Business Day after deposit
    thereof with a national overnight courier service, or
    (iv) if given by any other means, when received at the
    address specified in this Section 10.3. However, anything
    in this Section to the contrary notwithstanding, the Transferor
    hereby authorizes each Investor, each Administrative Agent and
    the Agent to effect Transfers, Tranche Period and
    Tranche Rate selections based on telephonic notices made by
    any Person which such Investor, such Administrative Agent or the
    Agent, as applicable, in good faith believes to be acting on
    behalf of the Transferor. The Transferor agrees to deliver
    promptly to each such Investor or Administrative Agent or the
    Agent, as applicable, a written confirmation of each telephonic
    notice directed to such Person signed by an authorized officer
    of Transferor. However, the absence of such confirmation shall
    not affect the validity of such notice. If the written
    confirmation differs in any material respect from the action
    taken by the Agent or the applicable Investor or Administrative
    Agent, the records of such Investor or Administrative Agent or
    the Agent, as applicable shall govern absent manifest error.

 

    If to the Transferor:

 

    (NMC Funding Corporation)

    920 Winter Street

    Waltham, MA 02451

    Telephone:
    (781) 699-2668

    Telecopy:
    (781) 699-9756

    Attn: Mark Fawcett

    Payment Information:

    Chase Manhattan Bank, N.A.

    ABA
    021-000-021

    Account
    323-0-76823

 

    If to the Collection Agent:

 

    National Medical Care, Inc.

    920 Winter Street

    Waltham, MA 02451

    Telephone:
    (781) 699-2668

    Telecopy:
    (781) 699-9756

    Attn: Mark Fawcett

 

    If to the Agent:

 

    WestLB AG, New York Branch

    7 World Trade Center

    250 Greenwich Street

    New York, NY 10007

    Attention: Asset Securitization Group

    Telephone:
    (212) 852-6000

    Telecopy:
    (212) 597-1423

    

    14

 

    If to Compass:

 

    c/o AMACAR
    Group, L.L.C.

    6525 Morrison Boulevard Suite 318

    Charlotte, North Carolina 28211

    Attention: Douglas Johnson

    Telephone:
    704-365-0569

    Telecopy:
    704-365-1362

 

    If to the Administrative Agent for Compass:

 

    c/o WestLB
    AG, New York Branch

    7 World Trade Center

    250 Greenwich Street

    New York, NY 10007

    Attention: Asset Securitization Group

    Telephone:
    (212) 852-6000

    Telecopy:
    (212) 597-1423

 

    with a copy to:

 

    email: NYC_ABS_Surveillance@westlb.com

 

    If to Liberty Street:

 

    c/o Global
    Securitization Services, LLC

    114 West
    47th

    Street, Suite 2310

    New York, New York 10036

    Attention: Jill A. Russo

    Telephone:
    (212) 295-2742

    Telecopy:
    (212) 302-8767

 

    If to the Administrative Agent for Liberty Street:

 

    The Bank of Nova Scotia

    One Liberty Plaza

    New York, NY 10006

    Attention: Darren Ward

    Tel: 212/225-5264

    Fax: 212/225-5274

 

    with a copy to:

 

    The Bank of Nova Scotia

    One Liberty Plaza

    New York, NY 10006

    Attention: Vilma Pindling

    Tel: 212/225-5410

    Fax: 212/225-6465

 

    If to Old Line:

 

    c/o Global
    Securitization Services, LLC

    68 South Service Road, Suite 120

    Melville, New York 11747

    Attention: Kevin Burns

    Tel:
    631-587-4700

    Fax:
    212-302-8767

    

    15

 

 

    with a copy to:

 

    RBC Capital Markets

    Two Little Falls Centre

    2751 Centerville Road, Suite 212

    Wilmington, Delaware 19808

    Attention: Conduit Management

    Tel:
    302-892-5901

    Fax:
    302-892-5900

    E-mail:
    conduit.management@rbccm.com

 

    and

 

    If to the Administrative Agent for Old Line:

 

    Royal Bank of Canada

    1 Liberty Plaza, 5th Floor

    New York, New York 10006

    Attention: Securitization Finance Managing Director

    Tel:
    212-428-6537

    Fax:
    212-428-2304

 

    If to Salisbury or its Administrative Agent:

 

    c/o Barclays
    Capital

    745 7th Avenue, 16 Floor

    New York, NY, 10019

    Attention: Mary Logan , Director, US Asset Securitization Group

    Tel: 212/412-3266

    E-mail:
    mary.logan@barcap.com

 

    Notices of Incremental Transfers, notices or reductions to the
    Net Investment and monthly Investor Reports should be sent to
    asgoperations@barclayscapital.com and
    asgreports@barclayscapital.com

 

    If to Atlantic Securitization or its Administrative Agent:

 

    c/o Credit
    Agricole Corporate and Investment Bank, New York

    1301 Avenue of the Americas

    New York, New York 10019

    Attention: Roman Burt

    Telephone:
    (212) 261-3996

    Fax:
    (917) 849-5584

    E-mail:
    roman.burt@ca-cib.com

 

    with a copy to:

 

    Credit Agricole Corporate and Investment Bank, New York

    1301 Avenue of the Americas

    New York, New York 10019

    Attention: Bill Wood

    Telephone:
    (212) 261-7808

    Fax:
    (917) 849-5584

    E-mail:
    bill.wood@ca-cib.com

 

    If to the Bank Investors, at their respective addresses set
    forth on Schedule I or in the Assignment and Assumption
    Agreement pursuant to which it became a party hereto.

    

    16

 

    EXHIBIT 2

    

 

    NEW
    SCHEDULE I

    

 

    to

    

 

    FIFTH
    AMENDED AND RESTATED

    

 

    TRANSFER
    AND ADMINISTRATION AGREEMENT

 

    [Attached]

 

    SCHEDULE I

    to

    

    FIFTH AMENDED AND RESTATED

    

    TRANSFER AND ADMINISTRATION AGREEMENT

 

    NOTICE ADDRESSES FOR BANK INVESTORS 

 

    WESTLB AG, NEW YORK BRANCH

    7 World Trade Center

    250 Greenwich Street

    New York, NY 10007

    Attention: Asset Securitization Group

    Telephone:
    (212) 852-6000

    Telecopy:
    (212) 597-1423

 

    With a copy to:

 

    WESTLB AG, NEW YORK BRANCH

    7 World Trade Center

    250 Greenwich Street

    New York, NY 10007

    Attention: CMO Group

    Group Email: NYC_SCF_Administration@westlb.com

    Telephone:
    (212) 852-6209

    Fax:
    (212) 302-7946

 

    LANDESBANK HESSEN — THUERINGEN GIROZENTRALE

 

    Neue Mainzer Strasse
    52-58

    D-60297 Frankfurt am Main

    Germany

    Attention: Martin Scheele

    Tel:
    01149-69-9132-3183

    Fax:
    01149-69-9132-4190

 

    THE BANK OF NOVA SCOTIA

    One Liberty Plaza

    New York, NY 10006

    Attention: Darren Ward

    Tel: 212/225-5264

    Fax: 212/225-5274

    E-mail:
    darren_ward@scotiacapital.com

 

    with a copy to:

 

    The Bank of Nova Scotia

    One Liberty Plaza

    New York, NY 10006

    Attention: Vilma Pindling

    Tel: 212/225-5410

    Fax: 212/225-6465

    E-mail:
    vilma_pidling@scotiacapital.com

    

    18

 

    SALISBURY RECEIVABLES COMPANY, LLC

 

    c/o Barclays
    Capital

    745 7th Avenue, 16 Floor

    New York, NY, 10019

    Attention: Mary Logan, Director, US Asset Securitization Group

    Tel: 212/412-3266

    E-mail:
    mary.logan@barcap.com

 

    Notices of Incremental Transfers, notices or reductions to the
    Net Investment and monthly Investor Reports should be sent to
    asgoperations@barclayscapital.com and
    asgreports@barclayscapital.com

 

    ROYAL BANK OF CANADA

    1 Liberty Plaza, 5th Floor

    New York, New York 10006

    Attention: Tony Cowart

    Tel:
    212-428-6291

    Fax:
    212-428-2304

    E-mail:
    conduit.funding@rbccm.com

 

    CREDIT AGRICOLE CORPORATE AND INVESTMENT BANK, NEW YORK

    1301 Avenue of the Americas

    New York, New York 10019

    Attention: Roman Burt

    Telephone:
    (212) 261-3996

    Fax:
    (917) 849-5584

    E-mail:
    roman.burt@ca-cib.com

 

    with a copy to:

 

    Credit Agricole Corporate and Investment Bank, New York

    1301 Avenue of the Americas

    New York, New York 10019

    Attention: Bill Wood

    Telephone:
    (212) 261-7808

    Fax:
    (917) 849-5584

    E-mail:
    bill.wood@ca-cib.com

    

    19

 

    EXHIBIT 3

 

    NEW
    SCHEDULE II

    to

    

    FIFTH AMENDED AND RESTATED

    

    TRANSFER AND ADMINISTRATION AGREEMENT

 

    [Attached]

 

    SCHEDULE II

    to

    

    FIFTH AMENDED AND RESTATED

    

    TRANSFER AND ADMINISTRATION AGREEMENT

 

    COMMITMENTS
    OF BANK INVESTORS

 

	 	 	 	 	 
	
    Bank Investor
	
 
	
    Commitment

	 

	

    WestLB AG, New York Branch

	
 
	
    $
	
    145,000,000
	
 

	

    The Bank of Nova Scotia

	
 
	
    $
	
    140,000,000
	
 

	

    Salisbury Receivables Company, LLC

	
 
	
    $
	
    120,000,000
	
 

	

    Credit Agricole Corporate and Investment Bank, New York

	
 
	
    $
	
    140,000,000
	
 

	

    Royal Bank of Canada

	
 
	
    $
	
    120,000,000
	
 

	

    Landesbank Hessen — Thueringen Girozentrale

	
 
	
    $
	
    35,000,000
	
 

 

    RELATED
    GROUP LIMITS

 

	 	 	 	 	 
	
    Conduit Investor
	
 
	
    Related Group Limit

	 

	

    Compass US Acquisition LLC

	
 
	
    $
	
    180,000,000
	
 

	

    Liberty Street Funding LLC

	
 
	
    $
	
    140,000,000
	
 

	

    Salisbury Receivables Company, LLC

	
 
	
    $
	
    120,000,000
	
 

	

    Atlantic Asset Securitization LLC

	
 
	
    $
	
    140,000,000
	
 

	

    Old Line Funding, LLC

	
 
	
    $
	
    120,000,000
	
 

    

    21

 

    EXHIBIT 4

    

    NEW EXHIBIT H

    to

    

    FIFTH AMENDED AND RESTATED

    

    TRANSFER AND ADMINISTRATION AGREEMENT

 

    [Attached]

 

    EXHIBIT H

 

    to

 

    FIFTH
    AMENDED AND RESTATED

    

 

    TRANSFER
    AND ADMINISTRATION AGREEMENT

 

    LIST OF
    ACTIONS AND SUITS

 

    SECTIONS 3.1(g),
    3.1(k) and 3.3(e)

 

	 	 	 	 	 
	

    3.1(g)(i)

	
 
	
    Transferor:
	
 
	
    None

	

    3.1(g)(ii)

	
 
	
    Affiliates:
	
 
	
    The “Legal Proceedings” section of the most recent
    annual report on
    Form 20-F
    or report on
    Form 6-K
    for the quarter, as applicable, filed by Fresenius Medical Care
    AG & Co. KGaA (the “Company”) with the
    U.S. Securities and Exchange Commission (“SEC”)
    under the Securities Exchange Act of 1934 is hereby incorporated
    by reference as if fully set forth herein.

 

    Such filings can be found on the SEC website at the following
    link:
    http://www.sec.gov/cgi-bin/browse-edgar?action=getcompany&CIK=0001333141&owner=exclude&count=40

 

	 	 	 	 	 
	

    3.1(k)

	
 
	
    Tradenames:
	
 
	
    Renal Care Group

    National Nephrology Associates

    TruBlu Logistics (FUSA Mfg)

	
 
	
 
	
 
	
 
	
 

	
 
	
 
	
    Mergers:
	
 
	
    On March 31, 2006, Fresenius Medical Care Holdings, Inc.

    (“FMCH”) completed the acquisition of Renal Care
    Group, Inc.

	
 
	
 
	
 
	
 
	
 

	
 
	
 
	
 
	
 
	
    On November 29, 2007, FMCH completed the acquisition of Renal
    Solutions, Inc.

	
 
	
 
	
 
	
 
	
 

	
 
	
 
	
 
	
 
	
    On February 29, 2008, FMCH completed the acquisition of
    MAX Well Medical, Inc., which was subsequently
    merged on April 14, 2009 into its subsidiary, Specialty Care
    Pharmacy, LLC, and renamed Fresenius Medical Care Rx, LLC

	
 
	
 
	
 
	
 
	
 

	

    3.3(e)

	
 
	
    Collection Agent:
	
 
	
    None

	
 
	
 
	
 
	
 
	
 

	
 
	
 
	
    Affiliates:
	
 
	
    See disclosure for Section 3.1(g)(ii) above.

    

    23

 

    EXHIBIT 5

    

 

    NEW
    EXHIBIT I

    

 

    to

    

 

    FIFTH
    AMENDED AND RESTATED

    

 

    TRANSFER
    AND ADMINISTRATION AGREEMENT

 

    [Attached]

 

 

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
    Billing

    
	
 
	
    Billing

    
	
 

	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
    Group

    
	
 
	
    Group

    
	
 

	
    Legal Name
	
 
	
    Billing Group Name
	
 
	
    Billing Group Address 1
	
 
	
    Billing Group Address 2
	
 
	
    Billing Group City
	
 
	
    State
	
 
	
    Zip
	
 

	 

	

    APHERESIS CARE GROUP, INC.

	
 
	
    ARIZONA BILLING GROUP
	
 
	
    1750 SOUTH MESA DRIVE
	
 
	
    SUITE 100
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    APHERESIS CARE GROUP, INC.
	
 
	
    MESA BILLING
	
 
	
    1750 SOUTH MESA DRIVE
	
 
	
    SUITE 110
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    Bio-Medical Applications Management Company, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    BIO-MEDICAL APPLICATIONS OF AGUADILLA, INC.
	
 
	
    PUERTO RICO BILLING GROUP
	
 
	
    ANTILLAS WAREHOUSE & OFFICE PARK
	
 
	
    461 FRANCIA ST., SUITE 1-401
	
 
	
    SAN JUAN
	
 
	
    PR
	
 
	
 
	
    917
	
 

	
    BIO-MEDICAL APPLICATIONS OF ALABAMA, INC.
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    BIO-MEDICAL APPLICATIONS OF ALABAMA, INC.
	
 
	
    MOBILE BILLING GROUP
	
 
	
    6420 HILLCREST PARK CT
	
 
	
    SUITE 210
	
 
	
    MOBILE
	
 
	
    AL
	
 
	
 
	
    36608
	
 

	
    BIO-MEDICAL APPLICATIONS OF AMARILLO, INC.
	
 
	
    SAN ANTONIO BILLING GROUP
	
 
	
    6100 BANDERA ROAD
	
 
	
    SUITE 601
	
 
	
    SAN ANTONIO
	
 
	
    TX
	
 
	
 
	
    78238
	
 

	
    BIO-MEDICAL APPLICATIONS OF ANACOSTIA, INC.
	
 
	
    STEEL CITY BILLING GROUP
	
 
	
    BMA PITTSBURGH
	
 
	
    190 BILMAR DR., SUITE 375
	
 
	
    PITTSBURGH
	
 
	
    PA
	
 
	
 
	
    15205
	
 

	
    BIO-MEDICAL APPLICATIONS OF ARECIBO, INC.
	
 
	
    PUERTO RICO BILLING GROUP
	
 
	
    ANTILLAS WAREHOUSE & OFFICE PARK
	
 
	
    461 FRANCIA ST., SUITE 1-401
	
 
	
    SAN JUAN
	
 
	
    PR
	
 
	
 
	
    917
	
 

	
    BIO-MEDICAL APPLICATIONS OF ARKANSAS, INC.
	
 
	
    TAMPA BILLING GROUP
	
 
	
    BMA TAMPA INC.
	
 
	
    5625 WEST WATERS AVENUE, SUITE A
	
 
	
    TAMPA
	
 
	
    FL
	
 
	
 
	
    33634
	
 

	
    BIO-MEDICAL APPLICATIONS OF BAYAMON, INC.
	
 
	
    PUERTO RICO BILLING GROUP
	
 
	
    ANTILLAS WAREHOUSE & OFFICE PARK
	
 
	
    461 FRANCIA ST., SUITE 1-401
	
 
	
    SAN JUAN
	
 
	
    PR
	
 
	
 
	
    917
	
 

	
    BIO-MEDICAL APPLICATIONS OF BLUE SPRINGS, INC.
	
 
	
    ARIZONA BILLING GROUP
	
 
	
    1750 SOUTH MESA DRIVE
	
 
	
    SUITE 100
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    BIO-MEDICAL APPLICATIONS OF CAGUAS, INC.
	
 
	
    PUERTO RICO BILLING GROUP
	
 
	
    ANTILLAS WAREHOUSE & OFFICE PARK
	
 
	
    461 FRANCIA ST., SUITE 1-401
	
 
	
    SAN JUAN
	
 
	
    PR
	
 
	
 
	
    917
	
 

	
    BIO-MEDICAL APPLICATIONS OF CALIFORNIA, INC.
	
 
	
    PACIFIC NW BILLING GROUP
	
 
	
    4560 S. COACH DRIVE
	
 
	
    SUITE 100
	
 
	
    TUCSON
	
 
	
    AZ
	
 
	
 
	
    85714
	
 

	
    BIO-MEDICAL APPLICATIONS OF CALIFORNIA, INC.
	
 
	
    SAN DIEGO BILLING GROUP
	
 
	
    1750 S. MESA DRIVE
	
 
	
    SUITE 150
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    BIO-MEDICAL APPLICATIONS OF CAMARILLO, INC.
	
 
	
    SAN DIEGO BILLING GROUP
	
 
	
    1750 S. MESA DRIVE
	
 
	
    SUITE 150
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    BIO-MEDICAL APPLICATIONS OF CAPITOL HILL, INC.
	
 
	
    STEEL CITY BILLING GROUP
	
 
	
    BMA PITTSBURGH
	
 
	
    190 BILMAR DR., SUITE 375
	
 
	
    PITTSBURGH
	
 
	
    PA
	
 
	
 
	
    15205
	
 

	
    BIO-MEDICAL APPLICATIONS OF CAROLINA, INC.
	
 
	
    PUERTO RICO BILLING GROUP
	
 
	
    ANTILLAS WAREHOUSE & OFFICE PARK
	
 
	
    461 FRANCIA ST., SUITE 1-401
	
 
	
    SAN JUAN
	
 
	
    PR
	
 
	
 
	
    917
	
 

	
    BIO-MEDICAL APPLICATIONS OF CARSON, INC.
	
 
	
    SAN DIEGO BILLING GROUP
	
 
	
    1750 S. MESA DRIVE
	
 
	
    SUITE 150
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    BIO-MEDICAL APPLICATIONS OF CLINTON, INC.
	
 
	
    FAYETTEVILLE BILLING GROUP
	
 
	
    4200 MORGANTON ROAD
	
 
	
    SUITE 300
	
 
	
    FAYETTEVILLE
	
 
	
    NC
	
 
	
 
	
    28314
	
 

	
    BIO-MEDICAL APPLICATIONS OF COLUMBIA HEIGHTS, INC.
	
 
	
    STEEL CITY BILLING GROUP
	
 
	
    BMA PITTSBURGH
	
 
	
    190 BILMAR DR., SUITE 375
	
 
	
    PITTSBURGH
	
 
	
    PA
	
 
	
 
	
    15205
	
 

	
    BIO-MEDICAL APPLICATIONS OF CONNECTICUT, INC.
	
 
	
    NEW BEDFORD BILLING GROUP
	
 
	
    700 PLEASANT STREET
	
 
	
 
	
 
	
    NEW BEDFORD
	
 
	
    MA
	
 
	
 
	
    2740
	
 

	
    BIO-MEDICAL APPLICATIONS OF DELAWARE, INC.
	
 
	
    ALLENTOWN BILLING GROUP
	
 
	
    861 MARCON BLVD.
	
 
	
    SUITE 2
	
 
	
    ALLENTOWN
	
 
	
    PA
	
 
	
 
	
    18109
	
 

	
    BIO-MEDICAL APPLICATIONS OF DOVER, INC.
	
 
	
    NEW BEDFORD BILLING GROUP
	
 
	
    700 PLEASANT STREET
	
 
	
 
	
 
	
    NEW BEDFORD
	
 
	
    MA
	
 
	
 
	
    2740
	
 

	
    BIO-MEDICAL APPLICATIONS OF EUREKA, INC.
	
 
	
    PACIFIC NW BILLING GROUP
	
 
	
    4560 S. COACH DRIVE
	
 
	
    SUITE 100
	
 
	
    TUCSON
	
 
	
    AZ
	
 
	
 
	
    85714
	
 

	
    BIO-MEDICAL APPLICATIONS OF FAYETTEVILLE, INC.
	
 
	
    FAYETTEVILLE BILLING GROUP
	
 
	
    4200 MORGANTON ROAD
	
 
	
    SUITE 300
	
 
	
    FAYETTEVILLE
	
 
	
    NC
	
 
	
 
	
    28314
	
 

	
    BIO-MEDICAL APPLICATIONS OF FLORIDA, INC.
	
 
	
    OCALA BILLING GROUP
	
 
	
    BMA OCALA, INC.
	
 
	
    1308 SE 25TH LOOP, SUITE 102
	
 
	
    OCALA
	
 
	
    FL
	
 
	
 
	
    34471
	
 

	
    BIO-MEDICAL APPLICATIONS OF FLORIDA, INC.
	
 
	
    ORLANDO BILLING GROUP
	
 
	
    BMA ORLANDO, INC.
	
 
	
    1155 W STATE ROAD 434, SUITE 125
	
 
	
    LONGWOOD
	
 
	
    FL
	
 
	
 
	
    32750
	
 

    

    25

 

 

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
    Billing

    
	
 
	
    Billing

    
	
 

	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
    Group

    
	
 
	
    Group

    
	
 

	
    Legal Name
	
 
	
    Billing Group Name
	
 
	
    Billing Group Address 1
	
 
	
    Billing Group Address 2
	
 
	
    Billing Group City
	
 
	
    State
	
 
	
    Zip
	
 

	 

	
    BIO-MEDICAL APPLICATIONS OF FLORIDA, INC.
	
 
	
    TAMPA BILLING GROUP
	
 
	
    BMA TAMPA INC.
	
 
	
    5625 WEST WATERS AVENUE, SUITE A
	
 
	
    TAMPA
	
 
	
    FL
	
 
	
 
	
    33634
	
 

	
    BIO-MEDICAL APPLICATIONS OF FREMONT, INC.
	
 
	
    PACIFIC NW BILLING GROUP
	
 
	
    4560 S. COACH DRIVE
	
 
	
    SUITE 100
	
 
	
    TUCSON
	
 
	
    AZ
	
 
	
 
	
    85714
	
 

	
    BIO-MEDICAL APPLICATIONS OF FRESNO, INC.
	
 
	
    PACIFIC NW BILLING GROUP
	
 
	
    4560 S. COACH DRIVE
	
 
	
    SUITE 100
	
 
	
    TUCSON
	
 
	
    AZ
	
 
	
 
	
    85714
	
 

	
    BIO-MEDICAL APPLICATIONS OF GEORGIA, INC.
	
 
	
    KNOXVILLE BILLING GROUP
	
 
	
    BILLING GROUP
	
 
	
    1512 COLEMAN ROAD, SUITE 308
	
 
	
    KNOXVILLE
	
 
	
    TN
	
 
	
 
	
    37919
	
 

	
    BIO-MEDICAL APPLICATIONS OF GEORGIA, INC.
	
 
	
    MACON BILLING GROUP
	
 
	
    1515 BASS ROAD
	
 
	
    SUITE B
	
 
	
    MACON
	
 
	
    GA
	
 
	
 
	
    31210
	
 

	
    BIO-MEDICAL APPLICATIONS OF GUAYAMA, INC.
	
 
	
    PUERTO RICO BILLING GROUP
	
 
	
    ANTILLAS WAREHOUSE & OFFICE PARK
	
 
	
    461 FRANCIA ST., SUITE 1-401
	
 
	
    SAN JUAN
	
 
	
    PR
	
 
	
 
	
    917
	
 

	
    BIO-MEDICAL APPLICATIONS OF HUMACAO, INC.
	
 
	
    PUERTO RICO BILLING GROUP
	
 
	
    ANTILLAS WAREHOUSE & OFFICE PARK
	
 
	
    461 FRANCIA ST., SUITE 1-401
	
 
	
    SAN JUAN
	
 
	
    PR
	
 
	
 
	
    917
	
 

	
    BIO-MEDICAL APPLICATIONS OF ILLINOIS, INC.
	
 
	
    CHICAGO BILLING GROUP
	
 
	
    ONE WESTBROOK DRIVE
	
 
	
    TOWER 1, SUITE 1000
	
 
	
    WESTCHESTER
	
 
	
    IL
	
 
	
 
	
    60154
	
 

	
    BIO-MEDICAL APPLICATIONS OF ILLINOIS, INC.
	
 
	
    ORLANDO BILLING GROUP
	
 
	
    BMA ORLANDO, INC.
	
 
	
    1155 W STATE ROAD 434, SUITE 125
	
 
	
    LONGWOOD
	
 
	
    FL
	
 
	
 
	
    32750
	
 

	
    BIO-MEDICAL APPLICATIONS OF INDIANA, INC.
	
 
	
    CHICAGO BILLING GROUP
	
 
	
    ONE WESTBROOK DRIVE
	
 
	
    TOWER 1, SUITE 1000
	
 
	
    WESTCHESTER
	
 
	
    IL
	
 
	
 
	
    60154
	
 

	
    BIO-MEDICAL APPLICATIONS OF INDIANA, INC.
	
 
	
    KENTUCKY BILLING GROUP
	
 
	
    6100 DUTCHMANS LANE
	
 
	
    12TH FLOOR
	
 
	
    LOUISVILLE
	
 
	
    KY
	
 
	
 
	
    40205
	
 

	
    BIO-MEDICAL APPLICATIONS OF INDIANA, INC.
	
 
	
    UNIONTOWN BILLING GROUP
	
 
	
    3500 MASSILLON ROAD
	
 
	
    SUITE 280
	
 
	
    UNIONTOWN
	
 
	
    OH
	
 
	
 
	
    44685
	
 

	
    BIO-MEDICAL APPLICATIONS OF KANSAS, INC.
	
 
	
    ARIZONA BILLING GROUP
	
 
	
    1750 SOUTH MESA DRIVE
	
 
	
    SUITE 100
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    BIO-MEDICAL APPLICATIONS OF KANSAS, INC.
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    BIO-MEDICAL APPLICATIONS OF KENTUCKY, INC.
	
 
	
    KENTUCKY BILLING GROUP
	
 
	
    6100 DUTCHMANS LANE
	
 
	
    12TH FLOOR
	
 
	
    LOUISVILLE
	
 
	
    KY
	
 
	
 
	
    40205
	
 

	
    BIO-MEDICAL APPLICATIONS OF LONG BEACH, INC.
	
 
	
    SAN DIEGO BILLING GROUP
	
 
	
    1750 S. MESA DRIVE
	
 
	
    SUITE 150
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    BIO-MEDICAL APPLICATIONS OF LOS GATOS, INC.
	
 
	
    PACIFIC NW BILLING GROUP
	
 
	
    4560 S. COACH DRIVE
	
 
	
    SUITE 100
	
 
	
    TUCSON
	
 
	
    AZ
	
 
	
 
	
    85714
	
 

	
    BIO-MEDICAL APPLICATIONS OF LOUISIANA, LLC
	
 
	
    CRESCENT CITY BILLING GROUP
	
 
	
    3850 N. CAUSEWAY BLVD
	
 
	
    SUITE 700
	
 
	
    METAIRIE
	
 
	
    LA
	
 
	
 
	
    70002
	
 

	
    BIO-MEDICAL APPLICATIONS OF LOUISIANA, LLC
	
 
	
    OCALA BILLING GROUP
	
 
	
    BMA OCALA, INC.
	
 
	
    1308 SE 25TH LOOP, SUITE 102
	
 
	
    OCALA
	
 
	
    FL
	
 
	
 
	
    34471
	
 

	
    BIO-MEDICAL APPLICATIONS OF MAINE, INC.
	
 
	
    NEW BEDFORD BILLING GROUP
	
 
	
    700 PLEASANT STREET
	
 
	
 
	
 
	
    NEW BEDFORD
	
 
	
    MA
	
 
	
 
	
    2740
	
 

	
    BIO-MEDICAL APPLICATIONS OF MANCHESTER, INC.
	
 
	
    NEW BEDFORD BILLING GROUP
	
 
	
    700 PLEASANT STREET
	
 
	
 
	
 
	
    NEW BEDFORD
	
 
	
    MA
	
 
	
 
	
    2740
	
 

	
    BIO-MEDICAL APPLICATIONS OF MARYLAND, INC.
	
 
	
    STEEL CITY BILLING GROUP
	
 
	
    BMA PITTSBURGH
	
 
	
    190 BILMAR DR., SUITE 375
	
 
	
    PITTSBURGH
	
 
	
    PA
	
 
	
 
	
    15205
	
 

	
    BIO-MEDICAL APPLICATIONS OF MASSACHUSETTS, INC.
	
