Document:

T. Hunt Employment Letter Summary

Summary of Modifications
to Truman Hunt’s Employment Letter 

On May 12, 2008, our Compensation
Committee approved the following changes to the compensation of Truman Hunt, the Chief
Executive Officer of the Company, as reflected in Mr. Hunt’s Employment Letter. Mr.
Hunt’s base salary was increased to $750,000 per year. The dividend equivalent being
paid to Mr. Hunt on a hypothetical 250,000 shares (approximately $105,000 in 2007) was
terminated in connection with the increase in salary. Mr. Hunt’s semi-annual option
grant was increased to 50,000 options for 2008, and to 92,500 for future years (exclusive
of any special or one-time equity awards). Mr. Hunt’s target bonus percentage was
previously increased to 100 percent in September 2005.A. Pahwa Offer Letter

May 8, 2008 

Dear Ashok: 

It is with great pleasure that we
offer you a position with Nu Skin Enterprises as Chief Marketing Officer. The CMO reports
directly to Truman Hunt, Chief Executive Officer. 

Associated with this opportunity, we
offer you a starting base salary of $250,000 for the first year, with an opportunity for
annual adjustments subject to company profitability, market data and personal performance.
You will also receive a $75,000 gross signing bonus, $25,000 of which will be held back as
a potential offset for any adverse market adjustment on the sale of your home (outlined
below). Beginning the second year, upon the anniversary of your start date, your base
salary will be increased to $275,000. You will also participate in the benefits listed
below and other standard benefits not specifically identified below, reserved for NSE
management. 

	•	  	
You are eligible to earn a cash incentive award each quarter calculated as a percentage of
your annual base salary. Governed by the Senior Executive Incentive Plan, the cash
incentive target level for your position is 60%. You will be guaranteed 50% of the first
year’s potential bonus. The payout formula is based upon the achievement of NSE and
your objectives. 

	• 	  	
On an ongoing basis, at the discretion of the company, you will be issued 35,000
non-qualified stock options per year or 17,500 semi-annually as part of the NSE stock
option program. The next date of semi-annual stock option grants is currently anticipated
for September 2008. These options have a four-year vesting period with 25% being vested
each year on the anniversary date of the issue. Upon your start date you will receive
17,500 stock options. You will then fall into the regularly scheduled stock option
program. 

	• 	  	
You may participate in NSE’s 401k plan in which the Company matches up to 3% of your
salary when you contribute at least 4% of your salary. The 401k booklet previously given
you outlines more details on the Company 401k plan. The employee contribution can begin
once employed. The company contribution begins one year after the employee’s hire
date. 

	•	  	
You will be eligible to participate in the Company’s Deferred Compensation Plan. You
may contribute 100% of your bonuses, and up to 80% of your base salary. You will receive a
company contribution of 10% of your annual base salary. This contribution is made
quarterly. 

	• 	  	
You will receive an unlimited allotment of NSE product from the NSE Employee Store for
personal and immediate family use, subject to availability. 

	• 	  	You
will be eligible for our executive relocation package (see attached).  

	•  	  	You
will also have vacation days to use as needed.  

	• 	  	
You will also receive one year of severance should your employment be terminated by the
Company without cause. This also includes any non-compete obligations you would owe to the
Company. As used herein, “cause” refers to (i) any act or omission that
constitutes a material breach by you or your obligations as CMO and which breach is
materially injurious to the Company, (ii) your willful and continued failure or refusal to
substantially perform the duties required of you in your position with the Company, which
failure is not cured within twenty (20) days following written notice of such failure,
(iii) any willful violation by you of any material law or regulation applicable to the
business of the Company or any of its subsidiaries or affiliates, or your conviction of,
or a plea of nolo contendre to, a felony, or any willful perpetration by you of a common
law fraud, or (iv) any other willful misconduct by you that is materially injurious to the
financial condition or business reputation of, or is otherwise materially injurious to,
the Company or any of its subsidiaries or affiliates. Notwithstanding the foregoing, you
understand that the Company is in the process of drafting a formal severance policy for
executives and it is anticipated that the definition of cause in that policy will apply to
all executives once the policy is finalized. 

	• 	  	
In the event your home should sell for less than the appraised value, the Company shall
bonus you for up to $200,000 for any shortfall. Which shortfall should be offset dollar
for dollar by the $25,000 signing bonus withheld, pending the sale of your home. If the
sale of your home is not more than $175,000 below the appraised value you will receive the
$25,000 offset as described above. Between $175,000 and $200,000 the $25,000 offset
described above would prorated for a total shortfall assistance of $200,000. 

	• 	  	
While you are not, at present, a formal member of the Executive Committee, it is our
intent to transition you to full membership and our target is to complete such a
transition within 6 months of your start date. 

