SEC Filing | DaVita Inc.

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Form 10-K

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-K

For the Fiscal Year Ended

December 31, 2010

ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE

SECURITIES EXCHANGE ACT OF 1934

Commission File Number: 1-14106

DAVITA INC.

1551Wewatta Street

Denver, Colorado 80202

Telephone number (303) 405-2100

Delaware

51-0354549

(State of incorporation)

(I.R.S. Employer

Identification No.)

Securities registered pursuant to Section 12(b) of the Act:


Class of Security:		Registered on:
Common Stock, $0.001 par value		New York Stock Exchange
Common Stock Purchase Rights		New York Stock Exchange

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes x No ¨

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Exchange Act. Yes ¨ No x

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports) and (2) has been subject to such filing requirements for the past 90 days. Yes x No ¨

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein and will not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. ¨

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes x No ¨

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one):

Large accelerated filer x Accelerated filer ¨ Non-accelerated filer ¨ Smaller reporting company ¨

(Do not check if a smaller reporting company)

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ¨ No x

As of June 30, 2010, the number of shares of the Registrant’s common stock outstanding was approximately 102.6 million shares and the aggregate market value of the common stock outstanding held by non-affiliates based upon the closing price of these shares on the New York Stock Exchange was approximately $6.4 billion.

As of January 31, 2011, the number of shares of the Registrant’s common stock outstanding was approximately 96.0 million shares and the aggregate market value of the common stock outstanding held by non-affiliates based upon the closing price of these shares on the New York Stock Exchange was approximately $7.1 billion.

Documents incorporated by reference

Portions of the Registrant’s proxy statement for its 2011 annual meeting of stockholders are incorporated by reference in Part III of this Form 10-K.

PART I

Item 1. Business

We were incorporated as a Delaware corporation in 1994. Our annual report on Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-K and amendments to those reports filed or furnished pursuant to section 13(a) or 15(d) of the Exchange Act are made available free of charge through our website, located at http://www.davita.com, as soon as reasonably practicable after the reports are filed with or furnished to the Securities and Exchange Commission, or SEC. The SEC also maintains a website at http://www.sec.gov where these reports and other information about us can be obtained. The contents of our website are not incorporated by reference into this report.

Overview

DaVita is a leading provider of kidney dialysis services in the United States for patients suffering from chronic kidney failure, also known as end stage renal disease, or ESRD. As of December 31, 2010, we operated or provided administrative services to 1,612 outpatient dialysis centers located in 42 states and the District of Columbia, serving approximately 125,000 patients. We also provide acute inpatient dialysis services in approximately 750 hospitals and related laboratory services. Our dialysis and related lab services business accounts for approximately 94% of our consolidated net operating revenues. Our other ancillary services and strategic initiatives currently account for approximately 6% of our consolidated net operating revenues and relate primarily to our core business of providing kidney dialysis services.

The dialysis industry

The loss of kidney function is normally irreversible. Kidney failure is typically caused by Type I and Type II diabetes, high blood pressure, polycystic kidney disease, long-term autoimmune attack on the kidney and prolonged urinary tract obstruction. ESRD is the stage of advanced kidney impairment that requires continued dialysis treatments or a kidney transplant to sustain life. Dialysis is the removal of toxins, fluids and salt from the blood of ESRD patients by artificial means. Patients suffering from ESRD generally require dialysis at least three times a week for the rest of their lives.

According to United States Renal Data System, there were 382,000 ESRD dialysis patients in the United States in 2008 and the underlying ESRD dialysis patient population has grown at an approximate compound rate of 3.8% from 2000 to 2008, the latest period for which such data is available. The growth rate is attributable to the aging of the population, increased incidence rates for diseases that cause kidney failure such as diabetes and hypertension, lower mortality rates for dialysis patients and growth rates of minority populations with higher than average incidence rates of ESRD.

Since 1972, the federal government has provided health care coverage for ESRD patients under the Medicare ESRD program regardless of age or financial circumstances. ESRD is the first and only disease state eligible for Medicare coverage both for dialysis and dialysis-related services and for all benefits available under the Medicare program. Under this system, Congress established Medicare rates for dialysis treatments, related supplies, lab tests and medications. Although Medicare reimbursement limits the allowable charge per treatment, it provides industry participants with a relatively predictable and recurring revenue stream for dialysis services provided to patients without commercial insurance. Approximately 89% of our total patients are under government-based programs, with approximately 80% of our patients under Medicare and Medicare-assigned plans.

Prior to January 2011, dialysis providers operating under the Medicare ESRD program received a composite payment rate to cover routine dialysis treatments and certain supplies. There was a separate payment for laboratory testing and pharmaceuticals such as erythropoietin, or EPO, vitamin D analogs and iron supplements

that were not included in the composite payment rate. However, beginning in January 2011, Medicare implemented a new payment system in which all ESRD payments are now made under a single bundled payment rate that provides for an annual inflation adjustment based upon a market basket index, less a productivity improvement factor. The bundled payment rate provides a fixed rate to encompass all goods and services provided during the dialysis treatment, including pharmaceuticals that were historically separately reimbursed to the dialysis providers, such as EPO, vitamin D analogs and iron supplements, irrespective of the level of pharmaceuticals administered or additional services performed. Most lab services that used to be paid directly to laboratories are also included in the new payment bundle.

Treatment options for ESRD

Treatment options for ESRD are dialysis and kidney transplantation.

Dialysis Options

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Hemodialysis

Hemodialysis, the most common form of ESRD treatment, is usually performed at a freestanding outpatient dialysis center, a hospital-based outpatient center, or at the patient’s home. The hemodialysis machine uses an artificial kidney, called a dialyzer, to remove toxins, fluids and salt from the patient’s blood. The dialysis process occurs across a semi-permeable membrane that divides the dialyzer into two distinct chambers. While blood is circulated through one chamber, a pre-mixed fluid is circulated through the other chamber. The toxins, salt and excess fluids from the blood cross the membrane into the fluid, allowing cleansed blood to return into the patient’s body. Each hemodialysis treatment that occurs in the outpatient dialysis centers typically lasts approximately three and one-half hours and is usually performed three times per week.

Some ESRD patients who are healthier and more independent may perform home-based hemodialysis in their home or residence through the use of a hemodialysis machine designed for home therapy that is portable, smaller and easier to use. Patients receive training, support and monitoring from registered nurses, in some cases in our outpatient dialysis centers, in connection with treatments. Home-based hemodialysis is typically performed with greater frequency than dialysis treatments performed in outpatient dialysis centers and on varying schedules.

Hospital inpatient hemodialysis services are required for patients with acute kidney failure resulting from trauma, patients in early stages of ESRD, and ESRD patients who require hospitalization for other reasons. Hospital inpatient hemodialysis is generally performed at the patient’s bedside or in a dedicated treatment room in the hospital, as needed.

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Peritoneal dialysis

Peritoneal dialysis uses the patient’s peritoneal or abdominal cavity to eliminate fluid and toxins and is typically performed at home. The most common methods of peritoneal dialysis are continuous ambulatory peritoneal dialysis, or CAPD, and continuous cycling peritoneal dialysis, or CCPD. Because it does not involve going to an outpatient dialysis center three times a week for treatment, peritoneal dialysis is an alternative to hemodialysis for patients who are healthier, more independent and desire more flexibility in their lifestyle. However, peritoneal dialysis is not a suitable method of treatment for many patients, including patients who are unable to perform the necessary procedures and those at greater risk of peritoneal infection.

CAPD introduces dialysis solution into the patient’s peritoneal cavity through a surgically placed catheter. Toxins in the blood continuously cross the peritoneal membrane into the dialysis solution. After several hours, the patient drains the used dialysis solution and replaces it with fresh solution. This procedure is usually repeated four times per day.

CCPD is performed in a manner similar to CAPD, but uses a mechanical device to cycle dialysis solution through the patient’s peritoneal cavity while the patient is sleeping or at rest.

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Kidney transplantation

Although kidney transplantation, when successful, is generally the most desirable form of therapeutic intervention, the shortage of suitable donors, side effects of immunosuppressive pharmaceuticals given to transplant recipients and dangers associated with transplant surgery for some patient populations limit the use of this treatment option.

Services we provide

Dialysis and Related Lab Services

Outpatient dialysis services

As of December 31, 2010, we operated or provided administrative services to 1,612 outpatient dialysis centers in the United States that are designed specifically for outpatient hemodialysis. In 2010, we added a net total of 82 outpatient dialysis centers primarily as a result of acquisitions and the opening of new centers, net of center closures and divestitures. This represented a total increase of approximately 5% to our overall network of outpatient dialysis centers.

As a condition of our enrollment in Medicare, we contract with a nephrologist or a group of affiliated nephrologists to provide medical director services at each of our centers. In addition, other nephrologists may apply for practice privileges to treat their patients at our centers. Each center has an administrator, typically a registered nurse, who supervises the day-to-day operations of the center and its staff. The staff of each center typically consists of registered nurses, licensed practical or vocational nurses, patient care technicians, a social worker, a registered dietician, biomedical technician support and other administrative and support personnel.

Many of our outpatient dialysis centers offer services for dialysis patients who prefer and are able to perform either home-based hemodialysis in their homes or peritoneal dialysis. Home-based hemodialysis services consist of providing equipment and supplies, training, patient monitoring, on-call support services and follow-up assistance. Registered nurses train patients and their families or other caregivers to perform either home-based hemodialysis or peritoneal dialysis.

Under Medicare regulations, we cannot promote, develop or maintain any kind of contractual relationship with our patients which would directly or indirectly obligate a patient to use or continue to use our dialysis services, or which would give us any preferential rights other than those related to collecting payments for our services. Our total patient turnover averaged approximately 30% per year for the last two years. However, in 2010 the overall number of patients to whom we furnished services increased by approximately 6%, primarily from continued growth within the industry, lower mortality rates and the opening of new centers and acquisitions.

Hospital inpatient hemodialysis services

We provide hospital inpatient hemodialysis services, excluding physician services, to patients in approximately 750 hospitals. We render these services for a contracted per-treatment fee that is individually negotiated with each hospital. When a hospital requests our services, we typically administer the dialysis treatment at the patient’s bedside or in a dedicated treatment room in the hospital, as needed. Hospital inpatient hemodialysis services are required for patients as discussed above. In 2010, hospital inpatient hemodialysis services accounted for approximately 4% of our total dialysis treatments.

ESRD laboratory services

We own two separately incorporated, licensed, clinical laboratories specializing in ESRD patient testing. These specialized laboratories provide routine laboratory tests for dialysis and other physician-prescribed laboratory tests for ESRD patients. Our laboratories provide these tests predominantly for our network of ESRD patients throughout the United States. These tests are performed to monitor a patient’s ESRD condition, including the adequacy of dialysis, as well as other medical conditions. Our laboratories utilize information systems which provide information to our dialysis centers regarding critical outcome indicators.

Management services

We currently operate or provide management and administrative services to 32 outpatient dialysis centers in which we either own a minority equity investment or are wholly-owned by third parties. These services are provided pursuant to management and administrative services agreements. Management fees are established by contract and are recognized as earned typically based on a percentage of revenues or cash collections generated by the centers.

Ancillary services and strategic initiatives

Ancillary services and strategic initiatives, which currently account for approximately 6% of our total consolidated net operating revenues, consist of the following:

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Pharmacy services. DaVita Rx is a pharmacy that provides oral medications to DaVita’s patients with ESRD. The main objectives of the pharmacy are to improve clinical outcomes by facilitating increased patient compliance and to provide our patients a convenient way to fill their prescription needs by delivering the prescriptions to the center where they are treated. Revenues are recognized as prescriptions are filled and shipped to patients.

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Infusion therapy services. HomeChoice Partners provides personalized infusion therapy services to patients typically in their own homes as a cost-effective alternative to inpatient hospitalization. Intravenous and nutritional support therapies are typically managed by registered and/or board-certified professionals including pharmacists, nurses and dieticians in collaboration with the patient’s physician in support of the patient’s ongoing health care needs. Revenues are recognized in the period when infusion therapy services are provided.

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Disease management services. VillageHealth provides advanced care management services to health plans and government agencies for employees/members diagnosed with Chronic Kidney Disease (CKD) or ESRD. Through a combination of clinical coordination, medical claims analysis and information technology, we endeavor to assist our customers and patients in obtaining superior renal health care and improved clinical outcomes, as well as helping to reduce overall medical costs. Revenues are typically based upon an established contract fee and are recognized as earned over the contract period and can include additional fees for cost savings recognized by certain customers.

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Vascular access services. Lifeline provides management and administrative services to physician-owned vascular access clinics that provide surgical and interventional radiology services for dialysis patients. Lifeline also is the majority-owner of one vascular access clinic. Management fees generated from providing management and administrative services are recognized as earned typically based on a percentage of revenues or cash collections generated by the clinics. Revenues associated with the vascular access clinic that is majority-owned are recognized in the period when physician services are provided.

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ESRD clinical research programs. DaVita Clinical Research conducts research trials principally with dialysis patients and provides administrative support for research conducted by DaVita-affiliated nephrology practices. Revenues are based upon an established fee per study, as determined by contract with drug companies and other sponsors and are recognized as earned according to the contract terms.

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Physician services. DaVita Nephrology Partners offers practice management and administrative services to physicians who specialize in nephrology under management and administrative services agreements. Practice management and administrative services typically include operations management, IT support, billing and collections, credentialing and coding, and other support functions. Management fees generated from providing practice management and administrative services to physician practices are recognized as earned typically based upon cash collections generated by the practices.

Quality care

We employ 180 clinical service specialists. The primary focus of this group is assuring and facilitating processes that aim to achieve superior clinical outcomes at our centers.

Our physician leadership in the Office of the Chief Medical Officer (OCMO) includes eight senior nephrologists, led by our Chief Medical Officer, with a variety of academic, clinical practice, and clinical research backgrounds. Our Physician Council is an advisory body to senior management, composed of nine physicians with extensive experience in clinical practice in addition to the members of OCMO and five Group Medical Directors.

Sources of revenue—concentrations and risks

Our dialysis and related lab services business revenues represent approximately 94% of our consolidated net operating revenues for the year ended December 31, 2010, with the balance of our revenues from ancillary services and strategic initiatives. Dialysis and related lab services revenues are derived primarily from our core business of providing kidney dialysis services, the administration of pharmaceuticals, related laboratory services and to a lesser extent management fees generated from providing management and administrative services to certain outpatient dialysis centers.

The sources of our dialysis and related lab services revenues are principally from government-based programs, including Medicare and Medicare-assigned plans, Medicaid and Medicaid-assigned plans and commercial insurance plans.

The following table summarizes our dialysis and related lab services revenues by source for the year ended December 31, 2010:


	Revenue percentages
Medicare and Medicare-assigned plans		57	%
Medicaid and Medicaid-assigned plans		6	%
Other government-based programs		3	%

Total government-based programs		66	%
Commercial (including hospital inpatient dialysis services)		34	%

Total dialysis and related lab services revenues		100	%

The following table summarizes our dialysis and related lab services revenues by modality for the year ended December 31, 2010:


	Revenue percentages
Outpatient hemodialysis centers		83	%
Peritoneal dialysis and home-based hemodialysis		12	%
Hospital inpatient hemodialysis		5	%

Total dialysis and related lab services revenues		100	%

Medicare revenue

Under the Medicare ESRD program, payment rates for dialysis are established by the U.S. Congress. Prior to January 2011, the Medicare composite rate set by the Centers for Medicare and Medicaid Services, or CMS, paid dialysis providers for services furnished to Medicare beneficiaries in two parts: (1) the composite payment which included a base payment, adjusted for case-mix which linked payments more closely with illness severity and regional geography differences, and a drug add-on payment, which was updated annually to account for changes in drug prices and utilization and (2) separately billable reimbursement for certain drugs. Thus, dialysis providers received a composite payment rate per treatment to cover routine dialysis services, certain pharmaceuticals, routine lab work, and other supplies, as well as a separate payment for pharmaceuticals, which include EPO (a pharmaceutical used to treat anemia, a common complication associated with ESRD), vitamin D analogs and iron supplements that are not included in the composite payment rate. Pharmaceuticals were generally paid at average sale price, or ASP, plus 6% based upon prices set by Medicare. The Medicare payment rates that were paid to us, including payments for separately billable drugs, were not sufficient to cover our average cost of providing a dialysis treatment.

ESRD patients receiving dialysis services become eligible for primary Medicare coverage at various times, depending on their age or disability status, as well as whether they are covered by an employer group health plan. Generally, for a patient not covered by an employer group health plan, Medicare becomes the primary payor either immediately or after a three-month waiting period. For a patient covered by an employer group health plan, Medicare generally becomes the primary payor after 33 months, which includes a three month waiting period, or earlier if the patient’s employer group health plan coverage terminates. When Medicare becomes the primary payor, the payment rate we receive for that patient shifts from the commercial insurance plan rate to the Medicare payment rate.

Medicare pays 80% of the amount set by the Medicare system for each covered treatment. The patient is responsible for the remaining 20%. In most cases, a secondary payor, such as Medicare supplemental insurance, a state Medicaid program or a commercial health plan, covers all or part of these balances. Some patients, who do not qualify for Medicaid but otherwise cannot afford secondary insurance, can apply for premium payment assistance from charitable organizations through a program offered by the American Kidney Fund. We and other dialysis providers support the American Kidney Fund and similar programs through voluntary contributions. If a patient does not have secondary insurance coverage, we are generally unsuccessful in our efforts to collect from the patient the 20% portion of the ESRD composite rate that Medicare does not pay. However, we are able to recover some portion of this unpaid patient balance from Medicare through an established cost reporting process by identifying these Medicare bad debts on each center’s Medicare cost report.

The Medicare composite payment rates set by Congress for dialysis treatments that were in effect for 2010 were between $151 and $169 per treatment, with an average rate of $161 per treatment. Historically, Medicare payment rates for dialysis services have not been routinely increased to compensate for the impact of inflation, which negatively impacted our margins as patient care costs continued to rise. The Medicare Improvements for Patients and Providers Act for 2008, or MIPPA, provided dialysis providers with an increase in the composite rate of 1% that went into effect on January 1, 2009 and an additional 1% that went into effect on January 1, 2010. This legislation also changed the way Medicare pays for dialysis services beginning in January 2011, as further described below. The new payment system also provides for an annual inflation adjustment based upon a market basket index, less a productivity adjustment, beginning in 2012. Also beginning in 2012, the rule provides for up to a 2% annual payment withhold that can be earned back by facilities that meet certain defined clinical performance standards.

The new payment system reimburses providers based on a single bundled or average payment for each Medicare treatment provided. The new bundled payment amount is designed to cover all dialysis services that were historically included in the composite rate and all separately billable ESRD services such as pharmaceuticals and laboratory tests. This new bundled payment rate is adjusted for certain patient characteristics, a geographic wage

index and certain other factors. The initial 2011 bundled payment rate includes reductions of 2% and 3.1%, respectively, to conform to the provisions of MIPPA and to establish budget neutrality. Further, there is a 5.94% reduction tied to an expanded list of case mix adjustors which can be earned back based upon the presence of these certain patient characteristics and co-morbidities at the time of treatment. There are also other provisions which may impact payment including an outlier pool and a low volume facility adjustment. Historically, services that were separately billable accounted for approximately 30% of our total dialysis and related lab revenues. Now the dialysis providers are at risk for variations in pharmaceutical utilization since reimbursement set at a fixed average reimbursement rate. With regard to the expanded list of case-mix adjustors, these are difficult or, in some cases, have been impossible for our dialysis clinics to document and track, which could result in a reduction in the reimbursement amounts that we would otherwise be entitled to receive.

We are attempting to reduce our operating costs to minimize the overall negative financial impact from the reductions in reimbursement for services we provide to Medicare patients. However, certain operating expenditures, such as labor and supply costs, are subject to inflation, and without a compensating inflation-based increase in the new bundled payment rate system, could significantly impact our operating results.

We participated in two Medicare demonstration programs through a contract with CMS in 2010. One program was an ESRD demonstration program that started in January 2006 and terminated in December 2010. This program was converted into a full service health care plan for ESRD patients in 2011, which is referred to as a Medicare Advantage ESRD Special Needs Plan that works with CMS to provide ESRD patients full service health care. The revenue in 2010 was capitated for all medical services required by enrollees in the program. We are still at risk for all medical costs of the program in excess of the capitation payments. The other program is a CKD/ESRD demonstration program which started in November 2008 and will continue for three years. We are paid a management fee for program enrollees relating to CKD and ESRD disease states. Management fee revenues are subject to retraction if medical cost savings targets are not met.

Medicaid revenue

Medicaid programs are state-administered programs partially funded by the federal government. These programs are intended to provide health coverage for patients whose income and assets fall below state-defined levels and who are otherwise uninsured. These programs also serve as supplemental insurance programs for co-insurance payments due from Medicaid-eligible patients with primary coverage under Medicare. Some Medicaid programs also pay for additional services, including some oral medications that are not covered by Medicare. We are enrolled in the Medicaid programs in the states in which we conduct our business.

Commercial revenues

Before a patient becomes eligible to have Medicare as their primary payor for dialysis services, a patient’s commercial insurance plan, if any, is responsible for payment of such dialysis services. Although commercial payment rates vary significantly, average commercial payment rates are generally significantly higher than Medicare rates. The payments we receive from commercial payors generate nearly all of our profits. Payment methods from commercial payors include a single lump-sum per treatment, referred to as bundled rates, and in some cases separate payments for treatments and pharmaceuticals, if used as part of the treatment, referred to as fee for service rates. Commercial payment rates are typically the result of negotiations between us and insurers or third-party administrators. Our out-of-network payment rates are on average higher than in-network payment rates. In 2010, we entered into several new commercial contracts with certain commercial payors that will primarily pay us a single bundled payment rate for all dialysis services provided to patients covered by the commercial insurance plan. However, some of the contracts will pay us for certain other services and pharmaceuticals in addition to the bundled payment. These contracts contain annual escalators and effectively eliminate all payments for out-of-network patients. We are continuously in the process of negotiating agreements with our commercial payors and if our negotiations result in overall commercial rate reductions in excess of our commercial rate increases, our revenues and operating results could be negatively impacted. In addition, if there

are sustained or increased job losses in the United States as a result of current economic conditions, or depending upon changes to the healthcare regulatory system, we could experience a decrease in the number of patients covered under commercial plans.

Approximately 34% of our dialysis and related lab services revenues and approximately 11% of our patients were associated with commercial payors for the year ended December 31, 2010. Less than 1% of our dialysis and related lab services revenues are due directly from patients. No single commercial payor accounted for more than 5% of total dialysis and related lab services revenues for the year ended December 31, 2010.

Revenue from EPO and other pharmaceuticals

Approximately 26% of our total dialysis and related lab services revenues for the year ended December 31, 2010 are associated with the administration of physician-prescribed pharmaceuticals that improve clinical outcomes when included with the dialysis treatment. These pharmaceuticals include EPO, vitamin D analogs and iron supplements. However, as described above, the majority of these pharmaceuticals will no longer be separately billable as a result of the new Medicare single bundled payment rate system effective in January 2011 as well as some of our new commercial contracts that implemented a single bundled payment rate.

EPO is an erythropoiesis stimulating agent, or ESA, genetically-engineered form of a naturally occurring protein that stimulates the production of red blood cells. EPO is used in connection with all forms of dialysis to treat anemia, a medical complication most ESRD patients experience. The administration of EPO, which was separately billable under the Medicare payment program through 2010, accounted for approximately 18% of our dialysis and related lab services revenues for the year ended December 31, 2010.

Furthermore, EPO is produced by a single manufacturer, Amgen, who can unilaterally increase its price for EPO at any time during the term of our agreement with them. Any interruption of supply or product cost increases could adversely affect our operations. In 2010, we experienced an increase in the cost of EPO of approximately 2%. In December 2010, we entered into a new Dialysis Organization Agreement (the “Agreement”) with Amgen USA Inc., a wholly owned subsidiary of Amgen Inc. The Agreement sets forth the terms under which we and certain of our affiliates will purchase EPO. The Agreement, among other things, provides for discount pricing and rebates for EPO. Some of the rebates are subject to various qualification requirements based on a variety of factors including process improvement targets, patient outcome targets and data submission. The term of the Agreement commenced January 1, 2011 and ends June 30, 2011.

There continues to be significant media discussion and government scrutiny regarding anemia management practices in the United States. In late 2006, the U.S. House of Representatives Ways and Means Committee held a hearing on the issue of the utilization of ESAs, which include EPO, and in 2007, the FDA required changes to the labeling of EPO and darbepoetin alfa, or Aranesp^® to include a black box warning, the FDA’s strongest form of warning label. An FDA advisory panel on ESA use met in October 2010, which meeting was similar to the prior meeting held in 2007 in that there was significant discussion and concern about the safety of ESAs. The panel concluded it would not recommend a change in ESA labeling. However, the FDA is not bound by the panel’s recommendation. In addition, in June 2010, CMS opened a National Coverage Analysis (NCA) for ESAs. Further, in January 2011, CMS convened a meeting of the Medicare Evidence Development and Coverage Advisory Committee (MEDCAC) to evaluate evidence for the pending NCA. CMS expects to complete its decision memo in March 2011 and issue final guidance in June 2011. The foregoing congressional and agency activities and related actions could result in further restrictions on the utilization and reimbursement for ESAs. Commercial payors have also increasingly examined their administration policies for EPO and, in some cases, have modified those policies. Inclusion of EPO in the Medicare bundled payment rate, as well as in a bundled payment rate for several of our commercial payors, is expected to mitigate the effect of lower utilization of EPO. However, further changes in labeling of EPO and other pharmaceuticals in a manner that alters physician practice patterns or accepted clinical practices, changes in private and governmental payment criteria, including the introduction of EPO administration policies or the conversion to alternate types of administration of EPO or other pharmaceuticals that result in further decreases in utilization or reimbursement for EPO and other pharmaceuticals, could have a material adverse effect on our operating results.

Physician relationships

An ESRD patient generally seeks treatment at an outpatient dialysis center near his or her home where his or her treating nephrologist has practice privileges. Our relationships with local nephrologists and our ability to meet their needs and the needs of their patients are key factors in the success of our dialysis operations. Over 3,900 nephrologists currently refer patients to our outpatient dialysis centers. As is typical in the dialysis industry, one or a few physicians, including the outpatient dialysis center’s medical director, usually account for all or a significant portion of an outpatient dialysis center’s patient base. If a significant number of physicians, including an outpatient dialysis center’s medical directors, were to cease referring patients to our outpatient dialysis centers, our business could be adversely affected.

Participation in the Medicare ESRD program requires that dialysis services at an outpatient dialysis center be under the general supervision of a medical director who is a licensed physician. We have engaged physicians or groups of physicians to serve as medical directors for each of our outpatient dialysis centers. At some outpatient dialysis centers, we also separately contract with one or more physicians to serve as assistant or associate medical directors or to direct specific programs, such as home dialysis training programs. We have contracts with approximately 1,400 individual physicians and physician groups to provide medical director services.

Medical directors enter into written contracts with us that specify their duties and fix their compensation generally for periods of ten years. The compensation of our medical directors is the result of arm’s length negotiations and generally depends upon an analysis of various factors such as the physician’s duties, responsibilities, professional qualifications and experience, among others.

Our medical director contracts generally include covenants not to compete. Also, when we acquire an outpatient dialysis center from one or more physicians or where one or more physicians own minority interests in our outpatient dialysis centers, these physicians have agreed to refrain from owning interests in other competing outpatient dialysis centers within a defined geographic area for various time periods. These agreements not to compete restrict the physicians from owning or providing medical director services to other outpatient dialysis centers, but do not prohibit the physicians from referring patients to any outpatient dialysis center, including competing centers. Many of these agreements not to compete continue for a period of time beyond expiration of the corresponding medical director agreements, although some expire at the same time as the medical director agreement. Occasionally, we experience competition from a new outpatient dialysis center established by a former medical director following the termination of his or her relationship with us.

Government regulation

Our dialysis operations are subject to extensive federal, state and local governmental regulations. These regulations require us to meet various standards relating to, among other things, government payment programs, dialysis facilities and equipment, management of centers, personnel qualifications, maintenance of proper records and quality assurance programs and patient care.

Because we are subject to a number of governmental regulations, our business could be adversely impacted by:

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Loss or suspension of federal certifications;

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Loss or suspension of licenses under the laws of any state or governmental authority from which we generate substantial revenues;

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Exclusion from government healthcare programs including Medicare and Medicaid;

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Significant reductions or lack of inflation-adjusted increases in payment rates or reduction of coverage for dialysis and ancillary services and related pharmaceuticals;

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Fines, damages and monetary penalties for anti-kickback law violations, Stark Law violations, submission of false claims, civil or criminal liability based on violations of law or other failures to meet regulatory requirements;

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Claims for monetary damages from patients who believe their protected health information has been used or disclosed in violation of federal and state patient privacy laws;

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Mandated changes to our practices or procedures that significantly increase operating expenses; or

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Refunds of payments received from government payors and government health care program beneficiaries because of any failures to meet applicable requirements.

We expect that our industry will continue to be subject to substantial regulation, the scope and effect of which are difficult to predict. Our activities could be reviewed or challenged by regulatory authorities at any time in the future. This regulation and scrutiny could have a material adverse impact on us.

Licensure and Certification

Our dialysis centers are certified by CMS, as is required for the receipt of Medicare payments. In some states, our dialysis centers also are required to secure additional state licenses and permits. Governmental authorities, primarily state departments of health, periodically inspect our centers to determine if we satisfy applicable federal and state standards and requirements, including the conditions of participation in the Medicare ESRD program.

To date, we have not experienced significant difficulty in maintaining our licenses or our Medicare and Medicaid authorizations. However, we have experienced delays in obtaining certifications from CMS.

CMS continues to study the regulations applicable to Medicare certification to provide dialysis services. On April 15, 2008, CMS issued new regulations for Medicare-certified ESRD facilities to provide dialysis services, referred to as Conditions for Coverage. The Conditions for Coverage were effective October 14, 2008, with some provisions having a phased in implementation date of February 1, 2009. The new regulations are patient, quality and outcomes focused. Among other things, they establish performance expectations for facilities and staff, eliminate certain procedural requirements, and promote continuous quality improvement and patient safety measures. We have established an interdisciplinary work group to facilitate implementation of the Conditions of Coverage and have developed comprehensive auditing processes to monitor ongoing compliance. We continue to assess the impact these changes will have on our operating results.

Federal anti-kickback statute

The “anti-kickback” statute contained in the Social Security Act imposes criminal and civil sanctions on persons who receive, make, offer or solicit payments in return for:

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The referral of a Medicare or Medicaid patient for treatment;

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The ordering or purchasing of items or services that are paid for in whole or in part by Medicare, Medicaid or similar federal and state programs; or

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Arranging for or recommending the ordering or purchasing of such items.

Federal criminal penalties for the violation of the anti-kickback statute include imprisonment, fines and exclusion of the provider from future participation in the Medicare and Medicaid programs. Violations of the anti-kickback statute are punishable by imprisonment for up to five years and fines of up to $250,000 or both. Larger fines can be imposed upon corporations under the provisions of the U.S. Sentencing Guidelines and the Alternate Fines Statute. Individuals and entities convicted of violating the anti-kickback statute are subject to mandatory exclusion from participation in Medicare, Medicaid and other federal healthcare programs for a minimum of five years. Civil penalties for violation of this law include up to $50,000 in monetary penalties per violation, repayments of up to three times the total payments between the parties and suspension from future participation in Medicare and Medicaid. Court decisions have also held that the statute is violated whenever one of the purposes of remuneration is to induce referrals.

The Department of Health and Human Services regulations create exceptions or “safe harbors” for some business transactions and arrangements. Transactions and arrangements structured within these safe harbors are deemed to not violate the anti-kickback statute. A business transaction or arrangement must satisfy every element of a safe harbor to be protected by that safe harbor. Transactions and arrangements that do not satisfy all elements of a relevant safe harbor do not necessarily violate the statute, but can be subject to greater scrutiny by enforcement agencies.

Our medical directors refer patients to our centers, and these arrangements, by which we pay them for their medical director services, must be in compliance with the federal anti-kickback statute. Among the available safe harbors is one for personal services furnished for fair market value. However, most of our agreements with our medical directors do not satisfy all seven of the requirements of the personal services safe harbor. We believe that because of the nature of our medical directors’ duties, it is impossible to satisfy the anti-kickback safe-harbor requirement that if the services provided under the agreement are on a part-time basis, as they are with our medical directors, the agreement must specify the schedule of intervals of service, their precise length and the exact charge for such intervals. Accordingly, while we believe that our agreements with our medical directors satisfy as many of the elements of this safe harbor as we believe is reasonably possible, our arrangements do not qualify for safe harbor protection. We also note that there is little guidance available as to what constitutes fair market value for medical director services. We believe that our agreements do not violate the federal anti-kickback statute; however, since the arrangements do not satisfy all of the requirements for safe harbor protection, these arrangements could be challenged.

We own a controlling interest in numerous dialysis related joint ventures. These joint ventures represented approximately 18% of our dialysis and related lab services revenues. In addition, we also own minority equity investments in several other dialysis related joint ventures. Our relationships with physicians and other referral sources relating to these joint ventures are required to comply with the anti-kickback statute. Although there is a safe harbor for certain investment interests in “small entities,” it is not clear if any of our joint ventures satisfies all of the requirements for protection by this safe harbor. Under current law, physician joint ventures are not prohibited but instead require a case-by-case evaluation under the anti-kickback statute. We have structured our joint ventures to satisfy as many safe harbor requirements as we believe are reasonably possible. We believe that these investments are offered on a fair market value basis and provide returns to the physician investors only in proportion to their actual investment in the venture. We believe that our agreements do not violate the federal anti-kickback statute; however, since the arrangements do not satisfy all of the requirements for safe harbor protection, these arrangements could be challenged.

We lease space for approximately 450 of our centers from entities in which physicians hold ownership interests and we sublease space to referring physicians at approximately 200 of our dialysis centers. These arrangements must be in compliance with the anti-kickback statute. We believe that we meet the elements of the safe harbor for space rentals in all material respects.

Some medical directors and other referring physicians may own our common stock. We believe that these interests materially satisfy the requirements of the safe harbor for investments in large publicly traded companies for the anti-kickback statute.

Because we are purchasing and selling items and services in the operation of our centers that may be paid for, in whole or in part, by Medicare or a state healthcare program and because we acquire certain items and services at a discount, we must structure these arrangements in compliance with the federal anti-kickback statute. Subject to certain requirements and limitations, discounts representing reductions in the amounts we are charged for items or services based on arm’s-length transactions can qualify for safe harbor protection if we fully and accurately report the discounts in the applicable Medicare cost reports. While some of the safe harbor criteria are subject to interpretation, we believe that our vendor contracts with discount provisions are in compliance with the anti-kickback statute.

Stark Law

Another federal law, known as the “Stark Law”, prohibits a physician who has a financial relationship, or who has an immediate family member who has a financial relationship, with entities providing designated health services, or DHS, from referring Medicare patients to such entities for the furnishing of such services, unless an exception applies. Stark Law DHS include home health services, outpatient prescription drugs, inpatient and outpatient hospital services and clinical laboratory services. The Stark Law also prohibits the DHS entity receiving a prohibited referral from filing a claim or billing for the services arising out of the prohibited referral. The prohibition applies regardless of the reasons for the financial relationship and the referral; unlike the federal anti-kickback statute, intent to induce referrals is not required. Sanctions for violation of the Stark Law include denial of payment for claims for services provided in violation of the prohibition, refunds of amounts collected in violation, a civil penalty of up to $15,000 for each service arising out of the prohibited referral, exclusion from the federal healthcare programs, including Medicare and Medicaid and a civil penalty of up to $100,000 against parties that enter into a scheme to circumvent the Stark Law prohibition. Stark Law violations also can form the basis for False Claims Act liability. The types of financial arrangements between a physician and a DHS entity that trigger the self-referral prohibitions of the Stark Law are broad and include direct and indirect ownership and investment interests and compensation arrangements.

CMS has adopted implementing regulations under the Stark Law, collectively, Stark Regulations. CMS has not yet adopted implementing regulations regarding application of the Stark Law to Medicaid, but has indicated that it anticipates issuing additional regulations regarding the application of the Stark Law to Medicaid referrals.

The definition of DHS under the Stark Law excludes services paid under a composite rate, even if some of the components bundled in the composite rate are DHS. Since most services furnished to Medicare beneficiaries provided in our dialysis centers are reimbursed through a composite rate, the services performed in our facilities generally are not DHS, and the Stark Law referral prohibition does not apply to those services. The definition of DHS also excludes inpatient dialysis performed in hospitals that are not certified to provide ESRD services. Consequently, our arrangements with such hospitals for the provision of dialysis services to hospital inpatients do not trigger the Stark Law referral prohibition.

In addition, although prescription drugs are DHS, there is an exception in the Stark Regulations for EPO and other specifically enumerated dialysis drugs when furnished in or by an ESRD facility, in compliance with the anti-kickback statute and applicable billing requirements. The exception is available only for drugs included on a list of CPT/HCPCS codes published by CMS, and in the case of home dialysis, the exception applies only to EPO, Aranesp^® and equivalent drugs dispensed by the facility for use at home. While we believe that most drugs furnished by our dialysis centers are covered by the exception, dialysis centers may administer drugs that are not on the list of CPT/HCPCS codes and therefore do not meet this exception. In order for a physician who has a financial relationship with a dialysis center to order one of these drugs from the center and for the center to obtain Medicare reimbursement, another exception must apply.

We have entered into several types of financial relationships with referring physicians, including compensation arrangements. We believe that the compensation arrangements under our medical director agreements satisfy the personal services compensation arrangement exception to the Stark Law. While we believe that compensation under our medical director agreements, which is the result of arm’s length negotiations, results in fair market value payments for medical director services, an enforcement agency could nevertheless challenge the level of compensation that we pay our medical directors. If the arrangement does not meet a Stark Law exception, we could in the future be required to change our practices, face civil penalties, pay substantial fines, return certain payments received from Medicare and beneficiaries or otherwise experience a material adverse effect as a result of a challenge to payments made pursuant to referrals from these physicians under the Stark Law.

Some of our dialysis centers are leased from entities in which referring physicians hold interests and we sublease space to referring physicians at some of our dialysis centers. The Stark Law provides an exception for lease arrangements if specific requirements are met. We believe that our leases and subleases with referring physicians satisfy the requirements for this exception.

Some medical directors and other referring physicians may own our common stock. We believe that these interests satisfy the Stark Law exception for investments in large publicly traded companies.

Some of our referring physicians also own equity interests in entities that operate our dialysis centers. None of the Stark Law exceptions applicable to physician ownership interests in entities to which they make DHS referrals applies to the kinds of ownership arrangements that referring physicians hold in several of our subsidiaries that operate dialysis centers. Accordingly, these dialysis centers cannot bill Medicare for DHS referrals from physician owners. If the dialysis centers bill for DHS referred by physician owners, the dialysis center would be subject to the Stark Law penalties described above.

While we believe that most of our operations do not implicate the Stark Law, and that to the extent that our dialysis centers furnish DHS, they either meet an exception or do not bill for services that do not meet a Stark Law exception, if CMS determined that we have submitted claims in violation to the Stark Law, we would be subject to the penalties described above. In addition, it might be necessary to restructure existing compensation agreements with our medical directors and to repurchase or to request the sale of ownership interests in subsidiaries and partnerships held by referring physicians or, alternatively, to refuse to accept referrals for DHS from these physicians. Any such penalties and restructuring could have a material adverse effect on our operations.

If any of our business transactions or arrangements, including those described above, were found to violate the federal anti-kickback statute of Stark Law, we could face criminal, civil or administrative sanctions, including possible exclusion from participation in Medicare, Medicaid and other state and federal healthcare programs. Any findings that we have violated these laws could have a material adverse impact on our operations.

Fraud and abuse under state law

Many states in which we operate dialysis centers have statutes prohibiting physicians from holding financial interests in various types of medical facilities to which they refer patients. Some of these statutes could be interpreted as prohibiting physicians who hold shares of our publicly traded stock from referring patients to our dialysis centers if the centers use our laboratory subsidiary to perform laboratory services for their patients. Some states also have laws similar to the federal anti-kickback statute that may affect our ability to receive referrals from physicians with whom we have financial relationships, such as our medical directors. Some state anti-kickback statutes also include civil and criminal penalties. Some of these statutes include exemptions applicable to our medical directors and other physician relationships or for financial interests limited to shares of publicly traded stock. Some, however, include no explicit exemption for medical director services or other services for which we contract with and compensate referring physicians or for joint ownership interests of the type held by some of our referring physicians or for financial interests limited to shares of publicly traded stock. If these statutes are interpreted to apply to referring physicians with whom we contract for medical director and similar services, to referring physicians with whom we hold joint ownership interests or to physicians who hold interests in DaVita limited solely to publicly traded stock, we may be required to terminate or restructure some or all of our relationships with or refuse referrals from these referring physicians and could be subject to civil and administrative sanctions, refund requirements and exclusions from government healthcare programs, including Medicare and Medicaid. Such events could negatively affect the decision of referring physicians to refer patients to our centers.

The False Claims Act

The federal False Claims Act, or FCA, is a means of policing false bills or false requests for payment in the healthcare delivery system. In part, the FCA authorizes the imposition of up to three times the government’s damages and civil penalties on any person who:

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Knowingly presents or causes to be presented to the federal government, a false or fraudulent claim for payment or approval;

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Knowingly makes, uses or causes to be made or used, a false record or statement to get a false or fraudulent claim paid or approved by the federal government;

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Conspires to defraud the federal government by getting a false or fraudulent claim allowed or paid; or

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Knowingly makes, uses or causes to be made or used, a false record or statement to conceal, avoid or decrease an obligation to pay or transmit money or property to the federal government.

In addition, recent amendments to the FCA impose severe penalties for the knowing and improper retention of overpayments collected from government payors. These amendments could subject our procedures for identifying and processing overpayments to greater scrutiny. We have made significant investments in additional resources to accelerate the time it takes to identify and process overpayments and we may be required to make additional investments in the future. An acceleration in our ability to identify and process overpayments could result in us refunding overpayments to government or other payors sooner than we have in the past. A significant acceleration of these refunds could have a material adverse affect on our operating cash flows.

The penalties for a violation of the FCA range from $5,500 to $11,000 for each false claim plus three times the amount of damages caused by each such claim. The federal government has used the FCA to prosecute a wide variety of alleged false claims and fraud allegedly perpetrated against Medicare and state healthcare programs, including coding errors, billing for services not rendered, the submission of false cost reports, billing for services at a higher payment rate than appropriate, billing under a comprehensive code as well as under one or more component codes included in the comprehensive code and billing for care that is not considered medically necessary. Although still subject to dispute, several courts have also determined that a violation of the federal anti-kickback statute can form the basis for liability under the FCA, and filing claims or failing to refund amounts collected in violation of the Stark Law can form the basis for liability under the FCA. In addition to the provisions of the FCA, which provide for civil enforcement, the federal government can use several criminal statutes to prosecute persons who are alleged to have submitted false or fraudulent claims for payment to the federal government.

The Health Insurance Portability and Accountability Act of 1996

The Health Insurance Portability and Accountability Act of 1996 and its implementing privacy and security regulations, as amended by the federal Health Information Technology for Economic and Clinical Health Act (HITECH Act) (collectively referred to as HIPAA), requires us to provide certain protections to patients and their health information (Protected Health Information, or PHI). HIPAA requires us to afford patients certain rights regarding their PHI, and to limit uses and disclosure of their PHI existing in any media form (electronic and hardcopy). HIPAA also requires us to implement administrative, physical, and technical safeguards with respect to electronic PHI. We believe our HIPAA Privacy and Security Program sufficiently address HIPAA requirements.

Other regulations

Our operations are subject to various state hazardous waste and non-hazardous medical waste disposal laws. These laws do not classify as hazardous most of the waste produced from dialysis services. Occupational Safety and Health Administration regulations require employers to provide workers who are occupationally subject to blood or other potentially infectious materials with prescribed protections. These regulatory requirements apply to all healthcare facilities, including dialysis centers, and require employers to make a determination as to which employees may be exposed to blood or other potentially infectious materials and to have in effect a written exposure control plan. In addition, employers are required to provide or employ hepatitis B vaccinations, personal protective equipment and other safety devices, infection control training, post-exposure evaluation and follow-up, waste disposal techniques and procedures and work practice controls. Employers are also required to comply with various record-keeping requirements. We believe that we are in material compliance with these laws and regulations.

A few states have certificate of need programs regulating the establishment or expansion of healthcare facilities, including dialysis centers. We believe that we are in material compliance with all applicable state certificate of need laws.

Corporate compliance program

Our dialysis operations are subject to extensive federal, state and local government regulations. Management has designed and implemented a company-wide corporate compliance program as part of our commitment to comply fully with all applicable laws and regulations and to maintain the high standards of conduct we expect from all of our teammates. We continuously review this program and enhance it as necessary. The primary purposes of the program include:

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Increasing, through training and education, the awareness of our teammates and affiliated professionals of the necessity of complying with all applicable laws and regulations;

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Auditing and monitoring the activities of our dialysis centers, laboratories and billing offices on a regular basis to identify potential instances of noncompliance in a timely manner;

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Establishing guidelines around physicians roles and responsibilities that require our physicians attest to their adherence to these guidelines on a periodic basis; and

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Ensuring that we take steps to resolve instances of noncompliance or to address areas of potential noncompliance as promptly as we become aware of them.

When evaluating the effectiveness of our corporate compliance program, we take into consideration a number of factors, including favorable results under various government inquiries and adherence to industry standards.

We have a code of conduct that each of our teammates and affiliated professionals must follow and we have a confidential toll-free hotline (888-458-5848) for teammates and patients to report potential instances of noncompliance. Our Chief Compliance Officer administers the compliance program. The Chief Compliance Officer reports directly to our Chief Executive Officer, our Chief Operating Officer and to the Compliance Committee of our Board of Directors.

Insurance

We maintain insurance for property and general liability, professional liability, directors’ and officers’ liability, workers compensation and other coverage in amounts and on terms deemed adequate by management based on our claims experience and expectations for future claims. Future claims could, however, exceed our applicable insurance coverage. Physicians practicing at our dialysis centers are required to maintain their own malpractice insurance and our medical directors are required to maintain coverage for their individual private medical practices. Our liability policies cover our medical directors for the performance of their duties as medical directors.

Capacity and location of our centers

We are able to increase our capacity by extending hours at our existing centers, expanding our existing centers, relocating our centers, developing new centers and by acquiring centers. The development of a typical outpatient dialysis center by us generally requires approximately $2.0 million for leasehold improvements, equipment and first-year working capital. Based on our experience, a new center typically opens within a year after the property lease is signed, normally achieves operating profitability in the second year after certification and normally reaches maturity within three to five years. Acquiring an existing outpatient dialysis center requires a substantially greater initial investment, but profitability and cash flow are generally initially more predictable. To a limited extent, we enter into agreements to provide management and administrative services to outpatient dialysis centers in which we either own a minority equity investment, or are wholly-owned by third parties in return for management fees, which are typically based on a percentage of revenues or cash collections of the managed operations.

The table below shows the growth of our company by number of dialysis centers.


	2010			2009			2008			2007			2006
Number of centers at beginning of year		1,530			1,449			1,359			1,300			1,233
Acquired centers		41			19			20			16			26
Developed centers		65			78			86			64			55
Net change in centers with management and administrative services agreements*		—			8	⁽³⁾		1			(15	)⁽²⁾		—
Sold and closed centers**		(10	)		(8	)		(9	)		(4	)		(5	)⁽¹⁾
Closed centers***		(14	)		(16	)		(8	)		(2	)		(9	)

Number of centers at end of year		1,612			1,530			1,449			1,359			1,300

(1)	Three centers were divested in connection with the acquisition of DVA Renal Healthcare.

(2)	In November 2007, one of our management and administration service agreements was terminated, in which we provided management and administrative services to 20 dialysis centers.

(3)	During 2009, we made minority equity investments in 6 centers and we entered into 2 additional management and administrative service agreements.

*	Represents dialysis centers in which we either own a minority equity investment, or are wholly-owned by third parties.

**	Represents dialysis centers that were sold and/or closed in which patients were not retained.

***	Represents dialysis centers that were closed and the majority of patients were retained and transferred to other existing dialysis centers.

As of December 31, 2010, we operated or provided administrative services to 1,612 outpatient dialysis centers, of which 1,580 are consolidated in our financial statements. Of the remaining 32 unconsolidated outpatient dialysis centers, we own a minority equity investment in 18 centers and provide management and administrative services to 14 centers that are wholly-owned by third parties. The locations of the 1,580 outpatient dialysis centers consolidated in our financial statements at December 31, 2010 were as follows:


State	Centers		State	Centers		State	Centers
California		203	Indiana		33	Oregon		15
Florida		133	New York		33	Nebraska		13
Texas		129	Oklahoma		30	Massachusetts		12
Georgia		100	Colorado		29	Arkansas		9
Ohio		73	Kentucky		29	District of Columbia		9
Pennsylvania		71	Louisiana		26	Idaho		8
North Carolina		59	South Carolina		26	Utah		4
Illinois		56	Arizona		23	Mississippi		3
Michigan		55	New Jersey		23	New Mexico		3
Virginia		55	Washington		21	South Dakota		3
Maryland		48	Connecticut		19	West Virginia		3
Tennessee		40	Kansas		18	New Hampshire		2
Minnesota		38	Wisconsin		17	North Dakota		2
Missouri		38	Iowa		16
Alabama		37	Nevada		16

Competition

The dialysis industry has consolidated significantly over time but remains highly competitive, particularly in terms of acquiring existing outpatient dialysis centers. We continue to face increased competition in the dialysis industry from large and medium-sized providers who compete directly with us for the acquisition of dialysis businesses, relationships with physicians to act as medical directors and for individual patients. Acquisitions,

patient retention and relationships with physicians are an important part of our growth strategy and our business could be adversely affected if we are not able to continue to make acquisitions on reasonable terms, experience significant patient attrition to our competitors and are not able to maintain or establish new relationships with physicians. Competition for qualified physicians to act as medical directors and for inpatient dialysis services agreements with hospitals is also intense. Occasionally, we have also experienced competition from former medical directors or referring physicians who have opened their own dialysis centers. In addition, we experience competitive pressures in connection with negotiating contracts with commercial healthcare payors.

The two largest dialysis companies, Fresenius Medical Care, or Fresenius, and our company, account for approximately two-thirds of outpatient dialysis patients in the United States with our company serving approximately 30% of the total outpatient dialysis patients. Approximately 40% of the centers not owned by us or Fresenius are owned or controlled by hospitals or non-profit organizations. Hospital-based and non-profit dialysis units typically are more difficult to acquire than physician-owned centers. Because of the ease of entry into the dialysis business and the ability of physicians to be medical directors for their own centers, competition for growth in existing and expanding markets is not limited to large competitors with substantial financial resources.

Fresenius also manufactures a full line of dialysis supplies and equipment in addition to owning and operating dialysis centers. This may give them cost advantages over us because of their ability to manufacture their own products. Fresenius has been one of our largest suppliers of dialysis products. In January 2010, we entered into an agreement with Fresenius which committed us to purchase a certain amount of dialysis equipment, parts and supplies from them through 2013. In addition, in August 2006 in connection with the DVA Renal Healthcare acquisition, we also entered into a product supply agreement with Gambro Renal Products that requires us to purchase a certain amount of our hemodialysis non-equipment product supplies, such as dialyzers, at fixed prices through 2015. Our purchases of products in these categories generally offered by both Fresenius and Gambro Renal Products represent approximately 4% of our total operating expenses. During 2010, we purchased hemodialysis products and supplies from Gambro Renal Products representing approximately 2% of our total operating expenses.

Teammates

As of December 31, 2010, we had approximately 36,500 teammates:


• Licensed professional staff (nurses, dieticians and social workers)			15,500
• Other patient care and center support staff and laboratory personnel			16,000
• Corporate, billing and regional administrative staff			5,000

Our dialysis business requires nurses with specialized training for treating patients with complex care needs. Recruitment and retention of nurses are continuing concerns for healthcare providers due to short supply. We have an active program of investing in our professional healthcare teammates to help ensure we meet our recruitment and retention targets, including expanded training opportunities, tuition reimbursements and other incentives.

Item 1A. Risk Factors.

This Annual Report on Form 10-K contains statements that are forward-looking statements within the meaning of the federal securities laws. These statements involve known and unknown risks and uncertainties including the risks discussed below. The risks discussed below are not the only ones facing our business. Please read the cautionary notice regarding forward-looking statements in Item 7 of this Part 1 under the heading “Management’s Discussion and Analysis of Financial Condition and Results of Operation”.

If the average rates that commercial payors pay us decline significantly, it would have a material adverse effect on our revenues, earnings and cash flows.

Approximately 34% of our dialysis and related lab services revenues for the year ended December 31, 2010 were generated from patients who have commercial payors as the primary payor. The majority of these patients have insurance policies that pay us on terms and at rates that are generally significantly higher than Medicare rates. The payments we receive from commercial payors generate nearly all of our profit and all of our nonacute dialysis profits come from commercial payors. We continue to experience downward pressure on some of our commercial payment rates and it is possible that commercial payment rates could be materially lower in the future. The downward pressure on commercial payment rates is a result of general conditions in the market, recent and future consolidations among commercial payors, increased focus on dialysis services and other factors.

We are continuously in the process of negotiating our existing or potentially new agreements with commercial payors who tend to be aggressive in their negotiations with us. Sometimes many significant agreements are up for renewal or being renegotiated at the same time. In the event that our continual negotiations result in overall commercial rate reductions in excess of overall commercial rate increases, the cumulative effect could have a material adverse effect on our financial results. Consolidations have significantly increased the negotiating leverage of commercial payors. Our negotiations with payors are also influenced by competitive pressures. We expect that some of our contracted rates with commercial payors may decrease or that we may experience decreases in patient volume as our negotiations with commercial payors continue. In addition to increasing downward pressure on contracted commercial payor rates, payors have been attempting to impose restrictions and limitations on non-contracted or out-of-network providers. In some circumstances for some commercial payors, our centers are designated as out-of-network providers. Rates for out-of-network providers are on average higher than rates for in-network providers. We believe commercial payors have or will begin to restructure their benefits to create disincentives for patients to select or remain with out-of-network providers and to decrease payment rates for out-of-network providers. Decreases in out-of-network rates and restrictions on out-of-network access combined with decreases in contracted rates could result in a significant decrease in our overall revenue derived from commercial payors. If the average rates that commercial payors pay us decline significantly, it would have a material adverse effect on our revenues, earnings and cash flows.

If the number of patients with higher-paying commercial insurance declines, then our revenues, earnings and cash flows would be substantially reduced.

Our revenue levels are sensitive to the percentage of our patients with higher-paying commercial insurance coverage. A patient’s insurance coverage may change for a number of reasons, including changes in the patient’s or a family member’s employment status. Currently, for a patient covered by an employer group health plan, Medicare generally becomes the primary payor after 33 months, or earlier, if the patient’s employer group health plan coverage terminates. When Medicare becomes the primary payor, the payment rate we receive for that patient shifts from the employer group health plan rate to the lower Medicare payment rate. We have seen an increase in the number of patients who have government-based programs as their primary payors which we believe is largely a result of improved mortality and recent economic conditions which have a negative impact on the percentage of patients covered under commercial insurance plans. To the extent there are sustained or increased job losses in the United States, independent of whether general economic conditions might be improving, we could experience a continued decrease in the number of patients under commercial plans. We

could also experience a further decrease if changes to the healthcare regulatory system result in fewer patients covered under commercial plans or an increase of patients covered under more restrictive commercial plans with lower reimbursement rates. In addition, our continuous process of negotiations with commercial payors under existing or potentially new agreements could result in a decrease in the number of patients under commercial plans to the extent that we cannot reach agreement with commercial payors on rates and other terms, resulting in termination or non-renewals of existing agreements or our inability to enter into new ones. If there is a significant reduction in the number of patients under higher-paying commercial plans relative to government-based programs that pay at lower rates, it would have a material adverse effect on our revenues, earnings and cash flows.

Changes in the structure of, and payment rates under the Medicare ESRD program, including the implementation of a bundled payment system under MIPPA and other healthcare reform initiatives, could substantially reduce our revenues, earnings and cash flows.

Approximately 49% of our dialysis and related lab services revenues for the year ended December 31, 2010 was generated from patients who have Medicare as their primary payor. Prior to January 1, 2011, the Medicare ESRD program paid us for dialysis treatment services at a fixed composite rate. The Medicare composite rate was the payment rate for a dialysis treatment including the supplies used in those treatments, specified laboratory tests and certain pharmaceuticals. Certain other pharmaceuticals, including EPO, vitamin D analogs and iron supplements, as well as certain specialized laboratory tests, were separately billed.

In July 2008, MIPPA was passed by Congress. This legislation introduced a new payment system for dialysis services beginning in January 2011 whereby payment for dialysis treatment and related services are now made under a bundled payment rate which provides a fixed rate to encompass all goods and services provided during the dialysis treatment, including pharmaceuticals that were historically separately reimbursed to the dialysis providers, such as EPO, vitamin D analogs and iron supplements, and laboratory testing. On August 12, 2010, CMS published the final rule implementing the bundled payment in the Federal Register. The initial 2011 bundled rate includes reductions of 2% and 3.1% to conform to the provisions of MIPPA and to establish budget neutrality, respectively. Further there is a 5.94% reduction tied to an expanded list of case mix adjustors which can be earned back based upon the presence of these certain patient characteristics and co-morbidities at the time of treatment. There are also other provisions which may impact payment including an outlier pool and a low volume facility adjustment.

While we will continue to evaluate and respond to the various components of the new bundled payment rate system and the potential operational, clinical and economic impact it might have on us, the new payment system presents additional risks. For example, with regard to the expanded list of case-mix adjustors, there is a risk that our dialysis centers or billing and other systems may not accurately document and track the appropriate patient-specific characteristics, resulting in a reduction or overpayment in the amounts of the payments that we would otherwise be entitled to receive. The new single bundled payment base rate will also be adjusted annually for inflation based upon a market basket index, less a productivity adjustment, beginning in 2012. Also, beginning in 2012, the rule provides for up to a 2% annual payment withhold that can be earned back by facilities that meet certain defined clinical performance standards; however, to the extent our facilities do not fully meet the established benchmarks, we may not earn back all (or any) of the dollars withheld.

Dialysis providers were given the option to make a one-time election by November 1, 2010 to move fully to the bundled payment system in 2011 or to phase in the payment system over four years, in each case commencing on January 1, 2011. We elected to move fully to the bundled payment system.

At this time we cannot predict whether we will be able to reduce our operating costs to a level that will fully offset any reduction in overall reimbursement for services we provide to Medicare patients. In addition, we experience increases in operating costs that are subject to inflation, such as labor and supply costs, regardless of whether there is a compensating inflation-based increase in Medicare payment rates or the new bundled payment

rate system. We also cannot predict whether we will be able to satisfy our Medicare and Medicaid regulatory compliance obligations as processes and systems are modified substantially to comply with the rule. To the extent we are not able to adequately bill and collect for certain payment adjustors and are not able to offset the mandated reductions in reimbursement or if we face regulatory enforcement actions and penalties as a result of alleged improper billing of governmental programs, it could have a material adverse effect on our revenues, earnings and cash flows. (For additional details regarding the risks we face for failing to adhere to our Medicare and Medicaid regulatory compliance obligations, see the risk factor below under the heading “If we fail to adhere to all of the complex government regulations that apply to our business, we could suffer severe consequences that would substantially reduce our revenues, earnings and cash flows”).

Health care reform could substantially reduce our revenues, earnings and cash flows.

In March 2010, broad health care reform legislation was enacted in the United States. Although many of the provisions of the new legislation do not take effect immediately, and may be modified before they are implemented, the reforms could have an impact on our business in a number of ways. We cannot predict how employers, private payors or persons buying insurance might react to these changes or what form many of these regulations will take before implementation. However, we believe the establishment of health care insurance exchanges under the legislation due to be operating by 2014 that will provide a marketplace for eligible individuals to purchase health care insurance could result in a reduction in patients covered by commercial insurance. To the extent that any modifications to the current health care regulatory system result in a reduction in patients covered by commercial insurance or a reduction in reimbursement rates for our services from commercial and/or government payors, our revenues, earnings and cash flows could be adversely affected.

In addition, the health care reform legislation introduced severe penalties for the knowing and improper retention of overpayments collected from government payors. As a result, we have made significant investments in additional resources to accelerate the time it takes to identify and process overpayments and we may be required to make additional investments in the future. Acceleration in our ability to identify and process overpayments could result in us refunding overpayments to government or other payors sooner than we have in the past, which could have a material adverse effect on our operating cash flows. The failure to return identified overpayments within the specified time frame is now a violation of the federal False Claims Act.

The legislation also reduced the timeline to file Medicare claims, which now must be filed with the government within one calendar year after the date of service. To comply with this reduced timeline, we must deploy significant resources and may change our claims processing methods to ensure that our Medicare claims are filed in a timely fashion. Failure to file a claim within the one year window could result in payment denials, adversely affecting our revenues, earnings and cash flows.

Effective March 2011, CMS will institute new screening procedures and a new $500 enrollment fee for providers enrolling in government health care programs. A provider will be subject to screening upon initial enrollment and each time the provider re-validates its enrollment application. Screening includes verification of enrollment information and review of various federal databases to ensure the provider has valid tax identification, NPI numbers and is not excluded. We expect this screening process to delay the Medicare contractor approval process, potentially causing a delay in reimbursement. The enrollment fee is also applicable upon initial enrollment, re-validation, and each time an existing provider adds a new facility location. This fee is an additional expense that must be paid for each center every three years and could be more significant if other government and commercial payors follow this trend. Ultimately, we anticipate the new screening and enrollment requirements will require additional personnel and financial resources and will potentially delay the enrollment and revalidation of our centers which in turn will delay payment.

Other reform measures allow CMS to place a moratorium on new enrollment of providers and to suspend payment to providers upon a credible allegation of fraud from any source. These types of reform measures, depending upon the scope and breadth of the implementing regulations, could adversely impact our revenues, earnings and cash flows.

Changes in state Medicaid or other non-Medicare government-based programs or payment rates could reduce our revenues, earnings and cash flows.

Approximately 17% of our dialysis and related lab services revenues for the year ended December 31, 2010 was generated from patients who have state Medicaid or other non-Medicare government-based programs, such as Medicare-assigned plans or the Veterans Health Administration (VA), as their primary coverage. As state governments and governmental organizations face increasing budgetary pressure, we may in turn face reductions in payment rates, delays in the timing of payments, limitations on eligibility or other changes to the applicable programs. For example, some programs, such as certain state Medicaid programs and the Veterans Health Administration, have recently considered, proposed or implemented rate reductions.

On December 17, 2010, the Department of Veterans Affairs published a final rule in which it materially changed the payment methodology and ultimately the amount paid for dialysis services furnished to veterans in non-VA centers such as ours. In the final rule, the VA adopted the bundled payment system implemented by Medicare and estimated a reduction of 39% in payments for dialysis services to veterans at non-VA centers. Approximately 2% of our dialysis and related lab services revenues for the year ended December 31, 2010 was generated by the VA. The new VA payment methodology will have a significant negative impact on our revenues, earnings and cash flows as a result of the reduction in rates or as a result of the decrease in the number of VA patients we serve. We recently executed multi-year contractual agreements with the Veterans Health Administration and there is some uncertainty as to when this rule will take effect for the patients covered by these contracts. While at this time the contracts remain in force, these agreements provide for the right for either party to terminate the agreement without cause on short notice. Further, patients who are not covered by the contractual arrangements will likely be reimbursed at Medicare rates beginning with the date of implementation of the rule. If the Veterans Health Administration proceeds with payment rate reductions or fails to renew our existing contracts, we might have to cease accepting patients under this program and could even be forced to close centers.

In addition, some state Medicaid program eligibility requirements mandate that citizen enrollees in such programs provide documented proof of citizenship. If our patients cannot meet these proof of citizenship documentation requirements, they may be denied coverage under these programs. If state Medicaid or other non-Medicare government programs reduce the rates paid by these programs for dialysis and related services, delay the timing of payment for services provided, further limit eligibility for coverage or adopt changes to their payment structure which reduces our overall payments from these state Medicaid or non-Medicare government programs, then our revenues, earnings and cash flows could be adversely affected.

Changes in clinical practices, payment rates or regulations impacting EPO and other pharmaceuticals could reduce our revenues, earnings and cash flows.

The administration of EPO and other pharmaceuticals accounted for approximately 26% of our dialysis and related lab services revenues for the year ended December 31, 2010, with EPO alone accounting for approximately 18% of our dialysis and related lab services revenues for the same period. Changes in clinical practices that result in further decreased utilization of prescribed pharmaceuticals or changes in payment rates for those pharmaceuticals could reduce our revenues, earnings and cash flows.

Since late 2006, there has been significant media discussion and government scrutiny regarding anemia management practices in the United States which has created confusion and concern in the nephrology community. In late 2006, the U.S. House of Representatives Ways and Means Committee held a hearing on the issue of the utilization of ESAs, which include EPO, and in 2007, the FDA required changes to the labeling of EPO and Aranesp^® to include a black box warning, the FDA’s strongest form of warning label. An FDA advisory panel on ESA use met in October 2010, which meeting was similar to the prior meeting held in 2007 in that there was significant discussion and concern about the safety of ESAs. The panel concluded it would not recommend a change in ESA labeling. However, the FDA is not bound by the panel’s recommendation. In

addition, in June 2010, CMS opened a National Coverage Analysis (NCA) for ESAs. Further in January 2011, CMS convened a meeting of the Medicare Evidence Development and Coverage Advisory Committee (MEDCAC) to evaluate evidence for the pending NCA. CMS expects to complete its decision memo in March 2011 and issue final guidance in June 2011.

The forgoing congressional and agency activities and related actions could result in further restrictions on the utilization and reimbursement for ESAs. Commercial payors have also increasingly examined their administration policies for EPO and, in some cases, have modified those policies. Inclusion of EPO in the Medicare bundled payment rate, as well as in a bundled payment rate for several of our commercial payors, is expected to mitigate the effect of lower utilization of EPO. However, further changes in labeling of EPO and other pharmaceuticals in a manner that alters physician practice patterns or accepted clinical practices, changes in private and governmental payment criteria, including the introduction of EPO administration policies or the conversion to alternate types of administration of EPO or other pharmaceuticals that result in further decreases in utilization or reimbursement for EPO and other pharmaceuticals, could have a material adverse effect on our revenues, earnings and cash flows.

Changes in EPO pricing could materially reduce our earnings and cash flows and affect our ability to care for our patients.

Amgen Inc. is the sole supplier of EPO and may unilaterally decide to increase its price for EPO at any time during the term of our agreement with Amgen. Future increases in the cost of EPO without corresponding increases in payment rates for EPO from commercial payors and without corresponding increases in the Medicare bundled rate could have a material adverse effect on our earnings and cash flows and ultimately reduce our income. Our agreement with Amgen for EPO provides for discount pricing and rebates for EPO. Some of the rebates are subject to various qualification requirements for which we will be evaluated during the term of the agreement. These qualification requirements are based on a variety of factors, including process improvement targets, patient outcome targets and data submission. In addition, the rebates are subject to certain limitations. We cannot predict whether we will continue to receive the rebates for EPO that we currently receive, or whether we will continue to achieve the same levels of rebates within that structure as we have historically achieved. Factors that could impact our ability to qualify for rebates provided for in our agreement with Amgen in the future include our ability to develop and implement certain process improvements and track certain data elements. Failure to meet certain targets and earn the specified rebates could have a material adverse effect on our earnings and cash flows. Our prior multi-year agreement with Amgen expired on December 31, 2010, and we entered into a new shorter term agreement with Amgen that commenced January 1, 2011 and ends June 30, 2011. We cannot predict whether any new agreement with Amgen will include the same or similar discount pricing and rebates as provided in our current agreement and, if so, whether we could meet any applicable qualification requirements for receiving them.

We are the subject of a number of inquiries by the federal government, any of which could result in substantial penalties against us, imposition of certain obligations on our practices and procedures, exclusion from future participation in the Medicare and Medicaid programs and, in certain cases, criminal penalties.

We are the subject of a number of inquiries by the federal government. We have received subpoenas from the U.S. Attorney’s Office for the Northern District of Georgia, the U.S. Attorney’s Office for the Eastern District of Missouri, the U.S. Attorney’s Office for the Eastern District of Texas and the OIG’s Office in Dallas, Texas. We are cooperating with the U.S. Attorney’s Offices and the OIG Office with respect to each of the subpoenas and producing the requested records. Although we cannot predict whether or when proceedings might be initiated by the federal government or when these matters may be resolved, it is not unusual for investigations such as these to continue for a considerable period of time. Responding to the subpoenas will continue to require management’s attention and significant legal expense. Any negative findings could result in substantial financial penalties against us, imposition of certain obligations on our practices and procedures, exclusion from future

participation in the Medicare and Medicaid programs and, in certain cases, criminal penalties. To our knowledge, no proceedings have been initiated by the federal government against us at this time. See Note 16 to our consolidated financial statements for additional information regarding these inquiries and subpoenas.

Continued inquiries from various governmental bodies with respect to our utilization of EPO and other pharmaceuticals will require management’s attention, cause us to incur significant legal expense and could result in substantial financial penalties against us or exclusion from future participation in the Medicare and Medicaid programs, and could have a material adverse effect on our revenues, earnings and cash flows.

In response to clinical studies which identified risks in certain patient populations related to the utilization of EPO and other ESAs, i.e., Aranesp^®, and in response to changes in the labeling of EPO and Aranesp^®, there has been substantial media attention and government scrutiny resulting in hearings and legislation regarding pharmaceutical utilization and reimbursement. Although we believe our anemia management practices and other pharmaceutical administration practices have been compliant with existing laws and regulations, as a result of the current high level of scrutiny and controversy, we may be subject to increased inquiries from a variety of governmental bodies and claims by third parties. For example, the subpoena from the U.S. Attorney’s Office for the Northern District of Georgia relates to the pharmaceutical products Zemplar, Hectorol, Venofer, Ferrlecit, EPO and other related matters. The subpoena from the U.S. Attorney’s Office in the Eastern District of Missouri includes requests for documents regarding the administration of, and billing for, EPO. The subpoena from the Office of Inspector General in Houston, Texas requests records relating to EPO claims submitted to Medicare. In addition, in February 2008 the Attorney General’s Office for the State of Nevada notified us that Nevada Medicaid intends to conduct audits of ESRD dialysis providers in Nevada relating to the billing of pharmaceuticals, including EPO. Additional inquiries from various agencies and claims by third parties with respect to this issue would continue to require management’s attention and significant legal expense and any negative findings could result in substantial financial penalties against us, imposition of certain obligations on our practices and procedures and the attendant financial burden on us to comply, or exclusion from future participation in the Medicare and Medicaid programs, and could have a material adverse effect on our revenues, earnings and cash flows. See Note 16 to our consolidated financial statements for additional information regarding these inquiries and subpoenas.

If we fail to adhere to all of the complex government regulations that apply to our business, we could suffer severe consequences that would substantially reduce our revenues, earnings and cash flows.

Our dialysis operations are subject to extensive federal, state and local government regulations, including Medicare and Medicaid payment rules and regulations, federal and state anti-kickback laws, the Stark Law physician self-referral prohibition and analogous state referral statutes, the federal False Claims Act, or FCA, and federal and state laws regarding the collection, use and disclosure of patient health information and storage, handling and administration of pharmaceuticals. The Medicare and Medicaid reimbursement rules related to claims submission, enrollment and licensing requirements, cost reporting, and payment processes impose complex and extensive requirements upon dialysis providers. A violation or departure from any of these requirements may result in government audits, lower reimbursements, significant fines and penalties, the potential loss of certification and recoupments or voluntary repayments. CMS has indicated that after implementation of the Medicare bundled payment system, it will monitor use of EPO and whether blood transfusions replace EPO for anemia management.

The regulatory scrutiny of healthcare providers, including dialysis providers continues to increase. Medicare has increased the frequency and intensity of its certification inspections of dialysis centers. For example, we are required to provide substantial documentation related to the administration of pharmaceuticals, including EPO, and, to the extent that any such documentation is found insufficient, we may be required to refund any amounts received from such administration by government or commercial payors, and be subject to substantial penalties under applicable laws or regulations. In addition, Medicare contractors have increased their prepayment and post-payment reviews.

We endeavor to comply with all of the requirements for receiving Medicare and Medicaid payments, to structure all of our relationships with referring physicians to comply with state and federal anti-kickback laws and physician self-referral law (Stark Law), and for storing, handling and administering pharmaceuticals. However, the laws and regulations in these areas are complex, require considerable resources to comply with and are subject to varying interpretations. For example, if an enforcement agency were to challenge the level of compensation that we pay our medical directors or the number of medical directors that we engage, we could be required to change our practices, face criminal or civil penalties, pay substantial fines or otherwise experience a material adverse effect as a result of a challenge to these arrangements. In addition, recent amendments to the FCA impose severe penalties for the knowing and improper retention of overpayments collected from government payors. These amendments could subject our procedures for identifying and processing overpayments to greater scrutiny. We have made significant investments in additional resources to decrease the time it takes to identify and process overpayments and we may be required to make additional investments in the future. An acceleration in our ability to identify and process overpayments could result in us refunding overpayments to government or other payors sooner than we have in the past. A significant acceleration of these refunds could have a material adverse affect on our operating cash flows. Additionally, amendments to the federal anti-kickback statute in the health reform law make anti-kickback violations subject to FCA prosecution, including qui tam or whistleblower suits.

If any of our operations are found to violate these or other government regulations, we could suffer severe consequences that would have a material adverse effect on our revenues, earnings and cash flows including:

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Suspension or termination of our participation in government payment programs;

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Refunds of amounts received in violation of law or applicable payment program requirements;

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Loss of required government certifications or exclusion from government payment programs;

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Loss of licenses required to operate health care facilities or administer pharmaceuticals in some of the states in which we operate;

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Reductions in payment rates or coverage for dialysis and ancillary services and related pharmaceuticals;

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Fines, damages or monetary penalties for anti-kickback law violations, Stark Law violations, FCA violations, civil or criminal liability based on violations of law, or other failures to meet regulatory requirements;

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Claims for monetary damages from patients who believe their protected health information has been used or disclosed in violation of federal or state patient privacy laws;

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Mandated changes to our practices or procedures that significantly increase operating expenses; and

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Termination of relationships with medical directors.

Delays in state Medicare and Medicaid certification of our dialysis centers could adversely affect our revenues, earnings and cash flows.

Before we can begin billing for patients treated in our outpatient dialysis centers who are enrolled in government-based programs, we are required to obtain state and federal certification for participation in the Medicare and Medicaid programs. As state agencies responsible for surveying dialysis centers on behalf of the state and Medicare program face increasing budgetary pressure, certain states are having difficulty keeping up with certifying dialysis centers in the normal course resulting in significant delays in certification. If state governments continue to have difficulty keeping up with certifying new centers in the normal course and we continue to experience significant delays in our ability to treat and bill for services provided to patients covered under government programs, it could cause us to incur write-offs of investments or accelerate the recognition of lease obligations in the event we have to close centers or our centers’ operating performance deteriorates, and it could have an adverse effect on our revenues, earnings and cash flows.

If our joint ventures were found to violate the law, we could suffer severe consequences that would have a material adverse effect on our revenues, earnings and cash flows.

As of December 31, 2010, we owned a controlling interest in numerous dialysis-related joint ventures, which represented approximately 18% of our dialysis and related lab services revenues for the year ended December 31, 2010. In addition, we also owned minority equity investments in several other dialysis related joint ventures. We anticipate that we will continue to increase the number of our joint ventures. Many of our joint ventures with physicians or physician groups also have the physician owners providing medical director services to those centers or other centers we own and operate. Because our relationships with physicians are governed by the federal anti-kickback statute, we have sought to structure our joint venture arrangements to satisfy as many safe harbor requirements as we believe are reasonably possible. However, our joint venture arrangements do not satisfy all elements of any safe harbor under the federal anti-kickback statute. The subpoena and related requests for documents we received from the United States Attorney’s Office for the Eastern District of Missouri included requests for documents related to our joint ventures. We were recently advised by the U.S. Department of Justice that it is conducting a civil investigation into our financial relationships with physicians. See Note 16 to our consolidated financial statements for additional information regarding these inquiries and subpoenas.

If our joint ventures are found to be in violation of the anti-kickback statute or the Stark Law provisions, we could be required to restructure the joint ventures or refuse to accept referrals for designated health services from the physicians with whom the joint venture centers have a financial relationship.

We also could be required to repay amounts received by the joint ventures from Medicare and certain other payors to the extent that these arrangements are found to give rise to prohibited referrals, and we could be subject to monetary penalties and exclusion from government healthcare programs. If our joint venture centers are subject to any of these penalties, we could suffer severe consequences that would have a material adverse effect on our revenues, earnings and cash flows.

There are significant estimating risks associated with the amount of dialysis revenue and related refund liabilities that we recognize and if we are unable to accurately estimate our revenue and related refund liabilities, it could impact the timing of our revenue recognition or have a significant impact on our operating results.

There are significant estimating risks associated with the amount of dialysis and related lab services revenues and related refund liabilities that we recognize in a reporting period. The billing and collection process is complex due to ongoing insurance coverage changes, geographic coverage differences, differing interpretations of contract coverage, and other payor issues. Determining applicable primary and secondary coverage for approximately 125,000 patients at any point in time, together with the changes in patient coverage that occur each month, requires complex, resource-intensive processes. Errors in determining the correct coordination of benefits may result in refunds to payors. Revenues associated with Medicare and Medicaid programs are also subject to estimating risk related to the amounts not paid by the primary government payor that will ultimately be collectible from other government programs paying secondary coverage, the patient’s commercial health plan secondary coverage or the patient. Collections, refunds and payor retractions typically continue to occur for up to three years and longer after services are provided. We generally expect our range of dialysis and related lab services revenues estimating risk to be within 1% of revenues for the segment, which can represent as much as 6% of consolidated operating income. If our estimates of dialysis and related lab services revenues and related refund liabilities are materially inaccurate, it could impact the timing of our revenue recognition and have a significant impact on our operating results.

The ancillary services we provide or the strategic initiatives we invest in may generate losses and may ultimately be unsuccessful. In the event that one or more of these activities is unsuccessful, we may have to write off our investment and incur other exit costs.

Our ancillary services and strategic initiatives include pharmacy services, infusion therapy services, disease management services, vascular access services, ESRD clinical research programs and physician services. Many

of these initiatives require investments of both management and financial resources and can generate significant losses for a substantial period of time and may not become profitable. There can be no assurance that any such strategic initiative will ultimately be successful. Any significant change in market conditions, business performance or in the regulatory environment may impact the economic viability of any of these strategic initiatives. For example, during 2010 and 2009, several of our strategic initiatives generated net operating losses and some are expected to generate net operating losses in 2011. If any of our ancillary services or strategic initiatives do not perform as planned, we may incur a material write-off or an impairment of our investment, including goodwill, in one or more of these activities or we could incur significant termination costs if we were to exit a certain line of business.

If a significant number of physicians were to cease referring patients to our dialysis centers, whether due to regulatory or other reasons, it would have a material adverse effect on our revenues, earnings and cash flows.

We believe that physicians prefer to have their patients treated at dialysis centers where they or other members of their practice supervise the overall care provided as medical director of the center. As a result, the primary referral source for most of our centers is often the physician or physician group providing medical director services to the center. Neither our current nor former medical directors have an obligation to refer their patients to our centers. If a medical director agreement terminates, whether before or at the end of its term, and a new medical director is appointed, it may negatively impact the former medical director’s decision to treat his or her patients at our center. If we are unable to enforce noncompetition provisions contained in the terminated medical director agreements, former medical directors may choose to provide medical director services for competing providers or establish their own dialysis centers in competition with ours. Also, if the quality of service levels at our centers deteriorates, it may negatively impact patient referrals and treatment volumes.

Our medical director contracts are for fixed periods, generally three to ten years, and at any given time a large number of them could be up for renewal at the same time. Medical directors have no obligation to extend their agreements with us. We may take actions to restructure existing relationships or take positions in negotiating extensions of relationships to assure compliance with the anti-kickback statute, Stark Law and other similar laws. These actions could negatively impact the decision of physicians to extend their medical director agreements with us or to refer their patients to us. If the terms of any existing agreement are found to violate applicable laws, we may not be successful in restructuring the relationship which could lead to the early termination of the agreement, or cause the physician to stop referring patients to our dialysis centers. If a significant number of physicians were to cease referring patients to our dialysis centers, whether due to regulatory or other reasons, then our revenues, earnings and cash flows would be substantially reduced.

Current economic conditions as well as further disruptions in the financial markets could have a material adverse effect on our revenues, earnings and cash flows and otherwise adversely affect our financial condition.

Current economic conditions could adversely affect our business and our profitability. Among other things, the potential decline in federal and state revenues that may result from such conditions may create additional pressures to contain or reduce reimbursements for our services from Medicare, Medicaid and other government sponsored programs. Increasing job losses or slow improvement in the unemployment rate in the United States as a result of current or recent economic conditions has and may continue to result in a smaller percentage of our patients being covered by an employer group health plan and a larger percentage being covered by lower paying Medicare and Medicaid programs. Employers may also begin to select more restrictive commercial plans with lower reimbursement rates. To the extent that payors are negatively impacted by a decline in the economy, we may experience further pressure on commercial rates, a further slow down in collections and a reduction in the amounts we expect to collect. In addition, uncertainty in the financial markets could adversely affect the variable interest rates payable under our credit facilities or could make it more difficult to obtain or renew such facilities or to obtain other forms of financing in the future. Any or all of these factors, as well as other consequences of the current economic conditions which cannot currently be anticipated, could have a material adverse effect on our revenues, earnings and cash flows and otherwise adversely affect our financial condition.

