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Press Release November 10, 2006

AMERICAN RENAL ASSOCIATES EXPANDS ITS MANAGEMENT TEAM

BEVERLY, MA - American Renal Associates Inc. (“ARA”) today announced the continued expansion of its management team. Throughout the past couple years, ARA has either promoted management from within or hired senior level staff to accommodate the Company’s growing needs for leadership in a variety of functions including Corporate Compliance, Purchasing, Marketing and Clinical and Regulatory Services. ARA’s management team now consists of 16 individuals, who collectively bring a remarkable set of skills and experience in the dialysis and general healthcare industry.

Following is a complete listing of the current ARA management team:

• Christopher T. Ford – Chairman
• Joe A. Carlucci – Chief Executive Officer
• Syed T. Kamal – President
• John McDonough – Chief Financial Officer
• Richard J. Cronin, M.D. – National Medical Director
• Jan S. Bernardy, R.N., C.N.N. – Vice President of Clinical and Regulatory Services
• Steve J Rastom – Vice President of Operations
• Josette K. Street, B.B.A., R.N., C.C.C. – Vice President of Operations
• John K. Whiting, IV – Vice President and General Counsel
• Francine Watchmann, Esq. – Corporate Compliance Officer
• Jeff Dale – Director of Project Management
• Phil Darragh – Director of Purchasing
• Robert B. Gold – Director of Technical Services
• Rebecca R Throop – Director of Marketing
• Shari K. Cousins, R.N., C.N.N. – Manager of Clinical and Regulatory Services
• Connie Devenger, R.N. – Manager of Clinical and Regulatory Services
• Diane Gifford, R.N. – Manager of Clinical and Regulatory Services

Please refer to the Management Profiles section on the corporate website (http://www.americanrenal.com/about/management.html) for detailed information regarding an individual’s professional experience.

About American Renal Associates
American Renal Associates, Inc. is a leading developer, owner and operator of outpatient kidney dialysis facilities operating facilities in partnership with nephrologists throughout the United States. The Company’s revolutionary operating philosophy merges physician autonomy, leading edge patient care and financial partnership between the clinic and ARA. Consequently, within six years ARA has become one of the largest providers of outpatient kidney dialysis services in the nation with more than 65 facilities owned, managed or under development. ARA