	• 	  	
Your employment will be “at will” and the terms of any and all compensation
benefits are subject to change at the discretion of the Compensation Committee of the
Board of Directors; provided, however, the signing bonus, the relocation benefits
described herein, and the severance benefits (for a period of four years) shall not be
subject to change and the scheduled increase to salary next year shall occur as indicated. 

Nu Skin is poised on a very
competitive and opportunity –rich marketplace. We believe you have the talent and
skills necessary to make a valuable contribution in our global organization, and we look
forward to a rich, rewarding and long term professional relationship with you. We
recognize that this position involves a significant relocation for you and your spouse
from New York to Utah and if there is anything we can do to assist you in making a smooth
transition to the Nu Skin organization and to Utah, please let us know at your earliest
convenience. If you elect to join the Nu Skin organization, we are prepared to have you
begin work as early as possible. 

Sincerely, 

/s/   David Daines

        David Daines 
Vice President, Human
Resources 

cc: File 

I accept the offer as stipulated
above:__________________________________-----------------------------------------------------------------------------
-----------------------------------------------------------------------------

                         DIALYSIS CORPORATION OF AMERICA
                                as the Borrower,

                                      and

                           KEYBANK NATIONAL ASSOCIATION,
                                 as the Lender

                               -----------------

                                AMENDMENT NO. 6
                                      to
                                CREDIT AGREEMENT
                                  dated as of
                               February 27, 2009

                               -----------------

-----------------------------------------------------------------------------
-----------------------------------------------------------------------------

<PAGE>

     This AMENDMENT NO. 6 TO CREDIT AGREEMENT (this "Amendment"), dated as of
February 27, 2009, is entered into by and between DIALYSIS CORPORATION OF
AMERICA, a Florida corporation (herein, together with its successors and
assigns, the "Borrower"), and KEYBANK NATIONAL ASSOCIATION, a national
banking association (herein, together with its successors and assigns, the
"Lender").

     PRELIMINARY STATEMENTS:

     (1) The Borrower and the Lender entered into the Credit Agreement, dated
as of October 24, 2005 (as amended, the "Credit Agreement"; capitalized terms
used herein and not defined herein are used herein as defined in the Credit
Agreement).

     (2) The parties hereto desire to modify certain terms and provisions of
the Credit Agreement.

     NOW, THEREFORE, the parties hereto agree as follows:

     SECTION 1. AMENDMENTS.

     1.1. New Definition.  Section 1.1 of the Credit Agreement is hereby
          --------------
amended by inserting the following definition in the appropriate alphabetical
order:

          "Share Repurchase" means the repurchase or redemption or retirement
     of any capital stock or other equity interest of a Company by such
     Company.

     1.2. Consolidated Net Worth. Clause (ii)(B) of Section 6.1(d) of the
          ----------------------
Credit Agreement is hereby amended and restated in its entirety to read:

          (B) 100% of the proceeds from any equity offering by any Company or
     any debt offering of any Company to the extent actually converted into
     equity, and to the extent such proceeds do not result from the
     reissuance of equity interests that were previously repurchased,
     redeemed or retired pursuant to a Share Repurchase expressly permitted
     under Section 6.5(d) or otherwise consented to in writing by the Lender.

     1.3. Restricted Payments.  Section 6.5 of the Credit Agreement is hereby
          -------------------
amended by (i) deleting the word "and" at the end of clause (b) thereof, (ii)
replacing the period at the end of clause (c) thereof with "; and" and
inserting the following clause (d) after clause (c) thereof:

          (d) Borrower may make Share Repurchases, provided that (i) no
     Default or Event of Default shall have occurred and be continuing or
     would result therefrom, (ii) Borrower will be in compliance with the
     financial covenants set forth in Section 6.1 after giving pro forma
     effect to each such Share Repurchase and (iii) the aggregate amount of
     all Share Repurchases made by Borrower shall not exceed $3,000,000.

        SECTION 2. REPRESENTATIONS AND WARRANTIES.  The Borrower represents
and warrants to the Lender as follows:

<PAGE>

     2.1. Authorization, Validity and Binding Effect.  This Amendment has
          ------------------------------------------
been duly authorized by all necessary corporate action on the part of the
Borrower, has been duly executed and delivered by a duly authorized officer
or officers of the Borrower, and constitutes the valid and binding agreement
of the Borrower, enforceable against the Borrower in accordance with its terms.

     2.2. Representations and Warranties True and Correct.  The
          -----------------------------------------------
representations and warranties of the Borrower contained in the Credit
Agreement, as amended hereby, are true and correct on and as of the date
hereof as though made on and as of the date hereof, except to the extent that
such representations and warranties expressly relate to a specified date, in
which case such representations and warranties are hereby reaffirmed as true
and correct when made.

     2.3. No Event of Default.  After giving effect to this Amendment, no
          -------------------
condition or event has occurred or exists that constitutes or that, after
notice or lapse of time or both, would constitute a Default or an Event of
Default.