We may engage in acquisitions, mergers or dispositions, which may affect our results of operations, debt-to-capital ratio, capital expenditures or other aspects of our business.

We may engage in acquisitions, mergers or dispositions, which may affect our results of operations, debt-to-capital ratio, capital expenditures, or other aspects of our business. There can be no assurance that we will be able to identify suitable acquisition targets or merger partners or that, if identified, we will be able to acquire these targets on acceptable terms or agree to terms with merger partners. There can also be no assurance that we will be successful in completing any acquisitions, mergers or dispositions that we might be considering or announce, or integrating any acquired business into our overall operations or operate them successfully as stand-alone businesses, or that any such acquired business will operate profitably or will not otherwise adversely impact our results of operations. Further, we cannot be certain that key talented individuals at the business being acquired will continue to work for us after the acquisition or that they will be able to continue to successfully manage or have adequate resources to successfully operate any acquired business.

If we are not able to continue to make acquisitions, or maintain an acceptable level of non-acquired growth, or if we face significant patient attrition to our competitors or a reduction in the number of our medical directors, it could adversely affect our business.

The dialysis industry is highly competitive, particularly in terms of acquiring existing dialysis centers. We continue to face increased competition in the dialysis industry from large and medium-sized providers which compete directly with us for acquisition targets as well as for individual patients and medical directors. Acquisitions, patient retention and medical director retention are an important part of our growth strategy. Because of the ease of entry into the dialysis business and the ability of physicians to be medical directors for their own centers, competition for growth in existing and expanding markets is not limited to large competitors with substantial financial resources. Occasionally, we have experienced competition from former medical directors or referring physicians who have opened their own dialysis centers. In addition, Fresenius, our largest competitor, manufactures a full line of dialysis supplies and equipment in addition to owning and operating dialysis centers. This may give it cost advantages over us because of its ability to manufacture its own products. If we are not able to continue to make acquisitions, continue to maintain acceptable levels of non-acquired growth, or if we face significant patient attrition to our competitors or a reduction in the number of our medical directors, it could adversely affect our business.

If businesses we acquire have liabilities that we are not aware of, we could suffer severe consequences that would substantially reduce our earnings and cash flows.

Our business strategy includes the acquisition of dialysis centers and businesses that own and operate dialysis centers, as well as other ancillary services and strategic initiatives. Businesses we acquire may have unknown or contingent liabilities or liabilities that are in excess of the amounts that we originally estimated. Although we generally seek indemnification from the sellers of businesses we acquire for matters that are not properly disclosed to us, we are not always successful. In addition, even in cases where we are able to obtain indemnification, we may discover liabilities greater than the contractual limits or the financial resources of the indemnifying party. In the event that we are responsible for liabilities substantially in excess of any amounts recovered through rights to indemnification, we could suffer severe consequences that would substantially reduce our earnings and cash flows.

Expansion of our operations to and offering our services in markets outside of the United States subjects us to political, legal, operational and other risks that could have a materially adverse affect on our business, results of operations and cash flows.

We are undertaking an expansion of our operations and beginning to offer our services outside of the United States, which increases our exposure to the inherent risks of doing business in international markets. Depending on the market, these risks include, without limitation, those relating to:

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changes in the local economic environment;

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political instability, armed conflicts or terrorism;

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social changes;

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intellectual property legal protections and remedies;

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trade regulations;

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procedures and actions affecting approval, production, pricing, reimbursement and marketing of products and services;

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foreign currency;

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repatriating or moving to other countries cash generated or held abroad, including considerations relating to tax-efficiencies and changes in tax laws;

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export controls;

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lack of reliable legal systems which may affect our ability to enforce contractual rights;

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changes in local laws or regulations;

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potentially longer payment and collection cycles; and

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financial and operational, and information technology systems integration.

International operations also could require us to devote significant management resources to implement our controls and systems in new markets, to comply with the U.S. Foreign Corrupt Practices Act and similar laws in local jurisdictions and to overcome the numerous new challenges inherent in managing international operations, including those based on differing languages, cultures and regulatory environments.

We expect to expand our international operations through acquisition or otherwise, which would increase these risks. Additionally, though we might invest substantial amounts of capital and incur significant costs in connection with our international operations, there is no assurance that we will be able to operate them profitably anytime soon, if at all. As a result we would expect these costs to be dilutive to our earnings over the next several years as we start-up or acquire new operations.

These risks could have a material adverse effect on our financial condition, results of operations and cash flows.

The level of our current and future debt could have an adverse impact on our business and our ability to generate cash to service our indebtedness depends on many factors beyond our control.

We have substantial debt outstanding and we may incur additional indebtedness in the future. The high level of our indebtedness, among other things, could:

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make it difficult for us to make payments on our debt securities;

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increase our vulnerability to general adverse economic and industry conditions;

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require us to dedicate a substantial portion of our cash flow from operations to payments on our indebtedness, thereby reducing the availability of our cash flow to fund working capital, capital expenditures, acquisitions and investments and other general corporate purposes;

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limit our flexibility in planning for, or reacting to, changes in our business and the markets in which we operate;

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place us at a competitive disadvantage compared to our competitors that have less debt; and

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limit our ability to borrow additional funds.

Our ability to make payments on our indebtedness and to fund planned capital expenditures and expansion efforts, including any strategic acquisitions we may make in the future, will depend on our ability to generate cash. This, to a certain extent, is subject to general economic, financial, competitive, regulatory and other factors that are beyond our control.

We cannot provide assurance that our business will generate sufficient cash flow from operations in the future or that future borrowings will be available to us in an amount sufficient to enable us to service our indebtedness or to fund other liquidity needs. The borrowings under the Credit Agreement are guaranteed by substantially all of our direct and indirect wholly-owned domestic subsidiaries and are secured by substantially all of DaVita’s and its guarantors’ assets.

Increases in interest rates may increase our interest expense and adversely affect our earnings and cash flow and our ability to service our indebtedness.

A portion of our outstanding debt bears interest at variable rates. We are subject to LIBOR-based interest rate volatility from a floor of 1.50% to a cap of 4.00% on $1,250 million of our Term Loan B outstanding debt as a result of several interest rate cap agreements that were entered into in January 2011. The remaining $500 million of outstanding debt on the Term Loan B is subject to LIBOR-based interest rate volatility above a floor of 1.50%. Our Term Loan A bears interest at LIBOR-based variable rates, however, in January 2011, we entered into several interest rate swap agreements with amortizing notional amounts totaling $1 billion. These agreements had the economic effect of modifying the LIBOR variable component of our interest rate on an equivalent amount of Term Loan A debt to fixed rates. We also have approximately $250 million of additional borrowings available under our new Senior Secured Credit Facilities which will bear interest at a variable rate. We may also incur additional variable rate debt in the future. Increases in interest rates would increase our interest expense of the variable portion of our indebtedness, which could negatively impact our earnings and cash flow and our ability to service our indebtedness which would be particularly significant in the event of rapid and substantial increases in interest rates.

Increases in interest rates would increase our interest expense for the variable portion of our indebtedness, which could negatively impact our earnings and cash flow. For example, it is estimated that a hypothetical increase in interest rates of 100 basis points across all variable rate maturities under the existing Senior Secured Credit Facilities would reduce net income by approximately $6.1 million, for the next twelve months given our current interest rates in effect at December 31, 2010. See “Item 7A—Quantitative and Qualitative Disclosures about Market Risk” for more information. In addition, if we seek to refinance our existing indebtedness under our Senior Secured Credit Facilities, we may not be able to do so on acceptable terms and conditions, which could increase our interest expense or impair our ability to service our indebtedness and fund our operations.

If there are shortages of skilled clinical personnel or if we experience a higher than normal turnover rate, we may experience disruptions in our business operations and increases in operating expenses.

We are experiencing increased labor costs and difficulties in hiring nurses due to a nationwide shortage of skilled clinical personnel. We compete for nurses with hospitals and other health care providers. This nursing shortage may limit our ability to expand our operations. In addition, changes in certification requirements or increases in the required staffing levels for skilled clinical personnel can impact our ability to maintain sufficient staff levels to the extent our teammates are not able to meet new requirements or competition for qualified individuals increases. If we are unable to hire skilled clinical personnel when needed, or if we experience a higher than normal turnover rate for our skilled clinical personnel, our operations and treatment growth will be negatively impacted, which would result in reduced revenues, earnings and cash flows.

Our business is labor intensive and could be adversely affected if we were unable to maintain satisfactory relations with our employees or if union organizing activities were to result in significant increases in our operating costs or decreases in productivity.

Our business is labor intensive, and our results are subject to variations in labor-related costs, productivity and the number of pending or potential claims against us related to labor and employment practices. If political efforts at the national and local level result in actions or proposals that increase the likelihood of union organizing activities at our facilities or if union organizing activities increase for other reasons, or if labor and employment claims, including the filing of class action suits, trend upwards, our operating costs could increase and our employee relations, productivity, earnings and cash flows could be adversely affected.

Upgrades to our billing and collections systems and complications associated with upgrades and other improvements to our billing and collections systems could have a material adverse effect on our revenues, cash flows and operating results.

We are continuously performing upgrades to our billing systems and expect to continue to do so in the near term. In addition, we continuously work to improve our billing and collections performance through process upgrades, organizational changes and other improvements. We may experience difficulties in our ability to successfully bill and collect for services rendered as a result of these changes, including a slow-down of collections, a reduction in the amounts we expect to collect, increased risk of retractions from and refunds to commercial and government payors, an increase in our provision for uncollectible accounts receivable and noncompliance with reimbursement regulations. The failure to successfully implement the upgrades to the billing and collection systems and other improvements could have a material adverse effect on our revenues, cash flows and operating results.

Our ability to effectively provide the services we offer could be negatively impacted if certain of our suppliers are unable to meet our needs or if we are unable to effectively access new technology, which could substantially reduce our revenues, earnings and cash flows.

We have significant suppliers that are either the sole or primary source of products critical to the services we provide, including Amgen, Baxter Healthcare Corporation, NxStage Medical, Inc. and others or to which we have committed obligations to make purchases including Gambro Renal Products and Fresenius Medical Care. If any of these suppliers are unable to meet our needs for the products they supply, including in the event of a product recall, or shortage, and we are not able to find adequate alternative sources, or if some of the drugs that we purchase are not reimbursed through the bundled payment rate by Medicare, our revenues, earnings and cash flows could be substantially reduced. In addition, the technology related to the products critical to the services we provide is subject to new developments and may result in superior products. If we are not able to access superior products on a cost-effective basis or if suppliers are not able to fulfill our requirements for such products, we could face patient attrition which could substantially reduce our revenues, earnings and cash flows.

We may be subject to liability claims for damages and other expenses not covered by insurance that could reduce our earnings and cash flows.

The administration of dialysis and related services to patients may subject us to litigation and liability for damages. Our business, profitability and growth prospects could suffer if we face negative publicity or we pay damages or defense costs in connection with a claim that is outside the scope of any applicable insurance coverage, including claims related to adverse patient events, contractual disputes and professional and general liability claims. In addition, we have received several notices of claims from commercial payors and other third parties related to our historical billing practices and the historical billing practices of the centers acquired from Gambro Healthcare and other matters related to their settlement agreement with the Department of Justice. Although the ultimate outcome of these claims cannot be predicted, an adverse result with respect to one or more of these claims could have a material adverse effect on our financial condition, results of operations, and cash

flows. We currently maintain programs of general and professional liability insurance. However, a successful claim, including a professional liability, malpractice or negligence claim which is in excess of our insurance coverage could have a material adverse effect on our earnings and cash flows.

In addition, if our costs of insurance and claims increase, then our earnings could decline. Market rates for insurance premiums and deductibles have been steadily increasing. Our earnings and cash flows could be materially and adversely affected by any of the following:

•

the collapse or insolvency of our insurance carriers;

•

further increases in premiums and deductibles;

•

increases in the number of liability claims against us or the cost of settling or trying cases related to those claims; and

•

an inability to obtain one or more types of insurance on acceptable terms.

Provisions in our charter documents, compensation programs and Delaware law may deter a change of control that our stockholders would otherwise determine to be in their best interests.

Our charter documents include provisions that may deter hostile takeovers, delay or prevent changes of control or changes in our management, or limit the ability of our stockholders to approve transactions that they may otherwise determine to be in their best interests. These include provisions prohibiting our stockholders from acting by written consent; requiring 90 days advance notice of stockholder proposals or nominations to our Board of Directors; and granting our Board of Directors the authority to issue preferred stock and to determine the rights and preferences of the preferred stock without the need for further stockholder approval. In addition, we have in place a shareholder rights plan that would substantially dilute the interest sought by an acquirer that our Board of Directors does not approve.

Most of our outstanding employee stock options include a provision accelerating the vesting of the options in the event of a change of control. We also maintain a change of control protection program for our employees who do not have a significant number of stock awards, which has been in place since 2001, and which provides for cash bonuses to the employees in the event of a change of control. Based on the market price of our common stock and shares outstanding on December 31, 2010, these cash bonuses would total approximately $260 million if a change of control transaction occurred at that price and our Board of Directors did not modify this program. These change of control provisions may affect the price an acquirer would be willing to pay for our Company.

We are also subject to Section 203 of the Delaware General Corporation Law that, subject to exceptions, would prohibit us from engaging in any business combinations with any interested stockholder, as defined in that section, for a period of three years following the date on which that stockholder became an interested stockholder.

These provisions may discourage, delay or prevent an acquisition of our Company at a price that our stockholders may find attractive. These provisions could also make it more difficult for our stockholders to elect directors and take other corporate actions and could limit the price that investors might be willing to pay for shares of our common stock.

Item 1B. Unresolved Staff Comments.

None.

Item 2. Properties.

We own the land and buildings for 24 of our outpatient dialysis centers. We also own the buildings for six other outpatient dialysis centers and the building at one of our Florida labs and we own two separate land parcels and sublease a total of seven properties to third-party tenants. In addition, we also own the land associated with the development of our new corporate headquarters. Our remaining outpatient dialysis centers are located on premises that we lease.

Our leases generally cover periods from five to ten years but in some cases can extend for 15 years and typically contain renewal options of five to ten years at the fair rental value at the time of renewal. Our leases are generally subject to periodic consumer price index increases, or contain fixed escalation clauses. Our outpatient dialysis centers range in size from approximately 500 to 30,000 square feet, with an average size of approximately 6,800 square feet.

The following is a summary of our business, administrative offices, laboratories and pharmacies:


Office	Location	Square Feet		Expiration
Corporate Headquarters	Denver, CO		69,000		2012
Administrative Office	Vernon Hills, IL		29,000		2013
Administrative Office	Burlingame, CA		3,400		2012
Administrative Office	Norfolk, VA		20,000		2015
Administrative Office	Tempe, AZ		11,000		2016
Administrative Office	Washington, DC		2,000		2013
Administrative Office	Washington, DC		5,000		2013
Business Office	El Segundo, CA		61,000		2013
Business Office	Tacoma, WA		215,000		2013 through 2021
Business Office	Berwyn, PA		57,000		2012
Business Office	Lakewood, CO		82,000		2012
Business Office	Brentwood, TN		104,500		2011 through 2013
Business Office	Irvine, CA		65,000		2015
DaVita Rx	Orlando, FL		17,000		2013
DaVita Rx	Coppell, TX		53,000		2013
DaVita Rx	San Bruno, CA		7,200		2015
Lab Warehouse	DeLand, FL		11,000		2015
Laboratory	DeLand, FL		40,000		Owned
Laboratory	DeLand, FL		20,000		2013
Laboratory	Ft. Lauderdale, FL		43,000		2015
Laboratory Administrative Office	DeLand, FL		23,000		2011

Some of our outpatient dialysis centers are operating at or near capacity. However, we believe that we have adequate capacity within most of our existing dialysis centers to accommodate additional patient volume through increased hours and/or days of operation, or, if additional space is available within an existing facility, by adding dialysis stations. We can usually relocate existing centers to larger facilities or open new centers if existing centers reach capacity. With respect to relocating centers or building new centers, we believe that we can generally lease space at economically reasonable rates in the areas planned for each of these centers, although there can be no assurances in this regard. Expansion of existing centers or relocation of our dialysis centers is subject to review for compliance with conditions relating to participation in the Medicare ESRD program. In states that require a certificate of need or center license, additional approvals would generally be necessary for expansion or relocation.

Item 3. Legal Proceedings.

Inquiries by the Federal Government

In March 2005, we received a subpoena from the U.S. Attorney’s Office for the Eastern District of Missouri in St. Louis. The subpoena required production of a wide range of documents relating to our operations, including documents related to, among other things, pharmaceutical and other services provided to patients, relationships with pharmaceutical companies, and financial relationships with physicians and joint ventures. The subpoena covers the period from December 1, 1996 through the present. In October 2005, we received a follow-up request for additional documents related to specific medical director and joint venture arrangements. In

February 2006, we received an additional subpoena for documents, including certain patient records relating to the administration and billing of EPO. In May 2007, we received a request for documents related to durable medical equipment and supply companies owned and operated by us. We are cooperating with the inquiry and have produced the requested records. The subpoenas have been issued in connection with a joint civil and criminal investigation. It is possible that criminal proceedings may be initiated against us in connection with this inquiry.

In February 2007, we received a request for information from the Office of Inspector General, U.S. Department of Health and Human Services, or OIG, for records relating to EPO claims submitted to Medicare. In August 2007, we received a subpoena from the OIG seeking similar documents. The requested documents relate to services provided from 2001 to 2004 by a number of our centers. The request and subpoena were sent from the OIG’s offices in Houston and Dallas, Texas. We have cooperated with the inquiry and have produced all previously requested records to date. We have been in contact with the U.S. Attorney’s Office for the Eastern District of Texas, which has stated that this is a civil inquiry related to EPO claims. On July 6, 2009, the United States District Court for the Eastern District of Texas lifted the seal on the civil qui tam complaint related to these allegations and we were subsequently served with a complaint by the relator. The government did not intervene and is not actively pursuing this matter. We believe that there is some overlap between this issue and the ongoing review of EPO utilization and claims by the U.S. Attorney’s Office for the Eastern District of Missouri in St. Louis described above.

In December 2008, we received a subpoena for documents from the OIG relating to the pharmaceutical products Zemplar, Hectorol, Venofer, Ferrlecit and Epogen^®, or EPO, as well as other related matters. The subpoena covers the period from January 2003 to the present. We have been in contact with the United States Attorney’s Office, or U.S. Attorney’s Office, for the Northern District of Georgia and the U.S. Department of Justice in Washington, DC, since November 2008 relating to this matter, and have been advised that this is a civil inquiry. On June 17, 2009, we learned that the allegations underlying this inquiry were made as part of a civil qui tam complaint filed by individuals and brought pursuant to the federal False Claims Act. The case remains under seal in the United States District Court for the Northern District of Georgia. We are cooperating with the inquiry and are producing the requested records.

In May 2010, we received a subpoena from the OIG’s office in Dallas, Texas. The subpoena covers the period from January 1, 2005 through the present, and seeks production of a wide range of documents relating to our operations, including documents related to, among other things, financial relationships with physicians and joint ventures. The subject matter of this subpoena overlaps with the subject matter of the investigation being conducted by the United States Attorney’s Office for the Eastern District of Missouri in St. Louis as described above. We met with representatives of the government to discuss the scope of the subpoena and the production of responsive documents. We have been advised that this is a civil investigation. We are cooperating with the inquiry and are producing the requested records. It is possible that criminal proceedings may be initiated against us in connection with this inquiry.

To our knowledge, no proceedings have been initiated against us at this time in connection with any of the inquiries by the federal government as set forth above. Although we cannot predict whether or when proceedings might be initiated or when these matters may be resolved, it is not unusual for investigations such as these to continue for a considerable period of time. Responding to the subpoenas will continue to require management’s attention and significant legal expense. Any negative findings could result in substantial financial penalties against us, exclusion from future participation in the Medicare and Medicaid programs and, to the extent criminal proceedings may be initiated against us as indicated above, possible criminal penalties. At this time, we cannot predict the ultimate outcome of these inquires or the potential range of damages, if any.

Other

We have received several notices of claims from commercial payors and other third parties related to historical billing practices and claims against DVA Renal Healthcare (formerly known as Gambro Healthcare), a subsidiary of DaVita Inc., related to historical Gambro Healthcare billing practices and other matters covered by its 2004 settlement agreement with the Department of Justice and certain agencies of the U.S. government. At least one commercial payor has filed an arbitration demand against us, as described below, and additional commercial payors have threatened litigation. We intend to defend against these claims vigorously; however, we may not be successful and these claims may lead to litigation and any such litigation may be resolved unfavorably. At this time, we cannot predict the ultimate outcome of this matter or the potential range of damages, if any.

Several wage and hour claims have been filed against us in the Superior Court of California, each of which has been styled as a class action. In February 2007, June 2008, October 2008 and December 2008, we were served with five separate complaints in California, including two in October 2008, by various former employees, each of which alleges, among other things, that we failed to provide rest and meal periods, failed to pay compensation in lieu of providing such rest or meal periods, failed to pay the correct amount of overtime, failed to pay the rate on the “wage statement,” and failed to comply with certain other California Labor Code requirements. We have reached a settlement and release of all claims against us in connection with the complaints served in February 2007 and December 2008 and one of the complaints served in October 2008. We have fully paid the settlement amount and the case has been dismissed. The overall settlement amount was not material to our consolidated financial statements. We have reached an agreement with plaintiffs to settle the claims in the second complaint filed in October 2008. In February 2011, the agreement was approved by the Court, and the amount of the overall settlement was not material. We intend to vigorously defend against the remaining claims and to vigorously oppose the certification of the remaining matters as class actions. Any potential settlements of these remaining claims are not anticipated to be material to our consolidated financial statements.

In October 2007, we were contacted by the Attorney General’s Office for the State of Nevada. The Attorney General’s Office informed us that it was conducting a civil and criminal investigation of our operations in Nevada and that the investigation related to the billing of pharmaceuticals, including EPO. In February 2008, the Attorney General’s Office informed us that the civil and criminal investigation had been discontinued. The Attorney General’s Office further advised us that Nevada Medicaid intended to conduct audits of end stage renal disease (ESRD) dialysis providers in Nevada, and such audits would relate to the issues that were the subjects of the investigation. To our knowledge, no court proceedings have been initiated against us at this time. Any negative audit findings could result in a substantial repayment by us. At this time, we cannot predict the ultimate outcome of this matter or the potential range of damages, if any.

In August 2005, Blue Cross/Blue Shield of Louisiana filed a complaint in the United States District Court for the Western District of Louisiana against Gambro AB, DVA Renal Healthcare (formerly known as Gambro Healthcare) and related entities. The plaintiff sought to bring its claims as a class action on behalf of itself and all entities that paid any of the defendants for health care goods and services from on or about January 1991 through at least December 2004. The complaint alleged, among other things, damages resulting from facts and circumstances underlying Gambro Healthcare’s 2004 settlement agreement with the Department of Justice and certain agencies of the U.S. government. In March 2006, the case was dismissed and the plaintiff was compelled to seek arbitration to resolve the matter. In November 2006, the plaintiff filed a demand for class arbitration against us and DVA Renal Healthcare, a subsidiary of DaVita Inc. In February 2011, the arbitration panel denied plaintiff’s request to certify a class. We intend to vigorously defend against plaintiff’s remaining individual claims and any appeal that may be filed. At this time we cannot predict the ultimate outcome of this matter or the potential range of damages, if any.

In June 2004, Gambro Healthcare (now known as DVA Renal Healthcare and a subsidiary of DaVita Inc.) was served with a complaint filed in the Superior Court of California by one of its former employees who worked

for its California acute services program. The complaint, which is styled as a class action, alleges, among other things, that DVA Renal Healthcare failed to provide overtime wages, defined rest periods and meal periods, or compensation in lieu of such provisions and failed to comply with certain other California Labor Code requirements. We intend to vigorously defend against these claims. We also intend to vigorously oppose the certification of this matter as a class action. At this time, our estimate of the range of possible damages related to this matter is immaterial to our consolidated financial statements.

In addition to the foregoing, we are subject to claims and suits, including from time to time, contractual disputes and professional and general liability claims, as well as audits and investigations by various government entities, in the ordinary course of business. We believe that the ultimate resolution of any such pending proceedings, whether the underlying claims are covered by insurance or not, will not have a material adverse effect on our financial condition, results of operations or cash flows.

Item 4. (Removed and Reserved)

PART II

Item 5.

Market for the Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities.

Our common stock is traded on the New York Stock Exchange under the symbol “DVA”. The following table sets forth, for the periods indicated, the high and low closing prices for our common stock as reported by the New York Stock Exchange.


	High		Low
Year ended December 31, 2010:
1st quarter	$	64.19	$	58.98
2nd quarter		66.63		60.43
3rd quarter		69.03		56.83
4th quarter		74.11		68.24
Year ended December 31, 2009:
1st quarter	$	53.04	$	42.34
2nd quarter		49.56		42.36
3rd quarter		56.64		47.78
4th quarter		61.55		53.03

The closing price of our common stock on January 31, 2011 was $73.85 per share. According to The Bank of New York, our registrar and transfer agent, as of January 31, 2011, there were 7,622 holders of record of our common stock. We have not declared or paid cash dividends to holders of our common stock since 1994. We have no current plans to pay cash dividends and we are restricted from paying dividends under the terms of our Senior Secured Credit Facilities and the indentures governing our senior and senior subordinated notes. Also, see the heading “Liquidity and capital resources” under “Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations” and the notes to our consolidated financial statements.

Stock Repurchases

The following table summarizes our repurchases of our common stock during 2010:


Period	Total Number of Shares Purchased		Average Price Paid per Share		Total Number of Shares Purchased as Part of Publicly Announced Plans or Programs(1)		Approximate Dollar Value of Shares that May Yet Be Purchased Under the Plans or Programs (in millions)
April 1—30, 2010		179,700	$	63.16		179,700	$	488.7
May 1—31, 2010		1,407,460		63.02		1,407,460		400.0
September 1—30, 2010		1,448,000		68.02		1,448,000		301.5
October 1—31, 2010		4,244,300		71.03		4,244,300		7.2
November 1—30, 2010		1,639,300		72.28		1,639,300		681.5

Total		8,918,760	$	69.35		8,918,760

(1)

On November 3, 2009, we announced that the Board of Directors authorized an increase of an additional $500 million for repurchases of our common stock. On November 3, 2010, we announced that the Board of Directors authorized an increase of an additional $800 million for repurchases of our common stock.

This stock repurchase program has no expiration date. We are authorized to make purchases from time to time in the open market or in privately negotiated transactions, depending upon market conditions and other considerations. However, we are subject to share repurchase limitations under the terms of the Senior Secured Credit Facilities and the indentures governing our senior notes.

Item 6. Selected Financial Data.

The following financial and operating data should be read in conjunction with “Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations” and our consolidated financial statements filed as part of this report. The following table presents selected consolidated financial and operating data for the periods indicated. Effective January 1, 2009, we were required to present consolidated net income attributable to us and to noncontrolling interests on the face of the consolidated statement of income, which changed the presentation of minority interests (noncontrolling interests) in our consolidated statements of income. These consolidated financial results have been recast for all prior periods presented to reflect the retrospective application of adopting these new presentation and disclosure requirements for noncontrolling interests.


	Year ended December 31,
	2010			2009			2008			2007			2006
	(in thousands, except share data)
Income statement data:
Net operating revenues	$	6,447,391		$	6,108,800		$	5,660,173		$	5,264,151		$	4,880,662
Operating expenses and charges(1)		5,450,364			5,168,529			4,791,077			4,355,240			4,103,089

Operating income		997,027			940,271			869,096			908,911			777,573
Debt expense(2)		(181,607	)		(185,755	)		(224,716	)		(257,147	)		(276,706	)
Debt refinancing and redemption charges		(74,382	)		—			—			—			—
Other income, net(3)		3,420			3,708			12,411			22,460			13,033

Income from continuing operations before income taxes		744,458			758,224			656,791			674,224			513,900
Income tax expense		260,239			278,465			235,471			245,581			186,430

Income from continuing operations		484,219			479,759			421,320			428,643			327,470
Income from discontinued operations, net of tax(4)		—			—			—			—			1,747
Gain on disposal of discontinued operations, net of tax(4)		—			—			—			—			362

Net income	$	484,219		$	479,759		$	421,320		$	428,643		$	329,579
Less: Net income attributable to noncontrolling interests(5)	$	(78,536	)	$	(57,075	)	$	(47,160	)	$	(46,865	)	$	(39,888	)

Net income attributable to DaVita Inc.	$	405,683		$	422,684		$	374,160		$	381,778		$	289,691

Basic earnings per common share from continuing operations attributable to DaVita Inc.(4)	$	4.00		$	4.08		$	3.56		$	3.61		$	2.79

Diluted earnings per common share from continuing operations attributable to DaVita Inc.(4)	$	3.94		$	4.06		$	3.53		$	3.55		$	2.73

Weighted average shares outstanding:(7)
Basic		101,504,000			103,604,000			105,149,000			105,893,000			103,520,000

Diluted		103,059,000			104,168,000			105,940,000			107,418,000			105,793,000

Ratio of earnings to fixed charges(6)		3.44:1			3.58:1			3.01:1			2.92:1			2.38:1
Balance sheet data:
Working capital	$	1,698,509		$	1,255,580		$	965,233		$	889,917		$	597,324
Total assets		8,114,424			7,558,236			7,286,083			6,943,960			6,491,816
Long-term debt		4,233,850			3,532,217			3,622,421			3,683,887			3,730,380
Total DaVita Inc. shareholders’ equity(7)		1,978,422			2,135,066			1,767,747			1,504,285			1,139,333

(1)

Operating expenses and charges include $55,275 in 2007 and $37,968 in 2006 of valuation gains on the alliance and product supply agreement with Gambro Renal Products, Inc. Operating expenses and charges in 2007 also includes $6,779 of gains from insurance settlements related to Hurricane Katrina and a fire that destroyed one center.

(2)	Debt expense in 2007 and 2006 includes the write-off of approximately $4.4 million and $3.3 million, respectively, of deferred financing costs associated with our principal prepayments on our term loans.

(3)	Other income, net, includes $5,868 in 2007 of gains from the sale of investment securities.

(4)

Income for discontinued operations, net of tax, in 2006 includes the sale of three dialysis centers that were part of a larger group of dialysis centers that were required to be divested in conjunction with a consent order issued by the Federal Trade Commission in order for us to complete the acquisition of DVA Renal Healthcare. The majority of the dialysis centers were divested in 2005.

(5)	Net income attributable to noncontrolling interests includes $1,747 in 2006 of income from discontinued operations.

(6)

The ratio of earnings to fixed charges was computed by dividing earnings by fixed charges. Earnings for this purpose is defined as pretax income from continuing operations adjusted by adding back fixed charges expensed during the period. Fixed charges include debt expense (interest expense and the write-off and amortization of deferred financing costs), the estimated interest component of rental expense on operating leases, and capitalized interest.

(7)

Share repurchases consisted of 8,918,760 shares of common stock for $618,496 in 2010, 2,902,619 shares of common stock for $153,495 in 2009, and 4,788,881 shares of common stock for $232,715 in 2008. Shares issued in connection with stock awards amounted to 1,771,384 in 2010, 2,104,304 in 2009, 1,314,074 in 2008, 2,480,899 in 2007, and 2,620,125 in 2006.

Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations.

Forward-looking statements

This Management’s Discussion and Analysis of Financial Condition and Results of Operations contain statements that are forward-looking statements within the meaning of the federal securities laws. All statements that do not concern historical facts are forward-looking statements and include, among other things, statements about our expectations, beliefs, intentions and/or strategies for the future. These forward-looking statements include statements regarding our future operations, financial condition and prospects, expectations for treatment growth rates, revenue per treatment, expense growth, levels of the provision for uncollectible accounts receivable, operating income, cash flow, operating cash flow, estimated tax rates, capital expenditures, the development of new centers and center acquisitions, government and commercial payment rates, revenue estimating risk and the impact of our related level of indebtedness on our financial performance, including earnings per share. These statements involve substantial known and unknown risks and uncertainties that could cause our actual results to differ materially from those described in the forward-looking statements, including, but not limited to, risks resulting from the regulatory environment in which we operate, economic and market conditions, competitive activities, other business conditions, accounting estimates, the variability of our cash flows, the concentration of profits generated from commercial payor plans, continued downward pressure on average realized payment rates from commercial payors, which may result in the loss of revenue or patients, a reduction in the number of patients under higher-paying commercial plans, a reduction in government payment rates or changes to the structure of payments under the Medicare ESRD program or other government-based programs, including, for example, the implementation of a bundled payment rate system beginning January 2011, which will lower reimbursement for services we provide to Medicare patients, and the impact of health care reform legislation that was enacted in the United States in March 2010, changes in pharmaceutical or anemia management practice patterns, payment policies or pharmaceutical pricing, our ability to maintain contracts with physician medical directors, legal compliance risks, including our continued compliance with complex government regulations, the resolution of ongoing investigations by various federal and state government agencies, continued increased competition from large and medium-sized dialysis providers that compete directly with us, our ability to complete any acquisitions, mergers or dispositions that we might be considering or announce, or integrate and successfully operate any business we may acquire and the risk factors set forth in this Annual Report on Form 10-K. We base our forward-looking statements on information currently available to us, and we undertake no obligation to update or revise these statements, whether as a result of changes in underlying factors, new information, future events or otherwise.

The following should be read in conjunction with our consolidated financial statements and “Item 1. Business”.

Overview

We are a leading provider of kidney dialysis services in the United States through a network of approximately 1,612 outpatient dialysis centers and approximately 750 hospitals, serving approximately 125,000 patients in 42 states. This represents an approximate 30% market share based upon the number of patients that we serve. In 2010, our overall network of dialysis centers increased by 82 centers primarily as a result of opening new centers and acquisitions and the overall number of patients that we serve increased by approximately 6.0%. Our national scale and size, among other things, allows us to provide industry leading quality care that attracts patients and referring physicians, as well as qualified medical directors, provides our patient base with convenient locations and access to a full range of services and provides us the ability to effectively control certain costs.

Our stated mission is to be the provider, partner and employer of choice. We believe our attention to these three stakeholders—our patients, our business partners, and our teammates—represents the major driver of our long-term performance, although we are subject to the impact of external factors such as government policy and physician practice patterns. Accordingly, two principal non-financial metrics we track are quality clinical outcomes and teammate turnover. We have developed our own composite index for measuring improvements in

our clinical outcomes, which we refer to as the DaVita Quality Index, or DQI. Our clinical outcomes as measured by DQI have improved over each of the past three years. Although it is difficult to reliably measure clinical performance across our industry, we believe our clinical outcomes compare favorably with other dialysis providers in the United States and generally exceed the dialysis outcome quality indicators of the National Kidney Foundation. In addition, over the past several years our teammate turnover has remained relatively constant, which we believe was a major contributor to our continued clinical performance improvements and also a major driver in our ability to improve productivity in 2010. We will continue to focus on these stakeholders and our clinical outcomes as we believe these are fundamental long-term value drivers.

Our overall financial performance was solid for 2010 and was characterized by the following as compared to 2009:

•

consolidated revenue growth of approximately 6.0%;

•

an increase of approximately 6.0% in the overall number of treatments that we provided;

•

consolidated operating income growth of approximately 6.0%; and

•

strong operating cash flows of $840 million.

However, we believe that 2011 will be more challenging as we implement Medicare’s new payment system that began in January 2011, in which all ESRD payments will be made under a single bundled payment rate that provides for an annual inflation adjustment based upon a market basket index, less a productivity improvement factor. The new bundled payment rate provides a fixed rate to encompass all goods and services provided during the dialysis treatment, including pharmaceuticals that were historically separately reimbursed irrespective of the level of pharmaceuticals administered or additional services performed.

Approximately 94% of our 2010 consolidated net operating revenues were derived directly from our dialysis and related lab services business. Approximately 83% of our 2010 dialysis and related lab services revenues were derived from outpatient hemodialysis services in the 1,580 centers that we consolidate. Other dialysis services, which are operationally integrated with our dialysis operations, are peritoneal dialysis, home-based hemodialysis, hospital inpatient hemodialysis services and management and administrative services. These services collectively accounted for the balance of our 2010 dialysis and related lab services revenues.

Our other business operations include ancillary services and strategic initiatives which are primarily aligned with our core business of providing kidney dialysis services to our network of patients. These consist primarily of pharmacy services, infusion therapy services, disease management services, vascular access services, ESRD clinical research programs and physician services. These services generated approximately $374 million of net operating revenues in 2010, representing an 18% increase as compared to 2009. The ancillary services and strategic initiatives net operating revenues in 2010 accounted for approximately 6% of our consolidated net operating revenues. Operating losses from our ancillary services and strategic initiatives decreased from $12 million in 2009 to $6 million in 2010, primarily as a result of improved profitability in our pharmacy and disease management businesses. We currently expect to continue to invest in our ancillary services and strategic initiatives as we work to develop successful new business operations. However, any significant change in market conditions, business performance or in the regulatory environment may impact the economic viability of any of these strategic initiatives. Any unfavorable changes could result in a write-off or an impairment of some or all of our investments, including goodwill, in these strategic initiatives, or could also result in significant termination costs if we were to exit a certain line of business.

The principal drivers of our dialysis and related lab services revenues are:

•

the number of treatments, which is primarily a function of the number of chronic patients requiring approximately three treatments per week, as well as, to a lesser extent, the number of treatments for peritoneal dialysis services and home-based dialysis and hospital inpatient dialysis services;

•

average dialysis revenue per treatment; and

•

the number of laboratory patient tests.

The total patient base is a relatively stable factor, which we believe is influenced by a demographically growing need for dialysis services, our relationships with referring physicians together with the quality of our clinical care, and our ability to open and acquire new centers. In 2010, we were able to increase our overall network of patients that we serviced by approximately 6% as compared to 2009.

Average dialysis and related lab services revenue per treatment in 2010 and prior was primarily driven by our mix of commercial and government (principally Medicare and Medicaid) patients, the mix and intensity of physician-prescribed pharmaceuticals, commercial and government payment rates, and our billing and collecting operations performance. Beginning in 2011, with the implementation of Medicare’s new single bundled payment rate system, the intensities of physician-prescribed pharmaceuticals will have a lesser impact on our average dialysis and related lab services revenue per treatment since payment for these pharmaceuticals will be included in the bundled payment.

On average, payment rates from commercial payors are significantly higher than Medicare, Medicaid and other government program payment rates, and therefore the percentage of commercial patients to total patients represents a major driver of our total average dialysis revenue per treatment. The percentage of commercial patients covered under contracted plans as compared to commercial patients with out-of-network providers can also significantly affect our average dialysis revenue per treatment. In 2010, the growth of our government-based patients continued to outpace the growth of our commercial patients, which has been a trend that we have experienced for the past two years. We believe the growth in our government-based patients is driven primarily by improved mortality and the current economic recession. This trend has negatively impacted our average dialysis revenue per treatment as a result of receiving a larger proportion of our revenue from lower payment rates associated with these additional government-based patients.

The following table summarizes our dialysis and related lab services revenues for the year ended December 31, 2010:


	Revenues
Medicare and Medicare-assigned plans		57	%
Medicaid and Medicaid-assigned plans		6	%
Other government-based programs		3	%

Total government-based programs		66	%
Commercial (including hospital dialysis services)		34	%

Total dialysis and related lab services revenues		100	%

Government payment rates are principally determined by federal Medicare and state Medicaid policy. These payment rates have historically had limited potential for rate increases and are sometimes at risk of reduction as federal and state governments face increasing budget pressures. Medicare payment rates for dialysis services through 2008 have not been routinely increased to compensate for the impact of inflation. In July 2008, MIPPA was passed by Congress that provided dialysis providers with an increase in the composite rate of 1.0% that went into effect on January 1, 2009 and an additional 1.0% that went into effect on January 1, 2010. This legislation also changed the way Medicare will pay for dialysis services in 2011. The new payment system also provides for an annual inflation adjustment based upon a market basket index, less a productivity adjustment, beginning in 2012. Also beginning in 2012, the rule provides for up to a 2% annual payment withhold that can be earned back by facilities that meet certain defined clinical performance standards. The new payment system reimburses providers based on a single bundled or average payment for each Medicare treatment provided. This new bundled payment amount is designed to cover all dialysis services which were historically included in the composite rate and all separately billable ESRD services such as pharmaceuticals and laboratory costs. The new bundled payment rate is adjusted for certain patient characteristics, a geographic wage index and certain other factors. This initial 2011 bundled payment rate includes reductions of 2% and 3.1%, respectively, to conform to the provisions of MIPPA and to establish neutrality. Further, there is a 5.94% reduction tied to an expanded list of

case mix adjustors which can be earned back based upon the presence of these certain patient characteristics and co-modalities at the time of treatment. There are also other provisions which may impact payment including an outlier pool and a low volume facility adjustment. We are now at risk for variations in pharmaceutical utilization since reimbursement is set at a fixed average reimbursement rate.

Dialysis payment rates from commercial payors can vary significantly and a major portion of our commercial rates are set at contracted amounts with large payors and are subject to intense negotiation pressure. Our commercial payment rates also include payments for out-of-network patients that on average are higher than our in-network contract rates. In 2010, we were successful in increasing some of our commercial payment rates which contributed to an increase in our average dialysis revenue per treatment and helped offset some of the overall decline in our average dialysis revenue per treatment. In 2010, we also entered into several new commercial contracts with certain commercial payors that will primarily pay us a single bundled payment rate for all dialysis services provided to patients covered by the commercial insurance plans. These contracts contain annual escalators and effectively eliminate all payments for out-of-network patients. We are continuously in the process of negotiating agreements with our commercial payors and payors are aggressive in their negotiations. If our negotiations result in overall commercial rate reductions in excess of overall commercial rate increases, this would have a material adverse effect on our operating results. In addition, if there are sustained or increased job losses in the United States as a result of current economic conditions, or depending upon changes to the healthcare regulatory system, we could experience a decrease in the number of patients under commercial plans.

Approximately 26% of our dialysis and related lab services revenues for the year ended December 31, 2010 were from physician-prescribed pharmaceuticals, with EPO accounting for approximately 18% of our dialysis and related lab services revenues. Therefore, in 2010 and prior, changes in physician practice patterns, pharmaceutical protocols, pharmaceutical intensities and changes in commercial and governmental payment rates for EPO significantly influenced our revenue. For example, in 2010, the intensities of physician-prescribed pharmaceutical decreased significantly from 2009, which negatively impacted our average dialysis revenue per treatment. Beginning in January 2011, the majority of our pharmaceuticals will no longer be separately billable as a result of the new Medicare single bundled payment rate system and as a result of some of our new commercial contracts that also implemented single bundled payment rates.

Our operating performance with respect to dialysis services billing and collection can also be a significant factor in the average dialysis and related lab services revenue per treatment we actually realize. Over the past several years we have invested heavily in new systems and processes that we believe have helped improve our operating performance and reduced our regulatory compliance risks and we expect to continue to improve these systems. In 2010, we continued to upgrade our systems and implemented process changes and will continue to do so in 2011 to effectively capture the necessary patient characteristics and certain other factors under Medicare’s new bundled payment system. We believe this will help minimize reductions in our reimbursement amounts from Medicare and enhance our overall billing and collection performance associated with our payors. However, as we implement these system upgrades, our collection performance as well as our dialysis and related lab services revenue per treatment could be negatively impacted.

Our revenue recognition involves significant estimation risks. Our estimates are developed based on the best information available to us and our best judgment as to the reasonably assured collectability of our billings as of the reporting date based upon our actual historical collection experience. Changes in estimates are reflected in the then-current period financial statements based upon on-going actual experience trends, or subsequent settlements and realizations depending on the nature and predictability of the estimates and contingencies.

Our annual average dialysis and related lab services revenue per treatment was approximately $337, $340 and $334 for 2010, 2009 and 2008, respectively. In 2010, the average dialysis and related lab services revenue per treatment decreased by approximately $3 per treatment primarily due to a decline in intensities of physician-prescribed pharmaceuticals, a decline in the commercial payor mix, partially offset by an increase of 1.0% in the Medicare composite rate and an increase in some of our commercial payment rates. In 2009, the average dialysis

and related lab services revenue per treatment increased by approximately $6 per treatment primarily due to a 1.0% increase in the Medicare composite rate, an increase in some our commercial payment rates, an increase in our reimbursement rates for EPO and other pharmaceuticals and an increase in the intensities of physician-prescribed pharmaceuticals, partially offset by a decline in the commercial payor mix. Commercial payment rates, changes in the mix and intensities of physician-prescribed pharmaceuticals billed separately, government payment policies regarding reimbursement amounts for dialysis treatments and pharmaceuticals under the new Medicare bundled payment rate system including our ability to capture all patient characteristics, and changes in the mix of government and commercial patients may materially impact our average dialysis and related lab services revenue per treatment in the future.

The principal drivers of our dialysis and related lab services patient care costs are clinical hours per treatment, labor rates, vendor pricing of pharmaceuticals, utilization levels of pharmaceuticals, business infrastructure, including the operating costs of our dialysis centers, and compliance costs. However, other cost categories can also represent significant cost variability, such as employee benefit costs and insurance costs. Our average clinical hours per treatment decreased in the last two years, primarily because of continued productivity improvements driven by reduced clinical teammate turnover and improved training and processes. We continue to strive for improved productivity levels, however we may not be able to sustain our 2010 performance as changes in federal and state policies can adversely impact our ability to achieve optimal productivity levels. In addition, improvements in the U.S. economy could stimulate additional competition for skilled clinical personnel and result in higher teammate turnover which would adversely affect productivity levels. In 2010 and 2009, we experienced an increase in our clinical labor rates of approximately 2.0% and 2.5%, respectively, as clinical labor rates have increased consistent with general industry trends, mainly due to the demand for skilled clinical personnel, along with general inflation increases. However, in 2010, we were able to initiate certain cost control initiatives to minimize increases in our clinical labor rates. In 2010, we experienced an increase in our EPO costs, which increased by approximately 2%. In addition, our agreement with Amgen for the purchase of EPO provides for specific discount pricing and rebates based on a variety of factors including process improvements targets, patient outcome targets and data submission, which could negatively impact our earnings if we are unable to continue to qualify for discount pricing and rebates. In 2010, we also experienced increases in our infrastructure and operating costs of our dialysis centers, primarily due to the number of new centers opened, and general increases in rent, utilities and repairs and maintenance.

General and administrative expenses have remained relatively constant as a percent of consolidated revenues over the past three years. In 2010, through various cost control initiatives, we were able to control our general and administrative expenses which increased by 0.3% of net operating revenues as compared to 2009. However, this still reflects an increase in the dollar amount of spending related to strengthening our dialysis business, improving our regulatory compliance and other operational processes, responding to certain legal matters and supporting the growth in our ancillary services and strategic initiatives. We expect that these levels of expenditures on general and administrative expenses in 2011 will increase as we continue to make investments in our long-term initiatives, including further investments in our ancillary services and strategic initiatives, our investments in international growth opportunities, our investments in improving our information technology and human resources infrastructure and the level of support for our regulatory compliance and legal matters.

Outlook for 2011. Because of the uncertainties of operating under the new Medicare bundled payment system and the ongoing uncertainties associated with our payor mix, we will not be providing a specific guidance range for 2011 operating income at this time. However, excluding the impact of our recently announced acquisition of DSI Renal, Inc. that is not expected to close until the second or third quarter of this year, our current projections indicate that 2011 operating income will be flat or modestly down compared to 2010. These projections and the underlying assumptions involve significant risks and uncertainties, and actual results may vary significantly from these current projections. These risks and uncertainties, among others, include those relating to the concentration of profits generated from commercial payor plans, continued downward pressure on average realized payment rates from commercial payors, which may result in the loss of revenue or patients, a reduction in the number of patients under higher-paying commercial plans, a reduction in government payment

rates or changes to the structure of payments under the Medicare ESRD program or other government-based programs, including, for example, the implementation of a bundled payment rate system beginning in January 2011, which will lower reimbursement for services we provide to Medicare patients, and the impact of health care reform legislation that was enacted in the United States in March 2010, changes in pharmaceutical or anemia management practice patterns, payment policies or pharmaceutical pricing, our ability to maintain contracts with physician medical directors, legal compliance risks, including our continued compliance with complex government regulations, the resolution of ongoing investigations by various federal and state government agencies, continued increased competition from large and medium-sized dialysis providers that compete directly with us, our ability to complete any acquisitions, mergers or dispositions that we might be considering or announce, or integrate and successfully operate any business we may acquire. You should read “Risk Factors” in Item 1A of this Annual Report on Form 10-K and the cautionary language contained in the forward-looking statements and associated risks as discussed on page 40 for more information about these and other potential risks. We undertake no obligation to update or revise these statements, whether as a result of changes in underlying factors, new information, future events or otherwise.

Results of operations

We operate principally as a dialysis and related lab services business but also operate other ancillary services and strategic initiatives. These ancillary services and strategic initiatives consist primarily of pharmacy services, infusion therapy services, disease management services, vascular access services, ESRD clinical research programs and physician services. The dialysis and related lab services business qualifies as a separately reportable segment and all of the other ancillary services and strategic initiatives have been combined and disclosed in the other segments category.

Following is a summary of consolidated operating results for reference in the discussion that follows.


	Year ended December 31,
	2010					2009					2008
	(dollar amounts rounded to nearest million)
Net operating revenues:
Current period services	$	6,447		100	%	$	6,109		100	%	$	5,660		100	%

Operating expenses and charges:
Patient care costs		4,475		69	%		4,249		70	%		3,920		69	%
General and administrative		579		9	%		532		9	%		508		9	%
Depreciation and amortization		234		4	%		229		4	%		217		4	%
Provision for uncollectible accounts		171		3	%		162		3	%		146		3	%
Equity investment income		(9	)	—			(2	)	—			(1	)	—

Total operating expenses and charges		5,450		84	%		5,169		85	%		4,791		85	%

Operating income	$	997		16	%	$	940		15	%	$	869		15	%

The following table summarizes consolidated net operating revenues:


	Year ended
	2010		2009		2008
	(dollar amounts rounded to nearest million)
Dialysis and related lab services	$	6,073	$	5,792	$	5,415
Other—ancillary services and strategic initiatives		374		317		245

Consolidated net operating revenues	$	6,447	$	6,109	$	5,660

The following table summarizes consolidated operating income:


	Year ended
	2010			2009⁽¹⁾			2008⁽¹⁾
	(dollar amounts rounded to nearest million)
Dialysis and related lab services	$	1,039		$	994		$	939
Other—ancillary services and strategic initiatives loss		(6	)		(12	)		(30	)

Total segment operating income		1,034			982			910
Reconciling items:
Stock-based compensation		(46	)		(44	)		(41	)
Equity investment income		9			2			1

Consolidated operating income		997			940			869

(1)	Certain costs previously reported in ancillary services and strategic initiatives have been reclassified to dialysis and related lab services to conform to the current year presentation.

Consolidated net operating revenues

Consolidated net operating revenues for 2010 increased by approximately $338 million or approximately 5.5% from 2009. This increase was primarily due to an increase in dialysis and related lab services net revenues of approximately $281 million, principally due to an increase in the number of treatments, partially offset by a decline of $3 in the average dialysis revenue per treatment, and an increase of approximately $57 million in the ancillary services and strategic initiatives net revenues driven primarily from growth in our pharmacy services and from our infusion therapy services.

Consolidated net operating revenues for 2009 increased by approximately $449 million or approximately 7.9% from 2008. This increase was primarily due to an increase in dialysis and related lab services net revenues of approximately $377 million, principally due to an increase in the number of treatments, and an increase of approximately $72 million in the ancillary services and strategic initiatives net revenues driven primarily from growth in our pharmacy services, disease management services and from our infusion therapy services.

Consolidated operating income

Consolidated operating income of $997 million for 2010 increased by approximately $57 million, or 6.1%, from 2009. This increase was primarily attributable to an increase in revenue as a result of additional treatments from non-acquired growth and acquisitions in dialysis and related lab services, partially offset by a decline in our average dialysis revenue per treatment of approximately $3, as described below. Operating income also increased as a result of continued cost control initiatives, improved productivity, overall lower pharmaceutical costs and lower operating losses in our ancillary services and strategic initiatives, partially offset by the negative impact of a decline in the intensities of physician-prescribed pharmaceuticals, higher labor costs and increases in other operating costs of our dialysis centers.

Consolidated operating income of $940 million for 2009 increased by approximately $71 million, or 8.2%, from 2008. This increase was primarily attributable to an increase in revenue as a result of non-acquired treatment growth in dialysis and related lab services, as well as an increase in our average dialysis revenue per treatment of approximately $6 as described below. Operating income also increased as a result of cost control initiatives, improved productivity and lower operating losses in our ancillary services and strategic initiatives, which losses were reduced by approximately $18 million in 2009, partially offset by the negative impact of higher pharmaceutical, labor and benefit costs, and increases in other operating costs of our dialysis centers.

Operating segments

Dialysis and Related Lab Services


	Year ended
	2010		2009		2008
	(dollar amounts rounded to nearest million, except per treatment data)
Revenues	$	6,073	$	5,792	$	5,415

Segment operating income	$	1,039	$	994	$	939

Dialysis treatments		17,992,805		17,010,450		16,217,107
Average dialysis treatments per treatment day		57,485		54,433		51,663
Average dialysis and related lab services revenue per treatment	$	337	$	340	$	334

Net operating revenues

Dialysis and related lab services net operating revenues for 2010 increased by approximately $281 million or approximately 4.9% from 2009. The increase in net operating revenues was primarily due to an increase in the number of treatments of approximately 5.6%, partially offset by a decline in the average dialysis revenue per treatment of approximately $3, or 0.9%. The increase in the number of treatments was primarily due to an increase in non-acquired treatment growth at existing and new centers and growth through acquisitions. The decline in the average dialysis revenue per treatment in 2010, as compared to 2009, was primarily due to a decline in the intensities of physician-prescribed pharmaceuticals and a decline in the commercial payor mix, partially offset by a 1% increase in the Medicare composite rate and an increase in some of our commercial payment rates.

Dialysis and related lab services net operating revenues for 2009 increased by approximately $377 million or approximately 7.0% from 2008. The increase in net operating revenues was primarily due to an increase in the number of treatments of approximately 4.7%, and an increase in the average dialysis revenue per treatment of approximately $6, or 1.9%. The increase in the number of treatments was primarily due to an increase in non-acquired treatment growth at existing and new centers and growth through acquisitions. The increase in the average dialysis revenue per treatment in 2009, as compared to 2008, was primarily due to a 1% increase in the Medicare composite rate, an increase in some of our commercial payment rates, an increase in our reimbursement rates for EPO and other pharmaceuticals, and an increase in the intensities of physician-prescribed pharmaceuticals, partially offset by a decline in the commercial payor mix.

The following table summarizes our dialysis and related lab services revenues by modality for the year ended December 31, 2010:


	Revenue percentages
Outpatient hemodialysis centers		83	%
Peritoneal dialysis and home-based hemodialysis		12	%
Hospital inpatient hemodialysis		5	%

Total dialysis and related lab services revenues		100	%

Approximately 66% of our total dialysis and related lab services revenues for the year ended December 31, 2010 were from government-based programs, principally Medicare, Medicaid, and Medicare-assigned plans, representing approximately 89% of our total patients. Over the last two years, we have been experiencing growth in our government-based patients that has been outpacing the growth in our commercial patients which has negatively impacted our dialysis and related lab services revenue per treatment. In 2010, approximately 11% of

our patients and 34% of our revenues were associated with commercial payors, as compared to 12% and 35%, respectively, for 2009. Less than 1% of our dialysis and related lab services revenues are due directly from patients. No single commercial payor accounted for more than 5% of total dialysis and related lab services revenues for the year ended December 31, 2010.

On average we are paid significantly more for services provided to patients covered by commercial healthcare plans than we are for patients covered by Medicare, Medicaid or other government plans such as Medicare-assigned plans. Patients covered by commercial health plans transition to Medicare coverage after a maximum of 33 months. As a patient transitions from commercial coverage to Medicare or Medicaid coverage, the payment rates normally decline substantially. Medicare payment rates are insufficient to cover our costs associated with providing dialysis treatments, and therefore we lose money on each Medicare treatment.

Nearly all of our net earnings from dialysis and related lab services are derived from commercial payors, some of which pay at negotiated payment rates as established by contract and others of which pay based on our usual and customary fee schedule for our out-of-network patients. If we experience a net overall reduction in our contracted and non-contracted commercial rates as a result of these negotiations or restrictions, it could have a material adverse effect on our operating results.

Our average dialysis and related lab services revenue per treatment can be significantly impacted by several major factors, including our commercial payment rates, changes in the mix and intensities of physician-prescribed pharmaceuticals that are billed separately, government payment policies regarding reimbursement amounts for dialysis treatments and pharmaceuticals under the new Medicare bundled payment rate system, including our ability to capture all patient characteristics, and changes in the mix of government and commercial patients.

Operating expenses and charges

Patient care costs. Dialysis and related lab services patient care costs are those costs directly associated with operating and supporting our dialysis centers and consist principally of labor, pharmaceuticals, medical supplies and operating costs of the dialysis centers. The dialysis and related lab services patient care costs on a per treatment basis were $232, $235 and $230 for 2010, 2009, and 2008, respectively. The $3 decrease in the per treatment costs in 2010 as compared to 2009 was primarily attributable to a decline in the intensities of physician-prescribed pharmaceuticals, a decrease in our overall pharmaceutical costs and continued improvements in productivity, partially offset by higher labor rates.

Dialysis and related lab services patient care costs on a per treatment basis increased by approximately $5 in 2009 as compared to 2008. The increase in the per treatment costs was primarily attributable to higher labor rates and benefit costs, an increase in pharmaceutical costs, an increase in other operating costs of our dialysis centers and an increase in the intensities of physician-prescribed pharmaceuticals, partially offset by improved productivity.

General and administrative expenses. Dialysis and related lab services general and administrative expenses for the years ended 2010, 2009 and 2008 were approximately $471 million, $428 million and $402 million, respectively. The increase of approximately $43 million in 2010 as compared to 2009 was primarily due to increases in labor costs, an increase in our professional expenses for legal and compliance matters and the timing of certain other expenditures. The increase in general and administrative expenses of approximately $26 million in 2009 as compared to 2008 was primarily due to increases in labor and benefit costs, partially offset by the timing of certain other expenditures.

Depreciation and amortization. Dialysis and related lab services depreciation and amortization expenses for 2010, 2009 and 2008 were approximately $228 million, $222 million and $210 million, respectively. The increase of approximately $6 million in depreciation and amortization for dialysis and related lab services in 2010 and $12 million in 2009 were primarily due to growth through new center developments and expansions.

Provision for uncollectible accounts receivable. The provision for uncollectible accounts receivable for dialysis and related lab services was 2.8% for 2010, 2.7% for 2009, and 2.6% for 2008. The increase in the provision for uncollectible accounts in 2010 was primarily to reflect a slowdown in the collection of payments from some of our non-government payors. The current provision level of 2.8% may increase if we encounter problems with our billing and collection process as a result of sustained weakness in the U.S. economy.

Operating income

Dialysis and related lab services operating income for 2010 increased by approximately $45 million as compared to 2009. The increase in the operating income for 2010 as compared to 2009 was primarily due to growth in the number of dialysis treatments from non-acquired growth and acquisitions, partially offset by a decrease in the average dialysis revenue per treatment of approximately $3 as described above. The dialysis and related lab services operating income also increased as a result of certain cost control initiatives, improved productivity, and overall lower pharmaceutical costs. However, the dialysis and related lab services operating income was negatively impacted primarily by a decline in the intensities of physician-prescribed pharmaceuticals, higher labor costs and an increase in other operating costs of our dialysis centers.

Dialysis and related lab services operating income for 2009 increased by approximately $55 million as compared to 2008. The increase in the operating income for 2009 as compared to 2008 was primarily due to growth in the number of dialysis treatments and an increase in the average dialysis revenue per treatment of approximately $6 as described above. The dialysis and related lab services operating income also increased as a result of certain cost control initiatives and improved productivity, but was negatively impacted primarily by higher labor and benefit costs, an increase in pharmaceutical costs and an increase in other operating costs of our dialysis centers.

Other—Ancillary services and strategic initiatives


	Year ended
	2010			2009			2008
	(dollar amounts rounded to nearest million)
Revenues	$	374		$	317		$	245

Segment operating loss	$	(6	)	$	(12	)	$	(30	)

Net operating revenues

The ancillary services and strategic initiatives net operating revenues for 2010 increased by approximately $57 million or 18.0% as compared to 2009, primarily from growth in pharmacy services, and from our infusion therapy services, partially offset by a decline in our net operating revenues in our disease management services as a result of discontinuing the full service health care plans at the end of 2009.

The ancillary services and strategic initiatives net operating revenues for 2009 increased by approximately $72 million or 29.5% as compared to 2008, primarily from growth in pharmacy services, disease management services and from our infusion therapy services.

Operating expenses

Ancillary services and strategic initiatives operating expenses for 2010 increased by approximately $51 million from 2009, primarily due to an increase in volume in our pharmacy business and an increase in labor costs, partially offset by lower operating costs of our disease management services as a result of discontinuing the full service health care plans at the end of 2009.

Ancillary services and strategic initiatives operating expenses for 2009 increased by approximately $54 million from 2008, primarily due to an increase in volume in our pharmacy business and an increase in labor and benefit costs, partially offset by lower professional fees.

Operating loss

Ancillary services and strategic initiatives operating losses for 2010 decreased by approximately $6 million from 2009. The decrease in operating losses was primarily due to volume growth in revenues associated with our pharmacy business, and a decrease in operating losses in our disease management business as a result of discontinuing the full service health care plans at the end of 2009.

Ancillary services and strategic initiatives operating losses for 2009 decreased by approximately $18 million from 2008. The decrease in operating losses was primarily due to volume growth in revenues outpacing increases in operating expenses, primarily associated with our pharmacy business and our disease management business, partially offset by an increase in operating losses associated with certain new initiatives.

Corporate level charges

Stock-based compensation. Stock-based compensation of approximately $46 million for 2010 increased by approximately $2 million from 2009. Stock-based compensation of approximately $44 million for 2009 increased by approximately $3 million from 2008. The increase in 2010 resulted principally from an increase in the overall grant date fair value for the grant years that contributed expense to 2010, driven in part by a substantial increase in the grant date fair value of 2010 grants over that for recent years offset by a significant reduction in the number of awards granted in 2010. The increase in 2009 resulted from increases in both the aggregate quantity of grants and in the overall grant date fair value for the grant years that contributed expense to 2009.

Debt expense. Debt expense for 2010, 2009, and 2008 consisted of interest expense of approximately $172 million, $176 million, and $215 million, respectively, including the amortization and accretion of debt discounts and premiums and the amortization of deferred financing costs of approximately $9 million in 2010 and $10 million for 2009 and 2008. The decrease in interest expense in 2010 as compared to 2009 was primarily related to lower average outstanding principal balances on our previously outstanding Term Loan A, lower average outstanding principal balances on our previously outstanding senior notes, lower interest rates associated with the issuance of our New Senior Notes and a decrease in our weighted average effective interest rate on the Term Loan B as a result of lower notional amounts of fixed rate swap agreements that contained higher rates. Our overall weighted average effective interest rate in 2010 was 4.68% as compared to 4.86% in 2009. However, interest expense in the fourth quarter of 2010 was negatively affected by the refinancing of our Senior Secured Credit Facilities that occurred on October 20, 2010, as the interest rates under our new Senior Secured Credit Facilities are substantially higher than the interest rates under the previous facility. Our overall weighted average effective interest rate in the fourth quarter of 2010 was 4.86%. Therefore, we expect our overall interest expense in 2011 will be significantly higher than 2010.

The decrease in interest expense in 2009 as compared to 2008 was primarily attributable to decreases in the LIBOR-based variable interest rates on the unhedged portion of our debt and the result of lower notional amounts of fixed rate swap agreements that contained higher rates. As of December 31, 2009, the notional amounts of our fixed rate swaps were approximately $389 million as compared to approximately $790 million at December 31, 2008. Our overall weighted average effective interest rate in 2009 was 4.86% as compared to 5.82% in 2008.

Equity investment income. Equity investment income was approximately $9.0 million in 2010 as compared to $2.4 million in 2009. The increase in equity investment income in 2010 as compared to 2009 was primarily due to an increase in the profitability of our nonconsolidated joint ventures. The increase in equity investment income in 2009 as compared to 2008 was primarily due to an increase in the number of equity investments and improved profitability at several joint ventures.

Other income. Other income was approximately $3 million, $4 million, and $12 million in 2010, 2009, and 2008, respectively, and consisted principally of interest income. The decreases in other income in 2010 and 2009 were primarily the result of lower average interest rates, partially offset by higher average cash balances.

Provision for income taxes. The provision for income taxes for 2010 represented an effective annualized tax rate of 35.0%, compared with 36.7% and 35.9% in 2009 and 2008, respectively. The effective tax rate in 2010 was lower primarily due to the impact of net income attributable to noncontrolling interests, and nonrecurring tax benefits associated with closed examinations and statutes. We currently project the effective income tax rate for 2011 to be in the range of 35.0% to 36.0%.

Impairments and valuation adjustments. We perform impairment or valuation reviews for our property and equipment, amortizable intangible assets with finite useful lives, equity investments in non-consolidated businesses, and our investments in ancillary services and strategic initiatives at least annually and whenever a change in condition indicates that an impairment review is warranted. Such changes include shifts in our business strategy or plans, the quality or structure of our relationships with our partners, or when a center experiences deteriorating operating performance. Goodwill is also assessed at least annually for possible valuation impairment using fair value methodologies. These types of adjustments are charged directly to the corresponding operating segment that incurred the charge. No significant impairments or valuation adjustments were recognized during the periods presented.

Noncontrolling interests

Net income attributable to noncontrolling interests for 2010, 2009 and 2008 was approximately $79 million, $57 million and $47 million, respectively. The increases in noncontrolling interests in 2010 and 2009 were primarily due to increases in the number of new joint ventures and increases in the profitability of our dialysis-related joint ventures. The percentage of dialysis and related lab services net operating revenues generated from dialysis-related joint ventures was approximately 18% in 2010 compared to 16% in 2009.

Accounts receivable

Our accounts receivable balances at December 31, 2010 and 2009 represented approximately 61 and 68 days of revenue, respectively, net of bad debt allowance. The relative decrease in the days of net revenue in accounts receivable as of December 31, 2010 was a result of improved cash collections. However, our cash collections during the first half of 2011 could be negatively impacted as a result of implementing Medicare’s new single bundled payment rate system.

As of December 31, 2010 and 2009, approximately $153 million and $201 million in unreserved accounts receivable, respectively, representing approximately 15% and 18% of our total accounts receivable balance, respectively, were more than six months old. During 2010, we experienced improved cash collections from certain government payors and certain commercial payors. There were no significant unreserved balances over one year old. Less than 1% of our revenues are classified as “patient pay”. Substantially all revenue realized is from government and commercial payors, as discussed above.

Amounts pending approval from third-party payors as of December 31, 2010 and 2009, other than the standard monthly billing, consisted of approximately $46 million for both years, associated with Medicare bad debt claims, classified as “other receivables”. Currently, a significant portion of our Medicare bad debt claims are typically paid to us before the Medicare fiscal intermediary audits the claims. However, the payment received from Medicare is subject to adjustment based upon the actual results of the audits. Such audits typically occur one to four years after the claims are filed. As a kidney dialysis provider, our revenue is not subject to cost report settlements, except for potentially limiting the collectability of these Medicare bad debt claims.

Liquidity and capital resources

Available liquidity. As of December 31, 2010, our cash balance was $860 million and we had undrawn credit under our Senior Secured Credit Facilities totaling $250 million, of which approximately $46 million was committed for outstanding letters of credit. We believe that we will have sufficient liquidity, operating cash flows

and access to borrowings to fund our scheduled debt service and other obligations for the foreseeable future. Our primary sources of liquidity are cash from operations and cash from borrowings.

Cash flow from operations during 2010 amounted to $840 million, compared with $667 million for 2009. The increase in our operating cash flows in 2010 as compared to 2009 was primarily due to improved cash earnings and an improvement in our accounts receivable collections as described above. Cash flow from operations in 2010 included cash interest payments of approximately $191 million and cash tax payments of $207 million. Cash flow from operations in 2009 included cash interest payments of $186 million and cash tax payments of $162 million.

Non-operating cash outflows in 2010 included $279 million for capital asset expenditures, including $120 million for new center developments and relocations, and $159 million for maintenance and information technology. We also spent an additional $189 million for acquisitions. During 2010, we also received $61 million from the maturity and sale of investments. However, these proceeds were either used to repurchase other investments or were used to fund distributions from our deferred compensation plans. In addition, we received $60 million associated with stock option exercises and other share issuances and the related excess tax benefits. We also made distributions to noncontrolling interests of $84 million, and received contributions from noncontrolling interests of $10 million associated with new joint ventures and from additional equity contributions. We also repurchased 8.9 million shares of our common stock for approximately $619 million.

Non-operating cash outflows in 2009 included $275 million for capital asset expenditures, including $161 million for new center developments and relocations, and $114 million for maintenance and information technology. We also spent an additional $88 million for acquisitions. During 2009, we also received $33 million from the maturity and sale of investments. However, these proceeds were either used to repurchase other investments or were used to fund distributions from our deferred compensation plans. In addition, we received $75 million associated with stock option exercises and other share issuances and the related excess tax benefits. We also made distributions to noncontrolling interests of $68 million, and received contributions from noncontrolling interests of $13 million associated with new joint ventures and from additional equity contributions. We also repurchased 2.9 million shares of our common stock for approximately $154 million.

During 2010, we acquired a total of 41 dialysis centers, opened 65 new dialysis centers, sold six centers, closed 18 centers and made minority equity investments in three centers that were previously under management and administrative service agreements. During 2009, we acquired a total of 19 dialysis centers, opened 78 new dialysis centers, sold six centers, closed 18 centers, made minority equity investments in six centers and added two centers under management and administrative service agreements.

Acquisition

On February 4, 2011, we entered into a definitive agreement to acquire all of the outstanding equity securities of CDSI I Holding Company, Inc., parent company of dialysis provider DSI Renal, Inc. (DSI), in cash for approximately $689.2 million, subject to among other things, adjustments for certain items such as working capital, the purchase of noncontrolling interests, capital assets and acquisitions expenditures. DSI currently operates approximately 106 outpatient dialysis centers serving approximately 8,000 patients. The transaction is subject to approval by the Federal Trade Commission (FTC) including Hart-Scott-Rodino antitrust clearance. We anticipate that we will be required by the FTC to divest a certain number of outpatient dialysis centers as a condition of the transaction. The transaction is expected to close in the second or third quarter of fiscal 2011.

2010 capital structure changes and other items

On October 20, 2010, we entered into a $3,000 million new Senior Secured Credit Agreement (the Credit Agreement), consisting of a five year $250 million revolving line of credit, a five year $1,000 million Term Loan A and a six year $1,750 million Term Loan B. We also have the right to request an increase to the borrowing

capacity to a total aggregate principal amount of not more than $4,000 million subject to bank participation. The revolving line of credit and the Term Loan A will initially bear interest at LIBOR plus an interest rate margin of 2.75% until June 30, 2011, and then is subject to adjustment depending upon our leverage ratio and can range from 2.25% to 2.75%. The Term Loan A requires annual principal payments of $50 million in 2011, $50 million in 2012, $100 million in 2013, and $150 million in 2014, with the balance of $650 million due in 2015. The Term Loan B bears interest at LIBOR (floor of 1.50%) plus 3.00% subject to a ratings based step-down to 2.75%. The Term Loan B requires annual principal payments of $17.5 million in each year from 2011 through 2015 with the balance of $1,663 million due in 2016. The borrowings under the Credit Agreement are guaranteed by substantially all of our direct and indirect wholly-owned domestic subsidiaries and are secured by substantially all of DaVita’s and its guarantors’ assets. The Credit Agreement contains customary affirmative and negative covenants such as various restrictions on investments, acquisitions, the payment of dividends, redemptions and acquisitions of capital stock, capital expenditures and other indebtedness, as well as limitations on the amount of tangible net assets in non-guarantor subsidiaries. However, many of these restrictions will not apply as long as our leverage ratio is below 3.50:1.00. In addition, the Credit Agreement requires compliance with financial covenants including an interest coverage ratio and a leverage ratio that determines the interest rate margins as described above.

On October 20, 2010, we also issued $775 million aggregate principal amount of 6³/8% senior notes due 2018 and $775 million aggregate principal amount of 6⁵/8% senior notes due 2020 (the New Senior Notes). The New Senior Notes will pay interest on May 1 and November 1, of each year beginning May 1, 2011. The New Senior Notes are unsecured senior obligations and rank equally to other unsecured senior indebtedness. The New Senior Notes are guaranteed by substantially all of our direct and indirect wholly-owned domestic subsidiaries. We may redeem some or all of the 6³/8% senior notes at any time on or after November 1, 2013 at certain redemption prices and may redeem some or all of the 6⁵/8% senior notes at any time on or after November 1, 2014 at certain redemption prices.

We received total proceeds of $4,300 million from these transactions, $2,750 million from the borrowings on Term Loan A and Term Loan B and an additional $1,550 million from the issuance of the New Senior Notes. We used a portion of the proceeds to pay-off the outstanding principal balances of our existing senior secured credit facilities plus accrued interest totaling $1,795 million and to purchase pursuant to a cash tender offer $558 million of the outstanding principal balances of our $700 million 6⁵/8% senior notes due 2013 and $731 million of the outstanding balances of our $850 million 7¹/4% senior subordinated notes due 2015 (the Existing Notes), plus accrued interest totaling $1,297 million. The total amount paid for the Existing Notes was $1,019.06 per $1,000 principal amount of the 6⁵/8% senior notes and $1,038.75 per $1,000 principal amount of the 7¹/4% senior subordinated notes. This resulted in us paying a cash tender premium of $39 million in order to extinguish this portion of the Existing Notes. On November 19, 2010, we redeemed the remaining outstanding balance of the existing 6⁵/8% senior notes of $142 million at 101.656% per $1,000 and the remaining outstanding balance of the existing 7¹/4% senior subordinated notes of $119 million at 103.625% per $1,000 plus accrued interest totaling $265 million. In addition, we paid a call premium totaling $7 million. We also paid an additional $74 million in fees, discounts and other expenses. As a result of the above transactions, we received approximately $823 million in excess cash which we intend to use for general purposes and other opportunities, including share repurchases, potential acquisitions and other growth investments.

In connection with these transactions, we expensed debt refinancing and redemption charges totaling $70.3 million in the fourth quarter of 2010, which includes the write off of certain existing deferred financing costs and other new financing costs, the cash tender and call premiums, as described above and other expenses.

On June 7, 2010, we redeemed $200 million aggregate principal amount of our outstanding 6⁵/8% senior notes due 2013, at a price of 101.656% plus accrued interest. As a result of this transaction, we expensed debt redemption charges of $4.1 million, which includes the call premium and the net write-off of other finance costs.

During the year ended December 31, 2010 we made mandatory principal payments totaling $65.6 million on the prior Term Loan A.

Interest rate swaps

In January 2011, we entered into nine interest rate swap agreements with amortizing notional amounts totaling $1.0 billion that went effective on January 31, 2011. These agreements have the economic effect of modifying the LIBOR variable component of our interest rate on an equivalent amount of our Term Loan A debt to fixed rates ranging from 1.59% to 1.64%, resulting in an overall weighted average effective interest rate of 4.36% including the Term Loan A margin of 2.75%. The swap agreements expire on September 30, 2014 and require monthly interest payments.

In addition, in January 2011, we also entered into five interest rate cap agreements with notional amounts totaling $1.25 billion that went effective on January 31, 2011. These agreements have the economic effect of capping the LIBOR variable component of our interest rate at a maximum of 4.00% on an equivalent amount of our Term Loan B debt. The cap agreements expire on September 30, 2014.

Our previous interest rate swap agreements expired on September 30, 2010. The agreements that were effective during 2010 had the economic effect of modifying the LIBOR variable component of our interest rate on an equivalent amount of our debt to fixed rates ranging from 4.05% to 4.70%, resulting in an overall weighted average effective interest rate of 5.84% on the hedged portion of our Senior Secured Credit Facilities, including the Term Loan B margin of 1.50%. During 2010, 2009 and 2008, we accrued net cash obligations of approximately $9.1 million, $17.3 million and $4.2 million, respectively, from these swaps, which are included in debt expense.

As of December 31, 2010, the interest rates were fixed on approximately 77% of our total debt.

Our overall weighted average effective interest rate on the Senior Secured Credit Facilities was 4.05%, based upon the current margins in effect of 2.75% for the Term Loan A and 3.00% for the Term Loan B, as of December 31, 2010.

Our overall weighted average effective interest rate in 2010 was 4.68% and as of December 31, 2010 was 4.94%.

Stock repurchases

During 2010, we repurchased a total of 8,918,760 shares of our common stock for $618.5 million, or an average price of $69.35 per share, pursuant to previously announced authorizations by the Board of Directors. On November 3, 2010, we announced that our Board of Directors authorized an increase of an additional $800 million of share repurchases of our common stock. As a result of these transactions, the total outstanding authorization for share repurchases as of December 31, 2010 was $682 million. We have not repurchased any additional shares of our common stock from January 1, 2011 through February 25, 2011. This stock repurchase program has no expiration date.

Other items

On July 22, 2010, we entered into a First Amended and Restated National Service Provider Agreement, or the Agreement, with NxStage Medical Inc., or NxStage. The Agreement supersedes the National Service Provider Agreement that we entered into with NxStage on February 7, 2007. Under terms of the Agreement, we will have the ability to continue to purchase NxStage System One hemodialysis machines and related supplies at discounted prices. In addition, under the Agreement, we may earn warrants to purchase NxStage common stock subject to certain requirements, including our ability to achieve certain System One home patient growth targets. The Agreement provides for a range of warrant amounts that may be earned annually depending upon the achievement of various home patient targets. The maximum amount of shares underlying warrants that we can earn over three years is 5.5 million. The exercise price of the warrants is $14.22 per share. In connection

therewith, we entered into a Registration Rights Agreement whereby NxStage has agreed to register any shares issued to us under the warrants. The Agreement expires on June 30, 2013, and will be automatically extended on a monthly basis unless terminated by either party pursuant to the Agreement.

In July 2010, we announced that we will construct a new corporate headquarters in Denver, Colorado. In July 2010, we acquired the land and existing improvements for approximately $12 million. Effective December 18, 2010, we entered into a construction agreement for the construction of the new building. We currently estimate the total construction costs and other project costs of the building will be approximately $95 million. Construction is expected to begin in early 2011, and is estimated to be complete in the second half of 2012. In 2010, we paid architecture and other design costs totaling approximately $5 million.

Stock-based compensation

Stock-based compensation recognized in a period represents the straight-line amortization during that period of the estimated grant-date fair value of stock-based awards over their vesting terms, adjusted for expected forfeitures. Shares issued upon exercise of stock awards are generally issued from shares in treasury. We have utilized the Black-Scholes-Merton valuation model for estimating the grant date fair value of stock options and stock-settled stock appreciation rights granted in all prior periods. During 2010, we granted 2,037,294 stock-settled stock appreciation rights with a grant-date fair value of $32.3 million and a weighted-average expected life of approximately 3.5 years, and also granted 467,962 stock units with a grant-date fair value of $29.4 million and a weighted-average expected life of approximately 2.5 years.

For the years ended December 31, 2010 and 2009, we recognized $45.6 million and $44.4 million, respectively, in stock-based compensation expense for stock-settled stock appreciation rights, stock options, stock units and discounted employee stock plan purchases, which is primarily included in general and administrative expenses. The estimated tax benefits recorded for this stock-based compensation in 2010 and 2009 were $17.3 million and $16.8 million, respectively. As of December 31, 2010, there was $83.1 million of total estimated unrecognized compensation cost related to nonvested stock-based compensation arrangements under our equity compensation and stock purchase plans. We expect to recognize this cost over a weighted average remaining period of 1.4 years.

During the years ended December 31, 2010 and 2009, we received $48.7 million and $63.7 million, respectively, in cash proceeds from stock option exercises and $26.7 million and $18.2 million, respectively, in total actual tax benefits upon the exercise of stock awards.

2009 capital structure changes

Term Loan A

During 2009, we made mandatory principal payments totaling $61.3 million on our previous Term Loan A. As a result of these principal payments, the outstanding balance on Term Loan A as of December 31, 2009 was $153.1 million and bore interest at LIBOR plus a margin of 1.50%, for an overall weighted average effective rate of 1.74%. The interest rate margin was subject to adjustment depending upon certain financial conditions and could range from 1.50% to 2.25%.

Term Loan B

As of December 31, 2009, the outstanding balance of our Term Loan B was $1.7 billion and bore interest at LIBOR plus a margin of 1.50% for an overall weighted average effective rate of 2.66%, including the impact of our swap agreements that were in effect. We did not make any principal payments on Term Loan B during 2009, nor were we required to.

Senior and Senior Subordinated Notes

Our senior and senior subordinated notes, as of December 31, 2009, consisted of $900 million of 6⁵/8% senior notes due 2013 and $850 million of 7¹/4% senior subordinated notes due 2015. The notes were guaranteed by substantially all of our direct and indirect wholly-owned subsidiaries and require semi-annual interest payments in March and September. We could redeem some or all of the senior notes at any time on or after March 15, 2009 and some or all of the senior subordinated notes at any time on or after March 15, 2010.

All of the outstanding balances under the Term Loan A, Term Loan B and the senior and senior subordinated notes were extinguished as part of our debt refinancing transactions that occurred on October 20, 2010, as described above.

