FREESTANDING DIALYSIS CENTER AGREEMENT
EXHIBIT 10.34
[AMGEN LOGO]
FREESTANDING DIALYSIS CENTER AGREEMENT
This agreement (“Agreement”) between Amgen USA Inc. (“Amgen”), a wholly-owned subsidiary of Amgen Inc., and DaVita, Inc., including the freestanding dialysis center affiliate(s) listed on Appendix B, (collectively, “Dialysis Center”), sets forth the terms and conditions for the purchase of EPOGEN® (Epoetin alfa) and Aranesp®(darbepoetin alfa) by Dialysis Center, exclusively for the treatment of dialysis patients.
1. | Term of Agreement. The “Term” of this Agreement shall be defined as January 1, 2004 (“Commencement Date”) through January 31, 2006 (“Termination Date”). |
2. | Dialysis Center Affiliates. Only those Dialysis Center affiliates (“Affiliates”) listed on Appendix B which is incorporated by reference hereto and made a part of this Agreement will be eligible to participate under this Agreement. Affiliates eligible to participate under this Agreement shall be facilities owned in whole or in part by Dialysis Center or for which Dialysis Center provides management or administrative services including such services as the purchasing and billing of EPOGEN® (Epoetin alfa) and Aranesp®(darbepoetin alfa) (collectively, “Products”). Additions to the Affiliates listed on Appendix B may be made pursuant to the request of Dialysis Center’s corporate headquarters and are subject to approval and acknowledgment by Amgen in writing, and such approval and acknowledgment shall not be unreasonably withheld, conditioned or delayed. Dialysis Center may delete Affiliates from participation in this Agreement at any time, in its sole discretion. Amgen requires reasonable notice before the effective date of change (the “Administrative Effective Date”) for any addition or deletion of Affiliates. Notwithstanding the immediately preceding sentence, Amgen agrees to coordinate with Dialysis Center’s Authorized Wholesalers (as defined in Section 4 of the Agreement) [DELETED] any and all purchases made by Dialysis Center [DELETED] pursuant to which Dialysis Center is legally authorized to purchase Products for such added Affiliate [DELETED]; all such purchases by Dialysis Center during such period shall constitute “Qualified Purchases” under this Agreement and shall be included for purposes of eligibility and calculation of each and every discount and incentive provided hereunder and in Appendix A which is incorporated by reference hereto and made a part of this Agreement, including but not limited to the [DELETED] set forth in Section 1 of Appendix A for Aranesp® purchases and including but not limited to the [DELETED] set forth in Section 2 of Appendix A for EPOGEN® purchases, so long as Amgen is not obligated to pay the same discount or incentive attributable to the same purchases to any person or entity other than Dialysis Center. Amgen reserves the right in its reasonable discretion to terminate any Affiliates with regard to participation in this Agreement. Termination of any Affiliate by Amgen shall be effective (a) immediately in instances in which Amgen determines, in its sole discretion, that such immediate termination is required by law or order of any court or regulatory agency or as a result of negligence or willful misconduct in the use or administration of Products by such Affiliate; or (b) upon thirty (30) days prior written notice to Dialysis Center in all other instances; provided, that such termination shall be effective before the expiration of such thirty (30) days where Dialysis Center requests or consents to such earlier termination. |
3. | Own Use. Dialysis Center hereby certifies that Products purchased hereunder shall be for Dialysis Center’s “own use” for the exclusive treatment of dialysis patients. |
4. | Authorized Wholesalers. Attached hereto as Appendix C is a complete list, as of the date of execution of this Agreement, of the wholesalers from which Dialysis Center intends to purchase Products. All of the wholesalers so designated by Dialysis Center are hereby approved by Amgen to participate in this program and are deemed “Authorized Wholesalers”. Notification of proposed changes to the list of Authorized Wholesalers must be provided to Amgen in writing at least thirty (30) days before the effective date of the proposed change; provided, however, that Amgen will use its best efforts to accept a change on fewer than thirty (30) days’ notice. Amgen reserves the right, in its reasonable discretion, to reject or terminate, with |
[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.
Agreement No. 200308360 (Continued)
reasonable notice, any wholesaler with regard to participation in this Agreement, so long as (a) Amgen rejects or terminates such wholesaler with respect to providing Products to any and all purchasers of Products, or (b) such wholesaler independently requests Amgen to remove it as an Authorized Wholesaler for Dialysis Center. Amgen also reserves the right, in its reasonable discretion, to accept wholesalers with regards to participation in this Agreement, but Amgen agrees that it shall accept any wholesaler designated by Dialysis Center which provides Products to other purchasers approved by Amgen. Dialysis Center agrees to request all Authorized Wholesalers to submit product sales information to a third-party sales reporting organization designated by Amgen. In the event Amgen terminates any Authorized Wholesaler from which Dialysis Center is purchasing Products, Amgen will work with Dialysis Center to identify other possible Authorized Wholesalers from which Dialysis Center may purchase Products and/or, in the case of an emergency and subject to credit qualification as well as receipt and approval of an “Application for Direct Ship Account”, use reasonable efforts in attempting to establish a temporary direct purchase relationship between Dialysis Center and Amgen until such time as an alternative Authorized Wholesaler can be secured, which in no event shall exceed sixty (60) days. If Dialysis Center purchases directly from Amgen as contemplated immediately above, all purchases made from Amgen shall be deemed “Qualified Purchases” (as defined below) and all such purchases shall be accounted for in the calculation of the discounts and incentives provided for in this Agreement and in Appendix A. |
5. | Qualified Purchases. Only Products purchased under this Agreement by Dialysis Center through Authorized Wholesalers (or directly from Amgen as provided in Section 4 above), as confirmed by Amgen based on sales tracking data, will be deemed “Qualified Purchases”. |
6. | Commitment to Purchase. Subject to the terms of Section 20 below, Dialysis Center agrees to exclusively purchase Products for all of its dialysis use requirements for erythropoietic agents. Notwithstanding the foregoing, Amgen expressly acknowledges and agrees that Dialysis Center may participate in clinical trials involving the administration of other products for the management of anemia in dialysis patients. Dialysis Center may purchase another brand of recombinant human erythropoietin for its dialysis use requirements only for the time, and only to the extent, that Amgen has notified Dialysis Center’s corporate headquarters in writing that Amgen cannot supply EPOGEN® or Aranesp® within and for the time period reasonably required by Dialysis Center. Any such notification shall be given by Amgen at least thirty (30) days prior to the date on which Amgen will cease supplying EPOGEN® or Aranesp® to Dialysis Center, unless an act or event described in Section 21 of the Agreement, or an order of a regulatory agency or other action arising out of patient safety concerns, requires the giving of shorter notice. In the event that Amgen fails to supply Dialysis Center with EPOGEN® or Aranesp® as ordered (including as a result of force majeure event as described in Section 21), Dialysis Center shall be entitled, at a minimum, to have the same proportion of its purchase orders fulfilled at all times as other purchasers of EPOGEN® or Aranesp® and, upon request, Amgen shall provide written assurances of same to Dialysis Center. |
7. | 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, “Confidential Information”.) Confidential Information includes not only written information but also information transferred orally, visually, electronically 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. 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 but not limited to |
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this 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 (in any case, 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. |
8. | Discounts. Dialysis Center shall qualify for discounts and incentives subject to material compliance with the terms and conditions of this Agreement as well as the schedules and terms set forth in Appendix A. Discounts in arrears will be paid in the form of a wire transfer to Dialysis Center’s corporate headquarters, and Amgen Inc. hereby guarantees Amgen’s obligation to pay all discounts earned by Dialysis Center hereunder. Discounts in arrears will be calculated in accordance with Amgen’s discount calculation policies based on Qualified Purchases using Amgen’s standard [DELETED] as the calculation price, except as otherwise provided hereunder or as set forth in Appendix A. Payment amounts, as calculated by Amgen, must equal or exceed $100.00 for the applicable period to qualify, and are subject to audit and final determination by arbitration, as provided in Appendix A hereto. Subject to the section entitled “Termination”, in the event that Amgen is notified in writing that Dialysis Center, and/or any Affiliate(s) (the “Acquired Party”) is acquired by another entity or a change of control otherwise occurs with respect to any Acquired Party, any discounts which may have been earned hereunder for all periods preceding such acquisition or change of control shall be paid in the form of a wire transfer to Dialysis Center’s corporate headquarters, subject to the conditions and requirements described herein. For purposes of all of the discounts paid in arrears contained herein, including, without limitation, those discounts and incentives provided in Appendix A, if any Affiliates are added to or deleted from this Agreement during any [DELETED] of the Term of this Agreement, Amgen shall appropriately adjust Dialysis Center’s purchases for the relevant periods (x) for deleted Affiliates, by excluding purchases by such Affiliates effective from the effective date of their deletion and during the relevant [DELETED] used for comparison, or (y) for added Affiliates, by including any purchases made by such acquired Affiliates effective from the date they are added to the list of Affiliates on Appendix B and during the relevant [DELETED] used for comparison, and by including any purchases made by any de novo Affiliates commencing in the [DELETED] in which they commence operations. Amgen and Dialysis Center agree that, for purposes of determining eligibility for and calculation of all discounts and all incentives provided in this Agreement (including, without limitation, all discounts and incentives as are set forth in Appendix A), a Qualified Purchase of EPOGEN® or Aranesp® shall be deemed made on the date of invoice to Dialysis Center from an Authorized Wholesaler. Upon any termination of this Agreement, Amgen shall pay to Dialysis Center all discounts and incentives earned by Dialysis Center through the date of termination. Failure of Dialysis Center to qualify for or receive any particular discount or incentive hereunder shall not automatically affect its qualification for or receipt of any other discount or incentive provided under this Agreement. |
9. | Treatment of Discounts. a) Dialysis Center agrees that it will properly disclose and account for any discount or other reduction in price earned hereunder, in whatever form (i.e., pricing, discount, or |
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incentive), in a way that complies with all applicable federal, state, and local laws and regulations, including without limitation, Section 1128B(b) of the Social Security Act and its implementing regulations. Section 1128B(b) requires that a provider of services properly disclose and appropriately reflect the value of any discount or other reduction in price earned in the costs claimed or charges made by the provider under a federal health care program, as that term is defined in Section 1128B(f). Dialysis Center also agrees that, if required by such statutes or regulations, it will (i) claim the benefit of such discount received, in whatever form, in the fiscal year in which such discount was earned or the year after, (ii) fully and accurately report the value of such discount in any cost reports filed under Title XVIII or Title XIX of the Social Security Act, or a state health care program, and (iii) provide, upon request by the U.S. Department of Health and Human Services or a state agency or any other federally funded state health care program, the information furnished to Dialysis Center by Amgen concerning the amount or value of such discount. Dialysis Center’s corporate headquarters agrees that it will advise all Affiliates, in writing, of any discount received by Dialysis Center’s corporate headquarters hereunder with respect to purchases made by such Affiliates and that said Affiliates will account for any such discount in accordance with the above stated requirements. |
b) In order to assist Dialysis Center’s compliance with its obligations as set forth in Section 9(a) immediately above, Amgen agrees that it will fully and accurately report all discounts on the invoices or statements submitted to Dialysis Center and use reasonable efforts to inform Dialysis Center of its obligations to report such discounts; or where the value of a discount is not known at the time of sale, Amgen shall fully and accurately report the existence of the discount 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 when the value of the discount becomes known, provide Dialysis Center with documentation of the calculation of the discount identifying the specific goods or services purchased to which the discount will be applied, broken down by Affiliate. In particular, Amgen shall provide to Dialysis Center a statement on a [DELETED] basis stating the incentives and discounts earned by Dialysis Center in a particular [DELETED] with the itemization of Product purchases made in a particular [DELETED], broken down by Affiliates; and any other information that Dialysis Center may request that is reasonably available to Amgen and necessary for Dialysis Center to obtain in order to comply with its obligation as set forth in Section 9(a).
10. | Data Collection. Dialysis Center agrees that it will at all times comply with all federal, state, or local laws or regulations relating to patient privacy of health information and medical records, and that all data to be provided to Amgen pursuant to this Agreement, shall either be pursuant to that certain Data Use Agreement to be entered into by the parties simultaneously herewith (“DUA”) or in a form that meets the requirements for “de-identification” as set forth in the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) codified at 45 C.F.R. parts 160 and 164 (the “Privacy Rule”). Dialysis Center acknowledges that the data to be supplied to Amgen pursuant to this Agreement shall be used to support verification of the discounts and incentives referenced herein, as well as in support of Amgen’s obligations as set forth in this Agreement (a) with respect to Amgen’s public health activities (as set forth in 45 C.F. R. 164.512(b)(1)(iii)), and (b) in support of Dialysis Center’s Health Care Operations (as defined in the Privacy Rule). Dialysis Center shall consistently use a unique alpha-numeric code (which shall not be the same as part or all of the patient’s social security number) as a “case identifier” to track the care rendered to each individual patient over time, and such case identifier shall be included in the data provided to Amgen. The key or list matching patient identities to their unique case identifiers shall not be provided to Amgen personnel. Amgen and Amgen Inc. agree that they will maintain data supplied under this Agreement in confidence, they will not use such data to identify or contact any patient, and they will at all times comply with all federal, state, or local laws or regulations relating to patient records and privacy of health information. [DELETED]. Amgen shall not sell or resell any data obtained pursuant to this Agreement. Additionally, any use or disclosure by Amgen or Amgen Inc. of any data supplied under this |
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Agreement, which use or disclosure shall be specifically provided for in this Agreement, shall be in a format which does not identify Dialysis Center as the source of such data, unless otherwise permitted in writing by Dialysis Center. Furthermore, no reports by Amgen or Amgen Inc. concerning analyses of the data shall disclose the identity of any patient. Nothing in this Agreement shall limit Dialysis Center’s use of its own patient case data, including, without limitation, any and all data to be supplied to Amgen hereunder. |
11. | Termination. In addition to any other legal or equitable remedies which may be available to either party upon breach by the other party, such party may terminate this Agreement for a material breach upon thirty (30) days advance written notice specifying the breach, provided that such breach remains uncured at the end of the thirty (30) day period, [DELETED]. In addition, in the event that Dialysis Center materially breaches any provision of this Agreement, and such breach remains uncured for thirty (30) days following notice by Amgen specifying the breach, [DELETED], Amgen shall have no obligation to continue to offer the terms described herein or pay any further discounts or incentives to Dialysis Center, except those discounts and/or incentives earned by Dialysis Center up to the time of a breach which results in termination. |
12. | Governing Law. This Agreement shall be governed by the laws of the State of California and, except as set forth in Appendix A, the parties submit to the jurisdiction of the California courts, both state and federal. |
13. | Warranties. 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 Dialysis Center and the Affiliates 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. Amgen covenants and agrees that no Product is or will 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 into interstate commerce. Amgen warrants that the Products purchased pursuant to this Agreement (a) are manufactured, and up to the time of their receipt by Authorized Wholesalers are handled, stored and transported in accordance with all applicable federal, state and local laws and regulations pertaining to the manufacturing of the Products including without limitation, the Federal Food, Drug, and Cosmetic Act and implementing regulations, and meet all specifications for effectiveness and reliability as required by the United States Food and Drug Administration, and (b) when used in accordance with the directions on the labeling, are fit for the purposes and indications described in the labeling. Amgen warrants that use of the Products by Dialysis Center 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 it will promptly notify Dialysis Center once it determines that there has been any material defect in any of the Products delivered to Dialysis Center. |
14. | Notices. Any notice or other communication required or permitted hereunder (excluding purchase orders) shall be in writing and shall be deemed given or made three (3) days after deposit in the United States mail with proper postage for first-class registered or certified mail prepaid, return receipt requested, or when delivered personally or by facsimile (receipt verified and confirmed by overnight mail), or one (1) day following traceable delivery to a nationally recognized overnight delivery service with instructions for |
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overnight delivery, in each case addressed to the parties as follows (or at such other addresses as the parties may notify each other of in writing): |
If to Dialysis Center:
DaVita, Inc.
000 Xxxxxx Xxxxxx
Xx Xxxxxxx, XX 00000
Attn: Corporate Finance
Fax No.: (000) 000-0000
with a copy to:
DaVita, Inc.
000 Xxxxxx Xxxxxx
Xx Xxxxxxx, XX 00000
Attn: General Counsel
Fax No.: (000) 000-0000
If to Amgen:
Amgen USA Inc.
One Amgen Center Drive, M/S 37-2-B
Xxxxxxxx Xxxx, XX 00000-0000
Attn: Xxxx Xxxxxxxxxxx, Manager, Contract Administration
Fax No.: (000) 000-0000
with a copy to:
Amgen Inc.
One Amgen Center Drive, M/S 27-4-A
Xxxxxxxx Xxxx, XX 00000-0000
Attn: General Counsel:
Fax No.: (000) 000-0000
If to Amgen Inc.:
Amgen Inc.
One Amgen Center Drive, M/S 37-2-B
Xxxxxxxx Xxxx, XX 00000-0000
Attn: Xxxx Xxxxxxxxxxx, Manager, Contract Administration
Fax No.: (000) 000-0000
with a copy to:
Amgen Inc.
