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The following is an excerpt from a 10-K405 SEC Filing, filed by RENEX CORP on 3/31/1999.
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RENEX CORP - 10-K405 - 19990331 - PART_I

PART I

ITEM 1. BUSINESS

Renex Corp. ("Renex" or the "Company") is a high quality provider of dialysis and ancillary services to patients suffering from chronic kidney failure, generally referred to as end stage renal disease ("ESRD"). The Company has grown through DE NOVO development and acquisitions, and seeks to distinguish itself on the basis of quality patient care and responsiveness to the professional needs of its referring nephrologists. As of December 31, 1998, the Company provided dialysis services to approximately 1,200 patients in eight states, through 20 outpatient dialysis facilities and a staff-assisted home dialysis program. Additionally, the Company provided inpatient dialysis services at 17 hospitals as of December 31, 1998.

THE DIALYSIS INDUSTRY

END STAGE RENAL DISEASE

ESRD is the state of advanced chronic kidney disease that is characterized by the irreversible loss of kidney function. A normal human kidney removes waste products and excess water from the blood, preventing water overload, toxin buildup and eventual poisoning of the body. Chronic kidney disease can be caused by a number of conditions, including inherited diseases, diabetes, hypertension and other illnesses. Patients suffering from ESRD require routine dialysis treatments or kidney transplantation to sustain life. Transplantation is significantly limited due to the scarcity of suitable organ donors, the incidence of organ transplant rejection and the ineligibility of many ESRD patients for transplantation due to health and age. As a result, the vast majority of ESRD patients must rely on dialysis for the remainder of their lives.

According to the Health Care Financing Administration ("HCFA"), the number of patients receiving chronic kidney dialysis services in the United States has increased from 66,000 patients in 1982 to over 208,000 patients in 1996. According to the National Institutes of Health, the number of ESRD patients is projected to reach 300,000 by the year 2000. HCFA estimates that the national incidence rate of new cases of ESRD in 1996 was approximately 268 patients per million when considering all age groups, but was 1,144 patients per million in individuals age 65 to 74, and 1,079 patients per million in individuals age 75 and over. The Company attributes the growth in the number of ESRD patients principally to: (i) the aging of the U.S. population; (ii) better treatment and longer survival of patients suffering from diabetes, hypertension, and other illnesses that lead to ESRD; and (iii) improved dialysis technology which has enabled dialysis to be provided to older patients and patients who previously could not tolerate dialysis due to their physical condition.

According to HCFA, total spending for ESRD in the United States in 1996 was an estimated $14.6 billion, of which Medicare paid an estimated $11.0 billion. The Company estimates that approximately $7.0 billion of the $14.6 billion was spent on dialysis and ancillary services. Since 1972, most ESRD patients in the United States have been entitled to Medicare benefits, regardless of age or financial circumstances. Currently, 93% of all ESRD patients in the United States receive Medicare reimbursement for treatment.

DIALYSIS FACILITIES; TREATMENTS AND STAFF

FACILITIES. Patients with ESRD generally receive dialysis treatment through a dialysis facility, which may be a free-standing or a hospital-based outpatient facility. Most dialysis facilities offer a range of services to ESRD patients, including: dialysis treatments; provision of supplies and equipment; patient, family and community training and education; insurance counseling; billing services; dietary counseling and social services support. In 1996, there were over 3,100 dialysis facilities in the United States, of which approximately 77% were free-standing and approximately 23% were hospital-based outpatient facilities. The primary function of dialysis facilities is to provide ESRD patients with life sustaining kidney dialysis, including both hemodialysis and peritoneal dialysis.

HEMODIALYSIS. HCFA estimates that as of December 31, 1996, approximately 84% of ESRD patients in the United States were receiving hemodialysis treatments (83% in outpatient facilities and 1% in the home). Hemodialysis uses an artificial kidney, called a dialyzer, to remove certain toxins and fluid from the patient's blood and a machine to control external blood flow and to monitor certain vital signs of the patient. Hemodialysis patients are connected to a dialysis machine via a vascular access device. The dialysis process occurs across a semipermeable membrane that divides the dialyzer into two distinct chambers. While the blood is circulated through one chamber, a premixed dialysate solution is circulated through the other chamber. The toxins and excess fluid from the blood cross the membrane into the dialysate solution. A typical hemodialysis treatment lasts three to four hours and is administered

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three times per week. During the dialysis procedure, patients generally remain seated next to the hemodialysis machine, but are able to read, watch television (if available) or converse with other patients or clinic staff. Most clinics provide some flexibility in scheduling (such as evening and weekend hours) to minimize disruption to the patients' lives. In certain cases, hemodialysis may also be performed at home for patients who are medically suitable and have a willing and capable assistant. Home hemodialysis requires training for both the patient and the caregiver, and requires monitoring by a designated outpatient facility.

PERITONEAL DIALYSIS. As of December 31, 1996, HCFA estimates that approximately 16% of all ESRD patients were receiving peritoneal dialysis in the home, under the supervision of an outpatient facility. There are several variations of peritoneal dialysis. The most common forms are continuous ambulatory peritoneal dialysis ("CAPD") and continuous cycling peritoneal dialysis ("CCPD"). All forms of peritoneal dialysis use the patient's peritoneal (abdominal) cavity to eliminate fluid and toxins from the patient's blood. CAPD utilizes a sterile, pharmaceutical grade dialysate solution, which is introduced into the patient's peritoneal cavity through a surgically implanted catheter. Toxins in the blood continuously cross the peritoneal membrane into the dialysate solution. After several hours, the patient must drain and replace the fluid. CCPD is performed in a manner similar to CAPD but utilizes a mechanical device to cycle the dialysate solution while the patient is sleeping. Peritoneal dialysis patients are closely monitored by the designated dialysis facility, either through periodic (at least monthly) visits to the facility or through visits to the patient's home by a dialysis facility nurse.

PATIENT CARE PROFESSIONALS. ESRD patients are generally under the care of a nephrologist, who is typically supported by a team of dialysis professionals, including:

NEPHROLOGISTS. Nephrology is a subspecialty within the specialty of internal medicine. Nephrologists specialize in the management of all forms of kidney-related ailments and the administration of related services. Nephrologists typically are the primary care physicians for ESRD patients. As specialists, nephrologists provide consultation services to other physicians' patients who suffer from kidney-related ailments and examine and treat pre-ESRD patients. Nephrologists serve as the primary gatekeepers of ESRD patients and, in consultation with their patients, play a significant role in determining which dialysis facilities and hospitals will be used by such patients. While managed care directs a small minority of these patients (estimated by HCFA at 3% in 1996), nephrologists direct the vast majority of patients.

PATIENT CARE PERSONNEL. Patient care personnel include registered nurses and patient care technicians who work under the supervision of registered nurses. Patient care personnel administer the dialysis treatment in accordance with the nephrologists' prescriptions. Nurses also assess the patient's condition throughout treatment, administer all medication, provide psycho-social assessments, and educate patients regarding their treatment.

DIETICIANS. Dialysis patients in general, and hemodialysis patients in particular, must follow a restricted diet. The effectiveness and the efficiency of each patient's dialysis treatment is influenced by the patient's compliance with these dietary restrictions. In addition, many dialysis patients receive a complex regimen of nutritional supplements to augment their diet. Dialysis facilities generally employ dieticians who are responsible for designing a patient's diet, educating and training the patient about the importance of the diet, and continually monitoring the patient's nutritional status and compliance with dietary guidelines.

SOCIAL WORKERS. Federal regulations require that a social worker, having a masters degree in social work and a background in clinical practice, provide assessment and counseling to ESRD patients and their families. Social workers are also required to assist ESRD patients in obtaining transportation to and from the dialysis facility, financial support services from government and private sources when needed, insurance and dialysis services when traveling away from home.

BUSINESS STRATEGY

The Company's goal is to continue expanding its geographic coverage and market penetration while maintaining high quality patient care and physician satisfaction with its services. Renex intends to enter new markets primarily through acquisitions and to penetrate existing markets primarily through DE NOVO development, same facility growth and the establishment of alliances with hospitals and managed care organizations.

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BUSINESS DEVELOPMENT ACTIVITIES

In March 1998, the Company through its wholly-owned subsidiary, Renex Dialysis Clinic of South Georgia, Inc., purchased certain of the assets and the operating business and assumed certain liabilities of South Georgia Dialysis Services, LLC, a Georgia limited liability company ("SGDS") which operated four dialysis facilities in southern Georgia.

During 1998, the Company developed three facilities located in Maplewood, Missouri; Union, Missouri; and Bloomfield, New Jersey. These facilities began servicing patients between March 1998 and August 1998.

OPERATIONS

OUTPATIENT FACILITIES

As of December 31, 1998, the Company operated 20 outpatient dialysis facilities, with a total of 319 certified dialysis stations. All of the facilities are operated through wholly-owned subsidiaries.

OPERATION OF FACILITIES

The Company's dialysis facilities are designed specifically for outpatient hemodialysis and for the training of peritoneal dialysis and home hemodialysis patients. Each facility has between 10 and 21 dialysis stations and many facilities are designed to accommodate additional stations as patient census increases. In addition, each facility generally contains a reception room, a patient preparation area, a nurse's station, a patient examination room, a patient training room, a water treatment room, a dialyzer reprocessing room, staff work areas, offices, a kitchen, a supply room, and a lounge. All of the Company's facilities contain state-of-the-art equipment and modern accommodations and are typically located near public transportation. The facilities are designed to provide a pleasant and comfortable environment for each patient and include such amenities as color television sets for each patient station, VCRs for patient education and entertainment, and portable telephones.

Each facility is managed by a full time professional administrator or nurse manager with experience in the dialysis industry. Each administrator or manager is supported by nursing professionals, social workers, dieticians, technicians and clerical support staff. In accordance with Medicare regulations, each facility is supervised by a practicing physician, typically a nephrologist, who serves as medical director. The medical director is responsible for implementing the Company's policies and procedures to assure high quality patient care. The medical director's responsibilities also include patient education, recommendation of appropriate equipment, development of staff training programs and community relations.

The Company also offers peritoneal dialysis, both CAPD and CCPD, at all of its facilities. Such services consist of patient training, the provision of equipment and supplies, patient monitoring and follow-up assistance to patients who prefer and are able to receive this form of dialysis. Patients and their families or other caregivers are trained over a two week period by a registered nurse to perform peritoneal dialysis.

