Diversified Specialty Institutes, Inc. (DSI) is a healthcare company that was formed in 2003 to acquire, develop, and/or operate hospitals, imaging centers and dialysis/renal centers. In 2005 DSI grew to become a major corporation in the care of dialysis patients with the acquisition of over 100 dialysis centers following the merger between Fresenius Medical Care and Renal Care Group. The renal community is very familiar with the heritage of DSI. The founder is Jerome S. Tannenbaum, M.D., Ph.D., and FACP. Dr. Tannenbaum, the Chairman, President and Chief Executive Officer works with a team of senior management that have assisted him in building two national dialysis chains in the past. The first was REN Corporation-USA, the second, National Nephrology Associates, which was acquired by Renal Care Group in 2004.

The mission of each of the prior companies was to make a difference in the lives of our patients by providing personalized, streamlined, high quality healthcare. The team at DSI is continuing this tradition by building state-of-the-art dialysis centers, equipped with advanced information technology and dialysis machines, and the addition of services which will enhance patient care, both inside and outside of the dialysis clinic. We are focused on early adoption of innovative dialysis techniques and technology as well as committed to processes that improve communication and result in safe environments where our patients feel physically and mentally comfortable.

We believe that the most important ingredient for a successful healthcare facility is the quality of the admitting physician staff. The leadership of our Company also recognizes the enormous value of a well-trained and dedicated support staff. Our business models include acquisitions, de novo dialysis units, often utilizing our pre-engineered building modules, and joint-venture relationships with nephrologists. The starting point for developing a DSI facility is a collegial relationship with selected premier physicians in a community.

In summary, the DSI concept is designed to provide excellent patient care and improve the quality of life for the patients, patients’ families, employees, and physicians at a DSI facility. You can learn more about DSI on our web site www.dsi-corp.com

Welcome to the DaVita Village

DaVita is a leading kidney care provider, serving kidney patients with high-quality specialized prevention and treatment services. The DaVita patient population includes over 100,000 patients who have been diagnosed with End-Stage Renal Disease (ESRD), a group representing approximately one-quarter of all Americans with ESRD and approximately one-third of all Americans receiving dialysis services.

Spanning 42 states and the District of Columbia, the DaVita network includes more than 1,200 outpatient facilities as well as acute inpatient units in over 800 hospitals. DaVita’s nationwide network is staffed by 28,000 teammates and more than 1,000 medical directors. This comprehensive care team includes nephrologists, nephrology nurses, patient care technicians, pharmacists, clinical researchers, dieticians, social workers, and other highly-trained kidney care specialists.

DaVita cares deeply about our constituents, and we are most proud of our Mission to become the “Provider, Partner and Employer of Choice.” Our Values: Service Excellence, Integrity, Team, Continuous Improvement, Accountability, Fulfillment and Fun, are emphasized as part of our planning, recognition, evaluation of performance and in programs and events that support our DaVita Village. These seven values are not disenfranchised words on a page. On the contrary, we make every effort to see they are integrated into the very fabric of our culture.

Like citizens of a village, DaVita teammates draw upon one another’s strengths and knowledge, warmth and compassion, as together we provide life-giving services to individuals with chronic kidney disease. Our clinical focus has also delivered dramatic improvements which now rank our clinical performance measures as the best in the industry; several are the best in the world. To learn more about the DaVita Village, please visit our website at www.davita.com

The Centers for Dialysis Care (CDC) is an independent regional provider of dialysis and related services to individuals with kidney failure in northeast Ohio. CDC began in 1974 as a not-for-profit provider in collaboration with the area nephrologists to provide high quality care in a low cost environment. CDC has always been a leader in the utilization of new technology, has had an electronic medical record for more than 20 years and has set the standards for excellence in the community.

Over the years CDC has expanded its facilities to meet the growing demand. CDC’s 14 facilities range in size from 10 to 56 stations and are located in urban, rural and suburban areas. Four of the End State Renal Disease (ESRD) facilities are located in nursing homes. CDC has a long history of physician collaboration and many of its facilities are structured as joint ventures. All of CDC’s facilities have been new start-ups. Each new facility is strategically located to improve patient convenience while providing enough capacity for patients who live near existing facilities.

CDC has an open medical staff. Most of the more than 70 nephrologists on staff have patients in eight different facilities. This allows the patients to keep their nephrologist and maintain the ability to dialyze at a facility closest to their home or office. All of CDC’s facilities operate four patient shifts per day. This provides flexibility for patients to dialyze after work or for their loved ones who provide transportation to come after their work day.

For years CDC has utilized art and music therapists to work with the patients to cope with their chronic illness and the loss of control. Patient artwork is regularly exhibited in the community. Activity coordinators and volunteers also help to pass the time so that the patients stay for their full treatment time.

CDC has a management company that provides a turn key operation for any new facility and all day-to-day clinical and financial management services. CDC has a well-recognized RN and technician training program. All technicians in Ohio are certified by the Ohio Board of Nursing and CDC is proud of its 95% first time pass rate of the BONENT national certification test. CDC’s senior management team has in excess of 100 years of experience with the ESRD program and is actively involved in local regional and national organizations to advocate for all renal patients. For more information, visit www.cdcare.org

OVERVIEW

Atlantic Dialysis Management Services, L.L.C. was established to provide new dialysis site development, day to day administration and management of dialysis services and related business development activities. The business strategy is to produce economies of scale and maximize individual site results through consolidated activities and maintaining a limited margin in ADMS markups. Central to ADMS’ approach is the long term control of these clinical services by nephrologists. Atlantic Dialysis Affiliates will provide over 160,000 dialysis treatments in 2008 to almost 1,200 patients in New York City and Long Island.