One Amgen Center Drive, M/S 27-4-A
Xxxxxxxx Xxxx, XX 00000-0000
Attn: General Counsel:
Fax No.: (000) 000-0000
15. | Compliance with Health Care Pricing and Patient Privacy Legislation and Statutes; Data Use Agreement. a) Notwithstanding anything contained herein to the contrary, in order to assure compliance, as determined by either party, in its sole discretion, with any existing federal, state or local statute, |
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regulation or ordinance, or at any time following the enactment of any federal, state, or local law or regulation that in any manner reforms, modifies, alters, restricts, or otherwise affects the pricing of or reimbursement available for any of the Products, including but not limited to the enactment of any reimbursement rule, guideline, final program memorandum, coverage decision, pricing decision, instruction or the like by the Centers for Medicare and Medicaid Services (“CMS”) or any of Dialysis Center’s Medicare fiscal intermediaries, or any change in reimbursement systems that in any manner reforms, modifies, alters, restricts or otherwise affects the reimbursement available to Dialysis Center for any of the Products, either party may, in its sole discretion, upon thirty (30) days notice, seek to modify this Agreement in accordance with the procedure referenced below or exclude any Affiliates from participating in this Agreement unless such Affiliate(s) certifies in writing that they are, or will be, exempt from the provisions thereunder. If such affected Affiliate(s) does not so certify and is therefore excluded from participating in this Agreement, Dialysis Center and Amgen shall meet and in good faith seek to mutually agree to modify this Agreement to accommodate any such change in law or regulation or any such change in reimbursement system, with the intent that, if possible, the essential terms and the pricing structure [DELETED] shall be retained at least at the applicable tier as in effect immediately prior to such change. If the parties in good faith determine such modification is not possible, the parties shall seek to modify the Agreement in another manner acceptable to both parties. If the parties, after thirty (30) days are unable to agree upon such a modification, Amgen or Dialysis Center shall be entitled to terminate the Agreement immediately. In the event there is a future change in Medicare, Medicaid, or other federal or state statute(s) or regulation(s) or in the interpretation thereof, which renders any of the material terms of this Agreement unlawful or unenforceable, this Agreement shall continue only if amended by the parties as a result of good faith negotiations as necessary to bring the Agreement into compliance with such statute or regulation. |
b) Notwithstanding anything contained herein to the contrary, in order to assure compliance, as determined by either party in its sole discretion, with any existing federal, state or local statute, regulation or ordinance relating to patient privacy of medical records, or at any time following the enactment of any federal, state, or local law or regulation relating to patient privacy of medical records that in any manner reforms, modifies, alters, restricts, or otherwise affects any of the data received or to be received in connection with any of the incentives contemplated under this Agreement, either party may, in its discretion, upon thirty (30) days’ notice, seek to modify this Agreement. Dialysis Center and Amgen shall meet and in good faith seek to mutually agree to modify this Agreement to accommodate any such change in law or regulation, with the intent to, if possible, retain the essential terms of the affected incentive and pricing structure. If the parties in good faith determine that such modification is not possible, the parties shall seek to modify the Agreement in another manner acceptable to both parties. If the parties, after ninety (90) days, are unable to agree upon such a modification, either party shall be entitled to terminate the affected incentive upon thirty (30) days’ notice.
c) Both parties agree that all uses and disclosures of the information received pursuant to the DUA will be in strict compliance with the HIPAA Privacy Rule. Notwithstanding anything contained herein to the contrary, this Agreement is effective only as of the date the parties hereto execute a mutually agreeable Data Use Agreement (“DUA”) pursuant to which Dialysis Center may disclose certain patient information to Amgen which meets the requirements of a Limited Data Set (as specified in the DUA and which shall include, at a minimum, the data fields to be received by Amgen in connection with this Agreement) for purposes of Amgen’s public health activities (as set forth in 45 C.F.R. 164.512(b)(1)(iii))and Amgen’s obligations as set forth in this Agreement in support of Dialysis Center’s Health Care Operations (as defined in the Privacy Rule). Unless otherwise specifically defined in this Agreement, each term used in this Section 15(c) shall have the meaning assigned to such term by HIPAA and the Privacy Rule. The parties acknowledge and agree that they have entered into a DUA in connection with the disclosure to Amgen of certain patient information, as described in Section 10 of this Agreement. If any party terminates
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the DUA for any reason, the other shall be entitled to terminate this Agreement immediately. Without limitation of the foregoing, the parties agree to negotiate in good faith to further amend this Agreement and/or enter into such additional agreements to the extent deemed necessary or appropriate by Dialysis Center or Amgen in connection with any disclosure by Dialysis Center or receipt by Amgen of any additional patient information (including any individually identifiable health information) and/or to comply with the Dialysis Center’s [DELETED], the Privacy Rule or other or federal or state related regulations or statutes related to privacy of health information. Simultaneously upon execution of this Agreement, Dialysis Center has delivered to Amgen a copy of all applicable [DELETED] in effect on the date hereof, and Amgen acknowledges receipt of same and agrees to be bound by the requirements set forth therein. During the Term of this Agreement, Dialysis Center shall provide Amgen, from time to time, with additional [DELETED] as they become effective, and with [DELETED], at least thirty (30) days prior to the effective date of each [DELETED].
16. | [DELETED] |
17. | [DELETED] |
18. | Good Pharmaceutical Practice Support Services for the Products. Without limitation of the provisions of Section 19 [“Access”], and in order to advance the common clinical objectives of the parties under this Agreement, Amgen agrees to provide to Dialysis Center those good pharmaceutical practice standard support services (the “Services”), at no additional cost or charge, but only to the extent that the delivering of such Services can be accomplished without using any individually identifiable heath information (as defined in the Privacy Rule). Any such Services shall be limited to those Services agreed to in writing from time to time (in each case, a “Services Agreement”) between Amgen and Dialysis Center. |
Amgen agrees to furnish such Services only in cooperation with Dialysis Center’s facilities, in a manner consistent with Dialysis Center’s policies and procedures and in accordance with the terms otherwise set forth in the Services Agreement and this Agreement, including without limitation Section 19 [“Access”] hereof. Further, Amgen and Dialysis Center agree to provide their respective staff members with appropriate training regarding patient privacy and confidentiality, including with respect to such party’s obligations under this Agreement and the Services Agreement.
19. | Access. Amgen acknowledges, agrees and understands that absent an applicable Services Agreement (as defined in Xxxxxxx 00 xxxxx), xxxx of its agents, representatives or employees shall be permitted access at any time to any Affiliate or Dialysis Center for any reason whatsoever. In each situation in which a Services Agreement is executed and delivered, Amgen may be granted access solely for the purposes described in such Services Agreement(s). Without limitation of the foregoing, Amgen agrees that it and its agents, representatives and employees shall at all times comply with all applicable laws and regulations, and with Dialysis Center’s [DELETED] (which applicable [DELETED] shall be identified to Amgen from time to time by Dialysis Center as more fully described in Section 15(c) above), and that Amgen’s discussion of the Products shall be in compliance with all such [DELETED] and all applicable laws and regulations. Furthermore, Amgen acknowledges, agrees and understands that it must obtain Dialysis Center’s prior written approval of all proposed educational, marketing and promotional materials and of all proposed presentations relating to anemia management, any of the Products, any other Amgen product or otherwise, whether directed toward Dialysis Center employees or any patient of Dialysis Center. Such approval may be given only by Dialysis Center’s Vice President, Clinical Operations or his authorized representative. Dialysis Center’s Vice President, Clinical Operations or his authorized representative agree to notify Amgen’s National Account Manager of his decision within ten (10) business days after receipt of such program, material or presentation request, otherwise such request will be deemed denied. |
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20. | Right of First Offer. Dialysis Center shall promptly notify Amgen in the event it receives a competing offer from any third party for the sale of any products in the same therapeutic class as any of the Products. Amgen shall have the right in such event to have sixty (60) days to respond to Dialysis Center with its own pricing terms relating to products. Dialysis Center shall consider but have no obligation to accept the terms of Amgen’s new offer, if any. |
21. | 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 that there is a disruption or shortage in supply of any Product, Amgen will use reasonable efforts to notify Authorized Wholesalers as far in advance of such disruption as is commercially reasonable and in accordance with all regulatory guidelines. In addition, Dialysis Center’s eligibility to receive rebates and incentives as set forth on Appendix A as determined by the [DELETED] under Section 3(b) of Appendix A shall not be affected. |
22. | Miscellaneous. No modification of this Agreement will be effective unless made in writing and executed by a duly authorized representative of each party, except as otherwise provided hereunder. 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. Notwithstanding the foregoing, Amgen may assign this Agreement to any of its subsidiaries or affiliates. This Agreement may be executed in one or more counterparts, each of which is deemed to be an original but all of which taken together constitutes one and the same agreement. Whenever a party is permitted by this Agreement to act in its discretion, that party shall be required to exercise its discretion in good faith and in a reasonable manner. To the extent that any provisions of Amgen’s or Amgen Inc.’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 Appendix attached hereto, the terms of this Agreement and Appendices shall govern. The parties acknowledge and understand that each has [DELETED]. Notwithstanding anything contained to the contrary in this Agreement, in the event that [DELETED] as set forth in [DELETED], Amgen and Dialysis Center will agree [DELETED], as the case may be. Notwithstanding anything contained to the contrary in this Agreement, in the event of [DELETED] the calculation of any of the incentives set forth in Appendix A, the parties shall [DELETED]. [DELETED] available to Dialysis Center [DELETED]. [DELETED]. Upon expiration or early termination of this Agreement, the rights and obligations set forth in sections 7, 8, 10, 13, 16, 17 and 23 shall survive. |
23. | 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 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 Products 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. |
24. | Entire Agreement. The Agreement together with the DUA, any Services Agreement(s) and all of the Appendices attached hereto and thereto, constitutes the entire understanding between the parties and supersedes all prior or oral written proposals, agreements or commitments pertaining to the subject matter herein and therein. |
9
Agreement No. 200308360 (Continued)
Please retain one fully executed original for your records and return the other fully executed original to Amgen.
The parties executed this Agreement as of the dates set forth below.
Amgen USA Inc. | DaVita, Inc. | |
Signature: | Signature: | |
Print Name: | Print Name: | |
Print Title: | Print Title: | |
Date: | Date: |
Amgen Inc. agrees to be bound by certain provisions of this Agreement as set forth herein
Amgen Inc. | ||
Signature: | ||
Print Name: | ||
Print Title: | ||
Date: |
10
Agreement No. 200308360 (Continued)
Appendix A: Discount Pricing, Schedule, and Terms
1. | Pricing – Aranesp®. Throughout the Term of this Agreement, Dialysis Center and Affiliates may purchase Aranesp® through Authorized Wholesalers at [DELETED] which shall be equal to the [DELETED]. Amgen reserves the right to change the [DELETED] at any time. Resulting prices do not include any wholesaler markup, service fees, or other charges. |
2. | Pricing – EPOGEN®. Throughout the Term of this Agreement, Dialysis Center and Affiliates may purchase EPOGEN® directly from Amgen or through Authorized Wholesalers at [DELETED], which shall be equal to the [DELETED]. Amgen reserves the right to change the [DELETED] at any time. Notwithstanding any such change(s), the [DELETED] that is applicable to Dialysis Center throughout the Term shall be the [DELETED]. Resulting prices do not include any wholesaler markup, service fees, or other charges. All discounts earned in arrears hereunder (also known as “rebates”), through the Term of the Agreement, shall be calculated based upon the [DELETED], such that any [DELETED] contained in any of the discounts or incentives set forth in this Appendix A shall [DELETED] in the [DELETED]. |
3. | Rebate/Incentive Qualification Requirements. In order for Dialysis Center to be eligible to receive any rebates or incentives described in [DELETED] (but not in [DELETED]) of this Appendix A, Dialysis Center must satisfy the following two (2) qualification requirements: |
(a). [DELETED]: No more than [DELETED] of Dialysis Center’s [DELETED] taken on an overall basis (and not separately for each Affiliate) may have [DELETED] (as that term is defined below) [DELETED] during the applicable [DELETED] of the Term of this Agreement. For purposes of this Agreement, the [DELETED] of this Agreement shall be measured from [DELETED]. If this criteria is not met during any given [DELETED] of the Term of the Agreement, Dialysis Center will not qualify for any rebates described in [DELETED] below in this Appendix A during that [DELETED]. Failure of Dialysis Center to qualify under this provision during a particular [DELETED] shall not affect Dialysis Center’s eligibility to qualify during any other [DELETED] of the Term, nor shall Dialysis Center’s qualification during a particular [DELETED] automatically result in qualification during any other [DELETED]. The [DELETED] for each dialysis patient will be based upon the average of all [DELETED] for each patient during the applicable [DELETED]. Dialysis Center and Affiliates must provide the following information for each dialysis patient to Amgen or to a data collection vendor specified and paid for by Amgen, on a [DELETED] basis, and no later than [DELETED] days after the end of each [DELETED]. In those cases in which Amgen directs Dialysis Center to submit the following information to a data collection vendor, Dialysis Center shall be deemed to have timely submitted the information to such data collection vendor so long as it does so on a [DELETED] basis and no later than [DELETED] days after the end of each [DELETED], regardless of the date on which such vendor, in turn, submits such information to Amgen: all [DELETED] for each dialysis patient, the date of each test, and a consistent, unique, alpha-numeric identifier (sufficient consistently to track an individual patient without in any way violating the de-identification provisions of HIPAA at 45 CFR 164.514), along with the name, address and phone number of the particular Affiliate at which each patient received treatment; provided, however, that Dialysis Center shall be required to submit such test results only for those dialysis patients whose test results are actually determined by laboratories owned and operated by Dialysis Center. For any period that is not equivalent to a complete [DELETED], the calculation of [DELETED] will be based on an average of all data for each dialysis patient that is available for that period. To the extent permitted by applicable law, Amgen may utilize the data it receives from Dialysis Center or any Affiliate, pursuant to and as detailed in this provision or elsewhere in this Agreement, to support verification of the discounts and incentives referenced in this Agreement, as well as for any purpose in support of Amgen’s obligations as set forth in this Agreement with respect to Amgen’s public health activities (as set forth in 45 CFR 164.512 (b)(1)(iii)), and (ii) in support of Dialysis Center’s Health Care Operations (as defined in the Privacy Rule). In furtherance of the foregoing, Amgen reserves
11
Agreement No. 200308360 (Continued)
the right to audit all such data, provided that any audit shall not permit access to information disclosing the identity of any patient. Under no circumstances should such data include any patient identifiable information including, without limitation, name, all or part of social security number, address, telephone, electronic mail address, birth date, medical record number, prescription number or any other unique identifying number, characteristic or code. The identity of the Affiliate and of the account submitting the data and any association with the data will remain confidential by Amgen. The [DELETED] must be derived from [DELETED] taken immediately before dialysis treatment using any [DELETED] testing method [DELETED], must be reported to the [DELETED], and must be submitted [DELETED] in a format reasonably acceptable to Amgen. Handwritten reports are not acceptable; only electronic submission of the data will be accepted; and
(b). [DELETED]: Dialysis Center’s aggregate Qualified Purchases of EPOGEN® and Aranesp® during [DELETED] and during [DELETED] by all Affiliates listed on Appendix B on the Commencement Date of this Agreement and all new approved Affiliates (whether by acquisition, to the extent that either Amgen or Dialysis Center can provide adequate data concerning such Affiliates’ purchases for the same time period from [DELETED] for [DELETED] and from [DELETED] for [DELETED], or de novo) must equal or exceed [DELETED] (for [DELETED]) and [DELETED] (for [DELETED]) respectively [DELETED], of the aggregate Qualified Purchases of EPOGEN® and Aranesp® by those same Affiliates for the time period from [DELETED], for [DELETED], and from [DELETED] for [DELETED]. For deleted Affiliates, Amgen shall exclude Qualified Purchases by such Affiliates effective from the effective date of their deletion and also during the relevant [DELETED] used for comparison. For purposes of calculating the [DELETED], EPOGEN® and Aranesp® base sales during each applicable time period shall be derived using the [DELETED]. All estimated payments for discounts in arrears that contain [DELETED] will be measured by using a [DELETED] that measures [DELETED]. If Dialysis Center has not satisfied the [DELETED] for any [DELETED], then at the end of the [DELETED], Amgen will determine if Dialysis Center has satisfied, in the aggregate, on a [DELETED], the [DELETED]. If the [DELETED] has been met for that given [DELETED], then Amgen will perform a [DELETED] calculations for [DELETED]. However, if [DELETED] the [DELETED] has not been met for that [DELETED], Amgen will perform a [DELETED], which may [DELETED]. The [DELETED] payments and any other discount or incentive earned in arrears corresponding to the [DELETED], respectively if any, shall not be due and owing until, and shall be subject to, such [DELETED]. [DELETED] will be made [DELETED], within [DELETED] days after the [DELETED] and receipt by Amgen of all the required data detailed in this Agreement. The determination as to Dialysis Center’s attainment or failure to attain the [DELETED] shall be based upon the [DELETED]; and
(c). In addition to the above requirements and notwithstanding anything contained herein to the contrary, in the event Dialysis Center’s aggregate Qualified Purchases of EPOGEN® during the period [DELETED] (“Measurement Period”) by all Affiliates listed on Appendix B on the Commencement Date of this Agreement exceeds [DELETED] of the aggregate Qualified Purchases of EPOGEN® by those same Affiliates for the same time period from [DELETED] (“Base Period”), Dialysis Center shall not be eligible to receive any rebates detailed in [DELETED] below in this Appendix A for any Qualified Purchases of EPOGEN® in the aggregate made during the Measurement Period that exceed [DELETED] of the aggregate Qualified Purchases of EPOGEN® by those same Affiliates in the Base Period. For purposes of determining the foregoing, EPOGEN® base sales during each applicable time period shall be derived using the [DELETED].