Stock repurchases

During 2009, we repurchased a total of 2,902,619 shares of our common stock for $153.5 million, or an average price of $52.88 per share, pursuant to previously announced authorizations by the Board of Directors. On November 3, 2009, we announced that our Board of Directors authorized an increase of an additional $500 million of share repurchases of our common stock. As a result of these transactions the total outstanding authorization for share repurchases as of December 31, 2009 was $500 million. This stock repurchase program had no expiration date.

Interest rate swaps

As of December 31, 2009, we maintained a total of eight interest rate swap agreements with amortizing notional amounts totaling $389 million. These agreements had the economic effect of modifying the LIBOR variable component of our interest rate on an equivalent amount of our debt to fixed rates ranging from 3.88% to 4.70%, resulting in an overall weighted average effective interest rate of 5.78% on the hedged portion of our Senior Secured Credit Facilities, including the Term Loan B margin of 1.50%. The swap agreements expired on September 30, 2010. During 2009, we accrued net cash obligations of approximately $17.3 million from these swaps, which were included in debt expense.

As of December 31, 2009, the interest rates were economically fixed on approximately 21% of our variable rate debt and approximately 59% of our total debt.

As a result of the swap agreements our overall weighted average effective interest rate on our Senior Secured Credit Facilities was 2.63%, based upon the current margins in effect of 1.50%, as of December 31, 2009.

Our overall weighted average effective interest rate in 2009 was 4.86% and as of December 31, 2009 was 4.68%.

Off-balance sheet arrangements and aggregate contractual obligations

In addition to the debt obligations reflected on our balance sheet, we have commitments associated with operating leases and letters of credit as well as potential obligations associated with our equity investments in nonconsolidated businesses and to dialysis centers that are wholly-owned by third parties. Substantially all of our facilities are leased. We have potential acquisition obligations for several joint ventures and for some of our non-wholly-owned subsidiaries in the form of put provisions. If these put provisions were exercised, we would be required to purchase the third-party owners’ noncontrolling interests at either the appraised fair market value or a predetermined multiple of earnings or cash flow attributable to the noncontrolling interests put to us, which is intended to approximate fair value. For additional information see Note 22 to the consolidated financial statements.

We also have potential cash commitments to provide operating capital advances as needed to several other dialysis centers that are wholly-owned by third parties or centers in which we own an equity investment, as well as to physician–owned vascular access clinics that we operate under management and administrative services agreements.

The following is a summary of these contractual obligations and commitments as of December 31, 2010 (in millions):


	Less Than 1 year		2-3 years		4-5 years		After 5 years		Total
Scheduled payments under contractual obligations:
Long-term debt	$	74	$	186	$	835	$	3,214	$	4,309
Interest payments		104		202		202		379		887
Interest payments on the Term Loan B(1)		96		157		153		61		467
Capital lease obligations		1		2		1		4		8
Operating leases		232		403		326		555		1,516
Construction of the new corporate headquarters		60		30		—		—		90

	$	567	$	980	$	1,517	$	4,213	$	7,277

Potential cash requirements under existing commitments:
Letters of credit	$	46	$	—	$	—	$	—	$	46
Noncontrolling interests subject to put provisions		225		67		48		43		383
Operating capital advances		2		—		—		—		2

	$	273	$	67	$	48	$	43	$	431

(1)	Assuming no changes to LIBOR-based interest rates as the Term Loan B currently bears interest at LIBOR (floor of 1.50%) plus an interest rate margin of 3.00%.

Not included above are interest payments related to our Term Loan A. The Term Loan A currently bears interest at LIBOR plus a margin of 2.75%, for an overall weighted average effective interest rate of 3.02% as of December 31, 2010. The interest rate margin is subject to an adjustment depending upon our achievement of certain financial ratios and can range from 2.25% to 2.75%. Interest payments are due at the maturity of specific debt tranches within each Term Loan, currently monthly, which can range in maturity from one month to twelve months. Future interest payments will depend upon the amount of mandatory principal payments and principal prepayments, as well as changes in the LIBOR-based interest rates and changes in the interest rate margins. Assuming no principal prepayments on our Term Loan A during 2011 and no changes in the effective interest rate, including the interest rate margin, approximately $30 million of interest would be required to be paid in 2011 related to the Term Loan A.

In addition to the above commitments, we are obligated to purchase a certain amount of our hemodialysis products and supplies at fixed prices through 2015 from Gambro Renal Products, Inc. in connection with the Product Supply Agreement. Our total expenditures for the years ended December 31, 2010 and 2009 on such products were approximately 2% of our total operating costs in each year. In January 2010, we entered into an agreement with Fresenius which committed us to purchase a certain amount of dialysis equipment, parts and supplies from them through 2013. Our total expenditures for the year ended December 31, 2010 on such products were approximately 2% of our total operating costs.

The actual amount of purchases in future years from Gambro Renal Products and Fresenius will depend upon a number of factors, including the operating requirements of our centers, the number of centers we acquire, growth of our existing centers, and in the case of the Product Supply Agreement, Gambro Renal Products’ ability to meet our needs.

Settlements of approximately $11 million of existing income tax liabilities for unrecognized tax benefits are excluded from the above table as reasonably reliable estimates of their timing cannot be made.

Contingencies

The information in Note 16 to the consolidated financial statements of this report is incorporated by reference in response to this item.

Critical accounting estimates and judgments

Our consolidated financial statements and accompanying notes are prepared in accordance with United States generally accepted accounting principles. These accounting principles require us to make estimates, judgments and assumptions that affect the reported amounts of revenues, expenses, assets, liabilities, and contingencies. All significant estimates, judgments and assumptions are developed based on the best information available to us at the time made and are regularly reviewed and updated when necessary. Actual results will generally differ from these estimates. Changes in estimates are reflected in our financial statements in the period of change based upon on-going actual experience trends, or subsequent settlements and realizations depending on the nature and predictability of the estimates and contingencies. Interim changes in estimates are applied prospectively within annual periods. Certain accounting estimates, including those concerning revenue recognition and accounts receivable, impairments of long-lived assets, accounting for income taxes, quarterly variable compensation accruals, purchase accounting valuation estimates, fair value estimates and stock-based compensation are considered to be critical to evaluating and understanding our financial results because they involve inherently uncertain matters and their application requires the most difficult and complex judgments and estimates.

Revenue recognition and accounts receivable. There are significant estimating risks associated with the amount of revenue that we recognize in a given reporting period. Payment rates are often subject to significant uncertainties related to wide variations in the coverage terms of the commercial healthcare plans under which we receive payments. In addition, ongoing insurance coverage changes, geographic coverage differences, differing interpretations of contract coverage, and other payor issues complicate the billing and collection process. Net revenue recognition and allowances for uncollectible billings require the use of estimates of the amounts that will ultimately be realized considering, among other items, retroactive adjustments that may be associated with regulatory reviews, audits, billing reviews and other matters.

Revenues associated with Medicare and Medicaid programs are recognized based on (a) the payment rates that are established by statute or regulation for the portion of the payment rates paid by the government payor (e.g., 80% for Medicare patients) and (b) for the portion not paid by the primary government payor, the estimated amounts that will ultimately be collectible from other government programs paying secondary coverage (e.g., Medicaid secondary coverage), the patient’s commercial health plan secondary coverage, or the patient. Beginning in January 2011, we are also subject to certain variations in our reimbursements from Medicare as we implement Medicare’s new single bundled payment rate system whereby our reimbursements can be adjusted for certain patient characteristics and certain other factors. Our revenue recognition will depend upon our ability to effectively capture, document and bill for Medicare’s base payment rate and these other factors. In addition, as a result of the potential range of variations that can occur in our reimbursements from Medicare under the new single bundled payment rate system, our revenue recognition will be subject to a greater degree of estimating risk.

Commercial healthcare plans, including contracted managed-care payors, are billed at our usual and customary rates; however, revenue is recognized based on estimated net realizable revenue for the services provided. Net realizable revenue is estimated based on contractual terms for the patients under healthcare plans with which we have formal agreements, non-contracted healthcare plan coverage terms if known, estimated secondary collections, historical collection experience, historical trends of refunds and payor payment adjustments (retractions), inefficiencies in our billing and collection processes that can result in denied claims for

payments, slow down in collections, a reduction in the amounts that we expect to collect and regulatory compliance issues. Determining applicable primary and secondary coverage for our more than 125,000 patients at any point in time, together with the changes in patient coverages that occur each month, requires complex, resource-intensive processes. Collections, refunds and payor retractions typically continue to occur for up to three years or longer after services are provided.

We generally expect our range of dialysis and related lab services revenues estimating risk to be within 1% of its revenue, which can represent as much as 6% of consolidated operating income. Changes in estimates are reflected in the then-current financial statements based on on-going actual experience trends, or subsequent settlements and realizations depending on the nature and predictability of the estimates and contingencies. Changes in revenue estimates for prior periods are separately disclosed and reported if material to the current reporting period and longer term trend analyses, and have not been significant.

Lab service revenues for current period dates of services are recognized at the estimated net realizable amounts to be received.

Impairments of long-lived assets. We account for impairments of long-lived assets, which include property and equipment, equity investments in non-consolidated businesses, amortizable intangible assets with finite useful lives and goodwill, in accordance with the provisions of applicable accounting guidance. Impairment reviews are performed at least annually and whenever a change in condition occurs which indicates that the carrying amounts of assets may not be recoverable.

Such changes include changes in our business strategies and plans, changes in the quality or structure of our relationships with our partners and deteriorating operating performance of individual dialysis centers or other operations. We use a variety of factors to assess the realizable value of assets depending on their nature and use. Such assessments are primarily based upon the sum of expected future undiscounted net cash flows over the expected period the asset will be utilized, as well as market values and conditions. The computation of expected future undiscounted net cash flows can be complex and involves a number of subjective assumptions. Any changes in these factors or assumptions could impact the assessed value of an asset and result in an impairment charge equal to the amount by which its carrying value exceeds its actual or estimated fair value.

Accounting for income taxes. We estimate our income tax provision to recognize our tax expense for the current year, and our deferred tax liabilities and assets for future tax consequences of events that have been recognized in our financial statements, measured using enacted tax rates and laws expected to apply in the periods when the deferred tax liabilities or assets are expected to be realized. We are required to assess our tax positions on a more-likely-than-not criteria and to also determine the actual amount of benefit to recognize in the financial statements. Deferred tax assets are assessed based upon the likelihood of recoverability from future taxable income and, to the extent that recovery is not likely, a valuation allowance is established. The allowance is regularly reviewed and updated for changes in circumstances that would cause a change in judgment about the realizability of the related deferred tax assets. These calculations and assessments involve complex estimates and judgments because the ultimate tax outcome can be uncertain and future events unpredictable.

Variable compensation accruals. We estimate variable compensation accruals quarterly based upon the annual amounts expected to be earned and paid out resulting from the achievement of certain teammate-specific and/or corporate financial and operating goals. Our estimates, which include compensation incentives for bonuses, and other awards, are updated periodically based on changes in our economic condition or cash flows that could ultimately impact the actual final award. Actual results reflected in each fiscal quarter may vary due to the subjectivity involved in anticipating fulfillment of specific and/or corporate goals, as well as the final determination and approval of amounts by our Board of Directors.

Purchase accounting valuation estimates. We make various assumptions and estimates regarding the valuation of tangible and intangible assets, liabilities and contractual as well as non-contractual contingencies

associated with our acquisitions. These assumptions can have a material effect on our balance sheet valuations and the related amount of depreciation and amortization expense that will be recognized in the future.

Fair value estimates. We have recorded certain assets, liabilities and noncontrolling interests subject to put provisions at fair value. The FASB defines fair value which is measured based upon certain valuation techniques that include inputs and assumptions that market participants would use in pricing assets, liabilities and noncontrolling interests subject to put provisions. We have measured the fair values of our applicable assets, liabilities and noncontrolling interests subject to put provisions based upon certain market inputs and assumptions that are either observable or unobservable in determining fair values and have also classified these assets, liabilities and noncontrolling interests subject to put provisions into the appropriate fair value hierarchy levels. The fair value of our investments available for sale are based upon quoted market prices from active markets and the fair value of our swap agreements were based upon valuation models and a variety of techniques as reported by various broker dealers that were based upon relevant observable market inputs such as current interest rates, forward yield curves, and other credit and liquidity market conditions. For our noncontrolling interests subject to put provisions we have estimated the fair values of these based upon either the higher of a liquidation value of net assets or an average multiple of earnings based on historical earnings, patient mix and other performance indicators, as well as other factors. During the second quarter of 2010, we refined the methodology used to estimate the fair value of noncontrolling interests subject to put provisions by eliminating an annual inflation factor that was previously applied to the put provisions until they became exercisable. We believe that eliminating an annual inflation factor will result in a better representation of the estimated actual fair value of the noncontrolling interests subject to put provisions. The estimate of the fair values of the noncontrolling interests subject to put provisions involves significant judgments and assumptions and may not be indicative of the actual values at which the noncontrolling interests may ultimately be settled, which could vary significantly from our current estimates. The estimated fair values of the noncontrolling interests subject to put provisions can also fluctuate and the implicit multiple of earnings at which these noncontrolling interests obligations may be settled will vary depending upon market conditions including potential purchasers’ access to the capital markets, which can impact the level of competition for dialysis and non-dialysis related businesses, the economic performance of these businesses and the restricted marketability of the third-party owners’ noncontrolling interests.

Stock-based compensation. Stock-based compensation recognized in a period represents the straight-line amortization during that period of the estimated grant-date fair value of stock-based awards over their vesting terms, adjusted for expected forfeitures. We estimate the grant-date fair value of stock awards using complex option pricing models that rely heavily on estimates from us about uncertain future events, including the expected term of the awards, the expected future volatility of our stock price, and expected future risk-free interest rates.

Significant new accounting standards

In August 2010, the FASB issued transition guidance for healthcare entities for measuring charity care that was effective for fiscal years beginning after December 15, 2010. Charity care is defined as healthcare services that are provided but are not expected to result in cash flows where the patients have demonstrated the inability to pay. The guidance requires management to disclose their policy on providing charity care, the level of charity care provided, the measurement of the direct and indirect costs of providing those services, and the amount of any subsidies received for providing charity care. Management can also estimate the costs of those services using reasonable techniques. The guidance shall be applied retrospectively. The adoption of this standard will not have a material impact on our consolidated financial statements.

the entity’s economic performance and the obligation to absorb losses of the entity, or the right to receive benefits from the entity. In addition, the FASB established new guidance for determining whether an entity is a variable interest entity, requiring an ongoing reassessment of whether an enterprise is the primary beneficiary of a variable interest entity, and adding an additional reconsideration event for determining whether an entity is a variable interest entity when any changes in facts and circumstances occur such that the holders of the equity investment at risk, as a group, lose the power from voting rights or similar rights of those investments to direct the activities of the entity that most significantly impact the entity’s economic performance. See Note 20 to the consolidated financial statements for the impact of adopting these new requirements.

Effective December 15, 2009, FASB amended certain fair value disclosure requirements to include additional disclosures related to significant transfers in and out of the various fair value hierarchy levels and to clarify existing disclosures by providing disaggregate levels for each class of assets and liabilities. We are also required to provide additional disclosures on the valuation techniques and inputs used to measure fair value, as well as changes to the valuation techniques and inputs, for both recurring and nonrecurring assets and liabilities carried at fair value. In addition, we are also required to disclose the reason for making changes to our valuation techniques, assumptions and or other unobservable market inputs. Certain other disclosures on reporting the gross activity rather than the net activity for Level 3 fair value measurements is effective for fiscal years beginning after December 31, 2010. See Note 23 to the consolidated financial statements for further discussion. The adoption of this standard will not have a material impact on our consolidated financial statements.

Item 7A. Quantitative and Qualitative Disclosures about Market Risk.

Interest rate sensitivity

The tables below provide information about our financial instruments that are sensitive to changes in interest rates. For our debt obligations the table presents principal repayments and current weighted average interest rates on our debt obligations as of December 31, 2010. The variable rates presented reflect the weighted average LIBOR rates in effect for all debt tranches plus interest rate margins in effect at the end of 2010. The Term Loan A margin currently in effect is 2.75% and along with the revolving line of credit is subject to adjustment depending upon changes in certain of our financial ratios including a leverage ratio. The Term Loan B currently bears interest at LIBOR (floor of 1.50%) plus an interest rate margin of 3.00% subject to a ratings based step-down to 2.75%.


	Expected maturity date												Total		Fair Value		Average interest rate
	2011		2012		2013		2014		2015		Thereafter		Total		Fair Value		Average interest rate
	(dollars in millions)
Long-term debt:
Fixed rate	$	19	$	19	$	19	$	18	$	18	$	3,218	$	3,311	$	3,305		5.49	%
Variable rate	$	56	$	50	$	100	$	150	$	650	$	—	$	1,006	$	1,008		3.11	%

Our Senior Secured Credit Facilities, which include the Term Loan A and the Term Loan B, consist of various individual tranches that can range in maturity from one month to twelve months (currently monthly). For the Term Loan A each specific tranche would bear interest at a LIBOR rate that is determined by the maturity of that specific tranche plus an interest rate margin. The LIBOR variable component of the interest rate is reset as each specific tranche matures and a new tranche is re-established and can fluctuate significantly depending upon market conditions including the credit and capital markets. In January 2011, we entered into several interest rate swap agreements that have the economic effect of fixing all of the Term Loan A LIBOR variable component of our interest rate, as described below. Our Term Loan B is currently effectively fixed since the LIBOR variable component of our interest rate is set at a LIBOR floor of 1.50%. We have included it in the fixed rate totals in the table above until such time as the LIBOR-based component of our interest rate exceeds 1.50%. We will then be subject to LIBOR-based interest rate volatility on the LIBOR variable component of our interest rate, but only up to 4.00% on $1.25 billion of outstanding principal debt on the Term Loan B, as described below. The remaining $500 million of outstanding debt on the Term Loan B is subject to LIBOR-based interest rate volatility above a floor of 1.50%.

Our previous interest rate swap agreements expired on September 30, 2010. The agreements that were effective during 2010 had the economic effect of modifying the LIBOR variable component of our interest rate on an equivalent amount of our debt to fixed rates ranging from 4.05% to 4.70%, resulting in an overall weighted average effective interest rate of 5.84% on the hedged portion of our Senior Secured Credit Facilities, including the Term Loan B margin of 1.50%. During 2010, we accrued net cash obligations of $9.1 million from these swaps, which are included in debt expense.

As of December 31, 2010, the interest rates were fixed on approximately 77% of our total debt.

Our overall weighted average effective interest rate in 2010 was 4.68% and as of December 31, 2010 was 4.94%.

One means of assessing exposure to debt-related interest rate changes is a duration-based analysis that measures the potential loss in net income resulting from a hypothetical increase in interest rates of 100 basis points across all variable rate maturities (referred to as a “parallel shift in the yield curve”). Under this model, with all else constant, it is estimated that such an increase would have reduced net income by approximately $11.1 million, $8.5 million, and $7.1 million, net of tax, for the years ended December 31, 2010, 2009, and 2008, respectively.

Exchange rate sensitivity

We are currently not exposed to any significant foreign currency exchange rate risk.

Item 8. Financial Statements and Supplementary Data.

See the Index to Financial Statements and Index to Financial Statement Schedules included at “Item 15. Exhibits, Financial Statement Schedules.”

Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure.

None.

Item 9A. Controls and Procedures.

Management has established and maintains disclosure controls and procedures designed to ensure that information required to be disclosed in the reports that it files or submits pursuant to the Securities Exchange Act of 1934, as amended, or Exchange Act, is recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commission’s rules and forms, and that such information is accumulated and communicated to our management including our Chief Executive Officer and Chief Financial Officer as appropriate to allow for timely decisions regarding required disclosures.

At the end of the period covered by this report, we carried out an evaluation, under the supervision and with the participation of our Chief Executive Officer and Chief Financial Officer, of the effectiveness of the design and operation of our disclosure controls and procedures in accordance with the Exchange Act requirements. Based upon that evaluation, the Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures are effective for timely identification and review of material information required to be included in our Exchange Act reports, including this report on Form 10-K. Management recognizes that these controls and procedures can provide only reasonable assurance of desired outcomes, and that estimates and judgments are still inherent in the process of maintaining effective controls and procedures.

There has not been any change in our internal control over financial reporting that was identified during the evaluation that occurred during the fourth fiscal quarter and that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

Item 9B. Other Information.

None.

PART III

Item 10. Directors, Executive Officers and Corporate Governance.

In 2002, we adopted a Corporate Governance Code of Ethics that applies to our principal executive officer, principal financial officer, principal accounting officer or controller, and to all of our financial accounting and legal professionals who are directly or indirectly involved in the preparation, reporting and fair presentation of our financial statements and Exchange Act Reports. The Code of Ethics is posted on our website, located at http://www.davita.com. We also maintain a Corporate Code of Conduct that applies to all of our employees, which is posted on our website.

Under our Corporate Governance Guidelines all Board Committees including the Audit Committee, Nominating and Governance Committee and the Compensation Committee, which are comprised solely of independent directors as defined within the listing standards of the New York Stock Exchange, have written charters that outline the committee’s purpose, goals, membership requirements and responsibilities. These charters are regularly reviewed and updated as necessary by our Board of Directors. All Board Committee charters as well as the Corporate Governance Guidelines are posted on our website located at http://www.davita.com.

The other information required to be disclosed by this item will appear in, and is incorporated by reference from, the sections entitled “Proposal No. 1. Election of Directors”, “Corporate Governance”, and “Security Ownership of Certain Beneficial Owners and Management” included in our definitive proxy statement relating to our 2011 annual stockholder meeting.

Item 11. Executive Compensation.

The information required by this item will appear in, and is incorporated by reference from, the sections entitled “Executive Compensation” and “Compensation Committee Interlocks and Insider Participations” included in our definitive proxy statement relating to our 2011 annual stockholder meeting. The information required by Item 407(e)(5) of Regulation S-K will appear in and is incorporated by reference from the section entitled “Compensation Committee Report” included in our definitive proxy statement relating to our 2011 annual stockholder meeting; however, this information shall not be deemed to be “filed”.

Item 12.

Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters.

The following table provides information about our common stock that may be issued upon the exercise of stock options, stock-settled stock appreciation rights, restricted stock units and other rights under all of our existing equity compensation plans as of December 31, 2010, including our omnibus 2002 Equity Compensation Plan and our Employee Stock Purchase Plan, and the terminated 1999 Non-Executive Officer and Non-Director Equity Compensation Plan. The material terms of these plans are described in Note 17 to the Consolidated Financial Statements. The 1999 Non-Executive Officer and Non-Director Equity Compensation Plan was not required to be approved by our shareholders.


Plan category	Number of shares to be issued upon exercise of outstanding options, warrants and rights		Weighted average exercise price of outstanding options, warrants and rights		Number of shares remaining available for future issuance under equity compensation plans (excluding securities reflected in column (a))		Total of shares reflected in columns (a) and (c)
	*(a)*		*(b)*		*(c)*		*(d)*
Equity compensation plans approved by shareholders		11,597,916	$	49.74		11,787,674		23,385,590
Equity compensation plans not requiring shareholder approval		1,000	$	54.58		—		1,000

Total		11,598,916	$	49.74		11,787,674		23,386,590

Other information required to be disclosed by Item 12 will appear in, and is incorporated by reference from, the section entitled “Security Ownership of Certain Beneficial Owners and Management” included in our definitive proxy statement relating to our 2011 annual stockholder meeting.

Item 13. Certain Relationships and Related Transactions and Director Independence.

The information required by this item will appear in, and is incorporated by reference from, the section entitled “Certain Relationships and Related Transactions” and the section entitled “Corporate Governance” included in our definitive proxy statement relating to our 2011 annual stockholder meeting.

Item 14. Principal Accounting Fees and Services.

The information required by this item will appear in, and is incorporated by reference from, the section entitled “Ratification of Appointment of Independent Registered Public Accounting Firm” included in our definitive proxy statement relating to our 2011 annual stockholder meeting.

PART IV

Item 15. Exhibits, Financial Statement Schedules.

(a) Documents filed as part of this Report:

(1) Index to Financial Statements:


		Page

Management’s Report on Internal Control Over Financial Reporting		F-1

Report of Independent Registered Public Accounting Firm		F-2

Report of Independent Registered Public Accounting Firm		F-3

Consolidated Statements of Income for the years ended December 31, 2010, 2009, and 2008		F-4

Consolidated Balance Sheets as of December 31, 2010, and 2009		F-5

Consolidated Statements of Cash Flow for the years ended December 31, 2010, 2009, and 2008		F-6

Consolidated Statements of Equity and Comprehensive Income for the years ended December 31, 2010, 2009, and 2008		F-7

Notes to Consolidated Financial Statements		F-9

(2) Index to Financial Statement Schedules:

Report of Independent Registered Public Accounting Firm		S-1

Schedule II—Valuation and Qualifying Accounts		S-2

(1) Exhibits:


2.1		Stock Purchase Agreement dated as of December 6, 2004, among Gambro AB, Gambro, Inc. and DaVita Inc.(9)

2.2		Amended and Restated Asset Purchase Agreement effective as of July 28, 2005, by and among DaVita Inc., Gambro Healthcare, Inc. and Renal Advantage Inc., a Delaware corporation, formerly known as RenalAmerica, Inc.(12)

3.1		Amended and Restated Certificate of Incorporation of Total Renal Care Holdings, Inc., or TRCH, dated December 4, 1995.(1)

3.2		Certificate of Amendment of Certificate of Incorporation of TRCH, dated February 26, 1998.(2)

3.3		Certificate of Amendment of Certificate of Incorporation of DaVita Inc. (formerly Total Renal Care Holdings, Inc.), dated October 5, 2000.(4)

3.4		Certificate of Amendment of Amended and Restated Certificate of Incorporation of DaVita Inc., as amended dated May 30, 2007.(23)

3.5		Amended and Restated Bylaws for DaVita Inc. dated as of March 2, 2007.(25)

4.1		Indenture for the 6⁵/8% Senior Notes due 2013 dated as of March 22, 2005.(3)

4.2		Indenture for the 7¹/4% Senior Subordinated Notes due 2015 dated as of March 22, 2005.(3)



4.3		First Supplemental Indenture, dated October 5, 2005, by and among DaVita Inc., the Guarantors, the persons named as Additional Guarantors and The Bank of New York Trust Company, N.A., as Trustee.(11)

4.4		First Supplemental Indenture, dated October 5, 2005, by and among DaVita Inc., the Guarantors, the persons named as Additional Guarantors and The Bank of New York Trust Company, N.A., as Trustee.(13)

4.5		Rights Agreement, dated as of November 14, 2002, between DaVita Inc. and the Bank of New York, as Rights Agent.(21)

4.6		Second Supplemental Indenture (Senior), dated February 9, 2007, by and among DaVita Inc., the Guarantors, the persons named as Additional Guarantors and The Bank of New York Trust Company, N.A., as Trustee.(22)

4.7		Second Supplemental Indenture (Senior Subordinated), dated February 9, 2007, by and among DaVita Inc., the Guarantors, the persons named as Additional Guarantors and The Bank of New York Trust Company, N.A., as Trustee.(22)

4.8		Registration Rights Agreement for the 6⁵/8% Senior Notes due 2013 dated as of February 23, 2007.(26)

4.9		Third Supplemental Indenture, dated October 14, 2010, by and among DaVita Inc., the guarantors named therein and The Bank of New York Mellon Trust Company, N.A., as Trustee.(38)

4.10		Third Supplemental Indenture, dated October 14, 2010, by and among DaVita Inc., the guarantors named therein and The Bank of New York Mellon Trust Company, N.A., as Trustee.(38)

4.11		Indenture, dated October 20, 2010, by and among DaVita Inc., the guarantors named therein and The Bank of New York Mellon Trust Company, N.A., as Trustee.(39)

4.12		Indenture, dated October 20, 2010, by and among DaVita Inc., the guarantors named therein and The Bank of New York Mellon Trust Company, N.A., as Trustee.(39)

10.1		Employment Agreement, dated as of October 19, 2009, by and between DaVita Inc. and Kim M. Rivera.*

10.2		Employment Agreement, dated as of June 15, 2000, by and between DaVita Inc. and Joseph C. Mello.(6)*

10.3		Second Amendment to Mr. Mello’s Employment Agreement, effective December 12, 2008.(33)*

10.4		Employment Agreement, effective as of August 16, 2004, by and between DaVita Inc. and Tom Usilton.(7)*

10.5		Amendment to Mr. Usilton’s Employment Agreement, dated February 12, 2007.(24)*

10.6		Second Amendment to Mr. Usilton’s Employment Agreement, effective December 12, 2008.(32)*

10.7		Employment Agreement, effective as of November 18, 2004, by and between DaVita Inc. and Joseph Schohl.(14)*

10.8		Amendment to Mr. Schohl’s Employment Agreement, effective December 30, 2008.(32)*

10.9		Employment Agreement, dated as of October 31, 2005, effective October 24, 2005, by and between DaVita Inc. and Dennis Kogod.(13)*

10.10		Amendment to Mr. Kogod’s Employment Agreement, effective December 12, 2008.(32)*

10.11		Employment Agreement, effective September 22, 2005, by and between DaVita Inc. and James Hilger.(15)*

10.12		Amendment to Mr. Hilger’s Employment Agreement, effective December 12, 2008.(32)*

10.13		Employment Agreement effective February 13, 2008, by and between DaVita Inc. and Richard K. Whitney.(28)*



10.14		Amendment to Equity Award Agreement, entered into on December 11, 2009, between DaVita Inc. and Richard K. Whitney.*

10.15		Amendment to Stock Appreciation Rights Agreements, effective November 2008, by and between DaVita Inc. and Richard K. Whitney.(36)*

10.16		Employment Agreement, effective July 25, 2008, between DaVita Inc. and Kent J. Thiry.(29)*

10.17		Employment Agreement, effective August 1, 2008, between DaVita Inc. and Allen Nissenson.(30)*

10.18		Employment Agreement, effective March 3, 2008, between DaVita Inc. and David Shapiro.(32)*

10.19		Amendment to Mr. Shapiro’s Employment Agreement, effective December 4, 2008.(32)*

10.20		Employment Agreement, effective March 17, 2010, by and between DaVita Inc. and Javier Rodriguez.(35)*

10.21		Employment Agreement, effective February 26, 2010, by and between DaVita Inc. and Luis Borgen.(36)*

10.22		Amendment to Mr. Borgen’s Employment Agreement, effective March 18, 2010.(36)*

10.23		Memorandum Relating to Bonus Structure for Kent J. Thiry.(36)*

10.24		Memorandum Relating to Bonus Structure for Dennis L. Kogod.(36)*

10.25		Memorandum Relating to Bonus Structure for Thomas O. Usilton, Jr.(36)*

10.26		Form of Indemnity Agreement.(20)*

10.27		Form of Indemnity Agreement.(14)*

10.28		Executive Incentive Plan (as Amended and Restated effective January 1, 2009).(34)*

10.29		Executive Retirement Plan.(32)*

10.30		Post-Retirement Deferred Compensation Arrangement.(14)*

10.31		Amendment No. 1 to Post Retirement Deferred Compensation Arrangement.(32)*

10.32		DaVita Voluntary Deferral Plan.(11)*

10.33		Deferred Bonus Plan (Prosperity Plan).(31)

10.34		Amendment No. 1 to Deferred Bonus Plan (Prosperity Plan).(32)*

10.35		Amended and Restated Employee Stock Purchase Plan.(27)*

10.36		Severance Plan.(36)*

10.37		Change in Control Bonus Program.(32)*

10.38		First Amended and Restated Total Renal Care Holdings, Inc. 1999 Non-Executive Officer and Non-Director Equity Compensation Plan.(5)

10.39		Non-Management Director Compensation Philosophy and Plan.(28)*

10.40		Amended and Restated 2002 Equity Compensation Plan.(10)*

10.41		Amended and Restated 2002 Equity Compensation Plan.(19)*

10.42		Amended and Restated 2002 Equity Compensation Plan.(27)*

10.43		Amended and Restated 2002 Equity Compensation Plan.(32)*

10.44		DaVita Inc. 2002 Equity Compensation Plan.(37)*

10.45		Form of Non-Qualified Stock Option Agreement—Employee (DaVita Inc. 1999 Non-Executive Officer and Non-Director Equity Compensation Plan.(18)*

10.46		Form of Non-Qualified Stock Option Agreement—Employee (DaVita Inc. 2002 Equity Compensation Plan).(7)*



10.47		Form of Non-Qualified Stock Option Agreement—Employee (DaVita Inc. 2002 Equity Compensation Plan).(16)*

10.48		Form of Non-Qualified Stock Option Agreement—Employee (DaVita Inc. 2002 Equity Compensation Plan).(18)*

10.49		Form of Restricted Stock Units Agreement—Employee (DaVita Inc. 2002 Equity Compensation Plan).(7)*

10.50		Form of Restricted Stock Units Agreement—Employee (DaVita Inc. 2002 Equity Compensation Plan).(16)*

10.51		Form of Restricted Stock Units Agreement—Employee (DaVita Inc. 2002 Equity Compensation Plan).(18)*

10.52		Form of Restricted Stock Units Agreement—Employee (DaVita Inc. 2002 Equity Compensation Plan).(32)*

10.53		Form of Stock Appreciation Rights Agreement—Employee (DaVita Inc. 2002 Equity Compensation Plan).(16)*

10.54		Form of Stock Appreciation Rights Agreement—Employee (DaVita Inc. 2002 Equity Compensation Plan).(18)*

10.55		Form of Stock Appreciation Rights Agreement—Board (DaVita Inc. 2002 Equity Compensation Plan).(30)*

10.56		Form of Restricted Stock Units Agreement—Board (DaVita Inc. 2002 Equity Compensation Plan).(30)*

10.57		Form of Non-Qualified Stock Option Agreement—Board (DaVita Inc. 2002 Equity Compensation Plan).(30)*

10.58		Credit Agreement, dated as of October 5, 2005, among DaVita Inc., the Guarantors party thereto, the Lenders party thereto, Bank of America, N.A., Wachovia Bank, National Association, Bear Stearns Corporate Lending Inc., The Bank of New York, The Bank of Nova Scotia, The Royal Bank of Scotland plc, WestLB AG, New York Branch as Co-Documentation Agents, Credit Suisse, Cayman Islands Branch, as Syndication Agent, JPMorgan Chase Bank, N.A., as Administrative Agent and Collateral Agent, JPMorgan Securities Inc., as Sole Lead Arranger and Bookrunner and Credit Suisse, Cayman Islands Branch, as Co-Arranger.(11)

10.59		Credit Agreement, dated as of October 5, 2005, as Amended and Restated as of February 23, 2007, by and among DaVita Inc., the Guarantors party thereto, the Lenders party thereto and JPMorgan Chase Bank, N.A.(26)

10.60		Amendment Agreement, dated February 23, 2007, by and among DaVita Inc., the Guarantors party thereto, the Lenders party thereto and JPMorgan Chase Bank, N.A.(26)

10.61		Security Agreement, dated as of October 5, 2005, by DaVita Inc., the Guarantors party thereto and JPMorgan Chase Bank, N.A., as Collateral Agent.(11)

10.62		Credit Agreement, dated as of October 20, 2010, by and among DaVita Inc., the guarantors party thereto, the lenders party thereto, Credit Suisse AG, Barclays Bank PLC, Goldman Sachs Bank USA, Wells Fargo Bank, National Association, Credit Agricole Corporate and Investment Bank, RBC Capital Markets, Scotia Capital (USA) Inc., SunTrust Robinson Humphrey, Inc. and Union Bank, N.A., as Co-Documentation Agents, Bank of America, N.A., as Syndication Agent, JPMorgan Chase Bank, N.A., as Administrative Agent and Collateral Agent, and J.P. Morgan Securities LLC, Banc of America Securities LLC, Credit Suisse Securities (USA) LLC, Barclays Capital, Goldman Sachs Bank USA and Wells Fargo Securities, LLC, as Joint Lead Arrangers and Joint Bookrunners.(39)

10.63		Corporate Integrity Agreement between the Office of Inspector General of the Department of Health and Human Services and Gambro Healthcare, Inc. effective as of December 1, 2004.(11)



10.64		Amended and Restated Alliance and Product Supply Agreement, dated as of August 25, 2006, among Gambro Renal Products, Inc., DaVita Inc. and Gambro AB.(17)**

10.65		Letter dated March 19, 2007 from Willard W. Brittain, Jr. to Peter T. Grauer, Lead Independent Director of the Company.(22)

10.66		Dialysis Organization Agreement between DaVita Inc. and Amgen USA Inc. dated December 20, 2007.(31)**

10.67		Dialysis Organization Agreement between DaVita Inc. and Amgen USA Inc. dated December 17, 2010. ü**

12.1		Computation of Ratio of Earnings to Fixed Charges.ü

14.1		DaVita Inc. Corporate Governance Code of Ethics.(8)

21.1		List of our subsidiaries.ü

23.1		Consent of KPMG LLP, independent registered public accounting firm.ü

24.1		Powers of Attorney with respect to DaVita. (Included on Page II-1).

31.1		Certification of the Chief Executive Officer, dated February 25, 2011, pursuant to Rule 13a-14(a) or 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.ü

31.2		Certification of the Chief Financial Officer, dated February 25, 2011, pursuant to Rule 13a-14(a) or 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.ü

32.1		Certification of the Chief Executive Officer, dated February 25, 2011, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.ü

32.2		Certification of the Chief Financial Officer, dated February 25, 2011, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.ü

101.INS		XBRL Instance Document.***

101.SCH		XBRL Taxonomy Extension Schema Document.***

101.CAL		XBRL Taxonomy Extension Calculation Linkbase Document.***

101.DEF		XBRL Taxonomy Extension Definition Linkbase Document.***

101.LAB		XBRL Taxonomy Extension Label Linkbase Document.***

101.PRE		XBRL Taxonomy Extension Presentation Linkbase Document.***

ü	Included in this filing.

*	Management contract or executive compensation plan or arrangement.

**	Portions of this exhibit are subject to a request for confidential treatment and have been redacted and filed separately with the SEC.

***

XBRL information is furnished and not filed as a part of a registration statement or prospectus for purposes of Section 11 or 12 of the Securities and Exchange Act of 1933, is deemed not filed for purposes of Section 18 of the Securities and Exchange Act of 1934, and otherwise is not subject to liability under these sections.

(1)	Filed on March 18, 1996 as an exhibit to the Company’s Transitional Report on Form 10-K for the transition period from June 1, 1995 to December 31, 1995.

(2)	Filed on March 31, 1998 as an exhibit to the Company’s Annual Report on Form 10-K for the year ended December 31, 1997.

(3)	Filed on March 25, 2005 as an exhibit to the Company’s Current Report on Form 8-K.

(4)	Filed on March 20, 2001 as an exhibit to the Company’s Annual Report on Form 10-K for the year ended December 31, 2000.

(5)	Filed on February 28, 2003 as an exhibit to the Company’s Annual Report on Form 10-K for the year ended December 31, 2002.

(6)	Filed on August 15, 2001 as an exhibit to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2001.

(7)	Filed on November 8, 2004 as an exhibit to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2004.

(8)	Filed on February 27, 2004 as an exhibit to the Company’s Annual Report on Form 10-K for the year ended December 31, 2003.

(9)	Filed on December 8, 2004 as an exhibit to the Company’s Current Report on Form 8-K.

(10)	Filed on May 4, 2005 as an exhibit to the Company’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2005.

(11)	Filed on November 8, 2005 as an exhibit to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2005.

(12)	Filed on October 11, 2005 as an exhibit to the Company’s Current Report on Form 8-K.

(13)	Filed on November 4, 2005 as an exhibit to the Company’s Current Report on Form 8-K.

(14)	Filed on March 3, 2005 as an exhibit to the Company’s Annual Report on Form 10-K for the year ended December 31, 2004.

(15)	Filed on August 7, 2006 as an exhibit to the Company’s Quarterly Report on Form 10-Q for the quarter ending June 30, 2006.

(16)	Filed on July 6, 2006 as an exhibit to the Company’s Current Report on Form 8-K.

(17)	Filed on November 3, 2006 as an exhibit to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2006.

(18)	Filed on October 18, 2006 as an exhibit to the Company’s Current Report on Form 8-K.

(19)	Filed on July 31, 2006 as an exhibit to the Company’s Current Report on Form 8-K.

(20)	Filed on December 20, 2006 as an exhibit to the Company’s Current Report on Form 8-K.

(21)	Filed on November 19, 2002 as an exhibit to the Company’s Current Report on Form 8-K.

(22)	Filed on May 3, 2007 as an exhibit to the Company’s Quarterly Report as Form 10-Q for the quarter ended March 31, 2007.

(23)	Filed on August 6, 2007 as an exhibit to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2007.

(24)	Filed on February 16, 2007 as an exhibit to the Company’s Current Report on Form 8-K.

(25)	Filed on March 8, 2007 as an exhibit to the Company’s Current Report on Form 8-K.

(26)	Filed on February 28, 2007 as an exhibit to the Company’s Current Report on Form 8-K.

(27)	Filed on June 4, 2007 as an exhibit to the Company’s Current Report on Form 8-K.

(28)	Filed on May 8, 2008 as an exhibit to the Company’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2008.

(29)	Filed on July 31, 2008 as an exhibit to the Company’s Current Report on Form 8-K.

(30)	Filed on November 6, 2008 as an exhibit to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2008.

(31)	Filed on February 29, 2008 as an exhibit to the Company’s Annual Report on Form 10-K for the year ended December 31, 2007.

(32)	Filed on February 27, 2009 as an exhibit to the Company’s Annual Report on Form 10-K for the year ended December 31, 2008

(33)	Filed on May 7, 2009 as an exhibit to the Company’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2009.

(34)	Filed on June 18, 2009 as an exhibit to the Company’s Current Report on Form 8-K.

(35)	Filed on April 14, 2010 as an exhibit to the Company’s Current Report on Form 8-K.

(36)	Filed on May 3, 2010 as an exhibit to the Company’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2010.

(37)	Filed on April 28, 2010 as Appendix A to the Company’s Definitive Proxy Statement on Schedule 14A.

(38)	Filed on October 19, 2010 as an exhibit to the Company’s Current Report on Form 8-K.

(39)	Filed on October 21, 2010 as an exhibit to the Company’s Current Report on Form 8-K.

DAVITA INC.

MANAGEMENT’S REPORT ON INTERNAL CONTROL OVER FINANCIAL REPORTING

Management is responsible for establishing and maintaining an adequate system of internal control over financial reporting designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with U.S. generally accepted accounting principles and which includes those policies and procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the Company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with U.S. generally accepted accounting principles, and that receipts and expenditures of the Company are being made only in accordance with authorizations of management and directors of the Company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the Company’s assets that could have a material effect on the financial statements.

During the last fiscal year, the Company conducted an evaluation, under the oversight of the Chief Executive Officer and Chief Financial Officer, of the effectiveness of the design and operation of the Company’s internal control over financial reporting. This evaluation was completed based on the criteria established in the report titled “Internal Control—Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).

Based upon our evaluation under the COSO framework, we have concluded that the Company’s internal control over financial reporting was effective as of December 31, 2010.

The Company’s independent registered public accounting firm, KPMG LLP, has issued an attestation report on the Company’s internal control over financial reporting, which report is included in this Annual Report.

F-1

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

The Board of Directors and Shareholders

DaVita Inc.:

We have audited the accompanying consolidated balance sheets of DaVita Inc. and subsidiaries as of December 31, 2010 and 2009, and the related consolidated statements of income, equity and comprehensive income, and cash flows for each of the years in the three-year period ended December 31, 2010. These consolidated financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on these consolidated financial statements based on our audits.

We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.

In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of DaVita Inc. and subsidiaries as of December 31, 2010 and 2009, and the results of their operations and their cash flows for each of the years in the three-year period ended December 31, 2010, in conformity with U.S. generally accepted accounting principles.

As discussed in Note 1 to the consolidated financial statements, the Company adopted Financial Accounting Standards Board (FASB) Statement of Financial Accounting Standards No. 160, Noncontrolling Interests in Consolidated Financial Statements (included in FASB ASC Topic 810, Consolidation), on a prospective basis except for the presentation and disclosure requirements which were applied retrospectively for all periods presented effective January 1, 2009.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), DaVita Inc.’s internal control over financial reporting as of December 31, 2010, based on criteria established in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO), and our report dated February 25, 2011 expressed an unqualified opinion on the effectiveness of the Company’s internal control over financial reporting.

/s/ KPMG LLP

Seattle, Washington

February 25, 2011

F-2

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

The Board of Directors and Shareholders

DaVita Inc.:

We have audited DaVita Inc.’s internal control over financial reporting as of December 31, 2010, based on criteria established in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). DaVita Inc.’s management is responsible for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of internal control over financial reporting, included in the accompanying “Management’s Report on Internal Control Over Financial Reporting”. Our responsibility is to express an opinion on the Company’s internal control over financial reporting based on our audit.

We conducted our audit in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects. Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, and testing and evaluating the design and operating effectiveness of internal control based on the assessed risk. Our audit also included performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion.

A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that could have a material effect on the financial statements.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

In our opinion, DaVita Inc. maintained, in all material respects, effective internal control over financial reporting as of December 31, 2010, based on criteria established in Internal Control—Integrated Framework issued by COSO.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the consolidated balance sheets of DaVita Inc. and subsidiaries as of December 31, 2010 and 2009, and the related consolidated statements of income, equity and comprehensive income, and cash flows for each of the years in the three-year period ended December 31, 2010, and our report dated February 25, 2011 expressed an unqualified opinion on those consolidated financial statements.

/s/ KPMG LLP

Seattle, Washington

February 25, 2011

F-3

DAVITA INC.

CONSOLIDATED STATEMENTS OF INCOME

(dollars in thousands, except per share data)


	Year ended December 31,
	2010			2009			2008
Net operating revenues	$	6,447,391		$	6,108,800		$	5,660,173
Operating expenses and charges:
Patient care costs		4,474,735			4,248,668			3,920,487
General and administrative		579,000			531,531			508,240
Depreciation and amortization		234,378			228,986			216,917
Provision for uncollectible accounts		171,250			161,786			146,229
Equity investment income		(8,999	)		(2,442	)		(796	)

Total operating expenses and charges		5,450,364			5,168,529			4,791,077

Operating income		997,027			940,271			869,096

Debt expense		(181,607	)		(185,755	)		(224,716	)
Debt refinancing and redemption charges		(74,382	)		—			—
Other income		3,420			3,708			12,411

Income before income taxes		744,458			758,224			656,791
Income tax expense		260,239			278,465			235,471

Net income		484,219			479,759			421,320
Less: Net income attributable to noncontrolling interests		(78,536	)		(57,075	)		(47,160	)

Net income attributable to DaVita Inc.	$	405,683		$	422,684		$	374,160

Earnings per share:
Basic earnings per share attributable to DaVita Inc.	$	4.00		$	4.08		$	3.56

Diluted earnings per share attributable to DaVita Inc.	$	3.94		$	4.06		$	3.53

Weighted average shares for earnings per share:
Basic		101,504,373			103,603,885			105,149,448

Diluted		103,059,171			104,167,685			105,939,725

See notes to consolidated financial statements.

F-4

DAVITA INC.

CONSOLIDATED BALANCE SHEETS

(dollars in thousands, except per share data)


	December 31,
	2010			2009
ASSETS
Cash and cash equivalents	$	860,117		$	539,459
Short-term investments		23,003			26,475
Accounts receivable, less allowance of $235,629 and $229,317		1,048,976			1,105,903
Inventories		76,008			70,041
Other receivables		304,366			263,456
Other current assets		43,994			40,234
Income tax receivable		40,330			—
Deferred income taxes		226,060			256,953

Total current assets		2,622,854			2,302,521
Property and equipment, net		1,170,808			1,104,925
Amortizable intangibles, net		162,635			136,732
Equity investments		25,918			22,631
Long-term investments		8,848			7,616
Other long-term assets		32,054			32,615
Goodwill		4,091,307			3,951,196

	$	8,114,424		$	7,558,236

LIABILITIES AND EQUITY
Accounts payable	$	181,033		$	176,657
Other liabilities		342,943			461,092
Accrued compensation and benefits		325,477			286,121
Current portion of long-term debt		74,892			100,007
Income taxes payable		—			23,064

Total current liabilities		924,345			1,046,941
Long-term debt		4,233,850			3,532,217
Other long-term liabilities		89,290			87,692
Alliance and product supply agreement, net		25,317			30,647
Deferred income taxes		421,436			334,855

Total liabilities		5,694,238			5,032,352
Commitments and contingencies
Noncontrolling interests subject to put provisions		383,052			331,725
Equity:
Preferred stock ($0.001 par value, 5,000,000 shares authorized; none issued)
Common stock ($0.001 par value, 450,000,000 shares authorized; 134,862,283 shares issued; 96,001,535 and 103,062,698 shares outstanding)		135			135
Additional paid-in capital		620,546			621,685
Retained earnings		2,717,817			2,312,134
Treasury stock, at cost (38,860,748 and 31,799,585 shares)		(1,360,579	)		(793,340	)
Accumulated other comprehensive income (loss)		503			(5,548	)

Total DaVita Inc. shareholders’ equity		1,978,422			2,135,066
Noncontrolling interests not subject to put provisions		58,712			59,093

Total equity		2,037,134			2,194,159

	$	8,114,424		$	7,558,236

See notes to consolidated financial statements.

F-5

DAVITA INC.

CONSOLIDATED STATEMENTS OF CASH FLOW

(dollars in thousands)


	Year ended December 31,
	2010			2009			2008
Cash flows from operating activities:
Net income.	$	484,219		$	479,759		$	421,320
Adjustments to reconcile net income to cash provided by operating activities:
Depreciation and amortization		234,378			228,986			216,917
Stock-based compensation expense		45,551			44,422			41,235
Tax benefits from stock award exercises		26,706			18,241			13,988
Excess tax benefits from stock award exercises		(6,283	)		(6,950	)		(8,013	)
Deferred income taxes		75,399			50,869			94,912
Equity investment income, net		(3,298	)		(204	)		(796	)
Loss on disposal of assets and other non-cash charges		9,585			20,945			27,010
Debt refinancing and redemption charges		74,382			—			—
Changes in operating assets and liabilities, net of effect of acquisitions and divestitures:
Accounts receivable		55,379			(32,313	)		(149,939	)
Inventories		(3,892	)		15,115			(2,715	)
Other receivables and other current assets		(44,719	)		(35,104	)		(40,960	)
Other long-term assets		901			7,288			(11,929	)
Accounts payable		4,228			(104,879	)		57,422
Accrued compensation and benefits		39,588			(9,138	)		(31,602	)
Other current liabilities		(111,444	)		(43,543	)		8,871
Income taxes		(45,737	)		44,578			(30,087	)
Other long-term liabilities		4,740			(11,362	)		8,067

Net cash provided by operating activities		839,683			666,710			613,701

Cash flows from investing activities:
Additions of property and equipment, net		(273,602	)		(274,605	)		(317,962	)
Acquisitions		(188,502	)		(87,617	)		(101,959	)
Proceeds from asset sales		22,727			7,697			530
Purchase of investments available-for-sale		(1,125	)		(2,062	)		(2,009	)
Purchase of investments held-to-maturity		(56,615	)		(22,664	)		(21,048	)
Proceeds from the sale of investments available-for-sale		900			16,693			21,291
Proceeds from maturities of investments held-to-maturity		59,932			16,380			21,355
Purchase of equity investments and other assets		(709	)		(2,429	)		(65	)
Distributions received on equity investments		361			2,547			908
Other investment activity		—			—			1,220

Net cash used in investing activities		(436,633	)		(346,060	)		(397,739	)

Cash flows from financing activities:
Borrowings		24,809,258			18,767,592			17,089,018
Payments on long-term debt		(24,134,502	)		(18,828,824	)		(17,102,569	)
Debt refinancing costs including tender and call premiums		(113,810	)		(42	)		(130	)
Purchase of treasury stock		(618,496	)		(153,495	)		(232,715	)
Distributions to noncontrolling interests		(83,591	)		(67,748	)		(59,357	)
Stock award exercises and other share issuances, net		53,760			67,908			40,247
Excess tax benefits from stock award exercises		6,283			6,950			8,013
Contributions from noncontrolling interests		9,510			13,071			19,074
Proceeds from sales of additional noncontrolling interests		3,410			9,375			10,701
Purchases from noncontrolling interests		(14,214	)		(6,859	)		(24,409	)

Net cash used in financing activities		(82,392	)		(192,072	)		(252,127	)

Net increase (decrease) in cash and cash equivalents		320,658			128,578			(36,165	)
Cash and cash equivalents at beginning of year		539,459			410,881			447,046

Cash and cash equivalents at end of year	$	860,117		$	539,459		$	410,881

See notes to consolidated financial statements.

F-6

DAVITA INC.

CONSOLIDATED STATEMENTS OF EQUITY

AND

COMPREHENSIVE INCOME

(dollars and shares in thousands)


	Non-controlling interests subject to put provisions			DaVita Inc. Shareholders’ Equity																					Non-controlling interests not subject to put provisions			Comprehensive income
				Common stock				Additional paid-in capital			Retained earnings		Treasury stock						Accumulated other comprehensive income (loss)			Total
				Shares		Amount		Additional paid-in capital			Retained earnings		Shares			Amount			Accumulated other comprehensive income (loss)			Total
Balance at December 31, 2007	$	330,467			134,862	$	135	$	479,115		$	1,515,290		(27,732	)	$	(487,744	)	$	(2,511	)	$	1,504,285		$	48,178
Comprehensive income:
Net income		30,401										374,160											374,160			16,759		$	421,320
Unrealized losses on interest rate swaps, net of tax																				(12,947	)		(12,947	)					(12,947	)
Less reclassification of net swap realized losses into net income, net of tax																				2,590			2,590						2,590
Unrealized losses on investments, net of tax																				(1,174	)		(1,174	)					(1,174	)
Less reclassification of net investment realized gains into net income, net of tax																				(297	)		(297	)					(297	)

Total comprehensive income																												$	409,492

Stock purchase shares issued									2,981					98			1,730						4,711
Stock unit shares issued									(2,670	)				181			3,544						874
Stock options and SSARs exercised									12,278					1,133			23,328						35,606
Stock-based compensation expense									41,235														41,235
Excess tax benefits from stock awards exercised									8,165														8,165
Distributions to noncontrolling interests		(40,016	)																							(19,341	)
Contributions from noncontrolling interests		7,305																								11,769
Sales and assumptions of additional noncontrolling interests		9,389																								4,726
Purchases from noncontrolling interests		(2,347	)																							(2,334	)
Changes in fair value of noncontrolling interests		(43,254	)						43,254														43,254			—
Other adjustments to noncontrolling interests		(548	)																							(605	)
Purchase of treasury stock														(4,789	)		(232,715	)					(232,715	)

Balance at December 31, 2008	$	291,397			134,862	$	135	$	584,358		$	1,889,450		(31,109	)	$	(691,857	)	$	(14,339	)	$	1,767,747		$	59,152
Comprehensive income:
Net income		38,381										422,684											422,684			18,694		$	479,759
Unrealized losses on interest rate swaps, net of tax																				(2,578	)		(2,578	)					(2,578	)
Less reclassification of net swap realized losses into net income, net of tax																				10,542			10,542						10,542
Unrealized gains on investments, net of tax																				986			986						986
Less reclassification of net investment realized gains into net income, net of tax																				(159	)		(159	)					(159	)

Total comprehensive income																												$	488,550

F-7

DAVITA INC.

CONSOLIDATED STATEMENTS OF EQUITY

AND

COMPREHENSIVE INCOME—(Continued)

(dollars and shares in thousands)


	Non-controlling interests subject to put provisions			DaVita Inc. Shareholders’ Equity																					Non-controlling interests not subject to put provisions			Comprehensive income
				Common stock				Additional paid-in capital			Retained earnings		Treasury stock						Accumulated other comprehensive income (loss)			Total
				Shares		Amount		Additional paid-in capital			Retained earnings		Shares			Amount			Accumulated other comprehensive income (loss)			Total
Stock purchase shares issued									2,135					107			2,387						4,522
Stock unit shares issued									(1,570	)				69			1,570						—
Stock options and SSARs exercised									15,598					2,036			48,055						63,653
Stock-based compensation expense									44,422														44,422
Excess tax benefits from stock awards exercised									6,150														6,150
Distributions to noncontrolling interests		(44,277	)																							(23,471	)
Contributions from noncontrolling interests		10,502																								2,569
Sales and assumptions of additional noncontrolling interests		13,483							(529	)													(529	)		4,039
Purchases from noncontrolling interests		(2,594	)						(3,721	)													(3,721	)		(544	)
Changes in fair value of noncontrolling interests		24,819							(24,819	)													(24,819	)		—
Other adjustments		14							(339	)													(339	)		(1,346	)
Purchase of treasury stock														(2,903	)		(153,495	)					(153,495	)

Balance at December 31, 2009	$	331,725			134,862	$	135	$	621,685		$	2,312,134		(31,800	)	$	(793,340	)	$	(5,548	)	$	2,135,066		$	59,093
Comprehensive income:
Net income		52,589										405,683											405,683			25,947		$	484,219
Unrealized losses on interest rate swaps, net of tax																				(134	)		(134	)					(134	)
Less reclassification of net swap realized losses into net income, net of tax																				5,557			5,557						5,557
Unrealized gains on investments, net of tax																				615			615						615
Less reclassification of net investment realized losses into net income, net of tax																				13			13						13

Total comprehensive income																												$	490,270

Stock purchase shares issued									2,129					86			2,151						4,280
Stock unit shares issued									(875	)				32			875						—
Stock options and SSARs exercised									455					1,740			48,231						48,686
Stock-based compensation expense									45,551														45,551
Excess tax benefits from stock awards exercised									6,283														6,283
Distributions to noncontrolling interests		(54,612	)																							(28,979	)
Contributions from noncontrolling interests		5,439																								4,071
Sales and assumptions of additional noncontrolling interests		4,059							(298	)													(298	)		2,308
Purchases from noncontrolling interests		(4,949	)						(5,537	)													(5,537	)		(3,728	)
Impact on fair value due to change in methodology		(24,571	)						24,571														24,571
Changes in fair value of noncontrolling interests		73,372							(73,372	)													(73,372	)
Other adjustments									(46	)													(46	)
Purchase of treasury stock														(8,919	)		(618,496	)					(618,496	)

Balance at December 31, 2010	$	383,052			134,862	$	135	$	620,546		$	2,717,817		(38,861	)	$	(1,360,579	)	$	503		$	1,978,422		$	58,712

See notes to consolidated financial statements.

F-8

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(dollars in thousands, except per share data)

1. Organization and summary of significant accounting policies

Organization

DaVita Inc. principally operates kidney dialysis centers and provides related lab services primarily in dialysis centers and in contracted hospitals across the United States. The Company also operates other ancillary services and strategic initiatives which relate primarily to its core business of providing kidney dialysis services. As of December 31, 2010, the Company operated or provided administrative services to 1,612 outpatient dialysis centers located in 42 states and the District of Columbia, serving approximately 125,000 patients. The Company’s dialysis and related lab services business qualifies as a separately reportable segment and all other ancillary services and strategic initiatives have been combined and disclosed in the other segments category.

Basis of presentation

These consolidated financial statements are prepared in accordance with United States generally accepted accounting principles. The financial statements include DaVita and its subsidiaries, partnerships and other entities in which it maintains a 100% or majority voting interest, an other controlling financial interest, or of which it is the primary beneficiary (collectively, the Company). All significant intercompany transactions and balances have been eliminated. Non-marketable equity investments are recorded under the equity or cost method of accounting based upon whether the Company has significant influence over the investee. The Company has evaluated subsequent events through the date these consolidated financial statements were issued, and have included all necessary disclosures.

Use of estimates

The preparation of financial statements in conformity with United States generally accepted accounting principles requires the use of estimates and assumptions that affect the reported amounts of revenues, expenses, assets, liabilities, contingencies and temporary equity. Although actual results in subsequent periods will differ from these estimates, such estimates are developed based on the best information available to management and management’s best judgments at the time made. All significant assumptions and estimates underlying the amounts reported in the financial statements and accompanying notes are regularly reviewed and updated. Changes in estimates are reflected in the financial statements based upon on-going actual experience trends, or subsequent settlements and realizations depending on the nature and predictability of the estimates and contingencies. Interim changes in estimates related to annual operating costs are applied prospectively within annual periods.

The most significant assumptions and estimates underlying these financial statements and accompanying notes involve revenue recognition and provisions for uncollectible accounts, impairments and valuation adjustments, accounting for income taxes, quarterly variable compensation accruals, purchase accounting valuation estimates, fair value estimates and stock-based compensation. Specific estimating risks and contingencies are further addressed within these notes to the consolidated financial statements.

Net operating revenues and accounts receivable

Revenues associated with Medicare and Medicaid programs are recognized based on: (a) the payment rates that are established by statute or regulation for the portion of the payment rates paid by the government payor (e.g., 80% for Medicare patients) and (b) for the portion not paid by the primary government payor, estimates of the amounts ultimately collectible from other government programs paying secondary coverage (e.g., Medicaid

F-9

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

secondary coverage), the patient’s commercial health plan secondary coverage, or the patient. Beginning in January 2011, the Company’s reimbursements from Medicare are subject to certain variations under Medicare’s new single bundled payment rate system, whereby reimbursements can be adjusted for certain patient characteristics and other factors. The Company’s revenue recognition will depend upon its ability to effectively capture, document and bill for Medicare’s base payment rate as well as these other factors. In addition, as a result of the potential range of variations that can occur in the Company’s reimbursements from Medicare under the new single bundled payment rate system, the Company’s revenue recognition will be subject to a greater degree of estimating risk.

Revenues associated with commercial health plans are estimated based on contractual terms for the patients under healthcare plans with which the Company has formal agreements, non-contracted health plan coverage terms if known, estimated secondary collections, historical collection experience, historical trends of refunds and payor payment adjustments (retractions), inefficiencies in the Company’s billing and collection processes that can result in denied claims for payments, and regulatory compliance issues.

Operating revenues are recognized in the period services are provided. Revenues consist primarily of payments from Medicare, Medicaid and commercial health plans for dialysis and ancillary services provided to patients. A usual and customary fee schedule is maintained for the Company’s dialysis treatments and other patient services; however, actual collectible revenue is normally recognized at a discount from the fee schedule.

Commercial revenue recognition involves significant estimating risks. With many larger, commercial insurers the Company has several different contracts and payment arrangements, and these contracts often include only a subset of the Company’s centers. It is often not possible to determine which contract, if any, should be applied prior to billing. In addition, for services provided by non-contracted centers, final collection may require specific negotiation of a payment amount, typically at a significant discount from the Company’s usual and customary rates.

Services covered by Medicare and Medicaid are less subject to estimating risk. Both Medicare and Medicaid rates use prospective payment methods established in advance with definitive terms. Medicare payments for bad debt claims are subject to individual center profitability, as established by cost reports, and require evidence of collection efforts. As a result, billing and collection of Medicare bad debt claims are often delayed significantly, and final payment is subject to audit.

Medicaid payments, when Medicaid coverage is secondary, can also be difficult to estimate. For many states, Medicaid payment terms and methods differ from Medicare, and may prevent accurate estimation of individual payment amounts prior to billing.

Net revenue recognition and allowances for uncollectible billings require the use of estimates of the amounts that will ultimately be realized considering, among other items, retroactive adjustments that may be associated with regulatory reviews, audits, billing reviews and other matters. The Company’s policy is to write-off any uncollectible accounts receivable balance only after all collection efforts have been exhausted or when write-off is mandated by federal or state policies or required by certain payor contracts. It is also the Company’s policy to write-off any accounts receivable balance associated with any payors or patients upon the Company receiving notification of a bankruptcy filing.

The Company’s range of revenue estimating risk for the dialysis and related lab services segment is generally expected to be within 1% of its revenue. Changes in revenue estimates for prior periods are separately disclosed, if material.

F-10

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

Management and administrative support services are provided to dialysis centers and physician practices and clinics that the Company does not own or in which the Company owns a minority equity investment interest. The management fees are principally determined as a percentage of the managed operations’ revenues or cash collections and in some cases an additional component based upon a percentage of operating income. Management fees are included in net operating revenues as earned, and represent less than 1% of total consolidated operating revenues.

Other income

Other income includes interest income on cash investments and other non-operating gains from investment transactions.

Cash and cash equivalents

Cash equivalents are short-term highly liquid investments with maturities of three months or less at date of purchase.

Inventories

Inventories are stated at the lower of cost (first-in, first-out) or market and consist principally of pharmaceuticals and dialysis-related supplies. Rebates related to inventory purchases are recorded when earned and are based on certain qualification requirements based upon a variety of factors including process improvement targets, patient outcome targets and data submission.

Property and equipment

Property and equipment is stated at cost less accumulated depreciation and amortization and is further reduced by any impairments. Maintenance and repairs are charged to expense as incurred. Depreciation and amortization expenses are computed using the straight-line method over the useful lives of the assets estimated as follows: buildings, 20 to 40 years; leasehold improvements, the shorter of their economic useful life or the expected lease term; and equipment and information systems, principally 3 to 8 years. Disposition gains and losses are included in current operating expenses.

Investments

Based upon the Company’s intentions and ability to hold certain assets until maturity, the Company classifies certain debt securities as held-to-maturity and measures them at amortized cost. Based upon the Company’s other strategies involving investments, the Company classifies equity securities that have readily determinable fair values and certain other debt securities as available for sale and measures them at fair value. Unrealized gains or losses from available for sale investments are recorded in other comprehensive income until realized.

Amortizable intangibles

Amortizable intangible assets and liabilities include non-competition and similar agreements, lease agreements, hospital acute services contracts, deferred debt financing costs and the Alliance and Product Supply Agreement, each of which have finite useful lives. Non-competition and similar agreements are amortized over

F-11

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

the terms of the agreements, typically ten years, using the straight-line method. Lease agreements and hospital acute service contracts are amortized on a straight-line basis over the term of the lease and the contract period, respectively. Deferred debt financing costs are amortized to debt expense over the term of the related debt using the effective interest method. The Alliance and Product Supply Agreement intangible liability is being amortized using the straight-line method over the term of the agreement, which is ten years.

Goodwill

Goodwill represents the difference between the fair value of acquired businesses and the fair value of the identifiable tangible and intangible net assets acquired. Goodwill is not amortized, but is assessed for valuation impairment as circumstances warrant and at least annually. An impairment charge would be recorded to the extent the book value of goodwill exceeds its fair value. The Company operates several reporting units for goodwill impairment assessments.

Impairment of long-lived assets

Long-lived assets, including property and equipment, equity investments in non-consolidated businesses, and amortizable intangible assets with finite useful lives, are reviewed for possible impairment at least annually and whenever significant events or changes in circumstances indicate that an impairment may have occurred, including changes in the Company’s business strategy and plans, changes in the quality or structure of its relationships with its partners and deteriorating operating performance of individual dialysis centers or other operations. An impairment is indicated when the sum of the expected future undiscounted net cash flows identifiable to an asset or asset group is less than its carrying value. Impairment losses are determined from actual or estimated fair values, which are based on market values, net realizable values or projections of discounted net cash flows, as appropriate. Impairment charges are included in operating expenses.

Income taxes

Federal and state income taxes are computed at current enacted tax rates less tax credits using the asset and liability method. Deferred taxes are adjusted both for items that do not have tax consequences and for the cumulative effect of any changes in tax rates from those previously used to determine deferred tax assets or liabilities. Tax provisions include amounts that are currently payable, changes in deferred tax assets and liabilities that arise because of temporary differences between the timing of when items of income and expense are recognized for financial reporting and income tax purposes, changes in the recognition of tax positions and any changes in the valuation allowance caused by a change in judgment about the realizability of the related deferred tax assets. A valuation allowance is established when necessary to reduce deferred tax assets to amounts expected to be realized.

The Company uses a recognition threshold of more-likely-than not and a measurement attribute on all tax positions taken or expected to be taken in a tax return in order to be recognized in the financial statements. Once the recognition threshold is met, the tax position is then measured to determine the actual amount of benefit to recognize in the financial statements.

Self insurance

The Company maintains insurance reserves for professional and general liability and workers’ compensation in excess of certain individual and or aggregate amounts not covered by third-party carriers. The

F-12

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

Company estimates the self-insured retention portion of professional and general liability and workers’ compensation risks using third-party actuarial calculations that are based upon historical claims experience and expectations for future claims.

Noncontrolling interests

Noncontrolling interests represent the equity interests of third-party owners in consolidated entities which are majority-owned. As of December 31, 2010, third parties held noncontrolling ownership interests in 148 consolidated entities.

Stock-based compensation

The Company’s stock-based compensation awards are measured at their estimated fair value on the date of grant. Stock-based compensation expense recognized in a period represents the straight-line amortization during that period of the estimated grant date fair value of current and prior stock-based awards over their vesting terms, adjusted for expected forfeitures.

Interest rate swap and cap agreements

The Company has entered into several interest rate swap agreements as a means of hedging its exposure to and volatility from variable-based interest rate changes. These agreements are designated as cash flow hedges and are not held for trading or speculative purposes. The swap agreements have the economic effect of converting portions of the Company’s variable rate debt to fixed rates. In addition, in January 2011, the Company entered into several interest rate cap agreements that have the economic effect of fixing the maximum exposure to variable-based interest rate changes on other specific portions of the Company’s variable-based rate debt. See Note 13 to the consolidated financial statements for further details.

Fair value estimates

The Company currently measures the fair value of certain assets and noncontrolling interests subject to put provisions (temporary equity) based upon certain valuation techniques that include observable or unobservable market inputs and assumptions that market participants would use in pricing these assets and temporary equity. The Company also has classified its assets and temporary equity into the appropriate fair value hierarchy levels as defined by the Financial Accounting Standards Board (FASB). See Note 23 to the consolidated financial statements for further details.

New accounting standards

In August 2010, the FASB issued transition guidance for healthcare entities for measuring charity care that was effective for fiscal years beginning after December 15, 2010. Charity care is defined as healthcare services that are provided but are not expected to result in cash flows where the patients have demonstrated the inability to pay. The guidance requires management to disclose their policy on providing charity care, the level of charity care provided, the measurement of the direct and indirect costs of providing those services and the amount of any subsidies received for providing charity care. Management can also estimate the costs of those services using reasonable techniques. The guidance shall be applied retrospectively. The adoption of this standard will not have a material impact on the Company’s consolidated financial statements.

F-13

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

Effective January 1, 2010, the FASB eliminated the quantitative approach previously required for determining the primary beneficiary of a variable interest entity, and required additional disclosures about an enterprise’s involvement in variable interest entities. An entity is required to perform an analysis to determine whether the enterprise’s variable interest or interests give it a controlling financial interest in a variable interest entity by having both the power to direct the activities of a variable interest entity that most significantly impact the entity’s economic performance and the obligation to absorb losses of the entity, or the right to receive benefits from the entity. In addition, the FASB established new guidance for determining whether an entity is a variable interest entity, requiring an ongoing reassessment of whether an enterprise is the primary beneficiary of a variable interest entity, and adding an additional reconsideration event for determining whether an entity is a variable interest entity when any changes in facts and circumstances occur such that the holders of the equity investment at risk, as a group, lose the power from voting rights or similar rights of those investments to direct the activities of the entity that most significantly impact the entity’s economic performance. See Note 20 to the consolidated financial statements for the impact of adopting these new requirements.

Effective January 1, 2009, the Company is required to treat noncontrolling interests as a separate component of equity, but apart from the Company’s equity, and not as a liability or other item outside of equity. The Company is also required to identify and present consolidated net income attributable to the Company and to noncontrolling interests on the face of the consolidated statement of income. Previously, the Company had reported minority interests (noncontrolling interests) as a reduction to operating income. In addition, changes in the Company’s ownership interest while the Company retains a controlling financial interest should be accounted for as equity transactions. The Company was also required to expand disclosures in the financial statements to include a reconciliation of the beginning and ending balances of the equity attributable to the Company and the noncontrolling owners and a schedule showing the effects of changes in the Company’s ownership interest in a subsidiary on the equity attributable to the Company. This change did not have a material impact on the Company’s consolidated financial statements; however, it did change the presentation of minority interests (noncontrolling interests) in the Company’s consolidated financial statements. In conjunction with adopting these requirements, the Company was required to classify securities with redemption features that are not solely within the Company’s control such as the Company’s noncontrolling interests that are subject to put provisions outside of permanent equity and to measure these noncontrolling interests at fair value. See Note 22 to the Company’s consolidated financial statements for further details. These consolidated financial statements have been recast for all prior periods presented for the retrospective application of these presentation and disclosure requirements.

F-14

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

The effects of the change upon the retrospective application of these presentation and disclosure requirements were as follows:

Consolidated income statements:


	2008
Operating income:
Operating income as previously reported	$	821,765
Reclassification of noncontrolling interests		47,331

Operating income as adjusted	$	869,096

Income taxes:
Income taxes as previously reported	$	235,300
Income taxes associated with noncontrolling interests		171

Income taxes as adjusted	$	235,471

Consolidated statements of cash flow:


	2008
Cash flows from operating activities:
Net cash provided by operating activities as previously reported	$	555,931
Reclassification of distributions to noncontrolling interests to cash flows from financing activities		57,770

Net cash provided by operating activities as adjusted	$	613,701

2. Earnings per share

Basic net income per share is calculated by dividing net income attributable to DaVita Inc., net of the increase in noncontrolling interest redemption rights in excess of fair value, by the weighted average number of common shares and vested stock units outstanding. Diluted net income per share includes the dilutive effect of outstanding stock-settled stock appreciation rights, stock options and unvested stock units (under the treasury stock method).

F-15

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

The reconciliations of the numerators and denominators used to calculate basic and diluted net income per share are as follows:


	Year ended December 31,
	2010			2009			2008
	(shares in thousands)
Basic:
Net income attributable to DaVita Inc.	$	405,683		$	422,684		$	374,160
Increase in noncontrolling interest redemption rights in excess of fair value		(68	)		(267	)		—

Net income for basic earnings per share calculation	$	405,615		$	422,417		$	374,160

Weighted average shares outstanding during the year		101,497			103,595			105,140
Vested stock units		7			9			9

Weighted average shares for basic earnings per share calculation		101,504			103,604			105,149

Basic net income per share attributable to DaVita Inc.	$	4.00		$	4.08		$	3.56

Diluted:
Net income attributable to DaVita Inc.	$	405,683		$	422,684		$	374,160
Increase in noncontrolling interest redemption rights in excess of fair value		(68	)		(267	)		—

Net income for diluted earnings per share calculation	$	405,615		$	422,417		$	374,160

Weighted average shares outstanding during the year		101,497			103,595			105,140
Vested stock units		7			9			9
Assumed incremental shares from stock plans		1,555			564			791

Weighted average shares for diluted earnings per share calculation		103,059			104,168			105,940

Diluted net income per share attributable to DaVita Inc.	$	3.94		$	4.06		$	3.53

Shares subject to anti-dilutive awards excluded from calculation(1)		1,452			9,912			10,053

(1)	Shares associated with stock-settled stock appreciation rights and stock options are excluded from the diluted denominator calculation because they are anti-dilutive under the treasury stock method.

3. Accounts receivable

Approximately 15% and 18% of the accounts receivable balances as of December 31, 2010 and 2009, respectively, were more than six months old, and there were no significant balances over one year old. Approximately 2% of our accounts receivable as of December 31, 2010 and 2009, related to amounts due from patients. Accounts receivable are principally from Medicare and Medicaid programs and commercial insurance plans.

F-16

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

4. Other receivables

Other receivables were comprised of the following:


	December 31,
	2010		2009
Supplier rebates and other non-trade receivables	$	238,156	$	195,753
Medicare bad debt claims		46,250		45,600
Operating advances under management and administrative services agreements		19,960		22,103

	$	304,366	$	263,456

Operating advances under management and administrative services agreements are generally unsecured.

5. Other current assets

Other current assets consist principally of prepaid expenses and operating deposits.

6. Property and equipment

Property and equipment were comprised of the following:


	December 31,
	2010			2009
Land	$	23,182		$	11,771
Buildings		33,937			34,294
Leasehold improvements		1,106,935			997,668
Equipment and information systems		1,107,778			999,305
New center and capital asset projects in progress		38,721			32,280

		2,310,553			2,075,318
Less accumulated depreciation and amortization		(1,139,745	)		(970,393	)

	$	1,170,808		$	1,104,925

Depreciation and amortization expense on property and equipment was $219,314, $214,515 and $201,006 for 2010, 2009 and 2008, respectively.

Interest on debt incurred during the development of new centers and other capital asset projects is capitalized as a component of the asset cost based on the respective in-process capital asset balances. Interest capitalized was $2,621, $3,627 and $4,189 for 2010, 2009 and 2008, respectively.

F-17

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

7. Amortizable intangibles

Amortizable intangible assets were comprised of the following:


	December 31,
	2010			2009
Noncompetition and other agreements	$	309,405		$	291,022
Lease agreements		8,466			8,156
Deferred debt financing costs		61,405			72,656

		379,276			371,834
Less accumulated amortization		(216,641	)		(235,102	)

Total amortizable intangible assets	$	162,635		$	136,732

Amortizable intangible liabilities were comprised of the following:


	December 31,
	2010			2009
Alliance and product supply agreement commitment (See Note 22)	$	68,200		$	68,200
Less accumulated amortization		(42,883	)		(37,553	)

	$	25,317		$	30,647

Net amortization expense from noncompetition and other agreements and the amortizable intangible liabilities was $15,064, $14,471 and $15,911 for 2010, 2009 and 2008, respectively. Lease agreements which are amortized to rent expense were $480 in 2010, $565 in 2009 and $1,420 in 2008, respectively. Deferred debt issuance costs are amortized to debt expense as described in Note 13 to the consolidated financial statements.

Scheduled amortization charges from intangible assets and liabilities as of December 31, 2010 were as follows:


	Noncompetition and other agreements		Deferred debt financing costs		Alliance and Product Supply Agreement liability
2011		21,777		9,742		(5,330	)
2012		21,291		9,516		(5,330	)
2013		19,152		9,233		(5,330	)
2014		17,233		8,760		(5,330	)
2015		13,223		7,690		(3,997	)
Thereafter		10,993		14,025		—

8. Equity investments

Equity investments in non-consolidated businesses were $25,918 and $22,631 at December 31, 2010 and 2009, respectively. During 2010, 2009 and 2008, the Company recognized income of $8,999, $2,442 and $796, respectively, relating to equity investments in non-consolidated businesses under the equity method of accounting. There were no material equity investment transactions in 2010.

F-18

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

See Note 17, section Changes in DaVita Inc.’s ownership interest in consolidated subsidiaries to the consolidated financial statements for additional information regarding 2009 equity investment transactions. In 2009, the Company also contributed $1,100 to an existing joint venture in which the Company owns a 50% equity investment.

9. Investments in debt and equity securities

Based on the Company’s intentions and strategy involving investments, the Company classifies certain debt securities as held-to-maturity and records them at amortized cost. Equity securities that have readily determinable fair values and other debt securities classified as available for sale are recorded at fair value.

The Company’s investments consist of the following:


	December 31, 2010						December 31, 2009
	Held to maturity		Available for sale		Total		Held to maturity		Available for sale		Total
Certificates of deposit, money market funds and U.S. treasury notes due within one year	$	21,803	$	—	$	21,803	$	25,275	$	—	$	25,275
Investments in mutual funds		—		10,048		10,048		—		8,816		8,816

	$	21,803	$	10,048	$	31,851	$	25,275	$	8,816	$	34,091

Short-term investments	$	21,803	$	1,200	$	23,003	$	25,275	$	1,200	$	26,475
Long-term investments		—		8,848		8,848		—		7,616		7,616

	$	21,803	$	10,048	$	31,851	$	25,275	$	8,816	$	34,091

The cost of the certificates of deposit, money market funds and U.S. treasury notes at December 31, 2010 and 2009 approximates fair value. As of December 31, 2010 and 2009, the available for sale investments included $824 and ($205), respectively, of gross pre-tax unrealized gains (losses). During 2010 and 2009 the Company recorded gross pre-tax unrealized gains of $1,007 and $1,614, respectively, in other comprehensive income associated with changes in the fair value of these investments. During 2010, the Company sold investments in mutual funds for net proceeds of $900, and recognized a pre-tax loss of $22, or $13 after tax, that was previously recorded in other comprehensive income. During 2009, the Company sold investments in mutual funds for net proceeds of $16,693, and recognized a pre-tax gain of $261, or $159 after tax, that was previously recorded in other comprehensive income. In 2009, the Company also purchased approximately $6,300 of investments that are classified as held to maturity, net of investments routinely reinvested as required for VillageHealth, see discussion below.

As of December 31, 2010, investments totaling $18,537 classified as held to maturity are used to maintain certain capital requirements of the special needs plans of VillageHealth, which is a wholly-owned subsidiary of the Company. As of December 31, 2009, the Company discontinued the VillageHealth special needs plans and is in process of paying out all incurred claims. The Company also expects to liquidate its investments that are currently held to maintain certain capital requirements as soon as all of the claims are paid and the various state regulatory agencies approve the release of these investments. The investments in mutual funds classified as available for sale are held within a trust to fund existing obligations associated with several of the Company’s non-qualified deferred compensation plans.

On July 22, 2010, the Company entered into a First Amended and Restated National Service Provider Agreement, or the Agreement, with NxStage Medical Inc., or NxStage. The Agreement supersedes the National Service Provider Agreement that the Company entered into with NxStage on February 7, 2007. Under terms of

F-19

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

the Agreement, the Company will have the ability to continue to purchase NxStage System One hemodialysis machines and related supplies at discounted prices. In addition, under the Agreement, the Company may earn warrants to purchase NxStage common stock subject to certain requirements, including the Company’s ability to achieve certain System One home patient growth targets. The Agreement provides for a range of warrant amounts that may be earned annually depending upon the achievement of various home patient targets. The maximum amount of shares underlying warrants that the Company can earn over three years in 5,500. The exercise price of the warrants is $14.22 per share. In connection therewith, the Company entered into a Registration Rights Agreement whereby NxStage has agreed to register any shares issued to the Company under the warrants. The Agreement expires on June 30, 2013, and will be automatically extended on a monthly basis unless terminated by either party pursuant to the Agreement. The overall estimated value of the warrants as of December 31, 2010 that are expected to be earned by the Company and recognized over the first annual reporting period were not material.