 
	
    NEW BEDFORD BILLING GROUP
	
 
	
    700 PLEASANT STREET
	
 
	
 
	
 
	
    NEW BEDFORD
	
 
	
    MA
	
 
	
 
	
    2740
	
 

	
    BIO-MEDICAL APPLICATIONS OF MAYAGUEZ, INC.
	
 
	
    PUERTO RICO BILLING GROUP
	
 
	
    ANTILLAS WAREHOUSE & OFFICE PARK
	
 
	
    461 FRANCIA ST., SUITE 1-401
	
 
	
    SAN JUAN
	
 
	
    PR
	
 
	
 
	
    917
	
 

	
    BIO-MEDICAL APPLICATIONS OF MICHIGAN, INC.
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    BIO-MEDICAL APPLICATIONS OF MICHIGAN, INC.
	
 
	
    UNIONTOWN BILLING GROUP
	
 
	
    3500 MASSILLON ROAD
	
 
	
    SUITE 280
	
 
	
    UNIONTOWN
	
 
	
    OH
	
 
	
 
	
    44685
	
 

	
    BIO-MEDICAL APPLICATIONS OF MINNESOTA, INC.
	
 
	
    UPPER MIDWEST BILLING GROUP
	
 
	
    9120 SPRINGBROOK DRIVE
	
 
	
 
	
 
	
    COON RAPIDS
	
 
	
    MN
	
 
	
 
	
    55433
	
 

    26

 

 

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
    Billing

    
	
 
	
    Billing

    
	
 

	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
    Group

    
	
 
	
    Group

    
	
 

	
    Legal Name
	
 
	
    Billing Group Name
	
 
	
    Billing Group Address 1
	
 
	
    Billing Group Address 2
	
 
	
    Billing Group City
	
 
	
    State
	
 
	
    Zip
	
 

	 

	
    BIO-MEDICAL APPLICATIONS OF MISSION HILLS, INC.
	
 
	
    SAN DIEGO BILLING GROUP
	
 
	
    1750 S. MESA DRIVE
	
 
	
    SUITE 150
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    BIO-MEDICAL APPLICATIONS OF MISSISSIPPI, INC.
	
 
	
    CRESCENT CITY BILLING GROUP
	
 
	
    3850 N. CAUSEWAY BLVD
	
 
	
    SUITE 700
	
 
	
    METAIRIE
	
 
	
    LA
	
 
	
 
	
    70002
	
 

	
    BIO-MEDICAL APPLICATIONS OF MISSOURI, INC.
	
 
	
    ARIZONA BILLING GROUP
	
 
	
    1750 SOUTH MESA DRIVE
	
 
	
    SUITE 100
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    BIO-MEDICAL APPLICATIONS OF MISSOURI, INC.
	
 
	
    CRESCENT CITY BILLING GROUP
	
 
	
    3850 N. CAUSEWAY BLVD
	
 
	
    SUITE 700
	
 
	
    METAIRIE
	
 
	
    LA
	
 
	
 
	
    70002
	
 

	
    BIO-MEDICAL APPLICATIONS OF MLK, INC.
	
 
	
    STEEL CITY BILLING GROUP
	
 
	
    BMA PITTSBURGH
	
 
	
    190 BILMAR DR., SUITE 375
	
 
	
    PITTSBURGH
	
 
	
    PA
	
 
	
 
	
    15205
	
 

	
    BIO-MEDICAL APPLICATIONS OF NEVADA, INC.
	
 
	
    ARIZONA BILLING GROUP
	
 
	
    1750 SOUTH MESA DRIVE
	
 
	
    SUITE 100
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    BIO-MEDICAL APPLICATIONS OF NEVADA, INC.
	
 
	
    MESA BILLING
	
 
	
    1750 SOUTH MESA DRIVE
	
 
	
    SUITE 110
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    BIO-MEDICAL APPLICATIONS OF NEVADA, INC.
	
 
	
    SAN DIEGO BILLING GROUP
	
 
	
    1750 S. MESA DRIVE
	
 
	
    SUITE 150
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    BIO-MEDICAL APPLICATIONS OF NEW HAMPSHIRE, INC.
	
 
	
    NEW BEDFORD BILLING GROUP
	
 
	
    700 PLEASANT STREET
	
 
	
 
	
 
	
    NEW BEDFORD
	
 
	
    MA
	
 
	
 
	
    2740
	
 

	
    BIO-MEDICAL APPLICATIONS OF NEW JERSEY, INC.
	
 
	
    ALLENTOWN BILLING GROUP
	
 
	
    861 MARCON BLVD.
	
 
	
    SUITE 2
	
 
	
    ALLENTOWN
	
 
	
    PA
	
 
	
 
	
    18109
	
 

	
    BIO-MEDICAL APPLICATIONS OF NEW JERSEY, INC.
	
 
	
    UNIONTOWN BILLING GROUP
	
 
	
    3500 MASSILLON ROAD
	
 
	
    SUITE 280
	
 
	
    UNIONTOWN
	
 
	
    OH
	
 
	
 
	
    44685
	
 

	
    BIO-MEDICAL APPLICATIONS OF NEW MEXICO, INC.
	
 
	
    ALBUQUERQUE BILLING GROUP
	
 
	
    909 VIRGINIA NE
	
 
	
    SUITE 112
	
 
	
    ALBUQUERQUE
	
 
	
    NM
	
 
	
 
	
    87108
	
 

	
    BIO-MEDICAL APPLICATIONS OF NEW MEXICO, INC.
	
 
	
    SAN ANTONIO BILLING GROUP
	
 
	
    6100 BANDERA ROAD
	
 
	
    SUITE 601
	
 
	
    SAN ANTONIO
	
 
	
    TX
	
 
	
 
	
    78238
	
 

	
    BIO-MEDICAL APPLICATIONS OF NORTH CAROLINA, INC.
	
 
	
    FAYETTEVILLE BILLING GROUP
	
 
	
    4200 MORGANTON ROAD
	
 
	
    SUITE 300
	
 
	
    FAYETTEVILLE
	
 
	
    NC
	
 
	
 
	
    28314
	
 

	
    BIO-MEDICAL APPLICATIONS OF NORTH CAROLINA, INC.
	
 
	
    FLORENCE BILLING GROUP
	
 
	
    218 N. DOZIER BLVD.
	
 
	
 
	
 
	
    FLORENCE
	
 
	
    SC
	
 
	
 
	
    29501
	
 

	
    BIO-MEDICAL APPLICATIONS OF NORTHEAST D.C., INC.
	
 
	
    STEEL CITY BILLING GROUP
	
 
	
    BMA PITTSBURGH
	
 
	
    190 BILMAR DR., SUITE 375
	
 
	
    PITTSBURGH
	
 
	
    PA
	
 
	
 
	
    15205
	
 

	
    BIO-MEDICAL APPLICATIONS OF OAKLAND, INC.
	
 
	
    PACIFIC NW BILLING GROUP
	
 
	
    4560 S. COACH DRIVE
	
 
	
    SUITE 100
	
 
	
    TUCSON
	
 
	
    AZ
	
 
	
 
	
    85714
	
 

	
    BIO-MEDICAL APPLICATIONS OF OHIO, INC.
	
 
	
    CLEVELAND BILLING
	
 
	
    25050 COUNTRY CLUB BOULEVARD
	
 
	
    SUITE 250
	
 
	
    NORTH OLMSTED
	
 
	
    OH
	
 
	
 
	
    44070
	
 

	
    BIO-MEDICAL APPLICATIONS OF OHIO, INC.
	
 
	
    KENTUCKY BILLING GROUP
	
 
	
    6100 DUTCHMANS LANE
	
 
	
    12TH FLOOR
	
 
	
    LOUISVILLE
	
 
	
    KY
	
 
	
 
	
    40205
	
 

	
    BIO-MEDICAL APPLICATIONS OF OHIO, INC.
	
 
	
    KNOXVILLE BILLING GROUP
	
 
	
    BILLING GROUP
	
 
	
    1512 COLEMAN ROAD, SUITE 308
	
 
	
    KNOXVILLE
	
 
	
    TN
	
 
	
 
	
    37919
	
 

	
    BIO-MEDICAL APPLICATIONS OF OHIO, INC.
	
 
	
    UNIONTOWN BILLING GROUP
	
 
	
    3500 MASSILLON ROAD
	
 
	
    SUITE 280
	
 
	
    UNIONTOWN
	
 
	
    OH
	
 
	
 
	
    44685
	
 

	
    BIO-MEDICAL APPLICATIONS OF OKLAHOMA, INC.
	
 
	
    SAN ANTONIO BILLING GROUP
	
 
	
    6100 BANDERA ROAD
	
 
	
    SUITE 601
	
 
	
    SAN ANTONIO
	
 
	
    TX
	
 
	
 
	
    78238
	
 

	
    BIO-MEDICAL APPLICATIONS OF PENNSYLVANIA, INC.
	
 
	
    STEEL CITY BILLING GROUP
	
 
	
    BMA PITTSBURGH
	
 
	
    190 BILMAR DR., SUITE 375
	
 
	
    PITTSBURGH
	
 
	
    PA
	
 
	
 
	
    15205
	
 

	
    BIO-MEDICAL APPLICATIONS OF PENNSYLVANIA, INC.
	
 
	
    ALLENTOWN BILLING GROUP
	
 
	
    861 MARCON BLVD.
	
 
	
    SUITE 2
	
 
	
    ALLENTOWN
	
 
	
    PA
	
 
	
 
	
    18109
	
 

	
    BIO-MEDICAL APPLICATIONS OF PONCE, INC.
	
 
	
    PUERTO RICO BILLING GROUP
	
 
	
    ANTILLAS WAREHOUSE & OFFICE PARK
	
 
	
    461 FRANCIA ST., SUITE 1-401
	
 
	
    SAN JUAN
	
 
	
    PR
	
 
	
 
	
    917
	
 

	
    BIO-MEDICAL APPLICATIONS OF PUERTO RICO, INC.
	
 
	
    PUERTO RICO BILLING GROUP
	
 
	
    ANTILLAS WAREHOUSE & OFFICE PARK
	
 
	
    461 FRANCIA ST., SUITE 1-401
	
 
	
    SAN JUAN
	
 
	
    PR
	
 
	
 
	
    917
	
 

	
    BIO-MEDICAL APPLICATIONS OF RHODE ISLAND, INC.
	
 
	
    NEW BEDFORD BILLING GROUP
	
 
	
    700 PLEASANT STREET
	
 
	
 
	
 
	
    NEW BEDFORD
	
 
	
    MA
	
 
	
 
	
    2740
	
 

	
    BIO-MEDICAL APPLICATIONS OF RIO PIEDRAS, INC.
	
 
	
    PUERTO RICO BILLING GROUP
	
 
	
    ANTILLAS WAREHOUSE & OFFICE PARK
	
 
	
    461 FRANCIA ST., SUITE 1-401
	
 
	
    SAN JUAN
	
 
	
    PR
	
 
	
 
	
    917
	
 

	
    BIO-MEDICAL APPLICATIONS OF SAN ANTONIO, INC.
	
 
	
    SAN ANTONIO BILLING GROUP
	
 
	
    6100 BANDERA ROAD
	
 
	
    SUITE 601
	
 
	
    SAN ANTONIO
	
 
	
    TX
	
 
	
 
	
    78238
	
 

    27

 

 

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
    Billing

    
	
 
	
    Billing

    
	
 

	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
    Group

    
	
 
	
    Group

    
	
 

	
    Legal Name
	
 
	
    Billing Group Name
	
 
	
    Billing Group Address 1
	
 
	
    Billing Group Address 2
	
 
	
    Billing Group City
	
 
	
    State
	
 
	
    Zip
	
 

	 

	
    BIO-MEDICAL APPLICATIONS OF SAN GERMAN, INC.
	
 
	
    PUERTO RICO BILLING GROUP
	
 
	
    ANTILLAS WAREHOUSE & OFFICE PARK
	
 
	
    461 FRANCIA ST., SUITE 1-401
	
 
	
    SAN JUAN
	
 
	
    PR
	
 
	
 
	
    917
	
 

	
    BIO-MEDICAL APPLICATIONS OF SAN JUAN, INC.
	
 
	
    PUERTO RICO BILLING GROUP
	
 
	
    ANTILLAS WAREHOUSE & OFFICE PARK
	
 
	
    461 FRANCIA ST., SUITE 1-401
	
 
	
    SAN JUAN
	
 
	
    PR
	
 
	
 
	
    917
	
 

	
    BIO-MEDICAL APPLICATIONS OF SOUTH CAROLINA, INC.
	
 
	
    FAYETTEVILLE BILLING GROUP
	
 
	
    4200 MORGANTON ROAD
	
 
	
    SUITE 300
	
 
	
    FAYETTEVILLE
	
 
	
    NC
	
 
	
 
	
    28314
	
 

	
    BIO-MEDICAL APPLICATIONS OF SOUTH CAROLINA, INC.
	
 
	
    FLORENCE BILLING GROUP
	
 
	
    218 N. DOZIER BLVD.
	
 
	
 
	
 
	
    FLORENCE
	
 
	
    SC
	
 
	
 
	
    29501
	
 

	
    BIO-MEDICAL APPLICATIONS OF SOUTH CAROLINA, INC.
	
 
	
    MACON BILLING GROUP
	
 
	
    1515 BASS ROAD
	
 
	
    SUITE B
	
 
	
    MACON
	
 
	
    GA
	
 
	
 
	
    31210
	
 

	
    BIO-MEDICAL APPLICATIONS OF SOUTHEAST WASHINGTON, INC.
	
 
	
    STEEL CITY BILLING GROUP
	
 
	
    BMA PITTSBURGH
	
 
	
    190 BILMAR DR., SUITE 375
	
 
	
    PITTSBURGH
	
 
	
    PA
	
 
	
 
	
    15205
	
 

	
    BIO-MEDICAL APPLICATIONS OF TENNESSEE, INC.
	
 
	
    CRESCENT CITY BILLING GROUP
	
 
	
    3850 N. CAUSEWAY BLVD
	
 
	
    SUITE 700
	
 
	
    METAIRIE
	
 
	
    LA
	
 
	
 
	
    70002
	
 

	
    BIO-MEDICAL APPLICATIONS OF TENNESSEE, INC.
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    BIO-MEDICAL APPLICATIONS OF TENNESSEE, INC.
	
 
	
    KNOXVILLE BILLING GROUP
	
 
	
    BILLING GROUP
	
 
	
    1512 COLEMAN ROAD, SUITE 308
	
 
	
    KNOXVILLE
	
 
	
    TN
	
 
	
 
	
    37919
	
 

	
    BIO-MEDICAL APPLICATIONS OF TENNESSEE, INC.
	
 
	
    MOBILE BILLING GROUP
	
 
	
    6420 HILLCREST PARK CT
	
 
	
    SUITE 210
	
 
	
    MOBILE
	
 
	
    AL
	
 
	
 
	
    36608
	
 

	
    BIO-MEDICAL APPLICATIONS OF TEXAS, INC.
	
 
	
    ALBUQUERQUE BILLING GROUP
	
 
	
    909 VIRGINIA NE
	
 
	
    SUITE 112
	
 
	
    ALBUQUERQUE
	
 
	
    NM
	
 
	
 
	
    87108
	
 

	
    BIO-MEDICAL APPLICATIONS OF TEXAS, INC.
	
 
	
    NORTH TEXAS BILLING GROUP
	
 
	
    1485 RICHARDSON DRIVE #100
	
 
	
 
	
 
	
    RICHARDSON
	
 
	
    TX
	
 
	
 
	
    75080
	
 

	
    BIO-MEDICAL APPLICATIONS OF TEXAS, INC.
	
 
	
    SAN ANTONIO BILLING GROUP
	
 
	
    6100 BANDERA ROAD
	
 
	
    SUITE 601
	
 
	
    SAN ANTONIO
	
 
	
    TX
	
 
	
 
	
    78238
	
 

	
    BIO-MEDICAL APPLICATIONS OF TEXAS, INC.
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    BIO-MEDICAL APPLICATIONS OF THE DISTRICT OF COLUMBIA, INC.
	
 
	
    STEEL CITY BILLING GROUP
	
 
	
    BMA PITTSBURGH
	
 
	
    190 BILMAR DR., SUITE 375
	
 
	
    PITTSBURGH
	
 
	
    PA
	
 
	
 
	
    15205
	
 

	
    BIO-MEDICAL APPLICATIONS OF UKIAH, INC.
	
 
	
    PACIFIC NW BILLING GROUP
	
 
	
    4560 S. COACH DRIVE
	
 
	
    SUITE 100
	
 
	
    TUCSON
	
 
	
    AZ
	
 
	
 
	
    85714
	
 

	
    BIO-MEDICAL APPLICATIONS OF VIRGINIA, INC.
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    BIO-MEDICAL APPLICATIONS OF VIRGINIA, INC.
	
 
	
    ROANOKE BILLING GROUP
	
 
	
    2830 KEAGY ROAD
	
 
	
 
	
 
	
    SALEM
	
 
	
    VA
	
 
	
 
	
    24153
	
 

	
    BIO-MEDICAL APPLICATIONS OF WEST VIRGINIA, INC.
	
 
	
    KENTUCKY BILLING GROUP
	
 
	
    6100 DUTCHMANS LANE
	
 
	
    12TH FLOOR
	
 
	
    LOUISVILLE
	
 
	
    KY
	
 
	
 
	
    40205
	
 

	
    BIO-MEDICAL APPLICATIONS OF WEST VIRGINIA, INC.
	
 
	
    ROANOKE BILLING GROUP
	
 
	
    2830 KEAGY ROAD
	
 
	
 
	
 
	
    SALEM
	
 
	
    VA
	
 
	
 
	
    24153
	
 

	
    BIO-MEDICAL APPLICATIONS OF WISCONSIN, INC.
	
 
	
    UNIONTOWN BILLING GROUP
	
 
	
    3500 MASSILLON ROAD
	
 
	
    SUITE 280
	
 
	
    UNIONTOWN
	
 
	
    OH
	
 
	
 
	
    44685
	
 

	
    BIO-MEDICAL APPLICATIONS OF WISCONSIN, INC.
	
 
	
    UPPER MIDWEST BILLING GROUP
	
 
	
    9120 SPRINGBROOK DRIVE
	
 
	
 
	
 
	
    COON RAPIDS
	
 
	
    MN
	
 
	
 
	
    55433
	
 

	
    BIO-MEDICAL APPLICATIONS OF WYOMING, LLC
	
 
	
    ALBUQUERQUE BILLING GROUP
	
 
	
    909 VIRGINIA NE
	
 
	
    SUITE 112
	
 
	
    ALBUQUERQUE
	
 
	
    NM
	
 
	
 
	
    87108
	
 

	
    BREVARD COUNTY DIALYSIS, LLC
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    CLAYTON COUNTY DIALYSIS, LLC
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    CLERMONT DIALYSIS CENTER, LLC
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    COLUMBUS AREA RENAL ALLIANCE, LLC
	
 
	
    CLEVELAND BILLING
	
 
	
    25050 COUNTRY CLUB BOULEVARD
	
 
	
    SUITE 250
	
 
	
    NORTH OLMSTED
	
 
	
    OH
	
 
	
 
	
    44070
	
 

	
    CONEJO VALLEY DIALYSIS, INC.
	
 
	
    SAN DIEGO BILLING GROUP
	
 
	
    1750 S. MESA DRIVE
	
 
	
    SUITE 150
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    DIALYSIS AMERICA GEORGIA, LLC
	
 
	
    KNOXVILLE BILLING GROUP
	
 
	
    BILLING GROUP
	
 
	
    1512 COLEMAN ROAD, SUITE 308
	
 
	
    KNOXVILLE
	
 
	
    TN
	
 
	
 
	
    37919
	
 

	
    DIALYSIS ASSOCIATES OF NORTHERN NEW JERSEY, LLC
	
 
	
    ALLENTOWN BILLING GROUP
	
 
	
    861 MARCON BLVD.
	
 
	
    SUITE 2
	
 
	
    ALLENTOWN
	
 
	
    PA
	
 
	
 
	
    18109
	
 

    28

 

 

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
    Billing

    
	
 
	
    Billing

    
	
 

	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
    Group

    
	
 
	
    Group

    
	
 

	
    Legal Name
	
 
	
    Billing Group Name
	
 
	
    Billing Group Address 1
	
 
	
    Billing Group Address 2
	
 
	
    Billing Group City
	
 
	
    State
	
 
	
    Zip
	
 

	 

	
    DIALYSIS ASSOCIATES, LLC
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC.
	
 
	
    CHICAGO BILLING GROUP
	
 
	
    ONE WESTBROOK DRIVE
	
 
	
    TOWER 1, SUITE 1000
	
 
	
    WESTCHESTER
	
 
	
    IL
	
 
	
 
	
    60154
	
 

	
    DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC.
	
 
	
    CLEVELAND BILLING
	
 
	
    25050 COUNTRY CLUB BOULEVARD
	
 
	
    SUITE 250
	
 
	
    NORTH OLMSTED
	
 
	
    OH
	
 
	
 
	
    44070
	
 

	
    DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC.
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    DIALYSIS MANAGEMENT CORPORATION
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    DIALYSIS SERVICES OF ATLANTA, INC.
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    DIALYSIS SERVICES OF ATLANTA, INC.
	
 
	
    KNOXVILLE BILLING GROUP
	
 
	
    BILLING GROUP
	
 
	
    1512 COLEMAN ROAD, SUITE 308
	
 
	
    KNOXVILLE
	
 
	
    TN
	
 
	
 
	
    37919
	
 

	
    DIALYSIS SERVICES OF CINCINNATI, INC.
	
 
	
    KNOXVILLE BILLING GROUP
	
 
	
    BILLING GROUP
	
 
	
    1512 COLEMAN ROAD, SUITE 308
	
 
	
    KNOXVILLE
	
 
	
    TN
	
 
	
 
	
    37919
	
 

	
    DIALYSIS SERVICES OF SOUTHEAST ALASKA, LLC
	
 
	
    MESA BILLING
	
 
	
    1750 SOUTH MESA DRIVE
	
 
	
    SUITE 110
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    Dialysis Services, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    DIALYSIS SPECIALISTS OF MARIETTA, LTD.
	
 
	
    KENTUCKY BILLING GROUP
	
 
	
    6100 DUTCHMANS LANE
	
 
	
    12TH FLOOR
	
 
	
    LOUISVILLE
	
 
	
    KY
	
 
	
 
	
    40205
	
 

	
    DIALYSIS SPECIALISTS OF TOPEKA, INC.
	
 
	
    ARIZONA BILLING GROUP
	
 
	
    1750 SOUTH MESA DRIVE
	
 
	
    SUITE 100
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    DIALYSIS SPECIALISTS OF TULSA, INC.
	
 
	
    SAN ANTONIO BILLING GROUP
	
 
	
    6100 BANDERA ROAD
	
 
	
    SUITE 601
	
 
	
    SAN ANTONIO
	
 
	
    TX
	
 
	
 
	
    78238
	
 

	
    DOUGLAS COUNTY DIALYSIS, LLC
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    Doylestown Acute Renal Services, L.L.C.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    DUPAGE DIALYSIS LTD.
	
 
	
    CHICAGO BILLING GROUP
	
 
	
    ONE WESTBROOK DRIVE
	
 
	
    TOWER 1, SUITE 1000
	
 
	
    WESTCHESTER
	
 
	
    IL
	
 
	
 
	
    60154
	
 

	
    Everest Healthcare Holdings, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    EVEREST HEALTHCARE INDIANA, INC.
	
 
	
    KENTUCKY BILLING GROUP
	
 
	
    6100 DUTCHMANS LANE
	
 
	
    12TH FLOOR
	
 
	
    LOUISVILLE
	
 
	
    KY
	
 
	
 
	
    40205
	
 

	
    EVEREST HEALTHCARE INDIANA, INC.
	
 
	
    UNIONTOWN BILLING GROUP
	
 
	
    3500 MASSILLON ROAD
	
 
	
    SUITE 280
	
 
	
    UNIONTOWN
	
 
	
    OH
	
 
	
 
	
    44685
	
 

	
    EVEREST HEALTHCARE OHIO, INC.
	
 
	
    KNOXVILLE BILLING GROUP
	
 
	
    BILLING GROUP
	
 
	
    1512 COLEMAN ROAD, SUITE 308
	
 
	
    KNOXVILLE
	
 
	
    TN
	
 
	
 
	
    37919
	
 

	
    EVEREST HEALTHCARE OHIO, INC.
	
 
	
    UNIONTOWN BILLING GROUP
	
 
	
    3500 MASSILLON ROAD
	
 
	
    SUITE 280
	
 
	
    UNIONTOWN
	
 
	
    OH
	
 
	
 
	
    44685
	
 

	
    EVEREST HEALTHCARE RHODE ISLAND, INC.
	
 
	
    NEW BEDFORD BILLING GROUP
	
 
	
    700 PLEASANT STREET
	
 
	
 
	
 
	
    NEW BEDFORD
	
 
	
    MA
	
 
	
 
	
    2740
	
 

	
    Everest Healthcare Texas Holding Corp.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    EVEREST HEALTHCARE TEXAS, LP
	
 
	
    NORTH TEXAS BILLING GROUP
	
 
	
    1485 RICHARDSON DRIVE #100
	
 
	
 
	
 
	
    RICHARDSON
	
 
	
    TX
	
 
	
 
	
    75080
	
 

	
    EVEREST HEALTHCARE TEXAS, LP
	
 
	
    SAN ANTONIO BILLING GROUP
	
 
	
    6100 BANDERA ROAD
	
 
	
    SUITE 601
	
 
	
    SAN ANTONIO
	
 
	
    TX
	
 
	
 
	
    78238
	
 

	
    FMS PHILADELPHIA DIALYSIS, LLC
	
 
	
    ALLENTOWN BILLING GROUP
	
 
	
    861 MARCON BLVD.
	
 
	
    SUITE 2
	
 
	
    ALLENTOWN
	
 
	
    PA
	
 
	
 
	
    18109
	
 

	
    FONDREN DIALYSIS CLINIC, INC.
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    FORT SCOTT REGIONAL DIALYSIS CENTER, INC.
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    FOUR STATE REGIONAL DIALYSIS CENTER, INC.
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    Fresenius Health Partners, Inc. (f/k/a Fresenius Medical Care
    Health Plan, Inc.)
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    Fresenius Management Services, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    Fresenius Medical Care Apheresis Services, LLC
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    Fresenius Medical Care Comprehensive CKD Services, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    FRESENIUS MEDICAL CARE DIALYSIS SERVICES - OREGON, LLC
	
 
	
    PACIFIC NW BILLING GROUP
	
 
	
    4560 S. COACH DRIVE
	
 
	
    SUITE 100
	
 
	
    TUCSON
	
 
	
    AZ
	
 
	
 
	
    85714
	
 

	
    FRESENIUS MEDICAL CARE DIALYSIS SERVICES COLORADO LLC
	
 
	
    ALBUQUERQUE BILLING GROUP
	
 
	
    909 VIRGINIA NE
	
 
	
    SUITE 112
	
 
	
    ALBUQUERQUE
	
 
	
    NM
	
 
	
 
	
    87108
	
 

	
    Fresenius Medical Care Healthcare Recruitment, LLC
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    Fresenius Medical Care Holdings, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    FRESENIUS MEDICAL CARE OF ILLINOIS, LLC
	
 
	
    CHICAGO BILLING GROUP
	
 
	
    ONE WESTBROOK DRIVE
	
 
	
    TOWER 1, SUITE 1000
	
 
	
    WESTCHESTER
	
 
	
    IL
	
 
	
 
	
    60154
	
 

	
    FRESENIUS MEDICAL CARE OF ILLINOIS, LLC
	
 
	
    CLEVELAND BILLING
	
 
	
    25050 COUNTRY CLUB BOULEVARD
	
 
	
    SUITE 250
	
 
	
    NORTH OLMSTED
	
 
	
    OH
	
 
	
 
	
    44070
	
 

    29

 

 

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
    Billing

    
	
 
	
    Billing

    
	
 

	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
    Group

    
	
 
	
    Group

    
	
 

	
    Legal Name
	
 
	
    Billing Group Name
	
 
	
    Billing Group Address 1
	
 
	
    Billing Group Address 2
	
 
	
    Billing Group City
	
 
	
    State
	
 
	
    Zip
	
 

	 

	
    FRESENIUS MEDICAL CARE OF ILLINOIS, LLC
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    Fresenius Medical Care Pharmacy Services, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    Fresenius Medical Care PSO, LLC
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    Fresenius Medical Care Rx, LLC
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    Fresenius Medical Care Ventures Holding Company, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    Fresenius Medical Care Ventures, LLC
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    Fresenius USA Manufacturing, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    Fresenius USA Marketing, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    Fresenius USA, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    Fresenius USA, Inc.
	
 
	
 
	
 
	
    2637 Shadelands Drive
	
 
	
 
	
 
	
    Walnut Creek
	
 
	
    CA
	
 
	
 
	
    94590
	
 

	
    Fresenius Vascular Care, Inc. (f/k/a National Vascular Care,
    Inc.)
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    GULF REGION MOBILE DIALYSIS, INC.
	
 
	
    SAN ANTONIO BILLING GROUP
	
 
	
    6100 BANDERA ROAD
	
 
	
    SUITE 601
	
 
	
    SAN ANTONIO
	
 
	
    TX
	
 
	
 
	
    78238
	
 

	
    HAEMO-STAT, INC.
	