4. | [DELETED] . Throughout the Term of the Agreement Dialysis Center shall be eligible to receive a [DELETED] provided that Dialysis Center provides certain data elements that are transmitted to Amgen electronically. The [DELETED] will be calculated as a percentage of the Qualified Purchases of EPOGEN® attributable to Dialysis Center during the applicable [DELETED]. Failure of Dialysis Center to qualify during a particular [DELETED] shall not affect Dialysis Center’s eligibility to qualify during any other |
12
Agreement No. 200308360 (Continued)
[DELETED], nor shall Dialysis Center’s qualification during a particular [DELETED] automatically result in qualification during any other [DELETED]. To qualify for the [DELETED], the following [DELETED] must be submitted to Amgen by Dialysis Center and all Affiliates pursuant to Section 15(c) of the Agreement in an electronic format acceptable to Amgen (Excel; Lotus 123.wk1; or text file that is tab delimited, comma delimited, colon delimited or space delimited), provided, however, that Dialysis Center shall be required to submit such test results only for those dialysis facilities whose test results are actually determined by laboratories owned and operated by Dialysis Center : |
Facility ID;
Patient ID (sufficient to consistently track an individual patient without in any way disclosing the identity of the patient);
[DELETED];
[DELETED];
Modality; Hemodialysis (“HD”) ID or peritoneal dialysis (“PD”) ID (a PD patient shall be defined as a patient who receives at least one (1) peritoneal dialysis treatment during a given month) – [DELETED];
[DELETED] with date [DELETED] and [DELETED];
All [DELETED] and [DELETED] with their corresponding draw dates for each patient by Patient ID;
[DELETED] delivered for each patient per treatment with date (but only for patients of Affiliates using the XXXX or Snappy systems);
[DELETED];
[DELETED];
[DELETED];
[DELETED];
[DELETED] ;
[DELETED];
[DELETED];
[DELETED];
[DELETED]; and
[DELETED]
Such patient data must be submitted, on a [DELETED] basis, and no later than [DELETED] days after the end of each [DELETED]. Each [DELETED], only the most recent test results will be submitted for each patient, and all or some of those test results may be from that [DELETED] or from [DELETED]. If such patient data is received more than [DELETED] days after the last day of any [DELETED] within a given [DELETED], the total Qualified Purchases of EPOGEN® attributable to Dialysis Center during such [DELETED] will be excluded from the calculation of the [DELETED] for that [DELETED]. Notwithstanding the foregoing, if Amgen receives all required data from a minimum of [DELETED] of all Affiliates within the definition of “Dialysis Center” within the time frame referenced above for any [DELETED] within a given [DELETED], the total Qualified Purchases of EPOGEN® attributable to Dialysis Center and all Affiliates during such [DELETED], will be included in the calculation of the [DELETED] for that [DELETED]. If Amgen receives all required data from [DELETED] of all Affiliates within the definition of “Dialysis Center” within the time frame set forth herein for any [DELETED] within a given [DELETED], the total Qualified Purchases of EPOGEN® attributable to those Affiliates that have submitted the required data during such [DELETED] will be included in the calculation of the [DELETED] for that [DELETED]. If Amgen receives all required data from less than [DELETED] of all Affiliates within the definition of “Dialysis Center” for any [DELETED] within a given [DELETED], no Qualified Purchases of Dialysis Center during such [DELETED] will be included in the calculation of the [DELETED] for that [DELETED]. However, if Amgen determines that any Affiliate is consistently not submitting the required
13
Agreement No. 200308360 (Continued)
data, Amgen and Dialysis Center will work collaboratively in resolving such inconsistencies. Amgen will use its best efforts to notify Dialysis Center in writing, no later than [DELETED] after the receipt and acceptance by Amgen of the data, of the identity of all those Affiliates, if any, which have failed to meet the data submission requirements for that [DELETED]. Amgen reserves the right, in its sole discretion, to exclude any consistently non-reporting Affiliate’s Qualified Purchases of EPOGEN® from the calculation of the [DELETED] for any relevant [DELETED].
The [DELETED] will vest on the [DELETED] of the [DELETED], and be paid [DELETED] within [DELETED] days after the receipt of data, in accordance with the terms and conditions described above. Dialysis Center shall have the right, at its own cost and expense, at all times to audit all data and all calculations relevant to the determination of eligibility for and the amount of the [DELETED] to be paid to Dialysis Center hereunder. Notwithstanding the foregoing, payment for any period that is not equivalent to a [DELETED] will be made based on the data that is available for that period.
The parties shall meet and confer in good faith to resolve any disagreements arising out of these matters. If the parties are unable to resolve any such disagreement within ninety (90) days, the parties shall submit such disagreement to binding arbitration in accordance with the Commercial Arbitration Rules of the American Arbitration Association, except that the parties shall be entitled to expanded discovery. Dialysis Center and Amgen shall each name one (1) arbitrator, and the arbitrators so chosen shall, within thirty (30) days thereafter, name a third neutral arbitrator. The arbitration award, as decided by a majority of the arbitrators, may be entered as a judgment in accord with applicable law by any court having jurisdiction. Venue for the arbitration shall be Los Angeles County, California. Each party shall be responsible for its own attorneys’ fees, and the costs of the arbitration and of the arbitrators shall be shared equally by the parties; provided, however, that if the decision of the arbitrators finds that either of the parties has acted in bad faith, the party acting in bad faith alone shall be required to bear one hundred percent (100%) of the costs and expenses of the arbitration and of the arbitrators, as well as one hundred percent of the attorney’s fees of the other party. The arbitrators shall have the authority to award interest in respect to any monetary award.
5. | [DELETED]. Throughout the Term of the Agreement, Dialysis Center may qualify for the [DELETED] provided it meets the criteria described below in this Section 5. The [DELETED] is designed to improve patient outcomes by encouraging [DELETED]. If the [DELETED] change, then Amgen and Dialysis Center will meet and in good faith seek to mutually agree to modify this Agreement to accommodate any such change, with the intent to [DELETED] of the [DELETED]. |
(a) | Requirements: In order to qualify for the [DELETED], Dialysis Center must [DELETED] of this Appendix A, and Dialysis Center and its Affiliates must provide Amgen the following data items, on a [DELETED] basis, and no later than [DELETED] days after the end of each month, in an electronic format acceptable to Amgen (Excel; Lotus 123.wk1; or text file that is tab delimited, comma delimited, colon delimited or space delimited) in accordance with the data submission requirements contained in Section 4 of this Appendix A for the [DELETED] and pursuant to Section 15(c) of the Agreement; provided, however, that Dialysis Center shall be required to submit such test results only for those dialysis facilities whose test results are actually determined by laboratories owned and operated by Dialysis Center : [DELETED] and date, AND [DELETED] with date for each patient by Dialysis Center and its Affiliates. In the event [DELETED] is submitted, instead of [DELETED], Amgen will convert such [DELETED] values to [DELETED] values by [DELETED]. Amgen will convert all lab values taken of [DELETED] for each patient by Dialysis Center and its Affiliates, AND all the lab values taken of [DELETED] for each patient by Dialysis Center and its Affiliates into the [DELETED] for each patient by Dialysis Center and its Affiliates, AND the [DELETED] for each patient by Dialysis Center and its Affiliates for each of the [DELETED] Measurement Periods (as defined in the |
14
Agreement No. 200308360 (Continued)
schedule immediately below). Each [DELETED], only the most recent test results will be submitted for each patient, and all or some of those test results may be from [DELETED] or from a [DELETED]. |
[DELETED] Measurement Periods
[DELETED]
(b) | Calculation: Assuming Dialysis Center and Affiliates have fulfilled all requirements as described in Section 5(a) above, to qualify for the [DELETED], Dialysis Center must achieve [DELETED] in the [DELETED], as that term is defined below, from the [DELETED], as that term is defined below, during each [DELETED] Measurement Period, and such [DELETED] shall be defined as [DELETED]. |
For purposes of this Section 5, [DELETED] shall mean the [DELETED] for each patient by Dialysis Center and its Affiliates AND the [DELETED] for each patient by Dialysis Center and its Affiliates during the period [DELETED]; and [DELETED] shall mean the [DELETED] for each patient by Dialysis Center and its Affiliates AND the [DELETED] each patient by Dialysis Center and its Affiliates for each of the above referenced [DELETED] Measurement Periods.
Using the [DELETED] described above, the [DELETED] will be calculated as the percentage of patients within the [DELETED], by [DELETED], as shown below:
[DELETED]
Using the [DELETED] described above, which shall be calculated on a [DELETED] basis with the [DELETED] of the Term of this Agreement being measured from [DELETED], the [DELETED] for each [DELETED] Measurement Period will be calculated as the [DELETED], by [DELETED], as shown below:
[DELETED]
The [DELETED] shall then be calculated by [DELETED]:
[DELETED]
The [DELETED] Rebate will be calculated on a [DELETED] basis in accordance with Amgen’s discount calculation policies. Following determination of the [DELETED], Amgen shall then calculate Dialysis Center’s [DELETED] Rebate in accordance with the following formula and the rebate table listed below.
[DELETED] Rebate = A X B
Where:
A = [DELETED] of EPOGEN® during the relevant [DELETED] Measurement Period.
B = A percent determined from [DELETED] in accordance with the schedule below.
C = [DELETED]
D = [DELETED]
[DELETED] Measurement Rebate Table
Measurement Period | [DELETED] (C) |
Rebate Percent (B) | ||
[DELETED] |
* Subject to the terms of this Agreement, Dialysis Center will [DELETED] during the [DELETED] and [DELETED]. Notwithstanding anything contained herein to the contrary, the maximum rebate percent
15
Agreement No. 200308360 (Continued)
payable for any [DELETED] Measurement Period shall not exceed [DELETED] under this [DELETED] program.
(c) | Payment: The [DELETED] will be calculated and paid to Dialysis Center on a [DELETED] basis. Failure of Dialysis Center to qualify 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]. Payment is contingent upon receipt by Amgen of the Certification Letter (attached hereto as Exhibit 1) and all required Data for the corresponding [DELETED] (including the [DELETED]). Upon execution of this Agreement, Dialysis Center shall simultaneously provide to Amgen the executed Certification Letter, and Amgen hereby acknowledges that it has received such required Certification Letter in a form and substance satisfactory to Amgen. Delivery of such Certification Letter shall serve to qualify Dialysis Center’s participation in the [DELETED] throughout the Term of this Agreement for the limited purpose of certification of the accuracy of the data submitted to Amgen hereunder. Such data must be submitted, on a [DELETED] basis, and no later than [DELETED] days after the end of [DELETED]. If such data is received more than [DELETED] days after the [DELETED] within a given [DELETED], the total Qualified Purchases of EPOGEN® attributable to Dialysis Center during such [DELETED] will be excluded from the calculation of the [DELETED] for that [DELETED]. Notwithstanding the foregoing, if Amgen receives all required data from a minimum of [DELETED] of all Affiliates within the definition of “Dialysis Center” within the time frame referenced above for any [DELETED] within a given [DELETED], the total Qualified Purchases of EPOGEN® attributable to Dialysis Center and all Affiliates during such [DELETED], will be included in the calculation of the [DELETED] for that [DELETED]. If Amgen receives all required data from [DELETED] of all Affiliates within the definition of “Dialysis Center” within the time frame set forth herein for any [DELETED] within a given [DELETED], the total Qualified Purchases of EPOGEN® attributable to those Affiliates that have submitted the required data during such [DELETED] will be included in the calculation of the [DELETED] for that [DELETED]. If Amgen receives all required data from less than [DELETED] of all Affiliates within the definition of “Dialysis Center” for any [DELETED] within a given [DELETED], no Qualified Purchases of Dialysis Center during such [DELETED] will be included in the calculation of the [DELETED] for that [DELETED]. However, if Amgen determines that any Affiliate is consistently not submitting the required data, Amgen and Dialysis Center will work collaboratively in resolving such inconsistencies. Amgen will use its best efforts to notify Dialysis Center in writing, no later than [DELETED] after the receipt and acceptance by Amgen of the data, of the identity of all those Affiliates, if any, which have failed to meet the data submission requirements for that [DELETED]. Amgen reserves the right, in its sole discretion, to exclude any consistently non-reporting Affiliate’s Qualified Purchases of EPOGEN® from the calculation of the [DELETED] for any relevant [DELETED]. Subject to the terms of this Agreement, Dialysis Center will [DELETED] during [DELETED] and [DELETED]. Notwithstanding the forgoing, payment for any period that is not equivalent to a complete [DELETED] will be based on the data that is available for that period. |
The [DELETED] discount will vest on the [DELETED] of the [DELETED], and be paid [DELETED] within [DELETED] days after the receipt of data, in accordance with the terms and conditions described above. Dialysis Center shall have the right, at its own cost and expense, at all times to audit all data and all calculations relevant to the determination of eligibility for and the amount of the [DELETED] to be paid to Dialysis Center hereunder.
[DELETED]
6. | [DELETED]. Throughout the Term of the Agreement, Dialysis Center may qualify for the [DELETED] provided it meets the criteria described below in this Section 6. The [DELETED] is designed to improve |
16
Agreement No. 200308360 (Continued)
patient outcomes. If Dialysis Center [DELETED] or otherwise [DELETED], the parties shall [DELETED]. [DELETED]. |
(a) | Requirements: In order to qualify for the [DELETED], Dialysis Center must [DELETED] this Appendix A, and Dialysis Center [DELETED], as that term is defined below, of [DELETED]. Dialysis Center must provide Amgen the [DELETED], on a [DELETED] basis, and no later than [DELETED] days after the end of [DELETED], in a format acceptable to Amgen. |
(b) | Calculation: Assuming Dialysis Center has fulfilled all requirements as described in Section 6(a) above, to qualify for the [DELETED], Dialysis Center must achieve, on a [DELETED] basis, with the [DELETED] of the Term of this Agreement being measured from [DELETED], an [DELETED] of [DELETED]. The [DELETED] of the term shall be measured from [DELETED] but shall be used to calculate the discount for the period from [DELETED]. The [DELETED] shall be based upon [DELETED]. For purpose of calculating the [DELETED] for each applicable [DELETED], Dialysis Center shall use [DELETED] for each patient, [DELETED] in accordance with the [DELETED], and, in all other material respects, consistent with the [DELETED] currently employed by Dialysis Center. For each [DELETED] will be [DELETED] depending on the [DELETED], in accordance with the [DELETED]. The [DELETED] is a [DELETED] of the [DELETED]. The [DELETED] will be calculated as the [DELETED] based on [DELETED] for all patients treated at Dialysis Center and its Affiliates during each applicable [DELETED], in accordance with the [DELETED] Schedule listed below: |
[DELETED] Schedule
[DELETED]
* All [DELETED] shall be counted [DELETED].
** [DELETED].
2 [DELETED].
3 [DELETED].
The [DELETED] will be calculated on a [DELETED] basis in accordance with Amgen’s discount calculation schedules. Following the submission of the [DELETED] by Dialysis Center, Amgen shall then calculate Dialysis Center’s [DELETED] in accordance with the following formula and the incentive table listed below:
[DELETED] = A X B
Where:
A = [DELETED] of EPOGEN® during the relevant [DELETED].
B = A percent in accordance with the [DELETED].
C = [DELETED]
D = [DELETED]
[DELETED] Rebate Schedule
[DELETED]
Notwithstanding anything contained herein to the contrary, the maximum rebate percent payable for any [DELETED], shall not exceed [DELETED] under this [DELETED] program.
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Agreement No. 200308360 (Continued)
(c) | Payment: The [DELETED] will be calculated and paid to Dialysis Center on a [DELETED] basis. Payment for each applicable [DELETED] is contingent upon receipt and verification by Amgen of the [DELETED] for the applicable [DELETED]. The [DELETED] must be submitted, on a [DELETED] basis, and no later than [DELETED] days after the end of each [DELETED]. If the [DELETED] is received more than [DELETED] days after the [DELETED] of any given [DELETED], the total Qualified Purchases of EPOGEN® attributable to Dialysis Center during such [DELETED] will be excluded from the calculation of the [DELETED] for that [DELETED]. Failure of Dialysis Center to qualify 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]. Notwithstanding the foregoing, payment for any period that is not equivalent to a complete [DELETED] will be made based on the data that is available for that period. |
The [DELETED] discount will vest on the last day of the corresponding [DELETED], and be paid [DELETED] within [DELETED] days after the receipt of data, in accordance with the terms and conditions described above. Dialysis Center shall have the right, at its own cost and expense, at all times to audit all data and all calculations relevant to the determination of eligibility for and the amount of the [DELETED] to be paid to Dialysis Center hereunder.
[DELETED].
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Agreement No. 200308360 (Continued)
Appendix B: List of Dialysis Center Affiliates
Please refer to attached list of affiliates.