     2.4. No Claims.  The Borrower is not aware of any claim or offset
          ---------
against, or defense or counterclaim to, any of its obligations or liabilities
under the Credit Agreement or any other Credit Document.

     SECTION 3. RATIFICATIONS.  Except as expressly modified and superseded
by this Amendment, the terms and provisions of the Credit Agreement are
ratified and confirmed and shall continue in full force and effect.

     SECTION 4. CONDITIONS PRECEDENT.  The amendments set forth in Section 1
hereof shall become effective as of the date first written above if on or
before the date hereof, the following conditions have been satisfied:

     (a) this Amendment shall have been executed by the Borrower and the
Lender, and counterparts hereof as so executed shall have been delivered to
the Lender;

     (b) the Borrower shall have caused each Guarantor to consent and agree
to and acknowledge the terms of this Amendment by executing a Guarantor
Acknowledgment and Agreement substantially similar to the form attached
hereto as Exhibit A;

     (c) the Borrower shall have paid to the Lender an amendment fee in the
amount set forth in a separate fee letter provided to the Borrower on or
about the date hereof;

     (d) the Borrower shall have paid all legal fees and expenses of counsel
to the Lender to the extent invoiced on or prior to the date hereof; and

     (e) the Borrower shall have provided such other items and shall have
satisfied such other conditions as may be reasonably required by the Lender.

     SECTION 5. MISCELLANEOUS.

     5.1. Successors and Assigns.  This Amendment shall be binding upon and
          ----------------------
inure to the benefit of the Borrower and the Lender and their respective
successors and assigns.

<PAGE>

     5.2. Survival of Representations and Warranties.  All representations
             ------------------------------------------
and warranties made in this Amendment shall survive the execution and
delivery of this Amendment, and no investigation by the Lender or any
subsequent Loan shall affect the representations and warranties or the right
of the Lender to rely upon them.

     5.3. Reference to Credit Agreement.  The Credit Agreement and any and
             -----------------------------
all other agreements, instruments or documentation now or hereafter executed
and delivered pursuant to the terms of the Credit Agreement as amended
hereby, are hereby amended so that any reference therein to the Credit
Agreement shall mean a reference to the Credit Agreement as amended hereby.

     5.4. Expenses.  As provided in the Credit Agreement, but without
             --------
limiting any terms or provisions thereof, the Borrower agrees to pay on
demand all costs and expenses incurred by the Lender in connection with
the preparation, negotiation, and execution of this Amendment, including
without limitation the costs and fees of the Lender's special legal counsel,
regardless of whether this Amendment becomes effective in accordance with the
terms hereof, and all costs and expenses incurred by the Lender in connection
with the enforcement or preservation of any rights under the Credit
Agreement, as amended hereby.

     5.5. Severability.  Any term or provision of this Amendment held by a
          ------------
court of competent jurisdiction to be invalid or unenforceable shall not
impair or invalidate the remainder of this Amendment and the effect thereof
shall be confined to the term or provision so held to be invalid or
unenforceable.

     5.6. Applicable Law.  This Amendment shall be governed by and construed
          --------------
in accordance with the laws of the State of Ohio, without regard to
principles of conflicts of laws.

     5.7. Headings.  The headings, captions and arrangements used in this
          --------
Amendment are for convenience only and shall not affect the interpretation of
this Amendment.

     5.8. Entire Agreement.  This Amendment is specifically limited to the
          ----------------
matters expressly set forth herein. This Amendment and all other instruments,
agreements and documentation executed and delivered in connection with this
Amendment embody the final, entire agreement among the parties hereto with
respect to the subject matter hereof and supersede any and all prior
commitments, agreements, representations and understandings, whether written
or oral, relating to the matters covered by this Amendment, and may not be
contradicted or varied by evidence of prior, contemporaneous or subsequent
oral agreements or discussions of the parties hereto. There are no oral
agreements among the parties hereto relating to the subject matter hereof or
any other subject matter relating to the Credit Agreement.

     5.9. Waiver of Claims.  The Borrower, by signing below, hereby waives
          ----------------
and releases the Lender and its directors, officers, employees, attorneys,
affiliates and subsidiaries from any and all claims, offsets, defenses and
counterclaims of which Borrower is aware, such waiver and release being with
full knowledge and understanding of the circumstances and effect thereof and
after having consulted legal counsel with respect thereto.

     5.10. Counterparts.  This Amendment may be executed by the parties
           ------------
hereto separately in one or more counterparts, each of which when so executed
shall be deemed to be an original,

<PAGE>

but all of which when taken together shall constitute one and the same
agreement. Transmission by a party to another party (or its counsel) via
facsimile or electronic mail of a copy of this Amendment (or a signature page
of this Amendment) shall be as fully effective as delivery by such
transmitting party to the other parties hereto of a counterpart of this
Amendment that had been manually signed by such transmitting party.