INPATIENT DIALYSIS SERVICES

The Company provides inpatient dialysis services to 17 hospitals pursuant to contracts negotiated with the hospitals for treatments. Treatment fees are paid directly by the hospitals. The Company's inpatient dialysis services are provided in hospitals located in Mississippi, Massachusetts, Pennsylvania, Illinois and Georgia. In most instances, the Company provides the dialysis equipment and supplies and administers the dialysis treatment when requested. Examples of cases in which inpatient services are required include patients with acute kidney failure resulting from trauma or other causes, newly diagnosed but clinically unstable ESRD patients and ESRD patients who require hospitalization. The Company also provides hemapheresis treatments in several hospitals in Georgia.

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STAFF-ASSISTED HOME HEMODIALYSIS SERVICES

In addition to the Company's outpatient dialysis facilities, the Company provides staff-assisted home hemodialysis services in St. Louis, Missouri. In this program, the Company provides dialysis equipment, supplies and a qualified nurse or technician to administer the hemodialysis treatments in the patient's home. Such treatments are performed three times per week on a schedule convenient to the patient.

ANCILLARY SERVICES

The Company provides a full range of ancillary services to ESRD patients, the most prominent of which is the physician prescribed administration of bioengineered erythropoietin ("EPO"). EPO is a substitute for the natural protein, erythropoietin, which is secreted by the kidneys and stimulates the production and development of red blood cells. Low levels of erythropoietin in a patient's blood often result in anemia. EPO is useful in the treatment of anemia associated with ESRD and reduces the need for blood transfusions. Substantially all ESRD patients receive EPO in dosages varying with a patient's weight and blood count. Overall, the Company derived approximately one-third of its net revenues for the years ended December 31, 1996, 1997 and 1998 from the provision of ancillary services. The majority of such net revenues were from the administration of EPO. EPO is produced by only one manufacturer. Although the Company has not experienced any difficulty in obtaining supplies of EPO, there can be no assurance that the Company will be able to obtain sufficient supplies at reasonable prices, or at all.

Other ancillary services that the Company provides to its ESRD patients include electrocardiograms, bone densitometry studies, nerve conduction studies, chest x-rays, blood transfusions and the administration of pharmaceutical products specific to ESRD, such as iron dextran (an intravenous iron supplement), calcitriol (an intravenous calcium supplement) and intradialytic parenteral nutrition ("IDPN").

MEDICAL DIRECTORS

Medicare regulations mandate that, in order to receive reimbursement under the Medicare ESRD program, the dialysis facility must be "under the general supervision of a Director who is a physician." Generally, the medical director must be certified or board eligible in internal medicine, with at least twelve months of training or experience in the care of ESRD patients at dialysis facilities. Some facilities may also have associate medical directors.

Medical directors and associate medical directors enter into written agreements with the Company which specify their duties and establish their compensation. Compensation is fixed for periods of one year or more, is separately negotiated for each facility, and generally depends upon competitive factors in the local market and the medical director's professional qualifications and responsibilities. Agreements between the Company and its medical directors have a minimum term of five years and may extend for as much as ten years. Under these agreements, the Company pays its medical directors a base annual compensation, which is paid in monthly installments. Medical director agreements, to the extent permitted by law, restrict the medical director from acting as a medical director, owner or equity holder in competing dialysis facilities within a specific geographic area. However, the agreements do not prohibit the physician from providing direct patient care services at other locations, and do not require or compensate the physician for referrals of patients to the facility.

In connection with acquisitions, the Company generally requires non-competition agreements from the sellers, whether physicians or otherwise. Such non-competition agreements prohibit such sellers from owning, operating, maintaining or otherwise participating in competing facilities within specific geographic areas for periods of two to ten years.

QUALITY ASSURANCE/CONTINUOUS QUALITY IMPROVEMENT

Renex has established a system-wide quality assurance process, which includes its Continuous Quality Improvement ("CQI") program, to ensure that a high standard of care is provided to all of the Company's patients. The CQI program is modeled after the Joint Commission on Accreditation of Healthcare Organization's ten step process. The CQI program is implemented at the facility level by the medical director, clinic administrator and director of nursing. This process involves the continuous collection and analysis of patient care data to identify areas for improvement and to monitor progress of previously implemented measures. Each facility regularly audits its quality of care and equipment to ensure that all aspects of patient care meet the standards set by the Company's corporate office. The Company manages the CQI program at the corporate level through the compilation and analysis of all facilities'

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statistical data. These data are used to compare the Company's overall performance and each facility's specific performance to the national core indicators established for the dialysis industry by HCFA and the regional ESRD networks. Results of these comparisons are used to effect Company-wide improvements.

Additional quality assurance support is provided by the Company's corporate office through a quality assurance department. The department develops, monitors and audits the quality standards of each dialysis facility on an ongoing basis through reporting mechanisms and site inspections to ensure the facilities meet the regulations of HCFA and the Occupational Safety and Health Administration.

SOURCES OF REIMBURSEMENT

The following table provides information regarding the percentage of net revenues received by the Company by source:

YEARS ENDED
DECEMBER 31,

                                           1996       1997      1998
                                        ---------  ---------  -------
Medicare/Medicaid..............             67.2%      74.3%     67.2%
Private/Managed Care Payors....             30.9       23.3      27.0
Hospital Inpatient Dialysis
   Services....................              1.9        2.4       5.8
                                        --------   --------  --------
         Total.................            100.0%     100.0%    100.0%
                                        ========   ========  ========

The Company obtains a substantial portion of its reimbursement under a prospective Medicare reimbursement system for dialysis services provided to ESRD patients. The Social Security Act ("SSA") provides Medicare coverage for individuals who are medically determined to have ESRD, regardless of age. ESRD is currently defined in federal regulations as that stage of kidney impairment that appears irreversible and permanent and requires a regular course of dialysis or kidney transplantation to maintain life. Once an individual is medically determined to have ESRD, the SSA specifies that one of two conditions must be met before entitlement begins: (i) a regular course of dialysis must begin; or (ii) a kidney transplant must be performed. The SSA provides that entitlement begins 90 days after the month in which a regular course of dialysis is initiated.

Under the Medicare ESRD program, reimbursement rates per treatment are fixed in advance and have been adjusted from time to time by the U.S. Congress. Payment for dialysis services is based on a prospective system which was implemented by HCFA in 1972. Providers are paid a base reimbursement rate per dialysis treatment (the "Composite Rate"). The Composite Rate constitutes payment for all routinely provided supplies, drugs, tests and services incidental to dialysis. Other dialysis related ancillary services, including certain drugs such as EPO, blood transfusions and certain tests ordered by physicians, are separately reimbursed in accordance with Medicare's reimbursement policies. Although this form of reimbursement limits the allowable charge per treatment, it provides the Company with predictable and recurring per treatment net revenue. Medicare, through its carriers, pays 80% of the amounts set by the Medicare prospective reimbursement system. The remaining 20% is paid by Medicaid, secondary private insurance coverage, if any, and/or the patient.

From time to time, the U.S. Congress adjusts the applicable Composite Rate and fees based upon a review of several factors, including provider cost data from prior years. Prior to 1983, the average Composite Rate was established at $138 per treatment. In 1983, the average Composite Rate was reduced to $127 per treatment for free-standing outpatient dialysis facilities. In 1986, the average Composite Rate was further reduced to $125 per treatment. In January 1991, the average composite rate was increased to $126, the current level. The Composite Rate varies from region to region based on regional wage variations. In its March 1999 REPORT TO THE CONGRESS, the Medicare Payment Advisory Commission ("MedPAC") recommended that the Composite Rate be increased in the range of 2.4% to 2.9%. The Company is unable to predict what, if any, future changes may occur in the Composite Rate. Any reductions in the Composite Rate could have a material adverse effect on the Company's business, financial condition and results of operations.

One ancillary item that provides the Company with significant net revenues is the provision of Erythropoiten. Since 1989, the ESRD Program has funded the administration of erythropoiten. Erythropoiten is produced synthetically in the form of Epogen ("EPO"), a drug manufactured by only one supplier. Naturally occurring erythropoiten, which is created in healthy kidneys and stimulates the production of red blood cells in bone marrow, is not produced in sufficient quantities in most ESRD patients. Consequently, ESRD patients are typically anemic and require EPO hormonal replacement therapy.

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Initially, the ESRD Program funded EPO use at $40 per treatment for dosing to 10,000 units and $70 for dosages in excess of 10,000 units. In 1990 HCFA adopted a policy to fund at $11 per 1,000 units, a rate which remained unchanged for four years. This system was subject to ceiling hematocrit levels (a measurement of the percentage of red blood cells per unit volume of blood), with exceptions made for patients that provided medical justification. In 1994, funding for EPO was cut to $10 per 1,000 units. No further change in the reimbursement level of EPO has been made since 1994. The current administration proposed budget for fiscal year includes a proposal to reduce reimbursement for EPO from $10 to $9 per 1,000 units administered.

Prior to June 1997, HCFA did not fund EPO reimbursement claims involving patients for whom hematocrit levels exceeded 36% in any billing period. This policy was modified in July 1997 when HCFA adopted a 36.5% ceiling based on a 90-day trailing hematocrit average. On June 20, 1998, HCFA issued a Program Memorandum to its intermediaries and carriers that removed certain requirements relating to EPO reimbursement and effectively raised the hematocrit ceiling to 37.5%.

HCFA is also developing a medical justification exception policy that will establish rigid guidelines for sustaining hematocrit levels greater than 36%. Until this is developed, intermediaries are instructed to conduct post-payment review for claims above 36% to ensure that medical justification is properly documented. The Company cannot predict future changes in the reimbursement rate for the administration of EPO, the future reimbursement dosage limit per administration, or the cost of the drug. Any reductions in reimbursement, dosage limitations, or increases in the cost of the drug could have a material adverse effect on the Company's business, financial condition and results of operations.

Effective January 1, 1998, the reimbursement rates for drugs other than EPO were reduced by approximately 5%. The current administration proposed budget for fiscal year proposes to reduce the amount of reimbursement for drugs, other than EPO, from 95% to 83% of the average wholesale price. The Company cannot predict future changes in the reimbursement rate, dosage limitations or costs of these drugs administered to its patients. Any reductions in reimbursement, dosage limitations, or increases in the costs of the drugs could have a material adverse effect on the Company's business, financial condition and results of operations.

In March 1996, HCFA published a request for proposals ("RFP"), requesting bids from managed care companies to participate in a three year test program for the comprehensive treatment of ESRD patients, including dialysis, kidney transplantation, physician and hospital services. Currently, managed care companies are only permitted to arrange for the dialysis treatment of existing members of their programs who develop ESRD subsequent to their enrollment in the managed care plan. HCFA selected four managed care companies which were allowed to recruit ESRD patients beginning in mid-1997 in a test program over a three year period. One managed care company subsequently withdrew from the test program and was not replaced. The results of the test program will determine whether HCFA will open up the market to additional managed care companies. The RFP included a capitation payment scale for ESRD patients. HCFA also required that the managed care companies offer certain extra services including rehabilitation counseling, free transportation to physicians' offices and discounted prescription drugs to all ESRD patients. The Company is unable to predict whether the HCFA test program will be successful and result in large numbers of ESRD patients enrolling in managed care programs, or the impact, if any, of such enrollment on the Company's operations. The widespread introduction of managed care to the dialysis industry could result in a change of the reimbursement rates for the Company's services, which could have a material effect on the Company's business, financial condition and results of operations.