19
Center Name |
Address |
City |
ST |
Zip | ||||
Alhambra Dialysis Center, Dba: Total Renal Care—Alhambra |
0000 Xxxxxxxx Xxxxxxxxx, Xxxxx 000 | Xxxxxxxxxx | XX | 00000 | ||||
Antelope Dialysis Center, Dba: Total Renal Care-Antelope Clinic |
0000 Xxxxxx Xxxxx, Xxxxx X | Xxxxxx Xxxxxxx | XX | 00000 | ||||
Antioch Dialysis Center |
0000 Xxxxx Xxxx Xxxxxxxxx | Xxxxxxx | XX | 00000 | ||||
Appomattox Dialysis Center |
00 Xxxx Xxx Xxxxxx | Xxxxxxxxxx | XX | 00000 | ||||
Arcadia Dialysis Center |
0000 Xxxx Xxx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Asheville Kidney Center for Dialysis—A Total Renal Care Facility |
00 Xxxxxxxx Xxxxxx | Xxxxxxxxx | XX | 00000 | ||||
Atlantic Artificial Xxxxxx Xxxxxx |
0 Xxxxxxxxxx Xxx West, Xxxxxxxx Xxxxxx #0 | Xxxxxxxxx | XX | 00000 | ||||
Xxxxx Place Dialysis Center |
0000 Xxxx Xxxxxx | Xxxxx | XX | 00000 | ||||
Bakers Ferry Dialysis # 0456 |
0000 Xxxxxx Xxxxx Xxxx | Xxxxxxx | XX | 00000 | ||||
Baltimore County Dialysis Facility |
0000x Xxxxxxx Xxxx | Xxxxxxxxxxxx | XX | 00000 | ||||
Bardstown Dialysis Center #2055 |
000 Xxxx Xxxx Xxxxx Xxxxxx | Xxxxxxxxx | XX | 00000 | ||||
Batesville Dialysis Center |
000 Xxxxx Xxxx 000 Xxxxx | Xxxxxxxxxx | XX | 00000 | ||||
Baton Rouge Clinic |
0000 Xxxxxxx Xxxx | Xxxxx Xxxxx | XX | 00000 | ||||
Bay Area Dialysis Center, Inc. |
0000 0xx Xxxxxx Xxxxx | Xx. Xxxxxxxxxx | XX | 00000 | ||||
Bay Breeze Dialysis |
00000 Xxxxxxxx Xxxx | Xxxxx | XX | 00000 | ||||
Bayonet Point—Xxxxxx Kidney Center |
00000 Xxxxxxx Xxxx | Xxxxxx | XX | 00000 | ||||
Xxxxxx Xxxx Dialysis Center, Inc. |
0000 Xxxx Xxxx, Xxxxx 00 | Xxxxxxxxx | XX | 00000 | ||||
Bloomington Dialysis Davita |
0000 Xxxxxxx Xxxxxx Xxxxx | Xxxxxxxxxxx | XX | 00000 | ||||
Boca Raton Artificial Kidney Center |
000 Xxxxxxxxx 0xx Xxxxx | Xxxx Xxxxx | XX | 00000 | ||||
Boston Post Road Dialysis Center |
0000 Xxxxxx Xxxx | Xxxxx | XX | 00000 | ||||
Bricktown Dialysis |
000 Xxxx Xxxxxx Xxxxxxxxx, Xxxxx 000 | Xxxxx | XX | 00000 | ||||
Brookhollow Dialysis Center #2027 |
0000 Xxxx 00xx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Burlington Dialysis Center |
000 Xxxxxxx Xxxx | Xxxxxxxxxx | XX | 00000 | ||||
Cambridge Dialysis Center |
000 Xxxx Xxxxxx, Xxxxx Xxxxx | Xxxxxxxxx | XX | 00000 | ||||
Camelback Pd Center #627 |
0000 Xxxx Xxxxxxx Xxxxx | Xxxxxxxxxx | XX | 00000 | ||||
Catskill Dialysis and Renal Disease Center |
Xxxxx 00 xxx Xxxxx Xxxx | Xxxxxxxxxx | XX | 00000 | ||||
Ceilo Vista Dialysis |
0000 Xxxxxxx Xxxx, Xxxxx X. | Xx Xxxx | XX | 00000 | ||||
Central City Dialysis Center |
0000 Xxxxxxxxx Xxxxxx, Xxxxx 000 | Xx Xxxx | XX | 00000 | ||||
Chadbourn Dialysis Center |
000 Xxxx Xxxxxxxxxx Xxxxxxxxx | Xxxxxxxxx | XX | 00000 | ||||
Chico Dialysis Center, Dba: Total Renal Care—Chico |
000 Xxxxxxxx Xxxx | Xxxxx | XX | 00000 | ||||
Children’s Memorial Dialysis Center—Total Renal Care |
0000 Xxxxx Xxxxxxx | Xxxxxxx | XX | 00000 | ||||
Churchview Dialysis Unit |
0000 Xxxxxxxxxx Xxxxx | Xxxxxxxx | XX | 00000 | ||||
Clarkson Kidney Center #1575 |
987550 Nebraska Xxxxxxx Xxxxxx | Xxxxx | XX | 00000 | ||||
Clarkston Dialysis of Davita |
0000 Xxxxx Xxxxxxx, Xxxxx 000 | Xxxxxxxxx | XX | 00000 | ||||
Community Hemodialysis Unit of San Francisco |
0000 Xxxxxx Xxxxxx | Xxx Xxxxxxxxx | XX | 00000 | ||||
Complete Dialysis Care South |
000 Xxxxxxxxx 00xx Xxxxxx, Xxxxx X | Xxxx Xxxxxxxxxx | XX | 00000 | ||||
Complete Dialysis Care, Inc. |
0000 Xxxx Xxxxxx Xxxx | Xxxxx Xxxxxxx | XX | 00000 | ||||
Coney Island Dialysis |
00-00 Xxxxxxxx 00 Xxxxxx | Xxxxxxxx | XX | 00000 | ||||
Continental Dialysis Center—Alexandria |
0000 Xxxxxxxxx Xxxxxx, Xxxxx 000 | Xxxxxxxxxx | XX | 00000 | ||||
Continental Dialysis Center—Manassas |
0000 Xxxxxx Xxxxxx, Xxxxx 000 | Xxxxxxxx | XX | 00000 | ||||
Continental Dialysis Center—Springfield Trc |
0000x Xxxxxxx Xxxx | Xxxxxxxxxxx | XX | 00000 | ||||
Continental Dialysis Center—Woodbridge Dialysis |
0000 Xxxxxxxxx Xxxxx | Xxxxxxxxxx | XX | 00000 | ||||
Xxxxxxxxxxx Dialysis Center #2004 |
0000 Xxxxxxxxx Xxxxx | Xxxxxxx | XX | 00000 | ||||
Covina Dialysis Center |
0000 Xxxx Xxxxxx Xxxxxx | Xxxx Xxxxxx | XX | 00000 | ||||
Creekside Dialysis Center #0000 |
000 Xxxxxx Xxxxxx | Xxxxxxxxx | XX | 00000 | ||||
Crestwood Dialysis Center #1576 |
0000 Xxxxxx Xxxx, Xxxxx 000 | Xxxxxxxxx | XX | 00000 | ||||
Crystal River Dialysis Center |
0000 Xxxx Xxxx Xx Xxxx Xxxxxxx | Xxxxxxx Xxxxx | XX | 00000 | ||||
Cyfair Dialysis Center |
0000 Xxxxx Xxxx, Xxxxx 000 | Xxxxxxx | XX | 00000 | ||||
Da Vita—Broken Arrow Dialysis Center |
000 Xxxxx Xxxxx Xxxxxx | Xxxxxx Xxxxx | XX | 00000 | ||||
Da Vita—Claremore Dialysis Center |
000 Xxxx Xxxx Xxxxx Xxxxx | Xxxxxxxxx | XX | 00000 | ||||
Da Vita—Conroe Dialysis |
000 Xxxxxxx Xxxxxx Xxxxxxxxx, Xxxxx 000 | Xxxxxx | XX | 00000 | ||||
Da Vita—Corona Dialysis Center |
0000 Xxxxxxxxx Xxxxxx, Xxxxx 000 | Xxxxxx | XX | 00000 | ||||
Da Vita—Cortez Dialysis |
000 Xxxx Xxxx Xxxxxx, Xxxxx X | Xxxxxx | XX | 00000 |
20
Center Name |
Address |
City |
ST |
Zip | ||||
Da Vita—Crescent City Dialysis |
0000 Xxxxxxxxx Xxxxxx, Xxxxx 0x | Xxx Xxxxxxx | XX | 00000 | ||||
Da Vita—East Bay Peritoneal Dialysis |
00000 Xxxx 00xx Xxxxxx, Xxxxx 000 | Xxx Xxxxxxx | XX | 00000 | ||||
Da Vita—East Wichita Dialysis |
000 Xxxxx Xxxxxxxx | Xxxxxxx | XX | 00000 | ||||
Da Vita—Four Corners Dialysis Center |
000/000 Xxxx Xxxxxxxx | Xxxxxxxxxx | XX | 00000 | ||||
Da Vita—Grant Park Dialysis |
0000 Xxxxxxxxx Xxxxxx, Xxxxxxxxx | Xxxxxxxxxx | XX | 00000 | ||||
Da Vita—Indio Dialysis |
00-000 Xxxxxx Xxxxxx, Xxxxx 000 | Xxxxx | XX | 00000 | ||||
Da Vita—Lawrenceburg Dialysis |
000 Xxxx Xxxxxxx, Xxxxx 000 | Xxxxxxxxxxxx | XX | 00000 | ||||
Da Vita—Mountain Vista Dialysis Center |
000 X. Xxxx Xxxxxxxx Xxxxxx | Xxx Xxxxxxxxxx | XX | 00000 | ||||
Da Vita—Okmulgee Dialysis Center |
0000 Xxxxx Xxxxxxx, Xxxxx #000 | Xxxxxxxx | XX | 00000 | ||||
Da Vita—Tahlequah Dialysis Center |
000 Xxxxx Xxxxx Xxxxxx | Xxxxxxxxx | XX | 00000 | ||||
Da Vita—Temecula Dialysis |
00000 Xxxxxx Xxxxxx Xxxxx, Xxxxx X. | Xxxxxxxx | XX | 00000 | ||||
Da Vita—Tri-Parish Chronic Renal Center |
0000 Xx. Xxxxxx Xxxxxx | Xxx Xxxxxxx | XX | 00000 | ||||
Da Vita—Westbank Chronic Renal Center |
0000 Xxxxxxx Xxxxx Xxxxxx, Xxxxx 000 | Xxx Xxxxxxx | XX | 00000 | ||||
Da Vita Flushing Dialysis |
0000 Xxxxxxx Xxxxx | Xxxxxxxx | XX | 00000 | ||||
Da Vita Lakewood Dialysis Center |
0000 Xxxxx Xxxxxx | Xxxxxxxx | XX | 00000 | ||||
Da Vita Longmont Dialysis |
0000 Xxxxx Xxxxx, Xxxxx 000 | Xxxxxxxx | XX | 00000 | ||||
Da Vita Neptune Dialysis |
0000 Xxxxxxx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Da Vita University Dialysis Center |
000 Xxxxxxxxxx Xxxxxx, Xxxxx 000 | Xxxxxxxxxx | XX | 00000 | ||||
Davison Dialysis Center |
0000 Xxxxx Xxxxx Xxxx | Xxxxxxx | XX | 00000 | ||||
Davita—Boulder Dialysis Center |
0000 Xxxxxx Xxxxxx, Xxxxx 000 | Xxxxxxx | XX | 00000 | ||||
Davita—Denver Dialysis |
0000 Xxxx 00xx Xxxxxx | Xxxxxx | XX | 00000 | ||||
Davita—Derby |
000 Xxxx Xxx Xxxxxx Xxxx | Xxxxx | XX | 00000 | ||||
Davita—Detroit Dialysis |
0000 Xxxx Xxxxxxxxx | Xxxxxxx | XX | 00000 | ||||
Davita—Xxxxxx Dialysis |
00 Xxxxx Xxxxxxx Xxxxxx | Xxxxxx | XX | 00000 | ||||
Davita—Fairfield Dialysis Center |
000 Xxxxxx Xxxxxx | Xxxxxxxxx | XX | 00000 | ||||
Davita—Xxxx |
0000 Xxxxxxxx | Xxxx | XX | 00000 | ||||
Davita—Xxxxxxx |
000 Xxxxxxx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Davita—Xxxxxxx Xxxx Plaza Dialysis Center |
00000 Xxxxxxxxxx Xxxxxx | Xxx Xxxxxxx | XX | 00000 | ||||
Davita—Littleton |
000 Xxxx Xxxxxx Xxxx Xxxx | Xxxxxxxxx | XX | 00000 | ||||
Davita—Xxxxxx |
0000 Xxxxxxxxxx Xxxx | Xxxxxx | XX | 00000 | ||||
Davita—North Las Vegas |
0000 Xxxxxxxx Xxxxxx | Xxxxx Xxx Xxxxx | XX | 00000 | ||||
Davita—Xxxxxxx Renal Center |
000 00xx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Davita—Provo |
0000 Xxxxx 000 Xxxx | Xxxxx | XX | 00000 | ||||
Davita—Rialto Dialysis |
0000 Xxxxx Xxxxxxxxx Xxxxxx, Xxxxx 000 | Xxxxxx | XX | 00000 | ||||
Davita—San Leandro |
000 Xxxx 00xx Xxxxxx | Xxx Xxxxxxx | XX | 00000 | ||||
Davita—Sparks Dialysis |
0000 Xxxx Xxxxxx Xxx, Xxxxx 000 | Xxxxxx | XX | 00000 | ||||
Davita—Westminster Dialysis Center |
0000 Xxxxxxx Xxxxxx, Xxxx 00 | Xxxxxxxxxxx | XX | 00000 | ||||
Davita—Winter Haven |
000 Xxxxxxxx Xxxxxx | Xxxxxx Xxxxx | XX | 00000 | ||||
Davita—Altus Dialysis Center |
000 Xxxxx Xxxx Xxxx, Xxxxx 000 | Xxxxx | XX | 00000 | ||||
Davita—Arden Hills Dialysis |
0000 Xxxxxxxxxx Xxxxx, Xxxxx 000 | Xxxxx Xxxxx | XX | 00000 | ||||
Davita—Aurora Dialysis |
0000 Xxxxx Xxxxxxx, Xxxxx 000 | Xxxxxx | XX | 00000 | ||||
Davita—Xxxxxxx Hills Dialysis Center |
0000 Xxxx Xxxx Xxxxxxxxx | Xxx Xxxxxxx | XX | 00000 | ||||
Davita—Bluff City Dialysis |
0000 Xxxx Xxx Xxxxxxx, Xxxxx X. | Xxxxxx Xxxxx | XX | 00000 | ||||
Davita—Buena Vista |
000 Xxxxxxx 00 Xxxxx | Xxxxx Xxxxx | XX | 00000 | ||||
Davita—Central Tulsa Dialysis |
0000 Xxxxx Xx. Xxxxx Xxxxxx | Xxxxx | XX | 00000 | ||||
Davita—Cherokee Dialysis Center |
00 Xxxxxx Xxxxxx Xxxx | Xxxxxxxx | XX | 00000 | ||||
Davita—Cincinnati |
000 Xxxxxxxx Xxxxxxxxx Xxxxx | Xxxxxxxxxx | XX | 00000 | ||||
Davita—Cleveland Dialysis Center |
000 Xxxx Xxxxxxx Xxxxxx, Xxxxx 000 | Xxxxxxxxx | XX | 00000 | ||||
Davita—Dennison |
0000 Xxxx Xxxxxxxxx Xxxx | Xxxxxxx | XX | 00000 | ||||
Davita—Dialysis Care of Franklin County |
0000 Xxxxx Xxxxxxxx Xxxxxxx 00 Xxxxx | Xxxxxxxxx | XX | 00000 | ||||
Davita—Doctors Dialysis Center of East Los Angeles |
0000 Xxxx Xxxxxxxx Xxxxxxxxx, Xxxxx 000 | Xxx Xxxxxxx | XX | 00000 | ||||
Davita—Xxxxxx Dialysis |
0000 Xxxx Xxx | Xxxxxx | XX | 00000 | ||||
Davita—Xxxxxx #2024 |
000 Xxxxxxxx Xxxxx | Xxxxxx | XX | 00000 | ||||
Davita—East Chicago |
0000 Xxx Xxxxxx, Xxxxx 000 | Xxxx Xxxxxxx | XX | 00000 | ||||
Xxxxxx Xxxxxx Dialysis |
000 Xxxxxx Xxxxx | Xxxxxx | XX | 00000 | ||||
Davita—Xxxxx Canyon Dialysis Center |
0000 Xxxx Xxxxxxxxxx Xxxxxxxxx | Xxxxxxxx | XX | 00000 |
21
Center Name |
Address |
City |
ST |
Zip | ||||
Davita—Elk City |
0000 Xxxx 0xx Xxxxxx, Xxxxx 000 | Xxx Xxxx | XX | 00000 | ||||
Davita—Flint Dialysis Center #0000 |
Xxx Xxxxxx Xxxxx, Xxxxx 000 | Xxxxx | XX | 00000 | ||||
Davita—Forest Lake Dialysis Unit |
0000 Xxxxx Xxxx Xxxxxx | Xxxxxx Xxxx | XX | 00000 | ||||
Davita Fort Xxxxxx |
0000 Xxxxx 00xx Xxxxxx, Xxxxx 0 | Xxxx Xxxxxx | XX | 00000 | ||||
Davita—Greater Portsmouth Dialysis Center #1544 |
0000 Xxxxx Xxxxxx | Xxxxxxxxxx | XX | 00000 | ||||
Xxxxxx Xxxxxxx Dialysis Center |
00000 Xxxxx Xxxxx | Xxxxxxx | XX | 00000 | ||||
Davita—Hermiston Dialysis Center |
0000 Xxxx Xxxxx Xxxxxx | Xxxxxxxxx | XX | 00000 | ||||
Davita—Hopewell Dialysis |
000 Xxxx Xxxxxxxx | Xxxxxxxx | XX | 00000 | ||||
Davita—Houston Kidney Center—Cypress Station |
000 Xx 0000 Xxxx Xxxx | Xxxxxxx | XX | 00000 | ||||
Davita Jonesboro |
000 Xxxxxxxxxxx Xxxx | Xxxxxxxxx | XX | 00000 | ||||
Davita—Lamplighter Dialysis Center #2051 |
00000 Xxxxxxxxxxx Xxxxxx | Xx. Xxxxx | XX | 00000 | ||||
Davita—Las Vegas Dialysis Center |
0000 Xxxx Xxxxxxxxxx, Xxxxx 000 | Xxx Xxxxx | XX | 00000 | ||||
Davita—Leesburg Dialysis |
000 Xxxx Xxxxx Xxxxxx, Xxxxx 000-X | Xxxxxxxx | XX | 00000 | ||||
Davita—Lodi Community Dialysis, Inc. |
0000 Xxxx Xxxx Xxxxxx, Xxxxx 000 | Xxxx | XX | 00000 | ||||
Davita—Xxxxxxxx Dialysis Center |
0000 Xxxxxx Xxxx | Xxxxxxx | XX | 00000 | ||||
Davita—Xxxxxxxx Dialysis |
0000 Xxxxx Xxxxxxxxxx | Xxxxxxxx | XX | 00000 | ||||
Davita—Miami Dialysis Center |
000 0xx Xxxxxx Xxxxxxxxx | Xxxxx | XX | 00000 | ||||
Davita—Miami Lakes Artifical Kidney Center |