10. Goodwill

Changes in the book value of goodwill were as follows:


	Year ended December 31,
	2010			2009
Balance at January 1	$	3,951,196		$	3,876,931
Acquisitions		152,252			78,199
Sales of noncontrolling interests		—			(3,293	)
Divestitures		(12,128	)		(641	)
Other adjustments		(13	)		—

Balance at December 31	$	4,091,307		$	3,951,196

As of December 31, 2010, there was $4,022,365 and $68,942 of goodwill associated with the dialysis and related lab services business and the ancillary services and strategic initiatives, respectively.

As of December 31, 2009, there was $3,882,254 and $68,942 of goodwill associated with the dialysis and related lab services business and the ancillary services and strategic initiatives, respectively.

11. Other liabilities

Other accrued liabilities were comprised of the following:


	December 31,
	2010		2009
Payor refunds and retractions	$	216,655	$	320,187
Insurance and self-insurance accruals		65,950		59,734
Accrued interest		22,905		36,881
Accrued non-income tax liabilities		9,995		11,581
Interest rate swaps		—		10,792
Other		27,438		21,917

	$	342,943	$	461,092

F-20

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

12. Income taxes

A reconciliation of the beginning and ending liability for unrecognized tax benefits that do not meet the more-likely-than-not threshold were as follows:


	Year ended December 31,
	2010			2009
Balance beginning	$	30,693		$	10,887
Additions for tax positions related to current year		1,515			6,939
Additions for tax positions related to prior years		69			14,941
Reductions for tax positions related to prior years		(24,139	)		(1,738	)
Settlements		—			(336	)

Balance ending	$	8,138		$	30,693

As of December 31, 2010, unrecognized tax benefits totaling $8,138 would affect the Company’s effective tax rate, if recognized.

The Company recognizes accrued interest and penalties related to unrecognized tax benefits in its income tax expense. At December 31, 2010 and 2009, the Company had approximately $3,177 and $3,226, respectively, accrued for interest and penalties related to unrecognized tax benefits, net of federal tax benefits.

The Company and its subsidiaries file U.S. federal income tax returns and various state returns. The Company is no longer subject to U.S. federal, state and local examinations by tax authorities for years before 2005.

Income tax expense consisted of the following:


	Year ended December 31,
	2010		2009		2008
Current:
Federal	$	153,502	$	193,181	$	118,764
State		31,338		34,415		20,595
Deferred:
Federal		67,901		44,376		81,306
State		7,498		6,493		14,806

	$	260,239	$	278,465	$	235,471

F-21

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

Deferred tax assets and liabilities arising from temporary differences were as follows:


	December 31,
	2010			2009
Receivables	$	110,332		$	142,315
Alliance and product supply agreement		9,849			11,922
Accrued liabilities		127,073			125,992
Other		60,368			62,208

Deferred tax assets		307,622			342,437
Valuation allowance		(10,998	)		(14,191	)

Net deferred tax assets		296,624			328,246

Intangible assets		(377,456	)		(317,306	)
Property and equipment		(110,472	)		(84,041	)
Other		(4,072	)		(4,801	)

Deferred tax liabilities		(492,000	)		(406,148	)

Net deferred tax liabilities	$	(195,376	)	$	(77,902	)

At December 31, 2010, the Company had state net operating loss carryforwards of approximately $143,568 that expire through 2030, and federal net operating loss carryforwards of $8,498 that expire through 2030. The utilization of these losses may be limited in future years based on the profitability of certain separate-return entities. The valuation allowance decrease of $3,193 relates to changes in the estimated tax benefit and utilization of federal and state operating losses of separate-return entities.

The reconciliation between our effective tax rate from continuing operations and the U.S. federal income tax rate is as follows:


	Year ended December 31,
	2010			2009			2008
Federal income tax rate		35.0	%		35.0	%		35.0	%
State taxes, net of federal benefit		3.9			3.7			3.7
Changes in deferred tax valuation allowances		(0.1	)		0.2			0.3
Other		0.2			0.8			(0.3	)
Impact of noncontrolling interests primarily attributable to non-tax paying entities		(4.0	)		(3.0	)		(2.8	)

Effective tax rate		35.0	%		36.7	%		35.9	%

F-22

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

13. Long-term debt

Long-term debt was comprised of the following:


	December 31,
	2010			2009
Senior Secured Credit Facilities:
Term Loan A	$	1,000,000		$	153,125
Term Loan B		1,750,000			1,705,875
Senior and senior subordinated notes		1,550,000			1,750,000
Acquisition obligations and other notes payable		9,049			15,891
Capital lease obligations		8,074			4,635

Total principal debt outstanding		4,317,123			3,629,526
(Discount) premium on long-term debt		(8,381	)		2,698

		4,308,742			3,632,224
Less current portion		(74,892	)		(100,007	)

	$	4,233,850		$	3,532,217

Scheduled maturities of long-term debt at December 31, 2010 were as follows:


2011			74,892
2012			68,931
2013			118,988
2014			168,435
2015			668,118
Thereafter			3,217,759

Senior Secured Credit Facility

On October 20, 2010, the Company entered into a $3,000,000 new Senior Secured Credit Agreement (the Credit Agreement), consisting of a five year $250,000 revolving line of credit, a five year $1,000,000 Term Loan A and a six year $1,750,000 Term Loan B. The Company also has the right to request an increase to the borrowing capacity to a total aggregate principal amount of not more than $4,000,000 subject to bank participation. The revolving line of credit and the Term Loan A will initially bear interest at LIBOR plus an interest rate margin of 2.75% until June 30, 2011, and then is subject to adjustment depending upon the Company’s leverage ratio and can range from 2.25% to 2.75%. The Term Loan A requires annual principal payments of $50,000 in 2011, $50,000 in 2012, $100,000 in 2013, and $150,000 in 2014, with the balance of $650,000 due in 2015. The Term Loan B bears interest at LIBOR (floor of 1.50%) plus 3.00% subject to a ratings based step-down to 2.75%. The Term Loan B requires annual principal payments of $17,500 in each year from 2011 through 2015 with the balance of $1,662,500 due in 2016. The borrowings under the Credit Agreement are guaranteed by substantially all of the Company’s direct and indirect wholly-owned domestic subsidiaries and are secured by substantially all of the Company’s and its guarantors’ assets. The Credit Agreement contains customary affirmative and negative covenants such as various restrictions on investments, acquisitions, the payment of dividends, redemptions and acquisitions of capital stock, capital expenditures and other indebtedness, as well as limitations on the amount of tangible net assets in non-guarantor subsidiaries. However, many of these restrictions will not apply as long as the Company’s leverage ratio is below 3.50:1.00. In addition, the Credit Agreement requires compliance with financial covenants including an interest coverage ratio and a leverage ratio that determines the interest rate margins as described above.

F-23

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

On October 20, 2010, the Company also issued $775,000 aggregate principal amount of 6³/8% senior notes due 2018 and $775,000 aggregate principal amount of 6⁵/8% senior notes due 2020 (collectively the New Senior Notes). The New Senior Notes will pay interest on May 1 and November 1 of each year, beginning May 1, 2011. The New Senior Notes are unsecured senior obligations and rank equally to other unsecured senior indebtedness. The New Senior Notes are guaranteed by substantially all of the Company’s direct and indirect wholly owned domestic subsidiaries. The Company may redeem some or all of the 6³/8% senior notes at any time on or after November 1, 2013 at certain redemption prices and may redeem some or all of the 6⁵/8% senior notes at any time on or after November 1, 2014 at certain redemption prices.

The Company received total proceeds of $4,300,000 from these transactions, $2,750,000 from the borrowings on Term Loan A and Term Loan B and an additional $1,550,000 from the issuance of the New Senior Notes. The Company used a portion of the proceeds to pay-off the outstanding principal balances of its existing Senior Secured Credit Facilities plus accrued interest totaling $1,795,363 and to purchase pursuant to a cash tender offer $557,644 of the outstanding principal balances of the Company’s $700,000 6⁵/8% senior notes due 2013 and $730,827 of the outstanding balances of the Company’s $850,000 7¹/4% senior subordinated notes due 2015, (the Existing Notes), plus accrued interest totaling $1,297,215. The total amount paid for the Existing Notes was $1,019.06 per $1,000 principal amount of the 6⁵/8% senior notes and $1,038.75 per $1,000 principal amount of the 7¹/4% senior subordinated notes. This resulted in the Company paying a cash tender premium of $38,933 in order to extinguish this portion of the Existing Notes. On November 19, 2010, the Company redeemed the remaining outstanding balance of the existing 6⁵/8% senior notes of $142,356 at 101.656% per $1,000 and the remaining outstanding balance of the existing 7¹/4% senior subordinated notes of $119,173 at 103.625% per $1,000 plus accrued interest totaling $264,742. In addition, the Company paid a call premium totaling $6,677. The Company also paid an additional $74,431 in fees, discounts and other expenses. As a result of the above transactions, the Company received approximately $823,000 in excess cash which it intends to use for general purposes and other opportunities, including share repurchases, potential acquisitions and other growth investments.

In connection with these transactions, the Company expensed debt refinancing and redemption charges totaling $70,255, which includes the write off of certain existing deferred financing costs and other new financing costs, the cash tender and call premiums, as described above and other expenses.

On June 7, 2010, the Company redeemed $200,000 aggregate principal amount of its outstanding 6⁵/8% senior notes due 2013, at a price of 101.656% plus accrued interest. As a result of this transaction, the Company expensed debt redemption charges of $4,127, which includes the call premium and the net write-off of other finance costs.

Term Loans

Term Loan A and Term Loan B total outstanding borrowings can consist of various individual tranches that can range in maturity from one month to twelve months (currently monthly). Each specific tranche for the Term Loan A bears interest at a LIBOR rate determined by the maturity of that specific tranche plus an interest rate margin, currently 2.75%, and the LIBOR variable component of the interest rate is reset as each specific tranche matures. At December 31, 2010, the overall weighted average interest rate for the Term Loan A was determined based upon the LIBOR interest rates in effect for all of the individual tranches plus the interest rate margin. In January 2011, the Company entered into several interest rate swap agreements that have the economic effect of fixing all of the Term Loan A LIBOR variable component of the Company’s interest rate, as described below. At December 31, 2010, the Term Loan B bears interest at LIBOR (floor of 1.50%) plus a margin of 3.00%, regardless of the actual LIBOR interest rate associated with each specific tranche, as long as LIBOR interest rates

F-24

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

are below 1.50%. If LIBOR interest rates move above 1.50% then the overall weighted average interest rate for the Term Loan B will be determined based upon the LIBOR interest rates in effect for all individual tranches plus the interest rate margin. In January 2011, the Company entered into several interest rate cap agreements that have the effect of capping the LIBOR variable component of the Company’s interest rate at a maximum of 4.00% on $1,250,000 notional amount of the Term Loan B, as described below. The remaining $500 million of outstanding debt on the Term Loan B is subject to LIBOR-based interest rate volatility above a floor of 1.50%.

Revolving Lines of Credit

The Company has an undrawn revolving line under the Senior Secured Credit Facilities totaling $250,000, of which approximately $45,789 was committed for outstanding letters of credit.

Interest rate swaps

The Company had entered into several interest rate swap agreements as a means of hedging its exposure to and volatility from variable-based interest rate changes as part of its overall risk management strategy. These agreements were not held for trading or speculative purposes, and had the economic effect of converting portions of our variable rate debt to a fixed rate. These agreements were designated as cash flow hedges, and as a result, hedge-effective gains or losses resulting from changes in the fair values of these swaps were reported in other comprehensive income until such time as each specific swap tranche was realized, at which time the amounts were reclassified into net income. Net amounts paid or received for each specific swap tranche that has settled were reflected as adjustments to debt expense. These agreements did not contain credit-risk contingent features and had expired as of September 30, 2010.

The swap agreements that were effective during 2010 had the economic effect of modifying the LIBOR variable component of the Company’s interest rate on an equivalent amount of the Company’s debt to fixed rates ranging from 4.05% to 4.70%, resulting in an overall weighted average effective interest rate of 5.84% on the hedged portion of the Company’s Senior Secured Credit Facilities, including the margin of 1.50%.

The following table summarizes our derivative instruments as of December 31, 2010 and 2009:

Interest rate swap liabilities

December 31, 2010

December 31, 2009

Derivatives designated as hedging instruments

Balance sheet
location

Fair value

Balance sheet
location

Fair value

Interest rate swap agreements

Other current
liabilities

—

Other current
liabilities

10,792

F-25

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

The following table summarizes the effects of our interest rate swap agreements for the years ended December 31, 2010, 2009 and 2008:


	Amount of gains (losses) recognized in OCI on interest rate swap agreements									Location of (losses) gains reclassified from accumulated OCI into income		Amount of gains (losses) reclassified from accumulated OCI into income
Derivatives designated as cash flow hedges	Years ended December 31,											Years ended December 31,
Derivatives designated as cash flow hedges	2010			2009			2008					2010			2009			2008
Interest rate swap agreements	$	(217	)	$	(4,220	)	$	(21,190	)		Debt expense	$	(9,093	)	$	(17,253	)	$	(4,239	)
Tax benefit		83			1,642			8,243					3,536			6,711			1,649

Total	$	(134	)	$	(2,578	)	$	(12,947	)			$	(5,557	)	$	(10,542	)	$	(2,590	)

The Company’s overall weighted average effective interest rate in 2010 was 4.68% and as of December 31, 2010 was 4.94%.

In January 2011, the Company entered into nine interest rate swap agreements with amortizing notional amounts totaling $1,000,000 that went effective on January 31, 2011. These agreements have the economic effect of modifying the LIBOR variable component of the Company’s interest rate on an equivalent amount of the Company’s Term Loan A debt to fixed rates ranging from 1.59% to 1.64%, resulting in an overall weighted average effective interest rate of 4.36% including the Term Loan A margin of 2.75%. The swap agreements expire on September 30, 2014 and require monthly interest payments.

In addition, in January 2011, the Company also entered into five interest rate cap agreements with notional amounts totaling $1,250,000 that went effective on January 31, 2011. These agreements have the economic effect of capping the LIBOR variable component of the Company’s interest rate at a maximum of 4.00% on an equivalent amount of the Company’s Term Loan B debt. The cap agreements expire on September 30, 2014.

Debt expense

Debt expense consisted of interest expense of $172,265, $176,100 and $214,944, including the amortization and accretion of debt discounts and premiums and the amortization of deferred financing costs of $9,342, $9,655 and $9,772 for 2010, 2009 and 2008, respectively. The interest expense amounts are net of capitalized interest.

14. Leases

The majority of the Company’s facilities are leased under non-cancelable operating leases, ranging in terms from five to 15 years, which contain renewal options of five to ten years at the fair rental value at the time of renewal. The Company leases are generally subject to periodic consumer price index increases or contain fixed escalation clauses. The Company also leases certain equipment under capital leases.

F-26

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

Future minimum lease payments under non-cancelable operating leases and capital leases are as follows:


	Operating leases		Capital leases
2011		232,415		1,387
2012		212,126		1,412
2013		190,911		1,382
2014		171,474		1,133
2015		154,351		773
Thereafter		554,895		6,066

	$	1,516,172		12,153

Less portion representing interest				(4,079	)

Total capital lease obligations, including current portion			$	8,074

Rent expense under all operating leases for 2010, 2009, and 2008 was $267,572, $248,792 and $225,531, respectively. Rent expense is recorded on a straight-line basis, over the term of the lease, for leases that contain fixed escalation clauses or include abatement provisions. Leasehold improvement incentives are deferred and amortized to rent expense over the term of the lease. The net book value of property and equipment under capital leases was $7,579, $5,432 and $6,612 at December 31, 2010, 2009 and 2008, respectively. Capital lease obligations are included in long-term debt. See Note 13 to the consolidated financial statements.

15. Employee benefit plans

The Company has a savings plan for substantially all employees which has been established pursuant to the provisions of Section 401(k) of the Internal Revenue Code, or IRC. The plan allows for employees to contribute a percentage of their base annual salaries on a tax-deferred basis not to exceed IRC limitations. The Company does not provide any matching contributions.

The Company also maintains a voluntary compensation deferral plan, the DaVita Voluntary Deferral Plan. This plan is non-qualified and permits certain employees whose annualized base salary equals or exceeds a minimum annual threshold amount as set by the Company to elect to defer all or a portion of their annual bonus payment and up to 50% of their base salary into a deferral account maintained by the Company. Total contributions to this plan in 2010 and 2009 were $1,125, and $2,062, respectively. Deferred amounts are generally paid out in cash at the participant’s election either in the first or second year following retirement or in a specified future period at least three to four years after the deferral election was effective. During 2010 and 2009, the Company distributed $701 and $601, respectively, to participants. Participants are credited with their proportional amount of annual earnings from the plan. The assets of this plan are held in a “rabbi trust” and as such are subject to the claims of the Company’s general creditors in the event of its bankruptcy. As of December 31, 2010 and 2009, the total fair value of assets held in trust were $8,547 and $7,246, respectively.

As part of the acquisition of DVA Renal Healthcare on October 5, 2005, the Company acquired an Executive Retirement Plan for certain members of management. This plan is non-qualified and contributions to the plan were made at the discretion of DVA Renal Healthcare based upon a pre-determined percentage of a participant’s base salary. Effective November 2005, all contributions to this plan were discontinued and the balance of the plan assets will be paid out upon termination of each individual participant. During 2010 and 2009, the Company distributed $198 and $241, respectively, to participants. As of December 31, 2010 and 2009, the total fair value of assets held in trust was $1,501 and $1,570, respectively.

F-27

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

The Company maintained a non-qualified deferred compensation plan for key employees. Company contributions were discretionary and were deposited into a rabbi trust. Participants in the plan were subject to a vesting period and typically receive annual distributions from the plan commencing one year after grant date, although in certain situations distributions are paid upon termination or retirement. Participants also had the option to direct their balances into certain investment funds and were credited with their proportional amount of earnings from the investments. The assets of this plan were held in the rabbi trust and were subject to the claims of the Company’s general creditors in the event of its bankruptcy. During 2009, the Company distributed $15,851, including earnings, to eligible participants, which were the total assets held in trust. In 2008, the Company distributed $5,263 to eligible participants.

The Company also maintained another non-qualified deferred compensation plan for certain employees. Company contributions to the plan were discretionary and were deposited into a rabbi trust that was not subject to general creditors claims in the event of bankruptcy by the Company. Participants in the plan were subject to a vesting period and were credited with their proportional amount of earnings from the investments within the plan. During 2008, the Company distributed $15,122, including earnings, to all eligible participants, which were the total assets held in trust.

The fair value of all of the assets held in plan trusts as of December 31, 2010, and 2009 totaled $10,048 and $8,816, respectively. These assets are available for sale and as such are recorded at fair market value with changes in the fair market values being recorded in other comprehensive income. Any fair market value changes to the corresponding liability balance will be recorded as compensation expense. See Note 9 to the consolidated financial statements.

Most of the Company’s outstanding employee stock plan awards include a provision accelerating the vesting of the award in the event of a change of control. The Company also maintains a change of control protection program for its employees who do not have a significant number of stock awards, which has been in place since 2001, and which provides for cash bonuses to employees in the event of a change of control. Based on the market price of the Company’s common stock and shares outstanding on December 31, 2010, these cash bonuses would total approximately $260,000 if a control transaction occurred at that price and the Company’s Board of Directors did not modify the program. This amount has not been accrued at December 31, 2010, and would only be accrued upon a change of control. These change of control provisions may affect the price an acquirer would be willing to pay for the Company.

16. Contingencies

The majority of the Company’s revenues are from government programs and may be subject to adjustment as a result of: (1) examination by government agencies or contractors, for which the resolution of any matters raised may take extended periods of time to finalize; (2) differing interpretations of government regulations by different Medicare contractors or regulatory authorities; (3) differing opinions regarding a patient’s medical diagnosis or the medical necessity of services provided; and (4) retroactive applications or interpretations of governmental requirements. In addition, the Company’s revenues from commercial payors may be subject to adjustment as a result of potential claims for refunds, as a result of government actions or as a result of other claims by commercial payors.

Inquiries by the Federal Government

In March 2005, the Company received a subpoena from the U.S. Attorney’s Office for the Eastern District of Missouri in St. Louis. The subpoena required production of a wide range of documents relating to the Company’s operations, including documents related to, among other things, pharmaceutical and other services

F-28

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

provided to patients, relationships with pharmaceutical companies, and financial relationships with physicians and joint ventures. The subpoena covers the period from December 1, 1996 through the present. In October 2005, the Company received a follow-up request for additional documents related to specific medical director and joint venture arrangements. In February 2006, the Company received an additional subpoena for documents, including certain patient records relating to the administration and billing of EPO. In May 2007, the Company received a request for documents related to durable medical equipment and supply companies owned and operated by the Company. The Company is cooperating with the inquiry and has produced the requested records. The subpoenas have been issued in connection with a joint civil and criminal investigation. It is possible that criminal proceedings may be initiated against the Company in connection with this inquiry.

In February 2007, the Company received a request for information from the Office of Inspector General, U.S. Department of Health and Human Services, or OIG, for records relating to EPO claims submitted to Medicare. In August 2007, the Company received a subpoena from the OIG seeking similar documents. The requested documents relate to services provided from 2001 to 2004 by a number of the Company’s centers. The request and subpoena were sent from the OIG’s offices in Houston and Dallas, Texas. The Company has cooperated with the inquiry and has produced all previously requested records to date. The Company has been in contact with the U.S. Attorney’s Office for the Eastern District of Texas, which has stated that this is a civil inquiry related to EPO claims. On July 6, 2009, the United States District Court for the Eastern District of Texas lifted the seal on the civil qui tam complaint related to these allegations and the Company was subsequently served with a complaint by the relator. The government did not intervene and is not actively pursuing this matter. The Company believes that there is some overlap between this issue and the ongoing review of EPO utilization and claims by the U.S. Attorney’s Office for the Eastern District of Missouri in St. Louis described above.

In December 2008, the Company received a subpoena for documents from the OIG relating to the pharmaceutical products Zemplar, Hectorol, Venofer, Ferrlecit and Epogen^®, or EPO, as well as other related matters. The subpoena covers the period from January 2003 to the present. The Company has been in contact with the United States Attorney’s Office, or U.S. Attorney’s Office, for the Northern District of Georgia and the U.S. Department of Justice in Washington, DC, since November 2008 relating to this matter, and has been advised that this is a civil inquiry. On June 17, 2009, the Company learned that the allegations underlying this inquiry were made as part of a civil qui tam complaint filed by individuals and brought pursuant to the federal False Claims Act. The case remains under seal in the United States District Court for the Northern District of Georgia. The Company is cooperating with the inquiry and is producing the requested records.

In May 2010, the Company received a subpoena from the OIG’s office in Dallas, Texas. The subpoena covers the period from January 1, 2005, through the present, and seeks production of a wide range of documents relating to the Company’s operations, including documents related to, among other things, financial relationships with physicians and joint ventures. The subject matter of this subpoena overlaps with the subject matter of the investigation being conducted by the United States Attorney’s Office for the Eastern District of Missouri in St. Louis as described above. The Company met with representatives of the government to discuss the scope of the subpoena and the production of responsive documents. The Company has been advised that this is a civil investigation. The Company is cooperating with the inquiry and is producing the requested records. It is possible that criminal proceedings may be initiated against the Company in connection with this inquiry.

To the Company’s knowledge, no proceedings have been initiated against the Company at this time in connection with any of the inquiries by the federal government as set forth above. Although the Company cannot predict whether or when proceedings might be initiated or when these matters may be resolved, it is not unusual for investigations such as these to continue for a considerable period of time. Responding to the subpoenas will

F-29

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

continue to require management’s attention and significant legal expense. Any negative findings could result in substantial financial penalties against the Company, exclusion from future participation in the Medicare and Medicaid programs and, to the extent criminal proceedings may be initiated against the Company as indicated above, possible criminal penalties. At this time, the Company cannot predict the ultimate outcome of these inquiries or the potential range of damages, if any.

Other

The Company has received several notices of claims from commercial payors and other third parties related to historical billing practices and claims against DVA Renal Healthcare (formerly known as Gambro Healthcare), a subsidiary of the Company, related to historical Gambro Healthcare billing practices and other matters covered by its 2004 settlement agreement with the Department of Justice and certain agencies of the U.S. government. At least one commercial payor has filed an arbitration demand against the Company, as described below, and additional commercial payors have threatened litigation. The Company intends to defend against these claims vigorously; however, the Company may not be successful and these claims may lead to litigation and any such litigation may be resolved unfavorably. At this time, the Company cannot predict the ultimate outcome of this matter or the potential range of damages, if any.

Several wage and hour claims have been filed against the Company in the Superior Court of California, each of which has been styled as a class action. In February 2007, June 2008, October 2008 and December 2008, the Company was served with five separate complaints in California, including two in October 2008, by various former employees, each of which alleges, among other things, that the Company failed to provide rest and meal periods, failed to pay compensation in lieu of providing such rest or meal periods, failed to pay the correct amount of overtime, failed to pay the rate on the “wage statement,” and failed to comply with certain other California Labor Code requirements. The Company has reached a settlement and release of all claims against the Company in connection with the complaints served in February 2007 and December 2008 and one of the complaints served in October 2008. The Company has fully paid the settlement amount and the case has been dismissed. The overall settlement amount was not material to the Company’s consolidated financial statements. The Company has reached an agreement with plaintiffs to settle the claims in the second complaint filed in October 2008. In February 2011, the agreement was approved by the Court, and the amount of the overall settlement was not material. The Company intends to vigorously defend against the remaining claims and to vigorously oppose the certification of the remaining matters as class actions. Any potential settlements of these remaining claims are not anticipated to be material to the Company’s consolidated financial statements.

In October 2007, the Company was contacted by the Attorney General’s Office for the State of Nevada. The Attorney General’s Office informed the Company that it was conducting a civil and criminal investigation of the Company’s operations in Nevada and that the investigation related to the billing of pharmaceuticals, including EPO. In February 2008, the Attorney General’s Office informed the Company that the civil and criminal investigation had been discontinued. The Attorney General’s Office further advised the Company that Nevada Medicaid intended to conduct audits of end stage renal disease (ESRD) dialysis providers in Nevada and such audits would relate to the issues that were the subjects of the investigation. To the Company’s knowledge, no court proceedings have been initiated against the Company at this time. Any negative audit findings could result in a substantial repayment by the Company. At this time, the Company cannot predict the ultimate outcome of this matter or the potential range of damages, if any.

F-30

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

entities that paid any of the defendants for health care goods and services from on or about January 1991 through at least December 2004. The complaint alleged, among other things, damages resulting from facts and circumstances underlying Gambro Healthcare’s 2004 settlement agreement with the Department of Justice and certain agencies of the U.S. government. In March 2006, the case was dismissed and the plaintiff was compelled to seek arbitration to resolve the matter. In November 2006, the plaintiff filed a demand for class arbitration against the Company and DVA Renal Healthcare, a subsidiary of the Company. In February 2011, the arbitration panel denied plaintiff’s request to certify a class. The Company intends to vigorously defend against plaintiff’s remaining individual claims and any appeal that may be filed. At this time, the Company cannot predict the ultimate outcome of this matter or the potential range of damages, if any.

In June 2004, Gambro Healthcare (now known as DVA Renal Healthcare and a subsidiary of the Company) was served with a complaint filed in the Superior Court of California by one of its former employees who worked for its California acute services program. The complaint, which is styled as a class action, alleges, among other things, that DVA Renal Healthcare failed to provide overtime wages, defined rest periods and meal periods, or compensation in lieu of such provisions and failed to comply with certain other California Labor Code requirements. The Company intends to vigorously defend against these claims. The Company also intends to vigorously oppose the certification of this matter as a class action. At this time, the Company’s estimate of the range of possible damages related to this matter is immaterial to the Company’s consolidated financial statements.

In addition to the foregoing, the Company is subject to claims and suits, including from time to time, contractual disputes and professional and general liability claims, as well as audits and investigations by various government entities, in the ordinary course of business. The Company believes that the ultimate resolution of any such pending proceedings, whether the underlying claims are covered by insurance or not, will not have a material adverse effect on its financial condition, results of operations or cash flows.

17. DaVita Inc. stock-based compensation and shareholders’ equity

Stock-based compensation

Stock-based compensation plans and agreements

On June 7, 2010, the Company’s stockholders approved an amendment and restatement of the DaVita Inc. 2002 Equity Compensation Plan to increase the number of shares of common stock available for issuance under the plan by 10,000,000 shares.

In connection with this amendment, the Board of Directors has committed to the Company’s stockholders that over the three-year period commencing on April 1, 2010 it will not grant a number of shares subject to stock awards under the Company’s equity compensation plan, including stock options, stock appreciation rights, restricted stock units or other stock awards, at an average annual rate greater than 4.02% of the number of shares of the Company’s common stock that management believes will be outstanding over such three-year period. This 4.02% rate is the average of the 2009 and 2010 three-year average median grant rate plus one standard deviation as published by RiskMetrics Group for the Russell 3000 companies in the GICS 3510 industry segment. Awards that are settled in cash, awards that are granted pursuant to stockholder approved exchange programs, awards

F-31

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

sold under our employee stock purchase plan and awards assumed or substituted in business combination transactions will be excluded from our grant rate calculation. For purposes of calculating the number of shares granted, any “full-value” awards (i.e., restricted stock, restricted stock unit, performance share or any other award that does not have an exercise price per share at least equal to the per share fair market value of our common stock on the grant date) will count as equivalent to 3.0 shares. The Company will publicly report its compliance with this three-year average annual grant rate commitment, and the data necessary to independently confirm it, in a public filing shortly after March 31, 2013.

The Company’s stock-based compensation plans and agreements are described below.

2002 Plan. The DaVita Inc. 2002 Equity Compensation Plan (the 2002 Plan) is the Company’s omnibus equity compensation plan and provides for grants of stock-based awards to employees, directors and other individuals providing services to the Company, except that incentive stock options may only be awarded to employees. The 2002 Plan mandates a maximum award term of five years, and stipulates that stock appreciation rights and stock options be granted with prices not less than the fair market value on the date of grant. The 2002 Plan further requires that full share awards such as restricted stock units reduce shares available under the 2002 Plan at a rate of 3.0:1. The Company’s nonqualified stock options, stock appreciation rights and stock units awarded under the 2002 Plan generally vest over 48 to 60 months from the date of grant. At December 31, 2010, there were 11,012,487 stock-settled stock appreciation rights and 501,564 stock units outstanding and 10,908,787 shares available for future grants under the 2002 Plan.

Predecessor plans. Various prior stock-based compensation plans were terminated upon shareholder approval of the 2002 Plan in 2002, and the 1999 Non-Executive Officer and Non-Director Equity Compensation Plan (the 1999 Plan) expired in 2009, both except with respect to option awards then outstanding. Stock options granted under these terminated plans were generally issued with exercise prices equal to the market price of the stock on the date of grant, vested over four years from the date of grant, and bore maximum award terms of five to 10 years. For these terminated plans, there were 1,000 stock options remaining outstanding under the 1999 Plan as of December 31, 2010.

Deferred stock unit agreements. During 2001 through 2003, the Company made nonqualified stock unit awards to members of the Board of Directors and certain key executive officers under stand-alone contractual deferred stock unit agreements. These awards vested over one to four years and were settled in stock when they vested or at a later date at the election of the recipient. The last 63,636 shares subject to these agreements were issued to their recipients in 2008.

F-32

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

A combined summary of the status of awards under these stock-based compensation plans and agreements, including base shares for stock appreciation rights and shares subject to stock option and stock unit awards, is as follows:


	Year ended December 31, 2010
	Stock appreciation rights and stock options							Stock units
	Awards			Weighted average exercise price		Weighted average remaining contractual life		Awards			Weighted average remaining contractual life
Outstanding at beginning of year		13,336,188		$	49.41				69,696
Granted		2,037,294			64.50				467,962
Exercised		(4,064,277	)		50.06				(31,875	)
Cancelled		(295,718	)		50.24				(4,219	)

Outstanding at end of period		11,013,487		$	51.94		2.7		501,564			1.9

Awards exercisable at end of period		4,560,568		$	49.94		1.8		6,603			0.5

Weighted-average fair value of awards granted during 2010	$	15.87						$	62.85

Weighted-average fair value of awards granted during 2009	$	12.08						$	54.31

Weighted-average fair value of awards granted during 2008	$	11.01						$	51.13


Range of exercise prices	Awards outstanding		Weighted average exercise price		Awards exercisable		Weighted average exercise price
$ 0.00–$ 0.00		501,564	$	—		6,603	$	—
$40.01–$50.00		4,917,961		46.10		2,048,110		46.47
$50.01–$60.00		4,073,065		52.74		2,497,126		52.72
$60.01–$70.00		1,932,461		64.15		15,332		61.25
$70.01–$80.00		90,000		72.69		—		—

Total		11,515,051	$	49.68		4,567,171	$	49.87

For the years ended December 31, 2010, 2009, and 2008, the aggregate intrinsic value of stock awards exercised was $67,935, $46,896 and $35,957, respectively. At December 31, 2010, the aggregate intrinsic value of stock awards outstanding was $228,440 and the aggregate intrinsic value exercisable was $89,603.

Estimated fair value of stock-based compensation awards

The Company has estimated the grant-date fair value of stock-settled stock appreciation rights awards and stock options using the Black-Scholes-Merton valuation model and stock unit awards at intrinsic value on the date of grant. The following assumptions were used in estimating these values and determining the total stock-based compensation attributable to the current period:

Expected term of the awards: The expected term of awards granted represents the period of time that they are expected to remain outstanding from the date of grant. The Company determines the expected term of its

F-33

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

stock awards based on its historical experience with similar awards, considering the Company’s historical exercise and post-vesting termination patterns, and the terms expected by peer companies in near industries.

Expected volatility: Expected volatility represents the volatility anticipated over the expected term of the award. The Company determines the expected volatility for its awards based on the volatility of the price of its common stock over the most recent retrospective period commensurate with the expected term of the award, considering the volatility expectations implied by the market price of its exchange-traded options and the volatilities expected by peer companies in near industries.

Expected dividend yield: The Company has not paid dividends on its common stock and does not currently expect to pay dividends during the term of stock awards granted.

Risk-free interest rate: The Company bases the expected risk-free interest rate on the implied yield currently available on stripped interest coupons of U.S. Treasury issues with a remaining term equivalent to the expected term of the award.

A summary of the weighted average valuation inputs described above used for estimating the grant-date fair value of stock options and stock-settled stock appreciation rights granted in the periods indicated is as follows:


	Year ended December 31,
	2010			2009			2008
Expected term		3.5 years			3.5 years			3.4 years
Expected volatility		30	%		32	%		27	%
Expected dividend yield		0.0	%		0.0	%		0.0	%
Risk-free interest rate		1.7	%		1.8	%		2.4	%

The Company estimates expected forfeitures based upon historical experience with separate groups of employees that have exhibited similar forfeiture behavior in the past. Stock-based compensation expense is recorded only for awards that are expected to vest.

Employee stock purchase plan

The Employee Stock Purchase Plan entitles qualifying employees to purchase up to $25 of the Company’s common stock during each calendar year. The amounts used to purchase stock are accumulated through payroll withholdings or through optional lump sum payments made in advance of the first day of the purchase right period. This compensatory plan allows employees to purchase stock for the lesser of 100% of the fair market value on the first day of the purchase right period or 85% of the fair market value on the last day of the purchase right period. Purchase right periods begin on January 1 and July 1, and end on December 31. Payroll withholdings and lump-sum payments related to the plan, included in accrued compensation and benefits that were used to purchase the Company’s common stock were $4,933, $4,280, and $4,522 at December 31, 2010, 2009 and 2008, respectively. Subsequent to December 31, 2010, 2009 and 2008, 83,865, 86,213 and 107,340 shares, respectively, were issued to satisfy obligations under the plan. At December 31, 2010, there were 878,887 shares available for future grants under this plan.

The fair value of employees’ purchase rights was estimated as of the beginning dates of the purchase right periods using the Black-Scholes-Merton valuation model with the following weighted average assumptions for purchase right periods in 2010, 2009 and 2008, respectively: expected volatility of 22%, 34% and 24%; risk-free

F-34

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

interest rate of 0.3%, 0.2% and 2.5%, and no dividends. Using these assumptions, the weighted average estimated fair value of these purchase rights was $13.80, $13.90 and $13.65 for 2010, 2009 and 2008, respectively.

Stock-based compensation expense and proceeds

For the years ended December 31, 2010, 2009 and 2008, the Company recognized $45,551, $44,422 and $41,235, respectively, in stock-based compensation expense for stock settled-stock appreciation rights, stock options, stock units and discounted employee stock plan purchases, which is primarily included in general and administrative expenses. The estimated tax benefits recorded for this stock-based compensation in 2010, 2009 and 2008 were $17,273, $16,810 and $15,609, respectively. As of December 31, 2010, there was $83,064 of total estimated unrecognized compensation cost related to nonvested stock-based compensation arrangements under the Company’s equity compensation and stock purchase plans. The Company expects to recognize this cost over a weighted average remaining period of 1.4 years.

During the years ended December 31, 2010, 2009 and 2008, the Company received $48,686, $63,653 and $35,606 in cash proceeds from stock option exercises and $26,706, $18,241 and $13,988 in total actual tax benefits upon the exercise of stock awards, respectively.

Stock repurchases

During 2010 and 2009, the Company repurchased a total of 8,918,760 and 2,902,619 shares of its common stock for $618,496 and $153,495, or an average price of $69.35 and $52.88 per share respectively, pursuant to previously announced authorizations by the Board of Directors. On November 3, 2010, the Company announced that its Board of Directors authorized an increase of an additional $800,000 of share repurchases of its common stock. As a result of these transactions the total outstanding authorization for share repurchases as of December 31, 2010 was $681,524. The Company has not repurchased any additional shares of its common stock through February 25, 2011. This stock repurchase program has no expiration date.

Shareholder rights plan

The Company’s Board of Directors approved a shareholder rights plan on November 14, 2002. This plan is designed to assure that DaVita Inc.’s shareholders receive fair treatment in the event of any proposed takeover of DaVita Inc.

Pursuant to this plan, the Board approved the declaration of a dividend distribution of one common stock purchase right for each outstanding share of its common stock payable on December 10, 2002 to holders of record of DaVita Inc. common stock on November 29, 2002. This rights distribution was not taxable to DaVita Inc.’s shareholders. As a result of the stock split that occurred during the second quarter of 2004, two-thirds of a right are now attached to each share of the Company’s common stock. Two-thirds of a right will also attach to each newly issued or reissued share of common stock. These rights will become exercisable if a person or group acquires, or announces a tender offer for, 15% or more of DaVita Inc.’s outstanding common stock. The triggering person’s stock purchase rights will become void at that time and will not become exercisable.

Each right initially entitles its holder to purchase one share of common stock from the Company at a price of $125.00. If the rights become exercisable, and subject to adjustment for authorized shares available, each purchase right will then entitle its holder to purchase $125.00 of common stock at a price per share equal to 50% of the average daily closing price of the Company’s common stock for the immediately preceding 30 consecutive

F-35

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

trading days. If DaVita Inc. is acquired in a merger or other business combination transaction after the rights become exercisable, provisions will be made to allow the holder of each right to purchase $125.00 of common stock from the acquiring company at a price equal to 50% of the average daily closing price of that company’s common stock for the immediately preceding 30 consecutive trading days.

The Board of Directors may elect to redeem the rights at $0.01 per purchase right at any time prior to, or exchange common stock for the rights at an exchange ratio of one share per right at any time after, a person or group acquires or announces a tender offer for 15% or more of DaVita Inc.’s outstanding common stock. The exercise price, number of shares, redemption price or exchange ratio associated with each right may be adjusted as appropriate upon the occurrence of certain events, including any stock split, stock dividend or similar transaction. These purchase rights will expire no later than November 14, 2012.

Charter documents & Delaware law

The Company’s charter documents include provisions that may deter hostile takeovers, delay or prevent changes of control or changes in management, or limit the ability of stockholders to approve transactions that they may otherwise determine to be in their best interests. These include provisions prohibiting stockholders from acting by written consent, requiring 90 days advance notice of stockholder proposals or nominations to the Board of Directors and granting the Board of Directors the authority to issue up to five million shares of preferred stock and to determine the rights and preferences of the preferred stock without the need for further stockholder approval.

The Company is also subject to Section 203 of the Delaware General Corporation Law that, subject to exceptions, would prohibit the Company from engaging in any business combinations with any interested stockholder, as defined in that section, for a period of three years following the date on which that stockholder became an interested stockholder. These restrictions may discourage, delay or prevent a change in the control of the Company.

Changes in DaVita Inc.’s ownership interest in consolidated subsidiaries

The effects of changes in DaVita Inc.’s ownership interest on the Company’s equity are as follows:


	Year ended December 31, 2010			Year ended December 31, 2009
Net income attributable to DaVita Inc.	$	405,683		$	422,684

Decrease in paid-in capital for sales of noncontrolling interest in six and eleven joint ventures, respectively		(298	)		(529	)
Decrease in paid-in capital for the purchase of a noncontrolling interest in six and six joint ventures, respectively		(5,537	)		(3,721	)

Net transfer to noncontrolling interests		(5,835	)		(4,250	)

Change from net income attributable to DaVita Inc. and transfers to noncontrolling interests	$	399,848		$	418,434

During 2009, the Company contributed cash and assets in two centers that were previously wholly-owned in exchange for an equity investment of 40% in a newly formed joint venture valued at $3,600. The Company recognized a pre-tax loss of $1,928 and deconsolidated these centers as a result of the transaction. In 2009, the

F-36

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

Company also sold its controlling financial interest in one entity that contained one center which was previously wholly-owned to an existing joint venture in which the Company owns a 50% equity investment for $1,750 and recognized a pre-tax loss of $1,408. The Company deconsolidated this entity as a result of this transaction. The Company was also required to contribute $1,000 to the joint venture. The estimated fair values of the retained equity investments for both of these transactions were based upon valuation techniques as determined by an outside appraiser. The recognized pre-tax losses for both transactions were recorded in patient care costs in the consolidated statement of income.

18. Other comprehensive income

Charges and credits to other comprehensive income have been as follows:


	2008
	Before tax amount			Tax (expense) benefit			Net-of-tax amount
Unrealized losses on interest rate swaps	$	(21,190	)	$	8,243		$	(12,947	)
Less reclassification of net swap realized losses into net income		4,239			(1,649	)		2,590

Net swap activity		(16,951	)		6,594			(10,357	)

Unrealized losses on investments		(1,922	)		748			(1,174	)
Less reclassification of net investment realized gains into net income		(486	)		189			(297	)

Net investment activity		(2,408	)		937			(1,471	)

Total	$	(19,359	)	$	7,531		$	(11,828	)


	2009
	Before tax amount			Tax (expense) benefit			Net-of-tax amount
Unrealized losses on interest rate swaps	$	(4,220	)	$	1,642		$	(2,578	)
Less reclassification of net swap realized losses into net income		17,253			(6,711	)		10,542

Net swap activity		13,033			(5,069	)		7,964

Unrealized gains on investments		1,614			(628	)		986
Less reclassification of net investment realized gains into net income		(261	)		102			(159	)

Net investment activity		1,353			(526	)		827

Total	$	14,386		$	(5,595	)	$	8,791


	2010
	Before tax amount			Tax (expense) benefit			Net-of-tax amount
Unrealized losses on interest rate swaps	$	(217	)	$	83		$	(134	)
Less reclassification of net swap realized losses into net income		9,093			(3,536	)		5,557

Net swap activity		8,876			(3,453	)		5,423

Unrealized gains on investments		1,007			(392	)		615
Less reclassification of net investment realized losses into net income		22			(9	)		13

Net investment activity		1,029			(401	)		628

Total	$	9,905		$	(3,854	)	$	6,051

F-37

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

Changes in accumulated other comprehensive income (loss) has been as follows:


	Interest rate swaps			Investment securities			Accumulated other comprehensive income
Balance December 31, 2008	$	(13,387	)	$	(952	)	$	(14,339	)
Net activity		7,964			827			8,791

Balance December 31, 2009	$	(5,423	)	$	(125	)	$	(5,548	)
Net activity		5,423			628			6,051

Balance December 31, 2010	$	—		$	503		$	503

19. Acquisitions

On February 4, 2011, the Company entered into a definitive agreement to acquire all of the outstanding equity securities of CDSI I Holding Company, Inc., parent company of dialysis provider DSI Renal, Inc. (DSI), in cash for approximately $689,200, subject to among other things, adjustments for certain items such as working capital, the purchase of noncontrolling interests, capital assets and acquisitions expenditures. DSI currently operates approximately 106 outpatient dialysis centers serving approximately 8,000 patients. The transaction is subject to approval by the Federal Trade Commission (FTC) including Hart-Scott-Rodino antitrust clearance. The Company anticipates that it will be required by the FTC to divest a certain number of outpatient dialysis centers as a condition of the transaction. The transaction is expected to close in the second or third quarter of fiscal 2011.

During 2010, 2009, and 2008, the Company acquired dialysis and other businesses as follows:


	Year ended December 31,
	2010		2009		2008
Cash paid, net of cash acquired	$	188,502	$	87,617	$	101,959
Deferred purchase price and other acquisition obligations		449		338		2,286

Aggregate purchase cost	$	188,951	$	87,955	$	104,245

Number of chronic dialysis centers acquired		41		19		20

In addition in 2010 and 2009, the Company also acquired additional ownership interests in several existing majority-owned joint ventures for $14,214 and $6,859, respectively. In 2008, the Company also acquired an 80% ownership interest in one vascular access clinic for $11,221 and in addition, purchased additional ownership interests in several existing majority-owned joint ventures for $24,409. The assets and liabilities for all acquisitions were recorded at their estimated fair values at the dates of the acquisitions and are included in the Company’s financial statements and operating results from the effective dates of the acquisitions.

The initial purchase cost allocations for acquired businesses are recorded at fair values based upon the best information available to management and are finalized when identified pre-acquisition contingencies have been resolved and other information arranged to be obtained has been received, but in no case in excess of one year from the acquisition date.

F-38

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

The aggregate purchase cost allocations for dialysis and other related businesses were as follows:


	Year ended December 31,
	2010			2009			2008
Tangible assets, principally leasehold improvements and equipment	$	21,257		$	11,140		$	7,972
Amortizable intangible assets		18,300			6,703			9,988
Goodwill		152,252			78,199			89,234
Noncontrolling interests assumed		(1,171	)		(7,567	)		(2,732	)
Liabilities assumed		(1,687	)		(520	)		(217	)

Aggregate purchase cost	$	188,951		$	87,955		$	104,245

Amortizable intangible assets acquired during 2010, 2009 and 2008 had weighted-average estimated useful lives of nine, seven and nine years, respectively. In 2010 and 2009, $152,252 and $78,199 of goodwill was associated with the dialysis and related lab services business. In 2008, $76,522 of goodwill was associated with the dialysis and related lab services business and $12,712 was associated with the ancillary services and strategic initiatives. The total amount of goodwill deductible for tax purposes associated with these acquisitions for 2010, 2009, and 2008 was approximately $154,000, $72,000 and $109,000, respectively.

Pro forma financial information

The following summary, prepared on a pro forma basis, combines the results of operations as if all acquisitions in 2010 and 2009 had been consummated as of the beginning of 2009, after including the impact of certain adjustments such as amortization of intangibles, interest expense on acquisition financing and income tax effects.


	Year ended December 31,
	2010		2009
	(unaudited)
Pro forma net revenues	$	6,516,044	$	6,288,217
Pro forma net income attributable to DaVita Inc.		417,818		436,420
Pro forma income from continuing operations attributable to DaVita Inc.		417,818		436,420
Pro forma basic net income per share attributable to DaVita Inc.		4.12		4.21
Pro forma diluted net income per share attributable to DaVita Inc.		4.05		4.19

20. Variable interest entities

F-39

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

the activities of the entity that most significantly impact the entity’s economic performance. Except for the new disclosures requirements, there was no impact to the Company’s financial statements as a result of implementing these new requirements.

The Company is deemed to be the primary beneficiary of all of the variable interest entities (“VIEs”) with which it is associated. These VIEs are principally operating subsidiaries owned by related party nominee owners for the Company’s benefit in jurisdictions in which the Company does not qualify for direct ownership under applicable regulations or joint ventures that require subordinated support in addition to their equity capital to finance operations. These include both dialysis operations and physician practice management entities.

Under the terms of the applicable arrangement, the Company bears substantially all of the economic risks and rewards of ownership for these operating VIE’s. In some cases, the Company has contractual arrangements with its respective related party nominee owners which indemnify them from the economic losses, and entitle the Company to the economic benefits, that may result from ownership of these VIE’s. DaVita Inc. manages these VIE’s and provides operating and capital funding as necessary to accomplish their operational and strategic objectives. Accordingly, since the Company bears the majority of the risks and rewards attendant to their ownership, the Company consolidates these VIE’s as their primary beneficiary.

Total assets of these consolidated operating VIEs were approximately $6,000 and their liabilities to unrelated third parties were approximately $6,000 at December 31, 2010.

The Company also sponsors certain deferred compensation plans whose trusts qualify as VIEs and as their primary beneficiary the Company consolidates each of these plans. The assets of these plans are recorded in short-term or long-term investments with matching offsetting liabilities in accrued compensation and benefits and other long-term liabilities. See Note 9 for disclosures on the assets of these consolidated non-qualified deferred compensation plans.

21. Concentrations

Approximately 66% of the Company’s total dialysis and related lab services revenues in 2010, 65% in 2009 and 65% in 2008 are from government-based programs, principally Medicare and Medicaid. Accounts receivable and other receivables, from Medicare, including Medicare-assigned plans, and Medicaid, including Medicaid-assigned plans, were approximately $554,300 and $467,900, respectively as of December 31, 2010 and 2009. No other single payor accounted for more than 5% of total accounts receivable.

A significant physician-prescribed pharmaceutical administered during dialysis, EPO, is provided by a sole supplier and accounted for approximately 18% of the dialysis and related lab services net operating revenues. Although the Company currently receives discounted prices for EPO, the supplier has unilateral pricing discretion and in the future the Company may not be able to achieve the same cost levels historically obtained.

22. Noncontrolling interests subject to put provisions and other commitments

Noncontrolling interests subject to put provisions

The Company has potential obligations to purchase the noncontrolling interests held by third parties in several of its joint ventures and non-wholly-owned subsidiaries. These obligations are in the form of put provisions and are exercisable at the third-party owners’ discretion within specified periods as outlined in each specific put provision. If these put provisions were exercised, the Company would be required to purchase the

F-40

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

third-party owners’ noncontrolling interests at either the appraised fair market value or a predetermined multiple of earnings or cash flow attributable to the noncontrolling interests put to the Company, which is intended to approximate fair value. The methodology the Company uses to estimate the fair values of noncontrolling interests subject to put provisions assumes either the higher of a liquidation value of net assets or an average multiple of earnings, based on historical earnings, patient mix and other performance indicators, as well as other factors. During the second quarter of 2010, the Company refined its methodology used to estimate the fair value of noncontrolling interests subject to put provisions by eliminating an annual inflation factor that was previously applied to the put provisions until they became exercisable. The Company believes that eliminating an annual inflation factor will result in a better representation of the estimated actual fair value of the noncontrolling interests subject to put provisions as of the reporting date. The estimated fair values of the noncontrolling interests subject to put provisions can fluctuate and the implicit multiple of earnings at which these noncontrolling interests obligations may be settled will vary significantly depending upon market conditions including potential purchasers’ access to the capital markets, which can impact the level of competition for dialysis and non-dialysis related businesses, the economic performance of these businesses and the restricted marketability of the third-party owners’ noncontrolling interests. The amount of noncontrolling interests subject to put provisions that contractually employ a predetermined multiple of earnings rather than fair value are immaterial.

Additionally, the Company has certain other potential commitments to provide operating capital to several dialysis centers that are wholly-owned by third parties or centers in which the Company owns a minority equity investment as well as to physician-owned vascular access clinics that the Company operates under management and administrative service agreements of approximately $2,100.

Certain consolidated joint ventures are contractually scheduled to dissolve after terms ranging from ten to fifty years. Accordingly, the noncontrolling interests in these joint ventures are considered mandatorily redeemable instruments, for which the classification and measurement requirements have been indefinitely deferred. Future distributions upon dissolution of these entities would be valued below the related noncontrolling interest carrying balances in the consolidated balance sheet.

Other commitments

In conjunction with the acquisition of DVA Renal Healthcare, Inc., formerly known as Gambro Healthcare, Inc., which occurred in October 2005, the Company entered into an Alliance and Product Supply Agreement (the Product Supply Agreement) with Gambro AB and Gambro Renal Products, Inc (Gambro Renal Products). Because the Product Supply Agreement results in higher costs for most of the products covered by the Product Supply Agreement than would otherwise be available to the Company, the Product Supply Agreement represented an intangible liability initially valued at $162,100 as of the acquisition date.

The Product Supply Agreement committed the Company to purchase a significant majority of its hemodialysis products, supplies and equipment at fixed prices through 2015. The agreement was amended in 2006 (the Amended Product Supply Agreement) to reduce the Company’s purchase obligations for certain hemodialysis product supplies and equipment, and in 2007, the Company terminated its obligation to purchase certain dialysis machines under the Amended Product Supply Agreement. However, the Company continues to be subject to the Product Supply Agreement’s requirements to purchase a majority of its hemodialysis non-equipment product supplies, such as dialyzers, from Gambro at fixed prices.

During 2010, 2009 and 2008, the Company purchased $115,682, $87,983 and $83,360 of hemodialysis product supplies from Gambro Renal Products, representing 2% of the Company’s total operating costs, for all years presented.

F-41

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

The centers acquired from Gambro Healthcare were subject to a five-year Corporate Integrity Agreement in connection with its December 2004 settlement with the U.S. Government that imposed significant specific compliance operating and reporting requirements, and required an annual audit by an independent reporting organization. The corporate integrity agreement expired on November 30, 2009. The Company submitted its final annual report to the Office of the Inspector General, U.S. Department of Health and Human Services on January 14, 2010. On February 16, 2010, the Company was informed by the OIG that it has received the Company’s final annual report and determined that DVA Renal Healthcare, a wholly-owned subsidiary of the Company, complied with the terms of the corporate integrity agreement during the final reporting period and that the Fifth Annual Report is complete. The five year term of the corporate integrity agreement has now concluded and DVA Renal Healthcare is no longer subject to its terms.

In January 2010, the Company entered into an agreement with Fresenius which committed the Company to purchase a certain amount of dialysis equipment, parts and supplies from them through 2013. During 2010, the Company purchased $103,183 of certain equipment, parts and supplies from Fresenius.

In July 2010, the Company announced that it will construct a new corporate headquarters in Denver, Colorado. In July 2010, the Company acquired the land and existing improvements for approximately $12,000. Effective December 18, 2010, the Company entered into a construction agreement for the construction of the new building. The Company currently estimates the total construction costs and other project costs of the building will be approximately $95,000. Construction is expected to begin in early 2011, and is estimated to be complete in the second half of 2012. In 2010, the Company paid architecture and other design costs totaling approximately $5,000.

Other than operating leases disclosed in Note 14 to the consolidated financial statements, the letters of credit disclosed in Note 13 to the consolidated financial statements, and the arrangements as described above, the Company has no off balance sheet financing arrangements as of December 31, 2010.

23. Fair values of financial instruments

Effective December 15, 2009, FASB amended certain fair value disclosure requirements to include additional disclosures related to significant transfers in and out of the various fair value hierarchy levels and to clarify existing disclosures by providing disaggregate levels for each class of assets and liabilities. The Company is also required to provide additional disclosures on the valuation techniques and inputs used to measure fair value, as well as changes to the valuation techniques and inputs, for both recurring and nonrecurring assets and liabilities carried at fair value. In addition, the Company is also required to disclose the reason for making changes to its valuation techniques, assumptions and or other unobservable market inputs. Certain other disclosures on reporting the gross activity rather than the net activity for Level 3 fair value measurements is effective for fiscal years beginning after December 31, 2010. See Note 22 to the consolidated financial statements for further discussion. The adoption of this standard will not have a material impact on the Company’s consolidated financial statements.

F-42

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

The following tables summarize the Company’s assets, liabilities and temporary equity measured at fair value on a recurring basis as of December 31, 2010 and 2009:


	December 31, 2010
	Total		Quoted prices in active markets for identical assets (Level 1)		Significant other observable inputs (Level 2)		Significant unobservable inputs (Level 3)
Assets
Available for sale securities	$	10,048	$	10,048	$	—	$	—

Temporary equity
Noncontrolling interests subject to put provisions	$	383,052	$	—	$	—	$	383,052


	December 31, 2009
	Total		Quoted prices in active markets for identical assets (Level 1)		Significant other observable inputs (Level 2)		Significant unobservable inputs (Level 3)
Assets
Available for sale securities	$	8,816	$	8,816	$	—	$	—

Liabilities
Interest rate swap agreements	$	10,792	$	—	$	10,792	$	—

Temporary equity
Noncontrolling interests subject to put provisions	$	331,725	$	—	$	—	$	331,725

The available for sale securities represent investments in various open-ended registered investment companies, or mutual funds, and are recorded at fair value based upon the quoted market prices as reported by each mutual fund. See Note 9 to the consolidated financial statements for further discussion.

See Note 22 to the consolidated financial statements for a discussion of the Company’s methodology for estimating the fair value of noncontrolling interests subject to put obligations.

Other financial instruments consist primarily of cash, accounts receivable, accounts payable, other accrued liabilities and debt. The balances of the non-debt financial instruments are presented in the consolidated financial statements at December 31, 2010 and 2009 at their approximate fair values due to the short-term nature of their settlements. The carrying balance of the Company’s Senior Secured Credit Facilities totaled $2,741,619 as of December 31, 2010, and the fair value was $2,765,625 based upon quoted market prices. The fair value of the Company’s senior notes was approximately $1,530,625 at December 31, 2010 based upon quoted market prices, as compared to the carrying amount of $1,550,000.

24. Segment reporting

The Company operates principally as a dialysis and related lab services business but also operates other ancillary services and strategic initiatives. These ancillary services and strategic initiatives consist primarily of pharmacy services, infusion therapy services, disease management services, vascular access services, ESRD

F-43

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

clinical research programs and physician services. For internal management reporting the dialysis and related lab services business and each of the ancillary services and strategic initiatives have been defined as separate operating segments by management since separate financial information is regularly produced and reviewed by the Company’s chief operating decision maker in making decisions about allocating resources and assessing financial results. The Company’s chief operating decision maker is its Chief Executive Officer. The dialysis and related lab services business qualifies as a separately reportable segment and all of the other ancillary services and strategic initiatives operating segments have been combined and disclosed in the other segments category.

The Company’s operating segment financial information is prepared on an internal management reporting basis that the Chief Executive Officer uses to allocate resources and analyze the performance of the operating segments. For internal management reporting, segment operations include direct segment operating expenses with the exception of stock-based compensation expense and equity investment income.

The following is a summary of segment revenues, segment operating margin (loss), and a reconciliation of segment margin to income before income taxes:


	Years ended December 31,
	2010			2009(2)			2008(2)
Segment revenues:
Dialysis and related lab services(1)	$	6,072,894		$	5,791,729		$	5,415,363
Other—Ancillary services and strategic initiatives		374,497			317,071			244,810

Consolidated revenues	$	6,447,391		$	6,108,800		$	5,660,173

Segment operating margin (loss):
Dialysis and related lab services	$	1,039,165		$	994,477		$	939,391
Other—Ancillary services and strategic initiatives		(5,586	)		(12,226	)		(29,856	)

Total segment margin		1,033,579			982,251			909,535
Reconciliation of segment margin to income before income taxes:
Stock-based compensation		(45,551	)		(44,422	)		(41,235	)
Equity investment income		8,999			2,442			796

Consolidated operating income		997,027			940,271			869,096
Debt expense		(181,607	)		(185,755	)		(224,716	)
Debt refinancing and redemption charges		(74,382	)		—			—
Other income		3,420			3,708			12,411

Consolidated income before income taxes	$	744,458		$	758,224		$	656,791

(1)	Includes management fees for providing management and administrative services to dialysis centers in which the Company either owns a minority equity investment or are wholly-owned by third parties.

(2)	Certain costs previously reported in the Ancillary Services and Strategic Initiatives have been reclassified to the dialysis and related lab services to conform to the current year presentation.

Depreciation and amortization expense for the dialysis and related lab services for 2010, 2009 and 2008 were $227,677, $221,907 and $210,143, respectively, and were $6,701, $7,079 and $6,774, respectively, for the ancillary services and strategic initiatives.

F-44

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

Summary of assets by segment is as follows:


	December 31,
	2010		2009
Segment assets
Dialysis and related lab services	$	7,862,882	$	7,311,604
Other—Ancillary services and strategic initiatives		225,624		224,001
Equity investments		25,918		22,631

Consolidated assets	$	8,114,424	$	7,558,236

In 2010 and 2009, the total amount of expenditures for property and equipment for the dialysis and related lab services were $271,559 and $271,817, respectively, and were $7,226 and $2,788, respectively, for the ancillary services and strategic initiatives.

25. Supplemental cash flow information

The table below provides supplemental cash flow information:


	Year ended December 31,
	2010		2009		2008
Cash paid:
Income taxes	$	207,265	$	161,671	$	163,147
Interest		190,949		186,280		222,558
Non-cash investing and financing activities:
Fixed assets under capital lease obligations		3,983		—		—
Assets exchanged for equity investments		—		2,618		—
Assets received for additional noncontrolling interests		—		51		—
Issuance of noncontrolling interests		1,139		—		—

26. Selected quarterly financial data (unaudited)


	2010								2009
	December 31		September 30		June 30		March 31		December 31		September 30		June 30		March 31
Net operating revenues	$	1,649,417	$	1,651,649	$	1,586,907	$	1,559,418	$	1,568,204	$	1,573,915	$	1,519,041	$	1,447,640
Operating income		255,405		256,591		242,365		242,666		238,712		245,001		235,954		220,604
Income before income taxes		132,362		217,860		195,322		198,914		194,563		200,465		190,139		173,057
Net income attributable to DaVita Inc.		69,020		119,387		107,853		109,423		109,724		110,930		105,819		96,211
Basic earnings per share attributable to DaVita Inc.		0.71		1.16		1.05		1.05		1.07		1.07		1.02		0.93
Diluted earnings per share attributable to DaVita Inc.	$	0.70	$	1.15	$	1.04	$	1.04	$	1.06	$	1.06	$	1.02	$	0.92

F-45

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

27. Consolidating financial statements

The following information is presented in accordance with Rule 3-10 of Regulation S-X. The operating and investing activities of the separate legal entities included in the Company’s consolidated financial statements are fully interdependent and integrated. Revenues and operating expenses of the separate legal entities include intercompany charges for management and other services. The senior notes were issued by the Company on October 20, 2010 and are guaranteed by substantially all of its direct and indirect domestic wholly-owned subsidiaries. Each of the guarantor subsidiaries has guaranteed the notes on a joint and several, full and unconditional basis. Non-wholly-owned subsidiaries, certain wholly-owned subsidiaries, foreign subsidiaries, joint ventures, partnerships and third parties are not guarantors of these obligations.

Consolidating Statements of Income


	DaVita Inc.			Guarantor Subsidiaries			Non- Guarantor Subsidiaries			Consolidating Adjustments			Consolidated Total
For the year ended December 31, 2010
Net operating revenues	$	431,780		$	5,203,528		$	1,289,521		$	(477,438	)	$	6,447,391
Operating expenses		259,302			4,623,508			1,044,992			(477,438	)		5,450,364

Operating income		172,478			580,020			244,529			—			997,027
Debt (expense)		(257,243	)		(163,034	)		(1,277	)		165,565			(255,989	)
Other income, net		165,934			1,837			1,214			(165,565	)		3,420
Income tax expense		31,656			220,982			7,601			—			260,239
Equity earnings in subsidiaries		356,170			157,278			—			(513,448	)		—

Net income		405,683			355,119			236,865			(513,448	)		484,219
Less: Net income attributable to noncontrolling interests		—			—			—			(78,536	)		(78,536	)

Net income attributable to DaVita Inc.	$	405,683		$	355,119		$	236,865		$	(591,984	)	$	405,683

For the year ended December 31, 2009
Net operating revenues	$	401,058		$	5,012,311		$	1,149,074		$	(453,643	)	$	6,108,800
Operating expenses		246,578			4,381,211			994,383			(453,643	)		5,168,529

Operating income		154,480			631,100			154,691			—			940,271
Debt (expense)		(188,109	)		(181,853	)		(1,721	)		185,928			(185,755	)
Other income, net		186,189			2,720			727			(185,928	)		3,708
Income tax expense		60,414			218,733			(682	)		—			278,465
Equity earnings in subsidiaries		330,538			94,964			—			(425,502	)		—

Net income		422,684			328,198			154,379			(425,502	)		479,759
Less: Net income attributable to noncontrolling interests		—			—			—			(57,075	)		(57,075	)

Net income attributable to DaVita Inc.	$	422,684		$	328,198		$	154,379		$	(482,577	)	$	422,684

For the year ended December 31, 2008
Net operating revenues	$	363,112		$	4,725,932		$	986,996		$	(415,867	)	$	5,660,173
Operating expenses		228,729			4,109,033			869,182			(415,867	)		4,791,077

Operating income		134,383			616,899			117,814			—			869,096
Debt (expense)		(227,535	)		(210,030	)		(2,874	)		215,723			(224,716	)
Other income, net		206,488			4,579			17,067			(215,723	)		12,411
Income tax expense		43,748			191,273			450			—			235,471
Equity earnings in subsidiaries		304,572			82,469			—			(387,041	)		—

Net income		374,160			302,644			131,557			(387,041	)		421,320
Less: Net income attributable to noncontrolling interests		—			—			—			(47,160	)		(47,160	)

Net income attributable to DaVita Inc.	$	374,160		$	302,644		$	131,557		$	(434,201	)	$	374,160

F-46

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

Consolidating Balance Sheets


	DaVita Inc.		Guarantor Subsidiaries		Non- Guarantor Subsidiaries		Consolidating Adjustments			Consolidated Total
As of December 31, 2010
Cash and cash equivalents	$	856,803	$	—	$	3,314	$	—		$	860,117
Accounts receivable, net		—		895,955		153,021		—			1,048,976
Other current assets		11,231		653,670		48,860		—			713,761

Total current assets		868,034		1,549,625		205,195		—			2,622,854
Property and equipment, net		30,409		888,927		251,472		—			1,170,808
Amortizable intangible assets, net		58,967		98,795		4,873		—			162,635
Investments in subsidiaries		6,154,398		555,579		—		(6,709,977	)		—
Intercompany receivables		—		516,286		208,030		(724,316	)		—
Other long-term assets and investments		8,951		56,996		873		—			66,820
Goodwill		—		3,731,983		359,324		—			4,091,307

Total assets	$	7,120,759	$	7,398,191	$	1,029,767	$	(7,434,293	)	$	8,114,424

Current liabilities	$	61,384	$	786,114	$	76,847	$	—		$	924,345
Intercompany payables		611,919		—		112,397		(724,316	)		—
Long-term debt and other long-term liabilities		4,210,703		539,620		19,570		—			4,769,893
Noncontrolling interests subject to put provisions		258,331		—		—		124,721			383,052
Total DaVita Inc. shareholders’ equity		1,978,422		6,072,457		637,520		(6,709,977	)		1,978,422
Noncontrolling interest not subject to put provisions		—		—		183,433		(124,721	)		58,712

Total equity		1,978,422		6,072,457		820,953		(6,834,698	)		2,037,134

Total liabilities and equity	$	7,120,759	$	7,398,191	$	1,029,767	$	(7,434,293	)	$	8,114,424

As of December 31, 2009
Cash and cash equivalents	$	534,550	$	—	$	4,909	$	—		$	539,459
Accounts receivable, net		—		943,236		162,667		—			1,105,903
Other current assets		15,619		593,472		48,068		—			657,159

Total current assets		550,169		1,536,708		215,644		—			2,302,521
Property and equipment, net		11,232		850,985		242,708		—			1,104,925
Amortizable intangible assets, net		30,212		102,112		4,408		—			136,732
Investments in subsidiaries		5,528,112		546,890		—		(6,075,002	)		—
Intercompany receivables		—		—		226,862		(226,862	)		—
Other long-term assets and investments		7,700		54,283		879		—			62,862
Goodwill		—		3,606,634		344,562		—			3,951,196

Total assets	$	6,127,425	$	6,697,612	$	1,035,063	$	(6,301,864	)	$	7,558,236

Current liabilities	$	170,061	$	768,153	$	108,727	$	—		$	1,046,941
Intercompany payables		105,015		18,067		103,780		(226,862	)		—
Long-term debt and other long-term liabilities		3,507,753		458,415		19,243		—			3,985,411
Noncontrolling interests subject to put provisions		209,530		—		—		122,195			331,725
Total DaVita Inc. shareholders’ equity		2,135,066		5,452,977		622,025		(6,075,002	)		2,135,066
Noncontrolling interest not subject to put provisions		—		—		181,288		(122,195	)		59,093

Total equity		2,135,066		5,452,977		803,313		(6,197,197	)		2,194,159

Total liabilities and equity	$	6,127,425	$	6,697,612	$	1,035,063	$	(6,301,864	)	$	7,558,236

F-47

DAVITA INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

(dollars in thousands, except per share data)

Consolidating Statements of Cash Flows


	DaVita Inc.			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Consolidating Adjustments			Consolidated Total
For the year ended December 31, 2010
Cash flows from operating activities
Net income.	$	405,683		$	355,119		$	236,865		$	(513,448	)	$	484,219
Changes in operating assets and liabilities and non cash items included in net income		(322,388	)		139,646			24,758			513,448			355,464

Net cash provided by operating activities		83,295			494,765			261,623			—			839,683

Cash flows from investing activities
Additions of property and equipment		(24,118	)		(199,147	)		(50,337	)		—			(273,602	)
Acquisitions		—			(187,557	)		(945	)		—			(188,502	)
Proceeds from asset sales		—			22,727			—			—			22,727
Other items		(470	)		3,214			—			—			2,744

Net cash used in by investing activities		(24,588	)		(360,763	)		(51,282	)		—			(436,633	)

Cash flows from financing activities
Long-term debt		563,350			1,987			(4,391	)		—			560,946
Intercompany borrowing		258,649			(125,185	)		(133,464	)		—			—
Other items		(558,453	)		(10,804	)		(74,081	)		—			(643,338	)

Net cash provided by (used in) financing activities		263,546			(134,002	)		(211,936	)		—			(82,392	)

Net increase (decrease) in cash and cash equivalents		322,253			—			(1,595	)		—			320,658
Cash and cash equivalents at beginning of the year		534,550			—			4,909			—			539,459

Cash and cash equivalents at the end of the year	$	856,803		$	—		$	3,314		$	—		$	860,117

For the year ended December 31, 2009
Cash flows from operating activities
Net income.	$	422,684		$	328,198		$	154,379		$	(425,502	)	$	479,759
Changes in operating assets and liabilities and non cash items included in net income		(257,795	)		(58,609	)		77,853			425,502			186,951

Net cash provided by operating activities		164,889			269,589			232,232			—			666,710

Cash flows from investing activities
Additions of property and equipment		(1,748	)		(207,738	)		(65,119	)		—			(274,605	)
Acquisitions		—			(87,617	)		—			—			(87,617	)
Proceeds from asset sales		—			7,697			—			—			7,697
Other items		11,631			(3,166	)		—			—			8,465

Net cash provided by (used in) investing activities		9,883			(290,824	)		(65,119	)		—			(346,060	)

Cash flows from financing activities
Long-term debt		(60,619	)		(1,962	)		1,307			—			(61,274	)
Intercompany borrowing		101,458			20,681			(122,139	)		—			—
Other items		(78,637	)		2,516			(54,677	)		—			(130,798	)

Net cash (used in) provided by financing activities		(37,798	)		21,235			(175,509	)		—			(192,072	)

Net increase (decrease) in cash and cash equivalents		136,974			—			(8,396	)		—			128,578
Cash and cash equivalents at beginning of the year		397,576			—			13,305			—			410,881

Cash and cash equivalents at the end of the year	$	534,550		$	—		$	4,909		$	—		$	539,459

For the year ended December 31, 2008
Cash flows from operating activities
Net income	$	374,160		$	302,644		$	131,557		$	(387,041	)	$	421,320
Changes in operating assets and liabilities and non cash items included in net income		(379,807	)		143,586			41,561			387,041			192,381

Net cash (used in) provided by operating activities		(5,647	)		446,230			173,118			—			613,701

Cash flows from investing activities
Additions of property and equipment		(2,546	)		(222,848	)		(92,568	)		—			(317,962	)
Acquisitions		(439	)		(101,520	)		—			—			(101,959	)
Proceeds from asset sales		—			530			—			—			530
Other items		19,281			2,371			—			—			21,652

Net cash provided by (used in) investing activities		16,296			(321,467	)		(92,568	)		—			(397,739	)

Cash flows from financing activities
Long-term debt		(17,805	)		1,664			2,460			—			(13,681	)
Intercompany borrowing		146,030			(112,719	)		(33,311	)		—			—
Other items		(184,455	)		(13,708	)		(40,283	)		—			(238,446	)

Net cash used in financing activities		(56,230	)		(124,763	)		(71,134	)		—			(252,127	)

Net (decrease) increase in cash and cash equivalents		(45,581	)		—			9,416			—			(36,165	)
Cash and cash equivalents at the beginning of the year		443,157			—			3,889			—			447,046

Cash and cash equivalents at the end of the year	$	397,576		$	—		$	13,305		$	—		$	410,881

F-48

SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, we have duly caused this Annual Report on Form 10-K to be signed on our behalf by the undersigned, thereunto duly authorized, in the City of Denver, State of Colorado, on February 25, 2011.


DAVITA INC.

By:		/s/ KENT J. THIRY
		Kent J. Thiry Chairman and Chief Executive Officer

KNOW ALL MEN BY THESE PRESENT, that each person whose signature appears below constitutes and appoints Kent J. Thiry, Luis A. Borgen, and Kim M. Rivera, and each of them his or her true and lawful attorneys-in-fact and agents with full power of substitution and resubstitution, for him or her and in his or her name, place and stead, in any and all capacities, to sign any and all amendments to this Annual Report on Form 10-K, and to file the same, with all exhibits thereto, and other documents in connection therewith, with the Securities and Exchange Commission, granting unto said attorneys-in-fact and agents, and each of them, full power and authority to do and perform each and every act and thing requisite or necessary to be done in and about the premises, as fully to all intents and purposes as he or she might or could do in person, hereby ratifying and confirming all that said attorneys-in-fact and agents or any of them, or their or his or her substitute or substitutes, may lawfully do or cause to be done by virtue hereof.

Pursuant to the requirements of the Securities Exchange Act of 1934, this Annual Report on Form 10-K has been signed by the following persons on behalf of the registrant and in the capacities and on the dates indicated.


Signature	Title	Date

/s/ KENT J. THIRY Kent J. Thiry	Chairman and Chief Executive Officer (Principal Executive Officer)	February 25, 2011

/S/ LUIS A. BORGEN Luis A. Borgen	Chief Financial Officer (Principal Financial Officer)	February 25, 2011

/S/ JAMES K. HILGER James K. Hilger	Chief Accounting Officer (Principal Accounting Officer)	February 25, 2011

/S/ PAMELA M. ARWAY Pamela M. Arway	Director	February 25, 2011

/S/ CHARLES G. BERG Charles G. Berg	Director	February 25, 2011

/S/ WILLARD W. BRITTAIN Willard W. Brittain	Director	February 25, 2011

/S/ CAROL A. DAVIDSON Carol A. Davidson	Director	February 25, 2011

/S/ PAUL J. DIAZ Paul J. Diaz	Director	February 25, 2011

/S/ PETER T. GRAUER Peter T. Grauer	Director	February 25, 2011

/S/ JOHN M. NEHRA John M. Nehra	Director	February 25, 2011

/S/ WILLIAM L. ROPER William L. Roper	Director	February 25, 2011

/S/ ROGER J. VALINE Roger J. Valine	Director	February 25, 2011

II-1

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

The Board of Directors and Shareholders

DaVita Inc.:

Under date of February 25, 2011, we reported on the consolidated balance sheets of DaVita Inc. and subsidiaries as of December 31, 2010 and 2009, and the related consolidated statements of income, equity and comprehensive income, and cash flows for each of the years in the three-year period ended December 31, 2010, which are included in the Annual Report on Form 10-K. In connection with our audits of the aforementioned consolidated financial statements, we also audited the related consolidated financial statement Schedule II-Valuation and Qualifying Accounts included in the Annual Report on Form 10-K. This financial statement schedule is the responsibility of the Company’s management. Our responsibility is to express an opinion on this financial statement schedule based on our audits.

In our opinion, such financial statement schedule, when considered in relation to the basic consolidated financial statements taken as a whole, presents fairly, in all material respects, the information set forth therein.

/s/ KPMG LLP

Seattle, Washington

February 25, 2011

S-1

DAVITA INC.