MEDICARE ELIGIBILITY. Medicare laws provide that any individual, regardless of age, who has no primary insurance coverage from a private insurance company or managed care organization and is diagnosed as having ESRD is automatically covered under Medicare if he or she is Medicare eligible and applies for coverage. Coverage varies depending upon the age of the patient and the status of other insurance coverage. For ESRD patients over age 65, who are not covered by an employer group health insurance plan, Medicare coverage commences immediately. For ESRD patients over age 65 who are covered by an employer group health plan, Medicare coverage begins after a 30 month coordination of benefits period.

For ESRD patients under age 65 who are not covered by an employer group health insurance plan, Medicare coverage begins 90 days following the month in which the patient begins dialysis. During the first 90 days, Medicaid (if the patient is eligible), private insurance, or the patient is responsible for payment for dialysis services. If an ESRD patient who is not covered by an employer group health plan begins home dialysis training during the first 90 days of dialysis, Medicare immediately becomes the primary payor.

Effective August 1997, ESRD patients under age 65 who are covered by an employer group health insurance plan must wait 33 months (consisting of the three months' entitlement waiting period described above and an additional 30 months coordination of benefits period) before Medicare becomes the primary payor. During the 33 month period, the employer group health plan is

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responsible for paying primary benefits at its negotiated rate or, in the absence of such a rate, at the Company's usual and customary charges. Following such 33 month period, Medicare becomes the primary coverage and the group insurance becomes secondary. If an ESRD patient who is covered by an employer group health plan elects home dialysis training during the first 90 days of dialysis, Medicare becomes the primary payor after 30 months.

MEDICAID REIMBURSEMENT. Medicaid programs are state administered programs partially funded by the federal government. These programs are intended to provide coverage for patients whose income and assets fall below state defined levels and who are otherwise uninsured. In certain states, Medicaid serves as the primary payor for patients who are not eligible for Medicare benefits. The programs also serve as supplemental insurance programs for the Medicare co-insurance portion and provide coverage for certain services that are not covered by Medicare. State regulations generally follow Medicare reimbursement levels and coverages without any co-insurance requirements. Certain states, however, require beneficiaries to pay a monthly share of the cost based upon levels of income or assets. The Company is a licensed ESRD Medicaid provider in all states in which it does business.

PRIVATE PAYOR REIMBURSEMENT/ACUTE CARE CONTRACTS. The Company receives reimbursement from private payors for ESRD treatments and ancillary services prior to Medicare becoming the primary payor, at rates which can be significantly higher than the per treatment rate set by Medicare. After Medicare becomes a patient's primary payor, private payors become secondary payors and generally reimburse the Company for the 20% of the Medicare allowable rate not paid by Medicare. The Company has also negotiated non-exclusive managed care contracts in certain markets with certain payors at rates which range from the Medicare composite rate to significantly higher amounts. The Company also receives payments for the provision of dialysis services from several hospitals under acute care contracts at rates significantly higher than the Medicare composite rate.

GOVERNMENT REGULATION

GENERAL

The Company's operations are subject to extensive government regulation at the federal, state and local levels. These government regulations require, among other things, that the Company meet various standards governing the construction and management of facilities, personnel, maintenance of proper records, equipment and quality assurance programs. In order to receive Medicare reimbursement, dialysis facilities must be certified by Medicare and are subject to periodic inspection to assure compliance with applicable regulations. Medicare's approval is also required for the addition of dialysis stations at existing facilities. All of the Company's facilities are Medicare certified.

All states have specific regulations governing dialysis services. These regulations vary from state to state and many include approval of owners and construction plans, licensure of facilities, inspections or certificates of need ("CON"). Except for its facilities located in Mississippi, the Company does not presently operate in any state which has an applicable CON law. However, the Company may in the future acquire or develop facilities in such states. In such event, the Company would apply for approval through the applicable CON process and comply with all applicable licensing requirements.

Any loss by the Company of its federal certifications, its authorization to participate in the Medicare or Medicaid programs or its licenses under the laws of any state or other governmental authority from which a substantial portion of its net revenues is derived or a change reducing dialysis reimbursement or reducing or eliminating coverage for dialysis services would have a material adverse effect on the Company's business, financial condition and results of operations. The Company believes that the health care services industry will continue to be subject to intense regulation at the federal, state and local levels, the scope and effect of which cannot be predicted. No assurance can be given that the activities of the Company will not be reviewed and challenged by government regulators or that health care reform or budget initiatives will not result in a material adverse change to the Company.

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FRAUD AND ABUSE

ANTI-KICKBACK STATUTE. The Company's operations are subject to the illegal remuneration provisions of the federal SSA governing federally funded health care programs, including Medicare and Medicaid, and similar state laws that impose criminal penalties and civil sanctions on persons who knowingly and willfully solicit, offer, receive or pay any remuneration, whether directly or indirectly, in return for, or to induce, the referral of a patient for treatment, or, among other things, the ordering, purchasing, or leasing of items or services that may be paid for in whole or in part by Medicare, Medicaid or similar state programs. Violations of the federal anti-kickback statute are punishable by criminal penalties, including imprisonment, fines, freezing of assets, asset forfeiture and exclusion of the provider from future participation in the Medicare or Medicaid programs. Civil penalties for violations of the federal anti-kickback statute include assessments of $10,000 per improper claim for payment, plus three times the amount of such claim and suspension from future participation in the Medicare or Medicaid programs. Civil suspension from participation in Medicare or Medicaid for anti-kickback violations also can be imposed through an administrative process, without the imposition of civil monetary penalties. Some state statutes also include criminal penalties.

To provide guidance regarding the federal anti-kickback statute, the OIG has published regulations that create exceptions or "safe harbors" for certain business transactions. The safe harbors are narrowly drafted and many lawful transactions fall outside their scope. However, transactions that satisfy the criteria under applicable safe harbors will be deemed not to violate the federal anti-kickback statute. Transactions that do not satisfy all elements of a relevant safe harbor do not necessarily violate the statute, although such transactions may be subject to scrutiny by enforcement agencies.

Since the federal anti-kickback statute has been broadly interpreted by the government and through court decisions, it could limit the manner in which the Company conducts its business. The Company seeks to structure its various business arrangements, including its relationship with physicians, to comply with the federal provisions. However, there can be no assurance that the Company's arrangements with physicians and other business arrangements comply in all material respects with the federal anti-kickback statute and all other applicable related laws and regulations. Because of the broad provisions of the federal anti-kickback statute, the OIG or another governmental agencies may require the Company to change its practices causing a material adverse effect on its business, financial condition and results of operations.

LEASES WITH PHYSICIANS. Certain of the Company's dialysis facilities are leased from entities in which physicians who refer patients to the Company hold interests. Because of the referral of patients by these physicians, the federal anti-kickback statute may apply. HHS has promulgated a safe harbor relevant to such arrangements relating to space rental. While the Company seeks to structure its arrangements to satisfy the safe harbor provisions, there can be no assurance that the Company's leases are in compliance with the federal anti-kickback statute.

MEDICAL DIRECTOR RELATIONSHIPS. Because the Company's medical directors refer patients to the Company's facilities, the federal anti-kickback statute could apply to such referrals. The Company seeks to comply with the requirements of the federal anti-kickback statute, or if applicable, the personal services or employment safe harbor provisions, when entering into agreements or contracts with its medical directors and other physicians. However, there can be no assurance that the Company's contractual arrangements with its medical directors are in compliance with the federal anti-kickback statute.

ACUTE DIALYSIS SERVICES. Under the Company's acute inpatient dialysis service arrangements, the Company agrees to provide a hospital with supervised emergency or acute dialysis services, including qualified nursing, technical personnel and services, and, in most cases, equipment. Because physicians under contract with the Company may refer patients to hospitals with which the Company has an acute dialysis service arrangement, the federal anti-kickback statute could apply. There can be no assurance that the Company's contractual arrangements with hospitals for acute inpatient dialysis services are in compliance with the federal anti-kickback statute.

CERTAIN RELATIONSHIPS WITH LABORATORIES AND IDPN SUPPLIERS. The Company enters into arrangements with laboratories for purposes of obtaining blood tests and laboratory services for its patients. Such services include tests currently reimbursed under the Composite Rate, as well as tests reimbursed separately from the Composite Rate. In October 1994, the OIG published a Special Fraud Alert which stated that the federal anti-kickback statute could be violated when a dialysis facility obtains discounts from a laboratory for tests encompassed within the Composite Rate in return for referring all or most of the dialysis facility's tests not included in the composite rate to the laboratory. In addition, the Company has arrangements with suppliers of IDPN. In May 1993, the OIG issued a report indicating its belief that many ESRD patients receive IDPN although they do not meet Medicare coverage guidelines for the treatment. Furthermore, in July 1993, the OIG issued a Management Advisory Report indicating that "administration fees" paid by

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IDPN suppliers to dialysis facilities for administering IDPN to patients during dialysis could violate the federal anti-kickback statute when the payments made to the dialysis facilities are unreasonably high.

While the Company seeks to structure all of its arrangements so as not to violate the anti-kickback statute, Tthere can be no assurance that the Company's current arrangements with laboratories, IDPN suppliers, and other persons or entities who either refer patients to the Company or from whom the Company purchases items or services are in material compliance with the federal anti-kickback statute or that the Company's future arrangements will not be challenged, required to be changed, or result in sanctions. Furthermore, there can be no assurance that the Company will not be challenged or subject to sanctions for any of its past arrangements. Any such challenge or change, including any related sanctions which might be assessed, could have a material adverse effect on the Company's business, financial condition and results of operations.

STARK LAW. Stark II restricts physician referrals for certain "designated health services" to entities with which a physician or an immediate family member has a "financial relationship." The entity is prohibited from claiming payment under the Medicare or Medicaid programs for services rendered pursuant to a prohibited referral and is liable for the refund of amounts received pursuant to prohibited claims. The entity also can incur civil penalties of up to $15,000 per improper claim and can be excluded from participation in the Medicare or Medicaid programs. Stark II provisions became effective on January 1, 1995. Comparable provisions applicable to clinical laboratory services ("Stark I") became effective in 1992.

