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Press Release
October 27, 2005

American Renal to Equip Dialysis Facilities with Emergency Generators

DANVERS, MA - American Renal Associates Inc. (“ARA”) today announced that all new dialysis facilities built by the company will be equipped with emergency generators, capable of providing adequate power, to continue dialysis services during times of electrical outages. Syed Kamal, Executive Vice President of ARA, said “With all of the recent extreme weather and hurricanes, we are taking this proactive step to further protect and enhance patient care in our centers. This is an example of our putting the patient, who chooses an ARA facility, first. ARA will build it’s new facilities with emergency generators regardless of whether or not it is required by local, State, or Federal regulations.”

ARA’s main focus is to develop new start-up (de novo) treatment facilities in partnership with physicians, and the acquisition of existing dialysis units in selective strategic markets.

About American Renal Associates
American Renal Associates is a leading developer, owner and operator of outpatient kidney dialysis facilities in partnership with nephrologists throughout the United States. ARA is one of the largest providers of outpatient kidney dialysis services in the nation and has 65 facilities owned, managed or under development. ARA facilities currently serve more than 2300 patients in 12 states and the District of Columbia. For more information, visit www.americanrenal.com.