00000 00xx Xxxxxx Xxxxxxxxx | Xxxxx Xxxxx | XX | 00000 | ||||
Davita—Michigan City |
000 Xxxxx Xxxxx | Xxxxxxxx Xxxx | XX | 00000 | ||||
Davita Midtown Atlanta |
000 Xxxxxx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Davita Milledgeville |
000 Xxxxx Xxxxx Xxxxxx | Xxxxxxxxxxxxx | XX | 00000 | ||||
Davita—Mission Dialysis Center of Oceanside |
0000-X Xx Xxxxxx Xxxx, Xxxxxx Xxxx and Country Shopping Center |
Xxxxxxxxx | XX | 00000 | ||||
Davita—Mission Dialysis Center of San Diego |
0000 Xxxxxxx Xxxxx Xxxx | Xxx Xxxxx | XX | 00000 | ||||
Davita—Mission Dialysis of El Cajon |
000 Xxxxxxxx Xxxxxxx | Xx Xxxxx | XX | 00000 | ||||
Davita—Montclare, Aka; Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxx #0000 |
0000 Xxxx Xxxxxxx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Davita—Munster |
0000 Xxxxxxx Xxxxxx, Xxxxx X | Xxxxxxx | XX | 00000 | ||||
Davita—Muskogee Community Dialysis |
0000 Xxxxxx Xxxx Xxxxxxxxx | Xxxxxxxx | XX | 00000 | ||||
Davita—Napa Dialysis Center |
3900—C Xxx Xxxx Xxxxx | Xxxx | XX | 00000 | ||||
Davita—Nephrology Center of Augusta, Inc. |
0000 X’Xxxxxxxx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Davita New Orleans |
0000 Xxxxxx Xxxxxx | Xxx Xxxxxxx | XX | 00000 | ||||
Davita—Norman |
0000 Xxxx Xxxxxxx, X. 000 | Xxxxxx | XX | 00000 | ||||
Davita—Northwest Xxxxxxx |
0000 Xxxxxxxxx 00xx Xxxxxx, Xxxxx X | Xxxxxxx | XX | 00000 | ||||
Davita—Oklahoma City |
0000 Xxxx Xxxxxxxx Xxxx, Xxxxx 000 | Xxxxxxxx Xxxx | XX | 00000 | ||||
Davita—Omni |
0000 Xxxxx, Xxxxx 000 | Xxxxxxx | XX | 00000 | ||||
Davita—Xxxxxx Xxxxx |
00 Xxxxx Xxxx, Xxxxx 000 | Xxxxxx Xxxxx | XX | 00000 | ||||
Davita Palm Desert Dialysis Center, Inc. |
00-000 Xxxxxxxxx Xxx | Xxxx Xxxxxx | XX | 00000 | ||||
Davita—Panama City Dialysis |
000 Xxxxxxx 000 | Xxxxxx Xxxx | XX | 00000 | ||||
Davita—Paramount Dialysis Center |
0000 Xxxxxxx Xxxxxxxxx | Xxxxxxxxx | XX | 00000 | ||||
Davita—Peninsula Dialysis Center #1545 |
0 Xxxxxxxxxx Xxxxx, 0xx Xxxxx | Xxxxxxx Xxxx | XX | 00000 | ||||
Davita—Piedmont Dialysis |
0000 Xxxxxxxxx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Davita—Pipestone Dialysis Center |
000 0xx Xxxxxx Xxxxxxxxx | Xxxxxxxxx | XX | 00000 | ||||
Davita—Pompano Beach Artificial Kidney Center |
0000 Xxxx Xxxxxxxx Xxxxxxxxx | Xxxxxxx Xxxxx |
XX | 00000 | ||||
Davita—Port Charlotte Artificial Kidney Center |
0000 Xxxxx Xxxxxxx, Xxxxx 000, Xxx X00 | Xxxx Xxxxxxxxx | XX | 00000 | ||||
Davita—Portsmouth Dialysis Center #2014 |
0000 Xxxx Xxxxxx | Xxxxxxxxxx | XX | 00000 | ||||
Davita—San Antonio Dialysis Center |
0000 Xxxx Xxxxxxxx Xxxxxx | Xxx Xxxxxxx | XX | 00000 | ||||
Davita—Santa Xxx Dialysis |
0000 Xxxx Xxxxx Xxxxxx | Xxxxx Xxx | XX | 00000 | ||||
Davita—Shawnee Dialysis Center |
0000 Xxxxx Xxxxxxxx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Davita—Southwest Atlanta Nephrology |
0000 Xxxxxx Xxxxxx Xxxx Xxxxx Xxxxxxxxx | Xxxxxxx | XX | 00000 |
22
Center Name |
Address |
City |
ST |
Zip | ||||
Davita—Xxxxxxxx Dialysis Center |
000 Xxxxx 0xx Xxxxxx | Xxxxxxxx | XX | 00000 | ||||
Davita—Xxxxxxxxx Dialysis Center |
000 Xxxx Xxxxxx Xxxxx, Xxxxxxxx 0, Xxxxx 00 |
Xxx Xxxxx | XX | 00000 | ||||
Davita—Sunrise Dialysis Center, Inc. |
00000 Xxxxxxxxx Xxxxxxxxx | Xxxxxxxxx | XX | 00000 | ||||
Davita—Xxxxxxxx Dialysis Center |
0000 Xxx Xxxxx | Xxxxxx | XX | 00000 | ||||
Davita—Tokay Dialysis Center #2016 |
000 Xxxxxxxx Xxxxxx | Xxxx | XX | 00000 | ||||
Davita—Tulsa |
0000 Xxxxx Xxxxxxx | Xxxxx | XX | 00000 | ||||
Davita—University Park Dialysis Center |
0000 Xxxxx Xxxxxxxx Xxxxxx | Xxx Xxxxxxx | XX | 00000 | ||||
Davita—USC Kidney Center |
0000 Xxxxxxx Xxxxxx | Xxx Xxxxxxx | XX | 00000 | ||||
Davita—Vacaville Dialysis Center |
0000 Xxxxx Xxxxx, Xxxxx 0 | Xxxxxxxxx | XX | 00000 | ||||
Davita—Valparaiso |
000 Xxxxxxxxxx | Xxxxxxxxxx | XX | 00000 | ||||
Davita—Venice Dialysis Center |
000 Xxxxxxxxx Xxxx | Xxxxxx | XX | 00000 | ||||
Davita—Victoria Dialysis |
0000 Xxxxxxxx Xxxxxxx Xxxxx | Xxxxxxxx | XX | 00000 | ||||
Davita—Warsaw Dialysis Center #0567 |
000 Xxxx Xxxxxxx Xxxxxx | Xxxxxx | XX | 00000 | ||||
Davita—Waynesville Dialysis Center #2000 |
00 Xxxx Xxxxxxx Xxxxx | Xxxxx | XX | 00000 | ||||
Davita—West Detroit Dialysis Center #1532 |
00000 Xxxx Xxxxxxx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Davita—West Mount Houston Dialysis |
0000 Xxxx Xxxxx Xxxxxxx Xxxx, Xxxxx X | Xxxxxxx | XX | 00000 | ||||
Davita # 476—Iris City Dialysis |
000 Xxxxx Xxxxxxxxxx Xxxxxxx, Xxxxx 0000 | Xxxxxxx | XX | 00000 | ||||
Davita Arvada Dialysis |
0000 Xxxx 00xx, Xxxxx 00 | Xxxxxx | XX | 00000 | ||||
Davita Bountiful Dialysis |
000 Xxxx 000 Xxxxx, Xxxxx 000 | Xxxx Xxxxxxxxx | XX | 00000 | ||||
Davita Brea Dialysis Center |
000 Xxxxxxxx Xxxxxx, Xxxxx X | Xxxx | XX | 00000 | ||||
Davita Burnsville Dialysis |
000 Xxxx Xxxxxxxx, Xxxxx 000 | Xxxxxxxxxx | XX | 00000 | ||||
Davita Capitol Dialysis |
000 Xxxx Xxxxxx, Xxxxx 000 | Xx. Xxxx | XX | 00000 | ||||
Xxxxxx Xxxx Lake Dialysis |
000 Xxxxx Xxxxx Xxxxxx | Xxxx Xxxx | XX | 00000 | ||||
Davita Chinle Dialysis Facility |
U.S. Highway 191, XX Xxx 000 | Xxxxxx | XX | 00000 | ||||
Xxxxxx Xxxxxxx Dialysis Center |
000 Xxxxx 00xx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Davita Commerce City Dialysis |
0000 Xxxxx Xxxxxx | Xxxxxxxx Xxxx | XX | 00000 | ||||
Xxxxxx Xxxx Rapids Dialysis |
0000 Xxxx Xxxxxx Xxxxxxxxx, Xxxxx 000 | Xxxx Xxxxxx | XX | 00000 | ||||
Davita Crescent Heights Dialysis |
0000 Xxxxxxx Xxxxxxxxx | Xxx Xxxxxxx | XX | 00000 | ||||
Davita Deerfield Beach |
0000 Xxxx Xxxxxxxxx Xxxxxxxxx | Xxxxxxxxx Xxxxx | XX | 00000 | ||||
Davita Desert Mountain Dialysis |
0000 Xxxx Xxxxxxxxxxxx Xxxx, Xxxxx 000 | Xxxxxxxxxx | XX | 00000 | ||||
Davita Dialysis |
0000 Xxxxxx Xxxx | Xxxxxxx | XX | 00000 | ||||
Davita Dialysis |
000 Xxxxxxxx Xxxxxx | Xxxxxxxxx | XX | 00000 | ||||
Davita Dialysis Center of Middle Georgia |
000 Xxxxxx Xxxxxx | Xxxxx | XX | 00000 | ||||
Davita Dialysis Xxxxx #2041 |
0000 Xxxx Xxxxx Xxxx, Xxxxx 000 | Xxxxx | XX | 00000 | ||||
Davita Dialysis Unit—Hopi Health Care Center |
Xxxxxxx 000—Xxxx Xxxxxx 000 | Xxxxxxx | XX | 00000 | ||||
Davita Doctors Dialysis Center of Montebello |
0000 Xxxx Xxxxxxxx Xxxxxxxxx | Xxxxxxxxxx | XX | 00000 | ||||
Davita East Macon Dialysis |
000 Xxxxxxxxxxx Xxxxx, Xxxxx 000 | Xxxxx | XX | 00000 | ||||
Davita Englewood Dialysis |
0000 Xxxxx Xxxxxxx Xxxxxx | Xxxxxxxxx | XX | 00000 | ||||
Davita First Landing Dialysis Center |
0000 Xxxxxxx Xxxxx, Xxxxx 000 | Xxxxxxxx Xxxxx | XX | 00000 | ||||
Davita Forest Park Dialysis Center |
000 Xxxxxx Xxxxxxx | Xxxxxx Xxxx | XX | 00000 | ||||
Davita Fort Valley Dialysis Center |
000 Xxxxx Xxxxxxxx Xxxxxxxxx | Xxxx Xxxxxx | XX | 00000 | ||||
Xxxxxx Xxxxx Dialysis Center |
0000 Xxxxx Xxxxx Xxxxxx | Xxxxxx | XX | 00000 | ||||
Xxxxxx Xxxxxxxx Hemodialysis Center |
000 Xxxxxxxx Xxxxxx | Xxxxxxxx Xxxx | XX | 00000 | ||||
Davita Glendora Dialysis Center |
000 Xxxx Xxxxxxxx Xxxxxxxxx | Xxxxxxxx | XX | 00000 | ||||
Davita Grand Blanc Dialysis |
0000 Xxxxxxx Xxxxxxx | Xxxxx Xxxxx | XX | 00000 | ||||
Davita Greater El Monte Dialysis Center |
0000 Xxxxx Xxxxxx, Xxxxx X-000 | Xx Xxxxx | XX | 00000 | ||||
Xxxxxx Xxxxxxx Dialysis Center |
000 Xxxxx 0xx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Davita Harbor-UCLA |
00000 Xxxxx Xxxxxxx Xxxxxx | Xxxxxxxx | XX | 00000 | ||||
Davita Hemet Dialysis Center |
0000 Xxxxx Xxxxx Xxxxxx, Xxxxx X. | Xxx Xxxxxxx | XX | 00000 | ||||
Davita Hendersonville Dialysis Center |
500 Xxxxxxx Xxxxx Xxxxxx, Xxxxxxx 00 Xxxxx | Xxxxxxxxxxxxxx | XX | 00000 | ||||
Davita Hollywood Dialysis Center |
0000 Xxxxxx Xxxxxxxxx | Xxx Xxxxxxx | XX | 00000 | ||||
Davita Home Dialysis |
000 Xxxxx Xxxxxx Xxxxxx, Xx00 | Xxxxxxxxxxx | XX | 00000 | ||||
Davita Hope Dialysis Center |
000 Xxxxxxxx Xxxx | Xxxxxxx | XX | 00000 | ||||
Xxxxxx Xxxxxxx Dialysis Center |
000 Xxxx Xxxxx Xxxxx Xxxxxxx | Xxxxxxx | XX | 00000 | ||||
Davita Kayenta Dialysis Facility |
Xxxxxxx 000, XX Xxx 000 | Xxxxxxx | XX | 00000 |
23
Center Name |
Address |
City |
ST |
Zip | ||||
Xxxxxx Xxxxxx Regional Dialysis Center |
000 Xxxx Xxxxxxxxx Xxxxxx, Xxxxx 000 | Xxxxxx | XX | 00000 | ||||
Davita Lakewood Crossing Dialysis |
0000 Xxxxx Xxxxxxxxx Xxxxxxxxx | Xxxxxxxx | XX | 00000 | ||||
Davita Lakewood Dialysis Center |
0000 Xxxxx Xxxxxx Xxxxxx, Xxxxx X. | Xxxxxxxx | XX | 00000 | ||||
Davita Lincolnland |
0000 Xxxxxx Xxxx Xxxxx | Xxxxxxxxxxx | XX | 00000 | ||||
Xxxxxx Xxxxx Square Dialysis Services, Inc. |
0000 Xxxxx Xxxxxxxxx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Davita Los Angeles Dialysis Center |
0000 Xxxxx Xxxxxxx Xxxxxx, Xxxxx 000 | Xxx Xxxxxxx | XX | 00000 | ||||
Xxxxxx Xxxxx Dialysis Center |
0000 Xxxx 0xx Xxxxxx, Xxxxx X | Xxxxxx | XX | 00000 | ||||
Xxxxxx Xxxxxx Dialysis |
000 Xxxxxxxx Xxxxxxx | Xxxxxx | XX | 00000 | ||||
Davita Macomb Kidney Center |
00000 Xxxx 00 Xxxx Xxxx, Xxxxxx 000x-000x | Xxxxxx | XX | 00000 | ||||
Davita Main Place Dialysis |
000 Xxxx xxx Xxxxxxx Xxxx | Xxxxxx | XX | 00000 | ||||
Davita Merrillville Dialysis |
0000 Xxxx Xxxxxx | Xxxxxxxxxxxx | XX | 00000 | ||||
Davita Michigan Kidney Center—Brighton |
0000 Xxxx Xxxxx Xxxxx, Xxxxx 000 | Xxxxxxxx | XX | 00000 | ||||
Davita Midvalley Dialysis Center |
0000 Xxxxx 0000 Xxxx | Xxxxxxxxxxxx | XX | 00000 | ||||
Davita Minnetonka Dialysis Xxxx |
00000 Xxxxxxxx Xxxxx | Xxxxxxxxxx | XX | 00000 | ||||
Davita Mission Dialysis Center |
0000 Xxxxxxxx | Xxxxx Xxxxx | XX | 00000 | ||||
Davita Montclair Dialysis Center |
0000 Xxxx Xxxxx Xxxxxx, Xxxxx 000 | Xxxxxxxxx | XX | 00000 | ||||
Davita Monterey Park Dialysis Center, Inc. |
0000 Xxxxxxxxx Xxxxx, Xxxxxxxx X, Xxxxxx 000-000 |
Xxxxxxxx Xxxx | XX | 00000 | ||||
Xxxxxx Xxxxxxxx Dialysis Center |
0000 Xxxxx Xxxx Xxxxxx | Xxxxxxxx | XX | 00000 | ||||
Davita Newport News Dialysis |
000 Xxxxxxxxx Xxxxxx | Xxxxxxx Xxxx | XX | 00000 | ||||
Davita Norwalk Dialysis Center |
00000 Xxxx Xxxxxxxx Xxxxxxx | Xxxxxxx | XX | 00000 | ||||
Davita of Xxxxxx City |
000 Xxxxxxxxx Xxxx | Xxxxxx Xxxx | XX | 00000 | ||||
Davita of Sterling Dialysis Center |
00000 Xxxxxxxx Xxxxx, Xxxxx 000 | Xxxxxxxx | XX | 00000 | ||||
Davita of Vidalia |
0000 Xxxxxx Xxxxx | Xxxxxxx | XX | 00000 | ||||
Davita of Woodstock |
0000 Xxxxxxxxxxxx Xxxxxxx, Xxxxx 000 | Xxxxxxxxx | XX | 00000 | ||||
Davita Pacific Coast Dialysis Center |
0000 Xxxxxxxxx Xxxxxx | Xxxxxxxxx | XX | 00000 | ||||
Davita Piedmont Dialysis Center |
0000 Xxxxxxxxx Xxxxx Xxxxxxxxx, Xxxxx 000 | Xxxxxxx | XX | 00000 | ||||
Davita Pikes Peak Dialysis Center |
0000 Xx Xxxxx Xxxxxx | Xxxxxxxx Xxxxxxx | XX | 00000 | ||||
Davita Pin Oak Dialysis |
0000 Xxx Xxx Xxxx | Xxxx | XX | 00000 | ||||
Davita Pine City Dialysis |
000 Xxxx 0xx Xxxxxx | Xxxx Xxxx | XX | 00000 | ||||
Davita Pocono Dialysis Center |
447 Office Plaza—000 Xxxxx Xxxxx, Xxxxx X | Xxxx Xxxxxxxxxxx | XX | 00000 | ||||
Davita Premier Dialysis |
0000 Xxxxxxxx Xxxxxx | Xxxxxx | XX | 00000 | ||||
Davita Printer’s Place Dialysis Center |
0000 Xxxxxxxxxxxxx Xxxxxx | Xxxxxxxx Xxxxxxx | XX | 00000 | ||||
Davita Renal Care—UCLA Dialysis Center |
000 XXXX Xxxxxxx Xxxxx, Xxxxx 000 | Xxx Xxxxxxx | XX | 00000 | ||||
Davita Rockville |
00000 Xxxxxxxxx Xxxx, Xxxxx 000 | Xxxxxxxxx | XX | 00000 | ||||
Davita Sapulpa Dialysis Center |
0000 Xxxxxxxxx Xxxxxx | Xxxxx | XX | 00000 | ||||
Davita Shiprock Dialysis Center |
Xx Xxxxxxx 000 Xxxxx, XX Xxx 0000 | Xxxxxxxx | XX | 00000 | ||||
Davita South Denver Dialysis |
000 Xxxx Xxxxxxx Xxxxxx | Xxxxxx | XX | 00000 | ||||
Davita South San Antonio Dialysis |