A "financial relationship" under the Stark provisions is defined as an ownership or investment interest in, or a compensation arrangement between, the physician (or an immediate family member) and the entity. The Company has entered into compensation agreements with its medical directors or their respective professional associations, and in one case a medical director is a general partner of a partnership which leases real property to the Company. Certain medical directors also own shares of the Company's Common Stock, and/or options to purchase shares of Common Stock. Accordingly, such medical directors have a "financial relationship" with the Company which may be applicable to the Stark provisions.

For purposes of Stark II, "designated health services" include, among other things: clinical laboratory services; parenteral and enteral nutrients, equipment and supplies, including IDPN; prosthetics, orthotics and prosthetic devices and supplies; physical and occupational therapy services; outpatient prescription drugs; durable medical equipment, and inpatient and outpatient hospital services. Kidney dialysis is not a designated health service under Stark II. However, the definition of "designated health services" includes items and services that are components of dialysis or that may be provided to a patient in connection with dialysis, if such items and services were considered separately rather than collectively as dialysis. The Stark I regulations provide an exception for certain clinical laboratory services reimbursed under the Medicare composite rate for dialysis. HHS recently promulgated regulations clarifying that ancillary services administered in conjunction with dialysis treatments which are not included in the Composite Rate, such as EPO, non-routine parenteral items and non-routine laboratory services, are considered part of the dialysis treatment and are not therefore a designated health service.

Stark II contains exceptions for ownership or compensation arrangements that meet certain specific criteria set forth in the statute or in forthcoming regulations. With respect to ownership, certain qualifying in-office physician or ancillary services provided by or under the supervision of physicians in a single group practice are exempt from both ownership and compensation arrangement restrictions. With respect to compensation arrangements, exceptions are available for certain qualifying arrangements in the following areas: (i) bona fide employment relationships; (ii) personal services contracts; (iii) space and equipment leasing arrangements; (iv) certain group practice arrangements with a hospital that were in existence prior to December 1989; and
(v) purchases by physicians of laboratory services, or of other items and services at fair market value. In order to be exempt from the Stark II self-referral prohibition, it is necessary to meet all of the criteria of a particular exception for each financial relationship existing between an entity and a referring physician. Although the Company does not believe Stark II applies to its operations, the Company believes that several of its financial relationships with referring physicians meet the criteria for an exception. For example, the Company believes, based on the language of Stark II, that its agreements with its medical directors or their professional associations satisfy the exceptions for compensation pursuant to employment relationships, personal services contracts or space leasing arrangements.

With respect to physician ownership/investments in the Company, Stark II includes an exception for a physician's ownership or investment interest in securities listed on an exchange or quoted on the Nasdaq Stock Market which, in either case, meet certain criteria. Such criteria include a requirement that the issuer of such securities have at least $75 million in stockholder equity at the end of the issuer's most recent fiscal year or on average during the previous three fiscal years. The Company is not currently eligible to rely on this exception. There can be no assurance that if Stark II is ultimately interpreted to apply to the Company's operations, the

9

Company will be able to bring its financial relationships with referring physicians into compliance with the provisions of Stark II, including relevant exceptions. If the Company cannot achieve such compliance and Stark II is broadly interpreted by HCFA to apply to the Company, such application of Stark II could have a material adverse effect on the Company's business, financial condition and results of operations. Furthermore, there can be no assurance that the Company will not be challenged or subjected to sanctions for any of its past arrangements, including repayment of amounts made pursuant to a prohibited referral. Any such challenge, including any related sanctions which might be assessed, may cause a change in the Company's operations and could have a material adverse effect on the Company's business, financial condition and results of operations.

Because physicians under contract with the Company may refer patients to hospitals with which the Company has an acute inpatient dialysis service arrangement, Stark II may be interpreted by the federal government to apply to the Company's acute dialysis arrangements with hospitals. However, Stark II contains exceptions for certain equipment rental and personal services arrangements. There can be no assurance that the Company's contractual arrangements with hospitals for acute inpatient dialysis services are in compliance with the requirements of such exceptions to Stark II.

STATE REFERRAL REGULATIONS. Several states have enacted statutes prohibiting physicians from holding financial interests in various types of medical facilities to which they refer patients. The Company believes, based on its understanding of such state laws, that its arrangements with physicians are in material compliance with such laws. However, given the recent enactment of such state laws, there is an absence of definitive interpretative guidance in many areas and there can be no assurance that one or more of the practices of the Company might not be subject to challenge under such state laws. If one or more of such state laws are interpreted to apply to the Company and the Company is determined to be liable for violations of such state laws, the application of such state laws could have a material adverse effect on the Company's business, financial condition and results of operations.

THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 AND THE BALANCED BUDGET ACT OF 1997. In August 1996, President Clinton signed the Health Insurance Portability and Accountability Act ("HIPAA") which requires, among other things, that the Secretary of HHS issue advisory opinions regarding what constitutes a violation under the federal anti-kickback statute and whether an arrangement satisfies a statutory exception or regulatory safe harbor to the federal anti-kickback statute. Prior to HIPAA's enactment, advisory opinions regarding the federal anti-kickback statute could not be obtained from the OIG. The OIG recently issued regulations regarding the procedures for obtaining advisory opinions. The Company has not sought any advisory opinions from the OIG to date.

The Balanced Budget Act of 1997 also includes numerous health fraud provisions, including: (i) new Medicare and Medicaid exclusion authority for the transfer of ownership or control interest in an entity to an immediate family or household member in anticipation of, or following, a conviction, assessment, or exclusion; (ii) increased mandatory exclusion periods for multiple health fraud convictions, including permanent exclusion for those convicted of three health care-related crimes; (iii) authority for the Secretary of HHS to refuse to enter into Medicare agreements with convicted felons; (iv) new civil money penalties for contracting with an excluded provider or violating the Medicare and Medicaid anti-kickback statute; (v) new surety bond and information disclosure requirements for certain providers and suppliers; and (vi) an expansion of the mandatory and permissive exclusions added by HIPAA to any federal health care program (other than the Federal Employees Health Benefits Program).

FALSE CLAIMS. The Company is also subject to federal and state laws prohibiting an individual or entity from knowingly and willfully presenting claims for payment by Medicare, Medicaid or other third party payors that contain false or fraudulent information. These laws provide for both criminal and civil penalties. Furthermore, providers found to have submitted claims which they knew or should have known were false, fraudulent, or for items or services that were not provided as claimed, may be excluded from Medicare and Medicaid participation, required to repay previously collected amounts, and/or subject to substantial civil monetary penalties. In addition, the OIG has taken the position that violations of the anti-kickback statute and the Stark law constitute false claims. Although dialysis facilities are generally reimbursed by Medicare based upon prospectively determined composite rates, the submission of Medicare cost reports and other requests for payment by dialysis facilities are covered by these laws. The Company believes that it has procedures to ensure the accurate completion of cost reports and other requests for payment. However, there can be no assurance that cost reports or other requests for payment filed by the Company's dialysis facilities will be materially accurate or will not be subject to challenge under these laws. Such challenge, if successful, could have a material adverse effect on the Company's business, financial condition and results of operations.

HEALTH CARE LEGISLATION. Because the Medicare program represents a substantial portion of the federal budget, Congress takes action in almost every legislative session to modify the Medicare program for the purpose of reducing the amounts otherwise payable

10

by the program to health care providers in order to achieve deficit reduction targets, or to establish new quality standards, among other reasons. In that regard, the Conference Report to the Balanced Budget Act of 1997 requires the Secretary of HHS to audit cost reports for each renal dialysis provider at least once every three years, beginning with costs reports for 1996, and requires the Secretary to develop, not later than January 1, 1999, a method to measure and report quality of Medicare renal dialysis services. The method must be implemented by January 1, 2000. Legislation or regulations may be enacted in the future that may significantly modify the Medicare ESRD program or substantially reduce the amount paid for the Company's services. Furthermore, statutes or regulations may be enacted which impose additional requirements on the Company to maintain eligibility to participate in the federal and state payment programs. It is unknown whether such new legislation or regulations would have a material adverse effect on the Company's business, financial condition and results of operations.

OTHER REGULATIONS. The Company's operations are subject to various state medical waste disposal laws. In addition, regulations under the Occupational Safety and Health Act ("OSHA") attempt to limit occupational exposure to blood and other potentially infectious materials. These regulations apply to all industries in which employees could reasonably be expected to come in contact with blood pathogens, including dialysis facilities. The regulations require employers to provide Hepatitis B vaccinations and personal protective equipment. Employers must establish policies and procedures for infection control, hazardous waste disposal techniques and other matters to minimize risk of contamination. Employers also have specific record maintenance requirements. The Company believes it is in compliance with the OSHA regulations.

The Company believes that the health care services industry will continue to be subject to substantial regulation at the federal and state levels, the scope and effect of which cannot be predicted by the Company. Any loss by the Company of its various federal certifications, its authorization to participate in the Medicare and Medicaid programs or its licenses under the laws of any state or other governmental authority from which a substantial portion of its net revenues is derived would have a material adverse effect on the Company's business, financial condition and results of operations.

COMPETITION

The dialysis industry is fragmented and highly competitive, particularly with respect to the acquisition of existing dialysis facilities. Competition for qualified nephrologists to act as medical directors is also intense. According to HCFA, as of December 31, 1996, there were in excess of 3,000 dialysis facilities in the United States. According to industry estimates, as of December 31, 1998, over half of all ESRD patients were treated by the four largest outpatient dialysis providers. The largest multi-facility provider is Fresenius Medical Care AG. Other large publicly owned dialysis companies include Gambro Health Care Patient Services, Inc. (a subsidiary of Incentive AB), Total Renal Care Holdings, Inc. and Renal Care Group, Inc. Many of the Company's competitors have substantially greater financial resources than the Company and often compete with the Company for acquisitions, development and/or management of dialysis facilities. The Company may also experience competition from facilities established by former medical directors or other referring physicians. In addition, there are also a number of health care providers that have substantially greater financial resources than the Company who may decide to enter the dialysis industry. The Company believes that competition for acquisitions increases the cost of acquiring dialysis facilities and there can be no assurance that the Company will be able to compete effectively with such competitors either for acquisitions or generally.

The Company believes that other important competitive factors in the dialysis industry are the development of relationships with physicians, quality of patient care, location and convenience of facilities.

INSURANCE

The Company maintains property and general liability insurance, professional liability insurance on its professional staff and other insurance appropriate for its operations. The Company believes that its current levels of such insurance are adequate in amounts and coverage. However, there can be no assurance that any future claims will not exceed applicable insurance coverage. Furthermore, no assurance can be given that malpractice and other liability insurance will be available in the future at a reasonable cost, or that the Company will be able to maintain adequate levels of malpractice insurance coverage in the future. Each medical director and each other physician with staff privileges at the Company's facilities is required to maintain his or her own malpractice insurance for patient care activities at the facilities.