 
	
    SAN DIEGO BILLING GROUP
	
 
	
    1750 S. MESA DRIVE
	
 
	
    SUITE 150
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    Health IT Services Group, LLC
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    HENRY DIALYSIS CENTER, LLC
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    HOLTON DIALYSIS CLINIC, LLC
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    Home Dialysis of America, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    HOME DIALYSIS OF MUHLENBERG COUNTY, INC.
	
 
	
    KENTUCKY BILLING GROUP
	
 
	
    6100 DUTCHMANS LANE
	
 
	
    12TH FLOOR
	
 
	
    LOUISVILLE
	
 
	
    KY
	
 
	
 
	
    40205
	
 

	
    HOMESTEAD ARTIFICIAL KIDNEY CENTER, INC.
	
 
	
    TAMPA BILLING GROUP
	
 
	
    BMA TAMPA INC.
	
 
	
    5625 WEST WATERS AVENUE, SUITE A
	
 
	
    TAMPA
	
 
	
    FL
	
 
	
 
	
    33634
	
 

	
    INTEGRATED RENAL CARE OF THE PACIFIC, LLC
	
 
	
    SAN DIEGO BILLING GROUP
	
 
	
    1750 S. MESA DRIVE
	
 
	
    SUITE 150
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    JEFFERSON COUNTY DIALYSIS, INC.
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    KDCO, INC.
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    KENTUCKY RENAL CARE GROUP, LLC
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    LAWTON DIALYSIS, INC.
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    LITTLE ROCK DIALYSIS, INC.
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    MAUMEE DIALYSIS SERVICES, LLC
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    METRO DIALYSIS CENTER - NORMANDY, INC.
	
 
	
    CRESCENT CITY BILLING GROUP
	
 
	
    3850 N. CAUSEWAY BLVD
	
 
	
    SUITE 700
	
 
	
    METAIRIE
	
 
	
    LA
	
 
	
 
	
    70002
	
 

	
    METRO DIALYSIS CENTER - NORTH, INC.
	
 
	
    CRESCENT CITY BILLING GROUP
	
 
	
    3850 N. CAUSEWAY BLVD
	
 
	
    SUITE 700
	
 
	
    METAIRIE
	
 
	
    LA
	
 
	
 
	
    70002
	
 

	
    MIAMI REGIONAL DIALYSIS CENTER, INC.
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    MICHIGAN HOME DIALYSIS CENTER, INC.
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    NATIONAL MEDICAL CARE, INC.
	
 
	
    ALLENTOWN BILLING GROUP
	
 
	
    861 MARCON BLVD.
	
 
	
    SUITE 2
	
 
	
    ALLENTOWN
	
 
	
    PA
	
 
	
 
	
    18109
	
 

	
    NATIONAL MEDICAL CARE, INC.
	
 
	
    CHICAGO BILLING GROUP
	
 
	
    ONE WESTBROOK DRIVE
	
 
	
    TOWER 1, SUITE 1000
	
 
	
    WESTCHESTER
	
 
	
    IL
	
 
	
 
	
    60154
	
 

	
    NATIONAL MEDICAL CARE, INC.
	
 
	
    KNOXVILLE BILLING GROUP
	
 
	
    BILLING GROUP
	
 
	
    1512 COLEMAN ROAD, SUITE 308
	
 
	
    KNOXVILLE
	
 
	
    TN
	
 
	
 
	
    37919
	
 

	
    NATIONAL MEDICAL CARE, INC.
	
 
	
    ORLANDO BILLING GROUP
	
 
	
    BMA ORLANDO, INC.
	
 
	
    1155 W STATE ROAD 434, SUITE 125
	
 
	
    LONGWOOD
	
 
	
    FL
	
 
	
 
	
    32750
	
 

	
    NATIONAL MEDICAL CARE, INC.
	
 
	
    TAMPA BILLING GROUP
	
 
	
    BMA TAMPA INC.
	
 
	
    5625 WEST WATERS AVENUE, SUITE A
	
 
	
    TAMPA
	
 
	
    FL
	
 
	
 
	
    33634
	
 

	
    NATIONAL MEDICAL CARE, INC.
	
 
	
    UNIONTOWN BILLING GROUP
	
 
	
    3500 MASSILLON ROAD
	
 
	
    SUITE 280
	
 
	
    UNIONTOWN
	
 
	
    OH
	
 
	
 
	
    44685
	
 

	
    National Nephrology Associates Management Company of Texas, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    NATIONAL NEPHROLOGY ASSOCIATES OF TEXAS, L.P.
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    Nephromed LLC
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    NEW YORK DIALYSIS SERVICES, INC.
	
 
	
    NEW BEDFORD BILLING GROUP
	
 
	
    700 PLEASANT STREET
	
 
	
 
	
 
	
    NEW BEDFORD
	
 
	
    MA
	
 
	
 
	
    2740
	
 

	
    NEW YORK DIALYSIS SERVICES, INC.
	
 
	
    ALLENTOWN BILLING GROUP
	
 
	
    861 MARCON BLVD.
	
 
	
    SUITE 2
	
 
	
    ALLENTOWN
	
 
	
    PA
	
 
	
 
	
    18109
	
 

	
    NEW YORK DIALYSIS SERVICES, INC.
	
 
	
    STEEL CITY BILLING GROUP
	
 
	
    BMA PITTSBURGH
	
 
	
    190 BILMAR DR., SUITE 375
	
 
	
    PITTSBURGH
	
 
	
    PA
	
 
	
 
	
    15205
	
 

	
    NMC Services, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    NNA Management Company of Kentucky, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

    30

 

 

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
    Billing

    
	
 
	
    Billing

    
	
 

	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
    Group

    
	
 
	
    Group

    
	
 

	
    Legal Name
	
 
	
    Billing Group Name
	
 
	
    Billing Group Address 1
	
 
	
    Billing Group Address 2
	
 
	
    Billing Group City
	
 
	
    State
	
 
	
    Zip
	
 

	 

	
    NNA Management Company of Louisiana, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    NNA OF ALABAMA, INC.
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    NNA OF EAST ORANGE, L.L.C.
	
 
	
    CLEVELAND BILLING
	
 
	
    25050 COUNTRY CLUB BOULEVARD
	
 
	
    SUITE 250
	
 
	
    NORTH OLMSTED
	
 
	
    OH
	
 
	
 
	
    44070
	
 

	
    NNA OF FLORIDA, LLC
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    NNA OF GEORGIA, INC.
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    NNA OF HARRISON, L.L.C.
	
 
	
    CLEVELAND BILLING
	
 
	
    25050 COUNTRY CLUB BOULEVARD
	
 
	
    SUITE 250
	
 
	
    NORTH OLMSTED
	
 
	
    OH
	
 
	
 
	
    44070
	
 

	
    NNA OF LOUISIANA, LLC
	
 
	
    MESA BILLING
	
 
	
    1750 SOUTH MESA DRIVE
	
 
	
    SUITE 110
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    NNA of Nevada, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    NNA of Newark, L.L.C.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    NNA of Oklahoma, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    NNA OF OKLAHOMA, L.L.C.
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    NNA OF RHODE ISLAND, INC.
	
 
	
    CLEVELAND BILLING
	
 
	
    25050 COUNTRY CLUB BOULEVARD
	
 
	
    SUITE 250
	
 
	
    NORTH OLMSTED
	
 
	
    OH
	
 
	
 
	
    44070
	
 

	
    NNA OF TOLEDO, INC.
	
 
	
    CLEVELAND BILLING
	
 
	
    25050 COUNTRY CLUB BOULEVARD
	
 
	
    SUITE 250
	
 
	
    NORTH OLMSTED
	
 
	
    OH
	
 
	
 
	
    44070
	
 

	
    NNA-SAINT BARNABAS, L.L.C.
	
 
	
    CLEVELAND BILLING
	
 
	
    25050 COUNTRY CLUB BOULEVARD
	
 
	
    SUITE 250
	
 
	
    NORTH OLMSTED
	
 
	
    OH
	
 
	
 
	
    44070
	
 

	
    NNA-SAINT BARNABAS-LIVINGSTON, L.L.C.
	
 
	
    CLEVELAND BILLING
	
 
	
    25050 COUNTRY CLUB BOULEVARD
	
 
	
    SUITE 250
	
 
	
    NORTH OLMSTED
	
 
	
    OH
	
 
	
 
	
    44070
	
 

	
    NORCROSS DIALYSIS CENTER, LLC
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    North Buckner Dialysis Center, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    NORTHEAST ALABAMA KIDNEY CLINIC, INC.
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    NORTHERN NEW JERSEY DIALYSIS, LLC
	
 
	
    ALLENTOWN BILLING GROUP
	
 
	
    861 MARCON BLVD.
	
 
	
    SUITE 2
	
 
	
    ALLENTOWN
	
 
	
    PA
	
 
	
 
	
    18109
	
 

	
    PHYSICIANS DIALYSIS COMPANY, INC.
	
 
	
    CLEVELAND BILLING
	
 
	
    25050 COUNTRY CLUB BOULEVARD
	
 
	
    SUITE 250
	
 
	
    NORTH OLMSTED
	
 
	
    OH
	
 
	
 
	
    44070
	
 

	
    QUALICENTERS ALBANY, LTD.
	
 
	
    PACIFIC NW BILLING GROUP
	
 
	
    4560 S. COACH DRIVE
	
 
	
    SUITE 100
	
 
	
    TUCSON
	
 
	
    AZ
	
 
	
 
	
    85714
	
 

	
    QUALICENTERS BEND, LLC
	
 
	
    PACIFIC NW BILLING GROUP
	
 
	
    4560 S. COACH DRIVE
	
 
	
    SUITE 100
	
 
	
    TUCSON
	
 
	
    AZ
	
 
	
 
	
    85714
	
 

	
    QUALICENTERS COOS BAY, LTD.
	
 
	
    PACIFIC NW BILLING GROUP
	
 
	
    4560 S. COACH DRIVE
	
 
	
    SUITE 100
	
 
	
    TUCSON
	
 
	
    AZ
	
 
	
 
	
    85714
	
 

	
    QUALICENTERS EUGENE-SPRINGFIELD, LTD.
	
 
	
    PACIFIC NW BILLING GROUP
	
 
	
    4560 S. COACH DRIVE
	
 
	
    SUITE 100
	
 
	
    TUCSON
	
 
	
    AZ
	
 
	
 
	
    85714
	
 

	
    QUALICENTERS INLAND NORTHWEST L.L.C.
	
 
	
    MESA BILLING
	
 
	
    1750 SOUTH MESA DRIVE
	
 
	
    SUITE 110
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    QUALICENTERS INLAND NORTHWEST L.L.C.
	
 
	
    PACIFIC NW BILLING GROUP
	
 
	
    4560 S. COACH DRIVE
	
 
	
    SUITE 100
	
 
	
    TUCSON
	
 
	
    AZ
	
 
	
 
	
    85714
	
 

	
    QUALICENTERS PUEBLO, LLC
	
 
	
    ALBUQUERQUE BILLING GROUP
	
 
	
    909 VIRGINIA NE
	
 
	
    SUITE 112
	
 
	
    ALBUQUERQUE
	
 
	
    NM
	
 
	
 
	
    87108
	
 

	
    QUALICENTERS SALEM, LLC
	
 
	
    PACIFIC NW BILLING GROUP
	
 
	
    4560 S. COACH DRIVE
	
 
	
    SUITE 100
	
 
	
    TUCSON
	
 
	
    AZ
	
 
	
 
	
    85714
	
 

	
    QUALICENTERS SIOUX CITY, LLC
	
 
	
    SAN ANTONIO BILLING GROUP
	
 
	
    6100 BANDERA ROAD
	
 
	
    SUITE 601
	
 
	
    SAN ANTONIO
	
 
	
    TX
	
 
	
 
	
    78238
	
 

	
    Qualicenters, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    RCG BLOOMINGTON, LLC
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    RCG EAST TEXAS, LLP
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    RCG INDIANA, L.L.C.
	
 
	
    CLEVELAND BILLING
	
 
	
    25050 COUNTRY CLUB BOULEVARD
	
 
	
    SUITE 250
	
 
	
    NORTH OLMSTED
	
 
	
    OH
	
 
	
 
	
    44070
	
 

	
    RCG INDIANA, L.L.C.
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    RCG IRVING, LLP
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    RCG MARTIN, LLC
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    RCG MEMPHIS EAST, LLC
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    RCG Memphis, LLC
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    RCG MISSISSIPPI, INC.
	
 
	
    CRESCENT CITY BILLING GROUP
	
 
	
    3850 N. CAUSEWAY BLVD
	
 
	
    SUITE 700
	
 
	
    METAIRIE
	
 
	
    LA
	
 
	
 
	
    70002
	
 

	
    RCG MISSISSIPPI, INC.
	
 
	
    LAKESIDE BILLING GROUP
	
 
	
    3850 N. CAUSEWAY BLVD.
	
 
	
 
	
 
	
    METAIRIE
	
 
	
    LA
	
 
	
 
	
    70002
	
 

	
    RCG MISSISSIPPI, INC.
	
 
	
    MESA BILLING
	
 
	
    1750 SOUTH MESA DRIVE
	
 
	
    SUITE 110
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    RCG ROBSTOWN, LLP
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    RCG UNIVERSITY DIVISION, INC.
	
 
	
    CLEVELAND BILLING
	
 
	
    25050 COUNTRY CLUB BOULEVARD
	
 
	
    SUITE 250
	
 
	
    NORTH OLMSTED
	
 
	
    OH
	
 
	
 
	
    44070
	
 

	
    RCG UNIVERSITY DIVISION, INC.
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    RCG West Health Supply, L.C.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    Renaissance Health Care, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    RENAL CARE GROUP ALASKA, INC.
	
 
	
    MESA BILLING
	
 
	
    1750 SOUTH MESA DRIVE
	
 
	
    SUITE 110
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    RENAL CARE GROUP EAST, INC.
	
 
	
    CLEVELAND BILLING
	
 
	
    25050 COUNTRY CLUB BOULEVARD
	
 
	
    SUITE 250
	
 
	
    NORTH OLMSTED
	
 
	
    OH
	
 
	
 
	
    44070
	
 

    31

 

 

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
    Billing

    
	
 
	
    Billing

    
	
 

	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
    Group

    
	
 
	
    Group

    
	
 

	
    Legal Name
	
 
	
    Billing Group Name
	
 
	
    Billing Group Address 1
	
 
	
    Billing Group Address 2
	
 
	
    Billing Group City
	
 
	
    State
	
 
	
    Zip
	
 

	 

	
    Renal Care Group Michigan, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    RENAL CARE GROUP NORTHWEST, INC.
	
 
	
    MESA BILLING
	
 
	
    1750 SOUTH MESA DRIVE
	
 
	
    SUITE 110
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    RENAL CARE GROUP OF THE MIDWEST, INC.
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    RENAL CARE GROUP OF THE OZARKS, LLC
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    RENAL CARE GROUP OF THE ROCKIES, LLC
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    RENAL CARE GROUP OF THE SOUTH, INC.
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    RENAL CARE GROUP OF THE SOUTHEAST, INC.
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    Renal Care Group Ohio, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    RENAL CARE GROUP SOUTH NEW MEXICO, LLC
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    Renal Care Group Southwest Holdings, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    RENAL CARE GROUP SOUTHWEST MICHIGAN, LLC
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    RENAL CARE GROUP SOUTHWEST, L.P.
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    RENAL CARE GROUP TEXAS, INC.
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    Renal Care Group Texas, LP
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    RENAL CARE GROUP TOLEDO, LLC
	
 
	
    CLEVELAND BILLING
	
 
	
    25050 COUNTRY CLUB BOULEVARD
	
 
	
    SUITE 250
	
 
	
    NORTH OLMSTED
	
 
	
    OH
	
 
	
 
	
    44070
	
 

	
    RENAL CARE GROUP WESTLAKE, LLC
	
 
	
    CLEVELAND BILLING
	
 
	
    25050 COUNTRY CLUB BOULEVARD
	
 
	
    SUITE 250
	
 
	
    NORTH OLMSTED
	
 
	
    OH
	
 
	
 
	
    44070
	
 

	
    Renal Care Group, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    RENAL CARE GROUP-HARLINGEN, L.P.
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    Renal Solutions, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    RenalPartners, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    Renex Corp.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    RENEX DIALYSIS CLINIC OF BLOOMFIELD, INC.
	
 
	
    CLEVELAND BILLING
	
 
	
    25050 COUNTRY CLUB BOULEVARD
	
 
	
    SUITE 250
	
 
	
    NORTH OLMSTED
	
 
	
    OH
	
 
	
 
	
    44070
	
 

	
    RENEX DIALYSIS CLINIC OF BRIDGETON, INC.
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    RENEX DIALYSIS CLINIC OF CREVE COEUR, INC.
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    RENEX DIALYSIS CLINIC OF DOYLESTOWN, INC.
	
 
	
    CLEVELAND BILLING
	
 
	
    25050 COUNTRY CLUB BOULEVARD
	
 
	
    SUITE 250
	
 
	
    NORTH OLMSTED
	
 
	
    OH
	
 
	
 
	
    44070
	
 

	
    RENEX DIALYSIS CLINIC OF MAPLEWOOD, INC.
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    RENEX DIALYSIS CLINIC OF ORANGE, INC.
	
 
	
    CLEVELAND BILLING
	
 
	
    25050 COUNTRY CLUB BOULEVARD
	
 
	
    SUITE 250
	
 
	
    NORTH OLMSTED
	
 
	
    OH
	
 
	
 
	
    44070
	
 

	
    RENEX DIALYSIS CLINIC OF PHILADELPHIA, INC.
	
 
	
    CLEVELAND BILLING
	
 
	
    25050 COUNTRY CLUB BOULEVARD
	
 
	
    SUITE 250
	
 
	
    NORTH OLMSTED
	
 
	
    OH
	
 
	
 
	
    44070
	
 

	
    RENEX DIALYSIS CLINIC OF PITTSBURGH, INC.
	
 
	
    CLEVELAND BILLING
	
 
	
    25050 COUNTRY CLUB BOULEVARD
	
 
	
    SUITE 250
	
 
	
    NORTH OLMSTED
	
 
	
    OH
	
 
	
 
	
    44070
	
 

	
    RENEX DIALYSIS CLINIC OF SOUTH GEORGIA, INC.
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    RENEX DIALYSIS CLINIC OF ST. LOUIS, INC.
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    Renex Dialysis Clinic of Tampa, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    RENEX DIALYSIS CLINIC OF UNION, INC.
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    RENEX DIALYSIS CLINIC OF UNIVERSITY CITY, INC.
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    RENEX DIALYSIS CLINIC OF WOODBURY, INC.
	
 
	
    CLEVELAND BILLING
	
 
	
    25050 COUNTRY CLUB BOULEVARD
	
 
	
    SUITE 250
	
 
	
    NORTH OLMSTED
	
 
	
    OH
	
 
	
 
	
    44070
	
 

	
    RENEX DIALYSIS FACILITIES, INC.
	
 
	
    LAKESIDE BILLING GROUP
	
 
	
    3850 N. CAUSEWAY BLVD.
	
 
	
 
	
 
	
    METAIRIE
	
 
	
    LA
	
 
	
 
	
    70002
	
 

	
    RENEX DIALYSIS FACILITIES, INC.
	
 
	
    MESA BILLING
	
 
	
    1750 SOUTH MESA DRIVE
	
 
	
    SUITE 110
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    S.A.K.D.C., INC.
	
 
	
    SAN ANTONIO BILLING GROUP
	
 
	
    6100 BANDERA ROAD
	
 
	
    SUITE 601
	
 
	
    SAN ANTONIO
	
 
	
    TX
	
 
	
 
	
    78238
	
 

	
    SAINT LOUIS RENAL CARE, LLC
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

    32

 

 

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
    Billing

    
	
 
	
    Billing

    
	
 

	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
 
	
    Group

    
	
 
	
    Group

    
	
 

	
    Legal Name
	
 
	
    Billing Group Name
	
 
	
    Billing Group Address 1
	
 
	
    Billing Group Address 2
	
 
	
    Billing Group City
	
 
	
    State
	
 
	
    Zip
	
 

	 

	
    SAN DIEGO DIALYSIS SERVICES, INC.
	
 
	
    SAN DIEGO BILLING GROUP
	
 
	
    1750 S. MESA DRIVE
	
 
	
    SUITE 150
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    SANTA BARBARA COMMUNITY DIALYSIS CENTER, INC.
	
 
	
    SAN DIEGO BILLING GROUP
	
 
	
    1750 S. MESA DRIVE
	
 
	
    SUITE 150
	
 
	
    MESA
	
 
	
    AZ
	
 
	
 
	
    85210
	
 

	
    SMYRNA DIALYSIS CENTER, LLC
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    SORB Technology, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    Spectra Diagnostics, LLC
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    Spectra East, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    Spectra East, Inc.
	
 
	
 
	
 
	
    8 King Road
	
 
	
 
	
 
	
    Rockleigh
	
 
	
    NJ
	
 
	
 
	
    7647
	
 

	
    Spectra Laboratories, Inc.
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    Spectra Medical Data Processing, LLC
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    Spectra Renal Research, LLC
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    SSKG, INC.
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    ST. LOUIS REGIONAL DIALYSIS CENTER, INC.
	
 
	
    CRESCENT CITY BILLING GROUP
	
 
	
    3850 N. CAUSEWAY BLVD
	
 
	
    SUITE 700
	
 
	
    METAIRIE
	
 
	
    LA
	
 
	
 
	
    70002
	
 

	
    STAT DIALYSIS CORPORATION
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    STONE MOUNTAIN DIALYSIS CENTER, LLC
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    STUTTGART DIALYSIS, LLC
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    TAPPAHANNOCK DIALYSIS CENTER, INC.
	
 
	
    ROANOKE BILLING GROUP
	
 
	
    2830 KEAGY ROAD
	
 
	
 
	
 
	
    SALEM
	
 
	
    VA
	
 
	
 
	
    24153
	
 

	
    TERRELL DIALYSIS CENTER, L.L.C.
	
 
	
    NORTH TEXAS BILLING GROUP
	
 
	
    1485 RICHARDSON DRIVE #100
	
 
	
 
	
 
	
    RICHARDSON
	
 
	
    TX
	
 
	
 
	
    75080
	
 

	
    THREE RIVERS DIALYSIS SERVICES, LLC
	
 
	
    CLEVELAND BILLING
	
 
	
    25050 COUNTRY CLUB BOULEVARD
	
 
	
    SUITE 250
	
 
	
    NORTH OLMSTED
	
 
	
    OH
	
 
	
 
	
    44070
	
 

	
    U.S. Vascular Access Holdings, LLC
	
 
	
 
	
 
	
    920 Winter Street
	
 
	
 
	
 
	
    Waltham
	
 
	
    MA
	
 
	
 
	
    2451
	
 

	
    WARRENTON DIALYSIS FACILITY, INC.
	
 
	
    ROANOKE BILLING GROUP
	
 
	
    2830 KEAGY ROAD
	
 
	
 
	
 
	
    SALEM
	
 
	
    VA
	
 
	
 
	
    24153
	
 

	
    WEST END DIALYSIS CENTER, INC.
	
 
	
    ROANOKE BILLING GROUP
	
 
	
    2830 KEAGY ROAD
	
 
	
 
	
 
	
    SALEM
	
 
	
    VA
	
 
	
 
	
    24153
	
 

	
    WEST PALM DIALYSIS, LLC
	
 
	
    INDIANAPOLIS BILLING
	
 
	
    10585 NORTH MERIDIAN STREET
	
 
	
    SUITE 160
	
 
	
    INDIANAPOLIS
	
 
	
    IN
	
 
	
 
	
    46290
	
 

	
    WHARTON DIALYSIS, INC.
	
 
	
    TYLER BILLING
	
 
	
    3910 BROOKSIDE DRIVE
	
 
	
    SUITE 100
	
 
	
    TYLER
	
 
	
    TX
	
 
	
 
	
    75701
	
 

	
    WSKC Dialysis Services, Inc.
	
 
	
    CHICAGO BILLING GROUP
	
 
	
    ONE WESTBROOK DRIVE
	
 
	
    TOWER 1, SUITE 1000
	
 
	
    WESTCHESTER
	
 
	
    IL
	
 
	
 
	
    60154
	
 

    33

 

 

    EXHIBIT 6

    

    NEW EXHIBIT J

    to

    

    FIFTH AMENDED AND RESTATED

    

    TRANSFER AND ADMINISTRATION AGREEMENT

 

    [Attached]

 

    HIPAA
    BUSINESS ASSOCIATE AGREEMENT

 

    This HIPAA Business Associate Agreement (“Agreement”)
    is entered into by and between Fresenius Medical Care
    Holdings, Inc. d/b/a Fresenius Medical Care North America,
    together with its subsidiaries, affiliates and divisions
    (collectively, “FMCNA” or “Covered Entity”)
    and
              
    (“Business Associate”), and is effective as of
              
    (the “Effective Date”).

 

    If applicable, this Agreement supplements and is made a part of
    the
              
    (the “Underlying Agreement”) by and between the
    parties.

 

    RECITALS

 

    A. Covered Entity and Business Associate intend to protect
    the privacy and provide for the security of PHI and other
    medical, health or personal information disclosed to Business
    Associate pursuant to this Agreement or any other agreement
    between the Parties in which Business Associate acts as a
    business associate in compliance with (i) the Health
    Insurance Portability and Accountability Act of 1996
    (“HIPAA”) and regulations (the “HIPAA
    Regulations”) promulgated thereunder by the
    U.S. Department of Health and Human Services
    (“HHS”); (ii) Subtitle D of the Health
    Information Technology for Economic and Clinical Health Act (the
    “HITECH Act”), also known as Title XIII of
    Division A and Title IV of Division B of the
    American Recovery and Reinvestment Act of 2009 (Pub. Law
    111-005)
    (“ARRA”); (iii) the Identity Theft Red Flags Rule
    (16 Code of Federal Regulations (“CFR”) Part 681)
    (“Red Flags Rule”); and (iv) other federal or
    state law governing medical, health or personal information.

 

    B. Covered Entity wishes to disclose certain information to
    Business Associate, some of which may constitute Protected
    Health Information (“PHI”) pursuant to HIPAA or HIPAA
    Regulations (defined below) or medical, health or personal
    information protected by other federal or state law.

 

    C. The purpose of this Agreement is to satisfy certain
    standards and requirements of HIPAA, the Privacy Rule and the
    Security Rule (as those terms are defined below), the HITECH
    Act, including, but not limited to, 45 CFR
    §§ 164.314(a)(2)(i), 164.502(e) and 164.504(e),
    42 U.S.C. §§ 17931(a) and 17934, the Red
    Flags Rule, and other federal or state law governing medical,
    health or personal information.

 

    In consideration of the mutual promises below and the exchange
    of information pursuant to this Agreement, the parties agree as
    follows:

 

    1. Definitions.

 

    a. Capitalized Terms. Capitalized terms used in
    this Agreement and not otherwise defined herein shall have the
    meanings set forth in the Privacy Rule, the Security Rule and
    the HITECH Act, which definitions are incorporated in this
    Agreement by reference.

 

    b. “Breach” shall have the same meaning
    given to such term in 42 U.S.C.
    § 17921(1) and 45 CFR § 164.402.

 

    c. “Covered Accounts” shall have the
    meaning given to such term in 16 C.F.R. 681.2(b)(3).

 

    d. “Designated Record Set” shall have the
    same meaning given to such term in 45 CFR § 164.501.

 

    e. “Electronic Health Record” shall have
    same meaning given to such term in 42 U.S.C.
    § 17921(5).

 

    f. “Electronic Protected Health
    Information” or “Electronic PHI” shall
    have the same meaning given to such term under the HIPAA
    Regulations, including, but not limited to, 45 CFR
    § 160.103, as applied to the information that Business
    Associate creates, receives, maintains or transmits from or on
    behalf of Covered Entity.

 

    g. “Individual” shall have the same
    meaning given to such term in 45 CFR §
    160.103 and shall include a person who qualifies as a
    personal representative in accordance with 45 CFR
    § 164.502(g).

 

 

    ©2010,

    Fresenius Medical Care Holdings, Inc. All Rights Reserved

    COR-COMP-PS-0-004-001D1

    

    35

 

    h. “Privacy Rule” shall mean the Standards
    for Privacy of Individually Identifiable Health Information at
    45 CFR Parts 160 and 162 and Part 164, Subparts A and
    E.

 

    i. “Protected Health Information” or
    “PHI” shall have the same meaning given to such
    term in 45 CFR § 160.103, as applied to the
    information created or received by Business Associate from or on
    behalf of Covered Entity.

 

    j. “Required by Law” shall have the same
    meaning given to such term in 45 CFR § 164.103.

 

    k. “Secretary” shall mean the Secretary of
    the Department of Health and Human Services or his or her
    designee.

 

    l. “Security Incident” shall have the same
    meaning given to such term in 45 CFR § 164.304.

 

    m. “Security Rule” shall mean the Security
    Standards at 45 CFR Parts 160 and 162 and Parts 164,
    Subparts A and C.

 

    n. “Unsecured PHI” shall have the same
    meaning given to such term under 42 U.S.C.
    § 17931(h), and guidance promulgated thereunder.

 

    2. Permitted Uses and Disclosures of PHI.

 

    a. Uses and Disclosures of PHI Pursuant to
    Agreement. Except as otherwise limited in this
    Agreement, Business Associate may use or disclose protected
    Health Information to perform functions, activities or services
    for, or on behalf of, Covered Entity as specified in this
    Agreement or any other agreement between the Parties in which
    Business Associate acts as a business associate, provided that
    such use or disclosure would not violate the Privacy Rule if
    done by Covered Entity.