SCHEDULE II—VALUATION AND QUALIFYING ACCOUNTS


Description	Balance at beginning of year		Amounts charged to income		Amounts written off		Balance at end of year
	(in thousands)
Allowance for uncollectible accounts:
Year ended December 31, 2008	$	195,953	$	146,229	$	130,960	$	211,222
Year ended December 31, 2009	$	211,222	$	161,786	$	143,691	$	229,317
Year ended December 31, 2010	$	229,317	$	171,250	$	164,938	$	235,629

S-2

EXHIBIT INDEX


	2.1			Stock Purchase Agreement dated as of December 6, 2004, among Gambro AB, Gambro, Inc. and DaVita Inc.(9)

	2.2			Amended and Restated Asset Purchase Agreement effective as of July 28, 2005, by and among DaVita Inc., Gambro Healthcare, Inc. and Renal Advantage Inc., a Delaware corporation, formerly known as RenalAmerica, Inc.(12)

	3.1			Amended and Restated Certificate of Incorporation of Total Renal Care Holdings, Inc., or TRCH, dated December 4, 1995.(1)

	3.2			Certificate of Amendment of Certificate of Incorporation of TRCH, dated February 26, 1998.(2)

	3.3			Certificate of Amendment of Certificate of Incorporation of DaVita Inc. (formerly Total Renal Care Holdings, Inc.), dated October 5, 2000.(4)

	3.4			Certificate of Amendment of Amended and Restated Certificate of Incorporation of DaVita Inc., as amended dated May 30, 2007.(23)

	3.5			Amended and Restated Bylaws for DaVita Inc. dated as of March 2, 2007.(25)

	4.1			Indenture for the 6⁵/8% Senior Notes due 2013 dated as of March 22, 2005.(3)

	4.2			Indenture for the 7¹/4% Senior Subordinated Notes due 2015 dated as of March 22, 2005.(3)

	4.3			First Supplemental Indenture, dated October 5, 2005, by and among DaVita Inc., the Guarantors, the persons named as Additional Guarantors and The Bank of New York Trust Company, N.A., as Trustee.(11)

	4.4			First Supplemental Indenture, dated October 5, 2005, by and among DaVita Inc., the Guarantors, the persons named as Additional Guarantors and The Bank of New York Trust Company, N.A., as Trustee.(13)

	4.5			Rights Agreement, dated as of November 14, 2002, between DaVita Inc. and the Bank of New York, as Rights Agent.(21)

	4.6			Second Supplemental Indenture (Senior), dated February 9, 2007, by and among DaVita Inc., the Guarantors, the persons named as Additional Guarantors and The Bank of New York Trust Company, N.A., as Trustee.(22)

	4.7			Second Supplemental Indenture (Senior Subordinated), dated February 9, 2007, by and among DaVita Inc., the Guarantors, the persons named as Additional Guarantors and The Bank of New York Trust Company, N.A., as Trustee.(22)

	4.8			Registration Rights Agreement for the 6⁵/8% Senior Notes due 2013 dated as of February 23, 2007.(26)

	4.9			Third Supplemental Indenture, dated October 14, 2010, by and among DaVita Inc., the guarantors named therein and The Bank of New York Mellon Trust Company, N.A., as Trustee.(38)

	4.10			Third Supplemental Indenture, dated October 14, 2010, by and among DaVita Inc., the guarantors named therein and The Bank of New York Mellon Trust Company, N.A., as Trustee.(38)

	4.11			Indenture, dated October 20, 2010, by and among DaVita Inc., the guarantors named therein and The Bank of New York Mellon Trust Company, N.A., as Trustee.(39)

	4.12			Indenture, dated October 20, 2010, by and among DaVita Inc., the guarantors named therein and The Bank of New York Mellon Trust Company, N.A., as Trustee.(39)

	10.1			Employment Agreement, dated as of October 19, 2009, by and between DaVita Inc. and Kim M. Rivera.*

	10.2			Employment Agreement, dated as of June 15, 2000, by and between DaVita Inc. and Joseph C. Mello.(6)*

	10.3			Second Amendment to Mr. Mello’s Employment Agreement, effective December 12, 2008.(33)*

Page 1 of 6



	10.4			Employment Agreement, effective as of August 16, 2004, by and between DaVita Inc. and Tom Usilton.(7)*

	10.5			Amendment to Mr. Usilton’s Employment Agreement, dated February 12, 2007.(24)*

	10.6			Second Amendment to Mr. Usilton’s Employment Agreement, effective December 12, 2008.(32)*

	10.7			Employment Agreement, effective as of November 18, 2004, by and between DaVita Inc. and Joseph Schohl.(14)*

	10.8			Amendment to Mr. Schohl’s Employment Agreement, effective December 30, 2008.(32)*

	10.9			Employment Agreement, dated as of October 31, 2005, effective October 24, 2005, by and between DaVita Inc. and Dennis Kogod.(13)*

	10.10			Amendment to Mr. Kogod’s Employment Agreement, effective December 12, 2008.(32)*

	10.11			Employment Agreement, effective September 22, 2005, by and between DaVita Inc. and James Hilger.(15)*

	10.12			Amendment to Mr. Hilger’s Employment Agreement, effective December 12, 2008.(32)*

	10.13			Employment Agreement effective February 13, 2008, by and between DaVita Inc. and Richard K. Whitney.(28)*

	10.14			Amendment to Equity Award Agreement, entered into on December 11, 2009, between DaVita Inc. and Richard K. Whitney.*

	10.15			Amendment to Stock Appreciation Rights Agreements, effective November 2008, by and between DaVita Inc. and Richard K. Whitney.(36)*

	10.16			Employment Agreement, effective July 25, 2008, between DaVita Inc. and Kent J. Thiry.(29)*

	10.17			Employment Agreement, effective August 1, 2008, between DaVita Inc. and Allen Nissenson.(30)*

	10.18			Employment Agreement, effective March 3, 2008, between DaVita Inc. and David Shapiro.(32)*

	10.19			Amendment to Mr. Shapiro’s Employment Agreement, effective December 4, 2008.(32)*

	10.20			Employment Agreement, effective March 17, 2010, by and between DaVita Inc. and Javier Rodriguez.(35)*

	10.21			Employment Agreement, effective February 26, 2010, by and between DaVita Inc. and Luis Borgen.(36)*

	10.22			Amendment to Mr. Borgen’s Employment Agreement, effective March 18, 2010.(36)*

	10.23			Memorandum Relating to Bonus Structure for Kent J. Thiry.(36)*

	10.24			Memorandum Relating to Bonus Structure for Dennis L. Kogod.(36)*

	10.25			Memorandum Relating to Bonus Structure for Thomas O. Usilton, Jr.(36)*

	10.26			Form of Indemnity Agreement.(20)*

	10.27			Form of Indemnity Agreement.(14)*

	10.28			Executive Incentive Plan (as Amended and Restated effective January 1, 2009).(34)*

	10.29			Executive Retirement Plan.(32)*

	10.30			Post-Retirement Deferred Compensation Arrangement.(14)*

	10.31			Amendment No. 1 to Post Retirement Deferred Compensation Arrangement.(32)*

	10.32			DaVita Voluntary Deferral Plan.(11)*

	10.33			Deferred Bonus Plan (Prosperity Plan).(31)

	10.34			Amendment No. 1 to Deferred Bonus Plan (Prosperity Plan).(32)*

	10.35			Amended and Restated Employee Stock Purchase Plan.(27)*

	10.36			Severance Plan.(36)*

Page 2 of 6



	10.37			Change in Control Bonus Program.(32)*

	10.38			First Amended and Restated Total Renal Care Holdings, Inc. 1999 Non-Executive Officer and Non-Director Equity Compensation Plan.(5)

	10.39			Non-Management Director Compensation Philosophy and Plan.(28)*

	10.40			Amended and Restated 2002 Equity Compensation Plan.(10)*

	10.41			Amended and Restated 2002 Equity Compensation Plan.(19)*

	10.42			Amended and Restated 2002 Equity Compensation Plan.(27)*

	10.43			Amended and Restated 2002 Equity Compensation Plan.(32)*

	10.44			DaVita Inc. 2002 Equity Compensation Plan.(37)*

	10.45			Form of Non-Qualified Stock Option Agreement—Employee (DaVita Inc. 1999 Non-Executive Officer and Non-Director Equity Compensation Plan.(18)*

	10.46			Form of Non-Qualified Stock Option Agreement—Employee (DaVita Inc. 2002 Equity Compensation Plan).(7)*

	10.47			Form of Non-Qualified Stock Option Agreement—Employee (DaVita Inc. 2002 Equity Compensation Plan).(16)*

	10.48			Form of Non-Qualified Stock Option Agreement—Employee (DaVita Inc. 2002 Equity Compensation Plan).(18)*

	10.49			Form of Restricted Stock Units Agreement—Employee (DaVita Inc. 2002 Equity Compensation Plan).(7)*

	10.50			Form of Restricted Stock Units Agreement—Employee (DaVita Inc. 2002 Equity Compensation Plan).(16)*

	10.51			Form of Restricted Stock Units Agreement—Employee (DaVita Inc. 2002 Equity Compensation Plan).(18)*

	10.52			Form of Restricted Stock Units Agreement—Employee (DaVita Inc. 2002 Equity Compensation Plan).(32)*

	10.53			Form of Stock Appreciation Rights Agreement—Employee (DaVita Inc. 2002 Equity Compensation Plan).(16)*

	10.54			Form of Stock Appreciation Rights Agreement—Employee (DaVita Inc. 2002 Equity Compensation Plan).(18)*

	10.55			Form of Stock Appreciation Rights Agreement—Board (DaVita Inc. 2002 Equity Compensation Plan).(30)*

	10.56			Form of Restricted Stock Units Agreement—Board (DaVita Inc. 2002 Equity Compensation Plan).(30)*

	10.57			Form of Non-Qualified Stock Option Agreement—Board (DaVita Inc. 2002 Equity Compensation Plan).(30)*

	10.58			Credit Agreement, dated as of October 5, 2005, among DaVita Inc., the Guarantors party thereto, the Lenders party thereto, Bank of America, N.A., Wachovia Bank, National Association, Bear Stearns Corporate Lending Inc., The Bank of New York, The Bank of Nova Scotia, The Royal Bank of Scotland plc, WestLB AG, New York Branch as Co-Documentation Agents, Credit Suisse, Cayman Islands Branch, as Syndication Agent, JPMorgan Chase Bank, N.A., as Administrative Agent and Collateral Agent, JPMorgan Securities Inc., as Sole Lead Arranger and Bookrunner and Credit Suisse, Cayman Islands Branch, as Co-Arranger.(11)

	10.59			Credit Agreement, dated as of October 5, 2005, as Amended and Restated as of February 23, 2007, by and among DaVita Inc., the Guarantors party thereto, the Lenders party thereto and JPMorgan Chase Bank, N.A.(26)

Page 3 of 6



	10.60			Amendment Agreement, dated February 23, 2007, by and among DaVita Inc., the Guarantors party thereto, the Lenders party thereto and JPMorgan Chase Bank, N.A.(26)

	10.61			Security Agreement, dated as of October 5, 2005, by DaVita Inc., the Guarantors party thereto and JPMorgan Chase Bank, N.A., as Collateral Agent.(11)

	10.62			Credit Agreement, dated as of October 20, 2010, by and among DaVita Inc., the guarantors party thereto, the lenders party thereto, Credit Suisse AG, Barclays Bank PLC, Goldman Sachs Bank USA, Wells Fargo Bank, National Association, Credit Agricole Corporate and Investment Bank, RBC Capital Markets, Scotia Capital (USA) Inc., SunTrust Robinson Humphrey, Inc. and Union Bank, N.A., as Co-Documentation Agents, Bank of America, N.A., as Syndication Agent, JPMorgan Chase Bank, N.A., as Administrative Agent and Collateral Agent, and J.P. Morgan Securities LLC, Banc of America Securities LLC, Credit Suisse Securities (USA) LLC, Barclays Capital, Goldman Sachs Bank USA and Wells Fargo Securities, LLC, as Joint Lead Arrangers and Joint Bookrunners.(39)

	10.63			Corporate Integrity Agreement between the Office of Inspector General of the Department of Health and Human Services and Gambro Healthcare, Inc. effective as of December 1, 2004.(11)

	10.64			Amended and Restated Alliance and Product Supply Agreement, dated as of August 25, 2006, among Gambro Renal Products, Inc., DaVita Inc. and Gambro AB.(17)**

	10.65			Letter dated March 19, 2007 from Willard W. Brittain, Jr. to Peter T. Grauer, Lead Independent Director of the Company.(22)

	10.66			Dialysis Organization Agreement between DaVita Inc. and Amgen USA Inc. dated December 20, 2007.(31)**

	10.67			Dialysis Organization Agreement between DaVita Inc. and Amgen USA Inc. dated December 17, 2010. ü**

	12.1			Computation of Ratio of Earnings to Fixed Charges.ü

	14.1			DaVita Inc. Corporate Governance Code of Ethics.(8)

	21.1			List of our subsidiaries.ü

	23.1			Consent of KPMG LLP, independent registered public accounting firm.ü

	24.1			Powers of Attorney with respect to DaVita. (Included on Page II-1).

	31.1			Certification of the Chief Executive Officer, dated February 25, 2011, pursuant to Rule 13a-14(a) or 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.ü

	31.2			Certification of the Chief Financial Officer, dated February 25, 2011, pursuant to Rule 13a-14(a) or 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.ü

	32.1			Certification of the Chief Executive Officer, dated February 25, 2011, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.ü

	32.2			Certification of the Chief Financial Officer, dated February 25, 2011, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.ü

	101.INS			XBRL Instance Document.***

	101.SCH			XBRL Taxonomy Extension Schema Document.***

	101.CAL			XBRL Taxonomy Extension Calculation Linkbase Document.***

	101.DEF			XBRL Taxonomy Extension Definition Linkbase Document.***

	101.LAB			XBRL Taxonomy Extension Label Linkbase Document.***

	101.PRE			XBRL Taxonomy Extension Presentation Linkbase Document.***

ü	Included in this filing.

*	Management contract or executive compensation plan or arrangement.

**	Portions of this exhibit are subject to a request for confidential treatment and have been redacted and filed separately with the SEC.

Page 4 of 6

***

(1)	Filed on March 18, 1996 as an exhibit to the Company’s Transitional Report on Form 10-K for the transition period from June 1, 1995 to December 31, 1995.

(2)	Filed on March 31, 1998 as an exhibit to the Company’s Annual Report on Form 10-K for the year ended December 31, 1997.

(3)	Filed on March 25, 2005 as an exhibit to the Company’s Current Report on Form 8-K.

(4)	Filed on March 20, 2001 as an exhibit to the Company’s Annual Report on Form 10-K for the year ended December 31, 2000.

(5)	Filed on February 28, 2003 as an exhibit to the Company’s Annual Report on Form 10-K for the year ended December 31, 2002.

(6)	Filed on August 15, 2001 as an exhibit to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2001.

(7)	Filed on November 8, 2004 as an exhibit to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2004.

(8)	Filed on February 27, 2004 as an exhibit to the Company’s Annual Report on Form 10-K for the year ended December 31, 2003.

(9)	Filed on December 8, 2004 as an exhibit to the Company’s Current Report on Form 8-K.

(10)	Filed on May 4, 2005 as an exhibit to the Company’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2005.

(11)	Filed on November 8, 2005 as an exhibit to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2005.

(12)	Filed on October 11, 2005 as an exhibit to the Company’s Current Report on Form 8-K.

(13)	Filed on November 4, 2005 as an exhibit to the Company’s Current Report on Form 8-K.

(14)	Filed on March 3, 2005 as an exhibit to the Company’s Annual Report on Form 10-K for the year ended December 31, 2004.

(15)	Filed on August 7, 2006 as an exhibit to the Company’s Quarterly Report on Form 10-Q for the quarter ending June 30, 2006.

(16)	Filed on July 6, 2006 as an exhibit to the Company’s Current Report on Form 8-K.

(17)	Filed on November 3, 2006 as an exhibit to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2006.

(18)	Filed on October 18, 2006 as an exhibit to the Company’s Current Report on Form 8-K.

(19)	Filed on July 31, 2006 as an exhibit to the Company’s Current Report on Form 8-K.

(20)	Filed on December 20, 2006 as an exhibit to the Company’s Current Report on Form 8-K.

(21)	Filed on November 19, 2002 as an exhibit to the Company’s Current Report on Form 8-K.

(22)	Filed on May 3, 2007 as an exhibit to the Company’s Quarterly Report as Form 10-Q for the quarter ended March 31, 2007.

(23)	Filed on August 6, 2007 as an exhibit to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2007.

(24)	Filed on February 16, 2007 as an exhibit to the Company’s Current Report on Form 8-K.

(25)	Filed on March 8, 2007 as an exhibit to the Company’s Current Report on Form 8-K.

(26)	Filed on February 28, 2007 as an exhibit to the Company’s Current Report on Form 8-K.

(27)	Filed on June 4, 2007 as an exhibit to the Company’s Current Report on Form 8-K.

(28)	Filed on May 8, 2008 as an exhibit to the Company’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2008.

(29)	Filed on July 31, 2008 as an exhibit to the Company’s Current Report on Form 8-K.

(30)	Filed on November 6, 2008 as an exhibit to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2008.

(31)	Filed on February 29, 2008 as an exhibit to the Company’s Annual Report on Form 10-K for the year ended December 31, 2007.

Page 5 of 6

(32)	Filed on February 27, 2009 as an exhibit to the Company’s Annual Report on Form 10-K for the year ended December 31, 2008

(33)	Filed on May 7, 2009 as an exhibit to the Company’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2009.

(34)	Filed on June 18, 2009 as an exhibit to the Company’s Current Report on Form 8-K.

(35)	Filed on April 14, 2010 as an exhibit to the Company’s Current Report on Form 8-K.

(36)	Filed on May 3, 2010 as an exhibit to the Company’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2010.

(37)	Filed on April 28, 2010 as Appendix A to the Company’s Definitive Proxy Statement on Schedule 14A.

(38)	Filed on October 19, 2010 as an exhibit to the Company’s Current Report on Form 8-K.

(39)	Filed on October 21, 2010 as an exhibit to the Company’s Current Report on Form 8-K.

Page 6 of 6

Dialysis Organization Agreement between DaVita Inc. and Amgen

Exhibit 10.67

Confidential Treatment

Dialysis Organization Agreement

Information Sheet

This Information Sheet sets forth certain definitions and other information as used in the attached Dialysis Organization Agreement. As used in such Dialysis Organization Agreement, the following terms shall have the meanings ascribed below:

DIALYSIS CENTER (FULL LEGAL NAME): DaVita Inc.

TERRITORY: United States

TERM START DATE: January 1, 2011

TERM END DATE: June 30, 2011

PRODUCT [DELETED] PERCENTAGES:

PRODUCT: EPOGEN^® (Epoetin alfa) [DELETED] PERCENTAGE: [DELETED]%

All products and packages generally

made available for sale in the

United States throughout the Term (as

defined in Section 8.1).

DIALYSIS CENTER NOTICE ADDRESS AND FAX:

601 Hawaii Street

El Segundo, CA 90245

Fax: 866-912-0682

AMGEN AGREEMENT NO.: 920110141

[DELETED] = Portions of this exhibit are subject to a request for confidential treatment and have been redacted and filed separately with the Securities and Exchange Commission.

Page 1 of 66

Dialysis Organization Agreement

This Dialysis Organization Agreement (this “Agreement”) is made by and between Amgen USA Inc. (“Amgen”), a wholly-owned subsidiary of Amgen Inc., and DaVita Inc. (“Dialysis Center”) to set forth the terms and conditions upon which Dialysis Center shall purchase the Product and Amgen shall provide discounts and pay rebates on the Product. Amgen Inc. is a party to this Agreement for the purposes set forth in Sections 3.2, 4.6, 4.7, 6.1, 6.2, 7.1, 7.2.1, and 9.13 of this Agreement.

Amgen and Dialysis Center hereby agree as follows:

1.	DEFINITIONS

When used with initial capitals herein, the following terms shall have the meanings ascribed to them below:

1.1.

“Affiliate” of a given entity shall mean an entity that controls, is controlled by, or under common control with such given entity. Control shall mean ownership of more than fifty percent (50%) of the voting stock of an entity or, for non-stock entities, the right to more than fifty percent (50%) of the profits of such entity.

1.2.	“Authorized Wholesalers” shall mean those wholesalers listed on Exhibit B, as such list may be modified pursuant to Section 2.3.

1.3.	“Data” shall have the meaning set forth in Schedule 1 of this Agreement.

1.4.	“Designated Affiliates” shall mean any Affiliate of Dialysis Center listed on Exhibit C, as such list may be modified pursuant to Section 2.2.

1.5.	“Designated Managed Centers” shall mean any Managed Center listed on Exhibit D as such list may be modified pursuant to Section 2.2.

1.6.	“Dialysis Center Purchasers” shall mean Dialysis Center, its Designated Affiliates and Designated Managed Centers.

1.7.	“ESRD” shall mean end stage renal disease.

1.8.	“HIPAA” shall mean the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations, each as may be amended.

1.9.	“Individually Identifiable Health Information” shall have the meaning specified in HIPAA.

1.10.

“Information Sheet” shall mean the information sheet attached hereto.

1.11.

“[DELETED] Percentage” shall mean, with respect to the Product, the percentage set forth as the “[DELETED] Percentage” in the Information Sheet.

1.12.

“Managed Center” shall mean a dialysis facility that is not an Affiliate of Dialysis Center but for which Dialysis Center or an Affiliate of Dialysis Center provides management and administrative services, including the purchase and billing of the Product.

1.13.

“OutcomesPlus” shall mean Amgen’s proprietary, HIPAA compliant retrospective observational database that is comprised of the electronic de-identified patient-level data, set forth in Schedule 1.

1.14.

“Qualified Gross Purchases” shall mean the amount of Product purchased by Dialysis Center Purchasers during the Term from an Authorized Wholesaler (or from Amgen pursuant to Section 2.3) and confirmed by Amgen through sales tracking data. Qualified Gross Purchases shall be calculated using the [DELETED] in effect at the time of the relevant purchase.

1.15.

“Quarter” shall mean each calendar quarter during the Term (i.e., January 1 through March 31 or April 1 through June 30).

1.16.

“[DELETED]” shall mean the [DELETED] for the Product to [DELETED].

Page 2 of 66

2.	PURCHASE AND SALE OF PRODUCTS

2.1.

Discounts. Effective on the Term Start Date of this Agreement, Dialysis Center Purchasers shall have the right to purchase the Product through Authorized Wholesalers or directly from Amgen pursuant to Section 2.3 at the then-prevailing [DELETED] less the [DELETED]. Amgen reserves the right to change [DELETED] any time, by any amount, without notice, subject in such case to the [DELETED] Rebate provisions set forth in Section 2.2 of Exhibit A. Amgen shall notify Dialysis Center of any change to [DELETED] in accordance with Amgen’s customary business practices. Pricing, discounts, and rebates set forth in this Agreement are without regard to any wholesaler markup, service fees, or other charges, which may be charged separately by Authorized Wholesalers.

2.2.	Affiliates and Managed Centers.

2.2.1.

Only purchases of Product made by Dialysis Center Purchasers shall be eligible for the pricing, discounts and/or rebates granted pursuant to this Agreement. Dialysis Center shall have the right to remove its Affiliates from the list of Designated Affiliates and to remove Managed Centers from the list of Designated Managed Centers by [DELETED] days prior written notice to Amgen. Dialysis Center shall have the right to add its Affiliates and Managed Centers to the list of Designated Affiliates or list of Designated Managed Centers, as applicable, with prior written notice to Amgen and upon Amgen’s approval, which shall not be unreasonably conditioned, withheld or delayed, it being understood that Dialysis Center shall use its commercially reasonable best efforts to provide Amgen and the applicable Authorized Wholesaler with at least [DELETED] days prior written notice in situations involving de novo dialysis facilities and at least [DELETED] days prior written notice in the case of dialysis facilities that are acquired by Dialysis Center or that enter into management or administrative service agreements with Dialysis Center. In the event Dialysis Center provides [DELETED] or fewer days prior written notice, Dialysis Center agrees to coordinate with Dialysis Center’s Authorized Wholesaler to ensure purchases made by such Affiliates and/or Managed Centers are credited to Dialysis Center upon the date Amgen adds such Affiliates and/or Managed Centers to the list of Designated Affiliates or list of Designated Managed Centers, as applicable. Amgen shall restrict the dissemination of information pertaining to the addition of Affiliates as Designated Affiliates and Managed Centers as Designated Managed Centers to its employees, agents and contractors that have a need to know such information. So long as Dialysis Center has used its commercially reasonable best efforts to provide such advance notice to Amgen, such new Affiliates and Managed Centers shall be added to the list of Designated Affiliates or list of Designated Managed Centers, as applicable, as of the date of acquisition by Dialysis Center or the commencement of the management relationship between Dialysis Center and Managed Center or such later date specified by Dialysis Center.

2.2.2.

All purchases of the Product made on and after the date such Affiliates and Managed Centers are added to the list of Designated Affiliates or list of Designated Managed Centers, as applicable, shall constitute “Qualified Gross Purchases” under this Agreement and shall be included for purposes of calculating each and every discount and rebate provided hereunder and in Exhibit A (which is incorporated by reference hereto and made a part of this Agreement), including the [DELETED] Percentage. Amgen shall pay all discounts and rebates earned by Dialysis Center to Dialysis Center unless Amgen can demonstrate to Dialysis Center that it is obligated to pay any such discounts and/or rebates to any person or entity other than Dialysis Center.

2.2.3.

In the event of a change to information set forth in the list of Designated Affiliates or list of Designated Managed Centers (such as address), Dialysis Center shall [DELETED] notify Amgen and Amgen shall update the relevant list. Amgen shall reserve the right in its reasonable discretion to [DELETED] and [DELETED] in accordance with the following: [DELETED] by Amgen shall be effective (a) [DELETED].

2.2.4.

Dialysis Center shall ensure compliance with the terms and conditions of this Agreement applying to Dialysis Center by its Designated Affiliates and Designated Managed Centers. Dialysis Center

Page 3 of 66

shall be liable for the acts and omissions of its Designated Affiliates and Designated Managed Centers, and Amgen shall have the right (but not the obligation) to proceed directly against Dialysis Center in the event of a breach of this Agreement by any such Designated Affiliate or Designated Managed Center, without first proceeding against such Designated Affiliate or Designated Managed Center.

2.3.

Authorized Wholesalers. Only Product purchased from Authorized Wholesalers or directly from Amgen pursuant to this Section 2.3 shall be eligible for the pricing, discounts and/or rebates granted pursuant to this Agreement. Dialysis Center shall have the right to remove wholesalers from the list of Authorized Wholesalers by [DELETED] days prior written notice to Amgen, and shall have the right to add wholesalers to the list of Authorized Wholesalers by [DELETED] days notice to Amgen upon Amgen’s approval, which approval shall not be unreasonably withheld or delayed. Amgen shall have the right, in its reasonable discretion, to add wholesalers to the list of Authorized Wholesalers by [DELETED] days prior written notice to Dialysis Center. Amgen shall have the right, in its reasonable discretion, to remove wholesalers from the list of Authorized Wholesalers by [DELETED] days prior written notice to Dialysis Center, so long as (a) Amgen rejects or terminates such wholesaler with respect to providing the Product to any and all purchasers of the Product, or (b) such wholesaler independently requests Amgen to remove it as an Authorized Wholesaler for Dialysis Center. In the event Amgen terminates any Authorized Wholesaler from which any Dialysis Center Purchasers are purchasing the Product, Amgen shall work with Dialysis Center to transition the Dialysis Center Purchasers purchasing to an Authorized Wholesaler and shall use reasonable efforts to establish a direct purchasing relationship in any interim period, which in no event shall exceed [DELETED] days, between the removal of the removed Authorized Wholesaler and the initiation of purchases from a new Authorized Wholesaler, if no alternative Authorized Wholesaler exists at such time. Any such direct purchasing relationship shall be subject to credit qualification and the approval by Amgen of an application for direct ship account. If Dialysis Center Purchasers purchase directly from Amgen as contemplated immediately above, all purchases made from Amgen shall be deemed “Qualified Gross Purchases” and all such purchases shall be eligible for all of the discounts and/or rebates provided for in this Agreement and Exhibit A.

2.4.

Own Use. Dialysis Center hereby certifies that Product purchased hereunder shall be for Dialysis Center Purchasers’ “own use” for the treatment of dialysis patients. Only Product purchased for Dialysis Center Purchasers’ “own use” for the treatment of dialysis patients shall be eligible for the pricing, discounts and/or rebates available pursuant to this Agreement. Dialysis Center Purchasers covenant that they shall not seek any such pricing, discounts and/or rebates for any Product not for their “own use” for the treatment of dialysis patients, and shall [DELETED] notify Amgen in the event Amgen does provide Dialysis Center Purchasers any such pricing, discount and/or rebates.

2.5.

Product License Agreement. Amgen has publicly disclosed that it is a party to a product license agreement with Ortho Pharmaceutical Corporation. Amgen hereby represents to Dialysis Center that, under such product license agreement: (a) Amgen has the exclusive right to promote and sell Epoetin alfa, in the United States, under the trade name EPOGEN^® for use with dialysis patients, (b) Amgen has licensed Ortho, as Amgen’s distributor, the exclusive right to promote and sell Epoetin alfa in the United States under the trade name PROCRIT^® for non-dialysis uses only and (c) Ortho is not authorized to promote or sell PROCRIT^® in the United States for dialysis use. Consistent with the terms of such product license agreement and so long as such agreement remains in effect, Dialysis Center Purchasers shall not use PROCRIT^® for use with dialysis patients.

2.6.

Vial Sizes. Dialysis Center agrees that Dialysis Center Purchasers shall maintain consistency in their relative mix of Product types in their purchases. Dialysis Center shall give Amgen at least [DELETED] months’ prior written notice should the percentage of Dialysis Center Purchasers’ purchases made up by any particular SKU deviate by more than [DELETED] percent ([DELETED]%) from the previous [DELETED] unless Amgen’s prior written consent shall have been obtained. By way of example, if EPOGEN^® 2,000 unit/mL (NDC 55513-126-01) made up [DELETED]% of the aggregate purchases of Product by Dialysis Center Purchasers in the [DELETED] of given year, it shall make up no less than

Page 4 of 66

[DELETED]% (i.e. [DELETED]% of [DELETED]%) and no more than [DELETED]% (i.e. [DELETED]% of [DELETED]%) of the aggregate purchases of Product by Dialysis Center Purchasers in the [DELETED] of such year, unless Dialysis Center shall have given Amgen [DELETED] months’ prior written notice of such change. Dialysis Center shall [DELETED] notify and consult with Amgen should it consider a material change to its Product type mix. Amgen shall use its commercially reasonable efforts to accommodate requests by Dialysis Center for Product in SKUs different from its typical mix if such Product is available for distribution and sale in the Territory and is not committed to others.

3.	REBATES

3.1.

Earning and Vesting of Rebates. Dialysis Center shall qualify for rebates based upon verified Qualified Gross Purchases in accordance with the terms and conditions of this Agreement and the formulae set forth in Exhibit A. For the purposes of calculating any of the rebates hereunder, Qualified Gross Purchases shall be deemed made on the date of invoice to any Dialysis Center Purchaser from the Authorized Wholesaler or Amgen pursuant to Section 2.3.

3.2.

Payment of Rebates. Rebates shall be paid [DELETED] in arrears, within the time frame specified for each such rebate in Exhibit A, by electronic funds transfer (“EFT”) using EFT information provided to Amgen by Dialysis Center as necessary to enable EFT payment. Amgen Inc. hereby guarantees Amgen’s obligation to pay all rebates earned by Dialysis Center hereunder. All payments are subject to audit and final determination as provided in Section 3.3 hereto.

3.3.

Verification and Audit. Rebates specified herein are subject to verification and audit of the relevant purchase and other data (including the Data supplied pursuant to Section 4), as reasonably necessary to calculate amounts payable hereunder. Dialysis Center Purchasers shall maintain their books and records in accordance with U.S. generally accepted accounting principles, consistently applied. To the extent [DELETED], in its reasonable discretion, determines that it is necessary to verify and confirm the calculation of any rebate described in this Agreement in order to audit and assure compliance with the terms of this Agreement, [DELETED] shall provide written notice of same to [DELETED] (an “Objection Notice”) setting forth in detail any and all items of disagreement related to such computation or statement. [DELETED] shall [DELETED] engage (at [DELETED]’s sole cost and expense, subject to any reimbursement by [DELETED] as set forth below) and refer the items in dispute to a nationally recognized firm of independent, certified public accountants as to which [DELETED] agree (the “Firm”), to resolve any disagreements. [DELETED] will direct the Firm to render a written determination within [DELETED] days of its retention, and [DELETED] and their respective agents will cooperate with the Firm during its engagement. Any such audit shall be conducted during normal business hours, and so as not to unreasonably interfere with the business of [DELETED]. In the event any such audit is requested by [DELETED] and shows that [DELETED] have submitted incorrect information resulting in [DELETED] in excess of [DELETED] percent ([DELETED]%) of the amount to which it was entitled in any [DELETED], [DELETED] shall reimburse [DELETED] for the [DELETED] of such audit; otherwise, [DELETED] shall be responsible for the [DELETED] of such audit. In the event any such audit is requested by [DELETED] and shows that [DELETED] have submitted correct information but have been [DELETED] by more than [DELETED] percent ([DELETED]%) of the amount to which they were entitled in any [DELETED], [DELETED] shall reimburse [DELETED] for the [DELETED] of such audit; otherwise, [DELETED] shall be responsible for the [DELETED] of such audit. The determination of the Firm will be conclusive and binding upon [DELETED]. Following any audit that shows any [DELETED], [DELETED] shall, within [DELETED] ([DELETED]) days, make [DELETED] for the difference between the [DELETED] hereunder and the [DELETED] hereunder based upon the results of such audit.

3.4.

Adjustments for Changes. In accordance with Section 2.2 above, in the event of an Affiliate’s addition to or deletion from the list of Designated Affiliates or a Managed Center’s addition to or deletion from the list of Designated Managed Centers during any [DELETED] of the Term, Amgen shall adjust Qualified Gross Purchases to account for such change by adding or deleting such Designated Affiliates’ or

Page 5 of 66

Designated Managed Centers’, as applicable, purchases to or from the relevant [DELETED] or comparison [DELETED] (or portion thereof).

3.5.	Treatment of Discounts and Rebates.

3.5.1.

Dialysis Center agrees that Dialysis Center Purchasers shall properly disclose and account for all discounts and/or rebates earned hereunder, in whatever form, in compliance with all applicable federal, state, and local laws and regulations, including §1128B(b) of the Social Security Act, as amended and its implementing regulations. Dialysis Center agrees that, if required by such statutes or regulations, it (together with its Designated Affiliates) shall and it shall cause its Designated Managed Centers to (i) claim the benefit of such discount and/or rebate received in the fiscal year in which such discount and/or rebate was earned or the year after, (ii) fully and accurately report the value of such discount and/or rebate in any cost reports filed under Title XVIII or Title XIX of the Social Security Act, as amended or a state health care program, and (iii) provide, upon request by the U.S. Department of Health and Human Services or a state agency or any other federally funded state health care program, the information furnished to Dialysis Center Purchasers by Amgen concerning the amount or value of such discount and/or rebate.

3.5.2.

In order to assist Dialysis Center’s compliance with its obligations as set forth in Section 3.5.1 above, Amgen agrees that it will fully and accurately report all discounts and/or rebates on the invoices or statements submitted to Dialysis Center and use reasonable efforts to inform Dialysis Center of its obligations to report such discounts and/or rebates; or where the value of a discount and/or rebate is not known at the time of sale, Amgen shall fully and accurately report the existence of the discount and/or rebate program on the invoices or statements submitted to Dialysis Center, use reasonable efforts to inform Dialysis Center of its obligations to report such discounts and/or rebates and when the value of the discounts and/or rebates becomes known, provide Dialysis Center with documentation of the calculation of the discount and/or rebate identifying the specific goods or services purchased to which the discount and/or rebate will be applied, in accordance with Section 3.6 below.

3.6.

Reports. Amgen shall provide to Dialysis Center a [DELETED] statement of the discounts and/or rebates earned hereunder with the itemization of Product purchases made in a particular [DELETED], broken down for each Dialysis Center Purchaser and any other information that Dialysis Center may reasonably request that is reasonably available to Amgen and necessary for Dialysis Center to obtain in order to comply with its obligations hereunder. Dialysis Center agrees that it will provide such information to its Dialysis Center Purchasers in a timely manner in order to allow such Dialysis Center Purchasers to meet their reporting and other obligations hereunder and under applicable law and regulation.

3.7.

Best Price Limitation. Dialysis Center and Amgen do not intend for any discount or rebate under this Agreement or aggregated price concessions to Dialysis Center to result in the establishment of “Best Price” for any dosage, form or strength of the Product under the Medicaid Best Price Program (42 U.S.C. § 1396r-8) including all implementing regulations (“the Medicaid Best Price Program”). In the event transactions involving [DELETED] parties other than Dialysis Center result in Dialysis Center’s establishment of [DELETED], Amgen may [DELETED] under this Agreement. In all other events, Amgen shall have the right, in its sole discretion, to determine the extent to which any [DELETED] may impact Amgen’s [DELETED] calculation and in such instances, if Amgen believes any [DELETED] to Dialysis Center may establish [DELETED], Amgen shall have the right to [DELETED], and shall promptly notify Dialysis Center of the [DELETED]. Other than as provided for under Section 8.5, if Dialysis Center establishes “Best Price” for any dosage, form or strength of the Product under the Medicaid Best Price Program, then Amgen may only adjust [DELETED] available under this Agreement as described in this Agreement and in Exhibit A (i.e. [DELETED]). Any [DELETED] shall be collected from Dialysis Center through [DELETED] that Dialysis Center is entitled to [DELETED], as determined by Amgen. If the contract is terminated or expires prior to the full amount of [DELETED] owed to Amgen being collected, Dialysis Center shall pay any remaining amounts to Amgen within [DELETED] days of contract termination or expiration.

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4.	PATIENT AND PRODUCT DATA

4.1.

Data Submission. Subject to the requirements set forth elsewhere in this Agreement, including Exhibit A, Dialysis Center shall provide certain patient and product data, as specified on Schedule 1 (the “Data”) to Amgen (or to a data collection vendor specified and paid for by Amgen) on a [DELETED] basis by the last day of the following [DELETED] (or the next business day if such last day is not a business day). To the extent Amgen requests that Dialysis Center deliver the Data to a designated data collection vendor instead of Amgen directly, Dialysis Center’s delivery of the Data to such data collection vendor shall be considered delivery to Amgen for purposes of this Agreement. Data shall be submitted by Dialysis Center in the format set forth on Schedule 1. To the extent Amgen requests that Dialysis Center deliver the Data to a designated data collection vendor, Amgen agrees to cause any such designated data collection vendor to adhere to and be bound by all of the requirements relating to the confidentiality, use and disclosure of the Data hereunder as applicable to Amgen, and any failure by any such designated data collection vendor to act in accordance with such requirements shall be the sole responsibility of Amgen, and Amgen shall be directly liable to Dialysis Center as if Amgen had directly breached any of its obligations or the requirements related to the confidentiality, use or disclosure of the Data as set forth herein.

4.2.

HIPAA Compliance. The parties acknowledge and agree that Dialysis Center has no intent to provide to Amgen (or any designated data collection vendor), and Amgen has no intent to receive from Dialysis Center, any Data in violation of the HIPAA Privacy Rule. Further, it is the intent of such parties that each delivery of the Data hereunder to Amgen (or such designee) meet the requirements for “statistical de-identification” as set forth in 45 C.F.R. Section 164.514(b)(1). Accordingly, and notwithstanding anything in this Agreement to the contrary, Amgen acknowledges and agrees that Dialysis Center shall not be obligated to submit any Data pursuant to this Agreement unless and until a Certification has been delivered to Dialysis Center for the submission of such Data and the Certification Requirements (as defined in Section 4.3) therein have been satisfied. For purposes of the foregoing, “Certification” shall mean a written certification delivered to Dialysis Center by a statistician who is reasonably acceptable to Dialysis Center and Amgen who meets the requirements set forth in 45 C.F.R. Section 164.514(b)(1) (a “Statistician”), which Certification must conclude that, subject to any conditions, requirements or assumptions set forth therein, each delivery of the Data pursuant to this Agreement will meet the standards for “de-identification” under HIPAA.

4.3.

Certification Requirements. Promptly following the date of execution of this Agreement by the parties, Dialysis Center will engage (at Amgen’s sole cost and expense) a Statistician to render a Certification to Dialysis Center. In connection with the delivery of the Certification the parties agree to use their reasonable best efforts to facilitate the delivery of such Certification in an expedited manner. In support of the foregoing and in acknowledgement that the delivery of the Data hereunder is contemplated to be an ongoing obligation of Dialysis Center, the parties agree to amend or supplement this Agreement from time to time to reflect those additional representations, warranties or covenants of the parties as are necessary to support any conditions, requirements or assumptions contained in such Certification (the “Certification Requirements”). During the Term and upon request from Dialysis Center (which request shall not be more frequently than [DELETED] per [DELETED], if at all), Amgen agrees to certify to Dialysis Center in writing that the Certification Requirements have been fulfilled and that any representations or covenants of Amgen contained in this Agreement (or in any amendment or supplement hereto) in support of such Certification Requirements are true and correct or have been satisfied, as the case may be. Notwithstanding anything in this Agreement to the contrary, Amgen shall be under no obligation to pay any rebates pursuant to this Agreement, unless and until the initial Certification is issued.

4.4.	Invalid Certification.

4.4.1.

In the event that the Statistician determines that a Certification is no longer valid, the parties agree to use their reasonable best efforts to work together in good faith and take such actions as may be necessary to cause a valid Certification to be issued to Dialysis Center such that the delivery of the Data hereunder to Amgen may be resumed as quickly as possible, with the intent of preserving as many of the Data elements set forth in Schedule 1 as possible.

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4.4.2.

In the event that a change in applicable laws, rules or regulations is the cause for the Certification becoming invalid, each party shall have the right, after attempting to negotiate changes to this Agreement as contemplated above, to terminate this Agreement upon [DELETED] days written notice with no requirement that Dialysis Center deliver the Data and no right of Dialysis Center to receive the rebates set forth in Exhibit A.

4.4.3.

In the event Dialysis Center is the cause of such Certification becoming invalid, Amgen shall have the right, after working together in good faith to take such actions as may be necessary to cause a valid Certification to be issued as contemplated above, to terminate this Agreement upon [DELETED] days prior written notice to Dialysis Center. In connection with any such termination, Amgen shall pay to Dialysis Center, in accordance with Exhibit A, the appropriate proportion of any rebates earned up to the dates covered in the last Data submission by Dialysis Center and thereafter Dialysis Center shall have no obligation to deliver any Data.

4.4.4.

If Amgen is the cause of such Certification becoming invalid, Dialysis Center shall promptly notify Amgen of that fact and the parties shall work together in good faith to take such actions as may be necessary to cause a valid Certification to be issued as contemplated above.

4.4.5.

If a replacement Certification is not obtained within [DELETED] days of the date that Dialysis Center sent the notice stating that the Certification was invalidated, either party may terminate this Agreement effective as of the [DELETED] day after Dialysis Center transmitted the notice that the Certification was invalidated.

4.4.6.

From the date Dialysis Center sends the notice to Amgen that the Certification was invalidated until the time that a new Certification is issued or the time that this Agreement is terminated, which period shall not exceed [DELETED] days from the date that Dialysis Center sent the notice of invalidation, Dialysis Center may suspend the delivery of the Data without losing the ability to earn rebates through the date this Agreement is terminated. To the extent the Data necessary for Amgen to calculate any rebate described in Exhibit A is not delivered as a result of a Certification becoming invalid, Dialysis Center shall calculate such rebates and shall provide the results of such calculations to Amgen until the delivery of the Data hereunder to Amgen can be resumed. In connection with the foregoing, Amgen shall be permitted to audit any such calculations made by Dialysis Center, either directly or through a third party selected by Amgen, subject to the execution and delivery of appropriate agreements regarding confidentiality and compliance with laws, including HIPAA.

4.5.

Amgen Activities; Permitted Data Elements. Amgen represents, warrants, covenants and agrees that (i) absent the express written consent from Dialysis Center and other than linking with fields of information that contain only Permitted Data Elements (as defined below), Amgen will not link the Data with any other data elements; (ii) Amgen will delete, purge or eliminate from any database that will hold the Data, all data elements identified in the safe harbor at 45 C.F.R. Section 164.514(b)(2)(i), other than any data element that constitutes a Permitted Data Element; and (iii) Amgen will not create any reports that contain Patient Level Data (as defined below) or permit access to the Data by any person who otherwise has access to Patient Level Data for patients of Dialysis Center. For purposes of the foregoing and this Agreement, the following definitions shall apply: (A) “Patient Level Data” shall mean any data elements attributable to a particular patient; and (B) “Permitted Data Element” shall mean the data elements comprising [DELETED]. Amgen represents, warrants, covenants and agrees that throughout the Term it will maintain and enforce such policies, standards or procedures, including those regarding various physical, technical and procedural safeguards, as necessary for Amgen to comply with the restrictions on use and disclosure of the Data by Amgen that are set forth herein. To the extent that Amgen desires to link with any data element not included in the list of Permitted Data Elements, Amgen shall so inform Dialysis Center in writing and identify the additional data elements desired to be included as a Permitted Data Element hereunder. Upon receipt of such notice, Dialysis Center will promptly engage, at Amgen’s expense, a Statistician to render a written Certification to Dialysis Center with respect to the Data, taking into account the desired linking of the additional data to be included as a

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Permitted Data Element hereunder. In connection with the foregoing, such Statistician shall provide a timeline to both Dialysis Center and Amgen setting forth the required time and any additional information necessary for such Statistician to conduct an appropriate review of such new desired Permitted Data Elements, and inform the parties whether a Certification can be rendered within [DELETED] days. To the extent that such Statistician determines that such Certification cannot be rendered within such [DELETED] day time period, Dialysis Center and Amgen shall work together in good faith to identify a mutually acceptable alternate solution.

4.6.

Data Use. Amgen and Amgen Inc. covenant and agree that Amgen shall only be permitted to use the Data as follows: (i) [DELETED]. In addition, Amgen may use the Data, with the prior written consent of Dialysis Center (which shall not be unreasonably withheld), in support of any [DELETED]. Except as set forth above, Amgen and Amgen Inc. covenant that Amgen shall not otherwise use, disclose, sell or resell the Data, or the results of any analyses or any derivative works based in whole or part on any Data, without the prior written consent of Dialysis Center. Notwithstanding anything in this Agreement to the contrary, Amgen agrees to not use any Data (or the results of any analyses or any derivative works based in whole or part on any Data) in a manner that shows the Data separately or specifies that it came from any Dialysis Center Purchasers; provided however, that so long as the Data does not (a) constitute more than [DELETED] percent ([DELETED]%) of the overall data displayed for purposes of [DELETED]; and (b) reasonably result in a [DELETED], as determined by Dialysis Center in its reasonable discretion, then Amgen shall be permitted to use the Data (or the results of any analyses or any derivative works based in whole or part on any Data) for such purpose.

4.7.

Patient ID. The “Patient ID” as described in the Data to be delivered hereunder shall be a consistent and unique alpha-numeric code (which shall not be derived from Individually Identifiable Health Information) and a “case identifier” to track the care rendered to each individual patient over time, and Amgen and Amgen Inc. covenant that Amgen shall not request and Dialysis Center shall not provide the key or list matching patient identities to these “Patient IDs” or unique case identifiers.

4.8.

Clinical Research Studies. Dialysis Center and Amgen acknowledge that Dialysis Center, either directly or through DaVita Clinical Research, Inc. (“DCR”), an Affiliate of Dialysis Center, may from time to time be engaged in research studies in which patients of Dialysis Center Purchasers, may serve as clinical trial subjects (a “Research Study”). Notwithstanding any obligation of Dialysis Center in this Agreement to the contrary, including any requirement in Section 3.4 of Exhibit A, Dialysis Center shall not be required [DELETED], but shall continue without limitation to be eligible for, and if earned receive, all rebates granted pursuant to this Agreement, so long as (i) Dialysis Center notifies Amgen of the [DELETED] by Dialysis Center to Amgen as otherwise required by this Agreement as a result of such [DELETED], and (ii) [DELETED] whose [DELETED] Dialysis Center does not exceed the [DELETED]. For purposes of the foregoing, “[DELETED]” means [DELETED] of the aggregate number of persons receiving treatment from Dialysis Center Purchasers in any calendar [DELETED].

5.	COMPENSATION DATA

Dialysis Center agrees that it shall provide the data, with respect to the Product, set forth on Schedule 2 attached hereto (the “Compensation Data”) to Amgen in the electronic format set forth on Schedule 2 on a [DELETED] basis no later than the [DELETED] day of the following [DELETED] following the [DELETED] for which such Compensation Data is being provided. Amgen acknowledges, agrees and covenants that it shall only use the Compensation Data for [DELETED]. Dialysis Center and Amgen acknowledge and agree that the Compensation Data does not include and shall never include any Individually Identifiable Health Information of any patient of Dialysis Center Purchasers. Notwithstanding the foregoing, Amgen acknowledges and agrees that Dialysis Center shall only be required to deliver the Compensation Data to Amgen for as long as [DELETED]. Amgen shall indemnify, defend and hold harmless Dialysis Center from and against any and all loss, damage and/or expense (including reasonable attorney’s fees) that it may suffer as a result of claims, demands, actions, proceedings, liabilities, costs or judgments, or threats thereof arising out Dialysis Center’s supply of the Compensation Data to Amgen.

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6.	WARRANTIES, REPRESENTATIONS AND COVENANTS

6.1.

Power and Authority. Each party represents and warrants to the other that this Agreement: (a) has been duly authorized, executed, and delivered by it, (b) constitutes a valid, legal, and binding agreement enforceable against it in accordance with the terms contained herein, and (c) does not conflict with or violate any of its other contractual obligations, expressed or implied, to which it is a party or by which it may be bound. The party executing this Agreement on behalf of Dialysis Center specifically warrants and represents to Amgen that it is authorized to execute this Agreement on behalf of and has the power to bind the Dialysis Center Purchasers to the terms set forth in this Agreement. The parties executing this Agreement on behalf of Amgen and Amgen Inc. specifically warrant and represent to Dialysis Center that they are authorized to execute this Agreement on behalf of and have the power to bind Amgen and Amgen Inc. to the terms set forth in this Agreement.

6.2.

Compliance with Law and Regulation. Amgen and Amgen Inc. shall, and Dialysis Center shall, comply with all applicable laws and regulations. Both parties represent and warrant the following (which representations and warranties shall be ongoing representations and warranties during the Term), and each party shall promptly notify the other party of any known change in status in respect to the following: (i) that it is not currently named on any of the following lists (A) HHS/OIG List of Excluded Individuals/Entities, (B) GSA List of Parties Excluded from Federal Programs, or (C) OFAC “SDN and Blocked Individuals”; and (ii) that if during the Term there is a change in either party’s status which excludes it from participation in any Federal health care program, the other party may terminate this Agreement [DELETED] upon prior written notice to the other party.

6.3.

Product. Amgen covenants and agrees that the Product is not and will not be adulterated or misbranded within the meaning of the Federal Food, Drug and Cosmetic Act, as amended, or within the meaning of any applicable state or municipal law, or is or will be a product which may not be introduced in to interstate commerce. Amgen warrants that the Product purchased pursuant to this Agreement (a) is manufactured, and up to the time of its receipt by Authorized Wholesalers is handled, stored and transported in accordance with all applicable federal, state and local laws and implementing regulations, and meet all specifications for effectiveness and reliability as required by the United States Food and Drug Administration (the “FDA”), and (b) when used in accordance with the directions in the labeling is fit for the purposes and indications described in the labeling. Amgen warrants that the use of the Product by Dialysis Center Purchasers shall not infringe upon any ownership rights of any other person or upon any patent, copyright, trademark or other intellectual property or proprietary right or trade secret of any third party. Amgen agrees that as soon as practicable it will notify Dialysis Center of any material defect in the Product delivered to any Dialysis Center Purchasers in accordance with applicable law.

7.	INDEMNITY AND INSURANCE

7.1.

Insurance. Each of the parties agrees that it shall secure and maintain in full force and effect throughout the Term (and following termination, to the extent necessary to cover any claims arising from this Agreement) [DELETED] insurance and [DELETED] insurance (in the case of [DELETED]) each with limits of $[DELETED] each claim and in the aggregate including [DELETED] coverage and [DELETED] coverage in accordance with [DELETED]. Dialysis Center shall carry [DELETED] insurance with limits of $[DELETED] for each claim and in the aggregate. Any limits on either party’s insurance coverage shall not be construed to create a limit on such party’s liability with respect to its obligations under this Agreement. Each of the parties shall be named as an additional insured in each of the other’s [DELETED] insurance policy or policies, except that [DELETED] shall not be obligated to name [DELETED] as an additional insured under its [DELETED] coverage. To the extent practicable, such policies shall provide at least [DELETED] days prior written notice to the other party of the [DELETED]. Each of the parties shall supply certificates of insurance to the other party upon request, stating that [DELETED]. Amgen Inc. hereby guarantees the performance of Amgen’s obligations as set forth in this Section 7.1. Each of the parties shall have the right to satisfy its obligations under this Section 7.1 through self-insurance.

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7.2.	Indemnity.

7.2.1.

By Amgen. Amgen agrees to indemnify, defend, and hold Dialysis Center, its officers, directors, agents and employees (collectively, the “Dialysis Center Indemnitees”) harmless from and against any and all loss, damage and/or expense (including reasonable attorney’s fees) that they may suffer as a result of claims, demands, actions, proceedings, liabilities, costs or judgments, or threats thereof arising out of (i) any defect in the design or manufacture of the Product or handling by Amgen of the Product, including claims for property damage, loss of life, and bodily injury; or (ii) the breach by Amgen or Amgen Inc. of any of their respective warranties, representations or covenants contained in this Agreement. This indemnity is conditioned on Dialysis Center notifying Amgen of any claims falling within this indemnity within [DELETED] days after Dialysis Center receives notice of such claim. Notwithstanding anything to the contrary contained herein, Amgen and Amgen Inc. shall not have any obligation to defend, indemnify or hold the Dialysis Center Indemnitees harmless from claims, suits or damages, arising [DELETED]. Amgen Inc. hereby guarantees the performance of Amgen’s obligations as set forth in this Section 7.2.1. This indemnification shall survive the termination or expiration of this Agreement.

7.2.2.

By Dialysis Center. Dialysis Center agrees to indemnify, defend, and hold Amgen, its officers, directors, agents and employees (collectively, the “Amgen Indemnitees”) harmless from and against any and all loss, damage, and/or expense (including reasonable attorney’s fees) that they may suffer as a result of claims, demands, actions, proceedings, liabilities, costs or judgments, or threats thereof arising out of (i) Dialysis Center’s negligence or misconduct in the “administration” of the Product to its patients; or (ii) the breach by Dialysis Center of any of its warranties, representations or covenants contained in this Agreement. For purposes of the foregoing, the “administration” of the Product by Dialysis Center shall mean the dispensing and handling by Dialysis Center and its employees of such Product and the actual administration of such Product to patients by Dialysis Center and its employees, but shall exclude physician prescriptions of such Product to patients. This indemnity is conditioned on Amgen notifying Dialysis Center of any claims falling within this indemnity within [DELETED] days after Amgen receives notice of such claim. Notwithstanding anything to the contrary contained herein, Dialysis Center shall not have any obligation to defend, indemnify or hold the Amgen Indemnitees harmless from claims, suits or damages, arising [DELETED]. This indemnification shall survive the termination or expiration of this Agreement.

8.	TERM AND TERMINATION

8.1.	Term. This Agreement shall come into effect as of the Term Start Date and shall expire as of the Term End Date (the “Term”), unless sooner terminated in accordance with this Section 8.

8.2.

Termination for Breach. In addition to any other legal or equitable remedies which may be available to either party upon breach by the other party (other than Section 9.17), the non-breaching party may terminate this Agreement for a material breach upon [DELETED] days advance written notice specifying the breach, provided that such breach remains uncured at the end of the [DELETED] day period, or, where a cure cannot be completed within [DELETED] days, the breaching party has not materially commenced in good faith to effectuate a cure within such [DELETED] day period. In addition, in the event that Dialysis Center materially breaches any provision of this Agreement, and such breach remains uncured for [DELETED] days following written notice by Amgen specifying the breach, or where a cure cannot be completed within [DELETED] days and Dialysis Center has not materially commenced in good faith to effectuate such cure within such [DELETED] day period, Amgen shall have no obligation to continue to offer the terms described herein or pay any further discounts and/or rebates to Dialysis Center, except those discounts and/or rebates earned by Dialysis Center Purchasers up to the time of a breach which results in termination

8.3.	Termination for Denying Access to Designated Affiliates and/or Designated Managed Centers. In the event of a breach by either party of the terms and conditions of Section 9.17, the non-breaching party may

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terminate this Agreement for a breach upon [DELETED] days advance written notice specifying the breach, provided that such breach remains uncured at the end of such [DELETED] day period, or, where a cure cannot be completed within such [DELETED] day period, and the breaching party has not commenced in good faith to effectuate a cure within such [DELETED] day period.

8.4.	Termination for [DELETED]. Either party shall have the right to terminate this Agreement [DELETED] by [DELETED] days prior written notice to the other party.

8.5.

Compliance with or Change in Law or Regulation. Notwithstanding anything contained herein to the contrary, in order to assure compliance with any existing federal, state or local statute, regulation or ordinance, or at any time following the enactment of any federal, state, or local law, regulation, policy, program memorandum or other interpretation, modification or utilization guideline by any payer that in any material manner reforms, modifies, alters, restricts, or otherwise materially affects the pricing of or reimbursement available for the Product, including the enactment of any reimbursement rule, guideline, final program memorandum, coverage decision, pricing decision, instruction or the like by the Centers for Medicare and Medicaid Services or one of its contractors (carriers or fiscal intermediaries), or any change in reimbursement systems that in any material manner reforms, modifies, alters, restricts or otherwise materially affects the reimbursement available to Dialysis Center for the Product, upon [DELETED] days prior written notice, (i) either party may [DELETED], (ii) Amgen may [DELETED] contained herein, or (iii) Amgen may [DELETED] in this Agreement. Additionally, to assure compliance with any existing federal, state or local statute, regulation or ordinance, Amgen [DELETED]. In the event either party has provided the other party a [DELETED] day notice as described in this Section 8.5, the parties agree to meet and, in good faith, negotiate a [DELETED]. Any such negotiations shall in no way toll or otherwise impact either party’s rights under this Section 8.5.

8.6.

Effect of Termination. Upon any termination or expiration of this Agreement, any earned and vested rebates shall be paid in accordance with the terms set forth in Section 3. Upon termination of this Agreement for any reason other than actual or threatened breach by Dialysis Center, any earned but unvested rebates shall vest as of the effective date of such termination. In the event of any termination during a [DELETED], Amgen shall pro-rate any data used in calculating payments hereunder, and such payments, as appropriate.

8.7.	Survival. Sections 7 and 9 shall survive any expiration or termination of this Agreement. Sections 3.2 – 3.5, Sections 4 and 8.6 shall survive with respect to periods prior to such expiration or termination.

9.	MISCELLANEOUS

9.1.	Amendment. Except as expressly set forth herein, no amendment of this Agreement shall be effective unless expressed in a writing signed by a duly authorized representative of each party.

9.2.	Assignment. Neither party may assign this Agreement to a third party without the prior written consent of the other party, which consent may not be unreasonably withheld, conditioned, or delayed.

9.3.

Conflicting Provisions. To the extent that any provisions of Amgen’s general or customary policies and procedures or any terms of any purchase order conflict with or are in addition to the terms of this Agreement or any Exhibit or Schedule attached hereto, the terms of this Agreement and its Exhibits and Schedules shall govern.

9.4.	Construction. This Agreement shall be deemed to have been jointly drafted by the parties, and no rule of strict construction shall apply against either party. As used herein, the word “including” shall mean “including, without limitation.”

9.5.	Counterparts; Facsimile/PDF Signatures. This Agreement may be executed in one or more counterparts, each of which shall be considered an original. The parties hereto agree that facsimile or PDF transmission of original signatures shall constitute and be accepted as original signatures.

9.6.	Currency. All amounts herein are set forth in United States Dollars.

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9.7.

Force Majeure. Neither party will be liable for delays in performance or nonperformance of this Agreement or any covenant contained herein if such delay or nonperformance is a result of Acts of God, civil or military authority, civil disobedience, epidemics, war, failure of carriers to furnish transportation, strike, lockout or other labor disturbances, inability to obtain material or equipment, or any other cause of like or different nature beyond the control of such party. In the event there is a disruption or shortage in supply of the Product, Amgen will use commercially reasonable efforts to notify Authorized Wholesalers of such disruption in a time period and manner that is consistent with Amgen’s notification to other wholesalers of the Product.

9.8.

Further Assurances. Each party shall perform all further acts reasonably requested by the other to effectuate the purposes of this Agreement, including obtaining the certifications under Section 4 or obtaining purchase data necessary from third parties to calculate any amounts payable pursuant to Exhibit A.

9.9.	Governing Law. This Agreement shall be governed by the laws of the State of California (without regard to its conflict of law rules) and, except as otherwise set forth in this Agreement, the parties submit to the jurisdiction of the California courts, both state and federal.

9.10.

Merger. This Agreement, together with the Information Sheet, the Schedules, and the Exhibits constitutes the entire agreement, written or oral, of the parties as of the Term Start Date concerning the subject matter hereof.

9.11.

No Partnership. The relationship between Amgen and Dialysis Center is that of independent contractors, and not a partnership or an agency, franchise or other relationship. Neither party shall have the authority to bind the other.

9.12.

Notices. Any notice or other communication required or permitted hereunder (excluding purchase orders) shall be in writing and shall be deemed given or made five (5) days after deposit in the United States mail with proper postage for first-class registered or certified mail prepaid, return receipt requested, or when delivered personally or by facsimile (as shown by concurrent written transmission confirmation and confirmed by overnight mail), or one (1) day following traceable delivery to a nationally recognized overnight delivery service with instructions for overnight delivery, in each case addressed to the address set forth below, or at such designated address that either party shall have furnished to the other in accordance with this Section 9.12:

If to Amgen:

Amgen USA Inc.

One Amgen Center Drive, M/S 27-4-A

Thousand Oaks, CA 91320-1789

Attn: Specialist, Contracts & Pricing – Nephrology Business Unit

Fax: (877) 839-1879

with a copy to :

Amgen USA Inc.

One Amgen Center Drive, M/S 38-5-A

Thousand Oaks, CA 91320-1789

Attn: General Counsel

Fax: (805) 499-4531

If to Amgen Inc.: Amgen Inc.

One Amgen Center Drive, M/S 38-5-A

Thousand Oaks, CA 91320-1789

Attn: General Counsel

Fax No.: (805) 499-4531

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If to Dialysis Center:

DaVita Inc.

1350 Old Bayshore Highway, Suite 777

Burlingame, California 94010

Attn: Vice-President of Purchasing

Fax No.: (866) 445-0435

with a copy to:

DaVita Inc.

601 Hawaii Street

El Segundo, CA 90245

Attn: General Counsel

Fax No.: (866) 912-0682

9.13.

Confidentiality. By the nature, terms and performance of this Agreement, Amgen and Dialysis Center acknowledge and agree that the parties will exchange confidential and proprietary information (including business and clinical practices and protocols and patient information) (collectively, “Confidential Information”). Confidential Information includes not only written information but also information transferred orally, visually, electronically, in a machine readable format or by any other means and includes all notes, analyses, compilations, studies and summaries thereof containing or based on, in whole or in part, any Confidential Information. Confidential Information does not include any information which the receiving party can show was publicly available prior to the receipt of such information by the receiving party, or thereafter became publicly available other than by any breach of this Agreement by the receiving party, additionally, for Dialysis Center only, Confidential Information does not include the Data or the Compensation Data. Information shall be deemed “publicly available” if it is a matter of public knowledge or is contained in materials available to the public. Accordingly, the parties agree (a) to hold all such Confidential Information (including the terms of this Agreement) received from the other in confidence and to use such Confidential Information solely for the purposes set forth in this Agreement; and (b) to not disclose any such Confidential Information received from the other, or the terms of this Agreement, to any third party (including Amgen Inc. or any other affiliate of Amgen), or otherwise make such information public without prior written authorization of the other party, except where such disclosure is contemplated hereunder or required by law or pursuant to subpoena or court or administrative order, and then only upon prior written notification to the other party (giving such party an adequate opportunity to take whatever steps it deems necessary to prevent, limit the scope of or contest the disclosure). Any party which seeks to prevent disclosure or to contest or limit the scope of any such disclosure by the other party shall pay all of the costs and expenses incurred by the other party directly related thereto, and such other party shall not unreasonably object to or interfere with the objecting party’s actions it deems necessary to undertake. For purposes of the foregoing, any Confidential Information received by any employee, partner, agent, affiliate, consultant, advisor, data collection vendor or other representative (a “Representative”) of a party to this Agreement pursuant to the terms of this Agreement shall be deemed received by such party to this Agreement, and any breach by any such Representative of the foregoing confidentiality provisions shall be deemed a breach by the respective party to this Agreement.

9.14.

Severability. Subject to the provisions of Section 8.5, should any one or more of the provisions of this Agreement be determined to be illegal or unenforceable, the parties shall attempt, in good faith, to negotiate a modification of this Agreement so as to comply with the relevant law or regulation. Should they be unable to do so within [DELETED] days, either party shall have the right to terminate this Agreement upon [DELETED] days prior written notice to the other.

9.15.

Waiver. No party shall be deemed to have waived any right hereunder, unless such waiver is expressed in a writing signed by such party.

9.16.

Open Records. To the extent required by §1861(v)(1)(I) of the Social Security Act, as amended, the parties will allow the U.S. Department of Health and Human Services, the U.S. Comptroller General and

Page 14 of 66

their duly authorized representatives, access to this Agreement and all books, documents and records necessary to certify the nature and extent of costs incurred pursuant to it during the Term and for four (4) years following the last date any Product or services are furnished under it. If Amgen carries out the duties of this Agreement through a subcontract worth $10,000 or more over a 12-month period with a related organization, the subcontract shall also contain an access clause to permit access by the U.S. Department of Health and Human Services, the U.S. Comptroller General, and their duly authorized representatives to the related organization’s books and records.

9.17.

[DELETED] Amgen’s sales representatives shall be [DELETED]. Amgen covenants and agrees that neither it nor any of its sales representatives shall have access to any Individually Identifiable Health Information [DELETED]. Amgen acknowledges and agrees that (i) all of Dialysis Center’s applicable vendor relations policies and procedures and any updates thereto (the “Policies and Procedures”) that will be in effect during the Term are and will be available for viewing by Amgen and its sales representatives during the Term at http://www.davita.com/about/company/?id=3902 and (ii) Amgen and its sales representatives shall abide by all such Policies and Procedures during the Term [DELETED]. The parties acknowledge and agree that all [DELETED] (the “Initial Materials”). Amgen has delivered a true and correct copy of the Initial Materials listed in Schedule 3 to Dialysis Center prior to the Term Start Date. Amgen covenants and agrees that any changes, modifications and/or supplements to the Initial Materials and/or any [DELETED] must be approved by DCR, which approval may only be given in writing by DCR’s Vice President of Clinical Research or his authorized representative. DCR’s Vice President of Clinical Research or his authorized representative agrees to notify Amgen of his decision within ten (10) business days following receipt of such request; otherwise, such request will be deemed denied.

********

Page 15 of 66

The parties have executed this Agreement by their designated representatives set forth below.


AMGEN USA INC.		DIALYSIS CENTER

By:	/s/ Neil Bankston	By:	/s/ Dennis Kogod
Name (print):	Neil Bankston	Name (print):	Dennis Kogod
Title:	Executive Director, Contracts & Pricing	Title:	Chief Operating Officer
Date:	12/17/2010	Date:	12/17/2010

Amgen Inc. with respect to certain provisions of this Agreement as set forth herein.


Amgen Inc.

By:		/s/ Neil Bankston
Name (print):		Neil Bankston
Title:		Executive Director, Pricing
Date:		12/17/2010

Page 16 of 66

Exhibit A

Discount Terms and Conditions

1	DEFINITIONS. In addition to the defined terms set forth in Section 1 of this Agreement, the following terms, as used in this Exhibit A, shall have the meaning ascribed below.

[DELETED] Rebate Definitions

1.1	“[DELETED]” shall mean, at any date of determination, [DELETED] as of such date.

1.2	“Discounts” shall mean all rebates and discounts set forth in this Agreement that may be earned by the Dialysis Center Purchasers pursuant to the terms and conditions set forth in this Agreement, which shall be earned, calculated and vested as provided in this Agreement.

1.3	“[DELETED]” shall mean [DELETED] percent ([DELETED]%) [DELETED] as of [DELETED], which is $[DELETED] per [DELETED] units of EPOGEN, or $[DELETED].

1.4	“[DELETED] Rebate” shall mean the rebate described in Section 3.2 of this Exhibit A.

1.5	“[DELETED] Rebate Percentage” shall mean, at any date of determination, a percentage (rounded to two decimal places) to calculate any [DELETED] Rebate to be paid to Dialysis Center on account of [DELETED], which [DELETED] Rebate Percentage shall equal:

A – B * C

Where

“A” equals [DELETED]

“B” equals [DELETED]

“C” equals [DELETED] minus the Discounts earned by Dialysis Center Purchasers during such [DELETED], expressed as a percentage of Qualified Gross Purchases

For example, if [DELETED] is $[DELETED], [DELETED] is $[DELETED] and the Discounts earned during the applicable [DELETED] are [DELETED] % of Qualified Gross Purchases for such [DELETED], the [DELETED] Rebate Percentage would be calculated as follows:

[DELETED] Rebate Percentage Illustration:

[DELETED] – [DELETED] * ([DELETED] – Discount %)

[DELETED]

$[DELETED] – $[DELETED] * ([DELETED] – [DELETED]) = [DELETED]%

$[DELETED]

[DELETED] Rebate Definitions

1.6	“Aggregate [DELETED] Performance” shall mean [DELETED]% for the period of [DELETED], 2011 through [DELETED], 2011 and [DELETED]% for the period of [DELETED], 2011 through [DELETED], 2011.

1.7	“Aggregate [DELETED] Percentage” shall mean for any [DELETED] during the Term, the percentage of Dialysis Center Purchasers’ [DELETED] calculated as set forth in Section 3.3.3 of this Exhibit A.

Page 17 of 66

1.8	“Aggregate [DELETED] Performance” shall mean [DELETED]% for the period of [DELETED], 2011 through [DELETED], 2011 and [DELETED]% for the period of [DELETED], 2011 through [DELETED], 2011.

1.9	“Aggregate [DELETED] Percentage” shall mean for any [DELETED] during the Term, the percentage of Dialysis Center Purchasers’ [DELETED] calculated as set forth in Section 3.3.4 of this Exhibit A.

1.10

“[DELETED] Rebate Score” shall mean for any [DELETED] in [DELETED], the “Earned Rebate Score” (as designated in the [DELETED] Rebate Score Table below) multiplied by [DELETED]. The Earned Rebate Score shall be determined by calculating the difference between (A) the Aggregate [DELETED] Percentage for such [DELETED] and (B) Aggregate [DELETED] Performance.


[DELETED] Rebate Score Table
Aggregate [DELETED] Percentage minus Aggregate [DELETED] Performance		Earned Rebate Score
[DELETED]% [DELETED]		[DELETED]
[DELETED]% - [DELETED]%		[DELETED]
[DELETED]% - [DELETED]%		[DELETED]
[DELETED]% - [DELETED]%		[DELETED]
[DELETED]% - [DELETED]%		[DELETED]
[DELETED]% and [DELETED]		[DELETED]

1.11


[DELETED] Rebate Score Table
Aggregate [DELETED] Percentage minus Aggregate [DELETED] Performance		Earned Rebate Score
[DELETED]% and [DELETED]		[DELETED]
[DELETED]% - [DELETED]%		[DELETED]
[DELETED]% - [DELETED]%		[DELETED]
[DELETED]%- [DELETED]%		[DELETED]
[DELETED]% - [DELETED]%		[DELETED]
[DELETED]% and [DELETED]		[DELETED]

1.12	“[DELETED] Rebate” shall mean the rebate described in Section 3.3 of this Exhibit A.

1.13

“[DELETED] Score” shall mean for any [DELETED] occurring during calendar year [DELETED], a percentage equal to (i) the [DELETED], for such [DELETED], (A) the [DELETED] Rebate Score plus (B) the [DELETED] Rebate Score, [DELETED] (ii) [DELETED] (i.e., the maximum achievable [DELETED] Rebate Score and [DELETED] Rebate Score for such [DELETED]). For the avoidance of doubt, for purposes of calculating [DELETED] Score for the Term, no Dialysis Center Purchasers which have been added or removed during the Term shall be included in the Aggregate Greater than 12 Percentage or the Aggregate Less than Ten Percentage of such calculation and the Aggregate [DELETED] Performance and the Aggregate [DELETED] Performance shall remain unchanged.

2	[DELETED]. The rebates Dialysis Center may be eligible to receive as set forth in this Exhibit A are subject to the following [DELETED].

2.1

[DELETED]. The rebates set forth in this Exhibit A shall only be paid to Dialysis Center on aggregate Qualified Gross Purchases made during any [DELETED] that do not [DELETED] percent ([DELETED]%) of the aggregate Qualified Gross Purchases made in the immediately preceding [DELETED]. Such calculation shall be adjusted pursuant to Sections 2.2 and 3.4 of the Agreement to

Page 18 of 66

reflect any Dialysis Center Purchasers added or removed during such period and to remove from the calculation the effect of any change in [DELETED] during the relevant comparison periods.

2.2

Amgen may, in its sole discretion, determine that Dialysis Center may be eligible to receive rebates on Qualified Gross Purchases [DELETED] percent ([DELETED]%) if such Qualified Gross Purchases are predicated upon [DELETED]. Amgen shall make such determination based upon a review of all relevant reports including, but not limited to: [DELETED] reports. Such determination must be approved by Amgen’s Corporate Accounts Senior Management.

3	PRODUCT REBATES

3.1	[DELETED] Rebate. Dialysis Center shall earn the [DELETED] Rebate for each [DELETED] during the Term as described below in this Section 3.1 of this Exhibit A.

3.1.1

Calculation of [DELETED] Rebate. Dialysis Center shall receive an [DELETED] percent ([DELETED]%) [DELETED] rebate payment (the “[DELETED] Rebate”). The [DELETED] Rebate will be calculated as a percentage of the Qualified Gross Purchases during each [DELETED].

3.1.2

Payment of [DELETED] Rebate. Amgen will pay the [DELETED] Rebate within [DELETED] ([DELETED]) days after the end of the corresponding [DELETED].

3.1.3

Vesting of [DELETED] Rebate. The [DELETED] Rebate for a given [DELETED] shall vest on the last day of such [DELETED].

3.2	[DELETED] Rebate. Dialysis Center shall earn the [DELETED] Rebate for each [DELETED] during the Term in the manner described below in this Section 3.2 of this Exhibit A.

3.2.1

Trigger Event for [DELETED] Rebate. If within any [DELETED] during the Term, Amgen [DELETED] by an amount which causes [DELETED] to exceed [DELETED], then Dialysis Center Purchasers shall be entitled to the [DELETED] Rebate as calculated in Section 3.2.2 of this Exhibit A. The [DELETED] Rebate shall apply to all Qualified Gross Purchases from the date of the related [DELETED] until the date (if any) at which [DELETED] is [DELETED] during the Term.

3.2.2

Calculation of [DELETED] Rebate. Amgen shall determine the amount of Dialysis Center’s [DELETED] Rebate for any [DELETED] by calculating the product of (i) Qualified Gross Purchases during such [DELETED] which purchases have been made while [DELETED] and (ii) the [DELETED] Rebate Percentage for such [DELETED].

3.2.3

Payment of [DELETED] Rebate. Amgen will pay the [DELETED] Rebate within [DELETED] ([DELETED]) days after the end of the corresponding [DELETED].

3.2.4

Vesting of [DELETED] Rebate. The [DELETED] Rebate for a given [DELETED] shall vest on the last day of such [DELETED].

3.3	[DELETED] Rebate. Dialysis Center shall earn the [DELETED] Rebate for each [DELETED] during the Term provided Dialysis Center Purchasers meet the requirements described below in this Section 3.3 of this Exhibit A.

3.3.1

Qualification Criteria. To receive a [DELETED] Rebate on Qualified Gross Purchases during a [DELETED], Dialysis Center Purchasers must submit all [DELETED], as set forth in Schedule 1 of this Agreement, from at least [DELETED] percent ([DELETED]%) of all Dialysis Center Purchasers in accordance with the submission of data requirement set forth in Section 3.4.1 of this Exhibit A; provided, however, that if such [DELETED] percent ([DELETED]%) threshold is not met in any [DELETED] due to the inclusion of [DELETED], Amgen shall exclude any such [DELETED] identified by Amgen and Dialysis Center from such [DELETED] when calculating Dialysis Center’s eligibility for the [DELETED] Rebate at the end of each [DELETED]. For purposes of clarity, the [DELETED] percent ([DELETED]%) will not include Dialysis Center Purchasers that are [DELETED].

Page 19 of 66

3.3.2

Calculation of [DELETED]. Each [DELETED] during the Term, Amgen shall determine the [DELETED] of Dialysis Center Purchasers by adding [DELETED] of Dialysis Center Purchasers during each such [DELETED] based on the Data provided by Dialysis Center to Amgen and dividing the sum by [DELETED] of Dialysis Center Purchasers performed by the Dialysis Center Purchasers during each such [DELETED] (the “[DELETED]”). [DELETED].

3.3.3

Aggregate [DELETED] Percentage Calculation. Each [DELETED] the Aggregate [DELETED] Percentage shall be calculated by adding all [DELETED] in each [DELETED] that are [DELETED] and dividing the sum by the total number of [DELETED] for that [DELETED] (the “[DELETED] Percentage”). The [DELETED] Percentage for each [DELETED] during a [DELETED] are then added and divided by [DELETED] to determine the “Aggregate [DELETED] Percentage” for such [DELETED].

3.3.4

3.3.5

Calculation of [DELETED] Rebate. For each [DELETED], Amgen shall calculate the amount of Dialysis Center’s [DELETED] Rebate by multiplying Qualified Gross Purchases during such [DELETED] by the applicable [DELETED] Rebate Percentage set forth in the [DELETED] Rebate Table below corresponding to the applicable [DELETED] % Score for such [DELETED].


[DELETED] Rebate Table
[DELETED] % Score		[DELETED] Percentage
[DELETED]% - [DELETED]%		[DELETED]%
[DELETED]% - [DELETED]%		[DELETED]%
[DELETED]% - [DELETED]%		[DELETED]%
[DELETED]% - [DELETED]%		[DELETED]%
[DELETED]% and [DELETED]		[DELETED]%

3.3.6

Payment of [DELETED] Rebate. Amgen will pay the [DELETED] Rebate within [DELETED] days after the end of the corresponding [DELETED].

3.3.7

Vesting of [DELETED] Rebate. The [DELETED] Rebate for a given [DELETED] shall vest on the last day of such [DELETED].

3.4

[DELETED] Rebate. Dialysis Center shall qualify for the [DELETED] Rebate (the “[DELETED] Rebate”) for a given [DELETED] provided all Dialysis Center Purchasers provide to Amgen the Data set forth in Schedule 1, and provided Dialysis Center meets the requirements described below in this Section 3.4 of this Exhibit A.

3.4.1

Submission of Data Requirement. Subject to the validity of a Certification as described in Section 4 of this Agreement, Dialysis Center Purchasers must provide to Amgen the Data in a machine readable format acceptable to Amgen (Excel; or text file that is tab delimited, comma delimited, colon delimited or space delimited including a line of column headers identifying the column contents and units, if applicable). The Data files shall contain record counts for each file contained in the data submission; provided, however, that Dialysis Center shall be required to submit such [DELETED] only for those [DELETED].

3.4.2

Calculation of [DELETED] Rebate. Provided Dialysis Center has fulfilled all requirements described in this Section 3.4 of this Exhibit A, Dialysis Center shall be eligible to receive a [DELETED] percent ([DELETED]%) [DELETED] Rebate payment. The [DELETED] Rebate will be calculated as a percentage of the Qualified Gross Purchases during each [DELETED].

Page 20 of 66

3.4.3

Payment of [DELETED] Rebate. The Data must be submitted, on a [DELETED] basis by the last day of the following [DELETED] (or the next business day if such last day is not a business day). If the Data is received after such timeframe for any [DELETED] within a given [DELETED], the total Qualified Gross Purchases during such [DELETED] will be excluded from the calculation of the [DELETED] Rebate for that [DELETED]. Notwithstanding the foregoing, if Amgen receives all required Data from a minimum of [DELETED] percent ([DELETED]%) of all Dialysis Center Purchasers within the time frame referenced above for any [DELETED] within a given [DELETED], the total Qualified Gross Purchases during such [DELETED], will be included in the calculation of the [DELETED] Rebate for that [DELETED]; provided that for purposes of clarity, the [DELETED] percent ([DELETED]%) will not include Dialysis Center Purchasers that are [DELETED]. Failure of Dialysis Center to qualify under this Section 3.4 of this Exhibit A during a particular [DELETED] shall not affect Dialysis Center’s eligibility to qualify during any other [DELETED], nor shall Dialysis Center’s qualification during a particular [DELETED] automatically result in qualification during any other [DELETED]. If Amgen receives all required Data from less than [DELETED] percent ([DELETED]%) of Dialysis Center Purchasers for any [DELETED] within a given [DELETED], no Qualified Gross Purchases during such [DELETED] will be included in the calculation of the [DELETED] Rebate for that [DELETED]; provided, however, that if such [DELETED] percent ([DELETED]%) threshold is not met in any [DELETED] due to the inclusion of [DELETED], Amgen shall exclude any such [DELETED] identified by Amgen and Dialysis Center from such [DELETED] when calculating Dialysis Center’s eligibility for the [DELETED] Rebate at the end of each [DELETED]. However, if Amgen determines that any Dialysis Center Purchaser is consistently not submitting the required Data, Amgen and Dialysis Center will work collaboratively in resolving such inconsistencies. Amgen will use commercially reasonable efforts to notify Dialysis Center in writing, no later than [DELETED] after the receipt and acceptance by Amgen of the Data of the identity of all Designated Affiliates and/or Designated Managed Centers, if any, which have failed to meet the Data submission requirements for that [DELETED]. Amgen reserves the right, in its sole discretion, to exclude any Qualified Gross Purchases of any Designated Affiliate and/or Designated Managed Center that is consistently non-reporting from the calculation of the [DELETED] Rebate for any relevant [DELETED]. Amgen will pay such [DELETED] Rebate within [DELETED] days after the end of the corresponding [DELETED] provided Amgen is in receipt of all Data in the form and in the time period described in Section 3.4.1 of this Exhibit A. If the failure of Dialysis Center to deliver any such Data is a result of a Certification not being valid due to Amgen’s failure to satisfy any Certification Requirement (as described in Section 4 of this Agreement) then the [DELETED] Rebate shall still be available to Dialysis Center and payable by Amgen, in which case Dialysis Center shall deliver the Data to Amgen as soon as the Certification becomes valid. Upon a valid Certification being issued, Dialysis Center shall submit to Amgen all Data dating back to the date Dialysis Center stopped submitting the Data to Amgen within [DELETED] days.

3.4.4

Vesting of [DELETED] Rebate. The [DELETED] Rebate for a given [DELETED] shall vest on the last day of such [DELETED].

3.5

[DELETED] Rebate. Dialysis Center shall qualify for the [DELETED] Rebate (the “[DELETED] Rebate”) for each [DELETED] during the Term provided it meets the requirements described below in this Section 3.5 of this Exhibit A. The purpose of the [DELETED] Rebate is to improve the [DELETED] of all Data sent from Dialysis Center to Amgen, such that the processes used by both parties are more efficient and timely.

3.5.1

Requirements. For each [DELETED] during the Term the following requirements shall be met to earn the [DELETED] Rebate:

3.5.1.1

Dialysis Center must adhere to [DELETED] agreed upon with Amgen following any [DELETED] by Dialysis Center and/or a [DELETED] of Dialysis Center.

Page 21 of 66

3.5.1.2

Dialysis Center shall participate in [DELETED] with Amgen to discuss the status of each project, with additional [DELETED] as required.

3.5.1.3

Dialysis Center shall cooperate with Amgen to define [DELETED].

3.5.1.4

Dialysis Center shall adhere to the process for [DELETED].

3.5.1.5

Dialysis Center shall collaborate with Amgen to review and monitor processes to assure that [DELETED].

3.5.1.6

Dialysis Center shall use its best efforts to deliver [DELETED] to Amgen in [DELETED] days or less.

3.5.1.7

Dialysis Center shall continue to collaborate with Amgen to develop [DELETED].

3.5.1.8

Dialysis Center shall adhere to the agreed upon process for notifying Amgen of [DELETED].

3.5.1.9

Dialysis Center shall meet with Amgen during the [DELETED] of the Term to develop a mutually agreeable plan of action intended to develop and improve [DELETED] (a “Plan of Action”). The Plan of Action shall be set forth in a detailed written plan and attached as an addendum to this Agreement on or before the end of the [DELETED] of the Term. The Plan of Action shall include detailed deliverables and activities on a specific timeline for the remainder of the Term. The deliverables and timeline goals set forth in the Plan of Action shall be used to determine the requirements for earning the [DELETED] Rebate in the [DELETED] of the Term.

3.5.1.10

To qualify for the [DELETED] Rebate during the [DELETED] of the Term, Dialysis Center must achieve the [DELETED] as set forth in such Plan of Action; provided, that the only requirement for Dialysis Center to earn the [DELETED] Rebate during the [DELETED] of the Term shall be to develop [DELETED] for the Term.