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EMPLOYEES

As of December 31, 1998, the Company had 247 full-time and 37 part-time employees in its dialysis operations and an additional 33 full-time and 4 part-time employees in its corporate office. The Company's employees are not represented by a labor union or covered by a collective bargaining agreement. The Company considers its employee relations to be good.

ITEM 2. PROPERTIES

The Company maintains its principal executive offices in Coral Gables, Florida and also maintains an office in Marietta, Georgia for its acute dialysis services division. The Company owns and operates 20 dialysis centers in 8 states, all of which are located in leased facilities. The Company's facilities generally occupy between 4,000 and 10,000 square feet of leased space, with lease terms of five to ten years, typically renewable for at least five years. The Company considers its properties to be in good operating condition and suitable for the purposes for which they are being used. The following are the locations of such facilities:

LOCATION OF FACILITY

University City, MO                           Orange, NJ
Pittsburgh, PA                                Woodbury, NJ
Tampa, FL                                     North Andover, MA
Creve Coeur, MO                               Thomasville, GA
Amesbury, MA                                  Camilla, GA
Philadelphia, PA                              Bainbridge, GA
Bridgeton, MO                                 Quitman, GA
Jackson, MS                                   Maplewood, MO
Delta, LA                                     Union, MO
Port Gibson, MS                               Bloomfield, NJ

Expansion or relocation of the Company's dialysis facilities are subject to compliance with conditions relating to participation in the Medicare ESRD program and certain states' health department requirements. In states that require a CON, approval of an application submitted by the Company would be necessary for expansion or development of a new dialysis facility.

ITEM 3. LEGAL PROCEEDINGS

The Company is subject to claims and suits in the ordinary course of business, including those arising from patient treatments, which the Company believes are covered by insurance. The Company is not involved in any material litigation and is not aware of any potential claims which would give rise to material liability.

ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITIES HOLDERS

No matters were submitted to a vote of the Company's security holders during the fourth quarter of the Company's fiscal year ended December 31, 1998.

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PART II

ITEM 5. MARKET FOR THE COMPANY'S COMMON STOCK AND RELATED STOCKHOLDER MATTERS

The Company's Common Stock has been traded on the Nasdaq National Market System ("NASDAQ/NMS") under the symbol "RENX" since October 8, 1997 when the Company completed its initial public offering.

The following tables sets forth for the periods indicated, the range of high and low closing prices for the Company's Common Stock on the Nasdaq National Market System.

FISCAL YEAR ENDED DECEMBER 31, 1997                                           HIGH                LOW
-----------------------------------                                           ----                ---
4th Quarter (October 8, 1997 to December 31, 1997)................           $8.25              $4.875

FISCAL YEAR ENDED DECEMBER 31, 1998
-----------------------------------
1st Quarter.......................................................            7.38               4.81
2nd Quarter.......................................................            7.19               5.25
3rd Quarter.......................................................            6.50               3.88
4th Quarter.......................................................            7.25               4.00

The closing sales price of the Company's Common Stock on March 22, 1999 was $4.75 as reported on NASDAQ/NMS.

HOLDERS

As of March 22, 1999, the approximate number of record stockholders was 200.

DIVIDEND POLICY

The Company has not paid any dividends on its Common Stock since inception. The Company currently intends to retain any future earnings to finance the growth and development of its business and therefore does not anticipate that any cash dividends will be paid on the Common Stock in the foreseeable future. Any future determination to pay cash dividends will be at the discretion of the Board of Directors and will be dependent upon the Company's financial condition, results of operations, capital requirements, restrictions under any existing indebtedness and such other factors as the Board of Directors deems relevant.

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ITEM 6. SELECTED CONSOLIDATED FINANCIAL AND OPERATING DATA

The following selected consolidated financial and operating data of the Company are qualified in their entirety by, and should be read in conjunction with, "Management's Discussion and Analysis of Financial Condition and Results of Operations" and the Company's Consolidated Financial Statements and the Notes thereto. See "Management's Discussion and Analysis of Financial Condition and Results of Operations."

                                                                              Years Ended December 31,
                                                          ------------------------------------------------------------------
                                                             1994          1995         1996          1997         1998
                                                          ---------    ---------     ---------    ---------     -----------
                                                                   (in thousands, except share and operating data)

STATEMENT OF OPERATIONS DATA:
  Net revenues.....................................       $   2,746    $   8,794     $  18,569    $  26,073     $  37,811
  Operating expenses:
    Facilities.....................................           2,405        6,809        14,625       20,182        28,311
    General and administrative.....................           1,025        1,682         2,581        2,991         4,754
    Provision for doubtful accounts................              93          495         1,293          962         1,096
    Depreciation and amortization..................             126          509         1,642        1,635         2,394
                                                          ---------    ---------     ---------    ---------     ---------
      Operating income (loss)......................            (903)        (701)       (1,572)         303         1,256
  Other income (expenses):
    Gain (loss) on sale of assets..................              --           --           264          (27)          (22)
    Net interest income (expense)..................              61         (360)         (915)        (771)          271
    Amortization of deferred financing costs.......              --         (126)         (226)        (162)          (29)
                                                          ---------    ---------     ---------    ----------    ---------
  Income (loss) before taxes.......................            (842)      (1,187)       (2,449)        (657)        1,476
    Income tax expense.............................              --           --            --           --           106
                                                          ---------    ---------     ---------    ---------     ---------
  Income (loss) before extraordinary item..........            (842)      (1,187)       (2,449)        (657)        1,370
    Extraordinary charge for early retirement of
      debt ........................................              --           --            --       (1,441)           --
                                                          ---------    ---------     ---------    ----------    ---------
      Net income (loss)............................       $    (842)   $  (1,187)    $  (2,449)   $  (2,098)    $   1,370
                                                          ==========   ==========    ==========   ==========    =========

BASIC EARNINGS (LOSS) PER SHARE
  Income (loss) per share before extraordinary item       $    (0.48)  $    (0.61)   $    (0.84)  $    (0.14)   $     0.19
  Extraordinary charge for early retirement of debt              --           --            --         (0.31)           --
                                                          ---------    ---------     ---------    ----------    ----------
  Net income (loss)................................       $    (0.48)  $    (0.61)   $    (0.84)  $    (0.45)   $     0.19
                                                          ==========   ==========    ==========   ==========    ==========
  Weighted average shares outstanding..............        1,741,450    1,944,759     2,930,540    4,672,707     7,065,270
                                                          ==========   ==========    ==========   ==========    ==========

DILUTED EARNINGS (LOSS) PER SHARE
  Income (loss) per share before extraordinary item       $    (0.48)  $    (0.61)   $    (0.84)  $    (0.14)   $     0.19
  Extraordinary charge for early retirement of debt              --           --            --         (0.31)          --
                                                          ---------    ---------     ---------    ----------    ---------
  Net income (loss)................................       $    (0.48)  $    (0.61)   $    (0.84)  $    (0.45)   $     0.19
                                                          ==========   ==========    ==========   ==========    ==========
  Weighted average shares outstanding..............        1,741,450    1,944,759     2,930,540    4,672,707     7,123,006
                                                          ==========   ==========    ==========   ==========    ==========

OPERATING DATA:
  Patients (at period end).........................             142          319           691          870         1,157
  Treatments.......................................          10,260       33,702        77,919      115,689       157,488
  Number of facilities (at period end).............               4            7            12           13            20

                                                                December 31,
                                         ------------------------------------------------------------
                                            1994        1995        1996         1997        1998
                                            ----        ----        ----         ----        ----
                                                               (in thousands)
BALANCE SHEET DATA:
  Current assets................          $ 2,527     $  5,234    $  6,059    $   21,116  $   17,850
  Working capital...............            2,136        3,051       2,389        15,638       9,569
  Total assets..................            4,020       11,815      15,161        30,680      36,887
  Total debt....................              220        6,375       7,743         1,954       2,204
  Total shareholders' equity....            3,482        4,164       4,317        23,690      27,087

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ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

OVERVIEW

The Company, which was established in July 1993, is a high quality provider of dialysis and ancillary services to patients with ESRD, as well as acute dialysis services to patients in hospitals. Since inception, the Company has implemented an aggressive growth strategy designed to build its presence in selected regional markets by establishing local clusters of dialysis facilities through new facility ("de novo") development or the acquisition of existing facilities. To date, Renex has grown primarily through DE NOVO development because the Company believes such a strategy minimizes the initial capital outlay. However, DE NOVO facilities achieve profitability only when they reach sufficient utilization, which historically does not occur prior to twelve months following opening. The Company has increased overall facility utilization from an average of 41% at December 31, 1994 to an average of 63% at December 31, 1998, primarily through marketing efforts directed at local nephrologists, patients and managed care organizations. The Company's overall facility utilization decreased from 68% as of December 31, 1997 due to the opening of three facilities during the year and the acquisition of four dialysis clinics in March 1998 which had a combined utilization of 50%. In the future, the Company believes that its growth will be through a combination of acquisitions and DE NOVO development, which will allow expansion of its regional market presence and provide entry into new regional markets.

As of December 31, 1998, the Company operated 20 outpatient dialysis facilities, of which eleven were DE NOVO facilities opened between 1994 and 1998. In addition, from 1995 through 1998, the Company acquired via the purchase of stock or assets, nine dialysis facilities.

In addition to its outpatient dialysis facilities, the Company manages a home hemodialysis program and provides acute dialysis and hemapheresis treatments to 17 hospitals through contractual arrangements with these hospitals. The majority of these hospital contracts were added during the fourth quarter of 1997, when the Company acquired certain assets of an acute dialysis and hemapheresis company.

SOURCES OF NET REVENUES

The Company's net revenue is derived primarily from five sources: (i) outpatient hemodialysis services; (ii) the administration of EPO and, to a lesser extent, other ancillary services; (iii) peritoneal dialysis services;
(iv) acute inpatient hemodialysis and hemapheresis services to hospitalized patients; and (v) home hemodialysis services. Services generally include the provision of equipment and supplies. The Company's dialysis and ancillary services are reimbursed primarily under the Medicare ESRD program in accordance with rates established by HCFA. Medicare reimbursement is subject to rate and other legislative changes by Congress and periodic changes in regulations, including changes that may reduce payments under the ESRD program. Payments are also provided by Medicaid, patients and non-governmental third-party payors for the first three to 33 months of treatment as mandated by law. Payments made by non-governmental third-party payors are generally at rates higher than the Composite Rate. Rates paid for services provided to hospitalized patients are negotiated with and reimbursed by individual hospitals. For the years ended December 31, 1997 and 1998, approximately 74% and 67%, respectively, of the Company's net revenues were derived from reimbursement by Medicare and Medicaid. The Company will continue to be dependent upon revenue from Medicare and Medicaid. Since dialysis is an ongoing, life sustaining therapy used to treat a chronic condition, use of the Company's services is generally predictable and not subject to seasonal or economic fluctuation. However, the Company's interim and annual results of operations may be significantly affected by any changes in Medicare, Medicaid or non-governmental third-party payor reimbursement rates and the timing and costs of any acquisitions or DE NOVO facilities.