 

    b. Permitted Uses of PHI by Business
    Associate. Except as otherwise limited in this
    Agreement, Business Associate may use Protected Health
    Information for the proper management and administration of
    Business Associate or to carry out the legal responsibilities of
    Business Associate.

 

    c. Permitted Disclosures of PHI by Business
    Associate. Except as otherwise limited in this
    Agreement, Business Associate may disclose Protected Health
    Information for the proper management and administration of
    Business Associate, provided that the disclosures are Required
    by Law, or Business Associate obtains reasonable written
    assurances from the person to whom the information is disclosed
    that it will remain confidential and will be used or further
    disclosed only as Required by Law or for the purpose for which
    it was disclosed to the person, and that the person agrees
    immediately to notify Business Associate of any instances of
    which it is aware in which the confidentiality of the
    information has been breached.

 

    3. Obligations of Business Associate.

 

    a. Appropriate Safeguards.

 

    (i) Privacy of PHI. Business Associate shall
    develop, implement, maintain, and use appropriate safeguards to
    prevent use or disclosure of Protected Health information other
    than as provided for by this Agreement or any other agreement
    between the Parties in which Business Associate acts as a
    business associate. The safeguards must reasonably protect
    Protected Health Information from any intentional or
    unintentional use or disclosure in violation of the Privacy Rule
    and this Agreement, and limit incidental uses or disclosures
    made pursuant to a use or disclosure otherwise permitted by this
    Agreement.

 

    (ii) Security of PHI. Business Associate shall
    develop, implement, maintain, and use appropriate
    administrative, physical, and technical safeguards that
    reasonably and appropriately protect the confidentiality,
    integrity and availability of Electronic PHI, as required by the
    Security Rule. Business Associate shall comply with the
    provisions of 45 CFR §§ 164.308, 164.310,
    164.312 and 164.316 relating to implementation of
    administrative, physical and technical safeguards with respect
    to Electronic PHI in the same manner that such provisions apply
    to a HIPAA covered entity. Business Associate shall also comply
    with any additional Security Rule requirements contained in the
    HITECH Act that are applicable to covered entities.

 

 

    ©2010,

    Fresenius Medical Care Holdings, Inc. All Rights Reserved

    COR-COMP-PS-0-004-001D1

    

    36

 

    b. Reporting of Improper Use or Disclosure, Breach or
    Security Incident. Business Associate shall report to
    Covered Entity any use or disclosure of Protected Health
    Information not provided for by this Agreement (or any other
    agreement between the Parties in which Business Associate acts
    as a business associate) within five (5) days of discovery
    of such incident. Business Associate shall report to Covered
    Entity any Breach of Unsecured PHI within five
    (5) days of discovery of such incident. Business
    Associate’s notification to Covered Entity of a Breach
    shall include: (i) the identification of each individual
    whose Unsecured PHI has been, or is reasonably believed by
    Business Associate to have been, accessed, acquired or disclosed
    during the Breach; (ii) any particulars regarding the
    Breach that Covered Entity would need to include in its
    notification, as such particulars are identified in
    42 U.S.C. § 17932 and 45 CFR
    § 164.404; and (iii) what steps, if any, have
    been taken by the Business Associate to mitigate the breach
    and/or
    prevent a similar breach from occurring in the future. Business
    Associate shall also cooperate with Covered Entity to conduct
    any risk assessment necessary to determine whether notification
    of breach is required. A Breach shall be treated as discovered
    by Business Associate as of the first day on which such Breach
    is known, or should reasonably have been known, to Business
    Associate. For purposes of this Section, the knowledge of any
    person, other than the individual committing the Breach, that is
    an employee, officer or other agent of Business Associate shall
    be imputed to Business Associate. Business Associate shall
    report to Covered Entity any Security Incident immediately if
    practicable but in any event within five (5) days of
    becoming aware of such Security Incident.

 

    c. Responsibility for Costs Associated with Improper Use
    or Disclosure, Breach or Security Incident. Business
    Associate shall be responsible for, and shall reimburse Covered
    Entity for costs and expenses associated with, steps reasonably
    implemented by Covered Entity to mitigate any Breach or other
    non-permitted use or disclosure of PHI or medical, health
    or personal information protected by other federal or state law,
    including, without limitation, the following: data analysis to
    determine appropriate mitigation steps in the event of Breach,
    including assistance from Business Associate in the
    investigation of Breach and, as needed, access to Business
    Associate’s systems and records for purposes of Breach data
    analysis; preparation and mailing of notification(s) about
    Breach to impacted individuals, the media and regulators; costs
    associated with proper handling of inquiries from individuals
    and other entities about Breach (such as the establishment of
    toll-free numbers, maintenance of call centers for intake,
    preparation of scripts, questions/answers, and other
    communicative information about the Breach); credit monitoring
    and account monitoring services for impacted individuals for a
    reasonable period (which shall be no less than 12 months);
    other mitigation action steps required of Covered Entity by
    federal or state regulators; and other reasonable mitigation
    steps required by Covered Entity.

 

    d. Business Associate’s Agents. Business
    Associate shall ensure that any agent, including a
    subcontractor, to whom it provides Protected Health Information
    received from, or created or received by Business Associate on
    behalf of Covered Entity, agrees in writing to the same
    restrictions and conditions that apply through this Agreement to
    Business Associate with respect to such Protected Health
    Information. Business Associate shall ensure that any agent,
    including a subcontractor, to whom it provides Electronic PHI
    agrees in writing to implement reasonable and appropriate
    safeguards to protect such information.

 

    e. Individual Rights.

 

    (i) Access to PHI. Within five
    (5) business days of a request by Covered Entity or an
    Individual, Business Associate shall provide access, in the
    manner designated by Covered Entity, to Protected Health
    Information in a Designated Record Set, to Covered Entity or, as
    directed by Covered Entity, to an Individual in order to meet
    the requirements under 45 CFR § 164.524 and, if
    and when applicable, 42 U.S.C. § 17935(e)(1).

 

    (ii) Amendment of PHI. Within five
    (5) business days of a request by Covered Entity or an
    Individual, Business Associate shall make any amendment(s) to
    Protected Health Information in a Designated Record Set, in the
    manner designated by the Covered Entity, pursuant to 45 CFR
    Section 164.526.

 

    (iii) Accounting of Disclosures. Within five
    (5) business days of a request by Covered Entity, Business
    Associate agrees to provide to Covered Entity, in the manner
    designated by Covered Entity, information collected in
    accordance with Section 3(e)(iv) of this Agreement, to
    permit Covered Entity to respond to a request by an

 

 

    ©2010,

    Fresenius Medical Care Holdings, Inc. All Rights Reserved

    COR-COMP-PS-0-004-001D1

    

    37

 

    Individual for an accounting of disclosures of Protected Health
    Information in accordance with 45 CFR § 164.528
    and, if and when applicable, 42 U.S.C. § 17935(c).

 

    (iv) Documentation of Disclosures and Disclosure
    Information. Business Associate agrees to document such
    disclosures of Protected Health Information and information
    related to such disclosures as would be required for Covered
    Entity to respond to a request by an Individual for an
    accounting of disclosures of Protected Health Information in
    accordance with 45 CFR § 164.528 and, if and when
    applicable, 42 U.S.C. § 13405(c). Business
    Associate shall document, at a minimum, the following
    information (“Disclosure Information”): the date of
    the disclosure, the name and, if known, the address of the
    recipient of the PHI, a brief description of the PHI disclosed,
    the purpose of the disclosure that includes an explanation of
    the basis for such disclosure, and any additional information
    required under the HITECH Act and any implementing regulations,
    or as reasonably may be requested by Covered Entity.

 

    f. Governmental Access to Records. Business
    Associate shall make its internal practices, books and records
    relating to the use and disclosure of Protected Health
    Information received from, or created or received by Business
    Associate on behalf of, Covered Entity available to the
    Secretary and, at the request of Covered Entity, to Covered
    Entity, for purposes of the Secretary determining Covered
    Entity’s compliance with the Privacy Rule and the Security
    Rule.

 

    g. Mitigation. The Business Associate agrees to
    mitigate any harmful effects from the improper use
    and/or
    disclosure of PHI of which it becomes aware.

 

    h. Minimum Necessary. Business Associate shall
    request, use and disclose the minimum amount of
    PHI necessary to accomplish the purpose of the request, use
    or disclosure, in accordance with 42 U.S.C.
    § 17935(b).

 

    i. Limitation on Marketing. Business Associate
    shall use and disclose Protected Health Information for
    marketing purposes only as expressly directed by Covered Entity,
    and in accordance with 42 U.S.C. § 17936(a).
    Business Associate shall not use or disclose PHI for fundraising
    purposes.

 

    j. Limitation on Sale of Electronic Health Records and
    PHI. Business Associate shall comply with the
    prohibition on the sale of Electronic Health Records and PHI set
    forth in 42 U.S.C. § 17935(d).

 

    k. HITECH Act Applicability. Business Associate
    acknowledges that enactment of the HITECH Act amended certain
    provisions of HIPAA in ways that now directly regulate, or will
    on future dates directly regulate, Business Associate under the
    HIPAA Privacy and Security Rules. To the extent not referenced
    or incorporated herein, requirements applicable to Business
    Associate under the HITECH Act are hereby incorporated by
    reference into this Agreement. Business Associate agrees to
    comply with each of the requirements imposed under the HITECH
    Act, as of the applicable effective dates of each such
    requirement applicable to, including monitoring federal guidance
    and regulations published pursuant to the HITECH Act and timely
    compliance with such guidance and regulations.

 

    l. Red Flags Rule Compliance. When
    Business Associate performs any activities on behalf of Covered
    Entity in connection with one or more Covered Accounts, Business
    Associate shall conduct such activities in accordance with
    reasonable policies and procedures designed to detect, prevent
    and mitigate the risk of identity theft.

 

    4. Obligations of Covered Entity.

 

    a. Notice of Privacy Practices. Covered Entity
    shall notify Business Associate of any limitation(s) in its
    notice of privacy practices in accordance with 45 CFR
    § 164.520, to the extent that such limitation may
    affect Business Associate’s use or disclosure of Protected
    Health Information. Covered Entity shall provide such notice no
    later than fifteen (15) days prior to the effective date of
    the limitation.

 

    b. Notification of Changes Regarding Individual
    Permission. Covered Entity shall notify Business
    Associate of any changes in, or revocation of, permission by an
    Individual to use or disclose Protected Health Information, to
    the extent that such changes may affect Business
    Associate’s use or disclosure of Protected Health
    Information. Covered Entity shall provide such notice no later
    than fifteen (15) days prior to the effective date of the
    change.

 

 

    ©2010,

    Fresenius Medical Care Holdings, Inc. All Rights Reserved

    COR-COMP-PS-0-004-001D1

    

    38

 

    c. Notification of Restrictions to Use or Disclosure of
    PHI. Covered Entity shall notify Business Associate of
    any restriction upon the use or disclosure of Protected Health
    Information that Covered Entity has agreed to in accordance with
    45 CFR § 164.522 or 42 U.S.C.
    § 17935(a), to the extent that such restriction may
    affect Business Associate’s use or disclosure of Protected
    Health Information. Covered Entity shall provide such notice no
    later than fifteen (15) days prior to the effective date of
    the restriction.

 

    d. Permissible Requests by Covered
    Entity. Covered Entity shall not request that Business
    Associate use or disclose Protected Health Information in any
    manner that would not be permissible under the Privacy Rule, the
    Security Rule or the HITECH Act if done by Covered Entity,
    except as permitted pursuant to the provisions of Section 2
    of this Agreement.

 

    5. Term and Termination.

 

    a. Term. The term of this Agreement shall
    commence as of the Agreement Effective Date, and shall terminate
    when all of the Protected Health Information provided by Covered
    Entity to Business Associate, or created or received by Business
    Associate on behalf of Covered Entity, is destroyed or returned
    to Covered Entity or, if it is infeasible to return or destroy
    Protected Health Information, protections are extended to such
    information, in accordance with Section 5(c). The
    destruction of PHI should occur as soon as reasonably practical,
    but no more than thirty (30) days from the effective date
    of termination, and Business Associate must certify in writing
    that such destruction has taken place.

 

    b. Termination for Cause. Upon Covered
    Entity’s knowledge of a material breach by Business
    Associate of this Agreement, Covered Entity shall either
    (i) provide an opportunity for Business Associate to cure
    the breach or end the violation within the time specified by
    Covered Entity, or, at the sole discretion of Covered Entity,
    (ii) immediately terminate this Agreement and any other
    agreement between the Parties in which Business Associate acts
    as a business associate if cure is not possible.

 

    c. Effect of Termination.

 

    (i) Except as provided in paragraph (ii) of this
    Section 5(c), upon termination of this Agreement or any
    other agreement between the Parties in which Business Associate
    acts as a business associate for any reason, Business Associate
    shall return or destroy all Protected Health Information
    received from Covered Entity, or created or received by Business
    Associate on behalf of Covered Entity, and shall retain no
    copies of the Protected Health Information. This provision shall
    apply to Protected Health Information that is in the possession
    of subcontractors or agents of Business Associate.

 

    (ii) In the event that Business Associate determines that
    returning or destroying the Protected Health Information is
    infeasible, Business Associate shall provide to Covered Entity
    notification of the conditions that make return or destruction
    infeasible. Upon mutual agreement of the parties that return or
    destruction of Protected Health Information is infeasible,
    Business Associate shall extend the protections of this
    Agreement to such Protected Health Information and limit further
    uses and disclosures of such Protected Health Information to
    those purposes that make the return or destruction infeasible,
    for so long as Business Associate maintains such Protected
    Health Information.

 

    6. Miscellaneous Provisions.

 

    a. Regulatory References. A reference in this
    Agreement to a section in the Privacy Rule, the Security Rule,
    or the HITECH Act means the section as in effect or as amended,
    and for which Covered Entity’s
    and/or
    Business Associate’s compliance is required. For the
    avoidance of doubt, terms used and obligations described in this
    Agreement, in order to comply with the Privacy Rule, the
    Security Rule, the HITECH Act, or any other federal or state law
    protecting the confidentiality or security of medical, health or
    personal information, shall be automatically amended if new or
    revised definitions or interpretations of such terms or
    obligations are amended by statute, proposed or final rule, or
    HHS guidance.

 

 

    ©2010,

    Fresenius Medical Care Holdings, Inc. All Rights Reserved

    COR-COMP-PS-0-004-001D1

    

    39

 

    b. Amendment. The parties agree to take such
    action to amend this Agreement from time to time as is necessary
    for Covered Entity to comply with the requirements of the
    Privacy Rule, the Security Rule, the HITECH Act, or any other
    federal or state law protecting the confidentiality or security
    of medical, health or personal information. Notwithstanding the
    foregoing, in the event that new federal or state law,
    regulations, or guidance affects, clarifies, amends, or extends
    the obligations of the parties hereunder, the parties understand
    and agree that such changes or clarifications in law or
    interpretation of legal requirements applicable to covered
    entities
    and/or
    business associates shall be deemed to apply to the obligations
    of the parties described in this Agreement without requiring any
    amendment to this Agreement or any other agreement between the
    Parties in which Business Associate acts as a business
    associate. If Covered Entity determines that a written notice or
    amendment is necessary or useful, such notice or amendment shall
    become effective fourteen (14) days after receipt by
    Business Associate unless Business Associate submits a written
    objection to such notice or amendment to Covered Entity prior to
    the expiration of such
    14-day
    period.

 

    c. Survival. The respective rights and
    obligations of Business Associate under Section 5(c) of
    this Agreement survive the termination of the Agreement and any
    other agreement between the Parties in which Business Associate
    acts as a business associate.

 

    d. No Third Party Beneficiaries. Nothing
    express or implied in this Agreement is intended to or does
    confer upon any person other than Covered Entity, Business
    Associate and their respective successors or assigns, any
    rights, remedies, obligations or liabilities whatsoever.

 

    e. Effect on Agreements. Except as specifically
    required to implement the purposes of this Agreement, or to the
    extent inconsistent with this Agreement, all other terms of any
    other agreement between the Parties remains in force and effect.

 

    f. Interpretation. The provisions of this
    Agreement shall prevail over any provisions in another agreement
    between the Parties that may conflict or appear inconsistent
    with any provision in this Agreement. Any ambiguity in this
    Agreement shall be resolved in favor of a meaning that permits
    Covered Entity and Business Associate to comply with the Privacy
    Rule, the Security Rule, the HITECH Act and any other federal or
    state law protecting the confidentiality or security of medical,
    health or personal information.

 

    g. Indemnification. Business Associate agrees
    to indemnify, defend and hold harmless Covered Entity and any
    Covered Entity affiliate, officer, director, employee or agent
    from and against any claim, cause of action, liability, damage,
    cost or expense, including attorneys’ and consultants’
    fees and court or proceeding costs, arising out of or in
    connection with any non-permitted or prohibited use or
    disclosure of PHI or other medical, health or personal
    information, Breach, Security Incident, violation of law, or
    other breach of this Agreement or other agreement between the
    Parties by Business Associate or any subcontractor, agent,
    person or entity contracted by or under the control of Business
    Associate. If the Underlying Agreement contains a provision
    providing for indemnification of Covered Entity by Business
    Associate, then such provision shall supersede this
    Section 6(g).

 

 

    ©2010,

    Fresenius Medical Care Holdings, Inc. All Rights Reserved

    COR-COMP-PS-0-004-001D1

    

    40

 

    IN WITNESS WHEREOF, the parties hereto have duly executed this
    Agreement as of the Agreement Effective Date.

 

	 	 	 
	

    COVERED ENTITY

	
 
	
    BUSINESS ASSOCIATE

	
    FRESENIUS MEDICAL CARE HOLDINGS, INC. D/B/A FRESENIUS MEDICAL
    CARE NORTH AMERICA
	
 
	
    [INSERT BA NAME]

	
 
	
 
	
 

	

    By: ­
    ­

	
 
	
    By: ­
    ­

	
 
	
 
	
 

	

    Print
    Name: ­
    ­

	
 
	

    Print
    Name: ­
    ­

	
 
	
 
	
 

	

    Title: ­
    ­

	
 
	

    Title: ­
    ­

	
 
	
 
	
 

	

    Date: ­
    ­

	
 
	

    Date: ­
    ­

 

 

    ©2010,

    Fresenius Medical Care Holdings, Inc. All Rights Reserved

    COR-COMP-PS-0-004-001D1

    

    41

 

    EXHIBIT 7

    

 

    NEW
    REAFFIRMATION OF PARENT GUARANTY

    

 

    [Attached]

 

    FORM OF

    

 

    REAFFIRMATION
    OF PARENT AGREEMENT

    

 

    September 28,
    2010

 

	 	 	 
	
    WestLB, AG, New York Branch,

    as Administrative Agent and Agent

    7 World Trade Center

    250 Greenwich Street

    New York, NY 10007
	
 
	
    Barclays Bank PLC

    as Administrative Agent

    745 7th Avenue, 16 Floor

    New York, NY, 10019

	
 
	
 
	
 

	
    Credit Agricole Corporate and Investment

    Bank, New York, as Administrative Agent

    1301 Avenue of the Americas

    New York, New York 10019
	
 
	
    Royal Bank of Canada

    as Administrative Agent

    1 Liberty Plaza, 5th Floor

    New York, New York 10006

	
 
	
 
	
 

	
    The Bank of Nova Scotia

    as Administrative Agent

    One Liberty Plaza

    New York, New York 10006
	
 
	
 

 

    Each of the undersigned, Fresenius Medical Care AG &
    Co. KGaA and FRESENIUS MEDICAL CARE HOLDINGS, INC.
    (i) acknowledges, and consents to, the execution of that
    certain Amendment No. 2, dated as of September 28,
    2010 (the “TAA Amendment”) with respect to the
    Fifth Amended and Restated Transfer and Administration
    Agreement, dated as of November 17, 2009, in each case
    among NMC Funding Corporation, National Medical Care, Inc., the
    entities parties thereto as “Conduit
    Investors”, the financial institutions parties thereto
    as “Bank Investors”, the financial institutions
    parties thereto as “Administrative Agents” and
    WestLB AG, New York Branch, as “Agent”,
    together with the other instruments, documents and agreements
    referenced in Section 3 of the TAA Amendment (collectively,
    the “Amendment Documents”),
    (iii) reaffirms all of its obligations under that certain
    Amended and Restated Parent Agreement dated as of
    October 16, 2008 made by the undersigned (as amended or
    otherwise modified from time to time, the “Parent
    Agreement”), and (iv) acknowledges and agrees
    that, after giving effect to the TAA Amendment and the other
    Amendment Documents, such Parent Agreement remains in full force
    and effect and such Parent Agreement is hereby ratified and
    confirmed.

 

	 	 	 
	
    FRESENIUS MEDICAL CARE HOLDINGS, INC.
	
 
	
    FRESENIUS MEDICAL CARE AG

    & Co. KGaA

    represented by

    Fresenius Medical Care Management AG

    (General Partner)

	
 
	
 
	
 

	

    By: ­
    ­

	
 
	

    By: ­
    ­

	

    Name: Mark Fawcett

	
 
	
          Name:  Dr. Ben
    Lipps

	

    Title: Vice President &Asst. Treasurer

	
 
	
          Title:     Member
    of the Management Board CEO

	
 
	
 
	
 

	
 
	
 
	

    By: ­
    ­

	
 
	
 
	
          Name:  Dr. Rainer
    Runte

	
 
	
 
	

          Title:     Member
    of the Management Board

    Law and Compliance

    General Counselexv10w3

 

    Exhibit 10.3

 

    AMENDMENT
    NO. 2

    

 

    Dated as
    of June 16, 2010

    

 

    to

    

 

    AMENDED
    AND RESTATED RECEIVABLES PURCHASE AGREEMENT

 

    Dated as
    of October 16, 2008

 

    THIS AMENDMENT (this “Amendment”) dated as of
    June 16, 2010 is entered into by and between NMC FUNDING
    CORPORATION, a Delaware corporation, as Purchaser (the
    “Purchaser”) and NATIONAL MEDICAL CARE, INC., a
    Delaware corporation, as Seller (the “Seller”).

 

    PRELIMINARY
    STATEMENTS

 

    A. The Purchaser and the Seller are parties to that certain
    Amended and Restated Receivables Purchase Agreement dated as of
    October 16, 2008 (as amended or otherwise modified prior to
    the date hereof, the “RPA”). Capitalized terms
    used herein and not otherwise defined shall have the meanings
    ascribed to them in the RPA.

 

    B. The Purchaser and the Seller desire to reserve
    Exhibit A (Forms of Contracts), Exhibit B (Credit and
    Collection Policies and Practices) and Exhibit C (List of
    Special Account Banks and Designated Account Agents) to the RPA
    and to make certain other corresponding changes, in each case as
    is consistent with the practices used in the TAA.

 

    C. The Purchaser and the Seller also desire to replace
    Exhibit I (Transferring Affiliate Letter) and
    Exhibit J (List of Transferring Affiliates) to the RPA with
    exhibits reflecting certain modifications thereto in connection
    with (i) the termination of certain existing Transferring
    Affiliates that have become dormant and have ceased to generate
    Receivables or have merged with other Transferring Affiliates
    and (ii) the addition of new Transferring Affiliates.

 

    D. The Purchaser and the Seller have agreed to amend the
    RPA on the terms and conditions hereinafter set forth.

 

    NOW, THEREFORE, in consideration of the premises set forth
    above, and other good and valuable consideration the receipt and
    sufficiency of which is hereby acknowledged, the parties hereto
    agree as follows:

 

    Section 1. Amendments.

 

    1.1 The Exhibit list is hereby amended to delete the
    descriptions of Exhibits A, B, and C and to substitute
    therefore the word “[RESERVED].”

 

    1.2 The definition of “Credit and Collection
    Policy” of Section 1.1 of the RPA is hereby amended
    and restated in its entirety as follows:

 

    ‘‘Credit and Collection Policy” shall mean
    the Seller’s credit and collection policy or policies and
    practices, relating to Contracts and Receivables existing on the
    date hereof and as modified from time to time in compliance with
    Section 5.2(c).

 

    1.3 Section 5.2(e)(i) and (iii) of the RPA is
    amended to delete the words “Exhibit C” and to
    substitute therefor the words “the Account Schedule”.

 

    1.4 Exhibits A, B and C are each amended to delete the
    exhibits in their entirety and to substitute therefore
    “Exhibit A [Reserved],” ‘‘
    Exhibit B [Reserved],” and “Exhibit C
    [Reserved],” respectively.

 

    1.5 Exhibit I (Transferring Affiliate Letter) of the
    RPA is amended to delete the exhibit in its entirety and to
    substitute therefore the “Exhibit I” attached
    hereto.

 

    1.6 Exhibit J (List of Transferring Affiliates) of the
    RPA is amended to delete the exhibit in its entirety and to
    substitute therefore the “Exhibit J” attached
    hereto.

 

    Section 2. Conditions
    Precedent. This Amendment shall become effective and be
    deemed effective as of the date hereof upon (i) the receipt
    by the Purchaser of counterparts of this Amendment duly executed
    by the Purchaser

 

    and the Seller and (ii) the effectiveness of the Amendment
    No. 1 to the Fifth Amended and Restated Transfer and
    Administration Agreement of even date herewith among the
    Purchaser, as “Transferor”, the Seller, as the initial
    “Collection Agent” thereunder, the Persons parties
    thereto as “Conduit Investors”, the Persons parties
    thereto as “Bank Investors”, the Persons parties
    thereto as “Administrative Agents” and WestLB AG, New
    York Branch, as “Agent”.

 

    Section 3. Covenants,
    Representations and Warranties of the Seller.

 

    3.1 Upon the effectiveness of this Amendment, the Seller
    hereby reaffirms all covenants, representations and warranties
    made by it in the RPA and agrees that all such covenants,
    representations and warranties shall be deemed to have been
    remade as of the effective date of this Amendment.

 

    3.2 The Seller hereby represents and warrants that
    (i) this Amendment constitutes the legal, valid and binding
    obligation of such party, enforceable against it in accordance
    with its terms and (ii) upon the effectiveness of this
    Amendment, no Seller Default or Potential Seller Default shall
    exist under the RPA.

 

    Section 4. Reference
    to and Effect on the RPA.

 

    4.1 Upon the effectiveness of this Amendment, each
    reference in the RPA to “this Agreement,”
    “hereunder,” “hereof,” “herein,”
    “hereby” or words of like import shall mean and be a
    reference to the RPA as amended hereby, and each reference to
    the RPA in any other document, instrument and agreement executed
    and/or
    delivered in connection with the RPA shall mean and be a
    reference to the RPA as amended hereby.

 

    4.2 Except as specifically amended hereby, the RPA and all
    other documents, instruments and agreements executed
    and/or
    delivered in connection therewith shall remain in full force and
    effect and are hereby ratified and confirmed.

 

    4.3 The execution, delivery and effectiveness of this
    Amendment shall not operate as a waiver of any right, power or
    remedy of the Purchaser or any of its assignees under the RPA or
    any other document, instrument, or agreement executed in
    connection therewith, nor constitute a waiver of any provision
    contained therein.

 

    Section 5. Governing
    Law. THIS AMENDMENT SHALL BE GOVERNED AND CONSTRUED IN
    ACCORDANCE WITH THE INTERNAL LAWS (AS OPPOSED TO THE CONFLICT OF
    LAW PROVISIONS) AND DECISIONS OF THE STATE OF NEW YORK.

 

    Section 6. Execution
    in Counterparts. This Amendment may be executed in any
    number of counterparts and by different parties hereto in
    separate counterparts, each of which when so executed and
    delivered shall be deemed to be an original and all of which
    taken together shall constitute but one and the same instrument.
    Delivery of an executed counterpart via facsimile or other
    electronic transmission shall be deemed delivery of an original
    counterpart.

 

    Section 7. Headings. Section
    headings in this Amendment are included herein for convenience
    of reference only and shall not constitute a part of this
    Amendment for any other purpose.

 

    [The
    remainder of this page intentionally left blank]

    

    2

 

    IN WITNESS WHEREOF, the parties hereto have caused this
    Amendment to be executed by their respective officers thereunto
    duly authorized as of the date first written above.

 

    NMC FUNDING CORPORATION,

    as Purchaser

 

			
	 	    By: 
	
    /s/  Mark
    Fawcett

    Name: Mark Fawcett

			
	 	    Title:   
	
    Vice President & Treasurer

 

    NATIONAL MEDICAL CARE, INC.,

    as Seller

 

			
	 	    By: 
	
    /s/  Mark
    Fawcett

    Name: Mark Fawcett

			
	 	    Title:   
	
    Vice President & Treasurer

    

    3

 

    EXHIBIT I

    

 

    to

    

 

    AMENDED
    AND RESTATED RECEIVABLES PURCHASE AGREEMENT

    

 

    FORM OF
    TRANSFERRING AFFILIATE LETTER

    

 

    [Attached]

 

    AMENDED
    AND RESTATED TRANSFERRING AFFILIATE LETTER

 

    Dated as of
    October 16, 2008
    

 

    NATIONAL MEDICAL CARE, INC.

    920 Winter Street

    Waltham, MA 02451

    Attention: Mark Fawcett

 

    Dear Sirs:

 

    We refer to the Amended and Restated Receivables Purchase
    Agreement dated as of October 16, 2008 between National
    Medical Care, Inc. (the “Seller”) and NMC Funding
    Corporation (the “Purchaser”) (such Agreement, as it
    may be amended, supplemented or otherwise modified from time to
    time being the “Agreement”). The undersigned
    Transferring Affiliates are parties to that certain Transferring
    Affiliate Letter dated as of August 28, 1997 (as amended
    prior to the date hereof, the “Existing Transferring
    Affiliate Letter’). The undersigned Transferring Affiliates
    hereby desire to amend and restate the Existing Transferring
    Affiliate Letter. Capitalized terms used and not otherwise
    defined in this Amended and Restated Transferring Affiliate
    Letter (this “Transferring Affiliate Letter”) have the
    meanings specified in the Agreement or, if not defined in the
    Agreement, in the Transfer and Administration Agreement referred
    to therein.