0000 Xxxxxxxxx Xxxxxxxx Xxxxx, Xxxxx 000 | Xxx Xxxxxxx | XX | 00000 | ||||
Davita—Southwest San Antonio Dialysis |
0000 Xxxxxxx Xxxxxxxxx | Xxx Xxxxxxx | XX | 00000 | ||||
Davita St. Louis Park Dialysis |
0000 Xxxxxxxxx Xxxxxxxxx | Xxxxxxxxxxx | XX | 00000 | ||||
Davita St. Xxxx Dialysis |
000 Xxxx Xxxxxx, Xxxxx 000 | Xx. Xxxx | XX | 00000 | ||||
Davita Swannanoa Dialysis Center #1508 |
0000 Xx Xxxxxxx 00 | Xxxxxxxxx | XX | 00000 | ||||
Davita Valley View Dialysis |
00000 Xxxxxx Xxxxxx | Xxxxxx Xxxxxx | XX | 00000 | ||||
Xxxxxx Xxxxxxxxxx Dialysis Center |
000 Xxxxxxxxxx Xxxxx | Xxxxxxxxxx | XX | 00000 | ||||
Xxxxxx Xxxxxxxxxx Plaza Dialysis Center |
000-000 Xxxx Xxxxxxxxxx Xxxxxxxxx | Xxx Xxxxxxx | XX | 00000 | ||||
Xxxxxx Xxxxxxx Dialysis |
00000 Xxxxxxx Xxxxxx, Xxxxxxx Xxxx Xxxxxxxx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Xxxxxx Xxxxxxxxx Dialysis |
0000 Xxxxx Xxxxxx Xxxxxx, Xxxxx X | Xxxxxxxx | XX | 00000 | ||||
Xxxxxx Xxxxxxxx Dialysis Center |
00000 Xxxxxxxxx Xxxxx | Xxxxxxxx | XX | 00000 | ||||
Davita—Wichita Dialysis |
000 Xxxxx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Davita Wilshire Dialysis Center |
0000 Xxxxxxxx Xxxxxxxxx | Xxx Xxxxxxx | XX | 00000 | ||||
Xxxxxx Xxxxxxxx Dialysis |
0000-0 Xxxx Xxxxx | Xx. Xxxx | XX | 00000 | ||||
Xxxxxx-Xxxxx Xxxxxx Dialysis |
0000 Xxxxx Xxxx | Xx. Xxxxx | XX | 00000 |
24
Center Name |
Address |
City |
ST |
Zip | ||||
De Xxxx Dialysis Xxxx |
0 Xxxxxx Xxxxxxxx Xxxxx, Xxxxx X Professional Building | De Xxxx | IL | 60115 | ||||
Delray Artificial Kidney Center |
00000 Xxxxx Xxxxxxxx Xxxxx, Xxxxx 000 | Xxxxxx Xxxxx | XX | 00000 | ||||
Delta-Sierra Dialysis Center—Total Renal Care |
000 Xxxx Xxxxxxxx Xxxx Xxxxx, Xxxxx 000 | Xxxxxxxx | XX | 00000 | ||||
Dialysis Associates of the Palm Beaches, Inc. |
0000 Xxxxxxxxxx Xxxxxx | Xxxx Xxxx Xxxxx | XX | 00000 | ||||
Dialysis Care of Anson County |
000 Xxxx Xxxxxxx Xxxxxx | Xxxxxxxxx | XX | 00000 | ||||
Dialysis Care of Edgecombe County |
0000 Xxxxxxx Xxxxxxxxx | Xxxxxxx | XX | 00000 | ||||
Dialysis Care of Xxxx County |
000 Xxxxx Xxxx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Dialysis Care of Kannapolis |
0000 Xxxxx Xxxx Xxxxxx | Xxxxxxxxxx | XX | 00000 | ||||
Dialysis Care of Xxxxxx County |
000 Xxxxxxx Xxxxx | Xxxxxxxxxxx | XX | 00000 | ||||
Dialysis Care of Mecklenburg |
0000 Xxxxxxx Xxxxx | Xxxxxxxxx | XX | 00000 | ||||
Dialysis Care of Xxxxxxxxxx County |
000 Xxxxx Xxxx Xxxxxx | Xxxx | XX | 00000 | ||||
Dialysis Care of Xxxxx |
#00 Xxxxxxxx Xxxxx, Xxxxx 0-0 | Xxxxxxxxx | XX | 00000 | ||||
Dialysis Care of North Mecklenberg |
0000 Xxxxxxxxx Xxxxx | Xxxxxxxxx | XX | 00000 | ||||
Dialysis Care of Richmond |
Highway 000 Xxxxx, Xxxxxx Xxxxxxxxxx | Xxxxxx | XX | 00000 | ||||
Dialysis Care of Rockingham County |
000 Xxxx Xxxx’x Xxxxxxx | Xxxx | XX | 00000 | ||||
Dialysis Care of Rowan |
0000 X. Xxxx Xxxxx Xxxxxx | Xxxxxxxxx | XX | 00000 | ||||
Dialysis Care of Xxxxxxxxxx County |
000 Xxxxxxxxxx Xxxxx | Xxxxxx Xxxx | XX | 00000 | ||||
Dialysis Care of Xxxxx County |
0000 Xxxxx Xxxxxxxx Xxxxx | Xxxxxxxxx | XX | 00000 | ||||
Dialysis Center At Oxford Court |
000 Xxxx Xxxxxx Xxxxx, Xxxxx X. 000 | Xxxxxxxxx | XX | 00000 | ||||
Dialysis Center At St. Xxxx |
0000 Xxxxxxxxx-Xxxxxxx Xxxx Asb Xxxxx Xxxxx | Xxxxxxxxx | XX | 00000 | ||||
Dialysis Center of Xxxxxxxx |
000 Xx. Xxxxxx Xxxxxx | Xxxxxxxx | XX | 00000 | ||||
Dialysis Center of Middle Georgia |
000 Xxxxx Xxxxxxx Xxxx | Xxxxxx Xxxxxx | XX | 00000 | ||||
Dialysis of Des Moines |
000 Xxxxxxxxx 0xx Xxxxxx, Xxxxx X. | Xxx Xxxxxx | XX | 00000 | ||||
Dialysis of Georgia, L.L.C. |
0000 Xxxx Xxxxxxx 00, Xxxxx X | Xxxxxx | XX | 00000 | ||||
Dialysis of Georgia, LLC—Ellijay |
00 Xxxxxxxxx Xxxxxx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Dialysis of Georgia, LLC—Gainesville |
0000 Xxxxxxxxxx Xxxx, Xxxxx 000 | Xxxxxxxxxxx | XX | 00000 | ||||
Dialysis of Reading |
0000 Xxxxxxx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Dialysis Specialists of Dallas, Dba: Elmbrook Kidney Center |
0000 Xxxxxxxx, Xxxxx 000 | Xxxxxx | XX | 00000 | ||||
Dialysis Systems of Xxxxxxxxx—Davita |
000 Xxxxxxxxxx Xxxxxxxxx | Xxxxxxxxx | XX | 00000 | ||||
Dialysis Systems of Hammond—Davita |
0000 Xxxxxxxxx Xxxxxxxx Xxxxxx, Xxxxx X | Xxxxxxx | XX | 00000 | ||||
Dialysis Treatment Center |
000 Xxxx Xxxxxx | Xxxxx | XX | 00000 | ||||
Downey Dialysis Center |
0000 Xxxxxxxx Xxxxxx | Xxxxxx | XX | 00000 | ||||
Downtown Dialysis Center |
000 Xxxxx Xxxxx Xxxxxx, Xxxxx 000 | Xxxxxxxxx | XX | 00000 | ||||
Xxxxxxx Towson Dialysis Center |
000 Xxxx Xxxx | Xxxxxx | XX | 00000 | ||||
Dyker Heights Dialysis Center |
0000 00xx Xxxxxx | Xxxxxxxx | XX | 00000 | ||||
East Aurora Dialysis |
000 Xxxxx Xxxxxxxx Xxxx | Xxxxxx | XX | 00000 | ||||
East End Dialysis Center of Total Renal Care, Inc. |
0000 Xxxx Xxxx Xxxxxx, Xxxxx 000 | Xxxxxxxx | XX | 00000 | ||||
East Fort Lauderdale Dialysis Center #2031 |
0000 Xxxxx Xxxxxxx Xxxxxx, Xxxxx 000 | Xxxx Xxxxxxxxxx | XX | 00000 | ||||
East Point Dialysis |
0000 Xxxxxx Xxxxxx | Xxxx Xxxxx | XX | 00000 | ||||
Eastmont Dialysis Center |
0000 Xxxxxxxx Xxxxxx, Xxxxx 000 | Xxxxxxx | XX | 00000 | ||||
Eden Prairie Dialysis Center #2042 |
00000 Xxxxxx Xxxxxxx Xxxx, Xxxxx 000 | Xxxx Xxxxxxx | XX | 00000 | ||||
Edina Dialysis of Total Renal Care |
0000 Xxxx Xxxxxx Xxxxx, Xxxxx 000 | Xxxxx | XX | 00000 | ||||
El Camino Dialysis Center |
0000 Xxxxx Xxxx | Xxxxxxxx Xxxx | XX | 00000 | ||||
El Xxxxxxx Dialysis Center |
0000 Xxxxx Xxxxxxxxxx Xxxxxxx 35iii Xxxxxxxx Xxxx Xxxxx, Xxxxx 000 | Xxxxxx | XX | 00000 | ||||
Elberton Dialysis Facility, Incorporated |
000 Xxxxx Xxxxxxxx Xxxxxx | Xxxxxxxx | XX | 00000 | ||||
Elk River Kidney Center, LLC |
000 Xxxxx Xxxxxx Xxxxxx | Xxxxxx | XX | 00000 | ||||
Evergreen Dialysis Center |
0000 Xxxxx Xxxx | Xxx Xxxx | XX | 00000 | ||||
Faribault Dialysis of Total Renal Care |
000 Xxxxx Xxxxxxx Xxxxxx | Xxxxxxxxx | XX | 00000 | ||||
Federal Way Community Dialysis Center |
0000 Xxxxx 000xx Xxxxxx | Xxxxxxx Xxx | XX | 00000 | ||||
Flamingo Park Kidney Center |
000 Xxxx 00xx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Florin Dialysis Center—Total Renal Care |
0000 Xxxxxxxx Xxxxxxxxx | Xxxxxxxxxx | XX | 00000 | ||||
Xxxxxxx Xxxx Dialysis Center #2025 |
0000 Xxxxxxx Xxxxxx | Xx. Xxxxx | XX | 00000 | ||||
Fort Lauderdale Renal Associates, Inc. |
0000 Xxxxx Xxxxxxx Xxxxxxx | Xxxx Xxxxxxxxxx | XX | 00000 |
25
Center Name |
Xxxxxxx |
Xxxx |
XX |
Xxx | ||||
Xxxxxx Xxxxxx Dialysis |
0000x Xxxxx 0xx Xxxxxx | Xxxxxxxx | XX | 00000 | ||||
Fowlerville Dialysis |
000 Xxxx Xxxxx Xxxxx | Xxxxxxxxxxx | XX | 00000 | ||||
Franconia Dialysis Center #2040 |
0000 Xxxx Xxxxxx Xxxxx, 0xx Xxxxx | Xxxxxxxxxx | XX | 00000 | ||||
Franklin Dialysis Center |
000 Xxxxx Xxxxxxxxxxxx Xxxx Xxxx, Xxxxx 000, Public Ledger Building | Philadelphia | PA | 19106 | ||||
Freeport Dialysis Xxxx |
00 Xxxxx Xxxxxx Xxxxxx | Xxxxxxxx | XX | 00000 | ||||
Garden City Dialysis |
0000 Xxxxxxx Xxxxxx | Xxxxxx Xxxx | XX | 00000 | ||||
Garden City Dialysis Center of Total Renal Care |
000 Xxxx Xxxxxx | Xxxxxx Xxxx | XX | 00000 | ||||
Georgetown On the Potomac Dialysis Center |
0000 X Xxxxxx Xxxxxxxxx, Xxxxx 000 | Xxxxxxxxxx | XX | 00000 | ||||
Germantown Dialysis Center #2053 |
00000 Xxxxxxx Xxxxxxxxx, Xxxxx X | Xxxxxxxxxx | XX | 00000 | ||||
Gettysburg Dialysis |
00 Xxxxxxx Xxxxxx, Xxxxx X | Xxxxxxxxxx | XX | 00000 | ||||
Grand Island Kidney Center #1572 |
0000 Xxxx Xxxxxxx Xxxxxx | Xxxxx Xxxxxx | XX | 00000 | ||||
Granite City Dialysis |
#0 Xxxxxxxx Xxxxxxx Xxxxxxxx Xxxxxx | Xxxxxxx Xxxx | XX | 00000 | ||||
Great Bridge Dialysis—Total Renal Care |
000 Xxxxx Xxxxxxxxxxx Xxxxxxxxx | Xxxxxxxxxx | XX | 00000 | ||||
Greenspring Dialysis Center, Inc. |
0000 Xxxxxxxxxxx Xxxxxx | Xxxxxxxxx | XX | 00000 | ||||
Xxxxx Kidney Center, Inc. |
000 Xxxxxxx Xxxxx | Xxxxx | XX | 00000 | ||||
Gulf Breeze Dialysis |
0000 Xxxxxxxx Xxxxx | Xxxxxxx | XX | 00000 | ||||
Gulf Coast Dialysis, Inc. |
0000 Xxxxxxx Xxxxx, Xxxxx 000x | Xxxx Xxxxxxxxx | XX | 00000 | ||||
Hallwood Dialysis Center #1558 |
0000 Xxxx Xxxx, Xxxxx X. | Xxxxx | XX | 00000 | ||||
Harford Road Dialysis Center |
0000 Xxxxxxx Xxxx | Xxxxxxxxx | XX | 00000 | ||||
Harlan Dialysis |
0000 Xxxxxxxx Xxxxxx | Xxxxxx | XX | 00000 | ||||
Xxxxxxxxx Dialysis Center |
0000 Xxxxxxx 00 Xxxxx | Xxxxxxxxx | XX | 00000 | ||||
Hernando Kidney Center |
0000-X Xxxxxxxx Xxxxxxxxx | Xxxxxx Xxxx | XX | 00000 | ||||
Hill Country Dialysis |
0000 Xxxxx Xxxxx Xxxxxx | Xxx Xxxxxx | XX | 00000 | ||||
Home Pharmacy Services C/O Cvs Procare Pharmacy |
0000 Xxxxxx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Honesdale Dialysis Center—A Total Renal Care Facility |
Maple Avenue—Xxxxx 0—Xxxxxxxxxx Xxxx | Xxxxxxxxx | XX | 00000 | ||||
Hope Again Dialysis |
0000 Xxxxx Xxxxx X.X. | Xxxxxxx | XX | 00000 | ||||
Houston Kidney Center Southwest |
00000 Xxxxxxxx Xxxxx, Xxxxxxxx 000, Xxxxx 000 | Xxxxxxx | XX | 00000 | ||||
Xxxxxx Valley Dialysis Center, Inc. |
000 Xxxxx Xxxxxx Xxxx, Xxxxx 000 | Xxxxxxxxx | XX | 00000 | ||||
Hyde Park Kidney Center |
0000-00 Xxxx 00xx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
IHS—Bronx Dialysis Center |
0000 Xxxxxxxxxxx Xxxx | Xxxxx | XX | 00000 | ||||
Imperial Care, Inc. |
0000 Xxxx Xxxxxxxx Xxxxxxx, 0xx Xxxxx | Xxxxxxx | XX | 00000 | ||||
Independent Renal Center—Davita |
00000 Xxxxxxx 00 | Xxxxxxxxxxxx | XX | 00000 | ||||
Interamerican Dialysis Institute, Inc. |
0000 Xxxxx Xxx, Xxxxx 000 | Xxxxx | XX | 00000 | ||||
Xxx of Celebration |
0000 Xxxxxxxxxxx Xxxxxxxxx | Xxxxxxxxxxx | XX | 00000 | ||||
Xxx of Orlando, Llp |
00000 Xxxx Xxxx Xxxxxxxxx | Xxxxxxx | XX | 00000 | ||||
Irvine Dialysis Center |
00000 Xxxxxx Xxxxxx Xxxx | Xxxxxx | XX | 00000 | ||||
Jennersville Dialysis Center—A Total Renal Care Facility |
0000 Xxxx Xxxxxxxxx Xxxx Xxxxxx | Xxxx Xxxxx | XX | 00000 | ||||
Katy Dialysis Center |
00000 Xxxx Xxxxxxx | Xxxx | XX | 00000 | ||||
Kent Community Dialysis |
00000 00xx Xxxxxx Xxxxx | Xxxx | XX | 00000 | ||||
Kidney Care Center |
0000 Xxxxxxxxxx Xxxx, Xxxxx 000 | Xxxxx Xxxxxxxx | XX | 00000 | ||||
Kidney Care Center |
00000 Xxxxxxxxx Xxxxxxxxx | Xxxxxx | XX | 00000 | ||||
Kidney Care Perry, LLC |
0000 Xxxxx Xxxxx | Xxxxx | XX | 00000 | ||||
Kidney Dialysis Care Units |
0000 Xxxx Xxxxxx Xxxxxx Xxxx, Xxxxxx Xxxxxxxxx | Xxxxxxx | XX | 00000 | ||||
Lake County Dialysis |
000 Xxxxx Xxxxxxxxx | Xxxxxxxxxxxx | XX | 00000 | ||||
Lake Dialysis |
000 Xxxxx Xxxxx Xxxxxx | Xxxxxxxx | XX | 00000 | ||||
Lake Elsinore Dialysis |
00000 Xxxxxxx Xxxxx Xxxx, Xxxxxxxx X. | Xxxx Xxxxxxxx | XX | 00000 | ||||
Lakewood Community Dialysis Center |
0000 Xxxxxxxx Xxxx Xxxxxx Xxxxxxxxx, Xxxxx X | Xxxxxxxx | XX | 00000 | ||||
Xxx Street Dialysis |
0000 Xxx Xxxxxx Xxxxxxxxx | Xxxxxxxxxx | XX | 00000 | ||||
Xxxxxxx Dialysis Center, Inc. |
0000 Xxxxxxxxx 0xx Xxxxxx | Xxxxx | XX | 00000 | ||||
Life Care Dialysis Center |
000 Xxxx 00xx Xxxxxx | Xxx Xxxx | XX | 00000 |
26
Center Name |
Address |
City |
ST |
Zip | ||||
Lincoln Park Dialysis Services—Total Renal Care |
0000 Xxxxx Xxxxxxx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Linden Dialysis |
000 Xxxxx Xxxx Xxxxxx | Xxxxxx | XX | 00000 | ||||
Xxxxxxxxxx Dialysis Center |
000 Xxxxx Xxxxxxx Xxxxxx | Xxxxxxxxxx | XX | 00000 | ||||
Lynbrook Dialysis Center |
000 Xxxxxxxx Xxxxxx | Xxxxxxxx | XX | 00000 | ||||
Madison Dialysis Center |
000 Xxxxx Xxxxxxx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Manzanita Dialysis Center, Dba: Total Renal Care—Manzanita |