     5.11. JURY TRIAL WAIVER.  THE BORROWER AND THE LENDER EACH WAIVES ANY
RIGHT TO HAVE A JURY PARTICIPATE IN RESOLVING ANY DISPUTE, WHETHER SOUNDING
IN CONTRACT, TORT OR OTHERWISE, BETWEEN THE BORROWER AND THE LENDER, ARISING
OUT OF, IN CONNECTION WITH, RELATED TO, OR INCIDENTAL TO THE RELATIONSHIP
ESTABLISHED BETWEEN THEM IN CONNECTION WITH THIS AMENDMENT, THE CREDIT
AGREEMENT, THE NOTE OR OTHER RELATED WRITING, INSTRUMENT, DOCUMENT OR
AGREEMENT EXECUTED OR DELIVERED IN CONNECTION HEREWITH OR THE TRANSACTIONS
RELATED THERETO.

              [Remainder of page intentionally left blank.]

<PAGE>

     IN WITNESS WHEREOF, this Amendment has been duly executed and delivered
as of the date first above written.

                             BORROWER:
                             DIALYSIS CORPORATION OF AMERICA

                                 /s/ Stephen W. Everett
                             By:--------------------------------------
                                 Name: Stephen W. Everett
                                 Title:  President and Chief Executive
                                             Officer

                             LENDER:
                             KEYBANK NATIONAL ASSOCIATION

                                 /s/ T.J. Purcell
                             By:-------------------------------------
                                 Name: Thomas J. Purcell
                                 Title: Senior Vice President

<PAGE>

                                  EXHIBIT A

                    GUARANTOR ACKNOWLEDGMENT AND AGREEMENT

     Each of the undersigned consents and agrees to and acknowledges the
terms of the foregoing Amendment No. 6 to Credit Agreement, dated as of
February 27, 2009. Each of the undersigned specifically acknowledges the
terms of and consent to the waivers set forth therein.  Each of the
undersigned further agrees that the obligations of each of the undersigned
pursuant to the Closing Date Guaranty executed by each of the undersigned
shall remain in full force and effect and be unaffected hereby.

     Each of the undersigned, by signing below, hereby waives and releases
the Lender and its respective directors, officers, employees, attorneys,
affiliates and subsidiaries from any and all claims, offsets, defenses and
counterclaims of which any of the undersigned is aware, such waiver and
release being with full knowledge and understanding of the circumstances and
effect thereof and after having consulted legal counsel with respect thereto.

     EACH OF THE UNDERSIGNED WAIVES ANY RIGHT TO HAVE A JURY PARTICIPATE IN
RESOLVING ANY DISPUTE, WHETHER SOUNDING IN CONTRACT, TORT OR OTHERWISE, AMONG
ANY OF THE UNDERSIGNED, THE BORROWER AND/OR THE LENDER, ARISING OUT OF, IN
CONNECTION WITH, RELATED TO, OR INCIDENTAL TO THE RELATIONSHIP ESTABLISHED
AMONG THEM IN CONNECTION WITH THIS AGREEMENT, THE CREDIT AGREEMENT, THE NOTE
OR OTHER RELATED WRITING, INSTRUMENT, DOCUMENT OR AGREEMENT EXECUTED OR
DELIVERED IN CONNECTION HEREWITH OR THE TRANSACTIONS RELATED THERETO.

              [Remainder of page intentionally left blank.]

<PAGE>

     IN WITNESS WHEREOF, each of the undersigned has duly executed and
delivered this Guarantor Acknowledgement and Agreement as of the date first
written above.

                             DCA of Adel, LLC
                             DCA of Aiken, LLC
                             DCA of Barnwell, LLC
                             DCA of Calhoun, LLC
                             DCA of Camp Hill, LLC
                             DCA of Central Valdosta, LLC
                             DCA of Chesapeake, LLC
                             DCA of Columbus, LLC
                             DCA of Edgefield, LLC
                             DCA of Fitzgerald, LLC
                             DCA of Hyattsville, LLC
                             DCA of Lemoyne, Inc.
                             DCA of Manahawkin, Inc.
                             DCA of Mechanicsburg, LLC
                             DCA of North Baltimore, LLC
                             DCA of Norwood, LLC
                             DCA of Rockville, LLC
                             DCA of Royston, LLC
                             DCA of Selinsgrove, LLC
                             DCA of So. Ga., LLC
                             DCA of South Aiken, LLC
                             DCA of Warsaw, LLC
                             DCA of Wellsboro, Inc.
                             Keystone Kidney Care, Inc.
                             York Realty Managers, LLC

                             By:--------------------------------------
                                 Name: Stephen W. Everett
                                 Title: President of each of the foregoing
                                          Guarantors

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