 

    Effective as of the date hereof, this Transferring Affiliate
    Letter amends, restates and supersedes the Existing Transferring
    Affiliate Letter. This Transferring Affiliate Letter is not
    intended to constitute a novation of any obligations under the
    Existing Transferring Affiliate Letter. Upon the effectiveness
    of this Transferring Affiliate Letter, each reference to the
    Existing Transferring Affiliate Letter in any other document,
    instrument or agreement executed
    and/or
    delivered in connection therewith shall mean and be a reference
    to this Transferring Affiliate Letter.

 

    1. Each of the undersigned Transferring Affiliates will
    from time to time forthwith sell to the Seller, and the Seller
    will from time to time forthwith purchase from such Transferring
    Affiliate, all of the present and future Receivables, and all
    Related Security, if any, with respect thereto, which are owed
    from time to time to such Transferring Affiliate for an amount
    equal to the face amount of such Receivables, which amount the
    Seller shall pay to such Transferring Affiliate in cash or by
    way of a credit to such Transferring Affiliate in the
    appropriate intercompany account by the last Business Day of the
    month following the month in which such purchase was made; it
    being further agreed that (a) that each such purchase of
    each such Receivable and Related Security with respect thereto
    shall be deemed to be made on the date such Receivable is
    created, and (b) the Seller shall settle from time to time
    each such credit to the account of such Transferring Affiliate,
    by way of payments in cash or by way of credits in amounts equal
    to cash expended, obligations incurred or the value of services
    or property provided by or on behalf of the Seller, in each case
    for the benefit of such Transferring Affiliate in accordance
    with the Seller’s and such Transferring Affiliate’s
    cash management and accounting policies.

 

    It is the intention of the Seller and the Purchaser that each
    Purchase under the Agreement shall constitute a sale of such
    Receivables, together with the Related Assets with respect
    thereto, from the Seller to the Purchaser, conveying good title
    thereto free and clear of any Adverse Claims, and that such
    Receivables and Related Assets not be part of the Seller’s
    estate in the event of an insolvency. If, notwithstanding the
    foregoing, the transactions contemplated under the Agreement
    should be deemed a financing, the Seller and the Purchaser
    intend that the Seller shall be deemed to have granted to the
    Purchaser a first priority perfected and continuing security
    interest in all of the Seller’s right, title and interest
    in, to and under the Receivables, together with the Related
    Assets with respect thereto, and together with all of the
    Seller’s rights hereunder, under the BMA Transfer Agreement
    and all other Transaction Documents with respect to the
    Receivables and with respect to any obligations thereunder of
    any Originating Entity with respect to the Receivables, and that
    the Agreement shall constitute a security agreement under
    applicable law. The Seller under the Agreement has assigned to
    the Purchaser all of its rights and remedies hereunder and under
    the BMA Transfer Agreement (and all instruments, documents and
    agreements executed in connection therewith) with respect to the
    Receivables and with respect to any obligations thereunder of
    any Originating Entity with respect to the Receivables.

    

    5

 

    2. Each Transferring Affiliate hereby severally agrees as
    follows:

 

    (a) Such Transferring Affiliate shall make each such sale
    strictly in accordance with the terms of this Transferring
    Affiliate Letter, without regard to whether any other
    Transferring Affiliate has performed or failed to perform any of
    such other Transferring Affiliate’s obligations hereunder.

 

    (b) Such Transferring Affiliate will instruct all Obligors
    to cause all Collections to be deposited directly into a Special
    Account.

 

    (c) Such Transferring Affiliate will act as the
    Seller’s agent for any Collections received by such
    Transferring Affiliate with respect to Receivables sold by such
    Transferring Affiliate to the Seller and such Collections will
    be held in trust and segregated from the other funds of such
    Transferring Affiliate until the same are delivered to the
    Seller. Such Transferring Affiliate agrees that such Collections
    constitute the Seller’s property and shall be promptly
    deposited directly to a Special Account.

 

    (d) Such Transferring Affiliate will not add or terminate
    any bank as a Special Account Bank to or from those listed in
    Exhibit C to the Agreement, nor make any change in its
    instructions to Obligors regarding payments to be made to any
    Special Account Bank; provided that a Transferring
    Affiliate may (A) add any bank as a Special Account Bank
    for purposes of this Transferring Affiliate Letter at any time
    following delivery to the Seller and its assigns of written
    notice of such addition and a Special Account Letter duly
    executed by such bank, and (B) terminate any Special
    Account Bank at any time following delivery to the Seller and
    its assigns of written notice of such termination and evidence
    satisfactory to the Seller and its assigns that the affected
    Obligors shall have been instructed to remit all subsequent
    Collections to another Special Account.

 

    (e) In the event any Transferring Affiliate has instructed
    its Obligors to remit Collections to a Special Account that is
    maintained in the name of any Person other than such
    Transferring Affiliate, such Transferring Affiliate shall at all
    times ensure that such Person qualifies as a Designated Account
    Agent, including, without limitation, by causing such Person to
    execute and deliver to the Seller an Account Agent Agreement and
    by causing such Account Agent Agreement to remain in effect at
    all times. In furtherance of the foregoing, each such
    Transferring Affiliate hereby authorizes and directs each Person
    maintaining a Special Account on behalf of such Transferring
    Affiliate to (i) execute, and deliver to the Seller and its
    assigns, an Account Agent Agreement, (ii) execute and
    deliver a Special Account Letter in respect of each such Special
    Account maintained by such Person, and (iii) otherwise take
    all actions, or omit to take all actions, required to be taken,
    or required to be omitted to be taken, by such Transferring
    Affiliate with respect to such Special Accounts in accordance
    with the terms of this Transferring Affiliate Letter.

 

    3. Each Transferring Affiliate shall provide (or, if
    applicable, shall cause its Designated Account Agents to
    provide) standing instructions to each Special Account Bank
    (which standing instructions shall be maintained in full force
    and effect at all times) to transfer, prior to the close of
    business each banking day (i) all Collections on deposit
    during such banking day in the Special Accounts at such Special
    Account Bank to the Concentration Account or an Intermediate
    Concentration Account and (ii) if an Intermediate
    Concentration Account has been established at such Special
    Account Bank, all Collections on deposit during such banking day
    in such Intermediate Concentration Account to the Concentration
    Account; provided, however, that if the
    Collections on deposit in any Special Account during such
    banking day shall be less than $20,000.00 (the “Minimum
    Amount”), the Special Account Bank shall transfer such
    Collections to the Concentration Account, or to the Intermediate
    Concentration Account, as applicable, on the next succeeding
    banking day in which Collections in such Special Account first
    exceed the Minimum Amount.

 

    4. Each Transferring Affiliate hereby authorizes the Seller
    and its assigns, to the extent permitted by applicable law, to
    take any and all steps in such Transferring Affiliate’s
    name and on behalf of such Transferring Affiliate to collect all
    amounts due under such Receivables and Related Security,
    including, without limitation, endorsing such Transferring
    Affiliate’s name on checks and other instruments
    representing collections and enforcing such Receivables and
    Related Security and the related Contracts; provided, however,
    neither that the Seller nor any of its assigns shall have the
    power or authority to direct Obligors of Receivables or Related
    Security payable under the CHAMPUS/VA, Medicare or Medicaid
    program to make payments of amounts due or to become

    

    6

 

    due to such Transferring Affiliate in respect of such
    Receivables or Related Security directly either to the
    Intermediate Concentration Account or the Concentration Account
    or to the Seller, the Seller’s assigns or any of their
    respective designees, except for any such payment in respect of
    such Receivables or Related Security or any assignment thereof
    that is established by, or made pursuant to, the order of a
    court of competent jurisdiction.

 

    5. Each Transferring Affiliate agrees that from time to
    time, to the extent permitted by applicable law, it will
    promptly execute and deliver all further instruments and
    documents, and take all further action that the Seller or its
    assigns may reasonably request in order to perfect, protect or
    more fully evidence the ownership interest of the Seller in the
    Receivables, Related Security and Collections, and any interest
    therein acquired by any assignee of the Seller, or to enable the
    Seller or its assigns to exercise or enforce any of their
    respective rights hereunder or under the Agreement or the
    Certificate. Without limiting the generality of the foregoing,
    each Transferring Affiliate will, upon the request of the Seller
    or its assigns: (i) execute and file such financing or
    continuation statements, or amendments thereto or assignments
    thereof, and such other instruments or notices, as may be
    necessary or appropriate in order to perfect, protect or
    evidence the ownership interest of the Seller or the interest of
    any assignee thereof; (ii) mark conspicuously each of its
    records evidencing each Receivable and Related Security and the
    related Contract with a legend, acceptable to the Seller and its
    assigns, evidencing that such Receivable and Related Security
    have been sold in accordance with this Transferring Affiliate
    Letter, the Agreement or any document, instrument or agreement
    made in favor of any assignee; and (iii) mark its master
    data processing records evidencing such Receivables and Related
    Security and related Contracts with such legend. Each
    Transferring Affiliate hereby authorizes the Seller to file one
    or more financing or continuation statements, and amendments
    thereto and assignments thereof, relative to the Receivables and
    Related Security sold by it to the Seller or any assignee now
    existing or hereafter arising without the signature of such
    Transferring Affiliate where permitted by law. If any
    Transferring Affiliate fails to perform any of its agreements or
    obligations under this Letter, the Seller or any of its assigns
    may (but shall not be required to) itself perform, or cause
    performance of, such agreement or obligation, and the expenses
    of the Seller or any of its assigns incurred in connection
    therewith shall be payable by such Transferring Affiliate.

 

    6. Each Transferring Affiliate hereby severally represents
    and warrants as to itself as follows:

 

    (a) Such Transferring Affiliate is a corporation duly
    incorporated, validly existing and in good standing under the
    laws of the jurisdiction in which it is organized and existing
    and is duly qualified to do business, and is in good standing,
    in every jurisdiction where the nature of its business requires
    it to be so qualified and where the failure to so qualify would
    materially and adversely affect the business, condition,
    operations or properties of such Transferring Affiliate.

 

    (b) The execution, delivery and performance by such
    Transferring Affiliate of this Transferring Affiliate Letter are
    within such Transferring Affiliate’s corporate powers, have
    been duly authorized by all necessary corporate action, do not
    contravene (i) such Transferring Affiliate’s charter
    or by-laws, (ii) any law, rule or regulation, including,
    without limitation the Social Security Act, any CHAMPUS
    Regulation, any Medicaid Regulation or any Medicare Regulation
    or (iii) any contractual or legal restriction binding on or
    affecting such Transferring Affiliate or its properties, and do
    not result in or require the creation of any Adverse Claim
    (other than pursuant hereto) upon or with respect to any of its
    properties; and no transaction contemplated hereby requires
    compliance with any bulk sales act or similar law.

 

    (c) No authorization or approval or other action by, and no
    notice to or filing with, any governmental authority or
    regulatory body is required for the due execution, delivery and
    performance by such Transferring Affiliate of this Transferring
    Affiliate Letter or for the perfection of or the exercise by the
    Seller or any assignee thereof of their respective rights and
    remedies under this Transferring Affiliate Letter, except for
    the filings of the financing statements referred to in
    Article IV of the TAA, all of which, on or prior to the
    date of the initial purchase thereunder, will have been duly
    made and be in full force and effect.

 

    (d) This Transferring Affiliate Letter is the legal valid
    and binding obligation of such Transferring Affiliate
    enforceable against such Transferring Affiliate in accordance
    with its terms, except as may be limited by the effect of any
    applicable bankruptcy, insolvency, reorganization, moratorium or
    similar laws affecting creditors’ rights generally and by
    general principles of equity.

    

    7

 

    (e) Such Transferring Affiliate will be, at the time of
    each sale hereunder, the legal and beneficial owner of each
    Receivable, and any Related Security with respect thereto,
    originally owed to such Transferring Affiliate and sold from
    time to time to the Seller hereunder, free and clear of any
    Adverse Claim except as created by the Agreement (or any
    subsequent assignment by the assignee thereunder). Upon each
    such sale of each such Receivable and Related Security
    hereunder, the Seller will acquire all right, title and interest
    in and to, and a valid and perfected first priority 100%
    ownership interest in, such Receivable and Related Security, and
    Collections with respect thereto, free and clear of any Adverse
    Claim except as created by the Agreement (or any subsequent
    assignment by the assignee thereunder). No effective financing
    statement or other instrument similar in effect covering any
    such Receivable or Related Security, or Collections with respect
    thereto, is on file in any recording office, except those filed
    in favor of the Seller relating to the Agreement (or any
    subsequent assignment by the assignee thereunder).

 

    (f) Each Investor Report (to the extent that information
    contained therein is supplied by such Transferring Affiliate),
    information, exhibit, financial statement, document, book,
    record or report furnished or to be furnished at any time by
    such Transferring Affiliate to the Seller or any of its assigns
    in connection the Agreement is or will be accurate in all
    material respects as of its date or (except as otherwise
    disclosed to the Seller or the applicable assignee, as the case
    may be, at such time) as of the date so furnished, and no such
    document (if not prepared by or under the direction of such
    Transferring Affiliate or to the extent that the information
    contained therein is not supplied by such Transferring
    Affiliate, to the best of such Transferring Affiliate’s
    knowledge) contains or will contain any untrue statement of a
    material fact or omits or will omit to state a material fact
    necessary in order to make the statements contained therein, in
    the light of the circumstances under which they were made, not
    misleading.

 

    (g) (i) The chief executive office of such
    Transferring Affiliate, except NMC Medical Products, Inc., is
    located at 920 Winter Street, Waltham, Massachusetts 02451, and
    (ii) the office where such Transferring Affiliate keeps its
    records concerning the Receivables is located at the address
    specified for such Transferring Affiliate in Exhibit J to
    the Agreement (or, in the case of each of clauses (i) or
    (ii) above, at such other locations, notified to the Seller
    and its assigns in accordance with Section 2.6 of the
    Agreement, in jurisdictions where all action required by
    Section 2.6 of the Agreement has been taken and completed).

 

    (h) The names and addresses of all the Special Account
    Banks, together with the account numbers of the Special Accounts
    and the account numbers of the Intermediate Concentration
    Account, at such Special Account Banks and, if applicable, the
    name of each Designated Account Agent, are specified in
    Exhibit C to the Agreement (or at such other Special
    Account Banks, with such other Special Accounts, Intermediate
    Concentration Account or with such other Designated Account
    Agents in respect of which all of the requirements set forth in
    Section 5.2(e) of the Agreement have been satisfied).

 

    Each Transferring Affiliate acknowledges that it has received a
    copy of the Agreement and hereby severally represents and
    warrants that each representation and warranty made by the
    Seller under the Agreement in respect of such Transferring
    Affiliate, or in respect of any of the assets or properties of
    such Transferring Affiliate, is true and correct and shall be
    true and correct on each date under the Agreement on which the
    Seller is required to remake (or is deemed to have remade) any
    such representation and warranty for the benefit of the
    Purchaser. In addition, with respect to any covenant or
    undertaking required to be performed by the Seller under the
    Agreement which relates to any Transferring Affiliate or the
    assets or properties of such Transferring Affiliate, such
    Transferring Affiliate severally agrees to take all action, or
    if applicable to omit to take any action, the taking (or
    omission to take) of which enables the Seller to comply fully
    and on a timely basis with the terms and conditions of such
    covenant or undertaking.

 

    7. Anything to the contrary herein notwithstanding, all
    CHAMPUS/VA, Medicare or Medicaid payments which are made by an
    Obligor with respect to any Receivables shall be collected from
    such Obligor only by (i) the Transferring Affiliate which
    furnished the services for which such payments are made or
    (ii) an agent of such Transferring Affiliate, except
    to the extent that an Obligor may be required to submit any such
    payments directly to a Person other than a Transferring
    Affiliate pursuant to a court-ordered assignment which is valid,
    binding and enforceable under applicable federal and state
    CHAMPUS/VA, Medicare and Medicaid laws, rules and regulations;
    and this Transferring Affiliate Letter shall not be construed to
    permit any other Person, in violation of applicable

    

    8

 

    federal and state CHAMPUS/VA, Medicare or Medicaid laws, rules
    and regulations to collect or receive, or to be entitled to
    collect or receive, any such payments prior to a Transferring
    Affiliate’s or such agent’s receipt thereof.

 

    8. No amendment or waiver of any provision of this
    Transferring Affiliate Letter, and no consent to any departure
    by any Transferring Affiliate herefrom, shall in any event be
    effective unless the same shall be in writing and signed by the
    Seller, each assignee of the Seller and the Transferring
    Affiliate or Transferring Affiliates to be bound thereby (or, in
    the case of waiver, by the party or parties waiving the
    provision hereof), and then such amendment, waiver or consent
    shall be effective only in the specific instance and for the
    specific purpose for which given.

 

    9. All notices and other communications provided for
    hereunder shall, unless otherwise stated herein, be in writing
    (including telecopier, telegraphic, telex or cable
    communication) and mailed, telecopied, telegraphed, telexed,
    cabled or delivered, as to each party hereto, at its address set
    forth, in the case of each Transferring Affiliate, as its chief
    executive office on Exhibit J to the Agreement; in the case
    of the Seller, under its name on the signature pages of the
    Agreement; in the case of any assignee of the Seller, such
    address as shall have been notified by such assignee to the
    Transferring Affiliates; or, in the case of each party hereto
    (or any such assignee), at such other address as shall be
    designated by such party in a written notice to the Seller and
    its assignees. All such notices and communications shall, when
    mailed, telecopied, telegraphed, telexed or cabled, be effective
    when deposited in the mails, telecopied, delivered to the
    telegraph company, confirmed by telex answerback or delivered to
    the cable company, respectively.

 

    10. This Transferring Affiliate Letter shall be binding
    upon, and inure to the benefit of, and be enforceable by, each
    Transferring Affiliate, the Seller and their respective
    successors and assigns, except that no Transferring Affiliate
    shall have the right to assign its rights hereunder or any
    interest herein without the prior written consent of the Seller
    and its assigns.

 

    11. The Seller may assign at any time any or all of its
    rights and obligations hereunder and interests herein to any
    other Person without the consent of the any Transferring
    Affiliate. Without limiting the foregoing, each Transferring
    Affiliate acknowledges that (i) the Seller, pursuant to the
    Agreement, shall assign to the Purchaser all of its right, title
    and interest in and to the Receivables and the Related Security,
    together with all of its rights, remedies, powers and privileges
    hereunder, (ii) the Purchaser, pursuant to that certain
    Fourth Amended and Restated Transfer and Administration
    Agreement dated as of October 16, 2008 (as amended,
    restated, supplemented or otherwise modified from time to time,
    the “TAA”) among the Purchaser, as
    “Transferor”, the Seller, as the initial
    “Collection Agent” thereunder, the Persons parties
    thereto as “Conduit Investors”, the Persons parties
    thereto as “Bank Investors” (together with the Conduit
    Investors, the “Investors”), the Persons parties
    thereto as “Administrative Agents” and WestLB AG, New
    York Branch, as agent (in such capacity, the “Agent”),
    shall assign to the Agent, for the benefit of the Investors, an
    undivided percentage ownership interest in all of the
    Purchaser’s right, title and interest in and to the
    Receivables and the Related Security, together with all of the
    Purchaser’s rights, remedies, powers and privileges
    hereunder, and (iii) the Agent or any Investor may further
    assign such rights, interests, remedies, powers and privileges
    to the extent permitted in the TAA. Each Transferring Affiliate
    agrees that the Agent, as the assignee of the Seller, shall,
    subject to the terms of the TAA, have the right to enforce this
    Transferring Affiliate Letter and to exercise directly all of
    the Seller’s rights and remedies under this Transferring
    Affiliate Letter (including, without limitation, the right to
    give or withhold any consents or approvals of the Seller to be
    given or withheld hereunder) and each Transferring Affiliate
    agrees to cooperate fully with the Agent and the Collection
    Agent in the exercise of such rights and remedies. Each
    Transferring Affiliate agrees to give to the Agent copies of all
    notices it is required to give to the Seller hereunder and to
    permit the Agent and the Investors (and their assignees) to
    inspect the books and records of such Transferring Affiliate
    relating to the Receivables and the Related Security at any
    time, upon reasonable notice given by the Agent or such Investor
    to the Seller and such Transferring Affiliate. Each Transferring
    Affiliate agrees that, to the extent the Seller is herein
    permitted to take any action or to provide any information or
    report, the Agent and the Investors (and their assignees) may
    similarly so direct and require (with or without the concurrence
    of the Seller) such Transferring Affiliate to take such action
    or to provide such information or report. This Transferring
    Affiliate Letter shall create and constitute the continuing
    obligations of the parties hereto in accordance with its terms,
    and shall remain in full force and effect until the date (the
    “Collection Date”) that the TAA shall be terminated in
    accordance with its terms and all “Aggregate Unpaids”
    thereunder paid in full; provided, however, that
    the rights and remedies with respect

    

    9

 

    to any breach of any representation and warranty made by any
    Transferring Affiliate hereunder shall be continuing and shall
    survive any termination of this Transferring Affiliate Letter.

 

    12. Each Transferring Affiliate hereby covenants and agrees
    that, prior to the date which is one year and one day after the
    payment in full of all outstanding commercial paper or other
    indebtedness of any Conduit Investor, it will not institute
    against, or join any other Person in instituting against, such
    Conduit Investor any bankruptcy, reorganization, arrangement
    insolvency or liquidation proceedings or other similar
    proceeding under the laws of the United States or any state of
    the United States. Each Transferring Affiliate further covenants
    and agrees that, prior to the date which is one year and one day
    after the Collection Date, it will not institute against, or
    join any other Person in instituting against, the Purchaser any
    bankruptcy, reorganization, arrangement insolvency or
    liquidation proceedings or other similar proceeding under the
    laws of the United States or any state of the United States.

 

    13. No failure on the part of the Seller or any assignee
    thereof to exercise, and no delay in exercising, any right
    hereunder shall operate as a waiver thereof; nor shall any
    single or partial exercise of any right hereunder preclude any
    other or further exercise thereof or the exercise of any other
    right. The remedies herein provided are cumulative and not
    exclusive of any remedies provided by law.

 

    14. This Transferring Affiliate Letter shall be governed
    by, and construed in accordance with, the laws of the State of
    New York, except to the extent that the perfection of the
    interests of the Seller and its assigns, or remedies hereunder,
    in respect of the Receivables, any Related Security or any
    Collections in respect thereof, are governed by the laws of a
    jurisdiction other than the State of New York.

 

    15. The Seller and each of its assignees (including the
    Agent) is hereby authorized by each of the Transferring
    Affiliates and the Seller to demand specific performance of this
    Transferring Affiliate Letter at any time when any of the
    Transferring Affiliates or the Seller shall have failed to
    comply with any of the provisions of this Transferring Affiliate
    Letter applicable to any such Transferring Affiliate or the
    Seller. Each of the Transferring Affiliates and the Seller
    hereby irrevocable waives any defense based on the adequacy of a
    remedy at law, which might be asserted as a bar to such remedy
    of specific performance.

 

    16. This Transferring Affiliate Letter may be executed in
    any number of counterparts and by different parties hereto in
    separate counterparts, each of which when so executed shall be
    deemed to be an original and all of which when taken together
    shall constitute one and the same agreement.

 

    [Remainder
    of page intentionally left blank]
    

    

    10

 

    Very truly yours,

 

    ANGLETON DIALYSIS, INC.

    ARIZONA RENAL INVESTMENTS, LLC

    BIO-MEDICAL APPLICATIONS HOME DIALYSIS SERVICES, INC.

    BIO MEDICAL APPLICATIONS MANAGEMENT COMPANY, INC.

    BIO-MEDICAL APPLICATIONS OF ALABAMA, INC.

    BIO-MEDICAL APPLICATIONS OF ANACOSTIA, INC.

    BIO-MEDICAL APPLICATIONS OF AQUADILLA, INC.

    BIO-MEDICAL APPLICATIONS OF ARECIBO, INC.

    BIO-MEDICAL APPLICATIONS OF ARKANSAS, INC.

    BIO-MEDICAL APPLICATIONS OF BAYAMON, INC.

    BIO-MEDICAL APPLICATIONS OF BLUE SPRINGS, INC

    BIO-MEDICAL APPLICATIONS OF CAGUAS, INC.

    BIO-MEDICAL APPLICATIONS OF CALIFORNIA, INC.

    BIO-MEDICAL APPLICATIONS OF CAMARILLO, INC.

    BIO-MEDICAL APPLICATIONS OF CAPITOL HILL, INC.

    BIO-MEDICAL APPLICATIONS OF CAROLINA, INC.

    BIO-MEDICAL APPLICATIONS OF CARSON, INC.

    BIO-MEDICAL APPLICATIONS OF CLINTON, INC.

    BIO-MEDICAL APPLICATIONS OF COLUMBIA HEIGHTS, INC.

    BIO-MEDICAL APPLICATIONS OF CONNECTICUT, INC.

    BIO-MEDICAL APPLICATIONS OF DELAWARE, INC.

    BIO-MEDICAL APPLICATIONS OF DOVER, INC.

    BIO-MEDICAL APPLICATIONS OF EAST ORANGE, INC

    BIO-MEDICAL APPLICATIONS OF ESSEX, INC.

    BIO-MEDICAL APPLICATIONS OF EUREKA, INC.

    BIO-MEDICAL APPLICATIONS OF FAYETTEVILLE, INC.

    BIO-MEDICAL APPLICATIONS OF FLORIDA, INC.

    BIO-MEDICAL APPLICATIONS OF FREMONT, INC.

    BIO-MEDICAL APPLICATIONS OF FRESNO, INC.

    BIO-MEDICAL APPLICATIONS OF GEORGIA, INC.

    BIO-MEDICAL APPLICATIONS OF GLENDORA, INC.

    BIO-MEDICAL APPLICATIONS OF GUAYAMA, INC.

    BIO-MEDICAL APPLICATIONS OF HILLSIDE, INC.

    BIO-MEDICAL APPLICATIONS OF HOBOKEN, INC.

    BIO-MEDICAL APPLICATIONS OF HUMACAO, INC.

    BIO-MEDICAL APPLICATIONS OF ILLINOIS, INC.

    BIO-MEDICAL APPLICATIONS OF INDIANA, INC.

    BIO-MEDICAL APPLICATIONS OF IRVINGTON, INC.

    BIO-MEDICAL APPLICATIONS OF JERSEY CITY, INC.

    BIO-MEDICAL APPLICATIONS OF KANSAS, INC.

    BIO-MEDICAL APPLICATIONS OF KENTUCKY, INC.

    BIO-MEDICAL APPLICATIONS OF LAS AMERICAS, INC.

    BIO-MEDICAL APPLICATIONS OF LONG BEACH, INC.

    BIO-MEDICAL APPLICATIONS OF LOS GATOS, INC.

    BIO-MEDICAL APPLICATIONS OF LOUISIANA, LLC

    BIO-MEDICAL APPLICATIONS OF MAINE, INC.

    BIO-MEDICAL APPLICATIONS OF MANCHESTER, INC.

    BIO-MEDICAL APPLICATIONS OF MARYLAND, INC.

    BIO-MEDICAL APPLICATIONS OF MASSACHUSETTS, INC.

    BIO-MEDICAL APPLICATIONS OF MAYAGUEZ, INC.

    

    11

 

    BIO-MEDICAL APPLICATIONS OF MICHIGAN, INC.

    BIO-MEDICAL APPLICATIONS OF MINNESOTA, INC.

    BIO-MEDICAL APPLICATIONS OF MISSION HILLS, INC.

    BIO-MEDICAL APPLICATIONS OF MISSISSIPPI, INC.

    BIO-MEDICAL APPLICATIONS OF MISSOURI, INC.

    BIO-MEDICAL APPLICATIONS OF MLK, INC.

    BIO-MEDICAL APPLICATIONS OF NEVADA, INC

    BIO-MEDICAL APPLICATIONS OF NEW HAMPSHIRE, INC.

    BIO-MEDICAL APPLICATIONS OF NEW JERSEY, INC.

    BIO-MEDICAL APPLICATIONS OF NEW MEXICO, INC.

    BIO-MEDICAL APPLICATIONS OF NORTH CAROLINA, INC.

    BIO-MEDICAL APPLICATIONS OF NORTHEAST, D.C., INC.

    BIO-MEDICAL APPLICATIONS OF OAKLAND, INC.

    BIO-MEDICAL APPLICATIONS OF OHIO, INC.

    BIO-MEDICAL APPLICATIONS OF OKLAHOMA, INC.

    BIO-MEDICAL APPLICATIONS OF PENNSYLVANIA, INC.

    BIO-MEDICAL APPLICATIONS OF PINE BROOK, INC.

    BIO-MEDICAL APPLICATIONS OF PONCE, INC.

    BIO-MEDICAL APPLICATIONS OF PUERTO RICO, INC.

    BIO-MEDICAL APPLICATIONS OF RHODE ISLAND, INC.

    BIO-MEDICAL APPLICATIONS OF RIO PIEDRAS, INC.

    BIO-MEDICAL APPLICATIONS OF SAN ANTONIO, INC.

    BIO-MEDICAL APPLICATIONS OF SAN GERMAN, INC.