Freestanding Center Development

1. Ridgewood Dialysis Center, a 43 station site in southwestern Queens, NY.
2. Newtown Dialysis Center, a 24 station site in Long Island City, NY.
3. College Point Dialysis Center, a 24 station site in northern Queens, NY.
4. West Nassau Dialysis Center, a 24 station joint venture in Valley Stream, NY.
5. New Hyde Park Dialysis Center, a 24 station joint venture in New Hyde Park, NY.
6. Central Brooklyn Dialysis Center, a 30 station joint venture in Brooklyn, NY.
7. Broadway Dialysis Center at EHC, a 20 station unit in licensed space at Elmhurst Hospital Center, Elmhurst Queens.
8. Astoria Dialysis Center, a 24 station site in Astoria, NY.
9. East End Dialysis center, a 24 station joint venture in Riverhead, NY.

Hospital Acute Services Management

Mattoo and Bhat Medical Associates Partnership has contracts for management of acute dialysis inpatient services at Wyckoff Heights Medical Center in Brooklyn, Mt. Sinai Hospital/ Queens and Parkway Hospital in Queens.

Home and Nursing Home Programs

Home continuous ambulatory peritoneal dialysis (CAPD) and other modalities are provided through the auspices of chronic renal dialysis centers in New York State. We also have CAPD agreements with nursing homes in Brooklyn and Queens.

Atlantic Dialysis Management Services, LLC

Each chronic dialysis center contracts with ADMS for administrative and operational support activities, excluding those restricted by NYS law, e.g. medical direction. ADMS recruits center staff, performs billing and collections, carries out joint purchasing, joint managed care contracting, develops common operating procedures and systems across all sites, and carries out all business development, finance, accounting and corporate functions for each site. ADMS also provides practice management services to nephrologists.

The members of The Kidney Care Council (KCC) are active participants and supporters of the Kidney Care Quality Initiative. As members of the Kidney Care Quality Alliance, KCC members work closely with dialysis providers, patient advocate organizations, physician groups and manufacturers to develop a quality improvement program that guarantees quality care for dialysis patients while meeting the needs of other members of the kidney care community, and federal policymakers.

For more information about The Kidney Care Council’s work as a member of the Kidney Care Quality Alliance please click here…

American Renal Associates, Inc. (ARA) is a leading owner and operator of outpatient kidney dialysis facilities operating facilities in partnership with nephrologists throughout the United States. ARA focuses on developing new start-up (de novo) treatment facilities in partnership with physicians and also acquires existing dialysis units in selective strategic markets.

The Company’s operating philosophy merges physician autonomy, leading edge patient care and financial partnership between the nephrologist and ARA. ARA brings forth the complete range of resources needed to successfully develop and operate every facility.

The Company manages day-to-day facility operations that include clinical, quality control, regulatory and technical services, billing and reimbursement, general accounting, human resources, purchasing and marketing. ARA also provides complete project management of new facilities.

Individuals whose collective dialysis services experience exceeds 100 years together as a management team formed ARA. Within ten years ARA has become one of the largest providers of outpatient kidney dialysis services in the nation with more than 100 facilities owned, managed or under development. ARA facilities are located in 16 states and the District of Columbia. For more information, visit www.americanrenal.com

The Kidney Care Council (KCC) is dedicated to engaging in legislative and regulatory issues at the federal and state levels with Congressional leaders and policymakers that increase patient access, ensure quality care, and develop programs and provisions for enhanced patient education.

The Kidney Care Council

The Kidney Care Council (KCC) is a nonprofit national health care association based in Washington, D.C. and comprised of eleven of the leading kidney dialysis provider companies in the United States. Collectively, the KCC members provide End Stage Renal Disease (ESRD) services to more than 85 percent of the dialysis patients in the United States. The membership includes large, small, nonprofit and for-profit provider companies. The KCC is the strongest and most consistent voice for the dialysis provider community in Washington.

Mission Statement

The Mission of the KCC is to advocate a legal, regulatory and economic framework that supports and advances the highest standards in dialysis care delivery. The KCC member companies work to improve patient care through demonstrable improvements in patient outcomes, patient safety, and quality of life measures. The KCC provides research-based, results-driven policy solutions to Members of Congress, Executive Branch agencies and state governments, and is increasingly called upon by policy makers for clinical and economic information, analyses, and policy advice.

Specifically, the goals of The Kidney Care Council are to:

• Advocate for Medicare and Medicaid policies that support access to the highest standard of dialysis care
• Communicate with and educate federal and state health policy officials on issues of concern to dialysis providers
• Improve public and patient education about Chronic Kidney Disease (CKD)
• Strengthen and enhance public prevention programs to control CKD
• Work with other organizations and coalitions to advance mutual legislative and regulatory objectives related to
  broader CKD issues

With twenty million Americans having some form of kidney disease, the KCC is committed to ensuring that patients have access to high quality dialysis care. The KCC is dedicated to improving quality as well as promoting education so that newly-diagnosed patients fully understand CKD and how to slow its progression and reduce complications.

Through its committees and work groups, the KCC plans and coordinates Congressional visits on Capitol Hill and meetings with officials of the Executive Branch; develops regulatory analyses and comment letters; and meets with other Congressional entities such as the Government Accountability Office, the Congressional Budget Office and the Medicare Payment Advisory Commission.

The Kidney Care Council Members
American Renal Associates
Atlantic Dialysis Management Services, LLC
Centers for Dialysis Care
DaVita, Inc.
Dialysis Clinic, Inc.
DSI Renal, Inc.
Fresenius Medical Care North America
Northwest Kidney Centers
Renal Ventures Management, LLC
Satellite Healthcare, Inc.
U.S. Renal Care, Inc.

The Kidney Care Council
Cherilyn T. Cepriano, Executive Director
ccepriano@kidneycarecouncil.org