0001193125-13-301684 Sample Contracts

Confidential portions of this Exhibit, denoted by bracketed asterisks, have been omitted and filed separately with the Securities and Exchange Commission in reliance on Rule 24b-2 of the Securities Exchange Act of 1934. SECOND AMENDMENT TO AGREEMENT
Agreement • July 25th, 2013 • NxStage Medical, Inc. • Electromedical & electrotherapeutic apparatus • Delaware

THIS SECOND AMENDMENT TO AGREEMENT (this “Second Amendment”) is effective as of April 15, 2013 (the “Second Amendment Effective Date”), by and between Medisystems Corporation, a Washington corporation (“MDS”) and DaVita Healthcare Partners Inc., a Delaware corporation (“DVA”). The term “Agreement” as used herein shall mean the Current Agreement (as defined in Recital B) as amended, modified, and supplemented by this Second Amendment and all other capitalized terms used herein but not otherwise defined herein shall have the meaning ascribed to such terms in the Agreement. NxStage Medical, Inc., a Delaware corporation (“NxStage”), is a party to the Agreement solely for purposes of agreeing to the provisions of Section 11.1 of the Current Agreement.

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