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RESULTS OF OPERATIONS

The following table sets forth certain income statement items expressed as a percentage of net revenues for the years ended December 31, 1996, 1997 and 1998:

                                                           YEARS ENDED DECEMBER 31,
                                                       --------------------------------
                                                          1996       1997        1998
                                                       ---------  ---------   -------
Net revenues....................................          100.0%     100.0%      100.0%
                                                       --------   --------    ---------
Facilities expenses.............................           78.8       77.4        74.9
General and administrative expenses.............           13.9       11.5        12.6
Provision for doubtful accounts.................            7.0        3.7         2.9
Depreciation and amortization expenses..........            8.8        6.3         6.3
Operating income (loss).........................           (8.5)       1.2         3.3
Net interest income (expense)...................           (4.9)      (3.0)        0.7
Extraordinary charge for early retirement of debt            --        5.5          --
Net income (loss)...............................          (13.2)      (8.0)        3.6

YEARS ENDED DECEMBER 31, 1998 AND 1997

NET REVENUES. Net revenues for the year ended December 31, 1998 were $37.8 million compared to $26.1 million for the same period in 1997, representing an increase of 45%. The increase in net revenues of $11.7 million was primarily attributable to the acquisition of four dialysis clinics and an acute dialysis services company totaling $4.7 million, a full twelve months' net revenue totaling $2.2 million for a new facility opened in September 1997, $1.5 million for three facilities opened during 1998, and the continued growth at existing facilities of $3.3 million, along with the full impact of the Medicare Secondary Payor provision which became effective in the second half of 1997.

FACILITIES EXPENSES. Facilities expenses primarily consist of costs and expenses specifically attributable to the operation of the dialysis facilities, including operating and maintenance costs of such facilities and all labor, supplies and service costs related to patient care. Facilities expenses for the year ended December 31, 1998 were $28.3 million compared to $20.2 million for the same period in 1997, representing an increase of 40.3%. The increase was due to the greater number of facilities in operation in 1998. As a percentage of net revenues, facilities expenses decreased to 74.9% for the year ended December 31, 1998 from 77.4% for the same period in 1997. The decrease as a percentage of net revenues was attributable to an increase in the commercial insurance/managed care payor mix from 23.3% for the year ended December 31, 1997 to 27.0% for the year ended December 31, 1998, and an increase in acute dialysis services, both of which provide higher margins.

GENERAL AND ADMINISTRATIVE EXPENSES. General and administrative expenses consist of headquarter expenses including marketing, finance, operations management, legal, quality assurance, information systems, billing and collections and centralized accounting support. General and administrative expenses for the year ended December 31, 1998 were $4.8 million compared to $3.0 million for the same period in 1997, representing an increase of 58.9%. The increase was due to increased personnel and related expenses to support the greater number of facilities in operation, accruals related to management incentive programs and costs associated with being a public company. As a percentage of net revenues, general and administrative expenses increased to 12.6% for the year ended December 31, 1998 from 11.5% for the same period in 1997. The increase as a percentage of net revenues was due to accruals related to management incentive programs and an increase in costs associated with being a public company.

PROVISION FOR DOUBTFUL ACCOUNTS. The provision for doubtful accounts is a function of the patient payor mix, collection experience and other factors. It is the Company's practice to reserve for doubtful accounts in the period in which revenue is recognized based on management's estimate of the net collectibility of accounts receivable. The provision for doubtful accounts for the year ended December 31, 1998 was $1.1 million compared to $1 million for the same period in 1997, representing an increase of 13.9%. As a percentage of net revenues, the provision for doubtful accounts decreased to 2.9% for the year ended December 31, 1998 from 3.7% for the same period in 1997. The decrease was primarily due to an increased emphasis upon collection of aged amounts and an improvement in the aging of the accounts receivable.

16

DEPRECIATION AND AMORTIZATION EXPENSES. Depreciation and amortization expenses for the year ended December 31, 1998 were $2.4 million compared to $1.6 million for the same period in 1997, representing an increase of 46.4%. The increase was primarily attributable to the acquisition of four dialysis clinics, the opening of three facilities, and the acquisition of an acute dialysis and hemapheresis business. As a percentage of net revenues, depreciation and amortization expenses were 6.3% for the years ended December 31, 1998 and 1997.

NET INTEREST INCOME (EXPENSE). Net interest income for the year ended December 31, 1998 was $271,000 compared to net interest expense of $771,000 for the same period in 1997, representing an income increase of approximately $1.0 million. The increase was primarily due to the payoff in October 1997 of the Company's subordinated debt and the investment of the remaining proceeds from the Company's IPO.

NET INCOME (LOSS). The Company had net income of $1.4 million for the year ended December 31, 1998 compared to a net loss of $2.1 million for the same period in 1997, an income increase of approximately $3.5 million.

YEARS ENDED DECEMBER 31, 1997 AND 1996

NET REVENUES. Net revenues for the year ended December 31, 1997 were $26.1 million compared to $18.6 million for the same period in 1996, representing an increase of 40.4%. The increase in net revenues of $7.5 million was primarily attributable to the continued growth at existing facilities of $2.7 million, the full year's revenues of $4.5 million from two facilities opened during the fourth quarter of 1996, and revenues of $400,000 related to both the opening of a DE NOVO facility and the acquisition of an acute dialysis and hemapheresis services company during the fourth quarter.

FACILITIES EXPENSES. Facilities expenses for the year ended December 31, 1997 were $20.2 million compared to $14.6 million for the same period in 1996, representing an increase of 38.0%. The increase was due to the greater number of facilities in operation in 1997. As a percentage of net revenues, facilities expenses decreased to 77.4% for the year ended December 31, 1997 from 78.8% for the same period in 1996. The decrease as a percentage of revenues was due to increased patient utilization in 1997 at the facilities opened in 1996.

GENERAL AND ADMINISTRATIVE EXPENSES. General and administrative expenses for the year ended December 31, 1997 were $3.0 million compared to $2.6 million for the same period in 1996, representing an increase of 15.9%. The increase was due to increased personnel and related expenses to support the greater number of facilities in operation. As a percentage of net revenues, general and administrative expenses decreased to 11.5% for the year ended December 31, 1997 from 13.9% for the same period in 1996. The decrease as a percentage of revenues was due to an increase in net revenues from increased utilization of existing facilities which did not require a proportionate increase in corporate overhead.

PROVISION FOR DOUBTFUL ACCOUNTS. The provision for doubtful accounts for the year ended December 31, 1997 was $1.0 million compared to $1.3 million for the same period in 1996, representing a decrease of 25.6%. As a percentage of net revenues, the provision for doubtful accounts decreased to 3.7% for the year ended December 31, 1997 from 7.0% for the same period in 1996. This decrease was due to an increased emphasis upon and improved collections of aged accounts which have improved the Company's days sales in accounts receivable.

DEPRECIATION AND AMORTIZATION EXPENSES. Depreciation and amortization expenses for the year ended December 31, 1997 were $1.6 million for both 1997 and 1996. As a percentage of net revenues, depreciation and amortization expenses decreased to 6.3% for the year ended December 31, 1997 from 8.8% for the same period in 1996. This decrease was due to the write-off of certain intangible assets in 1996 of $437,000 associated with the acquisition in 1996 of a facility under development.

NET INTEREST INCOME (EXPENSE). Net interest expense for the year ended December 31, 1997 was $771,000 compared to $915,000 for the same period in 1996 representing a decrease of 15.7%. The decrease of $144,000 was primarily due to the retirement of the Company's subordinated loan as a result of the Company's initial public offering ("Offering") in October 1997.

EXTRAORDINARY CHARGE FOR EARLY RETIREMENT OF DEBT. As a part of the use of proceeds from the Offering, in October 1997 the Company paid off its subordinated loan which had an outstanding balance of $6.3 million. This early retirement of debt resulted in a one time charge of $1.4 million which consisted primarily of the write-off of deferred financing costs, along with certain prepayment penalties and charges related to the redemption of warrants issued in connection with such indebtedness.

17

NET LOSS. The Company had a net loss of $2.1 million for the year ended December 31, 1997 compared to a net loss of $2.4 million for the same period in 1996, a decrease of $351,000, or 14.3%.

LIQUIDITY AND CAPITAL RESOURCES

The Company requires capital resources for maintenance, refurbishing and expansion of existing facilities, acquisitions, DE NOVO facilities, working capital and general corporate purposes. The Company intends to finance its growth and working capital requirements, as well as purchases of additional equipment and leasehold improvements, from cash on hand, cash generated from operations and the Company's secured line of credit described below. As of December 31, 1998, the Company had working capital of approximately $9.6 million of which $9.1 million consisted of cash and cash equivalents, compared to working capital of $15.6 million of which $14.8 million consisted of cash and cash equivalents and securities available for sale as of December 31, 1997. The decreases were primarily a result of the cash purchase of four facilities for $4.5 million and purchases of property and equipment of $3.5 million, primarily for three DE NOVO facilities opened in 1998.

Net cash provided by operating activities was $3.5 million and $2.4 million for the years ended December 31, 1998 and 1997, respectively. Net cash provided by operating activities consisted of the Company's net income, increased by non-cash expenses such as depreciation, amortization and the provision for doubtful accounts and adjusted by changes in components of working capital, primarily accounts receivable, due to third-parties and accrued expenses.

The Company requires substantial working capital to cover the expenses and initial losses of each DE NOVO facility. Once a DE NOVO facility is operational, the Company is unable to bill for services until it receives a Medicare provider number and the Medicare intermediary installs its electronic billing software at the facility. For these reasons, there is generally a 90-day delay before the Company will receive payment on its initial services at such facility. In addition, the dialysis industry is characterized by long collection cycles because Medicaid and private insurance carriers require substantial documentation to support reimbursement claims and often take a substantial amount of time to process claims. As a result, the Company requires significant working capital to cover expenses during the collection process.

Net cash used for investing activities was $3.4 million and $7.5 million for the years ended December 31, 1998 and 1997, respectively. The cash used in 1998 related primarily to the $4.5 million cash purchase of four facilities in March 1998, along with $3.5 million for purchases of fixed assets, offset by the sale of $5.1 million in securities available for sale. The cash used in 1997 consisted primarily of the purchase of $5.1 million in securities available for sale, along with $1.9 million for purchases of fixed assets. Historically, the Company's principal uses of cash in investing activities have been related to purchases of new equipment and leasehold improvements for the Company's existing facilities, the cost of development of additional facilities and acquisitions. The Company opened a facility in March 1998 and two more facilities during the third quarter.