0000 Xxxxxxxxx Xxxxxx, Xxxxxx 000 xxx 000 | Xxxxxxxxxx | XX | 00000 | ||||
Maplewood Dialysis Davita |
0000 Xxxxx Xxxx Xxxxxx | Xxxxxxxxx | XX | 00000 | ||||
Xxxxxxxx Dialysis |
0000 Xxxxxxxxx | Xxxxxxxx | XX | 00000 | ||||
Marshall Dialysis of Total Renal Care |
000 Xxxxx Xxxxx Xxxxxx | Xxxxxxxx | XX | 00000 | ||||
Maryville Dialysis Center |
0000 Xxxxxxxxxx Xxxxx | Xxxxxxxxx | XX | 00000 | ||||
Mcdonough Dialysis Center |
000 Xxxx Xxxxxx | Xxxxxxxxx | XX | 00000 | ||||
Meherrin Dialysis Center, Inc. |
000-X Xxxxxx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Memorial Dialysis |
00000 Xxx Xxxx Xxxx, Xxxxx 000x | Xxxxxxx | XX | 00000 | ||||
Memorial Dialysis Center |
0000 Xxxxx Xxxxxxxxx Xxxxxx | Xxx Xxxxxxx | XX | 00000 | ||||
Miami Beach Kidney Center |
000 Xxxxxx Xxxxxxx Xxxx, Xxxxx 000 | Xxxxx Xxxxx | XX | 00000 | ||||
Mid-Columbia Kidney Center |
000 Xxxxx 0xx Xxxxxx | Xxxxx | XX | 00000 | ||||
Middletown Dialysis Center—#529 |
500 Highway 35 South, Xxxxx Xxxxxx, Xxxxx 0x | Xxx Xxxx | XX | 00000 | ||||
Mid-Town Macon Dialysis |
000 Xxxxxxx Xxxxxx, Xxxxx 000 | Xxxxx | XX | 00000 | ||||
Midwest City Dialysis Center #955 |
0000 Xxxx Xxxx Xxxxxx | Xxxxxxx Xxxx | XX | 00000 | ||||
Milford Dialysis Center—A Total Renal Care Facility |
00 Xxxxx Xxxx, Xxxxxx Xxxxxxxx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Minneapolis Dialysis Center of Davita |
000 Xxxxx 0xx Xxxxxx, Xxxxx Xx00 | Xxxxxxxxxxx | XX | 00000 | ||||
Minneapolis North East Hennepin Dialysis |
0000 00xx Xxxxxx Xxxxx Xxxx | Xxxxxxxxxxx | XX | 00000 | ||||
Misson Hills Dialysis |
0000 Xxxxx Xxxxxxx | Xx Xxxx | XX | 00000 | ||||
Mitchell Community Dialysis of Davita |
000 Xxxxx Xxxxxx | Xxxxxxxx | XX | 00000 | ||||
Xxxxxxxx Dialysis Center |
000 Xxxx 00xx Xxxxxx | Xxxxxx | XX | 00000 | ||||
Montevideo Dialysis Davita |
000 Xxxxx 00xx Xxxxxx | Xxxxxxxxxx | XX | 00000 | ||||
Mount Adams Kidney Center |
000 0xx Xxxxxx | Xxxxxx | XX | 00000 | ||||
Mount Xxxx Dialysis |
0000 Xxxx Xxx X.X. Xxxxxxx 000 | Xxxxx Xxxx | XX | 00000 | ||||
Mount Pocono Dialysis Center—#1504 |
000 Xxxxxxxxx Xxxxx, Xxxxx 000 | Xxxxxxxxx | XX | 00000 | ||||
Nephrology Center of Louisville |
0000 Xxxxxxxxx Xxxxxx | Xxxxxxxxxx | XX | 00000 | ||||
Nephrology Center of South Augusta |
0000 Xxxxxx Xxxxxxx, Xxxxx 0x | Xxxxxxx | XX | 00000 | ||||
Nephrology Center of Xxxxxxxxxx |
0x Xxxxxxx Xxxxx | Xxxxxxxxxx | XX | 00000 | ||||
Nephrology Center of Waynesboro |
000 Xxxxx Xxxxxxx Xxxxxx | Xxxxxxxxxx | XX | 00000 | ||||
New Center Dialysis, P.C. |
0000 Xxxx Xxxxx Xxxxxxxxx, Xxxxx 000 | Xxxxxxx | XX | 00000 | ||||
New Port Xxxxxx Kidney Center |
0000 Xxxxx Xxxxxxxxx | Xxx Xxxx Xxxxxx | XX | 00000 | ||||
Newport Dialysis Center #2020 |
000 Xxxx Xxxxxxx Xxxx | Xxxxxxx | XX | 00000 | ||||
Norfolk Dialysis Center—A Total Renal Care Facility |
000 Xxxxxxx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
North Georgia Home Dialysis |
00000 Xxxxxxxxxx Xxxxxxx, Xxxxx 000 | Xxxxxxx | XX | 00000 | ||||
North Houston Kidney Center, L.L.P |
000 Xxxx Xxxxxx Xxxx | Xxxxxxx | XX | 00000 | ||||
North Oakland Dialysis Facility |
000 Xxxxx Xxxxxxxxx | Xxxxxxx | XX | 00000 | ||||
North Palm Beach Dialysis Center, Inc. |
0000 Xxxxx Xxxx, Xxxxx 000 | Xxxx Xxxxx Xxxxxxx |
XX | 00000 | ||||
Northeast Wichita Dialysis Center |
0000 Xxxxx Xxxx Xxxx, Xxxxxxxx 000, Xxxxx 000 | Xxxxxxx | XX | 67226 | ||||
Northwest Kidney Center, Llp |
00000 Xxxxxxxxx Xxxxxxx | Xxxxxxx | XX | 00000 | ||||
Novi Kidney Center, P.C. |
00000 Xxxx Xxx Xxxx Xxxx | Xxxx | XX | 00000 | ||||
Oak Park Dialysis Center #369, Parkwood Plaza |
00000 Xxxx Xxx Xxxx Xxxx | Xxx Xxxx | XX | 00000 | ||||
Oakland Peritoneal Dialysis Center |
0000 Xxxxxxxxx Xxxxxx, Xxxxx 000 | Xxxxxxx | XX | 00000 | ||||
Ocala Regional Kidney—South Unit |
00000 Xx Xxxxxxx 000 | Xxxx Xxxx | XX | 00000 | ||||
Ocala Regional Kidney Center—East |
0000 Xxxxxxxxx 0xx Xxxxxx | Xxxxx | XX | 00000 | ||||
Ocala Regional Kidney Center—North |
0000 Xxxx Xxxxxxx 000 | Xxxxx | XX | 00000 |
27
Center Name |
Address |
City |
ST |
Zip | ||||
Ocala Regional Kidney Center—West |
0000 Xxxxxxxxx Xxxxxxx 000, Xxxxxxxx 000, Xxxxx 000 | Xxxxx | XX | 00000 | ||||
Ocean Garden Dialysis Center |
0000 Xxxxx Xxxxxx | Xxx Xxxxxxxxx |
XX | 00000 | ||||
Olympic View Dialysis Center |
000 00xx Xxxxxx Xxxx, Xxx-0xx Xxxxx | Xxxxxxx | XX | 00000 | ||||
Orangevale Dialysis |
0000 Xxxxxxxxx Xxxx, Xxxxx X-0 | Xxxxxxxxxx | XX | 00000 | ||||
Owensboro Dialysis Center #1530 |
0000 Xxxx Xxxxxxx Xxxxxx | Xxxxxxxxx | XX | 00000 | ||||
Pahrump Dialysis Center |
0000 Xxxx Xxxxxxx Xxxxxxxxx | Xxxxxxx | XX | 00000 | ||||
Palm Brook Dialysis Center #2038 |
00000 Xxxxx Xxx Xxxx Xxxxxxxxx | Xxx Xxxx | XX | 00000 | ||||
Xxxxxx Dialysis Center—A Total Renal Care Facility |
00 Xxxxxxxxx Xxxxx | Xxxxxx | XX | 00000 | ||||
Papago Dialysis Center |
0000 Xxxxx 00xx Xxxxxx, Xxxxx 0 | Xxxxxxx | XX | 00000 | ||||
Park Plaza Dialysis Center |
X-0000 Xxxxx Xxxxxxxxx Xxxxxxx | Xxxxx | XX | 00000 | ||||
Pearland Dialysis |
0000 Xxxxxxxx | Xxxxxxxx | XX | 00000 | ||||
Peekskill—Cortland Xxxxxxxx Xxxxxx |
Xxxx Xxxxx, Xxxxx 0, Xxxxx 00 | Cortlandt Manor |
NY | 10567 | ||||
Pelham Parkway Dialysis Center |
0000 Xxxxxx Xxxxxxx South/ A-1, Building 5 | Bronx | NY | 10461 | ||||
Peninsula Nephrology, Inc. Dba: San Mateo Dialysis Center |
0000 Xxxxx Xx Xxxxxx Xxxx | Xxx Xxxxx | XX | 00000 | ||||
Phenix City Dialysis Center |
0000 Xxxxxxx Xxxx | Xxxxxx Xxxx | XX | 00000 | ||||
Pikesville Dialysis Center |
0000 Xxxxxxxxxxx Xxxx | Xxxxxxxxxx | XX | 00000 | ||||
Pine Island Kidney Center |
0000 Xxxxx Xxxx Xxxxxx Xxxx | Xxxxxxxxxx | XX | 00000 | ||||
Placerville Dialysis Center, Dba: Total Renal Care—Placerville |
0000 Xxxxxxxx Xxxx Xxxx, Xxxxx X. | Xxxxxxxxxxx | XX | 00000 | ||||
Platte Place Dialysis, A Total Renal Care Facility |
0000 Xxxx Xxxxxx Xxxxx | Xxxxxxxx Xxxxxxx |
XX | 00000 | ||||
Port Xxxxxxx Dialysis Xxxx |
00 Xxxxxxx Xxxxxx | Port Chester | NY | 10573 | ||||
Port Washington Dialysis |
00 Xxxxxxx Xxxxxxxxx | Xxxx Xxxxxxxxxx |
XX | 00000 | ||||
Potrero Hill Dialysis Center |
0000 Xxxxx Xxxxxx Xxxxxx, Xxxxx X | Xxx Xxxxxxxxx |
XX | 00000 | ||||
Pratt Dialysis Center of Total Renal Care |
000 Xxxxx Xxxxxx Xxxxx 000 | Xxxxx | XX | 00000 | ||||
Purcellville Dialysis Center of Total Renal Care |
000 Xxxxx Xxxxxxx Xxxxxx | Xxxxxxxxxxxx | XX | 00000 | ||||
Puyallup Dialysis Center |
000-X Xxxxx Xxxx Xxxx | Xxxxxxxx | XX | 00000 | ||||
Queens Dialysis At South Flushing |
00-00 Xxxx Xxxxxx | Xxxxxxxx | XX | 00000 | ||||
Queens Dialysis Center |
000-00 Xxx Xxxxxx Xxxxxxxxx | Xxxxxxx | XX | 00000 | ||||
Queens Village Dialysis |
000-00 Xxxxxxxxx Xxxxxx | Xxxxxx Xxxxxxx |
XX | 00000 | ||||
Red Wing Dialysis Davita |
0000 Xxxx 0xx Xxxxxx | Xxx Xxxx | XX | 00000 | ||||
Redding Dialysis Center, Dba: Total Renal Care—Xxxxxxx |
0000 Xxxx Xxxxxx Xxxxx | Xxxxxxx | XX | 00000 | ||||
Redwood Falls Dialysis Davita |
000 Xxxxxxxx Xxxx | Xxxxxxx Xxxxx |
XX | 00000 | ||||
Regional Kidney Disease Program of Total Renal Care, Dba: West St. Xxxx Dialysis |
0000 Xxxxxxxxxx | Xxxx Xx. Xxxx | XX | 00000 | ||||
Renal Care of Buffalo, Inc. |
000 Xxxxxxx Xxxx Xxxx, Xxxxx X000 | Xxxxxxx | XX | 00000 | ||||
Renal Treatment Center—St. Louis |
0000 Xxxxx Xxxxxx | Xx. Xxxxx | XX | 00000 | ||||
Renal Treatment Center—Columbus |
0000 Xxxxxxx Xxxx Xxxxx, Xxxxx X. | Xxxxxxxx | XX | 00000 | ||||
Renal Treatment Center—Decatur |
0000 Xxxxxxx Xxxx | Xxxxxxx | XX | 00000 | ||||
Renal Treatment Center—East St. Louis |
000 Xxxxx Xxxxxx Xxxxxx 0xx Xxxxx | Xxxx Xx. Xxxxx |
XX | 00000 | ||||
Renal Treatment Center—Harrisburg |
0000 Xxxxx Xxxxx Xxxxxx 0xx Xxxxx, Xxxx Xxxxxxxx | Xxxxxxxxxx | XX | 00000 | ||||
Renal Treatment Center—Lake Wales |
0000 Xxxxx Xxxxx 00 Xxxx | Xxxx Xxxxx | XX | 00000 | ||||
Renal Treatment Center—Madison |
000 Xxxxxx Xxxxx Xxxx X | Xxxxxxx | XX | 00000 | ||||
Renal Treatment Center—Upland |
0 Xxxxxxx Xxxxxxxxx, Professional Xxxxxx Xxxxxxxx Xx, Xxxxx 000 | Xxxxxx | XX | 00000 | ||||
Renal Treatment Centers—Longview |
000 Xxxxx Xxxxxxxx, Xxxxx 000 | Xxxxxxxx | XX | 00000 | ||||
Renal Treatment Centers—Palmerton |
000-X Xxxxxxxx Xxxxxx | Xxxxxxxxx | XX | 00000 |
28
Center Name |
Xxxxxxx |
Xxxx |
XX |
Xxx | ||||
Xxxxxx Xxxxxxxx Xxxxxx #0000 |
0000 Xxxxxx Xxxxxxx Xxxxx | Xxxxxx | XX | 00000 | ||||
Richmond Kidney Center |
0000 Xxxxxxx Xxxxxxxxx | Xxxxxx Xxxxxx | XX | 00000 | ||||
River City Dialysis Center |
0000 Xxxxxxxxxxxx Xxxxxx Xxxxx | Xxxxxxxxxx | XX | 00000 | ||||
Riverdale Dialysis |
000 Xxxx 000xx Xxxxxx | Xxxxxxxxx | XX | 00000 | ||||
Riverside Dialysis Center |
0000 Xxxxxx Xxxxxx, Xxxxx 000 | Xxxxxxxxx | XX | 00000 | ||||
Riverside Dialysis Davita |
000 00xx Xxxxxx Xxxxx, Xxxxx 000 | Xxxxxxxxxxx | XX | 00000 | ||||
Rivertowne Dialysis Center At Oxon Hill |
0000 Xxxx Xxxx Xxxx | Xxxx Xxxx | XX | 00000 | ||||
Rockford Memorial Hospital Dialysis Unit |
0000 Xxxxx Xxxxxxx Xxxxxx | Xxxxxxxx | XX | 00000 | ||||
Rocky Hill Connecticut |
0000 Xxxxx Xxxxx Xxxxxxx | Xxxxx Xxxx | XX | 00000 | ||||
Rose Garden Dialysis Center |
000 Xxxx Xxxxxx Xxxxxx | Xxx Xxxx | XX | 00000 | ||||
Rosebud Dialysis of Davita |
0 Xxxxxxx Xxxxx Xxxx | Xxxxxxx | XX | 00000 | ||||
Rosemead Springs Dialysis Center #1518 |
0000 Xxxxxxxx Xxxxxxxxx | Xx Xxxxx | XX | 00000 | ||||
Saginaw Dialysis Clinic |
0000 Xxxx Xxxxxxx | Xxxxxxx | XX | 00000 | ||||
Xxxxxxx Valley Dialysis Services, Inc. |
000 Xxxxxx Xxxxxx, Xxxxx X | Xxxxxxx | XX | 00000 | ||||
Satellite Dialysis |
0000 Xxxxxx Xxxxxx | Xxxxx Xxxx | XX | 00000 | ||||
Satellite Dialysis Centers—Sunnyvale |
000 Xxxxx Xxxxx Xxxx | Xxxxxxxxx | XX | 00000 | ||||
Satellite Dialysis Centers, Inc. |
0000 Xxxxxxxx Xxxxxx, Xxxxx 00 | Xxx Xxxx | XX | 00000 | ||||
Satellite Dialysis Centers, Inc. |
0000 Xxxxx Xxxxxx Xxxxxx, Xxxx Xxxxxx 0 | Xxxxx Xxxx | XX | 00000 | ||||
Satellite Dialysis Centers, Inc. |
0000 Xxxxxx Xxxxx, Xxxxxxxx X | Xxxxxxx | XX | 00000 | ||||
Satellite Dialysis Centers, Inc. |
000 Xxxx Xxxxxxxx Xxx | Xxxxxx | XX | 00000 | ||||
Satellite Dialysis Centers, Inc. |
0000 Xxxxxxxx Xxxxxx | Xxxxxxx Xxxx | XX | 00000 | ||||
Satellite Dialysis Centers, Inc. |
0000 Xxxxx Xxxxx Xxxxxx, Xxxxx 0 | Xxxxxxx | XX | 00000 | ||||
Satellite Dialysis Centers, Inc. |
0000 Xxxxxxx Xxxxx | Xxx Xxxx | XX | 00000 | ||||
Satellite Dialysis Centers, Inc. |
000 Xxxxxxx Xxxx Xxxx, Xxxxx 000 | Xxx Xxxx | XX | 00000 | ||||
Satellite Dialysis Centers, Inc. |
00 Xxxxxxxxx, Xxxxx 0 | Xxxxxxxxxxx | XX | 00000 | ||||
Satellite Dialysis Larkspur #000 |
000 Xxx Xxxxxxx Xxxxx Xxxxxxxxx | Xxxxxxxxx | XX | 00000 | ||||
Satellite Dialysis Windsor |
000 Xxxxxxx Xxxxxx Xxxxx, Xxxxx 00 | Xxxxxxx | XX | 00000 | ||||
Satellite Home Care LLC—Modesto |
0000 Xxxxx Xxxxxx | Xxxxxxx | XX | 00000 | ||||
Scottsbluff Dialysis Center |
0000 Xxxxxx X. | Xxxxxxxxxxx | XX | 00000 | ||||
Xxxxxx Xxxxxx Dialysis |
00 Xx. Xxxxxxx Xxxxxx, Xxxxx Xxxx Center | Xxxxxx | XX | 00000 | ||||
Shenandoah Dialysis #1574 |
300 Pershing | Xxxxxxxxxx | XX | 00000 | ||||
Xxxxxxx Dialysis Center |
000 Xxxx Xxxxxxxx Xxxx | Xxxxxxx | XX | 00000 | ||||
Xxxxxx Xxxx Dialysis Center |
000 Xxxxxx Xxxx Xxxxx | Xxxx | XX | 00000 | ||||
Sioux Falls Community Dialysis of Xxxxxx |
XxXxxxxx Hospital, 000 Xxxx 00xx Xxxxxx, 0xx Xxxxx | Xxxxx Xxxxx | XX | 00000 | ||||
Slidell Kidney Care |
0000 Xxxxxx Xxxxxxxxx, Xxxxx 000 | Xxxxxxx | XX | 00000 | ||||
Xxxxxxx Dialysis |
000 Xxx Xxxxxx Xxxxx | Xxxxxxx | XX | 00000 | ||||
Somerset Dialysis Center #000 |
000 Xxxxxxxxx Xxxxxx | Xxxxxxxx | XX | 00000 | ||||
Soundview Dialysis Center |