    BIO-MEDICAL APPLICATIONS OF SAN JUAN, INC.

    BIO-MEDICAL APPLICATIONS OF SOUTH CAROLINA, INC.

    BIO-MEDICAL APPLICATIONS OF SOUTH QUEENS, INC.

    BIO-MEDICAL APPLICATIONS OF SOUTHEAST WASHINGTON, INC.

    BIO-MEDICAL APPLICATIONS OF TENNESSEE, INC.

    BIO-MEDICAL APPLICATIONS OF TEXAS, INC.

    BIO-MEDICAL APPLICATIONS OF THE DISTRICT OF COLUMBIA, INC.

    BIO-MEDICAL APPLICATIONS OF TRENTON, INC.

    BIO-MEDICAL APPLICATIONS OF UKIAH, INC.

    BIO-MEDICAL APPLICATIONS OF VIRGINIA, INC.

    BIO-MEDICAL APPLICATIONS OF WEST VIRGINIA, INC.

    BIO-MEDICAL APPLICATIONS OF WISCONSIN, INC.

    BIO-MEDICAL APPLICATIONS OF WOONSOCKET, INC.

    BRAZORIA KIDNEY CENTER, INC.

    BREVARD COUNTY DIALYSIS, LLC

    CARTERSVILLE DIALYSIS CENTER, LLC

    CLAYTON COUNTY DIALYSIS, LLC

    CLERMONT DIALYSIS CENTER, LLC

    COBB COUNTY DIALYSIS, LLC

    COLUMBUS AREA RENAL ALLIANCE, LLC

    CON MED SUPPLY COMPANY, INC.

    CONEJO VALLEY DIALYSIS, INC.

    COVINGTON DIALYSIS CENTER, LLC

    DIABETES CARE GROUP, INC.

    DIALYSIS AMERICA ALABAMA, LLC

    DIALYSIS AMERICA GEORGIA, LLC

    DIALYSIS ASSOCIATES OF NORTHERN NEW JERSEY, L.L.C.

    DIALYSIS ASSOCIATES, LLC

    DIALYSIS CENTERS OF AMERICA ILLINOIS, INC.

    DIALYSIS LICENSING CORP.

    

    12

 

    DIALYSIS MANAGEMENT CORPORATION

    DIALYSIS SERVICES OF ATLANTA, INC.

    DIALYSIS SERVICES OF CINCINNATI, INC.

    DIALYSIS SERVICES, INC.

    DIALYSIS SPECIALISTS OF TOPEKA, INC.

    DIALYSIS SPECIALISTS OF TULSA, INC.

    DOUGLAS COUNTY DIALYSIS, LLC

    DOYLESTOWN ACUTE RENAL SERVICES, L.L.C.

    DU PAGE DIALYSIS, LTD.

    EVEREST HEALTHCARE HOLDINGS, INC.

    EVEREST HEALTHCARE INDIANA, INC.

    EVEREST HEALTHCARE OHIO, INC.

    EVEREST HEALTHCARE RHODE ISLAND, INC.

    EVEREST HEALTHCARE TEXAS HOLDING CORP

    EVEREST HEALTHCARE TEXAS, LP

    EVEREST MANAGEMENT, INC.

    FRESENIUS MEDICAL CARE DIALYSIS SERVICES COLORADO LLC (F/K/A BIO

    MEDICAL APPLICATIONS OF COLORADO, INC.)

    FRESENIUS MEDICAL CARE DIALYSIS SERVICES OREGON, LLC

    FMC DIALYSIS SERVICES-OREGON, LLC (F/K/A WILLAMETTE VALLEY
    KIDNEY CENTER, LLC)

    FMS NEW YORK, INC.

    FONDREN DIALYSIS CLINIC, INC.

    FORT SCOTT REGIONAL DIALYSIS CENTER, INC.

    FOUR STATE REGIONAL DIALYSIS CENTER, INC.

    FRESENIUS MANAGEMENT SERVICES, INC.

    FRESENIUS USA HOME DIALYSIS, INC.

    FRESENIUS USA MARKETING, INC.

    FRESENIUS USA SALES, INC.

    FRESENIUS USA, INC.

    GULF REGION MOBILE DIALYSIS, INC.

    HAEMO STAT, INC.

    HENRY DIALYSIS CENTER, LLC

    HOLTON DIALYSIS CLINIC, LLC

    HOME DIALYSIS OF AMERICA, INC.

    HOME DIALYSIS OF MUHLENBERG COUNTY, INC.

    HOME INTENSIVE CARE, INC.

    JEFFERSON COUNTY DIALYSIS, INC.

    KDCO, INC.

    KENTUCKY RENAL CARE GROUP, LLC

    LAWTON DIALYSIS, INC.

    LITTLE ROCK DIALYSIS, INC.

    MAUMEE DIALYSIS SERVICES, LLC

    MERCY DIALYSIS CENTER, INC.

    MIAMI REGIONAL DIALYSIS CENTER, INC.

    MICHIGAN HOME DIALYSIS CENTER, INC.

    NAPLES DIALYSIS CENTER, LLC

    NATIONAL MEDICAL CARE, INC.

    NATIONAL NEPHROLOGY ASSOCIATES MANAGEMENT COMPANY OF

    TEXAS, INC.

    NATIONAL NEPHROLOGY ASSOCIATES OF TEXAS, L.P.

    NEOMEDICA, INC

    NNA MANAGEMENT COMPANY OF KENTUCKY, INC.

    

    13

 

    NNA MANAGEMENT COMPANY OF LOUISIANA, INC.

    NNA OF ALABAMA, INC.

    NNA OF EAST ORANGE, L.L.C.

    NNA OF FLORIDA, LLC

    NNA OF GEORGIA, INC.

    NNA OF HARRISON, L.L.C.

    NNA OF LOUISIANA, LLC

    NNA OF MEMPHIS, LLC

    NNA OF NEVADA, INC.

    NNA OF NEWARK, L.L.C.

    NNA OF OKLAHOMA, INC.

    NNA OF OKLAHOMA, L.L.C.

    NNA OF RHODE ISLAND, INC.

    NNA OF TOLEDO, INC.

    NNA PROPERTIES OF TENNESSEE, INC.

    NNA-SAINT BARNABAS LIVINGSTON, L.L.C.

    NNA-SAINT BARNABAS, L.L.C.

    NNA TRANSPORTATION SERVICES CORPORATION

    NORCROSS DIALYSIS CENTER, LLC

    NORTH BUCKNER DIALYSIS CENTER, INC.

    NORTHEAST ALABAMA KIDNEY CLINIC, INC.

    NORTHERN NEW JERSEY DIALYSIS, L.L.C.

    NORTHWEST DIALYSIS, INC.

    PHYSICIANS DIALYSIS COMPANY, INC.

    PRIME MEDICAL, INC.

    QUALICENTERS, INC.

    RCG ARLINGTON HEIGHTS, LLC

    RCG BLOOMINGTON, LLC

    RCG CREDIT CORPORATION

    RCG EAST TEXAS, LLP

    RCG FINANCE, INC.

    RCG INDIANA, L.L.C.

    RCG IRVING, LLP

    RCG MARION, LLC

    RCG MARTIN, LLC

    RCG MEMPHIS EAST, LLC

    RCG MEMPHIS, LLC

    RCG MISSISSIPPI, INC.

    RCG PA MERGER CORP.

    RCG UNIVERSITY DIVISION, INC.

    RCG WEST HEALTH SUPPLY, L.C.

    RCG WHITEHAVEN, LLC

    RCG/SAINT LUKE’S, LLC

    RCGIH, INC.

    RENAL CARE GROUP ALASKA, INC.

    RENAL CARE GROUP CENTRAL MEMPHIS, LLC

    RENAL CARE GROUP EAST, INC.

    RENAL CARE GROUP MICHIGAN, INC.

    RENAL CARE GROUP NORTHWEST, INC.

    RENAL CARE GROUP OF THE MIDWEST, INC.

    RENAL CARE GROUP OF THE OZARKS, LLC

    RENAL CARE GROUP OF THE SOUTH, INC.

    RENAL CARE GROUP OF THE SOUTHEAST, INC.

    

    14

 

    RENAL CARE GROUP OHIO, INC.

    RENAL CARE GROUP SOUTH NEW MEXICO, LLC

    RENAL CARE GROUP SOUTHWEST HOLDINGS, INC.

    RENAL CARE GROUP SOUTHWEST, L.P.

    RENAL CARE GROUP TEXAS, INC.

    RENAL CARE GROUP TEXAS, LP

    RENAL CARE GROUP WESTLAKE, LLC

    RENAL CARE GROUP, INC.

    RENAL SCIENTIFIC SERVICES, INC.

    RENALNET ARIZONA, INC.

    RENALNET, INC.

    RENALPARTNERS OF INDIANA, LLC

    RENALPARTNERS, INC.

    RENEX CORP.

    RENEX DIALYSIS CLINIC OF AMESBURY, INC.

    RENEX DIALYSIS CLINIC OF BLOOMFIELD, INC.

    RENEX DIALYSIS CLINIC OF BRIDGETON, INC.

    RENEX DIALYSIS CLINIC OF CREVE COEUR, INC.

    RENEX DIALYSIS CLINIC OF DOYLESTOWN, INC.

    RENEX DIALYSIS CLINIC OF MAPLEWOOD, INC.

    RENEX DIALYSIS CLINIC OF NORTH ANDOVER, INC.

    RENEX DIALYSIS CLINIC OF ORANGE, INC.

    RENEX DIALYSIS CLINIC OF PENN HILLS, INC.

    RENEX DIALYSIS CLINIC OF PHILADELPHIA, INC.

    RENEX DIALYSIS CLINIC OF PITTSBURGH, INC.

    RENEX DIALYSIS CLINIC OF SHALER, INC.

    RENEX DIALYSIS CLINIC OF SOUTH GEORGIA, INC.

    RENEX DIALYSIS CLINIC OF ST. LOUIS, INC.

    RENEX DIALYSIS CLINIC OF TAMPA, INC.

    RENEX DIALYSIS CLINIC OF UNION, INC.

    RENEX DIALYSIS CLINIC OF UNIVERSITY CITY, INC.

    RENEX DIALYSIS CLINIC OF WOODBURY, INC.

    RENEX DIALYSIS FACILITIES, INC.

    RENEX DIALYSIS HOMECARE OF GREATER ST. LOUIS, INC.

    RENEX MANAGEMENT SERVICES, INC.

    SAN DIEGO DIALYSIS SERVICES, INC.

    SANTA BARBARA COMMUNITY DIALYSIS CENTER

    SMYRNA DIALYSIS CENTER, LLC

    SPECTRA EAST, INC.

    SPECTRA LABORATORIES, INC.

    SSKG, INC.

    STAT DIALYSIS CORPORATION

    STONE MOUNTAIN DIALYSIS CENTER, LLC

    STUTTGART DIALYSIS, LLC

    TERRELL DIALYSIS CENTER, L.L.C.

    THREE RIVERS DIALYSIS SERVICES, LLC

    WEST PALM DIALYSIS, LLC

    WHARTON DIALYSIS, INC.

    WSKC DIALYSIS SERVICES, INC.

 

			
	 	    By 
	
        

    Name: 

			
	 	    Title: 
	

    

    15

 

    Acknowledged and accepted:

 

    NATIONAL MEDICAL CARE, INC.

 

			
	 	    By 
	
        

    Name: 

			
	 	    Title: 
	

 

    NMC FUNDING CORPORATION

 

			
	 	    By 
	
        

    Name: 

			
	 	    Title: 
	

 

    The undersigned acknowledges and accepts the foregoing, and
    hereby gives notice to each Transferring Affiliate that, for
    purposes of Section 9 of the Transferring Affiliate Letter,
    the address of the undersigned is WestLB AG, New York Branch.

 

    WestLB AG, New York Branch

    as Agent

 

			
	 	    By 
	
        

    Name: 

			
	 	    Title: 
	

 

			
	 	    By 
	
        

    Name: 

			
	 	    Title: 
	

    

    16

 

    AMENDMENT
    NO. 1

    

 

    Dated as
    of November 17, 2009

    

 

    to

    

 

    AMENDED
    AND RESTATED TRANSFERRING AFFILIATE LETTER

 

    Dated as
    of October 16, 2008

 

    THIS AMENDMENT NO. 1 (this “Amendment”)
    dated as of November 17, 2009 is entered into by and among
    (i) NATIONAL MEDICAL CARE, INC., a Delaware corporation
    (the “Seller”) and (ii) the entities
    listed on the signature pages hereof under the heading “New
    Transferring Affiliates” (collectively, the “New
    Transferring Affiliates”) and (iii) the other
    entities listed on the signature pages hereof under the heading
    “Existing Transferring Affiliates” (collectively, the
    “Existing Transferring Affiliates” and,
    together with the New Transferring Affiliates, the
    “Transferring Affiliates”).

 

    PRELIMINARY
    STATEMENT

 

    A. The Seller and the Existing Transferring Affiliates are
    parties to that certain Amended and Restated Transferring
    Affiliate Letter dated as of October 16, 2008 (as amended
    or otherwise modified prior to the date hereof, the
    “Transferring Affiliate Letter”). Capitalized
    terms used herein and not otherwise defined shall have the
    meanings ascribed to them in the Transferring Affiliate Letter
    or in the RPA referred to therein.

 

    B. The parties hereto desire to add the New Transferring
    Affiliates as Transferring Affiliates under the Transferring
    Affiliate Letter and to amend the Transferring Affiliate Letter
    on the terms and conditions hereinafter set forth.

 

    NOW, THEREFORE, in consideration of the premises set forth
    above, and other good and valuable consideration the receipt and
    sufficiency of which is hereby acknowledged, the parties hereto
    agree as follows:

 

    Section 1. Amendments.

 

    (a) Subject to the satisfaction of the conditions precedent
    set forth in Section 2 below, the New Transferring
    Affiliates are hereby added as “Transferring
    Affiliates” under the Transferring Affiliate Letter. From
    and after the effective date of this Amendment, each New
    Transferring Affiliate shall have all of the rights and
    obligations of a Transferring Affiliate under the Transferring
    Affiliate Letter. Accordingly, on the effective date of this
    Amendment, each New Transferring Affiliate shall sell to the
    Seller, and the Seller will forthwith purchase from such New
    Transferring Affiliate, all of the Receivables with respect to
    such New Transferring Affiliate and all Related Security with
    respect thereto. All Receivables with respect to such New
    Transferring Affiliate arising after the effective date of this
    Amendment and all Related Security with respect thereto shall be
    sold to the Seller pursuant to the terms of the Transferring
    Affiliate Letter in the same manner as if such New Transferring
    Affiliate had been an original party thereto.

 

    (b) Fresenius USA Sales, Inc. and RenalNet Arizona, Inc.
    are hereby terminated as Transferring Affiliates as of the
    effective date of this Amendment. Each of Fresenius USA Sales,
    Inc. and RenalNet Arizona, Inc. have no further right or
    obligation to transfer any of its Receivables hereunder and
    shall cease to be a “Transferring Affiliate” hereunder
    except with respect to Receivables that arose prior to such
    termination.

 

    (c) Section 1 of the Transferring Affiliate Letter is
    amended and restated in its entirety to read as follows:

 

    1. (a) Each of the undersigned Transferring Affiliates
    will from time to time forthwith sell to the Seller, and the
    Seller will from time to time forthwith purchase from such
    Transferring Affiliate, all of the present and future
    Receivables, and all Related Security, if any, with respect
    thereto, which are owed from time to time to such Transferring
    Affiliate for an amount equal to the Intercompany Purchase Price
    (as defined below) of such Receivables, which amount the Seller
    shall pay to such Transferring Affiliate in cash or by way of a
    credit to such Transferring Affiliate in the appropriate
    intercompany account by the last Business Day of the month
    following the month in which such purchase was made; it being
    further agreed that (a) that each such purchase of each
    such Receivable and Related Security with respect thereto shall
    be deemed to be made on the date such

    

    17

 

    Receivable is created, and (b) the Seller shall settle from
    time to time each such credit to the account of such
    Transferring Affiliate, by way of payments in cash or by way of
    credits in amounts equal to cash expended, obligations incurred
    or the value of services or property provided by or on behalf of
    the Seller, in each case for the benefit of such Transferring
    Affiliate in accordance with the Seller’s and such
    Transferring Affiliate’s cash management and accounting
    policies. As used herein, the term “Intercompany Purchase
    Price” shall mean a purchase price as may be agreed from
    time by each Transferring Affiliate and the Seller and which
    would provide the Seller with a reasonable return on its
    purchases hereunder after taking into account (i) the time
    value of money based upon the anticipated dates of collection of
    such Receivables and the cost to the Seller of financing its
    investment in such Receivables during such period and
    (ii) the risk of nonpayment by the Obligors. Each
    Transferring Affiliate and the Seller may agree from time to
    time to change the Intercompany Purchase Price based on changes
    in the items described in clauses (i) and (ii) of the
    previous sentence, provided that any change to the Intercompany
    Purchase Price shall apply only prospectively and shall not
    affect the purchase price of Receivables sold prior to the date
    on which the Transferring Affiliate and the Seller agree to make
    such change.

 

    (b) If on any day the Purchaser becomes entitled to a
    Purchase Price Credit pursuant to Section 2.3(a) of the
    Agreement, the Seller shall become entitled to a credit against
    the Intercompany Purchase Price in the same amount as such
    Purchase Price Credit, which will be owed to the Seller by the
    Transferring Affiliate that originated the Receivable giving
    rise to the Purchase Price Credit. If any credit to which the
    Seller becomes so entitled on any date exceeds the aggregate
    Intercompany Purchase Price of the Receivables sold hereunder by
    such Transferring Affiliate on such date, then such Transferring
    Affiliate shall pay the remaining amount of such credit to the
    Seller in cash on the next succeeding Business Day;
    provided that, if the Termination Date has not occurred,
    such Transferring Affiliate shall be allowed to deduct the
    remaining amount of such credit from any indebtedness owed to it
    by the Seller with respect to other purchases of Receivables
    hereunder.

 

    (c) It is the intention of the parties hereto that each
    purchase of Receivables under this Transferring Affiliate Letter
    shall constitute a sale of such Receivables, together with the
    Related Assets with respect thereto, from the applicable
    Transferring Affiliate to the Seller, conveying good title
    thereto free and clear of any Adverse Claims, and that such
    Receivables and Related Assets not be part of the applicable
    Transferring Affiliate’s estate in the event of an
    insolvency. If, notwithstanding the foregoing, the transactions
    contemplated under this Transferring Affiliate Letter should be
    deemed a financing, each Transferring Affiliate and the Seller
    intend that each Transferring Affiliate shall be deemed to have
    granted to the Seller a first priority perfected and continuing
    security interest in all of such Transferring Affiliate’s
    right, title and interest in, to and under the Receivables now
    or hereafter arising that are sold to the Seller pursuant to
    this Transferring Affiliate Letter, together with the Related
    Assets with respect thereto. In addition, to further protect the
    interests of the Seller and its assigns, each Transferring
    Affiliate hereby grants to the Seller (for the benefit of itself
    and the other Indemnified Parties (as defined in
    Section 17)) a first priority perfected and continuing
    security interest in all of such Transferring Affiliate’s
    right, title and interest in, to and under all Receivables
    arising after the Termination Date, together with the Related
    Assets with respect thereto. The security interests deemed
    granted and granted pursuant to the two preceding sentences
    shall secure all obligations of the Transferring Affiliates
    hereunder and under the other Transaction documents (including,
    without limitation, all indemnification obligations of the
    Transferring Affiliates under Section 17 of this
    Transferring Affiliate Letter).

 

    (d) The Transferring Affiliate Letter is further amended to
    add the following new Sections 17 and 18 immediately after
    Section 16:

 

    17. Indemnities by the Transferring
    Affiliates. Without limiting any other rights which the
    Seller or any other Indemnified Party (as defined below) may
    have hereunder or under applicable law, the Transferring
    Affiliates hereby jointly and severally agree to indemnify the
    Seller and any successors and permitted assigns (including,
    without limitation, the Purchaser, Conduit Investors, the Bank
    Investors, the Agent, the Administrative Agents, the Collateral
    Agents, the Liquidity Providers and the Credit Support
    Providers) and their respective officers, directors and
    employees (collectively, “Indemnified Parties”)
    from and against any and all damages, losses, claims,
    liabilities, costs and expenses, including, without limitation,
    reasonable attorneys’ fees (which such attorneys may be
    employees of any Liquidity Provider, any Credit Support
    Provider, the Agent, any Administrative Agent,

    

    18

 

    any Collateral Agent or the Purchaser, as applicable) and
    disbursements (all of the foregoing being collectively referred
    to as “Indemnified Amounts”) awarded against or
    incurred by any of them in any action or proceeding between any
    Transferring Affiliate or any Parent Group Member (including any
    Parent Group Member, in its capacity as the Collection Agent)
    and any of the Indemnified Parties or between any of the
    Indemnified Parties and any third party or otherwise arising out
    of or as a result of this Transferring Affiliate Letter, the
    other Transaction Documents, the ownership or maintenance,
    either directly or indirectly, by the Seller and its assigns of
    Receivables and Related Assets or any of the other transactions
    contemplated hereby or thereby, excluding, however,
    (i) Indemnified Amounts to the extent resulting from gross
    negligence or willful misconduct on the part of an Indemnified
    Party, Indemnified Amounts for which the Seller is compensated
    under Section 1(b), or (iii) recourse (except as otherwise
    specifically provided in this Transferring Affiliate Letter) for
    uncollectible Receivables. Without limiting the generality of
    the foregoing, the Transferring Affiliates, jointly and
    severally, shall indemnify each Indemnified Party for
    Indemnified Amounts relating to or resulting from:

 

    (i) any representation or warranty made by any Parent Group
    Member (including any Parent Group Member, in its capacity as
    the Collection Agent) or any officers of any Parent Group Member
    (including any Parent Group Member, in its capacity as the
    Collection Agent) under or in connection with this Transferring
    Affiliate Letter or any of the other Transaction Documents, any
    Investor Report or any other information or report delivered by
    any Parent Group Member pursuant to or in connection with any
    Transaction Document, which shall have been false or incorrect
    in any material respect when made or deemed made;

 

    (ii) the failure by any Parent Group Member (including any
    Parent Group Member, in its capacity as the Collection Agent) to
    comply with any applicable law, rule or regulation (including,
    without limitation, any CHAMPUS/VA Regulation, any Medicaid
    Regulation or any Medicare Regulation), including with respect
    to any Receivable or the related Contract, or the nonconformity
    of any Receivable or the related Contract with any such
    applicable law, rule or regulation;

 

    (iii) the failure to vest and maintain vested in the
    Purchaser a first priority ownership interest in the Affected
    Assets free and clear of any Adverse Claim;

 

    (iv) the failure to file, or any delay in filing, financing
    statements, continuation statements, or other similar
    instruments or documents under the UCC of any applicable
    jurisdiction or other applicable laws with respect to any of the
    Affected Assets;

 

    (v) any dispute, claim, offset or defense (other than
    discharge in bankruptcy) of the Obligor to the payment of any
    Receivable (including, without limitation, a defense based on
    such Receivable or the related Contract not being the legal,
    valid and binding obligation of such Obligor enforceable against
    it in accordance with its terms), or any other claim resulting
    from the sale of merchandise or services related to such
    Receivable or the furnishing or failure to furnish such
    merchandise or services;

 

    (vi) any failure of the Collection Agent (if a Parent Group
    Member or designee thereof) to perform its duties or obligations
    in accordance with the provisions of the TAA; or

 

    (vii) any products liability claim or personal injury or
    property damage suit or other similar or related claim or action
    of whatever sort arising out of or in connection with
    merchandise or services which are the subject of any Receivable;

 

    (viii) the transfer of an ownership interest in any
    Receivable other than an Eligible Receivable;

 

    (ix) the failure by any Parent Group Member (individually
    or as Collection Agent) to comply with any term, provision or
    covenant contained in this Transferring Affiliate Letter or any
    of the other Transaction Documents to which it is a party or to
    perform any of its respective duties under the Contracts;

 

    (x) the failure of any Originating Entity to pay when due
    any taxes, including without limitation, sales, excise or
    personal property taxes payable in connection with any of the
    Receivables;

 

    (xi) the commingling by the Seller, any other Originating
    Entity or the Collection Agent (if a Parent Group Member or
    designee thereof) of Collections of Receivables at any time with
    other funds;

    

    19

 

    (xii) any investigation, litigation or proceeding related
    to Transferring Affiliate Letter, any of the other Transaction
    Documents, the use of proceeds of Transfers by the Seller or any
    other Originating Entity, the ownership of any Receivable,
    Related Security or Contract or any interest therein;

 

    (xiii) the failure of any Special Account Bank or any
    Designated Account Agent to remit any amounts held by it
    pursuant to the instructions set forth in the applicable Special
    Account Letter, Intermediate Concentration Account Agreement or
    Concentration Account Agreement or any instruction of the
    Collection Agent, the Seller, any Originating Entity or the
    Agent (to the extent such Person is entitled to give such
    instructions in accordance with the terms of the Transaction
    Documents) whether by reason of the exercise of set-off rights
    or otherwise;

 

    (xiv) any inability to obtain any judgment in or utilize
    the court or other adjudication system of, any state in which an
    Obligor may be located as a result of the failure of the Seller
    to qualify to do business or file any notice of business
    activity report or any similar report;

 

    (xv) any failure of the Seller to give reasonably
    equivalent value to any Transferring Affiliate in consideration
    of the purchase by the Seller from such Transferring Affiliate
    of any Receivable, or any attempt by any Person to void, rescind
    or set-aside any such transfer or any transfer of any Receivable
    hereunder under statutory provisions or common law or equitable
    action, including, without limitation, any provision of the
    Bankruptcy Code;

 

    (xvi) any action taken by the Seller, any other Originating
    Entity or the Collection Agent (if a Parent Group Member or
    designee thereof) in the enforcement or collection of any
    Receivable; provided, however, that if any Conduit
    Investor enters into agreements for the purchase of interests in
    receivables from one or more Other Transferors, such Conduit
    Investor shall allocate such Indemnified Amounts which are in
    connection with any applicable Liquidity Provider Agreement,
    Credit Support Agreement or the credit support furnished by any
    applicable Credit Support Provider to the Seller and each Other
    Transferor; and provided, further, that if such
    Indemnified Amounts are attributable to any Parent Group Member
    and not attributable to any Other Transferor, the Seller shall
    be solely liable for such Indemnified Amounts or if such
    Indemnified Amounts are attributable to Other Transferors and
    not attributable to any Parent Group Member, such Other
    Transferors shall be solely liable for such Indemnified Amounts;

 

    (xvii) any reduction or extinguishment of, or any failure
    by any Obligor to pay (in whole or in part), any Receivable or
    any Related Security with respect thereto as a result of or on
    account of any violation of or prohibition under any law, rule
    or regulation now or hereafter in effect from time to time,
    including without limitation and CHAMPUS/VA Regulation, any
    Medicaid Regulation or any Medicare Regulation, or as a result
    of or on account of the entering of any judicial or regulatory
    order or agreement adversely affecting the Seller or any Parent
    Group Member; or

 

    (xviii) any failure by the Seller or any Parent Group
    Member to maintain all governmental and other authorization and
    approvals necessary to render the services, or sell the
    merchandise, resulting in Receivables.

 

    18. Perfection Representations. The Perfection
    Representations shall be a part of the Agreement for all
    purposes. Each Transferring Affiliate hereby makes the
    representations and warranties set forth in the Perfection
    Representations as of the date of each sale of Receivables
    hereunder. The Perfection Representations shall survive
    termination of this Agreement.

 

    Section 2. Conditions
    Precedent. This Amendment shall become effective and be
    deemed effective as of the date hereof upon (i) the receipt
    by the Seller of counterparts of this Amendment duly executed by
    the Seller and the Transferring Affiliates and (ii) the
    effectiveness of the Fifth Amended and Restated Transfer and
    Administration Agreement of even date herewith among the
    Purchaser, as “Transferor”, the Seller, as the initial
    “Collection Agent” thereunder, the Persons parties
    thereto as “Conduit Investors”, the Persons parties
    thereto as “Bank Investors”, the Persons parties
    thereto as “Administrative Agents” and WestLB AG, New
    York Branch, as “Agent”.

 

    Section 3. Covenants,
    Representations and Warranties of the Transferring
    Affiliates.

 

    3.1 Upon the effectiveness of this Amendment, each
    Transferring Affiliate hereby reaffirms all covenants,
    representations and warranties made by it in the Transferring
    Affiliate Letter (as amended hereby) and agrees that

    

    20

 

    all such covenants, representations and warranties shall be
    deemed to have been remade as of the effective date of this
    Amendment.

 

    3.2 Each Transferring Affiliate hereby represents and
    warrants that this Amendment constitutes the legal, valid and
    binding obligation of such party, enforceable against it in
    accordance with terms hereof.

 

    Section 4. Reference
    to and Effect on the Transferring Affiliate Letter.

 

    4.1 Upon the effectiveness of this Amendment, each
    reference in the Transferring Affiliate Letter to
    “Transferring Affiliate Letter,”
    “hereunder,” “hereof,” “herein,”
    “hereby” or words of like import shall mean and be a
    reference to the Transferring Affiliate Letter as amended
    hereby, and each reference to the Transferring Affiliate Letter
    in any other document, instrument and agreement executed
    and/or
    delivered in connection with the Transferring Affiliate Letter
    shall mean and be a reference to the Transferring Affiliate
    Letter as amended hereby.

