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News Release - Hawaii House of Representatives

For immediate release August 3, 2011

Contact: Office of Rep. Ryan Yamane - (808) 586-6150

Liberty Dialysis and Fresenius Medical Care to merge

Hawaii patients will continue to receive high quality dialysis care

Honolulu, Hawaii. Liberty Dialysis Holdings, Inc., one of the owners of Liberty Dialysis Hawaii

LLC, and Fresenius Medical Care (FMC), providers of dialysis services throughout the United

States, have agreed to merge.

The merger of the dialysis providers creates an unrivaled platform for patients with kidney

disease to receive quality care in a changing healthcare environment. Both Liberty Dialysis

Hawaii LLC and Fresenius operate dialysis facilities covering all of the major Hawaiian Islands.

St. Francis and a number of local physicians will continue as owners of Liberty Dialysis Hawaii

LLC, ensuring that local roots remain strong.

There are 2,900 patients currently on dialysis in Hawaii. However, there are over 156,000

residents with Chronic Kidney Disease (CKD) which ultimately leads to dialysis or kidney

transplants. Hawaii holds a higher than average rate of CKD, with 1 in 7 people locally affected

by this disease, compared to the national average of 1 in 9 people affected with CKD.

"I hope that this merger will continue to assist Hawaii patients in receiving the best care

possible," said Rep. Ryan Yamane, mindful of the health and welfare of these patients as Chairof the House Committee on Health.

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Liberty Dialysis and Fresenius Medical Care merger

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August 3, 2011

We are confident that there will be no immediate impact on the delivery of patient care in

Hawaii as a result of this merger," said Glen Hayashida, CEO of the National Kidney Foundation

of Hawaii. "We will be working closely to ensure that access to care and quality of care to

patients will not be compromised." Hayashida is optimistic that Liberty DialysisHawaii and

FMC will continue their tradition of providing the high quality dialysis care in Hawaii that has

consistently exceeded national standards.

Libertys collegial culture and their integral approach to clinical and operational processes will

fit nicely with FMCs focus on introducing new technology solutions to support quality and

efficiency improvement in the dialysis clinics," said Frank Maddux, FMC Chief Information

Officer. "Mark Caputo, Libertys co-founder and CEO, and his staff have agreed to continue to

play key leadership roles to expand Libertys successful collaborative model within FMCs

system."

The inclusion of new technology to support the development and integration of electronic

health records within Hawaiis dialysis system only serves to help transform healthcare within

our State further reducing the cost of healthcare, added Representative Yamane.

The parties believe that the transaction will be completed in early 2012.

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Fact Sheet attached