3.5.2

Calculation of [DELETED] Rebate. Provided Dialysis Center has fulfilled all requirements described in this Section 3.5 of this Exhibit A, Dialysis Center shall be eligible to receive a [DELETED] percent ([DELETED]%) [DELETED] Rebate payment. The [DELETED] Rebate will be calculated as a percentage of the Qualified Gross Purchases during each [DELETED].

3.5.3

Payment of [DELETED] Rebate. Amgen will pay the [DELETED] Rebate within [DELETED] days after the end of the corresponding [DELETED].

3.5.4

Vesting of [DELETED] Rebate. The [DELETED] Rebate for a given [DELETED] shall vest on the last day of such [DELETED].

3.6	[DELETED] Rebate. Dialysis Center shall earn the [DELETED] Rebate for each [DELETED] during the Term provided it continues the [DELETED] and meets the requirements described below in this Section 3.6 of this Exhibit A.

3.6.1

[DELETED] Rebate Requirements. Dialysis Center shall meet the following requirements:

3.6.1.1

provide a [DELETED] regarding related activities undertaken in the [DELETED] of the Term;

3.6.1.2

provide any copies of [DELETED], in the [DELETED] of the Term during that [DELETED];

3.6.1.3

provide a [DELETED] regarding related activities undertaken in the [DELETED] of the Term;

3.6.1.4

provide any copies of [DELETED], in the [DELETED] of the Term during that [DELETED]; and

3.6.1.5

participate in [DELETED] with Amgen to [DELETED].

Page 22 of 66

3.6.2

Calculation of [DELETED] Rebate. Provided Dialysis Center has fulfilled all requirements described in this Section 3.6 of this Exhibit A, Amgen shall calculate the amount of Dialysis Center’s [DELETED] Rebate each [DELETED] during the Term by multiplying Qualified Gross Purchases during each such [DELETED] during the Term by [DELETED] percent ([DELETED]%).

3.6.3

Payment of [DELETED] Rebate. Amgen will pay the [DELETED] Rebate within [DELETED] days after the end of the corresponding [DELETED].

3.6.4

Vesting of [DELETED] Rebate. The [DELETED] Rebate for each [DELETED] shall vest on the last day of each such [DELETED].

4	SUMMARY OF DISCOUNTS

Provided Dialysis Center has fulfilled all discount requirements and the highest levels of performance described in this Exhibit A, the total discount opportunity is as set forth in the Summary of Discounts Table below.


Summary of Discounts Table
[DELETED]		[DELETED]%
[DELETED] Rebate		[DELETED]%
[DELETED] Rebate		[DELETED]%
[DELETED] Rebate		[DELETED]%
[DELETED] Rebate		[DELETED]%
[DELETED] Rebate		[DELETED]%
Total Discount Opportunity		[DELETED]%

Page 23 of 66

Exhibit B

Authorized Wholesalers

ASD Specialty Healthcare, Sub of ABC Specialty Group

Addison, TX

CMA 600615

AmerisourceBergen Drug Corporation

Thorofare, NJ

CMA 600124

Page 24 of 66

Exhibit C

Designated Affiliates

Member Name

Member Street

Member City

Member
State

Member
ZIP

[DELETED]

Davita 3185 Athens Acutes

15953 Athens Limestone Dr

Athens

35611

[DELETED]

Davita Athens At Home #6283

15953 Athens Limestone Dr

Athens

35611

[DELETED]

Davita Athens Dialysis #4036

15953 Athens Limestone Dr

Athens

35613

[DELETED]

Atmore Dialysis Center

807 East Craig Street

Atmore

36502

[DELETED]

Davita Bessemer

901 Westlake Mall, Suite 101

Bessemer

35020

[DELETED]

Davita—Center Point Dialysis

2337 1st Street North East

Birmingham

35215

[DELETED]

Davita 2614 Birmingham East

1105 E. Park Dr

Birmingham

35235

[DELETED]

Davita 3377 Birmingham Central

728 Richard Arrington Blvd S.

Birmingham

35233

[DELETED]

Davita 3379 Birmingham North

1917 32nd Ave N.

Birmingham

35207

[DELETED]

Davita 3382 Ensley

2630 Avenue E.

Birmingham

35218

[DELETED]

Davita Birmingham At Home

2101 7th Ave S.

Birmingham

35233

[DELETED]

Davita Birmingham Home Training

2101 7th Ave S.

Birmingham

35233

[DELETED]

Davita 3343 Boaz

16 Central Henderson Rd

Boaz

35957

[DELETED]

Davita- Home Dialysis Options of South Baldwin

27880 North Main Street, Suite A

Daphne

36526

[DELETED]

Davita 2616 Demopolis

511 S. Cedar Ave

Demopolis

36732

[DELETED]

Davita 2609 Dothan

216 Graceland Dr

Dothan

36305

[DELETED]

Davita Wire Grass Kidney Center #4343 Dialysis

1450 Ross Clark Cir Ste 200

Dothan

36301

[DELETED]

Davita- Dothan At Home

216 Graceland Dr

Dothan

36305

[DELETED]

Physicians Choice Dialysis of Alabama, LLC—East Montgomery

6890 Winton Blount Boulevard

East Montgomery

36117

[DELETED]

Davita 3610 Eufaula

220 S. Orange Ave

Eufaula

36027

[DELETED]

Davita Greene County Dialysis

544 Us Highway 43

Eutaw

35462

[DELETED]

Davita—Fayette Dialysis

2450 Temple Avenue North

Fayette

35555

[DELETED]

Davita 3131 Florence Dialysis

422 E. Doctor Hicks Blvd Ste B.

Florence

35630

[DELETED]

Davita Renaissance At Home #56956

1840 Darby Dr

Florence

35630

[DELETED]

Davita Renaissance Dialysis Center

1840 Darby Dr

Florence

35630

[DELETED]

Davita #1756 South Baldwin Dialysis

150 West Peachtree Street

Foley

36535

[DELETED]

Davita South Baldwin At Home

150 W. Peach Tree Avenue

Foley

36535

[DELETED]

Davita Gadsden

409 S. 1st St.

Gadsden

35901

[DELETED]

Davita Gulf Shores Dialysis Center #4402

3947 Gulf Shores Parkway Hwy 59

Gulf Shores

36542

[DELETED]

Davita Pdi Montgomery At Home

1001 Forest Ave

Montgomery

36106

[DELETED]

Physicians Choice Dialysis—Montgomery

1001 Forest Ave

Montgomery

36106

[DELETED]

Davita Muscle Shoals Dialysis Center #4399

712 State St.

Muscle Shoals

35661

[DELETED]

Davita 3619 Northport

2401 Hospital Dr

Northport

35476

[DELETED]

Davita Opelika Center At Home Dialysis #5970

2340 Pepperell Pkwy

Opelika

36801

[DELETED]

Davita 3092 Ozark

214 Hospital Ave

Ozark

36360

[DELETED]

Davita #0843 Phenix City Dialysis Center

1900 Opelika Road

Phenix City

36867

[DELETED]

Davita—Pdi Jackson Acutes #1072 Dialysis

1815 Glynwood Drive

Prattville

36066

[DELETED]

Davita 2601 Rainbow City-Gadsden East

2800 Rainbow Dr

Rainbow City

35906

[DELETED]

Davita Rainbow City—At Home Clinic #6282

2800 Rainbow Drive

Rainbow City

35906

[DELETED]

Davita 3485 Russellville

14897 Highway 43

Russellville

35653

[DELETED]

Davita 3038 Sheffield

1120 S. Jackson Hwy Ste 107

Sheffield

35660

[DELETED]

Davita 3383 Sylacauga

331 James Payton Blvd

Sylacauga

35150

[DELETED]

Davita Sylacauga At Home

331 James Payton Blvd

Sylacauga

35150

[DELETED]

Davita-Talladega

726 Battle Street East, Suite A

Talladega

35160

[DELETED]

Davita 2615 Tuscaloosa

805 Old Mill St.

Tuscaloosa

35401

[DELETED]

Davita 3206 Tuscaloosa University

220 15th St.

Tuscaloosa

35401

[DELETED]

Davita Tuscaloosa At Home

805 Old Mil Street

Tuscaloosa

35401

[DELETED]

Physicians Choice Dialysis of Alabama, LLC—Elmore

515 Hospital Drive

Wetumpka

36092

[DELETED]

Davita—Bentonville Dialysis

1104 Se 30th St.

Bentonville

72712

[DELETED]

Davita—Fayetteville Dialysis

509 East Millsap Road, Suite 111

Fayetteville

72703

[DELETED]

Davita Forrest City Dialysis Center #4430

1501 N. Washington St.

Forrest City

72335

[DELETED]

Davita 6237 Jacksonville Central At Home Dialysis

400 T. P. White Dr

Jacksonville

72076

[DELETED]

Page 25 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Davita Jacksonville Central Dialysis

400 T. P. White Dr

Jacksonville

72076

[DELETED]

Davita

5800 W. 10th St. Ste 510

Little Rock

72204

[DELETED]

Davita Central Little Rock
Dialysis 3615

5800 West 10th Street, Suite 510

Little Rock

72204

[DELETED]

Davita- Central Little Rock At Home

5800 West 10th Street, Suite 510

Little Rock

72204

[DELETED]

Davita-Mena Dialysis

1200 Crestwood Circle

Mena

71953

[DELETED]

Davita Little Rock Clinic

4505 East Mccain Boulevard

North Little
Rock

72117

[DELETED]

Davita—Siloam Springs Dialysis

500 South Mount Olive, Suite 107

Siloam
Springs

72761

[DELETED]

Davita—Springdale Dialysis

708 Quandt St.

Springdale

72764

[DELETED]

Davita Ocotillo Dialysis Center #4405

975 W. Chandler Heights Rd Bldg A Ste 101

Chandler

85248

[DELETED]

Davita Chinle Dialysis Facility

U.S. Highway 191, PO Box 879

Chinle

86503

[DELETED]

Southwest Kidney—Davita Dialysis Partners, LLC Dba: Gilbert—Dialysis Center

5222 East Baseline Road, Suite 104

Gilbert

85234

[DELETED]

Davita—Phoenix At Home

20325 North 51st Ave Bldg 11, Suite 184

Glendale

85308

[DELETED]

Davita Brookwood Dialysis
Center #4374

8910 N. 43rd Ave Ste 107

Glendale

85302

[DELETED]

Southwest Kidney -Davita Dialysis Partners, LLC Dba: Arrowhead Lakes—Dialysis Center

20325 N. 51st Ave Bldg 11 Ste 186

Glendale

85308

[DELETED]

Davita Kayenta Dialysis Facility

Highway 163, PO Box 217

Kayenta

86033

[DELETED]

Davita—Mountain Vista Dialysis Center #1952

10238 E. Hampton Ave Ste 108

Mesa

85209

[DELETED]

Davita 4355 Central Mesa Dialysis Center

1134 E. University Dr Ste 101

Mesa

85203

[DELETED]

Davita Nogales

1231 West Target Range Road

Nogales

85621

[DELETED]

Davita—Rim County Dialysis Center

809 West Longhorn Road

Payson

85541

[DELETED]

Davita 4364 Maryvale Dialysis Center

4845 W. Mcdowell Rd Ste 10

Phoenix

85035

[DELETED]

Davita Estrella Dialysis #1936

8410 West Thomas Road Building 1, Suite 100

Phoenix

85037

[DELETED]

Davita Raven Dialysis Center #4371

3540 E. Baseline Rd Ste 110

Phoenix

85042

[DELETED]

Papago Dialysis Center

1401 North 24th Street, Suite 2

Phoenix

85008

[DELETED]

Southwest Kidney -Davita Dialysis Partners, LLC Dba: Phoenix Dialysis Center

337 East Coronado Road, Suite 101

Phoenix

85004

[DELETED]

Davita Dialysis Unit—Hopi Health Care Center

Highway 264- Mile Marker 388

Polacca

86042

[DELETED]

Davita

20201 North Scottsdale Healthcare Drive Suite 100

Scottsdale

85255

[DELETED]

Davita #2022, Dba: Scottsdale Dialysis Center

4725 N. Scottsdale Rd Ste 100

Scottsdale

85251

[DELETED]

Davita Camelback At Home Hemo #6000

7321 East Osborn Drive

Scottsdale

85251

[DELETED]

Davita Desert Mountain Dialysis

9220 East Mountainview Road,
Suite 105

Scottsdale

85258

[DELETED]

Davita 3046 Sells

Highway 86, Indian Health Service Hospital

Sells

85634

[DELETED]

Davita—Sierra Vista

629 North Highway, Bypass 92, Suite 6 and 7

Sierra Vista

85635

[DELETED]

Davita #2038 Palm Brook Dialysis Center

14664 North Del Webb Boulevard

Sun City

85351

[DELETED]

Davita-Westbrook Dialysis

13907 W. Camino Del Sol

Sun City

85375

[DELETED]

Davita—Grand Home

14674 W. Mountain View Blvd Ste 204

Surprise

85374

[DELETED]

Southwest Kidney—Davita Dialysis Partners, LLC Dba: Tempe—Dialysis Center

2149 East Warner Road, Suite 110

Tempe

85284

[DELETED]

Southwest Kidney -Davita Dialysis At Home

2149 East Warner Road, Suite 109

Tempe

85284

[DELETED]

Davita Tuba City

500 Edgewater Drive

Tuba City

86045

[DELETED]

Davita—Tucson East At Home

6420 E. Broadway Blvd Ste C300

Tucson

85710

[DELETED]

Davita—Tuscon Central Dialysis Center #2427

2901 E. Grant Rd

Tucson

85716

[DELETED]

Davita—West Tucson

1780 West Anklam Road

Tucson

85745

[DELETED]

Davita 3203 Tucson South

3662 South 16th Avenue

Tucson

85713

[DELETED]

Davita 3261 Pascua Yaqui

7490 South Camino De Oeste

Tucson

85746

[DELETED]

Davita Northwest Tucson

2945 W. Ina Rd Ste 105

Tucson

85741

[DELETED]

Davita Rita Ranch Dialysis
Center #4365

7355 S. Houghton Rd Ste 101

Tucson

85747

[DELETED]

Davita Tuscon East At Home

6420 E. Broadway Blvd Suite-C300

Tucson

85710

[DELETED]

Page 26 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Davita Tuscon South Central

2024 East Irvington Street, Suite 7

Tucson

85714

[DELETED]

Davita 2508 Yuma

2130 West 24th Street

Yuma

85364

[DELETED]

Davita 3050 Yuma South

3010 South Fourth Avenue

Yuma

85364

[DELETED]

Davita 4057 Anaheim

1107 West La Palma Avenue

Anaheim

92801

[DELETED]

Davita Anaheim West
Dialysis #2485

1821 W. Lincoln Ave

Anaheim

92801

[DELETED]

Antioch Dialysis Center

3100 Delta Fair Boulevard

Antioch

94509

[DELETED]

Davita 3009 Victor Valley

16049 Kamana Rd

Apple Valley

92307

[DELETED]

Davita Atwater Dialysis

580 East Bellvue Road

Atwater

95301

[DELETED]

Davita 3860 Auburn

3126 Professional Drive, Suite 100

Auburn

95603

[DELETED]

Bakersfield Dialysis Center

5143 Office Park Drive

Bakersfield

93309

[DELETED]

Davita 3633 Bakersfield South

7701 White Lane, Suite D

Bakersfield

93309

[DELETED]

Davita 3821 Northeast Bakersfield

3761 Mall View Rd

Bakersfield

93306

[DELETED]

Davita White Lane At Home #6251 Dialysis

7701 White Ln

Bakersfield

93309

[DELETED]

Davita-Bakersfield Brimhall
Dialysis #3820

8501 Brimhall Rd Bldg 500

Bakersfield

93312

[DELETED]

Davita 2571 Banning

6090 West Ramsey Street

Banning

92220

[DELETED]

Davita Bellflower Dialysis Center

15736 Woodruff Avenue

Bellflower

90706

[DELETED]

Davita 3109 Benicia

560 First Street, Suite D-103

Benicia

94510

[DELETED]

Davita 3039 Berkeley

2920 Telegraph Ave

Berkeley

94705

[DELETED]

Davita—Beverly Hills Dialysis Center

50 N. La Cienega Boulevard,
Suite 300

Beverly Hills

90211

[DELETED]

Davita Brea Dialysis Center

595 Tamarack Avenue, Suite A

Brea

92821

[DELETED]

Davita Burbank Dialysis

1211 North San Fernando Boulevard

Burbank

91504

[DELETED]

Davita Camarillo Dialysis #5531

2438 N. Ponderosa Dr Ste C101

Camarillo

93010

[DELETED]

Davita Manzanita At Home #6016

4005 Manzanita Avenue, Suite 18

Carmichael

95608

[DELETED]

Davita Manzanita Dialysis

4005 Manzanita Avenue, Suite 17

Carmichael

95608

[DELETED]

Davita Manzanita Home Training Center #284

4005 Manzanita Ave Ste 18

Carmichael

95608

[DELETED]

Davita Ceres Dialysis Center

1768 Mitchell Road, Suite 308

Ceres

95307

[DELETED]

Chico Dialysis Center

530 Cohasset Road

Chico

95926

[DELETED]

South Chico Dialysis Center

2345 Forest Avenue

Chico

95928

[DELETED]

Davita 3506 Chino

4445 Riverside Dr

Chino

91710

[DELETED]

Antelope Dialysis Center, Dba: Total Renal Care-Antelope Clinic

6406 Tupelo Drive, Suite A

Citrus Heights

95621

[DELETED]

Davita Clearlake Dialysis Center

14400 Olympic Dr

Clearlake

95422

[DELETED]

Davita Gateway Plaza Dialysis Center #4320

1580 W. Rosecrans Ave

Compton

90220

[DELETED]

Davita Concord Dialysis
Center #2066

2300 Stanwell Drive, Suite C

Concord

94520

[DELETED]

Da Vita—Corona Dialysis Center

1820 Fullerton Avenue, Suite 180

Corona

92881

[DELETED]

Davita 3614 Costa Mesa

1590 Scenic Ave

Costa Mesa

92626

[DELETED]

Davita Premier Dialysis

7612 Atlantic Ave

Cudahy

90201

[DELETED]

Davita

1498 Southgate Ave Ste 101

Daly City

94015

[DELETED]

Davita—Daly City At Home #6046

1498 Southgate Avenue, Suite 101

Daly City

94015

[DELETED]

Davita Westlake Daly City Dialysis Center #2265

2201 Junipero Serra Blvd

Daly City

94014

[DELETED]

Davita 4026 Delano

905 Main Street

Delano

93215

[DELETED]

Davita Kern Valley State Prison

29393 Cecil Ave

Delano

93215

[DELETED]

Davita #2386 Joy of Dixon

1640 N. Lincoln St.

Dixon

95620

[DELETED]

Davita #2218 Downey Landing

11611 Bellflower Blvd

Downey

90241

[DELETED]

Davita# 0617 Downey Dialysis Center

8630 Florence Ave Ste 100

Downey

90240

[DELETED]

Davita 3849 El Cerrito

10690 San Pablo Ave

El Cerrito

94530

[DELETED]

Davita Greater El Monte Dialysis Center

1938 Tyler Avenue, Suite J-168

El Monte

91733

[DELETED]

Rosemead Springs Dialysis
Center #1518

3212 Rosemead Boulevard

El Monte

91731

[DELETED]

Davita—West Elk Grove Dialysis Center

2208 Kausen Drive, Suite 100

Elk Grove

95758

[DELETED]

Davita Elk Grove Dialysis

9281 Office Park Circle, Suite 105

Elk Grove

95758

[DELETED]

Davita 3486 Encinitas

332 Santa Fe Drive, Suite 100

Encinitas

92024

[DELETED]

Davita #1865 South Valley Dialysis

17815 Ventura Blvd Ste 100

Encino

91316

[DELETED]

Davita #6196- South Valley At Home

17815 Venutra Blvd., Suite 100

Encino

91316

[DELETED]

Davita 3055 Escondido

203 East Second Avenue

Escondido

92025

[DELETED]

Davita 3669 Escondido Home Training

635 East Grand Avenue

Escondido

92025

[DELETED]

Davita #2266

1116 West Visalia Road, Suite 106

Exeter

93221

[DELETED]

Davita—Fairfield Dialysis Center

4660 Central Way

Fairfield

94534

[DELETED]

Davita #4005 Fontana Dialysis

17590 Foothill Blvd

Fontana

92335

[DELETED]

Davita #1281—Foster City Dialysis

1261 E. Hillside Blvd

Foster City

94404

[DELETED]

Page 27 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Davita—Fresno Pd

568 East Herndon Avenue, Suite 301

Fresno

93720

[DELETED]

Davita 3593 Palm Bluffs

770 West Pinedale

Fresno

93711

[DELETED]

Davita Ash Tree #1786

2666 North Grove Industrial Drive, Suite 106

Fresno

93727

[DELETED]

Davita Ash Tree Pd #1787

2666 North Grove Industrial Drive, Suite 106

Fresno

93727

[DELETED]

Davita Fresno

1111 East Warner Avenue

Fresno

93710

[DELETED]

Davita 3058 Fullerton

238 Orangefair Avenue

Fullerton

92832

[DELETED]

Davita Crossroads Dialysis Center

3214 Yorba Linda Boulevard

Fullerton

92831

[DELETED]

Satellite Dialysis Gilroy Pd

7800 Arroyo Cir Ste B.

Gilroy

95020

[DELETED]

Davita Glendale

1000 East Palmer Avenue

Glendale

91205

[DELETED]

Davita North Glendale
Dialysis #5530

1505 Wilson Terrace, Suite 190

Glendale

91206

[DELETED]

Davita 3590 Penn Valley Home Training

776 Freeman Ln Suite Aandb

Grass Valley

95949

[DELETED]

Davita 3861 Grass Valley

360 Crown Point Cir Suite 210

Grass Valley

95945

[DELETED]

Davita Grass Valley At Home #6325

360 Crown Point Cir Suite 210

Grass Valley

95945

[DELETED]

Davita 3831 Hanford

402 West Eighth Street

Hanford

93230

[DELETED]

Davita Hawaiian Gardens #2455

12191 226th St.

Hawaiian
Gardens

90716

[DELETED]

Davita—Sunrise Dialysis Center, Inc.

13039 Hawthorne Boulevard

Hawthorne

90250

[DELETED]

Davita Hayward Dialysis Center

21615 Hesperian Boulevard, Suite F.

Hayward

94541

[DELETED]

Total Renal Care—South Hayward Dialysis Center

254 Jackson Street

Hayward

94544

[DELETED]

Davita Diamond Valley Dialysis Center

1030 East Florida Avenue

Hemet

92543

[DELETED]

Davita Hemet Dialysis Center

3050 W. Florida Ave

Hemet

92545

[DELETED]

Davita Hesperia Dialysis
Center #2278

14135 Main St. Ste 501

Hesperia

92345

[DELETED]

Davita Highland Ranch
Dialysis #2475

7223 Church St. Ste A14

Highland

92346

[DELETED]

Davita 3059 Huntington Beach

16892 Bolsa Chica Street

Huntington
Beach

92649

[DELETED]

Davita Huntington Park
Dialysis #2310

5942 Rugby Ave

Huntington
Park

90255

[DELETED]

Davita 3001 Inglewood

125 East Arbor Vitae

Inglewood

90301

[DELETED]

Davita 3212 Airport-Fka Inglewood

4632 West Century Boulevard

Inglewood

90304

[DELETED]

Davita Imperial

2738 West Imperial Highway

Inglewood

90303

[DELETED]

Davita Dialysis 3488-1 San Diego-Scripps Green Hospital-Acute

10666 N. Torrey Pines Rd

La Jolla

92037

[DELETED]

Davita Dialysis 3488-4—Scripps Memorial Hosp-Acute

9888 Genesee Ave

La Jolla

92037

[DELETED]

Davita 4061 Saddleback

23141 Plaza Pointe Drive

Laguna Hills

92653

[DELETED]

Lake Elsinore Dialysis

32291 Mission Trail Road, Building S.

Lake Elsinore

92530

[DELETED]

Total Renal Care—Lakeport

804 11th Street

Lakeport

95453

[DELETED]

Davita Lakewood Dialysis Center

4645 Silva Street

Lakewood

90712

[DELETED]

Davita—Antelope Valley Dialysis Center

1759 West Avenue J, Suite 102

Lancaster

93534

[DELETED]

Davita #2334

3201 Doolan Rd Suite 175

Livermore

94551

[DELETED]

Davita—Lodi Community Dialysis, Inc.

1610 West Kettleman Lane, Suite D

Lodi

95242

[DELETED]

Davita—Tokay Dialysis
Center #2016

312 Fairmont Ave Ste A

Lodi

95240

[DELETED]

Davita Tokay Home Dialysis

777 S. Ham Lane, Suite L.

Lodi

95242

[DELETED]

Davita #0438 United Dialysis Center

3111 Long Beach Boulevard

Long Beach

90807

[DELETED]

Davita—Bixby Knolls #2137

3744 Long Beach Blvd.

Long Beach

90807

[DELETED]

Davita Harbor UCLA—Mfi—Long Beach Dialysis Center

1075 East Pacific Coast Highway

Long Beach

90806

[DELETED]

Davita Los Alamitos Dialysis
Center #2344

4141 Katella Ave

Los Alamitos

90720

[DELETED]

Davita #1902 Carabello

757 E. Washington Blvd

Los Angeles

90021

[DELETED]

Davita #6023 Century City Home/Pd Dialysis

10630 Santa Monica Blvd

Los Angeles

90095

[DELETED]

Davita—Doctors Dialysis Center of East Los Angeles

950 South Eastern Avenue

Los Angeles

90022

[DELETED]

Davita—Kenneth Hahn Plaza Dialysis Center

11854 Wilmington Avenue

Los Angeles

90059

[DELETED]

Davita—USC Kidney Center

2310 Alcazar Street

Los Angeles

90089

[DELETED]

Davita—University Park Dialysis Center

3986 South Figueroa Street

Los Angeles

90037

[DELETED]

Page 28 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Davita 2541 Los Angeles Plaza Dialysis

1700 E. Cesar Chavez Ave
Ste L. 100

Los Angeles

90033

[DELETED]

Davita 3565 Tower

8635 West 3rd Street, Suite 560w

Los Angeles

90048

[DELETED]

Davita 4056 Los Angeles Downtown

2021 South Flower Street

Los Angeles

90007

[DELETED]

Davita Century City Dialysis #430

10630 Santa Monica Blvd

Los Angeles

90095

[DELETED]

Davita Crescent Heights Dialysis

8151 Beverly Blvd

Los Angeles

90048

[DELETED]

Davita Hollywood Dialysis Center

5108 Sunset Boulevard

Los Angeles

90027

[DELETED]

Davita Los Angeles Dialysis Center

2250 S. Western Ave Suite 300

Los Angeles

90018

[DELETED]

Davita Silver Lake Dialysis

2723 W. Temple St.

Los Angeles

90026

[DELETED]

Davita Washington Plaza Dialysis Center

516-522 East Washington Boulevard

Los Angeles

90015

[DELETED]

Davita Wilshire Dialysis Center

1212 Wilshire Blvd

Los Angeles

90017

[DELETED]

Davita Healthcare of Los Banos

222 I. Street

Los Banos

93635

[DELETED]

Davita Imperial Care, Dialysis
Center #1523

4345 East Imperial Highway

Lynwood

90262

[DELETED]

Kidney Dialysis Care Units

3600 East Martin Luther King, Junior Boulevard

Lynwood

90262

[DELETED]

Davita—Almond Wood
Dialysis #2242

501 E. Almond Ave

Madera

93637

[DELETED]

Davita #2442 Yosemite

1650 W. Yosemite Ave

Manteca

95337

[DELETED]

Davita 3802 Manteca

1156 South Main Street

Manteca

95337

[DELETED]

Davita—Marysville Dialysis
Center #2036

1015 Eighth Street

Marysville

95901

[DELETED]

Davita 3143 Merced North

3150 North G. Street, Suite A

Merced

95340

[DELETED]

Davita Merced At Home

3150 G. Street, Suite B.

Merced

95340

[DELETED]

Davita 2564 Mission Viejo

27640 Marguerite Pkwy

Mission Viejo

92692

[DELETED]

Davita Montclair Dialysis Center

5050 Palo Verde St. Ste 100

Montclair

91763

[DELETED]

Davita Doctors Dialysis Center of Montebello

1721 West Whittier Boulevard

Montebello

90640

[DELETED]

Davita Garfield Hemodialysis Center

118 Hilliard Avenue

Monterey Park

91754

[DELETED]

Davita Garfield Pd #4375

228 N. Garfield Ave Ste 301

Monterey Park

91754

[DELETED]

Davita Monterey Park Dialysis Center, Inc.

2560 Corporate Pl Suite D100-102

Monterey Park

91754

[DELETED]

Davita Canyon Springs Dialysis

22555 Alessandro Blvd

Moreno
Valley

92553

[DELETED]

Davita Valley View Dialysis

26900 Cactus Avenue

Moreno
Valley

92555

[DELETED]

Davita Murrietta Dialysis Center

25100 Hancock Avenue,
Suite 101-103

Murrietta

92562

[DELETED]

Davita—Napa Dialysis Center

3900 - C Bel Aire Plaza

Napa

94558

[DELETED]

Davita Norco Dialysis

1901 Town and Country Dr Ste 100

Norco

92860

[DELETED]

Davita North Highlands Dialysis Center

4986 Watt Avenue, Suite F.

North
Highlands

95660

[DELETED]

Davita Healthcare of North Hollywood

12126 Victory Blvd

North
Hollywood

91606

[DELETED]

Davita Norwalk Dialysis Center

12375 Imperial Hwy Ste D3

Norwalk

90650

[DELETED]

Davita 3818 Oakland

5354 Claremont Ave

Oakland

94618

[DELETED]

Davita Alameda County

10700 Mcarthur Boulevard, Suite 14

Oakland

94605

[DELETED]

Oakland Peritoneal Dialysis Center

2633 Telegraph Avenue, Suite 115

Oakland

94612

[DELETED]

Davita Ontario Dialysis Center

1950 Grove Avenue, Suite 101-105

Ontario

91761

[DELETED]

Davita Main Place Dialysis

972 Town and Country Rd

Orange

92868

[DELETED]

Orangevale Dialysis

9267 Greenback Lane, Suite A-2

Orangevale

95662

[DELETED]

Davita 3067 Palm Springs

1061 North Indian Canyon Drive

Palm Springs

92262

[DELETED]

Palmdale Regional Dialysis Center

1643 Palmdale Boulevard

Palmdale

93550

[DELETED]

Davita—Paramount Dialysis Center

8319 Alondra Boulevard

Paramount

90723

[DELETED]

Davita—Eaton Canyon Dialysis Center

2551 East Washington Boulevard

Pasadena

91107

[DELETED]

Davita Pasadena Foothills
Dialysis #4329

3722 E. Colorado Blvd

Pasadena

91107

[DELETED]

Davita 3590 Penn Valley Home Training

11374 Pleasant Valley Road

Penn Valley

95946

[DELETED]

Davita Delta View Dialysis #2453

1150 E. Leland Rd

Pittsburg

94565

[DELETED]

Placerville Dialysis Center, Dba: Total Renal Care—Placerville

3964 Missouri Flat Road, Suite J.

Placerville

95667

[DELETED]

Total Renal Care—Pleasanton, Aka: Pleasanton Dialysis Center

5720 Stoneridge Mall Road,
Suites 140 and 160

Pleasanton

94588

[DELETED]

Davita #3004 Pomona

2111 N. Garey Ave

Pomona

91767

[DELETED]

Davita Sunset Dialysis Center

3071 Gold Canal Dr

Rancho
Cordova

95670

[DELETED]

Page 29 of 66

Member Name

Member Street

Member City

Member
State

Member
ZIP

[DELETED]

Sunrise Dialysis Center, Dba: Total Renal Care—Sunrise

2951 Sunrise Boulevard, Suite 145

Rancho
Cordova

95742

[DELETED]

Davita Red Bluff Dialysis
Center #2127

2455 Sister Mary Columba Drive

Red Bluff

96080

[DELETED]

Davita 1015-1 Redding Acute Dialysis Services

1876 Park Marina Dr

Redding

96001

[DELETED]

Davita Redding At Home

1876 Park Marina Drive

Redding

96001

[DELETED]

Davita #2217

1000 Marshall St.

Redwood City

94063

[DELETED]

Davita—Redwood City At
Home #5929

1000 Marshall St.

Redwood City

94063

[DELETED]

Indian Wells Valley Dialysis Center

212 South Richmond Road

Ridgecrest

93555

[DELETED]

Davita Magnolia West At Home

11161 Magnolia Avenue, Suite B.

Riverside

92505

[DELETED]

Davita Magnolia West Dialysis Center

11161 Magnolia Avenue

Riverside

92505

[DELETED]

Davita Riverside Dialysis #6707

4361 Latham Street, Suite 100

Riverside

92501

[DELETED]

Davita Alhambra Dialysis Center

1315 Alhambra Boulevard, Suite 100

Sacramento

95816

[DELETED]

Davita Calvine Dialysis #5029

8243 E. Stockton Blvd Ste C

Sacramento

95828

[DELETED]

Davita Natomas Dialysis

30 Goldenland Court, Building G.

Sacramento

95834

[DELETED]

Davita University Dialysis Center

777 Campus Commons Road,
Suite 100

Sacramento

95825

[DELETED]

Florin Dialysis Center—Total Renal Care

7000 Stockton Blvd

Sacramento

95823

[DELETED]

South Sacramento Dialysis Center, Dba: Total Renal Care—South Sacramento

7000 Franklin Blvd Ste 880

Sacramento

95823

[DELETED]

Davita—Salinas

955 Blanco Circle, Suite C

Salinas

93901

[DELETED]

Davita Citrus Valley Dialysis Center

894 Hardt St.

San Bernardino

92408

[DELETED]

Davita- Citrus Valley At Home

894 Hardt Street

San Bernardino

92408

[DELETED]

Mountain Vista Dialysis Center

4041 University Pkwy

San Bernardino

92407

[DELETED]

Davita Rx #1685

1178 Cherry Ave

San Bruno

94066

[DELETED]

Davita 3210 San Diego South

995 Gateway Center Way Ste 101

San Diego

92102

[DELETED]

Davita 3456 San Ysidro

1445 30th Street, Suite A

San Diego

92154

[DELETED]

Davita 3484 San Diego East

292 Euclid Avenue, Suite 100

San Diego

92114

[DELETED]

Davita 3559 College Dialysis

6535 University Ave

San Diego

92115

[DELETED]

Davita 3569 Carmel Mountain

9850 Carmel Mountain Rd Ste A

San Diego

92129

[DELETED]

Davita Dialysis 3488-5 San Diego Scripps Mercy Hospital-Acute

4077 5th Ave

San Diego

92103

[DELETED]

Davita 3830 San Francisco

1499 Webster St.

San Francisco

94115

[DELETED]

Davita 3847 Chinatown San Fran

636 Clay St.

San Francisco

94111

[DELETED]

Davita 6286 San Francisco At Home

1499 Webster St.

San Francisco

94115

[DELETED]

Davita #2199 Aborn Dialysis

3162 S. White Rd Ste 100

San Jose

95148

[DELETED]

Davita #2276 Corner House Dialysis

2005 Naglee Ave

San Jose

95128

[DELETED]

Davita 2477 San Jose Hhd/Pd-Ca

4400 Stevens Creek Blvd Suite 50

San Jose

95129

[DELETED]

Davita Dialysis Center Home

4400 Stevens Creek Blvd Suite 50

San Jose

95129

[DELETED]

Jaco Fishenfeld

150 N. Jackson Ave

San Jose

95116

[DELETED]

Davita 2560 San Juan Capistrano South

31736 Rancho Viejo Road, Suite B.

San Juan
Capistrano

92675

[DELETED]

Davita—East Bay Peritoneal Dialysis

13939 East 14th Street, Suite 110

San Leandro

94578

[DELETED]

Davita San Leandro Dialysis #4485

15555 E. 14th St. Suite 520

San Leandro

94578

[DELETED]

Davita Dialysis San Marcos #2261

2135 Montiel Rd Bldg B.

San Marcos

92069

[DELETED]

Davita San Pablo

14020 San Pablo Boulevard,
Suite B.

San Pablo

94806

[DELETED]

Davita Northgate Dialysis
Center #2296

650 Las Gallinas Ave

San Rafael

94903

[DELETED]

Davita Sanger Dialysis Center #2188

2517 Jensen Ave Bldg B.

Sanger

93657

[DELETED]

Davita #2019 Tustin Dialysis Center

2090 North Tustin Avenue

Santa Ana

92705

[DELETED]

Davita—Santa Ana Dialysis

1820 East Deere Avenue

Santa Ana

92705

[DELETED]

Davita—Santa Monica Mar Vista

2020 Santa Monica Boulevard, Suite 100 and 102

Santa Monica

90404

[DELETED]

Davita 3211 Santa Monica

1260 15th Street, Suite 102

Santa Monica

90404

[DELETED]

Davita Santa Paula Dialysis #5534

253 March St.

Santa Paula

93060

[DELETED]

Davita #4054-1 Selma Dialysis

2711 Cinema Way Ste 111

Selma

93662

[DELETED]

Davita Simi Valley At Home #5936

2950 Sycamore Dr Ste 100

Simi Valley

93065

[DELETED]

Davita Simi Valley Dialysis #5533

2950 North Sycamore Drive,
Suite 100-102

Simi Valley

93065

[DELETED]

Soledad Dialysis

901 Los Coches Drive

Soledad

93960

[DELETED]

Davita Westborough Dialysis
Center #4424

925 El Camino Real

South San
Francisco

94080

[DELETED]

Davita #1998 Stockton Kidney Center

1523 E. March Ln Ste 200

Stockton

95210

[DELETED]

Page 30 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Davita 3666 Stockton Home Training

545 East Cleveland, Suite A

Stockton

95204

[DELETED]

Delta-Sierra Dialysis Center—Total Renal Care

555 West Benjamin Holt Drive, Suite 200

Stockton

95207

[DELETED]

Davita—Temecula Dialysis

40945 County Center Drive, Suite G.

Temecula

92591

[DELETED]

Davita Thousand Oaks At Home #5935

375 Rolling Oaks Dr Ste 100

Thousand
Oaks

91361

[DELETED]

Davita Harbor-UCLA

21602 South Vermont Avenue

Torrance

90502

[DELETED]

Davita 3857 Tracy

425 West Beverly Place, Suite A

Tracy

95376

[DELETED]

Davita 3298 Tulare

545 East Tulare Avenue

Tulare

93274

[DELETED]

Davita—Turlock Dialysis Clinic

50 W. Syracuse Ave

Turlock

95380

[DELETED]

Davita 3328 Pear Tree Dialysis

126 North Orchard Avenue

Ukiah

95482

[DELETED]

Davita-Union City At Home

32930 Alvarado Niles Rd, Suite 300

Union City

94587

[DELETED]

Total Renal Care Union City Dialysis Center

32930 Alvarado Niles Road, Suite 300

Union City

94587

[DELETED]

Davita 3903 Upland

600 North 13th Avenue

Upland

91786

[DELETED]

Creekside Dialysis Center #2017

141 Parker Street

Vacaville

95688

[DELETED]

Davita—Vacaville Dialysis Center

941 Merchant St.

Vacaville

95688

[DELETED]

Davita #2123 Carquinez

125 Corporate Pl Ste C

Vallejo

94590

[DELETED]

Davita 3806 Vallejo

121 Hospital Dr

Vallejo

94589

[DELETED]

Valley Dialysis Center

16149 Hart Street

Van Nuys

91406

[DELETED]

Davita Ventura Dialysis #5548

2705 Loma Vista Rd Ste 101

Ventura

93003

[DELETED]

Davita 3299 Tri Counties Home Training

433 South Bridge Street

Visalia

93277

[DELETED]

Davita 3300 Visalia

1031 North Demaree

Visalia

93291

[DELETED]

Davita Visalia At Home #5556

1120 N. Chinowth St.

Visalia

93291

[DELETED]

Davita Walnut Creek

404 North Wiget Lane

Walnut Creek

94598

[DELETED]

Davita Walnut Creek At Home

400 N. Wiget Ln

Walnut Creek

94598

[DELETED]

Covina Dialysis Center

1547 West Garvey Avenue

West Covina

91790

[DELETED]

Davita—West Sacramento At Home

3450 Industrial Blvd. #100

West
Sacramento

95691

[DELETED]

Davita- West Sacramento #2189

3450 Industrial Blvd Ste 100

West
Sacramento

95691

[DELETED]

Davita Thousand Oaks Dialysis #5532

375 Rolling Oaks Dr Ste 100

Westlake
Village

91361

[DELETED]

Davita Westminster South #3545

14014 Magnolia St.

Westminster

92683

[DELETED]

Davita Santa Fe Springs #2260

11147 Washington Blvd

Whittier

90606

[DELETED]

Davita Whittier Dialysis Center

10055 Whittwood Drive

Whittier

90603

[DELETED]

Davita #0291 Yuba City

1525 Plumas Court, Suite A

Yuba City

95991

[DELETED]

Davita Yucaipa Dialysis

33487 Yucaipa Boulevard

Yucaipa

92399

[DELETED]

Davita 2568 High Desert

58457 29 Palms Building 100, Suite 102, Highway 1

Yucca Valley

92284

[DELETED]

Davita Alamosa Dialysis Center

612 Del Sol Drive

Alamosa

81101

[DELETED]

Davita Arvada Dialysis

9950 West 80th, Suite 25

Arvada

80005

[DELETED]

Davita—Aurora Dialysis

1411 S. Potomac St. Ste 100

Aurora

80012

[DELETED]

Davita Dialysis—East Aurora

482 South Chambers Road

Aurora

80017

[DELETED]

Davita—Boulder Dialysis Center

2880 Folsom Street, Suite 110

Boulder

80304

[DELETED]

Brighton Dialysis Center #2067

4700 East Bromley Lane, Suite 103

Brighton

80601

[DELETED]

Davita—North Colorado Springs At Home Dialysis #5973

6071 E. Woodmen Rd Suite 100/120

Colorado
Springs

80923

[DELETED]

Davita Pikes Peak At Home

2002 Lelaray Street, Suite 130

Colorado
Springs

80909

[DELETED]

Davita Pikes Peak Dialysis Center

2002 Le Leray Street, Suite 130

Colorado
Springs

80909

[DELETED]

Davita Printer’s Place Dialysis Center

2802 International Cir

Colorado
Springs

80910

[DELETED]

Davita- North Colorado Springs Dialysis Center #4367

6071 E. Woodmen Rd Suite 100/120

Colorado
Springs

80923

[DELETED]

Davita Commerce City Dialysis

6320 Holly St.

Commerce
City

80022

[DELETED]

Da Vita—Cortez Dialysis

610 East Main Street, Suite C

Cortez

81321

[DELETED]

Davita—Belcaro Dialysis Center #2063

755 S. Colorado Blvd

Denver

80246

[DELETED]

Davita—Denver Dialysis

2900 Downing Street, Suite C

Denver

80205

[DELETED]

Davita—Thornton Dialysis Center

8800 Fox Drive

Denver

80260

[DELETED]

Davita 1869 Lowry Pd

7465 East First Avenue, Suite A

Denver

80230

[DELETED]

Page 31 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Davita 2493 North Metro Dialysis Center

12365 Huron St. Ste 500

Denver

80234

[DELETED]

Davita Dialysis—Lowry At Home

7465 East 1st Avenue, Suite 100

Denver

80230

[DELETED]

Davita Dialysis 1063-4 Rose Medical Center-Acute

4567 E. 9th Ave

Denver

80220

[DELETED]

Davita Lowry Dialysis Center

7465 E. 1st Ave Ste A

Denver

80230

[DELETED]

Davita North Metro At Home
Dialysis #5979

12365 Huron St. Ste 500

Denver

80234

[DELETED]

Davita South Denver Dialysis

850 East Harvard Avenue, Suite 60

Denver

80210

[DELETED]

Durango Dialysis Center #2109

72 Suttle Street, Unit D

Durango

81301

[DELETED]

Davita Englewood Dialysis

3247 South Lincoln Street

Englewood

80113

[DELETED]

Davita Lonetree Dialysis Center

9777 Mount Pyramid Court,
Suite 140

Englewood

80112

[DELETED]

Davita Dialysis—Fountain

6910 Bandley Drive

Fountain

80817

[DELETED]

Davita Grand Junction

710 Wellington Avenue, Suite 20

Grand
Junction

81501

[DELETED]

Davita Mesa County At Home #5940

561 25 Rd Ste D

Grand
Junction

81505

[DELETED]

Davita Mesa County Dialysis #4489

561 25 Rd Ste D

Grand
Junction

81505

[DELETED]

Davita #0541 Lakewood Dialysis Center

1750 Pierce St. Suite B.

Lakewood

80214

[DELETED]

Davita Dialysis—Lakewood At Home

1750 Pierce Street, Suite A

Lakewood

80214

[DELETED]

Davita Lakewood Crossing Dialysis

1057 S. Wadsworth Blvd Ste 100

Lakewood

80226

[DELETED]

Davita—Littleton

209 West County Line Road

Littleton

80129

[DELETED]

Da Vita Longmont Dialysis

1715 Kylie Dr Suite 170

Longmont

80501

[DELETED]

Davita Black Canyon #4490

3421 Rio Grande Unit D

Montrose

81401

[DELETED]

Davita #2441 Dialysis Parker

10371 S. Park Glenn Way Ste 180

Parker

80138

[DELETED]

Davita—Parker At Home #5968 Dialysis

10371 S. Park Glenn Way Ste 18

Parker

80138

[DELETED]

Davita—Westminster Dialysis Center

9053 Harland St. Unit 90

Westminster

80031

[DELETED]

Davita 3643 Bloomfield

29 Griffin Road South

Bloomfield

6002

[DELETED]

Davita 3385 Branford

249 West Main Street

Branford

6405

[DELETED]

Davita #2501 Bridgeport

900 Madison Ave

Bridgeport

6606

[DELETED]

Davita—Bridgeport At Home

900 Madison Ave Flr 2nd

Bridgeport

6606

[DELETED]

Davita—Black Rock Dialysis #4332

427 Stillson Rd

Fairfield

6824

[DELETED]

Davita 2524 Hartford North

675 Tower Ave Fl 2

Hartford

6112

[DELETED]

Physician Dialysis Inc.—Middlesex Dialysis

100 Riverview Center, Suite 11

Middletown

6457

[DELETED]

Davita 3389 Milford

470 Bridgeport Ave

Milford

6460

[DELETED]

Davita 3043 New Haven

100 Church Street South, Suite C

New Haven

6519

[DELETED]

Davita-New Haven At Home

100 Church Street S, Suite C

New Haven

6519

[DELETED]

Davita 3254 New London Jv

5 Shaws Cove, Suite 100

New London

6320

[DELETED]

Davita Windham Dialysis

375 Tuckie Road, Suite C

North
Windham

6256

[DELETED]

Davita 3422 Norwalk

31 Stevens Street

Norwalk

6850

[DELETED]

Davita Norwich Jv

113 Salem Turnpike

Norwich

6360

[DELETED]

Davita-Pdi-Rocky Hill At Home

30 Waterchase Dr

Rocky Hill

6067

[DELETED]

Physician Dialysis Inc.—Rocky Hill Dialysis

30 Waterchase Drive

Rocky Hill

6067

[DELETED]

Davita 2506 Shelton Dialysis

750 Bridgeport Ave

Shelton

6484

[DELETED]

Davita—Stamford At Home

30 Commerce Rd

Stamford

6902

[DELETED]

Davita 3342 Stamford

30 Commerce Road

Stamford

6902

[DELETED]

Davita 3639 Torrington

780 Litchfield Street, Suite 100

Torrington

6790

[DELETED]

Davita Vernon Dialysis

460 Hartford Turnpike

Vernon

6066

[DELETED]

Davita—Heights Dialysis Center

150 Mattatuck Heights Road

Waterbury

6705

[DELETED]

Davita 2503 Greater Waterbury

209 Highland Ave

Waterbury

6708

[DELETED]

Davita #3074

2131 K Street Northwest

Washington

20037

[DELETED]

Davita—Georgetown On the Potomac At Home

3223 K Street Northwest, Suite 110

Washington

20007

[DELETED]

Davita—Grant Park Dialysis

5000 Nannie Helens Burroughs Avenue, Northeast

Washington

20019

[DELETED]

Davita 3075 George Washington

3857 Pennsylvania Ave Se, Suite A

Washington

20020

[DELETED]

Davita 3707 Brentwood

1231 Brentwood Northeast

Washington

20018

[DELETED]

Davita 3714 Eight Street

300 8th St. Ne

Washington

20002

[DELETED]

Davita Dialysis

810 1st St. Ne Ste 100

Washington

20002

[DELETED]

Davita Washington Nursing Facility #2465 Dialysis

2425 25th St. Se

Washington

20020

[DELETED]

Georgetown On the Potomac Dialysis Center

3223 K Street Northwest, Suite 110

Washington

20007

[DELETED]

Lee Street Dialysis

5155 Lee Street Northeast

Washington

20019

[DELETED]

Davita—Apopka Dialysis
Center #1990

640 Executive Park Ct

Apopka

32703

[DELETED]

Arcadia Dialysis Center

1341 East Oak Street

Arcadia

34266

[DELETED]

Page 32 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Davita #2380 Ave Maria Dialysis Center

5340 Useppa Dr

Ave Maria

34142

[DELETED]

Davita 4069 Bartow

1190 East Church Street

Bartow

33830

[DELETED]

Boca Raton Artificial Kidney Center

998 Northwest 9th Court

Boca Raton

33486

[DELETED]

Davita- Pinnacle Dialysis of Boca Raton

2900 N. Military Trl Ste 195

Boca Raton

33431

[DELETED]

Davita 4075 Bonita Springs Dialysis

9134 Bonita Beach Rd Se

Bonita
Springs

34135

[DELETED]

Davita—Bradenton At Home

3501 Cortez Road West, Suite 104

Bradenton

34210

[DELETED]

Davita 4038 Bradenton

3501 Cortez Road West, Suite 104

Bradenton

34210

[DELETED]

Davita 2511 Brandon East

114 East Brandon Boulevard

Brandon

33511

[DELETED]

Davita

1315 Southeast 8th Terrace

Cape Coral

33990

[DELETED]

Davita-Cape Coral South

3046 Del Prado Boulevard, Unit #4a

Cape Coral

33904

[DELETED]

Davita—Casselberry Dialysis Center #1991

4970 S. Us Highway 17/92

Casselberry

32707

[DELETED]

Davita Celebration Dialysis Center

1154 Celebration Boulevard

Celebration

34747

[DELETED]

Davita #1750 Community Dialysis Center—Chipley

877 3rd St. Ste 2

Chipley

32428

[DELETED]

Davita #0405 Ocala Regional Kidney Center-North

2620 West Highway 316

Citra

32113

[DELETED]

Davita Embassy Lake Artifical Kidney Center #2114

11011 Sheridan St. Ste 308

Cooper
City

33026

[DELETED]

Davita-Coral Gables Kidney Dialysis Center #356

3280 Ponce De Leon Blvd

Coral
Gables

33134

[DELETED]

Davita Complete Care North At Home

7850 West Sample Road

Coral
Springs

33065

[DELETED]

Davita Complete Dialysis Care

7850 West Sample Road

Coral
Springs

33065

[DELETED]

Wsdc—North Okaloosa Dialysis

320 West Redstone

Crestview

32536

[DELETED]

Crystal River Dialysis Center

7435 West Gulf To Lake Highway

Crystal
River

34429

[DELETED]

Davita Crystal River At Home

7435 W. Gulf To Lake Highway

Crystal
River

34429

[DELETED]

Davita Davenport Dialysis
Center #2130

45597 Us Highway 27

Davenport

33897

[DELETED]

Davita

578 Healthwell Blvd

Daytona
Beach

32114

[DELETED]

Davita Daytona Beach At
Home #6324

578 Health Blvd

Daytona
Beach

32114

[DELETED]

Davita Deerfield Beach

1983 West Hillsboro Boulevard

Deerfield
Beach

33442

[DELETED]

Davita 4339 Defuniak Springs Dialysis Center

1045 Us Highway 331 S.

Defuniak
Springs

32435

[DELETED]

Davita—Deland Dialysis
#4039

350 E. New York Ave

Deland

32724

[DELETED]

Davita North Delray

2655 W. Atlantic Ave

Delray
Beach

33445

[DELETED]

Davita Gulf Breeze Dialysis

1519 Main St.

Dunedin

34698

[DELETED]

Davita Amelia Island Dialysis

1525 Lime Street, Suite 120

Fernandina
Beach

32034

[DELETED]

Davita East Fort Lauderdale Dialysis Center #2031

1301 South Andrews Avenue,
Suite 101

Fort
Lauderdale

33316

[DELETED]

Davita-North Broward Acutes #4051 Dialysis

1500 N. Federal Hwy Ste 100

Fort
Lauderdale

33304

[DELETED]

Fort Lauderdale Renal Associates, Inc.

6264 North Federal Highway

Fort
Lauderdale

33308

[DELETED]

Davita 3551 Fort Myers North

16101 North Cleveland Avenue

Fort Myers

33903

[DELETED]

Davita 4043 Fort Myers South

8570 Granite Ct

Fort Myers

33908

[DELETED]

Davita Fort Myers

2133 Winkler Ave

Fort Myers

33901

[DELETED]

Davita Fort Pierce

1801 S. 23rd St. Ste 1

Fort Pierce

34950

[DELETED]

Davita 2091 Aventura Dialysis Center

22 Sw 11th St. Floor 2

Hallandale
Beach

33009

[DELETED]

Davita #0354 Flamingo Pk

901 E. 10th Ave Ste 17

Hialeah

33010

[DELETED]

Davita -Hialeah Artificial Kidney Center

2750 W. 68th St. Ste 207

Hialeah

33016

[DELETED]

Davita #0260

4401 Hollywood Blvd

Hollywood

33021

[DELETED]

Bayonet Point—Hudson Kidney Center

14144 Nephron Lane

Hudson

34667

[DELETED]

Page 33 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Davita #4389 Jacksonville South

14965 Old St. Augstine Rd,
Suite 114

Jacksonville

32258

[DELETED]

Davita—Regency At Home #6188

9535 Regency Square Blvd

Jacksonville

32225

[DELETED]

Davita—Regency Dialysis #2274

9535 Regency Square Blvd.

Jacksonville

32225

[DELETED]

Davita

802 N. John Young Pkwy

Kissimmee

34741

[DELETED]

Ocala Regional Kidney—South Unit

13940 Us Highway 441

Lady Lake

32159

[DELETED]

Davita 4017 Lake Wales

1125 Bryn Mawr Ave

Lake Wales

33853

[DELETED]

Davita 4024 Lakeland

515 East Bella Vista

Lakeland

33805

[DELETED]

Davita 4071 Lakeland South

5050 S. Florida Ave Ste 1

Lakeland

33813

[DELETED]

Davita Lakeland South At
Home #6278

5050 S. Florida Ave Ste 1

Lakeland

33813

[DELETED]

Bay Breeze Dialysis

11465 Ulmerton Road

Largo

33778

[DELETED]

Davita—Leesburg Dialysis

801 East Dixie Avenue, Suite 108-A

Leesburg

34748

[DELETED]

Davita Lake Griffin East Dialysis

401 E. North Blvd

Leesburg

34748

[DELETED]

Lake Dialysis

221 North First Street

Leesburg

34748

[DELETED]

Davita 4009 Lehigh Acres

2719 Fourth Street West

Lehigh Acres

33971

[DELETED]

Davita Gateway Dialysis
Center #4417

5705 Lee Blvd

Lehigh Acres

33971

[DELETED]

Davita Four Freedoms Dialysis

289a Southwest Range Avenue

Madison

32340

[DELETED]

Davita Marianna Dialysis Center

2930 Optimist Dr

Marianna

32448

[DELETED]

Davita 3655 Melbourne-Fka Brevard County

2235 South Babcock Street

Melbourne

32901

[DELETED]

Davita #0351 Center for Kidney Disease

1190 Northwest 95th Street,
Suite 208

Miami

33150

[DELETED]

Davita 3460 Miami East

1250 Nw 7th St. Ste 106

Miami

33125

[DELETED]

Davita Florida Renal

3500 Northwest 7th Street

Miami

33125

[DELETED]

Davita Greater Miami

160 Nw 176th St. Ste 100

Miami

33169

[DELETED]

Davita Kendall Dialysis #4409

8364 Mills Dr Ste 1740

Miami

33183

[DELETED]

Davita Miami

1500 Nw 12th Ave Ste 106

Miami

33136

[DELETED]

Davita Miami Campus Acutes #6323 Dialysis

1500 Nw 12th Ave Ste 106

Miami

33136

[DELETED]

Interamerican Dialysis Institute, Inc.

7815 Coral Way, Suite 119

Miami

33155

[DELETED]

Davita South Beach

4701 North Meridian Avenue

Miami Beach

33140

[DELETED]

Davita Miami Gardens

3363 Northwest 167th Street

Miami
Gardens

33056

[DELETED]

Davita—Miami Lakes Artifical Kidney Center

14600 60th Avenue Northwest

Miami Lakes

33014

[DELETED]

Davita Santa Rosa At Home

5819 Highway 90

Milton

32583

[DELETED]

Santa Rosa Dialysis

5819 Highway 90

Milton

32583

[DELETED]

Davita Miramar Dialysis Center

2501 Dykes Rd Ste 200

Miramar

33010

[DELETED]

Mount Dora Dialysis

2735 West Old U.S. Highway 441

Mount Dora

32757

[DELETED]

Davita 4074 Naples

661 9th Street North

Naples

34102

[DELETED]

Davita Naples At Home
Dialysis #4074

661 9th Street North

Naples

34102

[DELETED]

Davita Dialysis—New Smyrna
Beach #4014

110 South Orange Avenue

New Smyrna
Beach

32168

[DELETED]

Davita Greater Miami At Home

160 Nw 176 Street, Suite 100

North Miami

33169

[DELETED]

Davita Miami North Dialysis

860 Ne 125th St.

North Miami

33161

[DELETED]

Venture Dialysis Center, Inc.

16855 Northeast 2nd Avenue,
Suite 205

North Miami
Beach

33162

[DELETED]

Davita Palm Breeze Dialysis
Center #4492

14942 Tamiami Trl

North Port

34287

[DELETED]

Davita Advanced Dialysis Center of Fort Lauderdale #5589

911 E. Oakland Park Blvd

Oakland Park

33334

[DELETED]

Davita #0402 Ocala Regional Kidney Center—East

2870 Southeast 1st Avenue

Ocala

34471

[DELETED]

Davita #0403 Ocala Regional Kidney Center—West

9401 Southwest Highway 200, Building 600, Suite 601

Ocala

34481

[DELETED]

Davita—Ocala At Home

2860 South East First Street

Ocala

34471

[DELETED]

Davita Ocala Regional Home Division

2860 Southeast 1st Avenue

Ocala

34471

[DELETED]

Davita 3044 Ocoee

11140 W. Colonial Dr Ste 5

Ocoee

34761

[DELETED]

Davita—Orange City

242 Treemonte Dr

Orange City

32763

[DELETED]

Davita 3021 Orlando Downtown

116 Sturtevant St.

Orlando

32806

[DELETED]

Davita 3208 Orlando North-Adanson

5135 Adanson Street, Adanson Center, Suite 700

Orlando

32804

[DELETED]

Davita 3351 Orlando East Semoran Blvd

1160 S. Semoran Blvd Ste C

Orlando

32807

[DELETED]

Davita 3481 Orlando Home Training Dialysis

116 Sturtevant St. Ste 2

Orlando

32806

[DELETED]

Davita 4076 Orlando Southwest

6925 Lake Ellenor Dr

Orlando

32809

[DELETED]

Page 34 of 66

Member Name

Member Street

Member City

Member
State

Member
ZIP

[DELETED]

Davita Orlando Hemo
Dialysis #0178

14050 Town Loop Blvd Ste 104a

Orlando

32837

[DELETED]

Davita Orlando Park Dialysis
Center #4446

5397 W. Colonial Dr Suite 120

Orlando

32808

[DELETED]

Davita Rx

2616 Commerce Dr Ste 500b

Orlando

32819

[DELETED]

Davita-Central Orlando Dialysis Center #1992

2548 North Orange Blossom Trail, Suite 400

Orlando

32804

[DELETED]

Orlando Home Training #3481

3885 Oakwater Cir Suite C

Orlando

32806

[DELETED]

Davita 4070 Ormond Beach

495 S. Nova Rd Ste 109

Ormond Beach

32174

[DELETED]

North Palm Beach Dialysis
Center, Inc.

3375 Burns Road, Suite 101

Palm Beach
Gardens

33410

[DELETED]

Davita 4042 Palm Coast

13 Kingswood Dr Ste A

Palm Coast

32137

[DELETED]

Davita of Lake Worth

2459 S. Congress Ave Ste 100

Palm Springs

33406

[DELETED]

Davita—Panama City Dialysis

615 Highway 231

Panama City

32405

[DELETED]

Davita 2338 West Beach Dialysis

16201 Panama City Beach Pkwy Ste 102

Panama City

32413

[DELETED]

Davita Coastal Kidney Center #1612

510 N. Macarthur Ave

Panama City

32401

[DELETED]

Davita Panama City At Home #5926

615 N. Highway 231

Panama City

32405

[DELETED]

Davita—West Florida Hospital #1068-9 Dialysis

8333 N. Davis Hwy

Pensacola

32514

[DELETED]

Davita Panhandle Alabama Acutes Dialysis #1075-4

7835 N. Davis Hwy

Pensacola

32514

[DELETED]

Davita West Pensacola At
Home #6187

598 N. Fairfield Drive, Suite 100

Pensacola

32506

[DELETED]

Davita West Pensacola
Dialysis #2305

598 N. Fairfield Dr Ste 100

Pensacola

32506

[DELETED]

Davita 3508 Perry

118 West Main Street

Perry

32347

[DELETED]

Davita 4029 Plant City

1211 West Reynolds Street, Suite 1

Plant City

33563

[DELETED]

Davita

7061 Cypress Rd Ste 103

Plantation

33317

[DELETED]

Pine Island Kidney Center

1871 North Pine Island Road

Plantation

33322

[DELETED]

Davita—Pompano Beach Artificial Kidney Center

1311 East Atlantic Boulevard

Pompano Beach

33060

[DELETED]

Davita—Port Charlotte Artificial Kidney Center

4300 Kings Highway, Suite 406, Box D17

Port Charlotte

33980

[DELETED]

Gulf Coast Dialysis, Inc.

3300 Tamiami Trail, Suite 101a

Port Charlotte

33952

[DELETED]

Davita-New Port Richey Kidney Center

7421 Ridge Road

Port Richey

34668

[DELETED]

Davita 2825-1 Liberty

10400 South Federal Highway, Suite 100

Port St. Lucie

34952

[DELETED]

Davita 4088 Quincy

878 Strong Rd

Quincy

32351

[DELETED]

Davita 4064 Sun City Center

775 Cortaro Dr

Ruskin

33573

[DELETED]

Davita-Sanford Dialysis
Center #1993

1701 West 1st Street

Sanford

32771

[DELETED]

Davita 3275 Sebastian

1424 Us Highway 1 Ste C

Sebastian

32958

[DELETED]

Davita- Daytona Beach South #4002 Dialysis

1801 S. Nova Rd Ste 306

South Daytona

32119

[DELETED]

Hernando Kidney Center

2985-A Landover Boulevard

Spring Hill

34608

[DELETED]

Davita St. Cloud Dialysis

4750 Old Canoe Creek Rd

St. Cloud

34769

[DELETED]

Davita 3447 St. Petersburg

1117 Arlington Ave N.

St. Petersburg

33705

[DELETED]

Davita Dialysis—Bayfront Medical Center

701 6th St. S,6 N. Dialysis Unit

St. Petersburg

33701

[DELETED]

Davita Pinellas Dialysis
Center #4407

3451 66th St. N.

St. Petersburg

33710

[DELETED]

Davita St. Petersburg At Home

2850 34th Street South

St. Petersburg

33711

[DELETED]

Davita St. Petersburg South

2850 34th Street South

St. Petersburg

33711

[DELETED]

Davita—West Tennessee At Home/Pd

2645 West Tennessee, Suite 14

Tallahassee

32304

[DELETED]

Davita 4001 Tallahassee West

2645 West Tennessee, Suite 8

Tallahassee

32304

[DELETED]

Davita 4089 Tallahassee

1607 Physicians Dr

Tallahassee

32308

[DELETED]

Davita South

2410 S. Adams St.

Tallahassee

32301

[DELETED]

Davita—Tamarac Artificial Kidney Center #177

7140-7148 West Mcnab Road

Tamarac

33321

[DELETED]

Davita 4004 Tampa West

4515 George Road, Suite 300

Tampa

33634

[DELETED]

Davita 4066 Tampa Central

4204 North Macdill Avenue South

Tampa

33607

[DELETED]

Davita 4310 Greater Tampa At Home

4204 N. Macdill Ave Ste B.

Tampa

33607

[DELETED]

Davita Usf

10770 N. 46th St. Ste A100

Tampa

33617

[DELETED]

Davita—Temple Terrace

11306 53rd Street

Temple Terrace

33617

[DELETED]

Laurel Manor At the Villages Dialysis Center #2179

1950 Laurel Manor Drive, Building 190

The Villages

32162

[DELETED]

Davita—Venice Dialysis Center

816 Pinebrook Road

Venice

34285

[DELETED]

Page 35 of 66

Member Name

Member Street

Member City

Member
State

Member
ZIP

[DELETED]

Davita Indian River Dialysis, LLC

2150 45th Street, Suite 102

Vero Beach

32967

[DELETED]

Davita—Jackson South Hospital #3652-2—Dialysis-Acute

9333 Sw 152nd St. Room 244

Village of
Palmetto
Bay

33157

[DELETED]

Davita Wesley Chapel #2366

2255 Green Hedges Way

Wesley
Chapel

33544

[DELETED]

Davita Wesley Chapel At
Home #5934

2255 Green Hedges Way

Wesley
Chapel

33544

[DELETED]

Davita #0670 Dialysis Associates of the Palm Beaches, Inc.

2611 Poinsettia Ave

West Palm
Beach

33407

[DELETED]

Davita Lake Worth At Home

2459 South Congress Avenue,
Suite 100

West Palm
Beach

33406

[DELETED]

Davita Weston Dialysis
Center #2035

2685 Executive Park Drive, Suite 1

Weston

33331

[DELETED]

Davita Winter Garden Dialysis Center #4408

1222 Winter Gdn Vineland Rd Ste 100 Bldg, 3

Winter Garden

34787

[DELETED]

Davita 4030 Winter Haven

1625 Dr. Martin Luther King Drive

Winter Haven

33881

[DELETED]

Davita -Winter Park Dialysis

3727 North Goldenrod Road,
Suite 101

Winter Park

32792

[DELETED]

Davita-Winter Park Hemo Dialysis Center #1994

4100 Metric Dr Ste 300

Winter Park

32792

[DELETED]

Davita-Winter Park Pd Dialysis Center #1995

4100 Metric Dr Ste 200

Winter Park

32792

[DELETED]

Davita East Tampa Dialysis #2461

1701 E. 9th Ave

Ybor City

33605

[DELETED]

Davita 4068 Zephyrhills

6610 Stadium Drive

Zephyrhills

33542

[DELETED]

Davita Americus Dialysis Clinic

227 N. Lee Street

Americus

31709

[DELETED]

Davita 3130 Athens West

2047 Prince Ave Ste A

Athens

30606

[DELETED]

Davita #1856 Ralph Mcgill Dialysis

448 Ralph Mcgill Blvd Ne

Atlanta

30312

[DELETED]

Davita—Southwest Atlanta Nephrology

3620 Martin Luther King Drive Southwest

Atlanta

30331

[DELETED]

Davita 3119 Atlanta East

1308 Moreland Ave

Atlanta

30316

[DELETED]

Davita 3175 South Fulton

2685 Metropolitan Pkwy Sw Ste F.

Atlanta

30315

[DELETED]

Davita 3225 Ford Factory Square Mcgill

567 North Ave Ste 100

Atlanta

30354

[DELETED]

Davita 3236 Atlanta West

2538 Martin Luther King Dr Sw

Atlanta

30311

[DELETED]

Davita 3586 Loring Heights

1575 Northside Drive Nw,
Suite 405

Atlanta

30318

[DELETED]

Davita Atlanta Dialysis #3111

567 North Ave Ste 200

Atlanta

30354

[DELETED]

Davita Bakers Ferry Dialysis #0456

3645 Bakers Ferry Rd Sw

Atlanta

30331

[DELETED]

Davita Buckhead Dialysis

1575 Northside Dr Ne Ste 365

Atlanta

30318

[DELETED]

Davita Linden Dialysis #821

121 Linden Avenue

Atlanta

30308

[DELETED]

Davita Midtown

489 Peachtree Street, Suite 100

Atlanta

30308

[DELETED]

Davita Midtown Clinic At
Home #6043

489 Peachtree Street, Suite 100a

Atlanta

30308

[DELETED]

Davita Piedmont

105 Collier Road, Level B.

Atlanta

30309

[DELETED]

Davita- Lake Hearn Dialysis
Center #2071

1150 Lake Hearn Dr Ne Ste 100

Atlanta

30342

[DELETED]

Davita-South Star Adamsville

3651 Bakers Ferry Road

Atlanta

30331

[DELETED]

Davita—Augusta South Wylds Acutes 3094

1815 Wylds Rd

Augusta

30909

[DELETED]

Davita 3094 Wylds Road

1815 Wylds Rd

Augusta

30909

[DELETED]

Nephrology Center of South Augusta

1631 Gordon Highway, Suite 1b

Augusta

30906

[DELETED]

Davita Cobb Dialysis #1638

3865 Medical Park Dr

Austell

30106

[DELETED]

Davita Colonial Springs Dialysis Center #4472

2840 E. West Connector #350

Austell

30106

[DELETED]

Davita 3258 Baxley

539 Fair Street

Baxley

31513

[DELETED]

Davita—Brunswick Pd

53 Scranton Connector

Brunswick

31525

[DELETED]

Davita 3106 Brunswick

53 Scranton Connector

Brunswick

31525

[DELETED]

Davita 3120 Brunswick South

4420 Altama Ave Ste 19

Brunswick

31520

[DELETED]

Davita Southeast Georgia Regional Medical Center Acute Dialysis

2415 Parkwood Dr

Brunswick

31520

[DELETED]

Davita—Buena Vista

349 Geneva Rd

Buena Vista

31803

[DELETED]

Buford Dialysis Center #2166

1550 Buford Highway, Suite 1e

Buford

30518

[DELETED]

Davita 3414 Cedartown

325 West Ave

Cedartown

30125

[DELETED]

Davita—West Georgia Dialysis Center #2070

1216 Stark Ave

Columbus

31906

[DELETED]

Davita Columbus At Home

6228 Bradley Park Drive, Suite B.

Columbus

31904

[DELETED]

Renal Treatment Center—Columbus

6228 Bradley Park Drive, Suite B.

Columbus

31904

[DELETED]

Page 36 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Davita Conyers Dialysis
Center #4421

1501 Milstead Rd Ne

Conyers

30012

[DELETED]

Davita 2415 Cordele Dialysis Center

1013 E. 16th Ave

Cordele

31015

[DELETED]

Davita 3441 Cumming

911 Market Place Blvd Ste 3

Cumming

30041

[DELETED]

Davita Paulding Dialysis

4019 Johns Rd

Dallas

30132

[DELETED]

Davita 3060 South Dekalb

1757 Candler Rd

Decatur

30032

[DELETED]

Davita Decatur Dialysis

1987 Candler Road

Decatur

30032

[DELETED]

Davita East Dekalb Dialysis #1951

2801 Candler Rd Ste 203

Decatur

30034

[DELETED]

Davita Lithonia Dialysis
Center #2120

2485 Park Central Blvd

Decatur

30035

[DELETED]

Davita Snapfinger Dialysis #1950

5255 Snapfinger Park Dr Ste 110

Decatur

30035

[DELETED]

Davita Southern Lane Dialysis

1840 Southern Ln

Decatur

30033

[DELETED]

Davita-Lithonia At Home

2485 Park Central Blvd

Decatur

30035

[DELETED]

Davita 3040 Douglas

190 Westside Dr Ste A

Douglas

31533

[DELETED]

Davita Dialysis

3899 Longview Dr

Douglasville

30135

[DELETED]

Davita- Arbor Place Dialysis
Center #4400

9559 Highway 5 Ste 1

Douglasville

30135

[DELETED]

Davita 3224 Laurens County-Dublin

2400 Bellevue Road, Building 8

Dublin

31021

[DELETED]

Davita Shamrock Dialysis
Center #4356

1016 Claxton Dairy Rd Ste 1a

Dublin

31021

[DELETED]

Davita Duluth

10680 Medlock Bridge Road,
Suite 103

Duluth

30097

[DELETED]

Davita—Athens Dialysis Center

2026 South Milledge Avenue,
Suite A-2

East Athens

30605

[DELETED]

Davita 3445 Atlanta South

3158 East Main Street, Suite A

East Point

30344

[DELETED]

East Point Dialysis

2669 Church Street

East Point

30344

[DELETED]

Elberton Dialysis Facility, Incorporation

894 Elbert Street

Elberton

30635

[DELETED]

Davita #1526 Ellijay Dialysis

449 Industrial Blvd, Suite 240

Ellijay

30540

[DELETED]

Davita 3376 Fayetteville

1279 Highway 54 West, Suite 110

Fayetteville

30214

[DELETED]

Davita Forest Park Dialysis Center

380 Forest Pkwy

Forest Park

30297

[DELETED]

Davita Fort Valley Dialysis Center

557 North Bluebird Boulevard

Fort Valley

31030

[DELETED]

Davita—Gainseville At Home

2545 Flintridge Road, Suite 130

Gainesville

30501

[DELETED]

Dialysis of Georgia, LLC—Gainesville

2545 Flintridge Rd Ste 130

Gainesville

30501

[DELETED]

Davita #476—Iris City Dialysis

521 North Expressway Village, Suite 1509

Griffin

30223

[DELETED]

Davita Griffin Dialysis Center

731 South 8th Street

Griffin

30224

[DELETED]

Davita 4055 Hinesville Dialysis

522 Elma G. Miles Pkwy

Hinesville

31313

[DELETED]

Davita Magnolia Oaks Dialysis Center #5035

2377 Ga Highway 196 W.

Hinesville

31313

[DELETED]

Davita Grovepark #2061

794 Mcdonough Road, Suite 103

Jackson

30233

[DELETED]

Davita 3037 Jesup

301 Peachtree Street

Jesup

31545

[DELETED]

Davita #2302 Spivey Dialysis Center

1423 Stockbridge Road, Suite B.

Jonesboro

30236

[DELETED]

Davita 6115 Spivey At Home Dialysis

1423 Stockbridge Rd Suite B.

Jonesboro

30236

[DELETED]

Davita Jonesboro

129 King St.

Jonesboro

30236

[DELETED]

Sugarloaf Dialysis Center

1705 Belle Meade Court, Suite 110

Lawrenceville

30043

[DELETED]

Davita Sweetwater

7117 Sweetwater Road

Lithia Springs

30122

[DELETED]

Davita Dialysis Center of Middle Georgia

747 Second Street

Macon

31201

[DELETED]

Davita East Macon Dialysis

165 Emery Highway, Suite 101

Macon

31217

[DELETED]

Davita Kennestone At Home
Dialysis #5971

200 Cobb Pkwy N. Ste 318

Marietta

30062

[DELETED]

Davita Kennestone Dialysis
Center #4338

200 Cobb Pkwy N. Ste 318

Marietta

30062

[DELETED]

Mcdonough Dialysis Center

114 Dunn Avenue

Mcdonough

30253

[DELETED]

Davita 3025 Candler County

325 Cedar Rd

Metter

30439

[DELETED]

Davita Milledgeville

400 South Wayne Street

Milledgeville

31061

[DELETED]

Davita 3560 Montezuma

114 Devaughn Ave

Montezuma

31063

[DELETED]

Davita Moultrie Dialysis Center

2419 South Main Street

Moultrie

31768

[DELETED]

Dialysis of Georgia, L.L.C.

1565 East Highway 34, Suite A

Newnan

30265

[DELETED]

Davita Peach Tree City Dialysis Center #4420

2832 Highway 54 Bldg 100

Peachtree
City

30269

[DELETED]

Kidney Care Perry, LLC

1027 Keith Drive

Perry

31069

[DELETED]

Davita—2452 Pooler Dialysis Center

54 Traders Way

Pooler

31322

[DELETED]

Davita Pooler At Home Dialysis

54 Traders Way

Pooler

31322

[DELETED]

Davita Southern Crescent Dialysis Center #2186

275 Upper Riverdale Road, Suite B.

Riverdale

30274

[DELETED]

Davita 3002 Rome

15 John Maddox Dr Nw

Rome

30165

[DELETED]

Davita Rome At Home

15 John Maddox Drive Nw

Rome

30165

[DELETED]

Davita—North Fulton Dialysis #6306

1250 Northmeadow Pkwy Ste 120

Roswell

30076

[DELETED]

Davita 3546 Williams Street Dialysis

2812 Williams St.

Savannah

31404

[DELETED]

Davita 3547 Derenne Dialysis

5303 Montgomery St.

Savannah

31405

[DELETED]

Page 37 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Davita 3548 Abercorn Dialysis

11706 Mercy Blvd Ste 9

Savannah

31419

[DELETED]

Davita Derenne At Home

5303 Montgomery Street

Savannah

31405

[DELETED]

Davita 2167 Snellville Dialysis Center

2135 Main St. E. Ste 130

Snellville

30078

[DELETED]

Davita 3544 Effingham North Dialysis Ctr

301 North Pine Street

Springfield

31329

[DELETED]

Davita 4072 St. Marys Dialysis

2714 Osborne Rd

St. Marys

31558

[DELETED]

Davita #0642 Nephrology Center of Statesboro

4b College Plz

Statesboro

30458

[DELETED]

Davita East Georgia Dialysis Center

450 Georgia Avenue, Suite A

Statesboro

30458

[DELETED]

Davita Dialysis—Spaulding Regional Medical Center # 1055-2-Acute

1133 Eagel Landing Pkwy

Stockbridge

30281

[DELETED]

Davita North Henry Dialysis

5627 North Henry Blvd, Suite I1

Stockbridge

30281

[DELETED]

Davita Mountain Park

5235 Memorial Drive

Stone
Mountain

30083

[DELETED]

Davita 3121 Thomaston

113a E. County Rd

Thomaston

30286

[DELETED]

Davita—Tifton Dialysis Center

624 Love Avenue

Tifton

31794

[DELETED]

Davita Norhlake Dialysis Center #1639

1350 Montreal Road, Suite 200

Tucker

30084

[DELETED]

Davita Tucker Dialysis Center #4410

4434 Hugh Howell Rd

Tucker

30084

[DELETED]

Davita—Union City Dialysis

6851 Shannon Parkway, Suite 200

Union City

30291

[DELETED]

Davita Union City At Home #5965 Dialysis

6851 Shannon Pkwy 200

Union City

30291

[DELETED]

Davita Oak Street Dialysis # 3005

2704 N. Oak St. Bldg H

Valdosta

31602

[DELETED]

Davita—Vadalia First Street Dialysis #1960

906 E. 1st St. Ste B.

Vidalia

30474

[DELETED]

Davita of Vidalia

1806 Edwina Drive

Vidalia

30474

[DELETED]

Dialysis Center of Middle Georgia

509 North Houston Road

Warner
Robins

31093

[DELETED]

Davita Washington Dialysis Center

154 Washington Plaza

Washington

30673

[DELETED]

Davita Waycross Dialysis Center #2352

308 Carswell Ave

Waycross

31501

[DELETED]

Davita of Woodstock

2001 Professional Parkway, Suite 100

Woodstock

30188

[DELETED]

Davita 3564 Wrightsville

2240 W. Elm St.

Wrightsville

31096

[DELETED]

Davita, Dba; Atlantic Dialysis Center #1597

1500 East 10th Street Suite B.

Atlantic

50022

[DELETED]

Davita 3527 Council Bluffs

300 West Broadway, Suite 150

Council
Bluffs

51503

[DELETED]

Davtia #1596, dba ; Creston Dialysis

1700 West Townline

Creston

50801

[DELETED]

Davita Dialysis Central Des Moines #1594

1215 Pleasant Street, Suite 106

Des Moines

50309

[DELETED]

Davita East Des Moines At Home

1301 Pennsylvania Avenue, Suite 208

Des Moines

50316

[DELETED]

Davita East Des Moines Dialysis Center #2132

1301 Pennsylvania Ave Ste 208

Des Moines

50316

[DELETED]

Davita Riverpoint Dialysis

501 Southwest 7th Street, Suite B.

Des Moines

50309

[DELETED]

Davita Grundy Dialysis Center #5023

101 E. J. Ave Suite 110

Grundy
Center

50638

[DELETED]

Davita # 1573 Harlan Dialysis

1213 Garfield Avenue

Harlan

51537

[DELETED]

Davita Buchanan County Dialysis #1925

1600 1st St. E.