 

    4.2 Except as specifically amended hereby, the Transferring
    Affiliate Letter and all other documents, instruments and
    agreements executed
    and/or
    delivered in connection therewith shall remain in full force and
    effect and are hereby ratified and confirmed.

 

    4.3 The execution, delivery and effectiveness of this
    Amendment shall not operate as a waiver of any right, power or
    remedy of the Seller or any of its assignees under the
    Transferring Affiliate Letter or any other document, instrument,
    or agreement executed in connection therewith, nor constitute a
    waiver of any provision contained therein.

 

    Section 5. Governing
    Law. THIS AMENDMENT SHALL BE GOVERNED AND CONSTRUED IN
    ACCORDANCE WITH THE INTERNAL LAWS (AS OPPOSED TO THE CONFLICT OF
    LAW PROVISIONS) AND DECISIONS OF THE STATE OF NEW YORK.

 

    Section 6. Execution
    in Counterparts. This Amendment may be executed in any
    number of counterparts and by different parties hereto in
    separate counterparts, each of which when so executed and
    delivered shall be deemed to be an original and all of which
    taken together shall constitute but one and the same instrument.
    Delivery of an executed counterpart via facsimile or other
    electronic transmission shall be deemed delivery of an original
    counterpart.

 

    Section 7. Headings. Section
    headings in this Amendment are included herein for convenience
    of reference only and shall not constitute a part of this
    Amendment for any other purpose.

 

    [Remainder
    of Page Intentionally Left Blank]
    

    

    21

 

    IN WITNESS WHEREOF, the parties hereto have caused this
    Amendment to be executed by their respective officers thereunto
    duly authorized as of the date first written above.

 

    New Transferring Affiliates:

 

    APHERESIS CARE GROUP, INC.

    BIO-MEDICAL APPLICATIONS OF AMARILLO, INC.

    BIO-MEDICAL APPLICATIONS OF IDAHO, LLC

    BIO-MEDICAL APPLICATIONS OF WYOMING, LLC

    DIALYSIS SERVICES OF SOUTHEAST ALASKA, LLC

    DIALYSIS SPECIALISTS OF MARIETTA, LTD.

    FMS PHILADELPHIA DIALYSIS, LLC

    FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES, INC.

    FRESENIUS MEDICAL CARE HEALTH PLAN, INC.

    FRESENIUS MEDICAL CARE HEALTHCARE RECRUITMENT, LLC

    FRESENIUS MEDICAL CARE HOLDINGS, INC.

    FRESENIUS MEDICAL CARE OF ILLINOIS, LLC

    FRESENIUS MEDICAL CARE PHARMACY SERVICES, INC.

    FRESENIUS MEDICAL CARE PSO, LLC

    FRESENIUS MEDICAL CARE RX, LLC

    FRESENIUS MEDICAL CARE VENTURES HOLDING COMPANY, INC.

    FRESENIUS MEDICAL CARE VENTURES, LLC

    FRESENIUS USA MANUFACTURING, INC.

    HOMESTEAD ARTIFICIAL KIDNEY CENTER, INC.

    INTEGRATED RENAL CARE OF THE PACIFIC, LLC

    METRO DIALYSIS CENTER — NORMANDY, INC.

    METRO DIALYSIS CENTER — NORTH, INC.

    NEPHROMED LLC

    NEW YORK DIALYSIS MANAGEMENT, INC.

    NMC SERVICES, INC.

    QUALICENTERS ALBANY, LTD.

    QUALICENTERS BEND LLC

    QUALICENTERS COOS BAY, LTD.

    QUALICENTERS EUGENE-SPRINGFIELD, LTD.

    QUALICENTERS INLAND NORTHWEST L.L.C.

    QUALICENTERS PUEBLO LLC

    QUALICENTERS SALEM LLC

    QUALICENTERS SIOUX CITY, LLC

    RENAISSANCE HEALTH CARE, INC.

    RENAL CARE GROUP OF THE ROCKIES, LLC

    RENAL CARE GROUP SOUTHWEST MICHIGAN, LLC

    RENAL CARE GROUP TOLEDO, LLC

    RENAL CARE GROUP-HARLINGEN, L.P.

    RENAL SOLUTIONS, INC.

    S.A.K.D.C., INC.

    SORB TECHNOLOGY, INC.

    SPECTRA DIAGNOSTICS, LLC

    SPECTRA MEDICAL DATA PROCESSING, LLC

    SPECTRA RENAL RESEARCH, LLC

    ST. LOUIS REGIONAL DIALYSIS CENTER, INC.

    TAPPAHANNOCK DIALYSIS CENTER, INC.

    U.S. VASCULAR ACCESS HOLDINGS, LLC

    

    22

 

    WARRENTON DIALYSIS FACILITY, INC.

    WEST END DIALYSIS CENTER, INC.

 

			
	 	    By: 
	
        

    Name: 

			
	 	    Title: 
	

 

    Existing Transferring Affiliates:

 

    ANGLETON DIALYSIS, INC.

    ARIZONA RENAL INVESTMENTS, LLC

    BIO-MEDICAL APPLICATIONS HOME DIALYSIS SERVICES, INC.

    BIO MEDICAL APPLICATIONS MANAGEMENT COMPANY, INC.

    BIO-MEDICAL APPLICATIONS OF ALABAMA, INC.

    BIO-MEDICAL APPLICATIONS OF ANACOSTIA, INC.

    BIO-MEDICAL APPLICATIONS OF AGUADILLA, INC.

    BIO-MEDICAL APPLICATIONS OF ARECIBO, INC.

    BIO-MEDICAL APPLICATIONS OF ARKANSAS, INC.

    BIO-MEDICAL APPLICATIONS OF BAYAMON, INC.

    BIO-MEDICAL APPLICATIONS OF BLUE SPRINGS, INC

    BIO-MEDICAL APPLICATIONS OF CAGUAS, INC.

    BIO-MEDICAL APPLICATIONS OF CALIFORNIA, INC.

    BIO-MEDICAL APPLICATIONS OF CAMARILLO, INC.

    BIO-MEDICAL APPLICATIONS OF CAPITOL HILL, INC.

    BIO-MEDICAL APPLICATIONS OF CAROLINA, INC.

    BIO-MEDICAL APPLICATIONS OF CARSON, INC.

    BIO-MEDICAL APPLICATIONS OF CLINTON, INC.

    BIO-MEDICAL APPLICATIONS OF COLUMBIA HEIGHTS, INC.

    BIO-MEDICAL APPLICATIONS OF CONNECTICUT, INC.

    BIO-MEDICAL APPLICATIONS OF DELAWARE, INC.

    BIO-MEDICAL APPLICATIONS OF DOVER, INC.

    BIO-MEDICAL APPLICATIONS OF EUREKA, INC.

    BIO-MEDICAL APPLICATIONS OF FAYETTEVILLE, INC.

    BIO-MEDICAL APPLICATIONS OF FLORIDA, INC.

    BIO-MEDICAL APPLICATIONS OF FREMONT, INC.

    BIO-MEDICAL APPLICATIONS OF FRESNO, INC.

    BIO-MEDICAL APPLICATIONS OF GEORGIA, INC.

    BIO-MEDICAL APPLICATIONS OF GLENDORA, INC.

    BIO-MEDICAL APPLICATIONS OF GUAYAMA, INC.

    BIO-MEDICAL APPLICATIONS OF HOBOKEN, INC.

    BIO-MEDICAL APPLICATIONS OF HUMACAO, INC.

    BIO-MEDICAL APPLICATIONS OF ILLINOIS, INC.

    BIO-MEDICAL APPLICATIONS OF INDIANA, INC.

    BIO-MEDICAL APPLICATIONS OF KANSAS, INC.

    BIO-MEDICAL APPLICATIONS OF KENTUCKY, INC.

    BIO-MEDICAL APPLICATIONS OF LAS AMERICAS, INC.

    BIO-MEDICAL APPLICATIONS OF LONG BEACH, INC.

    BIO-MEDICAL APPLICATIONS OF LOS GATOS, INC.

    BIO-MEDICAL APPLICATIONS OF LOUISIANA, LLC

    BIO-MEDICAL APPLICATIONS OF MAINE, INC.

    BIO-MEDICAL APPLICATIONS OF MANCHESTER, INC.

    

    23

 

    BIO-MEDICAL APPLICATIONS OF MARYLAND, INC.

    BIO-MEDICAL APPLICATIONS OF MASSACHUSETTS, INC.

    BIO-MEDICAL APPLICATIONS OF MAYAGUEZ, INC.

    BIO-MEDICAL APPLICATIONS OF MICHIGAN, INC.

    BIO-MEDICAL APPLICATIONS OF MINNESOTA, INC.

    BIO-MEDICAL APPLICATIONS OF MISSION HILLS, INC.

    BIO-MEDICAL APPLICATIONS OF MISSISSIPPI, INC.

    BIO-MEDICAL APPLICATIONS OF MISSOURI, INC.

    BIO-MEDICAL APPLICATIONS OF MLK, INC.

    BIO-MEDICAL APPLICATIONS OF NEVADA, INC

    BIO-MEDICAL APPLICATIONS OF NEW HAMPSHIRE, INC.

    BIO-MEDICAL APPLICATIONS OF NEW JERSEY, INC.

    BIO-MEDICAL APPLICATIONS OF NEW MEXICO, INC.

    BIO-MEDICAL APPLICATIONS OF NORTH CAROLINA, INC.

    BIO-MEDICAL APPLICATIONS OF NORTHEAST, D.C., INC.

    BIO-MEDICAL APPLICATIONS OF OAKLAND, INC.

    BIO-MEDICAL APPLICATIONS OF OHIO, INC.

    BIO-MEDICAL APPLICATIONS OF OKLAHOMA, INC.

    BIO-MEDICAL APPLICATIONS OF PENNSYLVANIA, INC.

    BIO-MEDICAL APPLICATIONS OF PONCE, INC.

    BIO-MEDICAL APPLICATIONS OF PUERTO RICO, INC.

    BIO-MEDICAL APPLICATIONS OF RHODE ISLAND, INC.

    BIO-MEDICAL APPLICATIONS OF RIO PIEDRAS, INC.

    BIO-MEDICAL APPLICATIONS OF SAN ANTONIO, INC.

    BIO-MEDICAL APPLICATIONS OF SAN GERMAN, INC.

    BIO-MEDICAL APPLICATIONS OF SAN JUAN, INC.

    BIO-MEDICAL APPLICATIONS OF SOUTH CAROLINA, INC.

    BIO-MEDICAL APPLICATIONS OF SOUTHEAST WASHINGTON, INC.

    BIO-MEDICAL APPLICATIONS OF TENNESSEE, INC.

    BIO-MEDICAL APPLICATIONS OF TEXAS, INC.

    BIO-MEDICAL APPLICATIONS OF THE DISTRICT OF COLUMBIA, INC.

    BIO-MEDICAL APPLICATIONS OF UKIAH, INC.

    BIO-MEDICAL APPLICATIONS OF VIRGINIA, INC.

    BIO-MEDICAL APPLICATIONS OF WEST VIRGINIA, INC.

    BIO-MEDICAL APPLICATIONS OF WISCONSIN, INC.

    BIO-MEDICAL APPLICATIONS OF WOONSOCKET, INC.

    BRAZORIA KIDNEY CENTER, INC.

    BREVARD COUNTY DIALYSIS, LLC

    CARTERSVILLE DIALYSIS CENTER, LLC

    CLAYTON COUNTY DIALYSIS, LLC

    CLERMONT DIALYSIS CENTER, LLC

    COBB COUNTY DIALYSIS, LLC

    COLUMBUS AREA RENAL ALLIANCE, LLC

    CON MED SUPPLY COMPANY, INC.

    CONEJO VALLEY DIALYSIS, INC.

    COVINGTON DIALYSIS CENTER, LLC

    DIABETES CARE GROUP, INC.

    DIALYSIS AMERICA ALABAMA, LLC

    DIALYSIS AMERICA GEORGIA, LLC

    DIALYSIS ASSOCIATES OF NORTHERN NEW JERSEY, L.L.C.

    DIALYSIS ASSOCIATES, LLC

    DIALYSIS CENTERS OF AMERICA ILLINOIS, INC.

    DIALYSIS LICENSING CORP.

    DIALYSIS MANAGEMENT CORPORATION

    

    24

 

    DIALYSIS SERVICES OF ATLANTA, INC.

    DIALYSIS SERVICES OF CINCINNATI, INC.

    DIALYSIS SERVICES, INC.

    DIALYSIS SPECIALISTS OF TOPEKA, INC.

    DIALYSIS SPECIALISTS OF TULSA, INC.

    DOUGLAS COUNTY DIALYSIS, LLC

    DOYLESTOWN ACUTE RENAL SERVICES, L.L.C.

    DU PAGE DIALYSIS, LTD.

    EVEREST HEALTHCARE HOLDINGS, INC.

    EVEREST HEALTHCARE INDIANA, INC.

    EVEREST HEALTHCARE OHIO, INC.

    EVEREST HEALTHCARE RHODE ISLAND, INC.

    EVEREST HEALTHCARE TEXAS HOLDING CORP

    EVEREST HEALTHCARE TEXAS, LP

    EVEREST MANAGEMENT, INC.

    FRESENIUS MEDICAL CARE DIALYSIS SERVICES COLORADO LLC (F/K/A BIO

    MEDICAL APPLICATIONS OF COLORADO, INC.)

    FRESENIUS MEDICAL CARE DIALYSIS SERVICES OREGON, LLC

    FMS NEW YORK, INC.

    FONDREN DIALYSIS CLINIC, INC.

    FORT SCOTT REGIONAL DIALYSIS CENTER, INC.

    FOUR STATE REGIONAL DIALYSIS CENTER, INC.

    FRESENIUS MANAGEMENT SERVICES, INC.

    FRESENIUS USA HOME DIALYSIS, INC.

    FRESENIUS USA MARKETING, INC.

    FRESENIUS USA SALES, INC.

    FRESENIUS USA, INC.

    GULF REGION MOBILE DIALYSIS, INC.

    HAEMO STAT, INC.

    HENRY DIALYSIS CENTER, LLC

    HOLTON DIALYSIS CLINIC, LLC

    HOME DIALYSIS OF AMERICA, INC.

    HOME DIALYSIS OF MUHLENBERG COUNTY, INC.

    HOME INTENSIVE CARE, INC.

    JEFFERSON COUNTY DIALYSIS, INC.

    KDCO, INC.

    KENTUCKY RENAL CARE GROUP, LLC

    LAWTON DIALYSIS, INC.

    LITTLE ROCK DIALYSIS, INC.

    MAUMEE DIALYSIS SERVICES, LLC

    MERCY DIALYSIS CENTER, INC.

    MIAMI REGIONAL DIALYSIS CENTER, INC.

    MICHIGAN HOME DIALYSIS CENTER, INC.

    NAPLES DIALYSIS CENTER, LLC

    NATIONAL MEDICAL CARE, INC.

    NATIONAL NEPHROLOGY ASSOCIATES MANAGEMENT COMPANY OF

    TEXAS, INC.

    NATIONAL NEPHROLOGY ASSOCIATES OF TEXAS, L.P.

    NEOMEDICA, INC

    NNA MANAGEMENT COMPANY OF KENTUCKY, INC.

    NNA MANAGEMENT COMPANY OF LOUISIANA, INC.

    NNA OF ALABAMA, INC.

    NNA OF EAST ORANGE, L.L.C.

    NNA OF FLORIDA, LLC

    

    25

 

    NNA OF GEORGIA, INC.

    NNA OF HARRISON, L.L.C.

    NNA OF LOUISIANA, LLC

    NNA OF MEMPHIS, LLC

    NNA OF NEVADA, INC.

    NNA OF NEWARK, L.L.C.

    NNA OF OKLAHOMA, INC.

    NNA OF OKLAHOMA, L.L.C.

    NNA OF RHODE ISLAND, INC.

    NNA OF TOLEDO, INC.

    NNA PROPERTIES OF TENNESSEE, INC.

    NNA-SAINT BARNABAS LIVINGSTON, L.L.C.

    NNA-SAINT BARNABAS, L.L.C.

    NNA TRANSPORTATION SERVICES CORPORATION

    NORCROSS DIALYSIS CENTER, LLC

    NORTH BUCKNER DIALYSIS CENTER, INC.

    NORTHEAST ALABAMA KIDNEY CLINIC, INC.

    NORTHERN NEW JERSEY DIALYSIS, L.L.C.

    NORTHWEST DIALYSIS, INC.

    PHYSICIANS DIALYSIS COMPANY, INC.

    QUALICENTERS, INC.

    RCG ARLINGTON HEIGHTS, LLC

    RCG BLOOMINGTON, LLC

    RCG CREDIT CORPORATION

    RCG EAST TEXAS, LLP

    RCG FINANCE, INC.

    RCG INDIANA, L.L.C.

    RCG IRVING, LLP

    RCG MARION, LLC

    RCG MARTIN, LLC

    RCG MEMPHIS EAST, LLC

    RCG MEMPHIS, LLC

    RCG MISSISSIPPI, INC.

    RCG PA MERGER CORP.

    RCG UNIVERSITY DIVISION, INC.

    RCG WEST HEALTH SUPPLY, L.C.

    RCG WHITEHAVEN, LLC

    RCG/SAINT LUKE’S, LLC

    RCGIH, INC.

    RENAL CARE GROUP ALASKA, INC.

    RENAL CARE GROUP CENTRAL MEMPHIS, LLC

    RENAL CARE GROUP EAST, INC.

    RENAL CARE GROUP MICHIGAN, INC.

    RENAL CARE GROUP NORTHWEST, INC.

    RENAL CARE GROUP OF THE MIDWEST, INC.

    RENAL CARE GROUP OF THE OZARKS, LLC

    RENAL CARE GROUP OF THE SOUTH, INC.

    RENAL CARE GROUP OF THE SOUTHEAST, INC.

    RENAL CARE GROUP OHIO, INC.

    RENAL CARE GROUP SOUTH NEW MEXICO, LLC

    RENAL CARE GROUP SOUTHWEST HOLDINGS, INC.

    RENAL CARE GROUP SOUTHWEST, L.P.

    RENAL CARE GROUP TEXAS, INC.

    RENAL CARE GROUP TEXAS, LP

    

    26

 

    RENAL CARE GROUP WESTLAKE, LLC

    RENAL CARE GROUP, INC.

    RENALNET, INC.

    RENALPARTNERS OF INDIANA, LLC

    RENALPARTNERS, INC.

    RENEX CORP.

    RENEX DIALYSIS CLINIC OF AMESBURY, INC.

    RENEX DIALYSIS CLINIC OF BLOOMFIELD, INC.

    RENEX DIALYSIS CLINIC OF BRIDGETON, INC.

    RENEX DIALYSIS CLINIC OF CREVE COEUR, INC.

    RENEX DIALYSIS CLINIC OF DOYLESTOWN, INC.

    RENEX DIALYSIS CLINIC OF MAPLEWOOD, INC.

    RENEX DIALYSIS CLINIC OF NORTH ANDOVER, INC.

    RENEX DIALYSIS CLINIC OF ORANGE, INC.

    RENEX DIALYSIS CLINIC OF PENN HILLS, INC.

    RENEX DIALYSIS CLINIC OF PHILADELPHIA, INC.

    RENEX DIALYSIS CLINIC OF PITTSBURGH, INC.

    RENEX DIALYSIS CLINIC OF SHALER, INC.

    RENEX DIALYSIS CLINIC OF SOUTH GEORGIA, INC.

    RENEX DIALYSIS CLINIC OF ST. LOUIS, INC.

    RENEX DIALYSIS CLINIC OF TAMPA, INC.

    RENEX DIALYSIS CLINIC OF UNION, INC.

    RENEX DIALYSIS CLINIC OF UNIVERSITY CITY, INC.

    RENEX DIALYSIS CLINIC OF WOODBURY, INC.

    RENEX DIALYSIS FACILITIES, INC.

    RENEX DIALYSIS HOMECARE OF GREATER ST. LOUIS, INC.

    RENEX MANAGEMENT SERVICES, INC.

    SAN DIEGO DIALYSIS SERVICES, INC.

    SANTA BARBARA COMMUNITY DIALYSIS CENTER

    SMYRNA DIALYSIS CENTER, LLC

    SPECTRA EAST, INC.

    SPECTRA LABORATORIES, INC.

    SSKG, INC.

    STAT DIALYSIS CORPORATION

    STONE MOUNTAIN DIALYSIS CENTER, LLC

    STUTTGART DIALYSIS, LLC

    TERRELL DIALYSIS CENTER, L.L.C.

    THREE RIVERS DIALYSIS SERVICES, LLC

    WEST PALM DIALYSIS, LLC

    WHARTON DIALYSIS, INC.

    WSKC DIALYSIS SERVICES, INC.

 

			
	 	    By: 
	
        

    Name: 

			
	 	    Title: 
	

 

    NATIONAL MEDICAL CARE, INC.

 

			
	 	    By: 
	
        

    Name: 

			
	 	    Title: 
	

    

    27

 

    AMENDMENT
    NO. 2

    

 

    Dated as
    of June 16, 2010

    

 

    to

    

 

    AMENDED
    AND RESTATED TRANSFERRING AFFILIATE LETTER

 

    Dated as
    of October 16, 2008

 

    THIS AMENDMENT NO. 2 (this “Amendment”)
    dated as of June 16, 2010 is entered into by and among
    (i) NATIONAL MEDICAL CARE, INC., a Delaware corporation
    (the “Seller”) and (ii) the entities
    listed on the signature pages hereof under the heading “New
    Transferring Affiliates” (collectively, the “New
    Transferring Affiliates”) and (iii) the other
    entities listed on the signature pages hereof under the heading
    “Existing Transferring Affiliates” (collectively, the
    ‘‘Existing Transferring Affiliates” and,
    together with the New Transferring Affiliates, the
    ‘‘Transferring Affiliates”).

 

    PRELIMINARY
    STATEMENT

 

    A. The Seller and the Existing Transferring Affiliates are
    parties to that certain Amended and Restated Transferring
    Affiliate Letter dated as of October 16, 2008 (as amended
    or otherwise modified prior to the date hereof, the
    “Transferring Affiliate Letter”). Capitalized
    terms used herein and not otherwise defined shall have the
    meanings ascribed to them in the Transferring Affiliate Letter
    or in the RPA referred to therein.

 

    B. The parties hereto desire to amend the list of
    Transferring Affiliates under the Transferring Affiliate Letter
    by (i) terminating certain Existing Transferring Affiliates
    as specified in Section 1(b) below that have become
    dormant and have ceased to generate Receivables or have merged
    with other Transferring Affiliates and (ii) adding the New
    Transferring Affiliates.

 

    C. The parties hereto desire to amend the Transferring
    Affiliate Letter on the terms and conditions hereinafter set
    forth.

 

    NOW, THEREFORE, in consideration of the premises set forth
    above, and other good and valuable consideration the receipt and
    sufficiency of which is hereby acknowledged, the parties hereto
    agree as follows:

 

    Section 1. Amendments.

 

    (a) New Transferring Affiliates. Subject to the
    satisfaction of the conditions precedent set forth in
    Section 2 below, the New Transferring Affiliates are hereby
    added as “Transferring Affiliates” under the
    Transferring Affiliate Letter. From and after the effective date
    of this Amendment, each New Transferring Affiliate shall have
    all of the rights and obligations of a Transferring Affiliate
    under the Transferring Affiliate Letter. Accordingly, on the
    effective date of this Amendment, each New Transferring
    Affiliate shall sell to the Seller, and the Seller will
    forthwith purchase from such New Transferring Affiliate, all of
    the Receivables with respect to such New Transferring Affiliate
    and all Related Security with respect thereto. All Receivables
    with respect to such New Transferring Affiliate arising after
    the effective date of this Amendment and all Related Security
    with respect thereto shall be sold to the Seller pursuant to the
    terms of the Transferring Affiliate Letter in the same manner as
    if such New Transferring Affiliate had been an original party
    thereto.

 

    New Transferring Affiliates:

 

    Fresenius Medical Care Apheresis Services, LLC

    Fresenius Vascular Care, Inc. (f/k/a National Vascular Care,
    Inc.)

    Health IT Services Group, LLC

    New York Dialysis Services, Inc.

    RCG Robstown, LLP

    Saint Louis Renal Care, LLC

 

    (b) Terminated Transferring Affiliates. Subject
    to the satisfaction of the conditions precedent set forth in
    Section 2 below, the Existing Transferring Affiliates
    listed below (each, a “Terminated Transferring
    Affiliate”) are

    

    28

 

    hereby terminated as “Transferring Affiliates” under
    the Transferring Affiliate Letter. From and after the effective
    date of this Amendment, each of the parties hereto agrees that
    the Terminated Transferring Affiliates shall have no further
    right or obligation to transfer any of their Receivables under
    the Transferring Affiliate Letter and shall cease to be
    “Transferring Affiliates” thereunder, except with
    respect to Receivables that arose prior to the date hereof:

 

    Terminated Transferring Affiliates:

 

    Angleton Dialysis, Inc.

    Arizona Renal Investments, LLC

    Bio-Medical Applications Home Dialysis Services, Inc

    Bio-Medical Applications of Glendora, Inc.

    Bio-Medical Applications of Hoboken, Inc.

    Bio-Medical Applications of Idaho, LLC

    Bio-Medical Applications of Las Americas, Inc.

    Brazoria Kidney Center, Inc.

    Cartersville Dialysis Center, LLC

    Cobb County Dialysis, LLC

    Con-Med Supply Company, Inc.

    Covington Dialysis Center, LLC

    Diabetes Care Group, Inc.

    Dialysis America Alabama, LLC

    Dialysis Licensing Corp.

    Everest Management, Inc.

    FMS New York, Inc.

    Fresenius USA Home Dialysis, Inc.

    Home Intensive Care, Inc.

    Mercy Dialysis Center, Inc.

    Naples Dialysis Center, LLC

    Neomedica, Inc.

    New York Dialysis Management, Inc.

    NNA of Memphis, LLC

    NNA Properties of Tennessee, Inc.

    NNA Transportation Services Corporation

    Northwest Dialysis, Inc.

    RCG Arlington Heights, LLC

    RCG Credit Corporation

    RCG Finance, Inc.

    RCG Marion, LLC

    RCG PA Merger Corp.

    RCG Whitehaven, LLC

    RCG/Saint Luke’s LLC

    RCGIH, Inc.

    Renal Care Group Central Memphis, LLC

    RenalNet, Inc.

    RenalPartners of Indiana, LLC

    Renex Dialysis Clinic of Amesbury, Inc.

    Renex Dialysis Clinic of North Andover, Inc.

    Renex Dialysis Clinic of Penn Hills, Inc.

    Renex Dialysis Clinic of Shaler, Inc.

    Renex Dialysis Homecare of Greater St. Louis, Inc.

    Renex Management Services, Inc.

 

    Section 2. Conditions
    Precedent. This Amendment shall become effective and be
    deemed effective as of the date hereof upon (i) the receipt
    by the Seller of counterparts of this Amendment duly executed by
    the Seller, the

    

    29

 

    New Transferring Affiliates, and the Existing Transferring
    Affiliates, and (ii) the effectiveness of Amendment
    No. 1 to the TAA of even date herewith.

 

    Section 3. Covenants,
    Representations and Warranties of the Transferring
    Affiliates.

 

    3.1 Upon the effectiveness of this Amendment, each
    Transferring Affiliate hereby reaffirms all covenants,
    representations and warranties made by it in the Transferring
    Affiliate Letter (as amended hereby) and agrees that all such
    covenants, representations and warranties shall be deemed to
    have been remade as of the effective date of this Amendment.

 

    3.2 Each Transferring Affiliate hereby represents and
    warrants that this Amendment constitutes the legal, valid and
    binding obligation of such party, enforceable against it in
    accordance with terms hereof.

 

    Section 4. Reference
    to and Effect on the Transferring Affiliate Letter.

 

    4.1 Upon the effectiveness of this Amendment, each
    reference in the Transferring Affiliate Letter to
    “Transferring Affiliate Letter,”
    “hereunder,” “hereof,” “herein,”
    “hereby” or words of like import shall mean and be a
    reference to the Transferring Affiliate Letter as amended
    hereby, and each reference to the Transferring Affiliate Letter
    in any other document, instrument and agreement executed
    and/or
    delivered in connection with the Transferring Affiliate Letter
    shall mean and be a reference to the Transferring Affiliate
    Letter as amended hereby.

 

    4.2 Except as specifically amended hereby, the Transferring
    Affiliate Letter and all other documents, instruments and
    agreements executed
    and/or
    delivered in connection therewith shall remain in full force and
    effect and are hereby ratified and confirmed.

 

    4.3 The execution, delivery and effectiveness of this
    Amendment shall not operate as a waiver of any right, power or
    remedy of the Seller or any of its assignees under the
    Transferring Affiliate Letter or any other document, instrument,
    or agreement executed in connection therewith, nor constitute a
    waiver of any provision contained therein.

 

    Section 5. Governing
    Law. THIS AMENDMENT SHALL BE GOVERNED AND CONSTRUED IN
    ACCORDANCE WITH THE INTERNAL LAWS (AS OPPOSED TO THE CONFLICT OF
    LAW PROVISIONS) AND DECISIONS OF THE STATE OF NEW YORK.

 

    Section 6. Execution
    in Counterparts. This Amendment may be executed in any
    number of counterparts and by different parties hereto in
    separate counterparts, each of which when so executed and
    delivered shall be deemed to be an original and all of which
    taken together shall constitute but one and the same instrument.
    Delivery of an executed counterpart via facsimile or other
    electronic transmission shall be deemed delivery of an original
    counterpart.