0000-00 Xxxxxxxx Xxxxxxxxx | Xxxxx | XX | 00000 | ||||
South Bronx Kidney Center |
0000 Xxxxxxx Xxxxxx | Xxxxx | XX | 00000 | ||||
South Brooklyn Nephrology Center, Inc. |
3915 Avenue V. | Brooklyn | NY | 11234 | ||||
South Broward Artificial Kidney Center |
4401 Hollywood Boulevard | Hollywood | FL | 33021 | ||||
South County Dialysis |
7800 Arroyo Circle | Gilroy | CA | 95020 | ||||
South Las Vegas Dialysis Center—Davita |
4711 Industrial Road | Las Vegas | NV | 89103 | ||||
South Philadelphia Dialysis Center |
109 Dickinson Street | Philadelphia | PA | 19147 | ||||
South Sacramento Dialysis Center, Dba: Total Renal Care—South Sacramento |
7000 Franklin Boulevard, Suite 880 | Sacramento | CA | 95823 | ||||
South San Francisco Dialysis |
205 Kenwood Way | South San Francisco |
CA | 94080 | ||||
Southeastern Dialysis Center |
608 Pecan Lane | Whiteville | NC | 28472 | ||||
Southeastern Dialysis Center of Elizabethtown |
101 Dialysis Drive | Elizabethtown | NC | 28337 | ||||
Southeastern Dialysis Center, Inc. |
14 Office Park Drive | Jacksonville | NC | 28546 | ||||
Southeastern Dialysis Center, Inc. |
704 South Dickerson | Burgaw | NC | 28425 | ||||
Southeastern Dialysis of Kenansville |
305 Beasley Street | Kenansville | NC | 28349 | ||||
Southeastern Dialysis of Wilmington |
2215 Yaupon Drive | Wilmington | NC | 28401 | ||||
Southfield Dialysis Center #329 |
23077 Greenfield Road, Suite 104 | Southfield | MI | 48075 | ||||
Southfield West Dialysis Center #295 |
21900 Melrose, Southfield Tech Center, Building #2 | Southfield | MI | 48075 | ||||
Southwest Ohio Dialysis #1541 |
215 South Allison Avenue | Xenia | OH | 45385 | ||||
St. Charles Dialysis Unit |
3600 Prytania Street, Suite 83 | New Orleans | LA | 70115 | ||||
St. Croix Falls Dialysis—Total Renal Care |
744 Louisiana East | St. Croix Falls | WI | 54024 |
29
Center Name |
Address |
City |
ST |
Zip | ||||
Sunrise Dialysis Center, Dba: Total Renal Care—Sunrise |
2951 Sunrise Boulevard, Suite 145 | Rancho Cordova | CA | 95742 | ||||
Sylva Dialysis Center |
655 Asheville Highway | Sylva | NC | 28779 | ||||
Taylor County Dialysis Facility |
101 Kingswood Drive | Campbellsville | KY | 42718 | ||||
Tell City Dialysis Center #1531 |
1602 Main Street | Tell City | IN | 47586 | ||||
The Center for Kidney Disease |
1190 Northwest 95th Street, Suite 208 | Miami | FL | 33150 | ||||
The New York United Dialysis Center |
406 Boston Post Road | Port Chester | NY | 10573 | ||||
Timpanogos Dialysis Center |
852 North 500 West, Suite 200 | Provo | UT | 84604 | ||||
Total Renal Care |
111 Michigan Avenue Northwest | Washington | DC | 20010 | ||||
Total Renal Care—Atlantic City |
2720 Atlantic Avenue | Atlantic City | NJ | 08401 | ||||
Total Renal Care—Bedford Dba: Heb Dialysis Center |
1401 Brown Trail, Suite A | Bedford | TX | 76022 | ||||
Total Renal Care—Bridgewater Dialysis Center |
2121 Route 22 West | Bound Brook | NJ | 08805 | ||||
Total Renal Care—Cape May Courthouse |
144 Magnolia Drive | Cape May Courthouse |
NJ | 08210 | ||||
Total Renal Care—Carroll County Dialysis Facility |
412 Malcolm Drive, Suite 310 | Westminster | MD | 21157 | ||||
Total Renal Care—Chesapeake |
1400 Crossways Boulevard, Crossways Ii, Suite 106 | Chesapeake | VA | 23320 | ||||
Total Renal Care—Chestertown |
100 Brown Street | Chestertown | MD | 21620 | ||||
Total Renal Care—Crystal City Dialysis |
Highway 61 South and I. 55 | Crystal City | MO | 63019 | ||||
Total Renal Care—Exton |
710 Springdale Drive | Exton | PA | 19341 | ||||
Total Renal Care—Ghent Dialysis Center |
901 Hampton Boulevard, Suite 200 | Norfolk | VA | 23507 | ||||
Total Renal Care—Howell |
3502 Route 9 South, Howell Heritage Plaza | Howell | NJ | 07731 | ||||
Total Renal Care—Independence Dialysis |
801 West Myrtle | Independence | KS | 67301 | ||||
Total Renal Care—Kingwood |
2300 Green Oaks, Suite 500 | Kingwood | TX | 77339 | ||||
Total Renal Care—Lakeport |
804 11th Street | Lakeport | CA | 95453 | ||||
Total Renal Care—Loma Vista |
1382-A Lomaland | El Paso | TX | 79935 | ||||
Total Renal Care—Mesa Vista Dialysis Facility |
2400 North Oregon, Suite C | El Paso | TX | 79902 | ||||
Total Renal Care—Muncy |
Route 405 | Muncy | PA | 17756 | ||||
Total Renal Care—North Houston |
129 Little York | Houston | TX | 77076 | ||||
Total Renal Care—North Philadelphia Dialysis Center |
3409-3411 Germantown Avenue | Philadelphia | PA | 19140 | ||||
Total Renal Care—Northeast Philadelphia |
518 Knorr Street | Philadelphia | PA | 19111 | ||||
Total Renal Care—Northwest Baltimore Mount Washington |
1340 Smith Avenue | Baltimore | MD | 21209 | ||||
Total Renal Care—Parsons |
1902 South Highway 59, Building B. Labette County Medical Center | Parsons | KS | 67357 | ||||
Total Renal Care—Pleasanton, Aka: Pleasanton Dialysis Center |
5720 Stoneridge Mall Road, Suites 140 and 160 |
Pleasanton | CA | 94588 | ||||
Total Renal Care—South Hayward Dialysis Center |
254 Jackson Street | Hayward | CA | 94544 | ||||
Total Renal Care—Tamarac Artificial Kidney Center |
7140-48 West Mcnab Road | Tamarac | FL | 33321 | ||||
Total Renal Care—Tomball Dialysis |
27720-A Tomball Parkway | Tomball | TX | 77375 | ||||
Total Renal Care—Virginia Beach |
740 Independence Circle | Virginia Beach | VA | 23455 | ||||
Total Renal Care—Wilmington Dialysis |
700 Lea Boulevard, Suite G2 | Wilmington | DE | 19802 | ||||
Total Renal Care—Winfield Dialysis |
1315 East 4th Avenue | Winfield | KS | 67156 | ||||
Total Renal Care At Celia Dill Dialysis Center |
Barns Office Center, Suite 206, Stoneleigh Avenue |
Carmel | NY | 10512 | ||||
Total Renal Care At Richmond Community |
1510 North 28th Street, Suite 110 | Richmond | VA | 23223 | ||||
Total Renal Care At Union Plaza |
810 First Street, Northeast, Suite 100 | Washington | DC | 20002 | ||||
Total Renal Care Dba: Lincoln Park Capd |
3929 North Central, Suite 1 | Chicago | IL | 60634 | ||||
Total Renal Care of Fairfax |
8501 Arlington Boulevard, Suite 100 | Fairfax | VA | 22031 |
30
Center Name |
Address |
City |
ST |
Zip | ||||
Total Renal Care Olympia Fields |
4557b West Lincoln Highway | Matteson | IL | 60443 | ||||
Total Renal Care Union City Dialysis Center |
32930 Alvarado Niles Road, Suite 300 | Union City | CA | 94587 | ||||
Total Renal Care, Dba: Camp Hill Dialysis Center |
425 North 21st Street, Plaza 21, First Floor | Camp Hill | PA | 17011 | ||||
Total Renal Care, Dba: Cleve Hill Dialysis Center |
1461 Kensington Avenue | Buffalo | NY | 14215 | ||||
Total Renal Care, Dba: North Highlands Dialysis Center |
4986 Watt Avenue | North Highlands |
CA | 95660 | ||||
Total Renal Care, Dba: Scottsdale Dialysis Center |
4725 North Scottsdale Road, Suite 100 | Scottsdale | AZ | 85251 | ||||
Total Renal Care, Dba: Southeastern Dialysis Center of Shallotte |
4740 Shallotte Avenue | Shallotte | NC | 28470 | ||||
Total Renal Care-Northwest San Antonio |
8132 Fredericksburg Road | San Antonio | TX | 78229 | ||||
Total Renal Treatment—Berlin Dialysis Center |
314 Franklin Avenue, Suite 306 Berlin Professional Center |
Berlin | MD | 21811 | ||||
Tuba City Dialysis |
500 Edgewater Drive | Tuba City | AZ | 86045 | ||||
Tustin Dialysis Center |
2090 North Tustin Avenue | Santa Ana | CA | 92705 | ||||
United Dialysis Center |
3111 Long Beach Boulevard | Long Beach | CA | 90807 | ||||
University Peritoneal Dialysis Center, Dba: Total Renal Care University Peritoneal Dialysis |
300 University Avenue, Suite 122 | Sacramento | CA | 95825 | ||||
Upstate Dialysis Center, Inc. |
308 Mills Avenue | Greenville | SC | 29605 | ||||
Valley Dialysis Center |
16149 Hart Street | Van Nuys | CA | 91406 | ||||
Venture Dialysis Center, Inc. |
16855 Northeast 2nd Avenue, Suite 205 | North Miami Beach |
FL | 33162 | ||||
Waconia Dialysis Davita |
490 Maple Street, Suite 110 | Waconia | MN | 55387 | ||||
Walnut Creek Dialysis Center |
108 La Casa Via, Suites 100 and 106 | Walnut Creek | CA | 94598 | ||||
Washington Parish Kidney Care |
724 Washington Street | Franklinton | LA | 70438 | ||||
Waterloo Dialysis Center |
4200 North Lamar Street, Suite 100 | Austin | TX | 78756 | ||||
Weaverville Dialysis Center—Total Renal Care |
329 Merrimon Avenue | Weaverville | NC | 28787 | ||||
West Texas Dialysis |
1250 East Cliff Drive, Building B. | El Paso | TX | 79902 | ||||
Western Home Dialysis |
1750 Pierce Street, Suite A | Lakewood | CO | 80214 | ||||
White Plains Dialysis Center |
200 Hamilton Avenue, Space 13b | Whiteplains | NY | 10601 | ||||
Woodland Dialysis Center |
912 Woodland Drive | Elizabethtown | KY | 42701 | ||||
Yakima Dialysis Center #1539 |
110 South 9th Avenue | Yakima | WA | 98902 | ||||
Yonkers Dialysis Center |
575 Yonkers Avenue | Yonkers | NY | 10704 | ||||
Ypsilanti Dialysis Center—Davita |
2766 Washtenaw, Washetenaw Fountain Plaza | Ypsilanti | MI | 48197 | ||||
Yuba City Dialysis Center, Dba: Total Renal Care—Yuba City |
1007 Live Oak Boulevard, Suite B-4 | Yuba City | CA | 95991 |
31
Agreement No. 200308360 (Continued)
Appendix C: List of Authorized Wholesalers
To ensure Dialysis Center receives the appropriate discount, it is important Amgen receives Dialysis Center’s current list of Authorized Wholesalers. The following list represents the Wholesalers Amgen currently has associated with Dialysis Center’s contract. Please update the list by adding or deleting Wholesalers as necessary.
AMERICAN MEDICAL DISTRIBUTORS, INC.
SUBSIDIARY OF BELLCO DRUG CORPORATION
100 NEW HIGHWAY
AMITYVILLE, NY 11701
AMERISOURCE CORPORATION
100 FRIARS LANE
THOROFARE, NJ 08086
ASD SPECIALTY HEALTHCARE
SUBSIDIARY OF BERGEN BRUNSWIG DRUG CO.
4006 BELTLINE ROAD, SUITE 200, LB-21
ADDISION, TX 75001
BERGEN BRUNSWIG DRUG COMPANY
4000 METROPOLITAN DRIVE
ORANGE, CA 92868
HENRY SCHEIN INCORPORATED
135 DURYEA ROAD
MELVILLE, NY 11747
METRO MEDICAL SUPPLY, INC.
1911 CHURCH STREET
NASHVILLE, TN 37023
PRIORITY HEALTHCARE CORPORATION
CHARISE CHARLES DIVISION
250 TECHNOLOGY PARK, SUITE 124
LAKE MARY, FL 32746
32
Agreement No. 200308360 (Continued)
Exhibit #1
Sample Certification Letter
December | , 2003 |
601 Hawaii Street
El Segundo, CA 90245
RE: Agreement No. 200308360
Dear :
Thank you for your participation in the [DELETED] program. In order for us to enroll you, we require that a duly authorized representative of your organization sign the certification below.
Upon receipt of this executed document, we will calculate the value of your incentive. If we do not receive the executed certification, we cannot provide you with this incentive.
If you have any questions regarding this letter please contact me at (805) 447-4134. Thank you for your assistance in returning this certification.
Sincerely, |
________________________ |
Outcomes Incentive Analyst
CERTIFICATION:
On behalf of DaVita Inc. and all eligible Affiliates participating in the [DELETED] program under Agreement No. 200308360, the undersigned hereby certifies that the data submitted (herein referred to as “Data”) for each eligible Affiliate shall include the required Data from all dialysis patients of such Affiliate (excluding those patients whose data is obtained from laboratories not owned or operated by DaVita Inc.), and does not include Data from non-patients. The party executing this document also represents and warrants that it (i) has no reason to believe that the submitted Data will be incorrect, and (ii) is authorized to make this certification on behalf of all eligible Affiliates submitting Data.
DaVitaInc. |
||
Signature: | ||
Print Name: | ||
Print Title: | ||
Date: |
33