Net cash used for financing activities for the year ended December 31, 1998 was $755,000. This consisted primarily of payments on capital lease obligations and expenditures associated with the issuance of stock. Net cash provided by financing activities for the year ended December 31, 1997 was $13.9 million. This consisted primarily of $21.6 million from the net proceeds of the Company's initial public offering, offset by payments on the early retirement of debt of $6.3 million, and the payments on capital lease obligations of $1.0 million.

In April 1998, the Company obtained a $15 million secured line of credit with a financial institution (the "Line of Credit"). Borrowings under the Line of Credit are based on cash flow measurements, and bear interest ranging from the lower of the LIBOR rate, plus 2.25% up to 2.75%, or the prime rate minus .5% up to the prime rate depending on the Company's leverage ratio. The Line of Credit will be utilized primarily for acquisitions and also provides working capital advances via sublimits up to $5 million. The Line of Credit contains certain financial covenants as to minimum net worth, leverage, capitalization and cash flow ratios along with restrictions on new indebtedness and payment of dividends. The Line of Credit replaced the Company's previous $4 million line of credit, and due to restrictions on indebtedness, it also effectively replaced the Company's $6 million lease line for equipment financing. As of December 31, 1998, the Company did not have any borrowings under the Line of Credit.

The Company's long-term capital requirements depend on numerous factors, including the rate at which the Company develops or acquires new facilities. In addition, the Company has various on-going needs for capital, including: (i) working capital for operations (including financing receivables as previously described); and (ii) routine capital expenditures for the maintenance of facilities, such

18

as equipment and leasehold improvements. In order to implement the Company's long-term growth strategy, the Company anticipates that capital requirements will increase substantially from historical levels.

The Company anticipates that the consideration to be paid for the acquisition of new facilities will consist of cash, promissory notes, assumption of liabilities and/or the issuance of common stock or securities convertible into common stock. Currently, the Company does not have any agreements, commitments or understandings regarding the acquisition of any facilities. The Company believes that cash on hand, together with the Line of Credit, will be sufficient to fund the Company's operations and to finance the Company's growth strategy through the next 12 months. However, there can be no assurance that the Company will not require substantial additional funds prior to such time.

INCOME TAX LOSS CARRYFORWARDS

As of December 31, 1998, the Company had approximately $3.6 million of net operating loss carryforwards that may be available to offset future taxable income for federal income tax purposes. These net operating loss carryforwards begin to expire in 2008.

POTENTIAL IMPACT OF INFLATION

A majority of the Company's net revenue is subject to reimbursement rates which are regulated by the federal government and do not automatically adjust for inflation. These reimbursement rates are adjusted periodically based on certain factors, including Congressional budget limitations, inflation, consumer price indexes and costs incurred in rendering the services. Historically, adjustments to reimbursement rates have had little relation to the actual cost of doing business.

The Company is not able to increase the amounts it bills for services provided by its operations that are subject to Medicare and Medicaid reimbursement rates. Operating costs, such as labor and supply costs, are subject to inflation without corresponding increases in reimbursement rates. Such increases may be significant and, as such, have a material adverse effect on the Company's results of operations.

YEAR 2000

In February 1998, the Company formed a committee to evaluate and develop an action plan for computer systems issues related to the Year 2000 ("Y2K"). The committee has evaluated Y2K issues related to third party internal systems used by the Company. This committee is also evaluating the impact of Y2K issues on the Company's payors and operating vendors to determine their current status and plan of action for Y2K readiness.

The Company recognizes its reliance on third parties for its operating and financial computer output and processing. Based upon ongoing assessments, it appears that the Company's existing internal software is either Y2K compliant or that third parties are finalizing minor systems modifications to ensure Y2K readiness. Testing, modifications and conversions of these third parties' software are expected to be completed by April 1999. Presently, the Company's management does not foresee any significant costs related to these potential modifications and conversions.

The Company has formally communicated with its significant payors and vendors and has requested a written statement regarding their Y2K readiness and proof of their Y2K testing by the second quarter of 1999. In the event that a vendor fails to respond to the Company's request, the Company will then contact alternative vendors who appear to have greater Y2K readiness to provide the Company with the same or similar supplies, equipment or services. The Company's Medicare intermediary, which provides approximately 50% of the Company's cash receipts, has informed the Company that it is Y2K compliant. However, the Company has received limited communication regarding Y2K readiness from most of the state Medicaid payors and several commercial payors. The Company will continue to actively seek sufficient information from these various payors to determine what impact any payors may have on the Company's cash flow. The failure of any of the Company's significant payors or operating vendors to be Y2K compliant could have a material adverse impact on the operations of the Company.

19

SHARE REPURCHASE PROGRAM

In November 1998, the Company's Board of Directors approved a share repurchase program authorizing the Company to repurchase up to 500,000 shares of common stock on the open market from time to time at prices acceptable to the Company. Through December 31, 1998, no shares have been repurchased. Subsequent to December 31, 1998, the Company repurchased 170,500 shares through this program. See Note 19, Subsequent Events, in the notes to consolidated financial statements.

IMPORTANT FACTORS RELATING TO FORWARD LOOKING STATEMENTS

This Form 10-K contains certain forward looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 with respect to the financial condition, results of operations and business of Renex Corp. and its subsidiaries, including statements under Management's Discussion and Analysis of Financial Condition and Results of Operations. These forward looking statements involve certain risks and uncertainties. No assurance can be given that any of such matters will be realized. Factors that may cause actual results to differ materially for those contemplated by such forward looking statements include, among others, the following: (i) the success of initiatives undertaken by Renex Corp. to increase its revenues and improve its profitability; (ii) competitive pressure in the industry; and (iii) general economic conditions.

ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

Not Applicable.

20

ITEM 8. FINANCIAL STATEMENTS

Consolidated financial statements and supplementary data required by this item can be found at the pages listed in the following index.

INDEX TO CONSOLIDATED FINANCIAL STATEMENTS

                                                                               PAGE
                                                                               ----
Independent Auditors' Report...........................................         22
Consolidated Balance Sheets as of December 31, 1997 and 1998...........         23
Consolidated Statements of Operations for the Years Ended
  December 31, 1996, 1997 and 1998.....................................         24
Consolidated Statements of Shareholders' Equity for the
  Years Ended December 31, 1996, 1997 and 1998.........................         25
Consolidated Statements of Cash Flows for the Years Ended
  December 31, 1996, 1997 and 1998.....................................         26
Notes to Consolidated Financial Statements.............................         27

21

INDEPENDENT AUDITORS' REPORT

To the Board of Directors and Shareholders of Renex Corp. and Subsidiaries

Miami, Florida:

We have audited the accompanying consolidated balance sheets of Renex Corp. and Subsidiaries (the "Company") as of December 31, 1997 and 1998 and the related consolidated statements of operations, shareholders' equity, and cash flows for each of the three years in the period ended December 31, 1998. These consolidated financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on these consolidated financial statements based on our audit.

We conducted our audits in accordance with generally accepted auditing standards. Those standards require that we plan and perform the audits to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the consolidated financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.

In our opinion, such consolidated financial statements referred to above present fairly, in all material respects, the financial position of the Company as of December 31, 1997 and 1998, and the results of its operations and its cash flows for each of the three years in the period ended December 31, 1998 in conformity with generally accepted accounting principles.

DELOITTE & TOUCHE LLP

Certified Public Accountants

Miami, Florida
March 4, 1999

22

RENEX CORP. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

                                                                                          DECEMBER 31,
                                                                                  ---------------------------
                                                                                     1997             1998
                                                                                  -----------     -----------
                                            ASSETS
Current assets:
  Cash and cash equivalents.................................................      $ 9,693,000     $ 9,115,000
  Accounts receivable, less allowance for doubtful accounts of
    $1,252,000 and $1,793,000, respectively.................................        5,266,000       7,606,000
  Securities available for sale.............................................        5,057,000              --
  Inventories...............................................................          433,000         578,000
  Prepaids and other........................................................          667,000         551,000
                                                                                -------------   -------------

      Total current assets..................................................       21,116,000      17,850,000

Fixed assets, net...........................................................        7,675,000      10,474,000
Intangible assets, net......................................................        1,637,000       7,914,000
Notes receivable from affiliates, interest rate at 8% ......................           85,000          85,000
Other assets................................................................          167,000         564,000
                                                                                -------------   -------------
      Total assets..........................................................    $  30,680,000   $  36,887,000
                                                                                =============   =============

                     LIABILITIES AND SHAREHOLDERS' EQUITY

Current liabilities:
  Accounts payable..........................................................    $   1,436,000   $     993,000
  Accrued expenses and other................................................        2,080,000       2,354,000
  Due to third-parties .....................................................        1,520,000       4,249,000
  Current portion of long-term debt.........................................            6,000              --
  Current portion of capital lease obligations..............................          436,000         685,000
                                                                                -------------   -------------
      Total current liabilities.............................................        5,478,000       8,281,000
                                                                                -------------   -------------
Capital lease obligations, less current portion.............................        1,512,000       1,519,000
                                                                                -------------   -------------

Commitments

Shareholders' equity:
  Common stock, $.001 par value, 30,000,000 shares authorized,
    6,974,247 shares - 1997 and 7,422,966 shares - 1998, issued
    and outstanding.........................................................            7,000           7,000
Additional paid-in capital..................................................       30,618,000      32,645,000
Accumulated deficit.........................................................       (6,935,000)     (5,565,000)
                                                                                -------------   -------------
      Total shareholders' equity............................................       23,690,000      27,087,000
                                                                                -------------   -------------
      Total liabilities and shareholders' equity............................    $  30,680,000   $  36,887,000
                                                                                =============   =============

See accompanying notes to consolidated financial statements.