Independence

50644

[DELETED]

Davita #1598, Dba; Newton Dialysis

204 North 4th Avenue East, Suite 134

Newton

50208

[DELETED]

Davita Perry Dialysis Center #2134

610 Tenth Street, Suite L100

Perry

50220

[DELETED]

Davita Shenandoah Dialysis #1574

300 Pershing

Shenandoah

51601

[DELETED]

Davita—Cedar Valley Dialysis Center #1980

1661 W. Ridgeway Ave

Waterloo

50701

[DELETED]

Davita Black Hawk Dialysis # 1927

3421 W. 9th St.

Waterloo

50702

[DELETED]

Davita #1926 Waverly Dialysis

220 10th St. Sw

Waverly

50677

[DELETED]

Davita #1595, dba ; West Des Moines Dialysis

6800 Lake Drive, Suite 185

West Des
Moines

50266

[DELETED]

Davita—West Union Dialysis Center #1981

405 Highway 150 North, PO Box 516

West Union

52175

[DELETED]

Davita Southwest Idaho Advanced Care Hospital-Acute

6651 W. Franklin Rd

Boise

83709

[DELETED]

Davita Table Roack At Home

5610 West Gage Street, Suite B.

Boise

83706

[DELETED]

Davita Table Rock Dialysis Center #1814

5610 Gage St. Ste B.

Boise

83706

[DELETED]

Davita Table Rock Dialysis Pd

5610 West Gage Street, Suite B.

Boise

83706

[DELETED]

Davita Burley Dialysis

741 N. Overland Ave

Burley

83318

[DELETED]

Page 38 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Davita Burley Dialysis Pd

741 N. Overland Ave

Burley

83318

[DELETED]

Davita Caldwell Dialysis Center #2364

821 Smeed Pkwy

Caldwell

83605

[DELETED]

Davita Caldwell Dialysis Center Pd-Id #5028

821 Smeed Pkwy

Caldwell

83605

[DELETED]

Davita Treasure Valley Dialysis #1812

3525 East Louise Drive, Suite 155

Meridian

83642

[DELETED]

Davita Treasure Valley Dialysis #1836 Pd Unit

3525 East Louise Drive Suite 155

Meridian

83642

[DELETED]

Davita Moscow Dialysis # 4325

212 Rodeo Dr Suite 101

Moscow

83843

[DELETED]

Davita Nampa Dialysis Ctr

846 Park Centre Way

Nampa

83651

[DELETED]

Nampa Dialysis Pd

846 Parkcentre Way

Nampa

83651

[DELETED]

Gate City Dialysis Center

2001 Bench Rd

Pocatello

83201

[DELETED]

Gate City Dialysis Pd

2001 Bench Road

Pocatello

83201

[DELETED]

Davita Twin Falls At Home

1840 Canyon Crest Drive

Twin Falls

83301

[DELETED]

Davita Twin Falls Dialysis Center

1840 Canyon Crest Dr

Twin Falls

83301

[DELETED]

Davita Twin Falls Dialysis Pd

1840 Canyon Crest

Twin Falls

83301

[DELETED]

Davita 3449 Alton

3511 College Ave

Alton

62002

[DELETED]

Davita Metro East Dialysis Center #1720

5105 West Main Street

Belleville

62226

[DELETED]

Davita- Metro East At Home

5105 West Main Street

Belleville

62226

[DELETED]

Davita #1694 Benton Dialysis

1151 Route 14 West

Benton

62812

[DELETED]

Davita—Bourbonnais Dialysis

581 William Latham Drive, Suite 104

Bourbannais

60914

[DELETED]

Davita—Kankakee County Pd

581 William Lathan Drive, Suite 104

Bourbonnais

60914

[DELETED]

Nephroplex Dialysis of Centralia

1231 State Road 161

Centralia

62801

[DELETED]

Davita—Illini Renal At Home Dialysis 6086

507 East University Avenue

Champaign

61820

[DELETED]

Davita—Llini Renal Dialysis 3580 Champaign

507 East University

Champaign

61820

[DELETED]

Davita #6244—Kennedy Home Dialysis At Home

5509 N. Cumberland Ave Ste 515

Chicago

60656

[DELETED]

Davita—Montclare

7009 West Belmond Avenue

Chicago

60634

[DELETED]

Davita—Woodlawn Home Program #5581

5841 S. Maryland Ave Room L026

Chicago

60637

[DELETED]

Davita—Woodlawn Home Program At Home #5933

5841 S. Maryland Ave Room L026

Chicago

60637

[DELETED]

Davita Beverly At Home #5949

8109 S. Western Ave

Chicago

60620

[DELETED]

Davita Beverly Dialysis Center #1785

8109 S. Western Ave

Chicago

60620

[DELETED]

Davita Children’s Dialysis Center

2611 North Halsted Street

Chicago

60614

[DELETED]

Davita Emerald Dialysis

710 West 43rd Street

Chicago

60609

[DELETED]

Davita Emerald Pd

710 East 43rd Street

Chicago

60609

[DELETED]

Davita Lake Park Dialysis #5578

1531 E. Hyde Park Blvd

Chicago

60615

[DELETED]

Davita Little Village Dialysis Center

2335 West Cermak Road

Chicago

60608

[DELETED]

Davita Logan Square Dialysis Services, Inc.

2659 North Milwaukee Avenue

Chicago

60647

[DELETED]

Davita Mount Greenwood Dialysis Center #2118

3401 111th Street

Chicago

60655

[DELETED]

Davita Mount Greenwood Pd #1830

3401 111th Street

Chicago

60655

[DELETED]

Davita Skyline Home Dialysis

7009 West Belmont Avenue

Chicago

60634

[DELETED]

Davita Stony Island Dialysis #5579

8725 South Stony Island Avenue

Chicago

60617

[DELETED]

Davita West Lawn Dialysis Center #4363

7000c S. Pulaski Rd

Chicago

60629

[DELETED]

Davita Woodlawn Dialysis #5580

1164 East 55th Street

Chicago

60615

[DELETED]

Davita-Mt. Greenwood At Home

3401 West 111th Street

Chicago

60655

[DELETED]

Lincoln Park Dialysis Services—Total Renal Care

3157 North Lincoln Avenue

Chicago

60657

[DELETED]

Chicago Heights Dialysis Center

177 W. Joe Orr Rd Suite B.

Chicago
Heights

60411

[DELETED]

Davita 1824 Chicago Heights Pd/Home Hemo Dialysis

177 W. Joe Orr Rd Ste B.

Chicago
Heights

60411

[DELETED]

Davita Crystal Springs Dialysis #5550

4900 S. Il Route 31

Crystal Lake

60012

[DELETED]

Davita 3315 Macon County

1090 West McKinley Avenue

Decatur

62526

[DELETED]

Davita 6085 Decatur East Wood At Home

794 E. Wood St.

Decatur

62523

[DELETED]

Davita Decature East Wood

794 East Wood Street, Suite #425

Decatur

62523

[DELETED]

Dixon Kidney Center #2099

1131 North Galena Avenue

Dixon

61021

[DELETED]

Davita Sauget Dialysis

2061 Goose Lake Rd

East St.
Louis

62206

[DELETED]

Daivta Edwardsville Dialysis Center #2414

235 S. Buchanan St.

Edwardsville

62025

[DELETED]

Davita—Effingham At Home

904 Medical Park Drive, Suite 4

Effingham

62401

[DELETED]

Davita Effingham

904 Medical Park Drive, Suite 1

Effingham

62401

[DELETED]

Page 39 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Davita Cobblestone Dialysis #5551

934 Center St.

Elgin

60120

[DELETED]

Davita—Wayne County Dialysis Center

303 North West 11th Street

Fairfield

62837

[DELETED]

Davita Freeport Dialysis Unit

1028 S. Kunkle Blvd

Freeport

61032

[DELETED]

Granite City Dialysis

#9 American Village Shopping Center

Granite City

62040

[DELETED]

Davita 3317 Jacksonville

1515 W. Walnut St. Ste 11

Jacksonville

62650

[DELETED]

Davita 2223 Lake Villa Home Dialysis Pd

37809 N. Illinois Route 59

Lake Villa

60046

[DELETED]

Lake Villa Dialysis Center #2119

37809 North Illinois Route 59

Lake Villa

60046

[DELETED]

Lake County Dialysis

918 South Milwaukee

Libertyville

60048

[DELETED]

Davita 3322 Lincoln

2100 5th St.

Lincoln

62656

[DELETED]

Davita 3318 Litchfield

915 St. Francis Way

Litchfield

62056

[DELETED]

Davita Lockport At Home Dialysis #5999

16626 W. 159th St. Ste 703

Lockport

60441

[DELETED]

Davita #6099 Marion

324 S. 4th St.

Marion

62959

[DELETED]

Davita Marion At Home

324 S. 4th Street

Marion

62959

[DELETED]

Davita #1910 Maryville Dialysis Pd

2136 Vadalabene Dr Ste B.

Maryville

62062

[DELETED]

Davita #6125 Maryville At Home

2136 Vadalabene Dr, Ste B.

Maryville

62062

[DELETED]

Davita- Maryville Dialysis Center

2130 Vadalabene Dr

Maryville

62062

[DELETED]

Davita Olympia Fields

4557b West Lincoln Highway

Matteson

60443

[DELETED]

Davita Olympia Fields Dialysis Pd

4557b Lincoln Hwy

Matteson

60443

[DELETED]

Davita 3319 Mattoon

200 Richmond Avenue East

Mattoon

61938

[DELETED]

Davita—Mount Vernon At Home

1800 Jefferson Avenue

Mount
Vernon

62864

[DELETED]

Nephroplex Dialysis of Mount Vernon

1800 Jefferson Ave

Mount
Vernon

62864

[DELETED]

Davita Big Oaks Dialysis Center #4362

5623 W. Touhy Ave

Niles

60714

[DELETED]

Davita #1784 Stony Creek Dialysis

9115 S. Cicero Ave Ste B.

Oak Lawn

60453

[DELETED]

Davita Dialysis Olney #1731

117 North Boone Street

Olney

62450

[DELETED]

Davita #5520 Pittsfield Dialysis

640 W. Washington St.

Pittsfield

62363

[DELETED]

Davita Adams County At Home #5948

436 N. 10th St.

Quincy

62301

[DELETED]

Davita Adams County Dialysis #5519

436 N. 10th St.

Quincy

62301

[DELETED]

Davita Robinson Dialysis Center #4381

1215 N. Allen St.

Robinson

62454

[DELETED]

Davita 1563 Rockford Dialysis

3339 N. Rockton Ave

Rockford

61103

[DELETED]

Davita Churchview Dialysis Unit

5970 Churchview Drive

Rockford

61107

[DELETED]

Davita Roxbury Dialysis Center #2097

622 Roxbury Rd

Rockford

61107

[DELETED]

Davita Stonecrest Dialysis #5539

1302 E. State St.

Rockford

61104

[DELETED]

Davita-Roxbury At Home

622 Roxbury Rd

Rockford

61107

[DELETED]

Davita 3491 Rushville

112 Sullivan Dr

Rushville

62681

[DELETED]

Davita 3320 Springfield Central

932 N. Rutledge St. Floor 1

Springfield

62702

[DELETED]

Davita 3420 Springfield Montvale

2930 South Montvale Drive, Suite A

Springfield

62704

[DELETED]

Davita Springfield Central At Home

932 N. Rutledge St. Fl 2

Springfield

62702

[DELETED]

Davita Whiteside Dialysis

2600 North Locust Avenue, Suite D

Sterling

61081

[DELETED]

Davita Sycamore Dialysis Center

2200 Gateway Dr

Sycamore

60178

[DELETED]

Davita 3321 Taylorville

901 W. Spresser St.

Taylorville

62568

[DELETED]

Davita Vandalia Dialysis Center

301 Mattes Ave

Vandalia

62471

[DELETED]

Davita Batesville Dialysis Center

232 State Road 129 North

Batesville

47006

[DELETED]

Davita Hoosier Dialysis Center #2450

143 S. Kingston Dr

Bloomington

47408

[DELETED]

Davita Hoosier Hills At Home #5946

143 S. Kingston Dr

Bloomington

47408

[DELETED]

Davita 2449 Carmel Dialysis

180 E. Carmel Dr

Carmel

46032

[DELETED]

Davita Chesterton Dialysis Center

711 Plaza Dr Ste 6

Chesterton

46304

[DELETED]

Davita—Corydon Dialysis

1937 Old State Road 135 N. W.

Corydon

47112

[DELETED]

Davita Dialysis- East Chicago

4320 Fir St. Unit 404

East
Chicago

46312

[DELETED]

Davita East Evansville At Home #6090

1312 Professional Boulevard, Suite 100

Evansville

47714

[DELETED]

Davita East Evansville Dialysis #1725

1312 Professional Boulevard, Suite 100

Evansville

47714

[DELETED]

Davita East Evansville Dialysis Pd #1732

1312 Professional Boulevard, Suite 100

Evansville

47714

[DELETED]

Davita North Evansville Dialysis Center #1726

1151 West Buena Vista Road

Evansville

47710

[DELETED]

Davita Franklin At Home

1140 West Jefferson Street, Suite A

Franklin

46131

[DELETED]

Davita Franklin Dialysis

1140 West Jefferson Street, Suite A

Franklin

46131

[DELETED]

Davita—Gary

4802 Broadway

Gary

46408

[DELETED]

Page 40 of 66

Member Name

Member Street

Member City

Member
State

Member
ZIP

[DELETED]

Davita Greensburg At Home Dialysis #6234

1531 N. Commerce East Dr Suite 6

Greensburg

47240

[DELETED]

Davita-Greensburg Dialysis Center

1531 N. Commerce East Dr Suite 6

Greensburg

47240

[DELETED]

Davita—Indy South Dialysis Center

972 Emerson Parkway, Suite E.

Greenwood

46143

[DELETED]

Davita—Hammond

222 Douglas Street

Hammond

46320

[DELETED]

Davita Hammond Pd #1826

222 Douglas Street

Hammond

46320

[DELETED]

Davita-Hammond At Home

222 Douglas St.

Hammond

46320

[DELETED]

Davita Westview At Home Dialysis

3749 Commercial Dr Suite B.

Indianapolis

46222

[DELETED]

Davita Westview Dialysis

3749 Commercial Dr

Indianapolis

46222

[DELETED]

Davita Jasper Dialysis Center #1728

721 West 13th Street, Suite 105

Jasper

47546

[DELETED]

Davita—Lawrenceburg Dialysis

555 Eads Parkway, Suite 200

Lawrenceburg

47025

[DELETED]

Davita Madison

220 Clifty Drive Unit K

Madison

47250

[DELETED]

Davita Merrillville Dialysis

9223 Taft St.

Merrillville

46410

[DELETED]

Davita Merrillville Dialysis Pd

9223 Taft Street

Merrillville

46410

[DELETED]

Davita—Michigan City

9836 W. 400 N. Suite A

Michigan City

46360

[DELETED]

Davita—Michigan City Pd

9836 W. 400 N. Suite A

Michigan City

46360

[DELETED]

Davita—Munster

8317 Calumet Avenue, Suite A

Munster

46321

[DELETED]

Davita New Albany Dialysis Center

2669 Charlestown Road, Suite E. and F.

New Albany

47150

[DELETED]

Davita North Vernon Dialysis Center #4358

2340 N. State Highway 7 Ste A

North Vernon

47265

[DELETED]

Davita Dialysis of Portage

5823 Us Highway 6

Portage

46368

[DELETED]

Davita #2256 Princeton

2227 Sherman Dr

Princeton

47670

[DELETED]

Davita Rush County Dialysis Center #4359

1400 N. Cherry St.

Rushville

46173

[DELETED]

Davita Salem Dialysis

1201 N. Jim Day Road, Suite 103

Salem

47167

[DELETED]

Davita Dialysis of St. John

10033 Wicker Ave Ste 6

St. John

46373

[DELETED]

Tell City Dialysis Center #1531

1602 Main Street

Tell City

47586

[DELETED]

Davita—Valparaiso

606 Lincolnway

Valparaiso

46383

[DELETED]

Davita—Valparaiso Pd #1827

606 Lincolnway

Valparaiso

46383

[DELETED]

Davita Dialysis Vincennes #1727

700 Willow Street, Suite 101

Vincennes

47591

[DELETED]

Davita Vincennes At Home

700 Willow Street

Vincennes

47591

[DELETED]

Davita Davies County Dialysis Center #1729

310 Northeast 14th Street

Washington

47501

[DELETED]

Davita—Derby

250 West Red Powell Road

Derby

67037

[DELETED]

Davita -Renal Treatment Centers—Garden City

401 N. Main St.

Garden City

67846

[DELETED]

Davita—Horton Dialysis Center #2460

1901 Euclid Avenue

Horton

66439

[DELETED]

Total Renal Care—Independence Dialysis

801 West Myrtle

Independence

67301

[DELETED]

Davita—Wyandotte Dialysis Center #1956

4837 State Ave

Kansas City

66102

[DELETED]

Davita 3517 Wyandotte West

8919 Parallel Parkway, Suite 121

Kansas City

66112

[DELETED]

Davita Wyandotte Dialysis

3737 State Avenue, Suite 100

Kansas City

66102

[DELETED]

Davita Leavenworth

501 Oak Street

Leavenworth

66048

[DELETED]

Davita—Johnson County Dialysis #1954

10453 W. 84th Ter

Lenexa

66214

[DELETED]

Davita Lenexa At Home Dialysis

8630 Halsey St.

Lenexa

66215

[DELETED]

Grambro Healthcare Lenexa

8630 Halsey Street

Lenexa

66215

[DELETED]

Davita—Newton

1223 Washington Road

Newton

67114

[DELETED]

Davita 3457 Olathe

732 West Frontier

Olathe

66061

[DELETED]

Davita Parsons

1902 South Highway 59, Building B. Labette County Medical Center

Parsons

67357

[DELETED]

Davita Pratt Dialysis Center

203 South Watson Suite 110

Pratt

67124

[DELETED]

Da Vita—East Wichita Dialysis

320 North Hillside

Wichita

67214

[DELETED]

Davita #6133 At Home

909 North Topeka Street

Wichita

67214

[DELETED]

Davita—Wichita Pd

909 North Topeka Street

Wichita

67214

[DELETED]

Davita -Wichita Dialysis

909 North Topeka

Wichita

67214

[DELETED]

Northeast Wichita Dialysis Center

2630 North Webb Road, Building 100, Suite 100

Wichita

67226

[DELETED]

Total Renal Care—Winfield Dialysis

1315 East 4th Avenue

Winfield

67156

[DELETED]

Davita—Bardstown Dialysis Center #2055

210 West John Fitch Avenue

Bardstown

40004

[DELETED]

Davita Sheperdsville Dialysis Center #4386

150 Brooks Way Ste 15

Brooks

40109

[DELETED]

Davita #0556 Taylor County Dialysis Ctr

101 Kingswood Drive

Campbellsville

42718

[DELETED]

Davita—Cold Springs Dailysis

430 Crossroads Boulevard

Cold Springs

41076

[DELETED]

12th Street Covington Davita Dialysis Center 4488

1500 James Simpson Jr Way Ste 1100

Covington

41011

[DELETED]

Woodland Dialysis Center

912 Woodland Drive

Elizabethtown

42701

[DELETED]

Davita Turfway

11 Spiral Dr Ste 15

Florence

41042

[DELETED]

Page 41 of 66

Member Name

Member Street

Member City

Member
State

Member
ZIP

[DELETED]

Davita Turfway Dialysis Pd Clinic

11 Spiral Drive, Suite 15a

Florence

41042

[DELETED]

Davita 3276 Crestview Hills

400 Centre View Boulevard

Fort Mitchell

41017

[DELETED]

Paintsville Dialysis Center

4750 Kentucky Route 321 South

Hagerhill

41222

[DELETED]

Davita Gardenside Dialysis Center #1730

70 North Gardenmile Road

Henderson

42420

[DELETED]

Davita 3041 Hopkinsville

1914 S. Virginia St.

Hopkinsville

42240

[DELETED]

Davita 3464 Christian County

200 Burley Ave

Hopkinsville

42240

[DELETED]

Davita—Lagrange Dialysis Center

240 Parker Dr

Lagrange

40031

[DELETED]

Davita #2139 Leitchfield Dialysis Center

912 Wallace Avenue, Suite 106

Leitchfield

42754

[DELETED]

Davita Hamburg Dialysis Center #4377

1745 Alysheba Way

Lexington

40509

[DELETED]

Davita—Louisville Dialysis Center #2107

8037 Dixie Hwy

Louisville

40258

[DELETED]

Davita—Springhurst Dialysis Center #2195

10201 Champion Farms Drive

Louisville

40241

[DELETED]

Davita Louisville

720 West Broadway

Louisville

40202

[DELETED]

Davita- Meadows East Dialysis

2529 Six Mile Lane

Louisville

40220

[DELETED]

Davita-West Broadway At Home

720 West Broadway

Louisville

40202

[DELETED]

Davita—Madisonville Acute Dialysis # 1105

900 Hospital Dr

Madisonville

42431

[DELETED]

Davita—Madisonville Dialysis

435 N. Kentucky Ave

Madisonville

42431

[DELETED]

Davita—Maysville #2322

489 Tucker Drive

Maysville

41056

[DELETED]

Owensboro Dialysis Center #1530

1930 E. Parrish Ave

Owensboro

42303

[DELETED]

Davita Bourbon County Dialysis Center #4384

213 Letton Dr

Paris

40361

[DELETED]

Eastern Kentucky Dialysis Center #1583

167 Weddington Branch Road

Pikeville

41501

[DELETED]

Davita—South Williamson Dialysis Center #4306

204 Appalachian Plz

South
Williamson

41503

[DELETED]

Davita 3291 South Hill

525 Alexandria Pike, Suite 120

Southgate

41071

[DELETED]

Davita Versailles Dialysis Center #4385

480 Lexington Rd

Versailles

40383

[DELETED]

Davita Whitesburg Dialysis Center #1585

222 Hospital Road, Suite D

Whitesburg

41858

[DELETED]

Davita Williamstown Dialysis Center

103 Barnes Rd Suite A

Williamstown

41097

[DELETED]

Davita

3888 North Blvd

Baton Rouge

70806

[DELETED]

Bogalusa Kidney Care—Davita

2108 South Avenue F.

Bogalusa

70427

[DELETED]

Dialysis Systems of Covington—Davita #1535

210 Greenbriar Blvd

Covington

70433

[DELETED]

Davita Denham Springs Dialisys

26737 Highway 1032

Denham
Springs

70726

[DELETED]

Davita 3528 Deridder

239 E. 1st St.

Deridder

70634

[DELETED]

Davita 2606 Donaldsonville

101 Plimsol Dr

Donaldsonville

70346

[DELETED]

Washington Parish Kidney Care

724 Washington Street

Franklinton

70438

[DELETED]

Davita 3603 Magnolia Dialysis

210 E. Spillman St.

Gonzales

70737

[DELETED]

Dialysis Systems of Hammond—Davita

15799 Professional Plaza

Hammond

70403

[DELETED]

Davita 2294 Marrero Dialysis Center

1908 Jutland Dr

Harvey

70058

[DELETED]

Independent Renal Center—Davita

12392 Highway 40

Independence

70443

[DELETED]

Davita 2605 Kenner

720 Village Rd

Kenner

70065

[DELETED]

Davita Kenner Regional Dialysis Center

200 W. Esplanade Ave Ste 100

Kenner

70065

[DELETED]

Davita River Parish Dialysis Center #2231

2880 West Airline Highway

La Place

70068

[DELETED]

Davita 3535 Lake Charles Southwest Dialysis

433 Dr Michael Debakey Dr Ste 184

Lake Charles

70601

[DELETED]

Davita 6318 Lake Charles Southwest At Home Dialysis

433 Dr Michael Debakey Dr Ste 184

Lake Charles

70601

[DELETED]

Davita River Bend Dialysis #5538

1057 Paul Maillard Rd

Luling

70070

[DELETED]

Davita Metairie Dialysis Center #2117

7100 Airline Drive

Metairie

70003

[DELETED]

Davita 6274 Monroe North At Home Dialysis

2344 Sterlington Rd

Monroe

71203

[DELETED]

Da Vita Fleur De Lis Dialysis Ctr

5555 Bullard Ave Ste 110

New Orleans

70128

[DELETED]

Davita—Crescent City Dialysis

3909 Bienville St. Suite 1b

New Orleans

70119

[DELETED]

Davita—Westbank Chronic Renal Center #630

3631 Behrman Pl

New Orleans

70114

[DELETED]

Davita 2480 Fleur De Lis Dialysis Center

5555 Bullard Ave Ste 110

New Orleans

70128

[DELETED]

Davita New Orleans Uptown #2038

1401 Foucher Street, 4th Floor

New Orleans

70115

[DELETED]

Davita Westbank At Home #5928

3631 Behrman Pl

New Orleans

70114

[DELETED]

Page 42 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Memorial Dialysis Center

4427 South Robertson Street

New
Orleans

70115

[DELETED]

Davita 6183 Shreveport Hhd Center

1560 Irvine Pl

Shreveport

71101

[DELETED]

Davita Red River Dialysis Center #4451

9205 Linwood Ave

Shreveport

71106

[DELETED]

Davita—Northshore Kidney Care

106 Medical Center Drive, Suite 101

Slidell

70461

[DELETED]

Davita 6248 Slidell Kidney Care At Home

1150 Robert Blvd Ste 240

Slidell

70458

[DELETED]

Slidell Kidney Care

1150 Robert Boulevard, Suite 240

Slidell

70458

[DELETED]

Davita 3537 Sulphur

944 Beglis Pkwy

Sulphur

70663

[DELETED]

Davita Oakwood Dialysis Center #2032

148 Hector Avenue

Terrytown

70056

[DELETED]

Davita 3035 Boston

660 Harrison Ave Fl First

Boston

2118

[DELETED]

Davita 3056 Brookline

322 Washington Street

Brookline

2445

[DELETED]

Davita 3573 Burlington Dialysis

41 Mall Rd

Burlington

1805

[DELETED]

Davita 3238 Northeast Cambridge

799 Concord Avenue, First Floor

Cambridge

2138

[DELETED]

Davita 3242 Weymouth

330 Libbey Industrial Pkwy

East
Weymouth

2189

[DELETED]

Physicians Dialysis, Inc.—Fitchburg

551 Electric Avenue

Fitchburg

1420

[DELETED]

Davita—Wellington Circle At Home

10 Cabot Rd Ste 103b

Medford

2155

[DELETED]

Davita—Wellington Dialysis

10 Cabot Road, Suiet 103 B.

Medford

2155

[DELETED]

Davita—New Bedford At Home

524 Union Street

New
Bedford

2740

[DELETED]

Davita 3239 New Bedford

524 Union St.

New
Bedford

2740

[DELETED]

Davita 3313 Salem Northeast

10 Colonial Road, Suite 205

Salem

1970

[DELETED]

Davita Wellsley Dialysis

195 Worchester Street

Wellesley

2481

[DELETED]

Davita 3243 Woburn

23 Warren Ave

Woburn

1801

[DELETED]

Davita #1651 Worcester Dialysis Center

19 Glennie St. Ste A

Worcester

1605

[DELETED]

Davita Aberdeen

780 W. Bel Air Ave

Aberdeen

21001

[DELETED]

Davita Catonsville

1581 Sulphur Spring Rd Ste 112

Arbutus

21227

[DELETED]

Bertha Sirk Dialysis Center, Inc.

5820 York Road, Suite 10

Baltimore

21212

[DELETED]

Davita Mercy Dialysis

315 N. Calvert St. Ste 300

Baltimore

21202

[DELETED]

Davita #3369 Baltimore Geriatric

4940 Eastern Avenue, 5th Floor

Baltimore

21224

[DELETED]

Davita 3262 Jhhs-North Bond St.

409 Caroline St.

Baltimore

21231

[DELETED]

Davita 3323 J. B. Zachary

333 Cassell Dr Ste 2300

Baltimore

21224

[DELETED]

Davita 3324 Whitesquare

1 Nashua Court, Suite E.

Baltimore

21221

[DELETED]

Davita 3325 25th Street

920 East 25th Street

Baltimore

21218

[DELETED]

Davita 3367 Howard Street

22 South Howard Street

Baltimore

21201

[DELETED]

Davita Carroll County Acutes #1019-2 Dialysis

1585 Sulphur Spring Road, Suite 107

Baltimore

21227

[DELETED]

Davita Downtown Dialysis Center

821 N. Eutaw St. Ste 401

Baltimore

21201

[DELETED]

Davita Greenspring Dialysis Center

4701 Mount Hope Drive, Suite C

Baltimore

21215

[DELETED]

Davita Seton Drive Dialysis

4800 Seton Drive

Baltimore

21215

[DELETED]

Harford Road Dialysis Center

5800 Harford Rd

Baltimore

21214

[DELETED]

Jb Zachary At Home

333 Cassell Drive, Suite 2300

Baltimore

21224

[DELETED]

Davita 3336 Bel Air

2225 Old Emmorton Road, Suite 105

Bel Air

21015

[DELETED]

Davita Calverton Dialysis Center #2499

4780 Corridor Pl Ste C

Beltsville

20705

[DELETED]

Davita #0811 Berlin

314 Franklin Ave Ste 306

Berlin

21811

[DELETED]

Renal Care of Bowie

4861 Telsa Drive, Suite H

Bowie

20715

[DELETED]

Davita

111 Cherry Hl Road Harbor Park W.

Brooklyn

21225

[DELETED]

Davita #2043

300 Bryn Street, First Floor

Cambridge

21613

[DELETED]

Davita 2513 North Rolling Road Dialysis

1108 N. Rolling Rd

Catonsville

21228

[DELETED]

Rtc Chestertown

100 Brown Street

Chestertown

21620

[DELETED]

Davita 3076 Gwu-Clinton

10401 Hospital Drive, Suite G-02

Clinton

20735

[DELETED]

Davita 3704 Southern Maryland

9211 Stuart Ln

Clinton

20735

[DELETED]

Davita 3636 Cedar Lane

6334 Cedar Ln Ste 101

Columbia

21044

[DELETED]

Davita Howard County

5999 Harpers Farm Road, Suite E-110

Columbia

21044

[DELETED]

Davita 3452 Dundalk

14 Commerce St.

Dundalk

21222

[DELETED]

Davita Easton Dialysis

402 Marvel Ct

Easton

21601

[DELETED]

Davita District Heights Dialysis #4321

5701 Silver Hill Rd

Forestville

20747

[DELETED]

Davita Dialysis 3474-1 Frederick Acutes—Frederick Memorial Hospital

400 W. 7th St.

Frederick

21701

[DELETED]

Davita Frederick At Home

140 Thomas Johnson Dr

Frederick

21702

[DELETED]

Frederick Dialysis—Davita

140 Thomas Johnson Dr Suite 100

Frederick

21702

[DELETED]

Davita-Germantown At Home

20111 Century Blvd

Germantown

20874

[DELETED]

Germantown Dialysis Center #2053

20111 Century Boulevard, Suite C

Germantown

20874

[DELETED]

Page 43 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Davita 3646 Glem Burnie

120 Langley Rd N.

Glen Burnie

21060

[DELETED]

Davita Washington County Dialysis #2458

1136 Opal Ct

Hagerstown

21740

[DELETED]

Davita Tacoma Park Dialysis Center #1617-1

1502 University Blvd E.

Hyattsville

20783

[DELETED]

Davita—Lanham At Home

8855 Annapolis Road, Suite 104

Lanham

20706

[DELETED]

Renal Care Management Lanham Dialysis Center

8855 Annapolis Road, Suite 200

Lanham

20706

[DELETED]

Davita # 1578—Kidney Care of Largo

1300 Mercantile Lane, Suite 194

Largo

20774

[DELETED]

Davita 3759 Landover

1200 Mercantile Lane, Suite 105

Largo

20774

[DELETED]

Davita—Kidney Care Center of Laurel

14631 Laurel Bowie Rd Suite 100-105

Laurel

20707

[DELETED]

Davita 3310 Green Springs

10753 Falls Road, Suite 115

Lutherville

21093

[DELETED]

Davita—Owings Mills

10 Cross Road, Suite 110

Owings Mills

21117

[DELETED]

Rivertowne Dialysis Center At Oxon Hill

6192 Oxon Hill Rd

Oxon Hill

20745

[DELETED]

Davita 3362 Pasadena

8894 Fort Smallwood Road, Suite 12-16

Pasadena

21122

[DELETED]

Pikesville Dialysis Center Davita

1500 Reisterstown Road, Suite 220

Pikesville

21208

[DELETED]

Davita Baltimore County Dialysis

9635 Liberty Rd Ste A

Randallstown

21133

[DELETED]

Davita #0812 Rockville

14915 Broschart Road, Suite 100

Rockville

20850

[DELETED]

Davita 3292 Silver Spring

8412 Georgia Ave

Silver Spring

20910

[DELETED]

Renal Care Management

831 University Boulevard Suite 11

Silver
Springs

20903

[DELETED]

Davita #0562 Dulaney Towson Dialysis Center

113 West Rd Ste 201

Towson

21204

[DELETED]

Davita—Carroll County Dialysis Facility

412 Malcolm Drive, Suite 310

Westminster

21157

[DELETED]

Davita Wheaton Dialysis

11941 Georgia Avenue, Wheaton Park Shopping Center

Wheaton

20902

[DELETED]

Davita Kidney Home (Home Options and Medical Education-Pd) #1975

2245 Rolling Run Dr Ste 4

Windsor Mill

21244

[DELETED]

Davita Northwest Dialysis Center #2250

2245 Rolling Run Dr Ste 1

Windsor Mill

21244

[DELETED]

Davita- Kidney Home (Home Options and Med Education) Dialysis #5981

2245 Rolling Run Dr Ste 3

Windsor Mill

21244

[DELETED]

Davita Down River Dialysis Center #1680

5600 Allen Road

Allen Park

48101

[DELETED]

Davita Battle Creek Dialysis

220 Goodale Avenue East

Battle Creek

49037

[DELETED]

Davita Michigan Kidney Center—Brighton

7960 West Grand River, Suite 210

Brighton

48114

[DELETED]

Davita Burton Dialysis Center # 4415

4015 Davison Rd

Burton

48509

[DELETED]

Davita Chelsea Dialysis

1620 Commerce Park Drive, Suite 200

Chelsea

48118

[DELETED]

Davita #0152 Clarkston Dialysis

6770 Dixie Highway, Suite 205

Clarkston

48346

[DELETED]

Davita Clinton Township At Home #6232

15918 Nineteen Mile Rd. Suite 110

Clinton
Township

48038

[DELETED]

Davita Commerce Township Dialysis Center

120 W. Commerce Road

Commerce
Township

48382

[DELETED]

Davison Dialysis Center

1011 South State Road

Davison

48423

[DELETED]

Davita #2160 East Dearborn Dialysis Center

13200 West Warren Avenue

Dearborn

48126

[DELETED]

Davita 4018 Dearborn-Fka Oakwood

1185 Monroe

Dearborn

48124

[DELETED]

Davita Dearborn At Home Dialysis #3989

22030 Park St.

Dearborn

48124

[DELETED]

Davita—Detroit Dialysis

2674 East Jefferson

Detroit

48207

[DELETED]

Davita 3426 Detroit Downtown

18100 Schaefer Hwy

Detroit

48235

[DELETED]

Davita 3427 Detroit Redford

22711 Grand River Ave

Detroit

48219

[DELETED]

Davita 3428 Detroit Kresge

4145 Cass Ave

Detroit

48201

[DELETED]

Davita 3429 Motor City Dialysis

4160 John R. St. Ste 724

Detroit

48201

[DELETED]

Davita Dialysis—Detroit

6150 Cadieux Road

Detroit

48224

[DELETED]

Davita Motor City Dialysis #3429-1

4727 St. Antoine St. Ste 101

Detroit

48201

[DELETED]

Davita- Grosse Pointe Dialysis

18000 East Warren Avenue, Suite 100

Detroit

48222

[DELETED]

New Center Dialysis, P.C.

3011 West Grand Boulevard, Suite 650

Detroit

48202

[DELETED]

Davita 6207 Lansing At Home

1675 Watertower Pl Suite 700

East Lansing

48823

[DELETED]

Davita—Fenton Dialysis

17420 Silver Parkway

Fenton

48430

[DELETED]

Davita—Flint Dialysis Center #1557

2 Hurley Plaza, Suite 115

Flint

48503

[DELETED]

Davita Ballenger Pointe #2104

2262 South Ballenger Highway

Flint

48503

[DELETED]

Page 44 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Davita Ballenger Pointe At Home #6011

2262 South Ballenger Highway

Flint

48503

[DELETED]

Hallwood Dialysis Center #1558

4929 Clio Road, Suite B.

Flint

48504

[DELETED]

Park Plaza Dialysis Center

G-1075 North Ballenger Highway

Flint

48504

[DELETED]

Davita #0298 Flushing Dialysis

3469 Pierson Pl Ste A

Flushing

48433

[DELETED]

Davita 3634 Newaygo County

1317 W. Main St.

Fremont

49412

[DELETED]

Davita Grand Blanc Dialysis

3625 Genesys Parkway

Grand Blanc

48439

[DELETED]

Davita Grand Haven

16964 Robbins Road

Grand
Haven

49417

[DELETED]

Davita—Grand Rapids

801 Cherry St. Se

Grand
Rapids

49506

[DELETED]

Davita—Grand Rapids At Home

801 Cherry Street Southeast, 2nd Floor

Grand
Rapids

49506

[DELETED]

Davita Grand Rapids East

1230 Ekhart Street Northeast

Grand
Rapids

49503

[DELETED]

Davita Dialysis—Highland Park

64 Victor Street

Highland
Park

48203

[DELETED]

Davita State Fair Dialysis #1592

19800 Woodward Ave

Highland
Park

48203

[DELETED]

Davita Ionia Dialysis Center

2622 Heartland Boulevard

Ionnia

48846

[DELETED]

Davita Jackson Dialysis Center

234 West Louis Glick Highway

Jackson

49201

[DELETED]

Davita Kalamazoo Central

535 S. Burdick, Suite 110

Kalamazoo

49007

[DELETED]

Davita Kalamazoo West #2287

1040 N. 10th Street

Kalamazoo

49009

[DELETED]

Davita- Kalamazoo Home Hemo #6195

1040 North 10th Street

Kalamazoo

49009

[DELETED]

Davita 3071 Ludington

5 N. Atkinson Dr Ste 101

Ludington

49431

[DELETED]

Davita 3069 Muskegon

1277 Mercy Dr

Muskegon

49444

[DELETED]

Davita 6314 Muskegon At Home

1277 Mercy Dr.

Muskegon

49444

[DELETED]

Novi Kidney Center

47250 West Ten Mile Road

Novi

48374

[DELETED]

Oak Park Dialysis Center #369, Parkwood Plaza

13481 West Ten Mile Road

Oak Park

48237

[DELETED]

Davita North Oakland Dialysis Facility

450 N. Telegraph Rd Suite 600

Pontiac

48341

[DELETED]

Davita- North Oakland Medical Center # 1066-1 Dialysis-Acute

461 W. Huron St. Rm 509

Pontiac

48341

[DELETED]

Davita Rochester Hills Dialysis Center #2105

1886 W. Auburn Rd Ste 100

Rochester
Hills

48309

[DELETED]

Davita 3561 Romulus

31470 Ecorse Rd

Romulus

48174

[DELETED]

Saginaw Dialysis Clinic

1527 East Genesee

Saginaw

48607

[DELETED]

Davita #2464

24467 W. 10 Mile Rd

Southfield

48033

[DELETED]

Davita 3507 Southfield

18544 Eight Mile Road

Southfield

48075

[DELETED]

Davita Cornerstone Dialysis At Home #6004

23857 Greenfield Road

Southfield

48075

[DELETED]

Southfield Dialysis Center #329

23857 Greenfield Rd

Southfield

48075

[DELETED]

Southfield West Dialysis Center #295

21900 Melrose, Southfield Tech Center, Building #2

Southfield

48075

[DELETED]

Davita 4219 Southgate

14752 Northline Rd

Southgate

48195

[DELETED]

Macomb Kidney Center of Davita #326

28295 Schoenherr Road, Suite A

Warren

48088

[DELETED]

Davita Waterford Tel Huron Dialysis #2463

225 Summit Dr

Waterford

48328

[DELETED]

Davita West Bloomfield #0297

6010 W. Maple Rd Ste 215

West
Bloomfield

48322

[DELETED]

Davita West Bloomfield At Home #5943

6010 W. Maple Rd Ste 215

West
Bloomfield

48322

[DELETED]

Davita 4214 Westland

5715 N. Venoy Rd

Westland

48185

[DELETED]

Davita Westland Dialysis Center #2102

36585 Ford Road

Westland

48185

[DELETED]

Davita Ypsilanti At Home

2766 Washtenaw Rd

Ypsilanti

48197

[DELETED]

Ypsilanti Dialysis Center -Davita

2766 Washtenaw, Washetenaw Fountain Plaza

Ypsilanti

48197

[DELETED]

Davita—Arden Hills Dialysis

3900 Northwoods Drive, Suite 110

Arden Hills

55112

[DELETED]

Davita

8591 Lyndale Avenue South

Bloomington

55420

[DELETED]

Davita Burnsville Dialysis

501 East Nicollet, Suite 150

Burnsville

55337

[DELETED]

Davita Cass Lake Dialysis

602 Grand Utley Street

Cass Lake

56633

[DELETED]

Davita Cottage Grove Dialysis

8800 East Point Douglas Road, Suite 100

Cottage
Grove

55016

[DELETED]

Davita Dialysis Eagan #2041

2750 Blue Water Road, Suite 300

Eagan

55121

[DELETED]

Eden Prairie Dialysis Center #2042

14852 Scenic Heights Road, Suite 255

Eden Prairie

55344

[DELETED]

Davita #0215 Faribault Dialysis

201 S. Lyndale Ave Ste F.

Faribault

55021

[DELETED]

Page 45 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Davita—Forest Lake Dialysis Unit

1068 South Lake Street

Forest Lake

55025

[DELETED]

Davita-Fridley Dialysis

5301 East River Road , Suite 117

Fridley

55421

[DELETED]

Davita #1964—Maple Grove Pd At Home Dialysis

15655 Grove Cir N.

Maple
Grove

55369

[DELETED]

Davita 2479 Maple Grove Dialsis

15655 Grove Cir N.

Maple
Grove

55369

[DELETED]

Maplewood Dialysis Davita

2785 White Bear Avenue

Maplewood

55109

[DELETED]

Marshall Dialysis of Total Renal Care

300 South Bruce Street

Marshall

56258

[DELETED]

Davita # 0207 Minneapolis Dialysis Center

825 South 8th Street, Suite Sl42

Minneapolis

55404

[DELETED]

Davita #0205

6550 York Avenue South, Suite 100

Minneapolis

55435

[DELETED]

Davita—North Central Acute Dialysis # 224

901 S. 6th St. Suite R7100

Minneapolis

55415

[DELETED]

Davita Coon Rapids Dialysis

3960 Coon Rapids Blvd Nw Ste 309

Minneapolis

55433

[DELETED]

Davita Home Dialysis

825 South Eighth Street, Suite 1224

Minneapolis

55404

[DELETED]

Davita Uptown Dialysis

3601 Lyndale Avenue S.

Minneapolis

55409

[DELETED]

Davita-North Memorial Apheresis #227-14-Acute

3300 Oakdale Ave N.

Minneapolis

55422

[DELETED]

Minneapolis North East Hennepin Dialysis

1049 10th Avenue South East

Minneapolis

55414

[DELETED]

Davita Minnetonka Dialysis Unit

17809 Hutchins Drive

Minnetonka

55345

[DELETED]

Montevideo Dialysis Davita

824 North 11th Street

Montevideo

56265

[DELETED]

New Hope Dialysis Center #2200

5640 International Parkway

New Hope

55428

[DELETED]

Davita Pine City Dialysis

129 East 6th Avenue

Pine City

55063

[DELETED]

Davita—Pipestone Dialysis Center

911 5th Ave Sw

Pipestone

56164

[DELETED]

Red Wing Dialysis Center

3028 North Service Drive

Red Wing

55066

[DELETED]

Redwood Falls Dialysis Davita

100 Fallwood Road

Redwood
Falls

56283

[DELETED]

Davita Richfield Dialysis Center #2175

6601 Lyndale Avenue, Suite 150

Richfield

55423

[DELETED]

Davita Richfield Pd Program #2232

6601 Lyndale Avenue, Suite 150

Richfield

55423

[DELETED]

Davita North Memorial Health Care #226-1

3300 Oakdale Ave N.

Robbinsdale

55422

[DELETED]

Davita Scott County

7456 South Park Drive

Savage

55378

[DELETED]

Davita St. Louis Park Pd

3505 Louisiana Avenue

St. Louis

55426

[DELETED]

Davita St. Louis Park Dialysis

3505 Louisiana Ave S.

St. Louis
Park

55426

[DELETED]

Davita Westwood Hills #2428

7525 Wayzata Blvd

St. Louis
Park

55426

[DELETED]

Davita 5996 University Unit Riverside At Home

1045 Westgate Dr Ste 90

St. Paul

55114

[DELETED]

Davita Capital Dialysis

555 Park Street, Suite 230

St. Paul

55103

[DELETED]

Davita Capitol Pd Program #1748 Dba: Capitol Home Dialysis

555 Park Street, Suite 110

St. Paul

55103

[DELETED]

Davita Highland Park Dialysis

1559 7th St. W.

St. Paul

55102

[DELETED]

Davita Home Unit #6009

555 Park St. Ste 230a

St. Paul

55103

[DELETED]

Davita St. Paul Dialysis

555 Park Street, Suite 180

St. Paul

55103

[DELETED]

Davita Sun Ray Dialysis Center

1758 Old Hudson Rd Suite 100

St. Paul

55106

[DELETED]

Davita University Dialysis Center Riverside

1045 Westgate Dr Ste 90

St. Paul

55114

[DELETED]

Davita Woodbury Dialysis

1850-3 Weir Drive

St. Paul

55125

[DELETED]

River City Dialysis Center

1970 Northwestern Avenue North

Stillwater

55082

[DELETED]

Regional Kidney Disease Program of Total Renal Care, Dba: West St. Paul Dialysis

1555 Livingston

West St.
Paul

55118

[DELETED]

Davita 3523 Cameron

1003 West 4th Street

Cameron

64429

[DELETED]

Davita Dialysis St. Louis Acutes—St. Lukes Rehab Hospital #1103-4

14709 Olive Blvd

Chesterfield

63017

[DELETED]

Davita 3525 Chillicothe

588 E. Business 36

Chillicothe

64601

[DELETED]

Davita Columbia At Home

1701 E. Broadway, Suite G102

Columbia

65201

[DELETED]

Davita Columbia Dialysis Center #2136

1701 East Broadway Suite G102

Columbia

65201

[DELETED]

Crestwood Dialysis Center #1576

9901 Watson Road, Suite 125

Crestwood

63126

[DELETED]

Davita 3465 St. Louis West Pd Dialysis

450 N. Lindbergh Blvd Suite 100c

Creve
Coeur

63141

[DELETED]

Davita Crystal City Dialysis

Highway 61 South and I. 55

Crystal City

63019

[DELETED]

Davita Dexter Dialysis Center #4447

2010 N. Outer Rd

Dexter

63841

[DELETED]

Davita Eureka Dialysis Center #2445

419 Meramec Blvd

Eureka

63025

[DELETED]

Davita Maple Valley Plaza Dialysis Center #5010

649 Maple Valley Dr Bldg G.

Farmington

63640

[DELETED]

Davita—North St. Louise County Dialysis Center

13119 New Halls Ferry Road

Florissant

63033

[DELETED]

Page 46 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Davita 3279 Florissant

11687 West Florissant

Florissant

63033

[DELETED]

Davita North St. Louis County At Home #5938

13119 New Halls Ferry Rd

Florissant

63033

[DELETED]

Davita Hannibal At Home #5947

3140 Palmyra Rd

Hannibal

63401

[DELETED]

Davita Hannibal Dialysis #5518

3140 Palmyra Rd

Hannibal

63401

[DELETED]

Davita 3499 Hazelwood

637 Dunn Road, Suite 125

Hazelwood

63042

[DELETED]

Davita—Eastland Dialysis Center

19101 East Valley View Pkwy., Suite E.

Independence

64055

[DELETED]

Davita 3202 Hospital Hill

2250 Holmes

Kansas City

64108

[DELETED]

Davita 3591 Platte Woods

7667 Northwest Prairie View Road

Kansas City

64151

[DELETED]

Davita Timberlake Dialysis

12110 Holmes Rd

Kansas City

64145

[DELETED]

Hope Again Dialysis

1207 State Route V.V.

Kennett

63857

[DELETED]

Davita #5964 At Home

202 Brevco Plz

Lake St.
Louis

63367

[DELETED]

Davita 3516 Lake St. Louis

201 Brevco Plz

Lake St.
Louis

63367

[DELETED]

Davita 3504 Liberty Dialysis Center

2525 Glenn Hendren Drive

Liberty

64068

[DELETED]

Davita 3531 Nodaway County Dialysis

2613 South Main

Maryville

64468

[DELETED]

Davita Northland

2750 Clay Edwards Drive, Suite 100

North Kansas
City

64116

[DELETED]

Davita Northland At Home

2750 Clay Edwards Drive, Suite 504

North Kansas
City

64116

[DELETED]

Davita Waterbury Dialysis #4463

929 Waterbury Falls Dr

O Fallon

63368

[DELETED]

Davita—Bluff City Dialysis

2400 Lucy Lee Parkway, Suite E.

Poplar Bluff

63901

[DELETED]

Davita- Bluff City At Home Dialysis #5978

2400 Lucy Lee Pkwy Ste E.

Poplar Bluff

63901

[DELETED]

Davita Riverside Reprocessing #3674

410 Nw Business Park Ln

Riverside

64150

[DELETED]

Davita-Kansas City Mo, Acutes #3635-1 Dialysis

408 Nw Business Park Ln

Riverside

64150

[DELETED]

Davita 3115 Rolla

1503 East 10th Street

Rolla

65401

[DELETED]

Davita 3335 St. Charles

2125 Bluestone Dr

St. Charles

63303

[DELETED]

Davita 3536 St. Joseph

5514 Corporate Drive, Suite 100

St. Joseph

64507

[DELETED]

Davita St. Joseph At Home

5514 Corporate Drive, Suite 100

St. Joseph

64507

[DELETED]

Davita—Lamplighter Dialysis Center #2051

12654 Lamplighter Square

St. Louis

63128

[DELETED]

Davita 3386 Shrewsbury

7435 Watson Road, Suite 119

St. Louis

63119

[DELETED]

Davita 3418 Washington Univ Jv

400 North Lindbergh Boulevard

St. Louis

63141

[DELETED]

Davita 3475 St. Louis Washington Univ

324 Debaliveire Avenue

St. Louis

63112

[DELETED]

Davita Dialysis—Missouri Acute Program #459

9700 Mackenzie Rd Ste 225

St. Louis

63123

[DELETED]

Davita Dialysis Missouri Acute-Kindred Hospital #459-25

4930 Lindell Blvd

St. Louis

63108

[DELETED]

Davita Hampton Dialysis #2025.

1425 Hampton Avenue

St. Louis

63139

[DELETED]

Davita St. Louis West At Home Dialysis

450 N. Lindberg Blvd Ste 100c

St. Louis

63141

[DELETED]

Davita Villa of St. John Dialysis Center #4468

9030 St. Charles Rock Rd

St. Louis

63114

[DELETED]

Davita-South County Dialysis

4145 Union Road

St. Louis

63129

[DELETED]

Renal Treatment Center—St. Louis

2610 Clark Avenue

St. Louis

63103

[DELETED]

Davita- South County Deaconess At Home

4145 Union Road

St. Louise

63129

[DELETED]

Davita 3589 St. Peters

300 First Executive Avenue, Suite A

St. Peters

63376

[DELETED]

Davita 3278 Washington

1112 Washington Square

Washington

63090

[DELETED]

Davita Villa of Wentzville #4461

1126 W. Pearce Blvd Ste 118

Wentzville

63385

[DELETED]

Davita 2625 Lucedale

652 Manilla St.

Lucedale

39452

[DELETED]

Davita Ocean Springs At Home #6269

13150 Ponce De Leon

Ocean
Springs

39564

[DELETED]

Davita Ocean Springs Dialysis

13150 Ponce De Leon

Ocean
Springs

39564

[DELETED]

Davita Ocean Springs Dialysis

12 Marks Road

Ocean
Springs

39564

[DELETED]

Davita

4907 Telephone Rd

Pascagoula

39567

[DELETED]

Davita Ahoskie Dialysis

129 Hertford County High Road

Ahoskie

27910

[DELETED]

Davita 1057-3 Asheville Acute Warehouse Dialysis

400 Ridgefield Ct Suite 101

Asheville

28806

[DELETED]

Davita 6134 Asheville Kidney At Home

1600 Centerpark Dr

Asheville

28805

[DELETED]

Davita Asheville Kidney Center

1600 Centrepark Drive

Asheville

28805

[DELETED]

Davita Asheville Kidney Center

1600 Centrepark Drive

Asheville

28805

[DELETED]

Page 47 of 66

Member Name

Member Street

Member City

Member
State

Member
ZIP

[DELETED]

Davita Montgomery Dialysis Center #578

323 West Main Street

Biscoe

27209

[DELETED]

Davita #0589 Burgaw Dialysis Center

704 South Dickerson St.

Burgaw

28425

[DELETED]

Davita #0944 Burlington Dialysis Center

873 Heather Rd

Burlington

27215

[DELETED]

Davita Burlington At Home Dialysis #5958

873 Heather Rd

Burlington

27215

[DELETED]

Davita Carthage Dialysis Center #4493

165 Savannah Garden Dr

Carthage

28327

[DELETED]

Chadbourn Dialysis Center

210 East Strawberry Boulevard

Chadbourn

28431

[DELETED]

Charlotte At Home # 6045

2321 West Morehead Street

Charlotte

28208

[DELETED]

Davita

2321 W. Morehead St. Ste 102

Charlotte

28208

[DELETED]

Davita 3568 Charlotte East

3204 North Sharon Amity Road

Charlotte

28205

[DELETED]

Davita 3934 South Charlotte

6450 Bannington Rd

Charlotte

28226

[DELETED]

Davita 3944 North Charlotte Dialysis

6620 Old Statesville Rd

Charlotte

28269

[DELETED]

Davita—Cherokee Dialysis Center

53 Echota Church Road

Cherokee

28719

[DELETED]

Davita—Waynesville Dialysis Center #2000

11 Park Terrace Drive

Clyde

28721

[DELETED]

Davita—Copperfield Dialysis Center #2004

1030 Vinehaven Drive

Concord

28025

[DELETED]

Davita Harrisburg Dialysis Center #4431

3310 Perry St.

Concord

28027

[DELETED]

Davita -Durham West At Home

4307 Western Park Pl Suite 101

Durham

27705

[DELETED]

Davita 3024 Durham

601 Fayetteville St.

Durham

27701

[DELETED]

Davita 3503 Durham West

4307 Western Park Pl

Durham

27705

[DELETED]

Dialysis Care of Rockingham County

251 West King’s Highway

Eden

27288

[DELETED]

Davita 3907 Edenton

703 Luke St.

Edenton

27932

[DELETED]

Davita Albermarle Hospital #2908-1 Dialysis-Acute

1144 N. Road St.

Elizabeth City

27909

[DELETED]

Davita Elizabeth City Dialysis

1840 W. City Dr

Elizabeth City

27909

[DELETED]

Davita #0590 Elizabethtown

101 Dialysis Drive

Elizabethtown

28337

[DELETED]

Dialysis Care of Rutherford County

226 Commercial Drive

Forest City

28043

[DELETED]

Davita 3033 Goldsboro

2609 Hospital Rd

Goldsboro

27534

[DELETED]

Davita 3207 Goldsboro South

1704 Wayne Memorial Dr

Goldsboro

27534

[DELETED]

Davita Goldsboro At Home # 6322

2609 Hospital Rd

Goldsboro

27534

[DELETED]

Dialysis Care of Richmond # 580

771 Cheraw Rd

Hamlet

28345

[DELETED]

Davita Vance County Dialysis #3906

854 S. Beckford Dr

Henderson

27536

[DELETED]

Davita Hendersonville Dialysis Center

500 Beverly Hanks Ctr

Hendersonville

28792

[DELETED]

Davita #0591 Jacksonville

14 Office Park Dr

Jacksonville

28546

[DELETED]

Davita 6246 Sedc Jacksonville At Home Dialysis

14 Office Park Dr

Jacksonville

28546

[DELETED]

Davita—Dialysis Care of Kannapolis At Home

1607 North Main Street

Kannapolis

28081

[DELETED]

Dialysis Care of Kannapolis

1607 North Main Street

Kannapolis

28081

[DELETED]

Davita #0592

305 Beasley St.

Kenansville

28349

[DELETED]

Davita—Dialysis Care of Franklin County

1706 Highway 39 North

Louisburg

27549

[DELETED]

Davita # 0409 Madison Dialysis Center

302 Highway St. Ste 105

Madison

27025

[DELETED]

Davita Mcdowell County Dialysis Center

100 Spaulding Rd Ste 2

Marion

28752

[DELETED]

Davita #3953

7260 E. Marshville Blvd

Marshville

28103

[DELETED]

Davita Union City

701 E. Roosevelt Blvd Ste 400

Monroe

28112

[DELETED]

Davita 3061 Mount Olive

105 Michael Martin Drive

Mount Olive

28365

[DELETED]

Davita—Smokey Mountain

1611 Andrews Rd

Murphy

28906

[DELETED]

Dialysis Care of Moore

#16 Regional Drive

Pinehurst

28374

[DELETED]

Dialysis Care of Moore County At Home #6006

16 Regional Drive

Pinehurst

28374

[DELETED]

Davita- Dialysis Care of Hoke County

403 S. Main St.

Raeford

28376

[DELETED]

Davita Wake Forest At Home #5944

11001 Ingleside Pl

Raleigh

27614

[DELETED]

Davita Wake Forest Dialysis Center #4333

11001 Ingleside Pl

Raleigh

27614

[DELETED]

Davita Reidsville #2049

1307 Freeway Drive

Reidsville

27320

[DELETED]

Davita Reidsville At Home

1307 Freeway Drive

Reidsville

27320

[DELETED]

Davita 3034 Roxboro

718 Ridge Rd

Roxboro

27573

[DELETED]

Davita Acute Dialysis #583-1 At Rutherford Hospital

288 S. Ridgecrest Ave Floor 2

Rutherfordton

28139

[DELETED]

Dialysis Care of Rowan County #582

111 Dorset Drive

Salisbury

28144

[DELETED]

Davita ??? Southeastern Dialysis Center Shallotte

4770 Shallotte Ave

Shallotte

28470

[DELETED]

Davita—Greene County

1025 Kingold Boulevard

Snow Hill

28580

[DELETED]

Page 48 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Southern Pines Dialysis Center

209 Windstar Pl

Southern
Pines

28387

[DELETED]

Davita Southport Dialysis Center #4448

1513 N. Howe St. Suite 15

Southport

28461

[DELETED]

Davita- Mayland Dialysis

575 Altapass Highway

Spruce Pine

28777

[DELETED]

Davita St. Paula Dialysis

564 Mclean Street

St. Paul

28384

[DELETED]

Davita Swannanoa Dialysis Center #1508

2305 Us Highway 70

Swannanoa

28778

[DELETED]

Sylva Dialysis Center

655 Asheville Highway

Sylva

28779

[DELETED]

Dialysis Care of Edgecombe County

3206 Western Boulevard

Tarboro

27886

[DELETED]

Davita # 0571

923 East Caswell Street

Wadesboro

28170

[DELETED]

Davita-Wallace Dialysis #2447

5650 South Hwy 41

Wallace

28466

[DELETED]

Davita Weaverville Dialysis

329 Merrimon Avenue

Weaverville

28787

[DELETED]

Davita #0594

608 Pecan Ln

Whiteville

28472

[DELETED]

Dialysis Care of Martin County

100 Medical Drive

Williamston

27892

[DELETED]

Davita #0595

2215 Yaupon Dr

Wilmington

28401

[DELETED]

Davita Wilimington At Home

2215 Yaupon Drive

Wilmington

28401

[DELETED]

Davita 3032 Wilson

1605 Medical Park Dr

Wilson

27893

[DELETED]

Davita 3588 Forest Hills

2693 Forest Hills Rd

Wilson

27893

[DELETED]

Davita- Fargo At Home # 5982 Dialysis

4474 23rd Ave S. Ste M.

Fargo

58104

[DELETED]

Davita-Fargo

4474 23rd Ave South, Suite M.

Fargo

58104

[DELETED]

Davita 2466 Oakes Dialysis Center

413 S. 7th St.

Oakes

58474

[DELETED]

Davita Dodge County Dialysis #3530

1949 E. 23rd Street Ave S.

Fremont

68025

[DELETED]

Davita Grand Island Dialysis

603 South Webb Road

Grand Island

68803

[DELETED]

Hastings Dialysis Center #1601

1900 North St. Joseph Avenue

Hastings

68901

[DELETED]

Davita—Capital City Dialysis Center #1602

307 North 46th Street

Lincoln

68503

[DELETED]

Davita Capital City At Home

307 N. 46th Street

Lincoln

68503

[DELETED]

Lincoln Dialysis Center, #2177

3401 Plantation Drive, Suite # 140

Lincoln

68516

[DELETED]

Dvita Mccook Dialysis Center

801 West C Street

Mccook

69001

[DELETED]

Davita 2540 Omaha West

13014 West Dodge Road

Omaha

68154

[DELETED]

Davita 3524 Omaha Central

144 S. 40th St.

Omaha

68131

[DELETED]

Davita 3533 Omaha North

6572 Ames Ave

Omaha

68104

[DELETED]

Davita 3534 Omaha South

3427 L. St. Ste 16

Omaha

68107

[DELETED]

Davita 3550-7 Dialysis Veterans Medical Center-Acute

4101 Woolworth Ave Floor 5th5e600

Omaha

68105

[DELETED]

Davita-Omaha West At Home

13014 Wet Dodge Rd

Omaha

68154

[DELETED]

Davita #3597 Papillion

1502 South Washington

Papillion

68046

[DELETED]

Scottsbluff Dialysis Center

3812 Avenue B.

Scottsbluff

69361

[DELETED]

Davita Derry Dialysis Center #4487

1 Action Blvd Unit 2

Londonderry

3053

[DELETED]

Davita 3577 Nashua

38 Tyler St. Ste 100

Nashua

3060

[DELETED]

Total Renal Care—Bridgewater Dialysis Center

2121 Us Highway 22

Bound Brook

8805

[DELETED]

Bricktown Dialysis

525 Jack Martin Boulevard, Suite 200

Brick

8724

[DELETED]

Davita 4025 Burlington North

1164 Route 130 North

Burlington

8016

[DELETED]

Davita 3052 Cherry Hill

1030 Kings Hwy N. Ste 100

Cherry Hill

8034

[DELETED]

Davita 3010 Delran

8008 Route 130 North

Delran

8075

[DELETED]

Davita 3231 East Orange

90 Washington St.

East Orange

7017

[DELETED]

Davita Atlantic Artificial Kidney Center

6 Industrial Way W. Ste B.

Eatontown

7724

[DELETED]

Davita 3451 Edison

29 Meridian Rd

Edison

8820

[DELETED]

Davita Hackettstown

657 Willow Grove Street, Suite 202,,West Wing Medical Bldg.

Hackettstown

7840

[DELETED]

Davita 2707 Holmdel

668 North Beers Street

Holmdel

7733

[DELETED]

Davita 4209 Burlington County

668 Main Street, Suite 2

Lumberton

8048

[DELETED]

Davita 3228 Freehold

300 Craig Rd

Manalapan

7726

[DELETED]

Davita 3077 Summit

1139 Spruce Dr

Mountainside

7092

[DELETED]

Da Vita Neptune Dialysis

2180 Bradley Avenue

Neptune

7753

[DELETED]

Davita 3229 Neptune

3297 State Route 66 Ste G1

Neptune

7753

[DELETED]

Davita Dialysis

571 Central Ave

Newark

7107

[DELETED]

Davita #3327

3 Hospital Plz Ste 101

Old Bridge

8857

[DELETED]

Davita 5988 Pennsauken At Home Dialysis

7024 Kaighns Ave

Pennsauken

8109

[DELETED]

Davita Pennsauken Dialysis Center

7024 Kaighns Ave

Pennsauken

8109

[DELETED]

Davita 3326 Perth Amboy

530 New Brunswick Ave

Perth Amboy

8861

[DELETED]

Davita 3493 Plainfield

1200 Randolph Rd

Plainfield

7060

[DELETED]

Davita Plainfield At Home #6042

1200 Randolph Road

Plainfield

7060

[DELETED]

Middletown Dialysis Center—#529

500 Highway 35 South, Union Square, Suite 9a

Red Bank

7701

[DELETED]

Davita Somerset Dialysis Center #414

240 Chruchill Avenue

Somerset

8873

[DELETED]

Page 49 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Davita 3556 Willingboro

230 Van Sciver Pkwy

Willingboro

8046

[DELETED]

Davita Willingboro At Home Dialysis

230 Van Sciver Pkwy

Willingboro

8046

[DELETED]

Davita—Artesia Dialysis Center #4348

702 N. 13th St.

Artesia

88210

[DELETED]

Davita Artesia At Home Dialysis

702 N. 13th St.

Artesia

88210

[DELETED]

Davita—Four Corners Dialysis Center

801 West Broadway

Farmington

87401

[DELETED]

Davita Shiprock Dialysis Center

Us Highway 666 North, PO Box 2156

Shiprock

87420

[DELETED]

Davita Carson City Dialysis Center #1979

3310 Goni Rd Bldg H Ste 171

Carson City

89706

[DELETED]

Davita Fallon Dialysis #2224

1103 New River Parkway

Fallon

89406

[DELETED]

Davita

2530 Anthem Village Dr

Henderson

89052

[DELETED]

Davita 2271 Green Valley Dialysis Center

1510 W. Warm Springs Rd Suite 100

Henderson

89014

[DELETED]

Davita Siena Henderson #2197

2865 Siena Heights Drive, Suite 141

Henderson

89052

[DELETED]

Davita

2881 Business Park Ct Ste 130

Las Vegas

89128

[DELETED]

Davita—Las Vegas Dialysis Center

3100 West Charleston, Suite 100

Las Vegas

89102

[DELETED]

Davita—Summerlin Dialysis Center

653 Town Center Drive, Building 2, Suite 70

Las Vegas

89144

[DELETED]

Davita 2367 Centennial Dialysis Center

8775 Deer Springs Way

Las Vegas

89149

[DELETED]

Davita 2496 Fivestar Dialysis Center

2400 Tech Center Ct

Las Vegas

89128

[DELETED]

Davita Desert Springs

2110 East Flaming Road, Suite 108

Las Vegas

89119

[DELETED]

Davita Five Star @Home #5980

2400 Tech Center Ct

Las Vegas

89128

[DELETED]

Davita Las Vegas At Home

3100 West Charleston, Suite 100

Las Vegas

89102

[DELETED]

Davita Las Vegas Pediatric Dialysis

7271 W. Sahara Ave Suite 120

Las Vegas

89117

[DELETED]

Davita Southern Hills Dialysis Center #2048

9280 West Sunset Road, Suite 110

Las Vegas

89148

[DELETED]

South Las Vegas Dialysis Center—Davita

2250 South Rancho, Suite 115

Las Vegas

89102

[DELETED]

Davita—North Las Vegas

2300 Mcdaniel Street

North Las
Vegas

89030

[DELETED]

Davita Pahrump Dialysis #547

330 S. Lola Ln

Pahrump

89048

[DELETED]

Davita—Sierra Rose At Home

685 Sierra Rose Drive

Reno

89511

[DELETED]

Davita Reno At Home Dialysis #5961

1500 E. 2nd St. Ste 106

Reno

89502

[DELETED]

Davita Reno Dialysis Center #1978

1500 E. 2nd St. Ste 101

Reno

89502

[DELETED]

Davita South Meadows Dialysis Center #1977

10085 Double R. Blvd Ste 160

Reno

89521

[DELETED]

Sierra Rose Dialysis Center

685 Sierra Rose Drive

Reno

89511

[DELETED]

Davita—Sparks Dialysis

4860 Vista Boulevard, Suite 100

Sparks

89436

[DELETED]

Boston Post Road Dialysis Center

4026 Boston Road

Bronx

10475

[DELETED]

Davita #0501 Bronx Dialysis Center

1615 East Chester Rd

Bronx

10461

[DELETED]

Davita—Eastchester Road Dialysis

1515 Jarrett Place

Bronx

10461

[DELETED]

Davita Bedford Park Dialysis #2355

3119 Webster Ave Frnt 1

Bronx

10467

[DELETED]

Davita Bronx At Home

1615 Eastchester Road

Bronx

10461

[DELETED]

Riverdale Dialysis

170 W. 233rd St.

Bronx

10463

[DELETED]

Soundview Dialysis Center

1622-24 Bruckner Boulevard

Bronx

10473

[DELETED]

South Bronx Kidney Center

1940 Webster Avenue

Bronx

10457

[DELETED]

Davita—Sheepshead Bay Renal Care Dialysis Center #536

26 Brighton 11 St.

Brooklyn

11235

[DELETED]

Dyker Heights Dialysis Center

1435 86th Street

Brooklyn

11228

[DELETED]

South Brooklyn Nephrology Center, Inc.

3915 Avenue V.

Brooklyn

11234

[DELETED]

Utica Avenue Dialysis Clinic

1305 Utica Ave

Brooklyn

11203

[DELETED]

Renal Care of Buffalo, Inc.

550 Orchard Park Road, Suite B104

Buffalo

14224

[DELETED]

Total Renal Care, Dba: Cleve Hill Dialysis Center

1461 Kensington Avenue

Buffalo

14215

[DELETED]

Davita Celia Dill Dialysis Center #520

667 Stoneleigh Avenue, Suite 123

Carmel

10512

[DELETED]

Peekskill—Cortlandt Dialysis Center

2050 East Main Street

Cortlandt
Manor

10567

[DELETED]

Davita #3264 Freeport Kidney Center

267 W. Merrick Rd

Freeport

11520

[DELETED]

Garden City Dialysis

1100 Stewart Ave Ste 2

Garden
City

11530

[DELETED]

Davita Huntington Station Kc At Home

256 Broadway

Huntington
Station

11746

[DELETED]

Huntington Artificial Kidney Center

256 Broadway

Huntington
Station

11746

[DELETED]

Ithaca Dialysis Clinic

201 Dates Dr Ste 206

Ithaca

14850

[DELETED]

Queens Dialysis Center

118-01 Guy Brewer Boulevard

Jamaica

11434

[DELETED]

Lynbrook Dialysis Center

147 Scranton Avenue

Lynbrook

11563

[DELETED]

Davita #3266 Medford

1725 North Ocean Avenue

Medford

11763

[DELETED]

Catskill Dialysis

139 Forestburgh Rd

Monticello

12701

[DELETED]

Catskill Dialysis Center

139 Forestburgh Road

Monticello

12701

[DELETED]

Page 50 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Davita Columbia University At Home Dialysis

60 Haven Ave

New York

10032

[DELETED]

Davita Columbia University Dialysis Center

60 Haven Avenue, Suite B3 and B4

New York

10032

[DELETED]

Port Chester Dialysis Unit

38 Bulkley Ave

Port
Chester

10573

[DELETED]

Port Washington Dialysis

50 Seaview Boulevard

Port
Washington

11050

[DELETED]

Queens Village Dialysis

222-02 Hempstead Avenue

Queens
Village

11429

[DELETED]

Davita Richmond Kidney Center

1366 Victory Blvd

Staten
Island

10301

[DELETED]

Davita #3263 Syosset Kidney Center

1 Locust Ln

Syosset

11791

[DELETED]

Hudson Valley Dialysis Center, Inc.