 

    Section 7. Headings. Section
    headings in this Amendment are included herein for convenience
    of reference only and shall not constitute a part of this
    Amendment for any other purpose.

 

    [Remainder
    of Page Intentionally Left Blank]
    

    

    30

 

    IN WITNESS WHEREOF, the parties hereto have caused this
    Amendment to be executed by their respective officers thereunto
    duly authorized as of the date first written above.

 

 

    New Transferring Affiliates:

 

    Fresenius Medical Care Apheresis Services, LLC

    Fresenius Vascular Care, Inc. (f/k/a National Vascular Care,
    Inc.)

    Health IT Services Group, LLC

    New York Dialysis Services, Inc.

    RCG Robstown, LLP

    Saint Louis Renal Care, LLC

 

			
	 	    By: 
	
        

    Name: 

			
	 	    Title: 
	

 

 

    Existing Transferring Affiliates:

 

    Apheresis Care Group, Inc.

    Bio-Medical Applications Management Company, Inc.

    Bio-Medical Applications of Aguadilla, Inc.

    Bio-Medical Applications of Alabama, Inc.

    Bio-Medical Applications of Amarillo, Inc.

    Bio-Medical Applications of Anacostia, Inc.

    Bio-Medical Applications of Arecibo, Inc.

    Bio-Medical Applications of Arkansas, Inc.

    Bio-Medical Applications of Bayamon, Inc.

    Bio-Medical Applications of Blue Springs, Inc.

    Bio-Medical Applications of Caguas, Inc.

    Bio-Medical Applications of California, Inc.

    Bio-Medical Applications of Camarillo, Inc.

    Bio-Medical Applications of Capitol Hill, Inc.

    Bio-Medical Applications of Carolina, Inc.

    Bio-Medical Applications of Carson, Inc.

    Bio-Medical Applications of Clinton, Inc.

    Bio-Medical Applications of Columbia Heights, Inc.

    Bio-Medical Applications of Connecticut, Inc.

    Bio-Medical Applications of Delaware, Inc.

    Bio-Medical Applications of Dover, Inc.

    Bio-Medical Applications of Eureka, Inc.

    Bio-Medical Applications of Fayetteville, Inc.

    Bio-Medical Applications of Florida, Inc.

    Bio-Medical Applications of Fremont, Inc.

    Bio-Medical Applications of Fresno, Inc.

    Bio-Medical Applications of Georgia, Inc.

    Bio-Medical Applications of Guayama, Inc.

    Bio-Medical Applications of Humacao, Inc.

    Bio-Medical Applications of Illinois, Inc.

    Bio-Medical Applications of Indiana, Inc.

 

 

    Signature
    Page Amendment No. 2 to 

    Receivables Purchase Agreement

    

    31

 

    Bio-Medical Applications of Kansas, Inc.

    Bio-Medical Applications of Kentucky, Inc.

    Bio-Medical Applications of Long Beach, Inc.

    Bio-Medical Applications of Los Gatos, Inc.

    Bio-Medical Applications of Louisiana, LLC

    Bio-Medical Applications of Maine, Inc.

    Bio-Medical Applications of Manchester, Inc.

    Bio-Medical Applications of Maryland, Inc.

    Bio-Medical Applications of Massachusetts, Inc.

    Bio-Medical Applications of Mayaguez, Inc.

    Bio-Medical Applications of Michigan, Inc.

    Bio-Medical Applications of Minnesota, Inc.

    Bio-Medical Applications of Mission Hills, Inc.

    Bio-Medical Applications of Mississippi, Inc.

    Bio-Medical Applications of Missouri, Inc.

    Bio-Medical Applications of MLK, Inc.

    Bio-Medical Applications of Nevada, Inc.

    Bio-Medical Applications of New Hampshire, Inc.

    Bio-Medical Applications of New Jersey, Inc.

    Bio-Medical Applications of New Mexico, Inc.

    Bio-Medical Applications of North Carolina, Inc.

    Bio-Medical Applications of Northeast D.C., Inc.

    Bio-Medical Applications of Oakland, Inc.

    Bio-Medical Applications of Ohio, Inc.

    Bio-Medical Applications of Oklahoma, Inc.

    Bio-Medical Applications of Pennsylvania, Inc.

    Bio-Medical Applications of Ponce, Inc.

    Bio-Medical Applications of Puerto Rico, Inc.

    Bio-Medical Applications of Rhode Island, Inc.

    Bio-Medical Applications of Rio Piedras, Inc.

    Bio-Medical Applications of San Antonio, Inc.

    Bio-Medical Applications of San German, Inc.

    Bio-Medical Applications of San Juan, Inc.

    Bio-Medical Applications of South Carolina, Inc.

    Bio-Medical Applications of Southeast Washington, Inc.

    Bio-Medical Applications of Tennessee, Inc.

    Bio-Medical Applications of Texas, Inc.

    Bio-Medical Applications of the District of Columbia, Inc.

    Bio-Medical Applications of Ukiah, Inc.

    Bio-Medical Applications of Virginia, Inc.

    Bio-Medical Applications of West Virginia, Inc.

    Bio-Medical Applications of Wisconsin, Inc.

    Bio-Medical Applications of Woonsocket, Inc.

    Bio-Medical Applications of Wyoming, LLC

    Brevard County Dialysis, LLC

    Clayton County Dialysis, LLC

    Clermont Dialysis Center, LLC

    Columbus Area Renal Alliance, LLC

    Conejo Valley Dialysis, Inc.

    Dialysis America Georgia, LLC

 

 

    Signature
    Page Amendment No. 2 to 

    Receivables Purchase Agreement

    

    32

 

    Dialysis Associates of Northern New Jersey, L.L.C.

    Dialysis Associates, LLC

    Dialysis Centers of America — Illinois, Inc.

    Dialysis Management Corporation

    Dialysis Services of Atlanta, Inc.

    Dialysis Services of Cincinnati, Inc.

    Dialysis Services of Southeast Alaska, LLC

    Dialysis Services, Inc.

    Dialysis Specialists of Marietta, Ltd.

    Dialysis Specialists of Topeka, Inc.

    Dialysis Specialists of Tulsa, Inc.

    Douglas County Dialysis, LLC

    Doylestown Acute Renal Services, L.L.C.

    Du Page Dialysis, Ltd.

    Everest Healthcare Holdings, Inc.

    Everest Healthcare Indiana, Inc.

    Everest Healthcare Ohio, Inc.

    Everest Healthcare Rhode Island, Inc.

    Everest Healthcare Texas Holding Corp.

    Everest Healthcare Texas, L.P.

    FMS Philadelphia Dialysis, LLC

    Fondren Dialysis Clinic, Inc.

    Fort Scott Regional Dialysis Center, Inc.

    Four State Regional Dialysis Center, Inc.

    Fresenius Health Partners, Inc. (f/k/a Fresenius Medical Care

    Health Plan, Inc.)

    Fresenius Management Services, Inc.

    Fresenius Medical Care Comprehensive CKD Services, Inc.

    Fresenius Medical Care Dialysis Services Colorado LLC

    Fresenius Medical Care Dialysis Services — Oregon, LLC

    Fresenius Medical Care Healthcare Recruitment, LLC

    Fresenius Medical Care Holdings, Inc.

    Fresenius Medical Care of Illinois, LLC

    Fresenius Medical Care Pharmacy Services, Inc.

    Fresenius Medical Care PSO, LLC

    Fresenius Medical Care Rx, LLC

    Fresenius Medical Care Ventures Holding Company, Inc.

    Fresenius Medical Care Ventures, LLC

    Fresenius USA Manufacturing, Inc.

    Fresenius USA Marketing, Inc.

    Fresenius USA, Inc.

    Gulf Region Mobile Dialysis, Inc.

    Haemo-Stat, Inc.

    Henry Dialysis Center, LLC

    Holton Dialysis Clinic, LLC

    Home Dialysis of America, Inc.

    Home Dialysis of Muhlenberg County, Inc.

    Homestead Artificial Kidney Center, Inc.

    Integrated Renal Care of the Pacific, LLC

    Jefferson County Dialysis, Inc.

 

 

    Signature
    Page Amendment No. 2 to 

    Receivables Purchase Agreement

    

    33

 

    KDCO, Inc.

    Kentucky Renal Care Group, LLC

    Lawton Dialysis, Inc.

    Little Rock Dialysis, Inc.

    Maumee Dialysis Services, LLC

    Metro Dialysis Center — Normandy, Inc.

    Metro Dialysis Center — North, Inc.

    Miami Regional Dialysis Center, Inc.

    Michigan Home Dialysis Center, Inc.

    National Medical Care, Inc.

    National Nephrology Associates Management Company of Texas, Inc.

    National Nephrology Associates of Texas, L.P.

    Nephromed LLC

    NMC Services, Inc.

    NNA Management Company of Kentucky, Inc.

    NNA Management Company of Louisiana, Inc.

    NNA of Alabama, Inc.

    NNA of East Orange, L.L.C.

    NNA of Florida, LLC

    NNA of Georgia, Inc.

    NNA of Harrison, L.L.C.

    NNA of Louisiana, LLC

    NNA of Nevada, Inc.

    NNA of Newark, L.L.C.

    NNA of Oklahoma, Inc.

    NNA of Oklahoma, L.L.C.

    NNA of Rhode Island, Inc.

    NNA of Toledo, Inc.

    NNA-Saint Barnabas, L.L.C.

    NNA-Saint Barnabas-Livingston, L.L.C.

    Norcross Dialysis Center, LLC

    North Buckner Dialysis Center, Inc.

    Northeast Alabama Kidney Clinic, Inc.

    Northern New Jersey Dialysis, L.L.C.

    Physicians Dialysis Company, Inc.

    QualiCenters Albany, Ltd.

    QualiCenters Bend, LLC

    QualiCenters Coos Bay, Ltd.

    QualiCenters Eugene-Springfield Ltd.

    QualiCenters Inland Northwest LLC

    QualiCenters Pueblo, LLC

    QualiCenters Salem, LLC

    QualiCenters Sioux City LLC

    Qualicenters, Inc.

    RCG Bloomington, LLC

    RCG East Texas, LLP

    RCG Indiana, L.L.C.

    RCG Irving, LLP

    RCG Martin, LLC

    RCG Memphis East, LLC

 

 

    Signature
    Page Amendment No. 2 to 

    Receivables Purchase Agreement

    

    34

 

    RCG Memphis, LLC

    RCG Mississippi, Inc.

    RCG University Division, Inc.

    RCG West Health Supply, L.C.

    Renaissance Health Care, Inc.

    Renal Care Group Alaska, Inc.

    Renal Care Group East, Inc.

    Renal Care Group Michigan, Inc.

    Renal Care Group Northwest, Inc.

    Renal Care Group of the Midwest, Inc.

    Renal Care Group of the Ozarks, LLC

    Renal Care Group of the Rockies, LLC

    Renal Care Group of the South, Inc.

    Renal Care Group of the Southeast, Inc.

    Renal Care Group Ohio, Inc.

    Renal Care Group South New Mexico, LLC

    Renal Care Group Southwest Holdings, Inc.

    Renal Care Group Southwest Michigan, LLC

    Renal Care Group Southwest, L.P.

    Renal Care Group Texas, Inc.

    Renal Care Group Texas, LP

    Renal Care Group Toledo, LLC

    Renal Care Group Westlake, LLC

    Renal Care Group, Inc.

    Renal Care Group-Harlingen, L.P.

    Renal Solutions, Inc.

    RenalPartners, Inc.

    Renex Corp.

    Renex Dialysis Clinic of Bloomfield, Inc.

    Renex Dialysis Clinic of Bridgeton, Inc.

    Renex Dialysis Clinic of Creve Coeur, Inc.

    Renex Dialysis Clinic of Doylestown, Inc.

    Renex Dialysis Clinic of Maplewood, Inc.

    Renex Dialysis Clinic of Orange, Inc.

    Renex Dialysis Clinic of Philadelphia, Inc.

    Renex Dialysis Clinic of Pittsburgh, Inc.

    Renex Dialysis Clinic of South Georgia, Inc.

    Renex Dialysis Clinic of St. Louis, Inc.

    Renex Dialysis Clinic of Tampa, Inc.

    Renex Dialysis Clinic of Union, Inc.

    Renex Dialysis Clinic of University City, Inc.

    Renex Dialysis Clinic of Woodbury, Inc.

    Renex Dialysis Facilities, Inc.

    S.A.K.D.C., Inc.

    San Diego Dialysis Services, Inc.

    Santa Barbara Community Dialysis Center, Inc.

    Smyrna Dialysis Center, LLC

    SORB Technology, Inc.

    Spectra Diagnostics, LLC

    Spectra East, Inc.

 

 

    Signature
    Page Amendment No. 2 to 

    Receivables Purchase Agreement

    

    35

 

    Spectra Laboratories, Inc.

    Spectra Medical Data Processing, LLC

    Spectra Renal Research, LLC

    SSKG, Inc.

    St. Louis Regional Dialysis Center, Inc.

    STAT Dialysis Corporation

    Stone Mountain Dialysis Center, LLC

    Stuttgart Dialysis, LLC

    Tappahannock Dialysis Center, Inc.

    Terrell Dialysis Center, L.L.C.

    Three Rivers Dialysis Services, LLC

    U.S. Vascular Access Holdings, LLC

    Warrenton Dialysis Facility, Inc.

    West End Dialysis Center, Inc.

    West Palm Dialysis, LLC

    Wharton Dialysis, Inc.

    WSKC Dialysis Services, Inc.

 

    Terminated Transferring Affiliates:

    Angleton Dialysis, Inc.

    Arizona Renal Investments, LLC

    Bio-Medical Applications Home Dialysis Services, Inc

    Bio-Medical Applications of Glendora, Inc.

    Bio-Medical Applications of Hoboken, Inc.

    Bio-Medical Applications of Idaho, LLC

    Bio-Medical Applications of Las Americas, Inc.

    Brazoria Kidney Center, Inc.

    Cartersville Dialysis Center, LLC

    Cobb County Dialysis, LLC

    Con-Med Supply Company, Inc.

    Covington Dialysis Center, LLC

    Diabetes Care Group, Inc.

    Dialysis America Alabama, LLC

    Dialysis Licensing Corp.

    Everest Management, Inc.

    FMS New York, Inc.

    Fresenius USA Home Dialysis, Inc.

    Home Intensive Care, Inc.

    Mercy Dialysis Center, Inc.

    Naples Dialysis Center, LLC

    Neomedica, Inc.

    New York Dialysis Management, Inc.

    NNA of Memphis, LLC

    NNA Properties of Tennessee, Inc.

    NNA Transportation Services Corporation

    Northwest Dialysis, Inc.

    RCG Arlington Heights, LLC

    RCG Credit Corporation

    RCG Finance, Inc.

    RCG Marion, LLC

    RCG PA Merger Corp.

 

 

    Signature
    Page Amendment No. 2 to 

    Receivables Purchase Agreement

    

    36

 

    RCG Whitehaven, LLC

    RCG/Saint Luke’s LLC

    RCGIH, Inc.

    Renal Care Group Central Memphis, LLC

    RenalNet, Inc.

    RenalPartners of Indiana, LLC

    Renex Dialysis Clinic of Amesbury, Inc.

    Renex Dialysis Clinic of North Andover, Inc.

    Renex Dialysis Clinic of Penn Hills, Inc.

    Renex Dialysis Clinic of Shaler, Inc.

    Renex Dialysis Homecare of Greater St. Louis, Inc.

    Renex Management Services, Inc.

 

			
	 	    By: 
	
        

    Name: 

			
	 	    Title: 
	

 

    NATIONAL MEDICAL CARE, INC.

 

			
	 	    By: 
	
        

    Name: 

			
	 	    Title: 
	

 

 

    Signature
    Page Amendment No. 2 to 

    Receivables Purchase Agreement

    

    37

 

    EXHIBIT J

    

 

    to

    

 

    AMENDED
    AND RESTATED RECEIVABLES PURCHASE AGREEMENT

    

 

    LIST OF
    TRANSFERRING AFFILIATES, CHIEF EXECUTIVE

    

 

    OFFICES
    OF TRANSFERRING AFFILIATES AND TRADENAMES

    

 

    SECTIONS 2.7(b),
    3.1(i) and 3.1 (k)(iv)

 

    2.7(b) List of Transferring Affiliates:

 

    Apheresis Care Group, Inc.

    Bio-Medical Applications Management Company, Inc.

    Bio-Medical Applications of Aguadilla, Inc.

    Bio-Medical Applications of Alabama, Inc.

    Bio-Medical Applications of Amarillo, Inc.

    Bio-Medical Applications of Anacostia, Inc.

    Bio-Medical Applications of Arecibo, Inc.

    Bio-Medical Applications of Arkansas, Inc.

    Bio-Medical Applications of Bayamon, Inc.

    Bio-Medical Applications of Blue Springs, Inc.

    Bio-Medical Applications of Caguas, Inc.

    Bio-Medical Applications of California, Inc.

    Bio-Medical Applications of Camarillo, Inc.

    Bio-Medical Applications of Capitol Hill, Inc.

    Bio-Medical Applications of Carolina, Inc.

    Bio-Medical Applications of Carson, Inc.

    Bio-Medical Applications of Clinton, Inc.

    Bio-Medical Applications of Columbia Heights, Inc.

    Bio-Medical Applications of Connecticut, Inc.

    Bio-Medical Applications of Delaware, Inc.

    Bio-Medical Applications of Dover, Inc.

    Bio-Medical Applications of Eureka, Inc.

    Bio-Medical Applications of Fayetteville, Inc.

    Bio-Medical Applications of Florida, Inc.

    Bio-Medical Applications of Fremont, Inc.

    Bio-Medical Applications of Fresno, Inc.

    Bio-Medical Applications of Georgia, Inc.

    Bio-Medical Applications of Guayama, Inc.

    Bio-Medical Applications of Humacao, Inc.

    Bio-Medical Applications of Illinois, Inc.

    Bio-Medical Applications of Indiana, Inc.

    Bio-Medical Applications of Kansas, Inc.

    Bio-Medical Applications of Kentucky, Inc.

    Bio-Medical Applications of Long Beach, Inc.

    Bio-Medical Applications of Los Gatos, Inc.

    Bio-Medical Applications of Louisiana, LLC

    Bio-Medical Applications of Maine, Inc.

    Bio-Medical Applications of Manchester, Inc.

    Bio-Medical Applications of Maryland, Inc.

    Bio-Medical Applications of Massachusetts, Inc.

    Bio-Medical Applications of Mayaguez, Inc.

    Bio-Medical Applications of Michigan, Inc.

 

    Bio-Medical Applications of Minnesota, Inc.

    Bio-Medical Applications of Mission Hills, Inc.

    Bio-Medical Applications of Mississippi, Inc.

    Bio-Medical Applications of Missouri, Inc.

    Bio-Medical Applications of MLK, Inc.

    Bio-Medical Applications of Nevada, Inc.

    Bio-Medical Applications of New Hampshire, Inc.

    Bio-Medical Applications of New Jersey, Inc.

    Bio-Medical Applications of New Mexico, Inc.

    Bio-Medical Applications of North Carolina, Inc.

    Bio-Medical Applications of Northeast D.C., Inc.

    Bio-Medical Applications of Oakland, Inc.

    Bio-Medical Applications of Ohio, Inc.

    Bio-Medical Applications of Oklahoma, Inc.

    Bio-Medical Applications of Pennsylvania, Inc.

    Bio-Medical Applications of Ponce, Inc.

    Bio-Medical Applications of Puerto Rico, Inc.

    Bio-Medical Applications of Rhode Island, Inc.

    Bio-Medical Applications of Rio Piedras, Inc.

    Bio-Medical Applications of San Antonio, Inc.

    Bio-Medical Applications of San German, Inc.

    Bio-Medical Applications of San Juan, Inc.

    Bio-Medical Applications of South Carolina, Inc.

    Bio-Medical Applications of Southeast Washington, Inc.

    Bio-Medical Applications of Tennessee, Inc.

    Bio-Medical Applications of Texas, Inc.

    Bio-Medical Applications of the District of Columbia, Inc.

    Bio-Medical Applications of Ukiah, Inc.

    Bio-Medical Applications of Virginia, Inc.

    Bio-Medical Applications of West Virginia, Inc.

    Bio-Medical Applications of Wisconsin, Inc.

    Bio-Medical Applications of Woonsocket, Inc.

    Bio-Medical Applications of Wyoming, LLC

    Brevard County Dialysis, LLC

    Clayton County Dialysis, LLC

    Clermont Dialysis Center, LLC

    Columbus Area Renal Alliance, LLC

    Conejo Valley Dialysis, Inc.

    Dialysis America Georgia, LLC

    Dialysis Associates of Northern New Jersey, L.L.C.

    Dialysis Associates, LLC

    Dialysis Centers of America — Illinois, Inc.

    Dialysis Management Corporation

    Dialysis Services of Atlanta, Inc.

    Dialysis Services of Cincinnati, Inc.

    Dialysis Services of Southeast Alaska, LLC

    Dialysis Services, Inc.

    Dialysis Specialists of Marietta, Ltd.

    Dialysis Specialists of Topeka, Inc.

    Dialysis Specialists of Tulsa, Inc.

    Douglas County Dialysis, LLC

    Doylestown Acute Renal Services, L.L.C.

    Du Page Dialysis, Ltd.

    

    2

 

    Everest Healthcare Holdings, Inc.

    Everest Healthcare Indiana, Inc.

    Everest Healthcare Ohio, Inc.

    Everest Healthcare Rhode Island, Inc.

    Everest Healthcare Texas Holding Corp.

    Everest Healthcare Texas, L.P.

    FMS Philadelphia Dialysis, LLC

    Fondren Dialysis Clinic, Inc.

    Fort Scott Regional Dialysis Center, Inc.

    Four State Regional Dialysis Center, Inc.

    Fresenius Health Partners, Inc. (f/k/a Fresenius Medical Care
    Health Plan, Inc.)

    Fresenius Management Services, Inc.

    Fresenius Medical Care Apheresis Services, LLC

    Fresenius Medical Care Comprehensive CKD Services, Inc.

    Fresenius Medical Care Dialysis Services Colorado LLC

    Fresenius Medical Care Dialysis Services — Oregon, LLC

    Fresenius Medical Care Healthcare Recruitment, LLC

    Fresenius Medical Care Holdings, Inc.

    Fresenius Medical Care of Illinois, LLC

    Fresenius Medical Care Pharmacy Services, Inc.

    Fresenius Medical Care PSO, LLC

    Fresenius Medical Care Rx, LLC

    Fresenius Medical Care Ventures Holding Company, Inc.

    Fresenius Medical Care Ventures, LLC

    Fresenius USA Manufacturing, Inc.

    Fresenius USA Marketing, Inc.

    Fresenius USA, Inc.

    Fresenius Vascular Care, Inc. (f/k/a National Vascular Care,
    Inc.)

    Gulf Region Mobile Dialysis, Inc.

    Haemo-Stat, Inc.

    Health IT Services Group, LLC

    Henry Dialysis Center, LLC

    Holton Dialysis Clinic, LLC

    Home Dialysis of America, Inc.

    Home Dialysis of Muhlenberg County, Inc.

    Homestead Artificial Kidney Center, Inc.

    Integrated Renal Care of the Pacific, LLC

    Jefferson County Dialysis, Inc.

    KDCO, Inc.

    Kentucky Renal Care Group, LLC

    Lawton Dialysis, Inc.

    Little Rock Dialysis, Inc.

    Maumee Dialysis Services, LLC

    Metro Dialysis Center — Normandy, Inc.

    Metro Dialysis Center — North, Inc.

    Miami Regional Dialysis Center, Inc.

    Michigan Home Dialysis Center, Inc.

    National Medical Care, Inc.

    National Nephrology Associates Management Company of Texas, Inc.

    National Nephrology Associates of Texas, L.P.

    Nephromed LLC

    New York Dialysis Services, Inc.

    NMC Services, Inc.

    

    3

 

    NNA Management Company of Kentucky, Inc.

    NNA Management Company of Louisiana, Inc.

    NNA of Alabama, Inc.

    NNA of East Orange, L.L.C.

    NNA of Florida, LLC

    NNA of Georgia, Inc.

    NNA of Harrison, L.L.C.

    NNA of Louisiana, LLC

    NNA of Nevada, Inc.

    NNA of Newark, L.L.C.

    NNA of Oklahoma, Inc.

    NNA of Oklahoma, L.L.C.

    NNA of Rhode Island, Inc.

    NNA of Toledo, Inc.

    NNA-Saint Barnabas, L.L.C.

    NNA-Saint Barnabas-Livingston, L.L.C.

    Norcross Dialysis Center, LLC

    North Buckner Dialysis Center, Inc.

    Northeast Alabama Kidney Clinic, Inc.

    Northern New Jersey Dialysis, L.L.C.

    Physicians Dialysis Company, Inc.

    QualiCenters Albany, Ltd.

    QualiCenters Bend, LLC

    QualiCenters Coos Bay, Ltd.

    QualiCenters Eugene-Springfield Ltd.

    QualiCenters Inland Northwest LLC

    QualiCenters Pueblo, LLC

    QualiCenters Salem, LLC

    QualiCenters Sioux City LLC

    Qualicenters, Inc.

    RCG Bloomington, LLC

    RCG East Texas, LLP

    RCG Indiana, L.L.C.

    RCG Irving, LLP

    RCG Martin, LLC

    RCG Memphis East, LLC

    RCG Memphis, LLC

    RCG Mississippi, Inc.

    RCG Robstown, LLP

    RCG University Division, Inc.

    RCG West Health Supply, L.C.

    Renaissance Health Care, Inc.

    Renal Care Group Alaska, Inc.

    Renal Care Group East, Inc.

    Renal Care Group Michigan, Inc.

    Renal Care Group Northwest, Inc.

    Renal Care Group of the Midwest, Inc.

    Renal Care Group of the Ozarks, LLC

    Renal Care Group of the Rockies, LLC

    Renal Care Group of the South, Inc.

    Renal Care Group of the Southeast, Inc.

    Renal Care Group Ohio, Inc.

    Renal Care Group South New Mexico, LLC

    

    4

 

    Renal Care Group Southwest Holdings, Inc.

    Renal Care Group Southwest Michigan, LLC

    Renal Care Group Southwest, L.P.

    Renal Care Group Texas, Inc.

    Renal Care Group Texas, LP

    Renal Care Group Toledo, LLC

    Renal Care Group Westlake, LLC

    Renal Care Group, Inc.

    Renal Care Group-Harlingen, L.P.

    Renal Solutions, Inc.

    RenalPartners, Inc.

    Renex Corp.

    Renex Dialysis Clinic of Bloomfield, Inc.

    Renex Dialysis Clinic of Bridgeton, Inc.

    Renex Dialysis Clinic of Creve Coeur, Inc.

    Renex Dialysis Clinic of Doylestown, Inc.

    Renex Dialysis Clinic of Maplewood, Inc.

    Renex Dialysis Clinic of Orange, Inc.

    Renex Dialysis Clinic of Philadelphia, Inc.

    Renex Dialysis Clinic of Pittsburgh, Inc.

    Renex Dialysis Clinic of South Georgia, Inc.

    Renex Dialysis Clinic of St. Louis, Inc.

    Renex Dialysis Clinic of Tampa, Inc.

    Renex Dialysis Clinic of Union, Inc.

    Renex Dialysis Clinic of University City, Inc.

    Renex Dialysis Clinic of Woodbury, Inc.

    Renex Dialysis Facilities, Inc.

    S.A.K.D.C., Inc.

    Saint Louis Renal Care, LLC

    San Diego Dialysis Services, Inc.

    Santa Barbara Community Dialysis Center, Inc.

    Smyrna Dialysis Center, LLC

    SORB Technology, Inc.

    Spectra Diagnostics, LLC

    Spectra East, Inc.

    Spectra Laboratories, Inc.

    Spectra Medical Data Processing, LLC

    Spectra Renal Research, LLC

    SSKG, Inc.

    St. Louis Regional Dialysis Center, Inc.

    STAT Dialysis Corporation

    Stone Mountain Dialysis Center, LLC

    Stuttgart Dialysis, LLC

    Tappahannock Dialysis Center, Inc.

    Terrell Dialysis Center, L.L.C.

    Three Rivers Dialysis Services, LLC

    U.S. Vascular Access Holdings, LLC

    Warrenton Dialysis Facility, Inc.

    West End Dialysis Center, Inc.

    West Palm Dialysis, LLC

    Wharton Dialysis, Inc.

    WSKC Dialysis Services, Inc.

    

    5

 

    3.1 (i) Place of Business:  For each
    Transferring Affiliate, the principal place of business, chief
    executive office, and the offices where each Transferring
    Affiliate keeps substantially all its Records is 920 Winter
    Street, Waltham, MA 02451.

 

	 	 	 
	

    3.1 k(iv) Tradenames:

	
 
	
    Fresenius Medical Care North America

    Spectra Renal Management

    Renal Care Group

    National Nephrology Associates

    TruBlu Logistics (FUSA Mfg)

	
 
	
 
	
 

	

    Mergers:

	
 
	
    On March 31, 2006, FMCH completed the acquisition of Renal Care
    Group, Inc.

	
 
	
 
	
 

	
 
	
 
	
    On November 29, 2007, FMCH completed the acquisition of Renal
    Solutions, Inc.

	
 
	
 
	
 

	
 
	
 
	
    On February 29, 2008, FMCH completed the acquisition of
    MAX Well Medical, Inc., which was subsequently merged on
    April 14, 2009 into its subsidiary, Specialty Care Pharmacy,
    LLC, and renamed Fresenius Medical Care Rx, LLC

    

    6

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