155 White Plains Road, Suite 107

Tarrytown

10591

[DELETED]

Davita-Renal Care of Buffalo #6203

550 Orchard Park Rd Ste B102

West
Seneca

14224

[DELETED]

White Plains Dialysis Center

200 Hamilton Avenue, Space 13b

Whiteplains

10601

[DELETED]

Davita East Yonkers Dialysis
Center #2394

5 Odell Plz Ste 131

Yonkers

10701

[DELETED]

Yonkers Dialysis Center

575 Yonkers Avenue

Yonkers

10704

[DELETED]

Davita- Alliance Dialysis # 1790

270 E. State St. Ste 110

Alliance

44601

[DELETED]

Davita Ohio Pike Dialysis
Center #4380

1761 State Route 125

Amelia

45102

[DELETED]

Davita Andover Dialysis

488 South Main Street

Andover

44003

[DELETED]

Davita 3511 Ashtabula

1614 West 19th Street

Ashtabula

44004

[DELETED]

Davita 4416 Rivers Edge Dialysis

1006 E. State St. Suite B.

Athens

45701

[DELETED]

Davita #2316 Batavia Dialysis

4000 Golden Age Dr

Batavia

45103

[DELETED]

Davita—Belpre At Home

2906 Washington Boulevard

Belpre

45714

[DELETED]

Davita 3663 Belpre

2906 Washington Blvd

Belpre

45714

[DELETED]

Davita 3344 Guernsey County

1300 Clark Street

Cambridge

43725

[DELETED]

Davita—Belden Dialysis # 1791

4685 Fulton Dr Nw

Canton

44718

[DELETED]

Davita—Mercy Dialysis #1792

1320 Mercy Drive Northwest, Mercy Hall

Canton

44708

[DELETED]

Davita 0940 Eastgate Dialysis

4435 Aicholtz, Suite 800a

Cincinnati

45245

[DELETED]

Davita 3267 Blue Ash Southwest
Ohio Jv

10600 McKinley Road

Cincinnati

45242

[DELETED]

Davita 3340 Western Hills

3267 Westbourne Dr

Cincinnati

45248

[DELETED]

Davita 3341 Winton Road Southwest Ohio

6550 Winton Rd

Cincinnati

45224

[DELETED]

Davita 3443 Silverton

6929 Silverton Ave

Cincinnati

45236

[DELETED]

Davita Dearborn Acutes Dialysis

10600 McKinley Rd

Cincinnati

45242

[DELETED]

Davita East Galbraith Dialysis
Center #2317

3877 E. Galbraith Rd

Cincinnati

45236

[DELETED]

Davita Eastgate Home Training #2340

4435 Aicholtz Road,Suite 800b

Cincinnati

45245

[DELETED]

Davita Forest Fair Dialysis Center

1145 Kemper Meadow Dr

Cincinnati

45240

[DELETED]

Davita Mount Auburn Dialysis
Center #3269

2109 Reading Road

Cincinnati

45202

[DELETED]

Davita Mt. Auburn Southwest Ohio Jv

2109 Reading Rd

Cincinnati

45202

[DELETED]

Davita Norwood Dialysis
Center #4426

2300 Wall St.

Cincinnati

45212

[DELETED]

Davita Red Bank Dialysis
Center #4427

3960 Red Bank Rd

Cincinnati

45227

[DELETED]

Davita White Oak At Home #6050

5520 Cheviot Road, Suite B.

Cincinnati

45247

[DELETED]

Davita White Oak Dialysis

5520 Cheviot Road, Suite B.

Cincinnati

45247

[DELETED]

Davita White Oak Pd

5520 Cheviot Road, Suite B.

Cincinnati

45247

[DELETED]

Davita- Delhi Dialysis Center

5040 Delhi Pike

Cincinnati

45238

[DELETED]

Davita-Anderson #2293

7502 State Rd Ste 1160 Bldg 2

Cincinnati

45255

[DELETED]

Davita # 1862 Shaker Square

12800 Shaker Blvd Ste 1

Cleveland

44120

[DELETED]

Davita #5522 Detroit Dialysis

7901 Detroit Avenue

Cleveland

44102

[DELETED]

Davita Middleburg Heights Dialysis Center #1620

7360 Engle Rd

Cleveland

44130

[DELETED]

Davita Parma Dialysis Center

6735 Ames Rd

Cleveland

44129

[DELETED]

Davita Quadrangle Dialysis #5523

2302 Community College Ave

Cleveland

44115

[DELETED]

Davita—Columbus East At Home

299 Outerbelt Street

Columbus

43213

[DELETED]

Davita—Columbus West Dialysis Center

1395 Georgesville

Columbus

43228

[DELETED]

Davita 3354 Columbus

3830 Olentangy River Rd

Columbus

43214

[DELETED]

Davita 3454 Columbus East

299 Outerbelt St.

Columbus

43213

[DELETED]

Davita 3566 Columbus Downtown

415 East Mound Street

Columbus

43215

[DELETED]

Davita 6220 Columbus West At Home

1391 Georgesville Rd

Columbus

43228

[DELETED]

Davita 3612 Coshocton

1404 Chestnut St.

Coshocton

43812

[DELETED]

Davita Dover Dialysis #5008

899 E. Iron Ave

Dover

44622

[DELETED]

Davita 2419 Dublin Dialysis Center

6770 Perimeter Loop Rd

Dublin

43016

[DELETED]

Davita-Eaton Dialysis

105 East Washington Jackson Road

Eaton

45320

[DELETED]

Davita Lorain County Home Dialysis

824 E. Broad St.

Elyria

44035

[DELETED]

Page 51 of 66

Member Name

Member Street

Member City

Member
State

Member
ZIP

[DELETED]

Davita Fairborn At Home #5937

1266 N. Broad St.

Fairborn

45324

[DELETED]

Davita Fairborn Dialysis
Center #2162

3070 Presidential Drive, Suite 100

Fairborn

45324

[DELETED]

Davita Midwest Fairborn
Dialysis #5571

1266 N. Broad St.

Fairborn

45324

[DELETED]

Davita #3290 Fairfield Home Pd

1210 Hicks Boulevard

Fairfield

45014

[DELETED]

Davita—Fairfield

1210 Hicks Boulevard

Fairfield

45014

[DELETED]

Davita Fairview Dialysis
Center #4350

19050 Lorain Rd

Fairview Park

44126

[DELETED]

Davita Great Northern Dialysis Center #4354

22710 Fairview Center Dr Ste 100

Fairview Park

44126

[DELETED]

Davita Butler County

3497 South Dixie Highway

Franklin

45005

[DELETED]

Davita Butler County Home Training

3497 South Dixie Highway

Franklin

45005

[DELETED]

Davita 2408 Us Grant Dialysis Center

458 Home St.

Georgetown

45121

[DELETED]

Davita—Grove City Dialysis #2319

4155 Kelnor Drive

Grove City

43123

[DELETED]

Davita Highland County Dialysis Center #4471

120 Roberts Ln

Hillsboro

45133

[DELETED]

Davita Rockside At Home #5931

4801 Acorn Dr

Independence

44131

[DELETED]

Davita Rockside Dialysis

4801 Acorn Dr

Independence

44131

[DELETED]

Davita Kettering At Home #6118

5721 Bigger Road

Kettering

45440

[DELETED]

Davita Kettering Dialysis

5721 Bigger Road

Kettering

45440

[DELETED]

Davita-Lebanon Home Training

918 Columbus Ave # B. Ste 2

Lebanon

45036

[DELETED]

Davita Logan Dialysis Center #2433

12880 Grey St.

Logan

43138

[DELETED]

Davita Amherst Dialysis
Center #2255

3200 Cooper Foster Park Rd W.

Lorain

44053

[DELETED]

Davita 5986-1 Belden Community At Home Dialysis

7770 Columbus Rd

Louisville

44641

[DELETED]

Davita 3334 Lake County

1963 Hubbard Rd

Madison

44057

[DELETED]

Davita 3345 Marietta

1019 Pike St.

Marietta

45750

[DELETED]

Davita Clermont Dialysis
Center 4438

5901 Montclair Blvd Ste 100

Milford

45150

[DELETED]

Davita 2481 Cherry Valley Dialysis

1627 W. Main St.

Newark

43055

[DELETED]

Davita 3347 Licking County

65 Mcmillen Dr Ste 300

Newark

43055

[DELETED]

Davita North Rivdgeville Dialysis Center #4351

35143 Center Ridge Rd

North Ridgeville

44039

[DELETED]

Davita 3677 Toledo East

611 Lemoyne Rd

Northwood

43619

[DELETED]

Davita Dialysis—Parma Community General Hospital #1619-1-Acute

7007 Powers Blvd

Parma

44129

[DELETED]

Davita—Pataskala

642 East Broad Street

Pataskala

43062

[DELETED]

Davita—Rocky River Dialysis Center #1621

20220 Center Ridge Rd Ste 50

Rocky River

44116

[DELETED]

Davita 2283 Sandusky Dialysis

795 Bardshar Road

Sandusky

44870

[DELETED]

Davita Silverton Dialysis

6929 Silverton Avenue

Silverton

45236

[DELETED]

Davita Midwest Springfield
Dialysis #5570

2200 N. Limestone St. Ste 104

Springfield

45503

[DELETED]

Davita Dialysis 3676-4 Acuity Specialty Hospital-Acute

380 Summit Ave

Steubenville

43952

[DELETED]

Davita-Strongsville At Home

17792 Pearl Rd.

Strongsville

44136

[DELETED]

Davita

17792 Pearl Road

Strongville

44136

[DELETED]

Seneca County Dialysis

65 St. Francis Street, Betty Jane Center

Tiffin

44883

[DELETED]

Davita 3520 Toledo

1614 South Byrne Road, Suite R.

Toledo

43614

[DELETED]

Davita Point Place Dialysis
Center #2306

4747 Sudar Avenue, Suite 107

Toledo

43611

[DELETED]

Davita Toledo At Home

1614 S. Byrne

Toledo

43614

[DELETED]

Davita 2435 Urbana Dialysis

1880 E. Us Highway 36

Urbana

43078

[DELETED]

Davita Midwest Urbana
Dialysis #5572

1430 Us Hwy 36 E. Ste A

Urbana

43078

[DELETED]

Davita #2334 Wadsworth

195 Wadsworth Rd Ste 302

Wadsworth

44281

[DELETED]

Davita Wadsworth At Home #5932

195 Wadsworth Rd

Wadsworth

44281

[DELETED]

Davita—Wauseon Dialysis #2254

721 South Shoop Avenue

Wauseon

43567

[DELETED]

Davita #5524 West Shore Dialysis

29000 Center Ridge Road

Westlake

44145

[DELETED]

Davita Willow Dialysis
Center #1740

1675 Alex Dr

Wilmington

45177

[DELETED]

Southwest Ohio Dialysis #1541

215 South Allison Avenue

Xenia

45385

[DELETED]

Davita 3346 Zanesville

3120 Newark Rd

Zanesville

43701

[DELETED]

Davita Zanesville At Home

3120 Newark Road

Zanesville

43701

[DELETED]

Davita—Altus Dialysis Center

205 South Park Lane, Suite 130

Altus

73521

[DELETED]

Davita Anadarko Dialysis Center

412 Southeast 11th Street

Anadarko

73005

[DELETED]

Davita—Northwest Bethany

7800 Nw 23rd St. Ste A

Bethany

73008

[DELETED]

Davita Northwest Bethany At Home

7800 Nw 23rd Street, Suite A

Bethany

73008

[DELETED]

Page 52 of 66

Member Name

Member Street

Member City

Member
State

Member
ZIP

[DELETED]

Da Vita—Broken Arrow Dialysis Center

601 South Aspen Avenue

Broken Arrow

74012

[DELETED]

Davita Chickasha Dialysis
Center #2080

228 South 29th

Chickasha

73018

[DELETED]

Da Vita—Claremore Dialysis Center

202 East Blue Starr Drive

Claremore

74017

[DELETED]

Davita Clinton Dialysis Center

150 South 31st Street

Clinton

73601

[DELETED]

Davita—Duncan Dialysis

2645 West Elk

Duncan

73533

[DELETED]

Davita—Durant #2024

411 Westside Drive

Durant

74701

[DELETED]

Davita—Edmond Dialysis

50 South Baumann Avenue

Edmond

73034

[DELETED]

Davita—Elk City

1601 West 2nd Street

Elk City

73644

[DELETED]

Davita Lexington #3314

Lexington Assessment and Reception Center, Highway 39 East

Lexington

73051

[DELETED]

Davita Tri-State Dialysis
Center #975

2510 North Main Street

Miami

74354

[DELETED]

Davita Midwest City Dialysis
Center #955

7221 East Reno Avenue

Midwest City

73110

[DELETED]

Davita—Muskogee Community Dialysis #974

2316 W. Shawnee St.

Muskogee

74401

[DELETED]

Davita—Norman

1818 West Lindsey, B. 104

Norman

73069

[DELETED]

Davita 3015 Oklahoma City South

5730 S. May Ave

Oklahoma City

73119

[DELETED]

Davita 3201 Heartland

925 Ne 8th St.

Oklahoma City

73104

[DELETED]

Davita Cinema Dialysis

3909 South Western

Oklahoma City

73109

[DELETED]

Davita Heartland At Home
Clinic #6276

925 Ne 8th Street

Oklahoma City

73104

[DELETED]

Davita #972—Okmulgee Dialysis Center

201 S. Delaware Ave

Okmulgee

74447

[DELETED]

Davita Pryor Dialysis
Center #3014-1

309 E. Graham Ave

Pryor

74361

[DELETED]

Davita—Shawnee Dialysis Center

4409 N. Kickapoo Ave, Ste 113

Shawnee

74804

[DELETED]

Davita—Stillwater Dialysis Center

406 East Hall of Fame Avenue, Suite 300

Stillwater

74075

[DELETED]

Davita—Stilwell Dialysis Center

319 N. 2nd St.

Stilwell

74960

[DELETED]

Da Vita—Tahlequah Dialysis Center

228 North Bliss Avenue

Tahlequah

74464

[DELETED]

Davita—Central Tulsa Dialysis

1124 South St. Louis Avenue

Tulsa

74120

[DELETED]

Davita—Tulsa

4436 S. Harvard Ave

Tulsa

74135

[DELETED]

Davita Greenwood Dialysis
Center #2037

1345 North Lansing Avenue

Tulsa

74106

[DELETED]

Davita Sapulpa Dialysis Center

9647 Ridgeview St.

Tulsa

74131

[DELETED]

Davita Southcrest

9001 S. 101 East Ave Ste 110

Tulsa

74133

[DELETED]

Davita-Tulsa At Home

4436 S. Harvard Ave

Tulsa

74135

[DELETED]

Davita 2096 Ashland Dialysis Center

1661 Highway 99 N. Bldg A

Ashland

97520

[DELETED]

Davita #5517 Redwood Dialysis

201 Southwest L. Street

Grants Pass

97526

[DELETED]

Davita 2238 Grants Pass

1055 Redwood Avenue

Grants Pass

97527

[DELETED]

Davita—Hermiston Dialysis Center

1155 West Linda Avenue

Hermoston

97838

[DELETED]

Davita Hillsboro Dialysis
Center #2168

2500 Northwest 229th Avenue, Suite 300

Hillsboro

97124

[DELETED]

Davita Klamath Falls Dialysis #1967

2230 N. Eldorado Ave

Klamath Falls

97601

[DELETED]

Davita Mcminnville Dialysis #5045

200 Ne Norton Ln

Mcminnville

97128

[DELETED]

Davita-Willamette Valley Medical Center # 1084-1-Acute

2700 Se Stratus Ave

Mcminnville

97128

[DELETED]

Davita #5516 Rogue Valley Dialysis

760 Golf View Dr Unit 100

Medford

97504

[DELETED]

Davita Rouge Valley At Home #5952

760 Golf View Dr Unit 100

Medford

97504

[DELETED]

Davita Dialysis Ontario Pd

515 East Lane

Ontario

97914

[DELETED]

Davita Four Rivers At Home

515 East Lane

Ontario

97914

[DELETED]

Davita Four Rivers Dialysis
Center #1818

515 East Lane

Ontario

97914

[DELETED]

Davita—Blue Mountain Dialysis

72556 Coyote Road

Pendelton

97801

[DELETED]

Davita Dialysis 3804 Roseburg-Mercy

2599 Nw Edenbower Blvd

Roseburg

97471

[DELETED]

Davita Rosenburg Mercy At Home #6320 Dialysis

2599 Nw Edenbower Blvd

Roseburg

97471

[DELETED]

Davita 3858 Salem-North

1220 Liberty St. Ne*

Salem

97301

[DELETED]

Davita Salem Dialysis

3550 Liberty Rd S.

Salem

97302

[DELETED]

Davita Sherwood Dialysis Center

21035 Sw Pacific Hwy

Sherwood

97140

[DELETED]

Davita Meridian Park At Home

19255 Southwest 65th Avenue, Suite 100

Tualatin

97062

[DELETED]

Davita Meridian Park Dialysis Center

19255 Sw 65th Ave Ste 100

Tualatin

97062

[DELETED]

Davita West Linn

19056 Williamette Drive

West Linn

97068

[DELETED]

Davita 4044 Woodburn

2245 Country Club Rd

Woodburn

97071

[DELETED]

Davita 4217 Bradford

665 East Main Street

Bradford

16701

[DELETED]

Page 53 of 66

Member Name

Member Street

Member City

Member
State

Member
ZIP

[DELETED]

Davita Bradford At Home

665 East Main Street

Bradford

16701

[DELETED]

Davita #0854 Camp Hill At Home

425 North 21st Street, Plaza 21 Bldg, 1st Floor

Camp Hill

17011

[DELETED]

Davita #6163 Camp Hill Dialysis Center

425 North 21st Street, Plaza 21, First Floor

Camp Hill

17011

[DELETED]

Davita Upland Dialysis

1 Med Center Blvd., Suite 120

Chester

19013

[DELETED]

Davita Dialysis Center—Childs Unit

101 South Main Street

Childs

18407

[DELETED]

Davita 3596 Clearfield

1033 Turnpike Avenue, Suite 100 Ssj Waterwork Medical Bldg. of Clearfield

Clearfield

16830

[DELETED]

Davita 4204 Corry

300 York St.

Corry

16407

[DELETED]

Davita—Dubois Dialysis

5780 Shaffer Road, Suite 106b

Du Bois

15801

[DELETED]

Davita Dunmore At Home

1212 Oneil Highway

Dunmore

18512

[DELETED]

Davita Dunmore Dialysis

1212 O’Neil Highway

Dunmore

18512

[DELETED]

Davita Pocono Dialysis Center

447 Office Plaza Drive, 100 Plaza Court, Suite B.

East Stroudsburg

18301

[DELETED]

Palmer Dialysis Center—A Total Renal Care Facility

30 Community Drive

Easton

18045

[DELETED]

Davita Dialysis—Ebensburg

236 Jamesway Rd

Ebensburg

15931

[DELETED]

Davita 2510 Elizabeth

201 McKeesport Rd

Elizabeth

15037

[DELETED]

Davita Elizabeth At Home

201 McKeesport

Elizabeth

15037

[DELETED]

Davita 4208 Elizabethtown

844 North Hanover Street

Elizabethtown

17022

[DELETED]

Davita 3477 Elkins Park

8380 Old York Rd Ste 100

Elkins Park

19027

[DELETED]

Davita 4027 Erie

350 East Bayfront Parkway,
Suite A

Erie

16507

[DELETED]

Davita- Erie At Home

350 East Bayfront Parkway,
Suite A

Erie

16507

[DELETED]

Renal Care of Erie

1641 Sassafras St.

Erie

16502

[DELETED]

Davita #0857 Exton

710 Springdale Dr

Exton

19341

[DELETED]

Davita Frackville Dialysis #5031

801 Schulkill Mall Rd Ste 801

Frackville

17931

[DELETED]

Davita #191 Honesdale Dialysis Center

Maple Avenue- Route 6 - Sturbridge Mall

Honesdale

18431

[DELETED]

Davita 3518 Huntingdon Valley

769 Huntingdon Pike

Huntingdon Valley

19006

[DELETED]

Davita -6162 Johnstown At Home

344 Budfield Street

Johnstown

15904

[DELETED]

Davita Johnstown

344 Budfield Street

Johnstown

15904

[DELETED]

Davita—Pdi Lancaster At Home

1412 East King Street

Lancaster

17602

[DELETED]

Davita Pdi Lancaster

1412 East King Street

Lancaster

17602

[DELETED]

Davita Pdi Lancaster Pd #1917

2110 Harrisburg Pike Suite 310

Lancaster

17601

[DELETED]

Dialysis Center At Oxford Court

930 Town Center Drive, Suite G. 100

Langhorne

19047

[DELETED]

Davita Dialysis

611 Electric Ave

Lewistown

17044

[DELETED]

Davita 3557 McKeesport West

101 9th Avenue

McKeesport

15132

[DELETED]

Davita Meadville Dialysis #4215

19050 Park Avenue Plaza

Meadville

16335

[DELETED]

Davita—Riddle Dialysis

100 Granite Drive, Suite 106

Media

19063

[DELETED]

Davita Delaware Valley Dialysis

102 Davita Dr

Milford

18337

[DELETED]

Davita Monroeville Dialysis #4335

2690 Monroeville Blvd

Monroeville

15146

[DELETED]

Davita Thorn Run Dialysis #5503

1136 Thorn Run Rd Ste J1

Moon Township

15108

[DELETED]

Davita 3045 Waverly-Fka Lansdowne

407 Baltimore Pike

Morton

19070

[DELETED]

Davita 3013 Northumberland Dialysis

103 West State, Route 61

Mount Carmel

17851

[DELETED]

Davita #5504

1620 Pacific Ave

Natrona Heights

15065

[DELETED]

Davita Dialysis Center At St. Mary

60 Blacksmith Rd

Newtown

18940

[DELETED]

Old Forge Dialysis

325 S. Main St.

Old Forge

18518

[DELETED]

Davita Palmerton

185 Delaware Avenue, Suite C

Palmerton

18071

[DELETED]

Davita 4065 Paris

32 Steubenville Pike

Paris

15021

[DELETED]

Davita #1657 Pdi Walnut Towers

834 Walnut St. Ste 100

Philadelphia

19107

[DELETED]

Davita—Callowhill Dialysis Center

313 Callowhill St.

Philadelphia

19123

[DELETED]

Davita—West Dialysis Center

7609 Lindbergh Blvd

Philadelphia

19153

[DELETED]

Davita 2361 Broad Street Dialysis Center

1172-74 S. Broad St.

Philadelphia

19146

[DELETED]

Davita 3042 Roxborough

5003 Umbria St.

Philadelphia

19128

[DELETED]

Davita 3295 Philadelphia Pmc

51 North 39th Street

Philadelphia

19104

[DELETED]

Davita 3472 Philadelphia 42nd Street

4126 Walnut St.

Philadelphia

19104

[DELETED]

Davita 3675 Market Street

3701 Market St.

Philadelphia

19104

[DELETED]

Davita 4211 Cobbs Creek Dialysis

1700 S. 60th St.

Philadelphia

19142

[DELETED]

Davita 42nd Street At Home
Clinic #6271

4126 Walnut Street

Philadelphia

19104

[DELETED]

Davita Cottman Dialysis #5038

7198 Castor Ave

Philadelphia

19149

[DELETED]

Page 54 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Davita Dialysis 1070-2 At Magee Rehabilitation Hospital-Acute

1513 Race St. Floor 3

Philadelphia

19102

[DELETED]

Davita Franklin At Home # 6003

301 Callowhill St.

Philadelphia

19123

[DELETED]

Davita Franklin At Home Pa#5021

301 Callowhill St.

Philadelphia

19123

[DELETED]

Davita Franklin Dialysis Center

150 South Independence,West 101 Public Ledger Building

Philadelphia

19106

[DELETED]

South Philadelphia Dialysis Center

109 Dickinson Street

Philadelphia

19147

[DELETED]

Total Renal Care—Northeast Philadelphia

518 Knorr Street

Philadelphia

19111

[DELETED]

Davita—Pittsburgh At Home

4312 Penn Avenue

Pittsburgh

15224

[DELETED]

Davita 2509 Pittsburgh

4312 Penn Ave

Pittsburgh

15224

[DELETED]

Davita 3676-2 Health South Harmarville Dialysis Center-Acute

320 Guys Run Rd

Pittsburgh

15238

[DELETED]

Davita 3676-3 Kindred Healthcare-Northshore Dialysis-Acute

1004 Arch St.

Pittsburgh

15212

[DELETED]

Davita 4060 Jefferson

14 Clairton Blvd

Pittsburgh

15236

[DELETED]

Davita 4336 East End Dialysis Center

7714 Penn Ave

Pittsburgh

15221

[DELETED]

Davita Bloomfield Dialysis

5171 Liberty Ave

Pittsburgh

15224

[DELETED]

Davita Home Dialysis Modality Center of Excellence

5171 Liberty Ave

Pittsburgh

15224

[DELETED]

Davita Northside Dialysis #5506

320 E. North Ave

Pittsburgh

15212

[DELETED]

Davita 3473 Radnor

250 King of Prussia Rd

Radnor

19087

[DELETED]

Davita Radnor At Home

250 King of Prussia Road

Radnor

19087

[DELETED]

Davita Scranton Dialysis

475 Morgan Highway

Scranton

18508

[DELETED]

Davita—Selinsgrove Clinic

1030 North Susquehanna Trail

Selinsgrove

17870

[DELETED]

Davita Sellinsgrove At Home

1030 N. Susquehanna Trl

Selinsgrove

17870

[DELETED]

Davita Sellersville Dialysis #5558

1112 Old Bethlehem Pike

Sellersville

18960

[DELETED]

Davita Somerset County
Dialysis #5507

229 S. Kimberly Ave Suite 100

Somerset

15501

[DELETED]

Physicians Dialysis of Lancaster, LLC—Pdi Ephrata

67 West Church Street

Stevens

17578

[DELETED]

Mount Pocono Dialysis
Center—#1504

100 Community Drive, Suite 106

Tobyhanna

18466

[DELETED]

Davita Tunkhannock Dialysis

880 State Route 6 West

Tunkhannock

18657

[DELETED]

Renal Treatment Center—Upland

1 Medical Boulevard, Professional Office Building Ii, Suite 120

Upland

19013

[DELETED]

Davita Franklin Commons Dialysis Center #5037

720 Johnsville Blvd Ste 800

Warminster

18974

[DELETED]

Renal Care of Warren, LLC

2 W. Crescent Park

Warren

16365

[DELETED]

Davita #5586 Oak Springs

764 Locust Ave

Washington

15301

[DELETED]

Davita 4223 Waynesburg

248 Elm Drive

Waynesburg

15370

[DELETED]

Davita #860 Jennersville Dialysis

1011 West Baltimore Pike, Suite 107

West Grove

19390

[DELETED]

Davita 4028 Homestead

207 West 7th Avenue

West
Homestead

15120

[DELETED]

Davita 4034 McKeesport

Oak Park Mall, 2001 Lincoln Way

White Oak

15131

[DELETED]

Davita 3016 Abington

3940 Commerce Ave Ste A

Willow
Grove

19090

[DELETED]

Davita Abbeville Dialysis
Center #4397

904 W. Greenwood St.

Abbeville

29620

[DELETED]

Davita 3078 Aiken

775 Medical Park Dr

Aiken

29801

[DELETED]

Davita 3952 Central Bamberg Dialysis

67 Sunset Dr

Bamberg

29003

[DELETED]

Davita Palmetto Dialysis #5573

317 Professional Park Road

Clinton

29325

[DELETED]

Ara Columbia Kidney Center

3511 Medical Dr

Columbia

29203

[DELETED]

Ara Columbia Northeast Dialysis

10 Gateway Corners Park Ste 200

Columbia

29203

[DELETED]

Davita—Capitol Centre Dialysis Center #2312

201 Columbia Mall Blvd Ste 141

Columbia

29223

[DELETED]

Davita—Central Columbia At Home

3511 Medical Drive

Columbia

29203

[DELETED]

Davita 3914 Allendale

202 Hampton Ave N.

Fairfax

29827

[DELETED]

Davita Fort Mill

1975 Carolina Place Drive

Fort Mill

29708

[DELETED]

Davita Fountain Inn Dialysis #5576

298 Chapman Rd

Fountain Inn

29644

[DELETED]

Charleston Renal Care Goose Creek

109 Greenland Dr

Goose Creek

29445

[DELETED]

Davita Greenville West End
Dialysis #5575

605 South Academy Street

Greenville

29601

[DELETED]

Davita Upstate At Home
Clinic #6159

308 Mills Avenue

Greenville

29605

[DELETED]

Upstate Dialysis Center, Inc.

308 Mills Ave

Greenville

29605

[DELETED]

Davita 3931 Greenwood

109 Overland Dr

Greenwood

29646

[DELETED]

Davita # 0383

211 Village Dr

Greer

29651

[DELETED]

Davita Greer South Dialysis #5574

3254 Brushy Creek Rd

Greer

29650

[DELETED]

Davita 3935 Lancaster County

980 N. Woodland Dr Ste 100

Lancaster

29720

[DELETED]

Davita 2336 Longs Dialysis Center

90 Cloverleaf Dr Unit 306

Longs

29568

[DELETED]

Davita

3919 Mayfair St.

Myrtle Beach

29577

[DELETED]

Page 55 of 66

Member Name

Member Street

Member City

Member
State

Member
ZIP

[DELETED]

Charleston Renal Care Faber Place

3801 Faber Place Drive

North
Charleston

29405

[DELETED]

Davita #1758 Dialysis

5900 Rivers Ave Unit E.

North
Charleston

29406

[DELETED]

Davita 3916 Orangeburg

3031 St. Matthews Road

Orangeburg

29118

[DELETED]

Davita 3917 Orangeburg South

1080 Summers Ave

Orangeburg

29115

[DELETED]

Davita 3632 Pageland

505-A South Pearl Street

Pageland

29728

[DELETED]

Davita Pendleton Dialysis
Center #2087

7703 Highway 76

Pendleton

29670

[DELETED]

Davita 2440 Ridgeland Dialysis Center

112 Weatherbee St.

Ridgeland

29936

[DELETED]

Davita 3901 Santee

228 Bradford Blvd

Santee

29142

[DELETED]

Davita 2335 Jedburg Dialysis Center

2897 W. 5th North St.

Summerville

29483

[DELETED]

Davita 3073 Walterboro

302 Ruby St.

Walterboro

29488

[DELETED]

Davita #0240 Mitchell Community Dialysis

525 North Foster

Mitchell

57301

[DELETED]

Rosebud Dialysis of Davita

1 Soldier Creek Road

Rosebud

57570

[DELETED]

Davita Sioux Falls

800 E. 21st St. Suite 4600

Sioux Falls

57105

[DELETED]

Davita Bolivar Dialysis

515 Pecan Drive

Bolivar

38008

[DELETED]

Davita Brownsville Dialysis

380 Dupree Rd

Brownsville

38012

[DELETED]

Davita Dialysis #2043

168 W. Main St. Ste A

Camden

38320

[DELETED]

Davita 3019 Clarksville

231 Hillcrest Dr

Clarksville

37043

[DELETED]

Davita-Clarksville North

3071 Clay Lewis Road

Clarksville

37040

[DELETED]

Davita Collierville Dialysis

791 West Poplur, Suite 102

Collierville

38017

[DELETED]

Davita 3432 Columbia

1705 Grove Dr

Columbia

38401

[DELETED]

Davita 2914 Cookeville

140 West 7th Street

Cookeville

38501

[DELETED]

Davita Cookeville At Home

140 W. 7th Street

Cookeville

38501

[DELETED]

Davita #5013 Wolf River

7990 Trinity Rd

Cordova

38018

[DELETED]

Davita 3539 Tipton County

107 Tennessee Ave

Covington

38019

[DELETED]

Davita 3540 Dyersburg

1575 Parr Ave

Dyersburg

38024

[DELETED]

Davita 3438 Franklin

3983 Carothers Pkwy Suite E4

Franklin

37067

[DELETED]

Davita Sumner

300 Steamplant Road, Suite 270

Gallatin

37066

[DELETED]

Davita Humboldt Dialysis

2214 Osborne St.

Humboldt

38343

[DELETED]

Davita Carriage House Dialysis

37 Carriage House Dr

Jackson

38305

[DELETED]

Davita Stonegate Dialysis

23 Sandstone Circle

Jackson

38305

[DELETED]

Davita Tennessee Valley

107 Woodlawn Drive, Suite 2

Johnson City

37604

[DELETED]

Davita 4307 Knoxville Dialysis Central Dialysis Center

9141 Cross Park Dr Ste 102

Knoxville

37923

[DELETED]

Davita Knoxville Central At
Home #5967

9141 Cross Park Dr Ste 102

Knoxville

37923

[DELETED]

Davita At Galleria

9160 Highway 64 Ste 10

Lakeland

38002

[DELETED]

Davita Memphis Galleria Dialysis Hhd/Pd #4308

9045 Highway 64 Ste 102

Lakeland

38002

[DELETED]

Davita 3434 Lawrenceburg

2022 North Locust Avenue

Lawrenceburg

38464

[DELETED]

Davita Lexington Dialysis

317 West Church

Lexington

38351

[DELETED]

Davita Livingston Dialysis

308 Oak Street

Livingston

38570

[DELETED]

Davita 3437 Cumberland

312 Hospital Drive, Suite 5

Madison

37115

[DELETED]

Davita #2432 Memphis Downtown Dialysis Center

2076 Union Ave

Memphis

38104

[DELETED]

Davita #4387 State Line

2049 E. Shelby Dr

Memphis

38116

[DELETED]

Davita 2521 Memphis South

1205 Marlin Rd

Memphis

38116

[DELETED]

Davita 3017 Memphis Central Dialysis

889 Linden Ave

Memphis

38126

[DELETED]

Davita 3018 Memphis East Humphreys

50 Humphreys Ctr Ste 42

Memphis

38120

[DELETED]

Davita Capelville Dialysis
Center #4357

7008 E. Shelby Dr

Memphis

38125

[DELETED]

Davita Memphis Downtown Pd/At Home Dialysis # 1988

2076 Union Ave Floor 2

Memphis

38104

[DELETED]

Davita Memphis East Dialysis
Pd #3891

50 Humphreys Ctr Ste 28b

Memphis

38120

[DELETED]

Davita Memphis Midtown Dialysis Center #4394

3430 Summer Ave

Memphis

38122

[DELETED]

Davita Memphis Southeast Dialysis Center

1805 Moriah Woods, Suite 101

Memphis

38117

[DELETED]

East Memphis At Home # 6041

50 Humphreys Ctr Ste 42

Memphis

38120

[DELETED]

Davita Millington Dialysis
Center #4428

8510 Wilkinsonville Rd Ste 121

Millington

38053

[DELETED]

Davita 3433 Murfreesboro

1346 Dow St.

Murfreesboro

37130

[DELETED]

Davita 3431 Whitebridge Road

103 White Bridge Rd

Nashville

37209

[DELETED]

Davita Home Training and Pd Dialysis #S 6321 and 3892

1919 Charlotte Ave Ste 200

Nashville

37203

[DELETED]

Davita-Nashville Home Training Dialysis # 6054

103 White Bridge Pike Ste 6

Nashville

37209

[DELETED]

Davita Ripley Dialysis Center #2446

854 Highway 51 S.

Ripley

38063

[DELETED]

Page 56 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Davita Pickwick #1709

121 North Pickwick Street

Savannah

38372

[DELETED]

Davita Selmer Dialysis

251 Oak Grove Road

Selmer

38375

[DELETED]

Davita Dialysis Smyrna

537 Stonecrest Parkway

Smyrna

37167

[DELETED]

Davita 2385 Somerivlle Dialysis Center

12475 Us Highway 64

Somerville

38068

[DELETED]

Davita Sparta Dialysis Center #5007

150 Sam Walton Dr Suite 800

Sparta

38583

[DELETED]

Davita #4474

795 Hamra St.

Tiptonville

38079

[DELETED]

Davita Arlington Dialysis
Center #2153

1250 E. Pioneer Pkwy Ste 700

Arlington

76010

[DELETED]

Davita—El Milagro At Home

2800 South Interstate Highway #35, Suite 120

Austin

78704

[DELETED]

Davita South Austin Dialysis Center

6114 South 1st Street

Austin

78745

[DELETED]

Davita Waterloo Dialysis Center

5310 Burnet Rd Ste 122

Austin

78756

[DELETED]

El Milagro Dialysis Center

2800 S. I. Hwy 35-Ste 120

Austin

78704

[DELETED]

Moncrief Dialysis Center

800 West 34th Street

Austin

78705

[DELETED]

Davita Baytown Dialysis # 4437

4665 Garth Rd Suite 900

Baytown

77521

[DELETED]

Total Renal Care—Bedford Dba: Heb Dialysis Center

1401 Brown Trl Ste A

Bedford

76022

[DELETED]

Davita—Beeville

100 West Huntington Street

Beeville

78102

[DELETED]

Davita S. Ft Worth Dialysis # 2220

6260 Southwest Blvd

Benbrook

76109

[DELETED]

Davita- Boerne Dialysis

1369 South Main Street, Suite 101

Boerne

78006

[DELETED]

Davita Bonham Dialysis
Center #2125

201 West 5th Street

Bonham

75418

[DELETED]

Davita 3249 Brenham

2536 South Day Street

Brenham

77833

[DELETED]

Davita Carrollton Dialysis
Center #2209

1544 Valwood Parkway, Suite 114

Carrollton

75006

[DELETED]

Davita—Cedar Park Dialysis

1720 E. Whitestone Blvd.

Cedar Park

78613

[DELETED]

Davita Cedar Park At Home Dialysis

1720 E. Whitestone Blvd

Cedar Park

78613

[DELETED]

Davita 3006 Channelview

777 Sheldon, Suite C

Channelview

77530

[DELETED]

Davita #0919 Cleveland Dialysis Center

600 East Houston Street, Suite 630

Cleveland

77327

[DELETED]

Davita 3248 Bryan College Station

701 University Dr E. Ste 401

College
Station

77840

[DELETED]

Davita 3670 Rock Prairie Road

1605 Rock Prairie Road, Suite 101

College
Station

77845

[DELETED]

Da Vita—Conroe Dialysis

500 Medical Center Blvd Ste 175

Conroe

77304

[DELETED]

Davita River Park Dialysis
Center #2078

2010 S. Loop 336 W. Ste 220

Conroe

77304

[DELETED]

Davita Oso Bay #2219

7502 S. Padre Island Dr

Corpus
Christi

78412

[DELETED]

Davita Oso Bay At Home #5941

7502 S. Padre Island Dr

Corpus
Christi

78412

[DELETED]

Davita—Cuero Lakeview Kidney Center

1105 E. Broadway St.

Cuero

77954

[DELETED]

Davita #2474 Central Dallas Dialysis Center

9500 N. Central Expy Suite 102

Dallas

75231

[DELETED]

Davita—Lake Cliff Dialysis #2239

805 North Beckley Avenue

Dallas

75203

[DELETED]

Davita—Oak Cliff Dialysis
Center #421

2000 South Llewelin Avenue

Dallas

75224

[DELETED]

Davita 3455 Dallas East-Utshs Jv

3312 N. Buckner Blvd Ste 213

Dallas

75228

[DELETED]

Davita Brookriver At Home

8101 Brookriver Dr

Dallas

75247

[DELETED]

Davita Dallas North #2039

11886 Greenville Avenue,
Suite 100b

Dallas

75243

[DELETED]

Davita Ut Southwestern Oakcliff Dialysis Center

610 Wynnewood Dr

Dallas

75224

[DELETED]

Dialysis Specialists of Dallas, Dba: Elmbrook Kidney Center

7920 Elmbrook, Suite 108

Dallas

75247

[DELETED]

Dowtown Dallas Dialysis

3515 Swiss Avenue, Suite A

Dallas

75204

[DELETED]

Ut Southwestern Dallas Dialysis

8230 Elmbrook Dr

Dallas

75247

[DELETED]

Davita—Denison At Home

1220 Reba Mcentire Lane

Denison

75020

[DELETED]

Davita—Denison Dialysis Center

1220 Reba Macentire Lane

Denison

75020

[DELETED]

Davita 4337 Duncanville Dialysis Center

270 E. Highway 67 Ste 100

Duncanville

75137

[DELETED]

Davita Edna Dialysis Center #2202

1008 N. Wells St.

Edna

77957

[DELETED]

Ceilo Vista Dialysis

7200 Gateway Blvd E. Ste B.

El Paso

79915

[DELETED]

Central City Dialysis Center

1300 Murchison Dr Ste 320

El Paso

79902

[DELETED]

Davita

7933 North Mesa

El Paso

79932

[DELETED]

Davita—Americas Dialysis # 5012

715 N. Americas Ave

El Paso

79907

[DELETED]

Davita East

11989 Pellicano Drive

El Paso

79936

[DELETED]

Davita Sun City Dialysis
Center #2056

600 Newman Street

El Paso

79902

[DELETED]

Davita Transmountain Dialysis
Center #2088

5255 Woodrow Bean Transmountain Dr

El Paso

79924

[DELETED]

Mission Hills Dialysis

2700 N. Stanton St.

El Paso

79902

[DELETED]

Page 57 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Total Renal Care—Loma Vista

1382 Lomaland Dr Ste A

El Paso

79935

[DELETED]

Total Renal Care—Mesa Vista Dialysis Facility

2400 N. Oregon St. Ste C

El Paso

79902

[DELETED]

West Texas Dialysis

1250 E. Cliff Dr Bldg B.

El Paso

79902

[DELETED]

Davita 3028 Floresville

543 10th St.

Floresville

78114

[DELETED]

Davita 3479 Island Dialysis

5920 Broadway St.

Galveston

77551

[DELETED]

Davita Garland Dialysis Center

776 East Centerville Road

Garland

75041

[DELETED]

Davita Gilmer Dialysis Center

519 North Wood Street

Gilmer

75644

[DELETED]

Davita # 0927

1406 North Sara Dewitt

Gonzales

78629

[DELETED]

Davita Grapevine Dialysis
Center #2154

1600 West Northwest Highway,
Suite 100

Grapevine

76051

[DELETED]

Grapevine At Home #6020

1600 West Northwest Highway,
Suite 100

Grapevine

76051

[DELETED]

Davita Hearne Dialysis Center # 2438

106 Cedar St.

Hearne

77859

[DELETED]

Davita Henderson Dialysis Center

1002 Highway 79 North

Henderson

75652

[DELETED]

Cyfair Dialysis Center

9110 Jones Rd Ste 110

Houston

77065

[DELETED]

Davita #247 Memorial Dialysis

11621 Katy Freeway

Houston

77079

[DELETED]

Davita #0930 North Houston Dialysis

129 Little York Rd

Houston

77076

[DELETED]

Davita #2420 Tc Jester Dialysis

1800 W. 26th St. Ste 101

Houston

77008

[DELETED]

Davita—Central

610 South Wayside Drive, Suite B.

Houston

77011

[DELETED]

Davita—Houston Kidney Center—Cypress Station

221 Fm 1960 Road West

Houston

77090

[DELETED]

Davita—Jancinto At Home
Dialysis #6176

11515 Market Street Rd

Houston

77029

[DELETED]

Davita—Lonestar Dialysis Center

8560 Monroe Rd

Houston

77061

[DELETED]

Davita—Omni

9350 Kirby, Suite 110

Houston

77054

[DELETED]

Davita 3007 Sagemont

10851 Scarsdale Blvd Ste 200

Houston

77089

[DELETED]

Davita 3008 San Jacinto

11430 I. 10 East Freeway, Suite 330

Houston

77029

[DELETED]

Davita 3049 Houston

7543 South Fwy

Houston

77021

[DELETED]

Davita 3057 Reliant

1335 La Concha Lane

Houston

77054

[DELETED]

Davita 3064 North Loop East

7139 North Loop East

Houston

77028

[DELETED]

Davita 6013 Med Center At Home

7580 Fannin St. Ste 230

Houston

77054

[DELETED]

Davita Bayou City Dialysis
Center #2121

10655 Eastex Freeway

Houston

77093

[DELETED]

Davita Bear Creek Dialysis Center

4978 North Highway 6, Suite 1

Houston

77084

[DELETED]

Davita Binz #4453

1213 Hermann Dr Ste 180

Houston

77004

[DELETED]

Davita Binz Hhd/Pd #5945

1213 Hermann Dr Ste 180

Houston

77004

[DELETED]

Davita Brookhollow Dialysis
Center #2027

4918 W. 34th St.

Houston

77092

[DELETED]

Davita Champions Dialysis
Center #4436

4427 Fm 1960rd W. Ste D

Houston

77068

[DELETED]

Davita Dialysis

5610 Almeda Road

Houston

77004

[DELETED]

Davita Downtown Houston Dialysis Center #2045

2207 Crawford Street

Houston

77002

[DELETED]

Davita Houston

1335 La Concha Ln

Houston

77054

[DELETED]

Davita Jacinto Dialysis Center #2047

11515 Market Street Rd

Houston

77029

[DELETED]

Davita Med-Center At Home #6013

5610 Almeda Drive

Houston

77004

[DELETED]

Davita Northstar Dialysis Center

380 West Little York Rd

Houston

77076

[DELETED]

Davita Sage Meadow Dialysis #4495

10923 Scarsdale Blvd

Houston

77089

[DELETED]

Davita Spring Branch Dialysis
Center #1593

1425 Blalock, Suite 100

Houston

77055

[DELETED]

Davita West Oaks Dialysis #4442

14800 Westheimer Rd Suite A

Houston

77082

[DELETED]

Davita Willowbrook Dialysis
Center #2101

12120 Jones Road, Suite G.

Houston

77070

[DELETED]

Davita-Cypress Woods Dialysis
Center #2472

20320 Northwest Fwy Ste 100

Houston

77065

[DELETED]

Houston Kidney Center Southwest

11111 Brooklet Drive, Building 100, Suite 100

Houston

77099

[DELETED]

Northwest Kidney Center, Llp

11029 Northwest Freeway

Houston

77092

[DELETED]

Physician Dialysis Inc.—South Houston

5989 South Loop East, Southport Business Park

Houston

77033

[DELETED]

Physicians Dialysis, Inc.—North Houston

7115 North Loop East, Northport #2

Houston

77028

[DELETED]

Spring Dialysis

607 Timberdale Lane, Suite 100

Houston

77090

[DELETED]

Summit Dialysis Center #2089

3150 Polk Street

Houston

77003

[DELETED]

Davita Deerbrooke Dialysis

9660 Fm 1960 Bypass Rd W.

Humble

77338

[DELETED]

Davita 3250 Huntsville

521 Interstate Highway 45 Ste 20

Huntsville

77340

[DELETED]

Davita—Mid-Cities At Home

125 East Harwood Road, Suite 117

Hurst

76054

[DELETED]

Davita—Mid-Cities Dialysis Center

117 East Harwood Road

Hurst

76054

[DELETED]

Davita #0240 Katy Dialysis Center

403 W. Grand Pkwy S. Suite T.

Katy

77494

[DELETED]

Davita Katy Cinco Ranch #3065

1265 Rock Canyon Dr

Katy

77450

[DELETED]

Davita Katy Grand Parkway
Dialysis #0246

403 W. Grand Pkwy S. Suite T.

Katy

77494

[DELETED]

Page 58 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Davita Pin Oak Dialysis

1302 Pin Oak Road

Katy

77494

[DELETED]

Davita Kaufman Dialysis Center #4309

2851 Millennium Dr

Kaufman

75142

[DELETED]

Davita #3027

515 Granda Pl

Kerrville

78028

[DELETED]

Davita—Kerrville At Home

515 Granada Pl, Suite A

Kerrville

78028

[DELETED]

Kilgore Dialysis Center #2068

209 Highway 42 North

Kilgore

75662

[DELETED]

Total Renal Care—Kingwood

2300 Green Oak Dr Ste 500

Kingwood

77339

[DELETED]

Davita 3478 Mainland Dialysis

2600 Gulf Fwy

La
Marque

77568

[DELETED]

Davita Lancater Dialysis Center #2156

2424 W. Pleasant Run Rd

Lancaster

75146

[DELETED]

Davita Meridian Dialysis Center #2098

201 West Fairmont Parkway, Suite A

Laporte

77571

[DELETED]

Davita South Shore Dialysis Center #2116

212 Gulf Freeway, Suite G-3

League
City

77573

[DELETED]

Davita Live Oak Dialysis # 914

6700 Randolph Blvd Suite 101

Live Oak

78233

[DELETED]

Davita- Livingston Dialysis Center

209 West Park Drive

Livingston

77351

[DELETED]

Davita Longview

425 N. Fredonia St. Ste 300

Longview

75601

[DELETED]

Davita Longview At Home

425 North Fredonia

Longview

75601

[DELETED]

Fourth Street Dialysis

3101b North 4th Street

Longview

75605

[DELETED]

Davita Lufkin At Home Dialysis

700 S. John Redditt Dr

Lufkin

75904

[DELETED]

Davita Lufkin Dialysis

700 South John Redditt Drive

Lufkin

75904

[DELETED]

Davita Magnolia Dialysis

17649 Fm 1488 Rd

Magnolia

77354

[DELETED]

Davita Mansfield Dialysis Center

987 North Walnut Creek Drive, Suite 101

Mansfield

76063

[DELETED]

Davita—Marshall Dialysis

1301 South Washington

Marshall

75670

[DELETED]

Davita—Pinecrest Dialysis
Center #2083

913 East Pinecrest Drive

Marshall

75670

[DELETED]

Davita #2387

1203 St. Claire Blvd Ste 9b

Mission

78572

[DELETED]

Davita—New Braunfels Dialysis

900 Loop 337 Rd

New
Braunfels

78130

[DELETED]

Davita- North Hills Dialysis

7927 Blvd 26

North
Richland
Hills

76180

[DELETED]

Davita # 0477 Pearland Dialysis

6516 Broadway St. Ste 122

Pearland

77581

[DELETED]

Davita 3029 Pearsall

1305 N. Oak St.

Pearsall

78061

[DELETED]

Davita 2267 Plano Dialysis

481 Shiloh Rd

Plano

75074

[DELETED]

Davita Plano At Home #5942

481 Shilo Rd Ste 100

Plano

75074

[DELETED]

Davita West Plano Dialysis Center #4412

5036 Tennyson Pkwy

Plano

75024

[DELETED]

Davita—Port Lavaca Dialysis #1913

1300 N. Virginia St. Ste 102

Port
Lavaca

77979

[DELETED]

Davita Rockport Dialysis Center #2413

2102 Fm2165

Rockport

78382

[DELETED]

Davita Rockwall

2455 Ridge Rd Ste 101

Rockwall

75087

[DELETED]

Davita -Southwest San Antonio Dialysis

7515 Barlite Blvd

San
Antonio

78224

[DELETED]

Davita 3048 San Antonio

4151 Callaghan Rd Ste 101

San
Antonio

78228

[DELETED]

Davita 3062 San Antonio Southwest

1620 Somerset Rd

San
Antonio

78211

[DELETED]

Davita Downtown San Antonio

615 East Quincy

San
Antonio

78215

[DELETED]

Davita Floyd Curl Dialysis #4433

9238 Floyd Curl Dr Ste 102

San
Antonio

78240

[DELETED]

Davita Las Palmas Dialysis
Center #2194

803 Castroville Road, #415

San
Antonio

78237

[DELETED]

Davita Marymont Dialysis
Center #2191

2391 North East Loop 410, Suite 211

San
Antonio

78217

[DELETED]

Davita Northwest Medical Center Dialysis #2192

5284 Medical Drive, Suite 100

San
Antonio

78229

[DELETED]

Davita Rivercenter Dialysis
Center #2190

1123 North Main Street, Suite 150

San
Antonio

78212

[DELETED]

Davita San Antonio At Home

5284 Medical Drive, Suite 100

San
Antonio

78229

[DELETED]

Davita South San Antonio Dialysis

1313 Southeast Military Drive, Suite 111

San
Antonio

78214

[DELETED]

Davita Southcross Dialysis Center #2193

4602 East Southcross Boulevard

San
Antonio

78222

[DELETED]

Page 59 of 66

Member Name

Member Street

Member City

Member
State

Member
ZIP

[DELETED]

Davita Southwest San Antonio Dialysis

7515 Barlite Boulevard

San Antonio

78224

[DELETED]

Total Renal Care-Northwest San Antonio

8132 Fredericksburg Road

San Antonio

78229

[DELETED]

Davita Hill Country Dialysis

1820 Peter Garza Street

San Marcos

78666

[DELETED]

Davita 2339 Sealy Dialysis Center

2242 Championship Dr

Sealy

77474

[DELETED]

Davita 6215 Woodlands At Home Dialysis

9301 Pinecroft Dr Ste 130

Shenandoah

77380

[DELETED]

Davita #0923 Sherman Dialysis Center

205 West Lamberth Road

Sherman

75092

[DELETED]

Davita—First Colony Dialysis.

1447 Highway 6 Ste 140

Sugar Land

77478

[DELETED]

Davita Taylor Dialysis Center #2437

3100 W. 2nd

Taylor

76574

[DELETED]

Davita #0932 Tomball

27720 State Pkwy

Tomball

77375

[DELETED]

Davita—Victoria Dialysis

1405 Victoria Station Drive

Victoria

77901

[DELETED]

Davita—Woodlands Dialysis Center

9301 Pinecroft Drive, Suite 130

Woodlands

77380

[DELETED]

Davita- Lone Peak Dialysis Center

1175 East 50 South, Suite 111

American Fork

84003

[DELETED]

Davita Weber Valley At
Home #5966 Dialysis

1920 W. 250th N.

Ogden

84404

[DELETED]

Davita Weber Valley Dialysis

1920 W. 250th N.

Ogden

84404

[DELETED]

Davita Utah Valley Dialysis

1055 North 500 West, Suite 221

Provo

84604

[DELETED]

Davita Utah Valley Dialysis At Home #6014

1055 North 500 West, Suite 221

Provo

84604

[DELETED]

Davita Wasatch Acute Dialysis

1055 North 500 West, Suite 222

Provo

84604

[DELETED]

Davita Bountiful Dialysis

724 West 500 South, Suite 300

West
Bountiful

84087

[DELETED]

Davita West Bountiful Dialysis At Home

724 West 500 South, Suite 300

West
Bountiful

84087

[DELETED]

Continental Dialysis Center—Alexandria

5999 Stevenson Avenue, Suite 100

Alexandria

22304

[DELETED]

Davita 3273 Alexandria

5150 Duke St.

Alexandria

22304

[DELETED]

Davita Franconia Dialysis
Center #2040

5695 King Centre Drive, 1st Floor

Alexandria

22315

[DELETED]

Davita 3708 Amelia Dialysis

15151 Patrick Henry Highway

Amelia

23002

[DELETED]

Davita- Amelia At Home

15151 Patrick Henry Highway

Amelia

23002

[DELETED]

Davita 3757 Arlington

1701 North George Mason Drive

Arlington

22205

[DELETED]

Davita—Charlottesville North

1800 Timberwood Boulevard

Charlottesville

22911

[DELETED]

Davita 3272 Charlottesville

1460 Pantops Mountain Pl

Charlottesville

22911

[DELETED]

Davita N. Charlottesville At Home

1800 Timberwood Boulevard,
Suite C

Charlottesville

22911

[DELETED]

Davita #0908 Chesapeake

1400 Crossways Boulevard, Crossways Ii, Suite 106

Chesapeake

23320

[DELETED]

Davita-Great Bridge Dialysis—Total Renal Care

745 Battlefield Blvd N. Ste 100

Chesapeake

23320

[DELETED]

Davita 3715 Chester

10360 Iron Bridge Road, Chesterfield Meadows West

Chester

23831

[DELETED]

Davita 3762 Covington

2504 Valley Ridge Rd

Covington

24426

[DELETED]

Davita 3763 Culpepper

430 Southridge Pkwy

Culpeper

22701

[DELETED]

Meherrin Dialysis Center, Inc.

201-A Weaver Avenue

Emporia

23847

[DELETED]

Davita Fairfax At Home

8501 Arlington Blvd Ste 100

Fairfax

22031

[DELETED]

Davita of Fairfax

8501 Arlington Boulevard,
Suite 100

Fairfax

22031

[DELETED]

Fair Oaks Dialysis Center

3955 Pender Drive, One Pender Business Park

Fairfax

22030

[DELETED]

Front Royal Dialysis Center

1077 D Shenandoah Avenue

Front Royal

22630

[DELETED]

Davita Haymarket Dialysis #2268

14664 Gap Way

Gainesville

20155

[DELETED]

Davita Butler Farm At Home

501 Butler Farms Rd.

Hampton

23666

[DELETED]

Davita- Butler Farm #2421

501 Butler Farm

Hampton

23666

[DELETED]

Davita—Harrisonburh At Home

871 Cantrell Ave.,Suite 100

Harrisonburg

22801

[DELETED]

Davita 3765 Harrisonburg

871 Cantrell Ave Ste 100

Harrisonburg

22801

[DELETED]

Davita—Hopewell Dialysis

301 West Broadway

Hopewell

23860

[DELETED]

Davita 4395 Leesburg Dialysis Center

224d Cornwall St. Nw Suite 100

Leesburg

20176

[DELETED]

Davita 3766 Lexington

756 North Lee Highway

Lexington

24450

[DELETED]

Davita—Manassas

10655 Lamond Drive, Suite 101

Manassas

20109

[DELETED]

Davita 4058 Martinsville

33 Bridge Street, Suite A

Martinsville

24112

[DELETED]

Davita 3482 Mechanicsville

8191 Atlee Rd

Mechanicsville

23116

[DELETED]

Davita 3463 Midlothian

14281 Midlothian Turnpike, Building B.

Midlothian

23113

[DELETED]

Davita Charter Colony Dialysis Center

2312 Colony Crossing Place

Midlothian

23112

[DELETED]

Davita—Peninsula Dialysis
Center #1545

716 Denbigh Blvd, Suite D1

Newport News

23608

[DELETED]

Page 60 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Davita Jefferson Avenue Dialysis #4440

11234 Jefferson Ave

Newport
News

23601

[DELETED]

Davita Newport News Dialysis

711 79th Street

Newport
News

23605

[DELETED]

Davita #2150

2201 Colonial Ave

Norfolk

23517

[DELETED]

Davita Leigh Kempsville Dialysis Center

420 North Center Drive, Suite 128, Building 11

Norfolk

23502

[DELETED]

Norfolk Dialysis Center—A Total Renal Care Facility

962 Norfolk Square

Norfolk

23502

[DELETED]

Appomattox Dialysis Center

15 West Old Street

Petersburg

23803

[DELETED]

Davita—Greater Portsmouth Dialysis Center #1544

3516 Queen Street

Portsmouth

23707

[DELETED]

Davita—Portsmouth Dialysis Center #2014

2000 High Street

Portsmouth

23704

[DELETED]

Davita Purcellville At Home

280 Hatcher Avenue

Purcellville

20132

[DELETED]

Purcellville Dialysis Center of Total Renal Care

280 North Hatcher Avenue

Purcellville

20132

[DELETED]

Davita 3609 Radford

600 East Main Street, Suite F.

Radford

24141

[DELETED]

Davita Radford At Home

600 East Main Street, Suite F.

Radford

24141

[DELETED]

Reston Dialysis Center #2059

1875 Campus Commons Drive,
Suite 110

Reston

20191

[DELETED]

Davita 3417 Richmond Westwood

5270 Chamberlayne Rd

Richmond

23227

[DELETED]

Davita Hioaks #3733

671 Hioaks Rd Ste A

Richmond

23225

[DELETED]

Davita Hioaks Pd #3735

681 Hioaks Rd Ste B.

Richmond

23225

[DELETED]

Davita Three Chopt Rd #3732

8813 Three Chopt Rd

Richmond

23229

[DELETED]

East End Dialysis Center of Total Renal Care, Inc.

2201 East Main Street, Suite 100

Richmond

23223

[DELETED]

Total Renal Care At Richmond Community

1510 North 28th Street, Suite 110

Richmond

23223

[DELETED]

Continental Dialysis Center—Springfield Trc

8350a Traford Lane

Springfield

22152

[DELETED]

Davita Garrisonville

70 Doc Stone Road, Suite 101

Stafford

22556

[DELETED]

Davita 3761 Staunton Dialysis

29 Idlewood Blvd

Staunton

24401

[DELETED]

Davita #0684 Sterling Dialysis Center

46396 Benedict Drive, Suite 100

Sterling

20164

[DELETED]

Davita Harbor View Dialysis Center #2069

1039 Champions Way

Suffolk

23435

[DELETED]

Davita 3701 Tysons Corner

8391 Old Courthouse Road,
Suite 160

Vienna

22182

[DELETED]

Davita Tyson’s Corner At Home

8391 Old Courthouse Road,
Suite 160

Vienna

22182

[DELETED]

Davita #0909 Virginia Beach

740 Independence Cir

Virginia
Beach

23455

[DELETED]

Davita At Home—First
Colonial #6017

1157 First Colonial Road, Suite 200

Virginia
Beach

23454

[DELETED]

Davita Camelot Dialysis

1800 Camelot Dr Ste 100

Virginia
Beach

23454

[DELETED]

Davita First Landing Dialysis Center

1745 Camelot Drive, Suite 100

Virginia
Beach

23454

[DELETED]

Davita Williamsburg At Home

500 Sentara Circle, Ste 103.

Williamsburg

23188

[DELETED]

Davita Williamsburg Dialysis Center

500 Sentara Cir Ste 103

Williamsburg

23188

[DELETED]

Davita #1770 Winchester

2301 Valor Dr

Winchester

22601

[DELETED]

Davita—Dbacontinental Dialysis Center—Woodbridge Dialysis

2751 Killarney Drive

Woodbridge

22192

[DELETED]

Davita #2060—Bellevue Dialysis Center

3535 Factoria Boulevard South East, Suite 150

Bellevue

98006

[DELETED]

Davita Washington Acutes Dialysis

3535 Factoria Blvd Se Ste 150

Bellevue

98006

[DELETED]

Davita Mill Creek Dialysis Center #4317

18001 Bothell Everett Hwy Ste 112

Bothell

98012

[DELETED]

Davita 2368 Ellensburg Dialysis

2101 W. Dolarway Rd Suite 1

Ellensburg

98926

[DELETED]

Davita Everett Dialysis Center 4373

8130 Evergreen Way Ste C

Everett

98203

[DELETED]

Davita Federal Way Dialysis

1015 South 348th Street

Federal Way

98003

[DELETED]

Davita—Graham Dialysis # 2173

10219 196th Street Ct E. Ste C

Graham

98338

[DELETED]

Kent Community Dialysis

21501 84th Avenue South

Kent

98032

[DELETED]

Lakewood Community Dialysis Center

5919 Lakewood Town Center Boulevard, Suite A

Lakewood

98499

[DELETED]

Davita Sea View Dialysis
Center #2470

101 18th Ave S.

Long Beach

98631

[DELETED]

Davita Whidbey Island
Dialysis #4372

32650 Sate Rd 20 Bldg E.

Oak Harbor

98277

[DELETED]

Page 61 of 66

Member Name

Member Street

Member
City

Member
State

Member
ZIP

[DELETED]

Davita Olympia At Home Dialysis #5954

335 Cooper Point Rd Nw Ste 1

Olympia

98502

[DELETED]

Davita Olympia Dialysis Center #4316

335 Cooper Point Rd Nw

Olympia

98502

[DELETED]

Davita—Mid Columbia At Home

6825 Burden Boulevard, Suite A

Pasco

99301

[DELETED]

Davita Mid-Columbia Kidney Center

6825 Burden Boulevard, Suite A

Pasco

99301

[DELETED]

Davita—Puyallup Dialysis #146

716-C South Hill Park

Puyallup

98373

[DELETED]

Davita # 5924 Chinook Kidney At Home

1315 Aaron Dr Bldg C1

Richland

99352

[DELETED]

Davita #2402 Chinook Kidney

1315 Aaron Dr Bldg C1

Richland

99352

[DELETED]

Davita Olympic View At Home

125 16th Avenue E, 5th Floor

Seattle

98112

[DELETED]

Davita Westwood Dialysis Center #551

2615 Southwest Trenton Street

Seattle

98126

[DELETED]

Olympic View Dialysis Center

125 16th Ave E. Csb Fl 5th

Seattle

98112

[DELETED]

Westwood At Home #6018

2615 Southwest Trenton Street

Seattle

98126

[DELETED]

Davita Mount Adams Kidney Center

3220 Picard Pl

Sunnyside

98944

[DELETED]

Davita Tacoma Center #2077

3401 South 19th Street

Tacoma

98405

[DELETED]

Union Gap Dialysis Center #2023

1236 Ahtanum Ridge Business Park

Union Gap

98903

[DELETED]

Davita Vancouver Dialysis

9120 Ne Vancouver Mall Drive, Suite 160

Vancouver

98662

[DELETED]

Davita Yakima Dialysis Center #1539

1221 North 16th Avenue

Yakima

98902

[DELETED]

Davita Dialysis—Amery

970 Elden Ave

Amery

54001

[DELETED]

Davita- Amery Pd # 1966 Dialysis

970 Elden Ave

Amery

54001

[DELETED]

Davita 3416 Brookfield

19395 West Capital Drive, Suite 100

Brookfield

53045

[DELETED]

Davita 3339 Cedarburg

North 54 West 6135 Mill Street

Cedarburg

53012

[DELETED]

Davita Fox River Dialysis Center
At Home

1910 Riverside Drive

Green Bay

54301

[DELETED]

Davita Fox River Dialysis
Center, #1744

1910 Riverside Drive

Green Bay

54301

[DELETED]

Davita Titletown Dialysis
Center, #1745

120 Siegler Street

Green Bay

54303

[DELETED]

Davita 3642 Janesville

1305 Woodman Rd

Janesville

53545

[DELETED]

Davita 3070 Loomis Road

4120 W. Loomis Rd

Milwaukee

53221

[DELETED]

Davita 3169 Wisconsin Ave

3801 West Wisconsin Avenue

Milwaukee

53208

[DELETED]

Davita 3171 Rivercenter

117 N. Jefferson Street

Milwaukee

53202

[DELETED]

Davita Bay Shore Dialysis #5566

5650 N. Green Bay Ave

Milwaukee

53209

[DELETED]

Davita Bluemound Dialysis # 5568

601 N. 99th St. Ste 100

Milwaukee

53226

[DELETED]

Davita Humbolt Ridge Dialysis #5564

2211 N. Humboldt Blvd

Milwaukee

53212

[DELETED]

Davita South Ridge Dialysis #5567

4848 S. 76th St. Ste 100

Milwaukee

53220

[DELETED]

Davita West Appleton Dialysis #5565

10130 W. Appleton Ave

Milwaukee

53225

[DELETED]

Davita #2406 Oak Creek Dialysis

8201 S. Howell Ave Ste 600

Oak Creek

53154

[DELETED]

Davita Northwoods Dialysis
Center, #1746

West 7305 Elm Avenue

Shawano

54166

[DELETED]

St. Croix Falls Dialysis—Total Renal Care

744 Louisiana East

St. Croix
Falls

54024

[DELETED]

Davita Bluemound At Home # 5939

601 N. 99th St. Ste 110

Wauwatosa

53226

[DELETED]

Davita Bluemound Pd #5569

601 North 99th Street, Suite 300

Wauwatosa

53226

[DELETED]

Davita Dialysis #1069 Dba: Pdi Camc Acutes

501 Morris Street

Charleston

25301

[DELETED]

Davita 3764 Greenbrier

129 Seneca Trail

Lewisburg

24901

[DELETED]

Davita #1582

300 Prosperity Ln

Logan

25601

[DELETED]

Davita Parkersburg #3494

1824 Murdoch Avenue, Suite 44

Parkersburg

26101

[DELETED]

Page 62 of 66

Exhibit D

Designated Managed Centers

Contract
Number

Member
Name

Member
Street

Member
City

Member
State

Member
ZIP

[DELETED]

[DELETED]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

[DELETED

]

Page 63 of 66

Schedule 1

Data

1.	Facility ID;

2.	[DELETED];

3.	[DELETED].

4.	[DELETED].

5.	Number of patients [DELETED];

6.	All [DELETED] for each patient by Patient ID;

7.	Each [DELETED] for each patient [DELETED] with date (Example: [DELETED]);

8.	[DELETED] for each patient once per [DELETED];

9.	[DELETED] with date;

10.	[DELETED] for each patient;

11.	[DELETED] for each patient;

12.	[DELETED] for each patient;

13.	[DELETED] for each patient;

14.	[DELETED];

15.	[DELETED];

16.	[DELETED];

17.	[DELETED];

18.	[DELETED];

19.	[DELETED] should not be reflected in this field;

20.	[DELETED];

21.	[DELETED];

22.	[DELETED]; and

23.	[DELETED].

Page 64 of 66

Schedule 2

Compensation Data

Product Data Submission Requirements. Compensation Data shall be sent in either Excel or a tab-delimited text file to the following email address: salesadj@amgen.com. The file naming convention shall include the Dialysis Center name, Product, and data month and year (i.e. DaVita_Epogen_January_2011). Dialysis Center must supply all of the information set forth in the table below.


ID	Data Field Name	Data Field Description
1	Unique Account Identifier	DaVita’s numeric identifier for each account (PFac & OFac)
2	Account Name	Account requesting Product
3	Account Street Address	Account requesting Product
4	Account City	Account requesting Product
5	Account State	Account requesting Product
6	Account zip	Account requesting Product
7	Dispensing Pharmacy for Product	DaVita’s numeric identifier for location that has dispensed the Product
8	Product NDC Number
9	Product Description	Name of Product including strength (Label Name)
10	Quantity Shipped
11	Unit Of Measure	Tabs, bottles, vials, etc.
12	Product shipped/dispensed date

Page 65 of 66

Schedule 3

Initial Materials


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

[DELETED]		[DELETED]

[DELETED]		[DELETED]

[DELETED]		[DELETED]

[DELETED]		[DELETED]

[DELETED]		[DELETED]

[DELETED]		[DELETED]

*	The [DELETED].


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

[DELETED]		[DELETED]

[DELETED]		[DELETED]

[DELETED]		[DELETED]

[DELETED]		[DELETED]

[DELETED]		[DELETED]

[DELETED]		[DELETED]

[DELETED]		[DELETED]

[DELETED]		[DELETED]

[DELETED]		[DELETED]

[DELETED]

[DELETED]		[DELETED]

[DELETED]		[DELETED]

[DELETED]		[DELETED]

[DELETED]		[DELETED]

[DELETED]		[DELETED]

[DELETED]

Page 66 of 66

Computation of Ratio of Earnings to Fixed Charges

Exhibit 12.1

DAVITA INC.

RATIO OF EARNINGS TO FIXED CHARGES

The ratio of earnings to fixed charges is computed by dividing earnings by fixed charges. Earnings for this purpose are defined as pretax income from continuing operations adjusted by adding back fixed charges expensed during the period less noncontrolling interests. Fixed charges include debt expense (interest expense and the amortization of deferred financing costs), the estimated interest component of rent expense on operating leases, and capitalized interest.


	Year ended December 31,
	2010			2009			2008			2007			2006
	(dollars in thousands)
Earnings adjusted for fixed charges:
Income from continuing operations before income taxes	$	744,458		$	758,224		$	656,791		$	674,224		$	513,900
Add:
Debt expense		181,607			185,755			224,716			257,147			276,706
Interest portion of rent expense		87,116			81,122			72,562			64,613			60,395
Less: Noncontrolling interests		(79,405	)		(57,803	)		(47,331	)		(46,702	)		(38,141	)

		189,318			209,074			249,947			275,058			298,960

	$	933,776		$	967,298		$	906,738		$	949,282		$	812,860

Fixed charges:
Debt expense	$	181,607		$	185,755		$	224,716		$	257,147		$	276,706
Interest portion of rent expense		87,116			81,122			72,562			64,613			60,395
Capitalized interest		2,621			3,627			4,189			3,878			4,708

	$	271,344		$	270,504		$	301,467		$	325,638		$	341,809

Ratio of earnings to fixed charges		3.44			3.58			3.01			2.92			2.38

List of our Subsidiaries

Exhibit 21.1

SUBSIDIARIES OF THE COMPANY


Name	Structure	Jurisdiction of Incorporation
Aberdeen Dialysis, LLC	Limited Liability Company		DE
Alamosa Dialysis, LLC	Limited Liability Company		DE
American Fork Dialysis, LLC	Limited Liability Company		DE
Amery Dialysis, LLC	Limited Liability Company		DE
Animas Dialysis, LLC	Limited Liability Company		DE
Arcadia Gardens Dialysis, LLC	Limited Liability Company		DE
Astro, Hobby, West Mt. Renal Care Limited Partnership	Limited Partnership		DE
Austin Dialysis Centers, L.P.	Limited Partnership		DE
Bear Creek Dialysis, L.P.	Limited Partnership		DE
Beverly Hills Dialysis Partnership	Partnership		CA
Bluegrass Dialysis, LLC	Limited Liability Company		DE
Bright Dialysis Center, LLC	Limited Liability Company		DE
Brighton Dialysis Center, LLC	Limited Liability Company		DE
Bruno Dialysis, LLC	Limited Liability Company		DE
Buford Dialysis, LLC	Limited Liability Company		DE
Canyon Springs Dialysis, LLC	Limited Liability Company		DE
Capelville Dialysis, LLC	Limited Liability Company		DE
Capital Dialysis Partnership	Partnership		CA
Carroll County Dialysis Facility Limited Partnership	Limited Partnership		MD
Cascades Dialysis, LLC	Limited Liability Company		DE
Centennial LV, LLC	Limited Liability Company		DE
Central Carolina Dialysis Centers, LLC	Limited Liability Company		DE
Central Georgia Dialysis, LLC	Limited Liability Company		DE
Central Iowa Dialysis Partners, LLC	Limited Liability Company		DE
Central Kentucky Dialysis Centers, LLC	Limited Liability Company		DE
Cerito Dialysis Partners, LLC	Limited Liability Company		DE
Champions Dialysis, LLC	Limited Liability Company		DE
Chicago Heights Dialysis, LLC	Limited Liability Company		DE
Chipeta Dialysis, LLC	Limited Liability Company		DE
Clinton Township Dialysis, LLC	Limited Liability Company		DE
Columbus-RNA-DaVita, LLC	Limited Liability Company		DE
Commerce Township Dialysis Center, LLC	Limited Liability Company		DE
Continental Dialysis Center, Inc.	Corporation		VA
Continental Dialysis Center of Springfield-Fairfax, Inc.	Corporation		VA
Creek Dialysis, LLC	Limited Liability Company		DE
Dallas-Fort Worth Nephrology, L.P.	Limited Partnership		DE
Dallas-Fort Worth Nephrology II, LLC	Limited Liability Company		DE
DaVita Dakota Dialysis Center, LLC	Limited Liability Company		DE
DaVita El Paso East, L.P.	Limited Partnership		DE
DaVita-Riverside, LLC	Limited Liability Company		DE
DaVita-Riverside II, LLC	Limited Liability Company		DE
DaVita Rx, LLC	Limited Liability Company		DE
DaVita Tidewater, LLC	Limited Liability Company		DE
DaVita Tidewater-Virginia Beach, LLC	Limited Liability Company		DE
DaVita VillageHealth Insurance of Alabama, Inc.	Corporation		AL

Page 1 of 6


Name	Structure	Jurisdiction of Incorporation
DaVita VillageHealth of Georgia, Inc.	Corporation		GA
DaVita VillageHealth of Ohio, Inc.	Corporation		OH
DaVita VillageHealth of Virginia, Inc.	Corporation		VA
Dialysis of Des Moines, LLC	Limited Liability Company		DE
Dialysis of North Atlanta, LLC	Limited Liability Company		DE
Dialysis of Northern Illinois, LLC	Limited Liability Company		DE
Dialysis Specialists of Dallas, Inc.	Corporation		TX
Dolores Dialysis, LLC	Limited Liability Company		DE
Downriver Centers, Inc.	Corporation		MI
Downtown Houston Dialysis Center, L.P.	Limited Partnership		DE
Durango Dialysis Center, LLC	Limited Liability Company		DE
DVA Healthcare of Maryland, Inc.	Corporation		MD
DVA Healthcare of Massachusetts, Inc.	Corporation		MA
DVA Healthcare of New London, LLC	Limited Liability Company		TN
DVA Healthcare of Norwich, LLC	Limited Liability Company		TN
DVA Healthcare of Pennsylvania, Inc.	Corporation		PA
DVA Healthcare of Tuscaloosa, LLC	Limited Liability Company		TN
DVA Healthcare Renal Care, Inc.	Corporation		NV
DVA Healthcare-Southwest Ohio, LLC	Limited Liability Company		TN
DVA Laboratory Services, Inc.	Corporation		FL
DVA of New York, Inc.	Corporation		NY
DVA Renal Healthcare, Inc.	Corporation		TN
DVA/Washington University Healthcare of Greater St. Louis, LLC	Limited Liability Company		DE
East End Dialysis Center, Inc.	Corporation		VA
East Ft. Lauderdale, LLC	Limited Liability Company		DE
East Houston Kidney Center, L.P.	Limited Partnership		DE
Elberton Dialysis Facility, Inc.	Corporation		GA
Elk Grove Dialysis Center, LLC	Limited Liability Company		DE
Empire State DC, Inc.	Corporation		NY
Falls Dialysis, LLC	Limited Liability Company		DE
Fields Dialysis, LLC	Limited Liability Company		DE
Five Star Dialysis, LLC	Limited Liability Company		DE
Flamingo Park Kidney Center, Inc.	Corporation		FL
Forester Dialysis, LLC	Limited Liability Company		DE
Freehold Artificial Kidney Center, LLC	Limited Liability Company		NJ
Fullerton Dialysis Center, LLC	Limited Liability Company		DE
Gardenside Dialysis, LLC	Limited Liability Company		DE
Give Life Dialysis, LLC	Limited Liability Company		DE
Grand Home Dialysis, LLC	Limited Liability Company		DE
Great Dialysis, LLC	Limited Liability Company		DE
Greater Las Vegas Dialysis LLC	Limited Liability Company		DE
Greater Los Angeles Dialysis Centers, LLC	Limited Liability Company		DE
Green Desert Dialysis, LLC	Limited Liability Company		DE
Greenwood Dialysis, LLC	Limited Liability Company		DE
Griffin Dialysis, LLC	Limited Liability Company		DE
Hanford Dialysis, LLC	Limited Liability Company		DE
Hart Dialysis, LLC	Limited Liability Company		DE
Hawaiian Gardens Dialysis, LLC	Limited Liability Company		DE

Page 2 of 6


Name	Structure	Jurisdiction of Incorporation
Hills Dialysis, LLC	Limited Liability Company		DE
Historic Dialysis, LLC	Limited Liability Company		DE
HomeChoice Partners, Inc	Corporation		DE
Honey Dialysis, LLC	Limited Liability Company		DE
Houston Acute Dialysis, L.P.	Limited Partnership		DE
Houston Kidney Center/Total Renal Care Integrated Service Network Limited Partnership	Limited Partnership		DE
Huntington Artificial Kidney Center, Ltd.	Limited Liability Company		NY
Huntington Park Dialysis, LLC	Limited Liability Company		DE
Indian River Dialysis Center, LLC	Limited Liability Company		DE
Ionia Dialysis, LLC	Limited Liability Company		DE
Jedburg Dialysis, LLC	Limited Liability Company		DE
Kidney Centers of Michigan, LLC	Limited Liability Company		DE
Kidney Home Center, LLC	Limited Liability Company		DE
Knickerbocker Dialysis, Inc.	Corporation		NY
Las Vegas Pediatric Dialysis, LLC	Limited Liability Company		DE
Lawrenceburg Dialysis, LLC	Limited Liability Company		DE
Liberty RC, Inc.	Corporation		NY
Limon Dialysis, LLC	Limited Liability Company		DE
Lincoln Park Dialysis Services, Inc.	Corporation		IL
Little Rock Dialysis Centers, LLC	Limited Liability Company		DE
Llano Dialysis, LLC	Limited Liability Company		DE
Lockport Dialysis, LLC	Limited Liability Company		DE
Long Beach Dialysis Center, LLC	Limited Liability Company		DE
Lord Baltimore Dialysis, LLC	Limited Liability Company		DE
Los Angeles Dialysis Center	Partnership		CA
Los Arcos Dialysis, LLC	Limited Liability Company		DE
Manzano Dialysis, LLC	Limited Liability Company		DE
Maple Grove Dialysis, LLC	Limited Liability Company		DE
Maples Dialysis, LLC	Limited Liability Company		DE
Marysville Dialysis Center, LLC	Limited Liability Company		DE
Mason-Dixon Dialysis Facilities, Inc.	Corporation		MD
Memorial Dialysis Center, L.P.	Limited Partnership		DE
Mena Dialysis Center, LLC	Limited Liability Company		DE
Mesilla Dialysis, LLC	Limited Liability Company		DE
Middlesex Dialysis Center, LLC	Limited Liability Company		DE
Miramar Dialysis Center, LLC	Limited Liability Company		DE
Moncrief Dialysis Center/Total Renal Care Limited Partnership	Limited Partnership		DE
Mountain West Dialysis Services, LLC	Limited Liability Company		DE
Muskogee Dialysis, LLC	Limited Liability Company		DE
Natomas Dialysis, LLC	Limited Liability Company		DE
Neptune Artificial Kidney Center, LLC	Limited Liability Company		NJ
New Bay Dialysis, LLC	Limited Liability Company		DE
New Hope Dialysis, LLC	Limited Liability Company		DE
New Springs Dialysis, LLC	Limited Liability Company		DE
North Austin Dialysis, LLC	Limited Liability Company		DE
North Colorado Springs Dialysis, LLC	Limited Liability Company		DE
Oasis Dialysis, LLC	Limited Liability Company		DE
Ohio River Dialysis, LLC	Limited Liability Company		DE

Page 3 of 6


Name	Structure	Jurisdiction of Incorporation
Open Access Lifeline, LLC	Limited Liability Company		DE
Orange Dialysis, LLC	Limited Liability Company		CA
Palomar Dialysis, LLC	Limited Liability Company		DE
Peaks Dialysis, LLC	Limited Liability Company		DE
Physicians Choice Dialysis of Alabama, LLC	Limited Liability Company		DE
Physicians Dialysis Acquisitions, Inc.	Corporation		DE
Physicians Dialysis of Houston, LLP	Limited Liability Partnership		TX
Physicians Dialysis of Lancaster, LLC	Limited Liability Company		PA
Pike Dialysis, LLC	Limited Liability Company		DE
Pittsburg Dialysis Partners, LLC	Limited Liability Company		DE
Platte Dialysis, LLC	Limited Liability Company		DE
Rancho Dialysis, LLC	Limited Liability Company		DE
Red Willow Dialysis, LLC	Limited Liability Company		DE
Refuge Dialysis, LLC	Limited Liability Company		DE
Renal Clinic Of Houston, LLC	Limited Liability Company		DE
Renal Life Link, Inc.	Corporation		DE
Renal Treatment Centers—California, Inc.	Corporation		DE
Renal Treatment Centers—Illinois, Inc.	Corporation		DE
Renal Treatment Centers, Inc.	Corporation		DE
Renal Treatment Centers—Mid-Atlantic, Inc.	Corporation		DE
Renal Treatment Centers—Northeast, Inc.	Corporation		DE
Renal Treatment Centers—Southeast, L.P.	Limited Partnership		DE
Renal Treatment Centers—West, Inc.	Corporation		DE
Riddle Dialysis, LLC	Limited Liability Company		DE
Ripley Dialysis, LLC	Limited Liability Company		DE
Rita Ranch Dialysis, LLC	Limited Liability Company		DE
River Valley Dialysis, LLC	Limited Liability Company		DE
RMS Lifeline, Inc.	Corporation		DE
RNA-DaVita Dialysis, LLC	Limited Liability Company		DE
Robinson Dialysis, LLC	Limited Liability Company		DE
Rochester Dialysis Center, LLC	Limited Liability Company		DE
Rocky Mountain Dialysis Services, LLC	Limited Liability Company		DE
Roose Dialysis, LLC	Limited Liability Company		DE
Ross Clark Circle Dialysis, LLC	Limited Liability Company		DE
Royale Dialysis, LLC	Limited Liability Company		DE
Saddleback Dialysis, LLC	Limited Liability Company		DE
SafeHarbor Dialysis, LLC	Limited Liability Company		DE
SAKDC-DaVita Dialysis Partners, L.P.	Limited Partnership		DE
Sandusky Dialysis, LLC	Limited Liability Company		DE
San Marcos Dialysis, LLC	Limited Liability Company		DE
Santa Fe Springs Dialysis, LLC	Limited Liability Company		DE
Seneca Dialysis, LLC	Limited Liability Company		DE
Shadow Dialysis, LLC	Limited Liability Company		DE
Shayano Dialysis, LLC	Limited Liability Company		DE
Shining Star Dialysis, Inc.	Corporation		NJ
Siena Dialysis Center, LLC	Limited liability Company		DE
Soledad Dialysis Center, LLC	Limited Liability Company		DE
Somerville Dialysis Center, LLC	Limited Liability Company		DE
South Central Florida Dialysis Partners, LLC	Limited Liability Company		DE
South Shore Dialysis Center. L.P.	Limited Partnership		DE

Page 4 of 6


Name	Structure	Jurisdiction of Incorporation
Southcrest Dialysis, LLC	Limited Liability Company		DE
Southeastern Indiana Dialysis, LLC	Limited Liability Company		DE
Southern Colorado Joint Ventures, LLC	Limited Liability Company		DE
Southern Hills Dialysis Center, LLC	Limited Liability Company		DE
Southwest Atlanta Dialysis Centers, LLC	Limited Liability Company		DE
St. Luke’s Dialysis, LLC	Limited Liability Company		DE
Star Dialysis, LLC	Limited Liability Company		DE
Steam Dialysis, LLC	Limited Liability Company		DE
Storrie Dialysis, LLC	Limited Liability Company		DE
Strongsville Dialysis, LLC	Limited Liability Company		DE
Sugarloaf Dialysis, LLC	Limited Liability Company		DE
Summer Dialysis, LLC	Limited Liability Company		DE
Summit Dialysis Center, L.P.	Limited Partnership		DE
Sun City Dialysis Center, LLC	Limited Liability Company		DE
Sun City West Dialysis Center LLC	Limited Liability Company		DE
Sunset Dialysis, LLC	Limited Liability Company		DE
Taylor Dialysis, LLC	Limited Liability Company		DE
Tel-Huron Dialysis, LLC	Limited Liability Company		DE
Tennessee Valley Dialysis Center, LLC	Limited Liability Company		DE
The Woodlands Dialysis Center, L.P.	Limited Partnership		DE
Tortugas Dialysis, LLC	Limited Liability Company		DE
Total Renal Care/Eaton Canyon Dialysis Center Partnership	Partnership		CA
Total Renal Care, Inc.	Corporation		CA
Total Renal Care North Carolina, LLC	Limited Liability Company		DE
Total Renal Care Texas Limited Partnership	Limited Partnership		DE
Total Renal Laboratories, Inc.	Corporation		FL
Total Renal Research, Inc.	Corporation		DE
Transmountain Dialysis, L.P.	Limited Partnership		DE
TRC-Dyker Heights, L.P.	Limited Partnership		NY
TRC-Four Corners Dialysis Clinics, LLC	Limited Liability Company		NM
TRC-Georgetown Regional Dialysis LLC	Limited Liability Company		DC
TRC-Indiana LLC	Limited Liability Company		IN
TRC-Petersburg, LLC	Limited Liability Company		DE
TRC of New York, Inc.	Corporation		NY
TRC West, Inc.	Corporation		DE
Tree City Dialysis, LLC	Limited Liability Company		DE
Tulsa Dialysis, LLC	Limited Liability Company		DE
Turlock Dialysis Center, LLC	Limited Liability Company		DE
Tustin Dialysis Center, LLC	Limited Liability Company		DE
University Dialysis Center, LLC	Limited Liability Company		DE
Upper Valley Dialysis, L.P	Limited Partnership		DE
Urbana Dialysis, LLC	Limited Liability Company		DE
USC-DaVita Dialysis Center, LLC	Limited Liability Company		CA
UT Southwestern DVA Healthcare, LLP	Limited Liability Partnership		TX
Valley Springs Dialysis, LLC	Limited Liability Company		DE
Verde Dialysis, LLC	Limited Liability Company		DE
VillageHealth DM, LLC	Limited Liability Company		DE
Walker Dialysis, LLC	Limited Liability Company		DE
Wauseon Dialysis, LLC	Limited Liability Company		DE
Wesley Chapel Dialysis, LLC	Limited Liability Company		DE
West Broomfield Dialysis, LLC	Limited Liability Company		DE

Page 5 of 6


Name	Structure	Jurisdiction of Incorporation
West Elk Grove Dialysis, LLC	Limited Liability Company		DE
West Sacramento Dialysis, LLC	Limited Liability Company		DE
Weston Dialysis Center, LLC	Limited Liability Company		DE
Wilder Dialysis, LLC	Limited Liability Company		DE
Willowbrook Dialysis Center, L.P.	Limited Partnership		DE
Wood Dialysis, LLC	Limited Liability Company		DE
Wyandotte Central Dialysis, LLC	Limited Liability Company		DE
Wyler Dialysis, LLC	Limited Liability Company		DE
Ybor City Dialysis, LLC	Limited Liability Company		DE
Yucaipa Dialysis, LLC	Limited Liability Company		DE
Zephyrhills Dialysis Center, LLC	Limited Liability Company		DE

Page 6 of 6

Consent of KPMG LLP

Exhibit 23.1

Consent of Independent Registered Public Accounting Firm

The Board of Directors and Shareholders

DaVita Inc.:

We consent to the incorporation by reference in the registration statements on Forms S-8 (No. 333-169467, No. 33-84610, No. 33-83018, No. 33-99862, No. 33-99864, No. 333-01620, No. 333-34693, No. 333-34695, No. 333-46887, No. 333-75361, No. 333-56149, No. 333-30734, No. 333-30736, No. 333-63158, No. 333-42653, No. 333-86550, No. 333-86556, No. 333-144097 and No. 333-158220) and Form S-3 (No. 333-169690 and No. 333-69227) of DaVita Inc. of our reports dated February 25, 2011, with respect to the consolidated balance sheets of DaVita Inc. and subsidiaries as of December 31, 2010 and 2009, and the related consolidated statements of income, equity and comprehensive income, and cash flows for each of the years in the three-year period ended December 31, 2010, and related financial statement schedule, and the effectiveness of internal control over financial reporting as of December 31, 2010, which reports appear in the December 31, 2010 annual report on Form 10-K of DaVita Inc.

/s/ KPMG LLP

Seattle, Washington

February 25, 2011

Certificaton of the Chief Executive Officer

Exhibit 31.1

SECTION 302 CERTIFICATION

I, Kent J. Thiry, certify that:

1. I have reviewed this annual report on Form 10-K of DaVita Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and we have:

(a)

Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b)

Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c)

Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d)

Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

(a)

All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

(b)

Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

/S/ KENT J. THIRY

Kent J. Thiry

Chief Executive Officer

Date: February 25, 2011

Certification of the Chief Financial Officer

Exhibit 31.2

SECTION 302 CERTIFICATION

I, Luis A. Borgen, certify that:

1. I have reviewed this annual report on Form 10-K of DaVita Inc.;

(a)

(b)

(c)

(d)

(a)

(b)

Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

/s/ LUIS A. BORGEN

Luis A. Borgen

Chief Financial Officer

Date: February 25, 2011

Certification of the Chief Executive Officer

Exhibit 32.1

CERTIFICATION OF CHIEF EXECUTIVE OFFICER

PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Annual Report of DaVita Inc. (the “Company”) on Form 10-K for the year ending December 31, 2010 as filed with the Securities and Exchange Commission on the date hereof (the “Periodic Report”), I, Kent J. Thiry, Chief Executive Officer of the Company, certify, pursuant to 18.U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that:

The Periodic Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

The information contained in the Periodic Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

/s/ KENT J. THIRY

Kent J. Thiry

Chief Executive Officer

February 25, 2011

Certification of the Chief Financial Officer

Exhibit 32.2

CERTIFICATION OF CHIEF FINANCIAL OFFICER

PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Annual Report of DaVita Inc. (the “Company”) on Form 10-K for the year ending December 31, 2010 as filed with the Securities and Exchange Commission on the date hereof (the “Periodic Report”), I, Luis A. Borgen, Chief Financial Officer of the Company, certify, pursuant to 18.U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that:

The Periodic Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

The information contained in the Periodic Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

/S/ LUIS A. BORGEN

Luis A. Borgen

Chief Financial Officer

February 25, 2011