23

RENEX CORP. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF OPERATIONS

                                                                       YEARS ENDED DECEMBER 31,
                                                            -----------------------------------------------
                                                                1996              1997             1998
                                                            -----------     -------------     -------------

Net revenues.........................................       $18,569,000     $  26,073,000     $  37,811,000
Operating expenses:
  Facilities.........................................        14,625,000        20,182,000        28,311,000
  General and administrative.........................         2,581,000         2,991,000         4,754,000
  Provision for doubtful accounts....................         1,293,000           962,000         1,096,000
  Depreciation and amortization......................         1,642,000         1,635,000         2,394,000
                                                          -------------     -------------     -------------
    Operating income (loss) .........................        (1,572,000)          303,000         1,256,000
Other income (expense):
  Gain (loss) on sale of assets......................           264,000           (27,000)          (22,000)
  Net interest income (expense)......................          (915,000)         (771,000)          271,000
  Amortization of deferred financing costs...........          (226,000)         (162,000)          (29,000)
                                                          -------------     -------------     -------------
Income (loss) before taxes...........................        (2,449,000)         (657,000)        1,476,000
  Income tax expense.................................                --                --           106,000
                                                          -------------     -------------     -------------
Income (loss) before extraordinary item..............        (2,449,000)         (657,000)        1,370,000
  Extraordinary charge for early retirement of debt..                --        (1,441,000)               --
                                                          -------------     -------------     -------------
    Net income (loss)................................     $  (2,449,000)    $  (2,098,000)    $   1,370,000
                                                          =============     =============     =============

BASIC EARNINGS (LOSS) PER SHARE
Income (loss) per share before extraordinary item....     $       (0.84)    $       (0.14)    $         .19
Extraordinary charge for early retirement
  of debt............................................                --             (0.31)               --
                                                          -------------     -------------     -------------
Net income (loss)....................................     $       (0.84)    $       (0.45)    $         .19
                                                          =============     =============     =============
Weighted average shares outstanding..................         2,930,540         4,672,707         7,065,270
                                                          =============     =============     =============

DILUTED EARNINGS (LOSS) PER SHARE
Income (loss) per share before extraordinary item....     $       (0.84)    $       (0.14)    $         .19
Extraordinary charge for early retirement
  of debt............................................                --             (0.31)               --
                                                          -------------     -------------     -------------
Net income (loss)....................................     $       (0.84)    $       (0.45)    $         .19
                                                          =============     =============     =============
Weighted average shares outstanding..................         2,930,540         4,672,707         7,123,006
                                                          =============     =============     =============

See accompanying notes to consolidated financial statements.

24

RENEX CORP. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY

                                                                                                COMMON STOCK
                                                          REDEEMABLE      REDEEMABLE         -------------------
                                                       PREFERRED STOCK   PREFERRED STOCK          NUMBER OF
                                                           SERIES A        SERIES B           SHARES       AMOUNT
                                                           --------        --------         ---------    ---------
Balance at December 31, 1995 .......................   $     10,000    $        --          2,358,857    $    3,000
  Issuance of common stock for acquisition .........                                          333,333
  Sale of common stock (net of expenses of
    $21,000) .......................................                                          351,007
  Issuance of preferred stock ......................                        11,000
  Conversion of preferred stock ....................        (10,000)        (8,000)           926,917         1,000
  Redemption of preferred stock ....................                        (3,000)
  Net loss .........................................
                                                       ------------    -----------        -----------    ----------
Balance at December 31, 1996 .......................             --             --          3,970,114         4,000
  Sale of common stock (net of expenses
    of $711,000) ...................................                                        3,004,133         3,000
  Retirement of stock warrants issued with debt.....
  Net loss .........................................
                                                       ------------    -----------        -----------    ----------
Balance at December 31, 1997 .......................             --             --          6,974,247         7,000
  Issuance of common stock .........................                                          448,719
  Expenditures associated with issuance
    of common stock ................................
  Net income .......................................
                                                       ------------    -----------        -----------    ----------
Balance at December 31, 1998 .......................   $         --    $        --          7,422,966    $    7,000
                                                       ============    ===========        ===========    ==========

                                                             ADDITIONAL     ACCUMULATED
                                                           PAID-IN CAPITAL    DEFICIT       TOTAL
                                                           ---------------    -------     ----------
Balance at December 31, 1995 .......................        $  6,502,000    $(2,351,000)  $ 4,164,000
  Issuance of common stock for acquisition .........             790,000                      790,000
  Sale of common stock (net of expenses of
    $21,000) .......................................           1,058,000                    1,058,000
  Issuance of preferred stock ......................           1,039,000                    1,050,000
  Conversion of preferred stock ....................              47,000        (30,000)
  Redemption of preferred stock ....................            (286,000)        (7,000)     (296,000)
  Net loss .........................................                         (2,449,000)   (2,449,000)
                                                            ------------    -----------   -----------
Balance at December 31, 1996 .......................           9,150,000     (4,837,000)    4,317,000
  Sale of common stock (net of expenses
    of $711,000) ...................................          21,618,000                   21,621,000
  Retirement of stock warrants issued with debt.....            (150,000)                    (150,000)

  Net loss .........................................                         (2,098,000)   (2,098,000)
                                                            ------------    -----------   -----------
Balance at December 31, 1997 .......................          30,618,000     (6,935,000)   23,690,000
  Issuance of common stock .........................           2,201,000                    2,201,000
  Expenditures associated with issuance
    of common stock ................................            (174,000)                    (174,000)
  Net income .......................................                          1,370,000     1,370,000
                                                            ------------    -----------   -----------
Balance at December 31, 1998 .......................        $ 32,645,000    $(5,565,000)  $27,087,000
                                                            ============    ===========   ===========

See accompanying notes to consolidated financial statements.

25

RENEX CORP. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

                                                                                    YEARS ENDED DECEMBER 31,
                                                                              -------------------------------------
                                                                              1996            1997            1998
                                                                              ----            ----            ----
Cash Flows from Operating Activities:
  Net income (loss)................................................      $  (2,449,000)  $  (2,098,000)  $   1,370,000
  Adjustments to reconcile net income (loss) to net cash used in
    operating activities:

    Provisions for doubtful accounts...............................          1,293,000         962,000       1,096,000
    Depreciation and amortization..................................          1,642,000       1,635,000       2,394,000
    Amortization of deferred financing costs.......................            226,000         162,000          29,000
    (Gain) loss on sale of assets..................................           (264,000)         27,000          22,000
    Extraordinary charge for early retirement of debt..............                 --       1,441,000              --
    Changes in operating assets and liabilities:

      Accounts receivable..........................................         (2,135,000)     (1,693,000)     (3,436,000)
      Inventories..................................................            (75,000)        (86,000)       (115,000)
      Prepaids and other ..........................................           (190,000)       (442,000)        116,000
      Other assets.................................................           (245,000)        319,000        (426,000)
      Accounts payable and accrued expenses........................            617,000       1,303,000        (249,000)
      Due to third-parties.........................................            624,000         833,000       2,729,000
    Other, net.....................................................                 --              --          11,000
                                                                         -------------   -------------   -------------
Net cash (used for) provided by operating activities...............           (956,000)      2,363,000       3,541,000
                                                                         -------------   -------------   -------------
Cash Flows from Investing Activities:
  Purchases of fixed assets........................................         (2,396,000)     (1,860,000)     (3,452,000)
  Proceeds from the sale of fixed assets...........................            776,000          36,000          31,000
  Purchase of securities available for sale........................                 --      (5,057,000)             --
  Sales of securities available for sale...........................                 --              --       5,057,000
  Purchase of business assets......................................                 --        (600,000)     (5,000,000)
                                                                         -------------   -------------   -------------
      Net cash used for investing activities.......................         (1,620,000)     (7,481,000)     (3,364,000)
                                                                         -------------   -------------   -------------
Cash Flows from Financing Activities:
  Net change in notes receivable from affiliates...................             27,000              --              --
  Repayment of note payable to bank................................           (337,000)             --              --
  Payments on capital lease obligations............................           (353,000)       (953,000)       (575,000)
  Proceeds from long-term debt.....................................          1,500,000              --              --
  Proceeds from line of credit.....................................                 --       1,500,000              --
  Payments on line of credit.......................................                 --      (1,500,000)             --
  Net change in notes payable to affiliates........................            (94,000)             --              --
  Repayments of long-term debt.....................................           (261,000)     (6,324,000)         (6,000)
  Proceeds from sale of stock......................................          2,108,000      21,621,000              --
  Repurchase of warrants...........................................                 --        (150,000)             --
  Redemption of preferred stock....................................           (296,000)             --              --
  Financing charges paid on early retirement of debt...............                 --        (335,000)             --
  Expenditures associated with issuance of stock...................                 --              --        (174,000)
                                                                         -------------   -------------   -------------
      Net cash provided by (used for) financing activities.........          2,294,000      13,859,000        (755,000)
                                                                         -------------   -------------   -------------
Net increase (decrease) in cash and cash equivalents...............           (282,000)      8,741,000        (578,000)
Cash and cash equivalents, beginning of period.....................          1,234,000         952,000       9,693,000
                                                                         -------------   -------------   -------------
Cash and cash equivalents, end of period...........................      $     952,000   $   9,693,000   $   9,115,000
                                                                         =============   =============   =============
Supplemental Disclosures of Cash Flow Information:

  Cash paid for interest...........................................      $     971,000   $     879,000   $     343,000
                                                                         =============   =============   =============
  Cash paid for income tax.........................................      $          --   $          --   $      81,000
                                                                         =============   =============   =============
Non-Cash Investing and Financing Activities:

  Equipment acquired through capital lease obligations.............      $   1,689,000   $   1,604,000   $          --
  Conversion of preferred stock....................................             48,000              --              --
  Stock issued related to acquisition..............................            790,000              --              --
  Issuance of Common Stock.........................................                 --              --       2,201,000

See accompanying notes to consolidated financial statements.

26

RENEX CORP. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
YEARS ENDED DECEMBER 31, 1996, 1997 AND 1998

1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

ORGANIZATION. Renex Corp., a Florida corporation, was incorporated on July 7, 1993. Renex Corp. and its subsidiaries ("Renex" or the "Company") provide kidney dialysis services to patients suffering from end-stage renal disease or acute renal failure as a result of trauma or other illnesses. The Company currently operates 20 dialysis facilities and a home dialysis programs in eight states. Additionally, the Company has entered into agreements with 17 hospitals to provide acute dialysis and hemapheresis treatments on an inpatient basis.

The Company has a limited operating history and had an accumulated deficit of $5,565,000 through December 31, 1998. Although the Company was profitable in 1998, its ability to sustain profitability is dependent upon increased utilization of its existing facilities, controlling operating costs and its ability to develop or acquire and manage additional dialysis facilities. In October 1997, the Company completed an initial public offering (the "IPO"), raising $21.6 million in net proceeds. The Company has for its availability a line of credit up to $15 million and will rely on cash on hand and external financing to meet its cash needs.

PRINCIPLES OF CONSOLIDATION. The consolidated financial statements include the accounts of the Company and its subsidiaries, all of which are wholly-owned. All intercompany accounts and transactions have been eliminated in consolidation.

USE OF ESTIMATES. The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of the revenues and expenses during the reporting period. Actual results could differ from those estimates.

NET REVENUES. The Company has agreements with third-party payors that provide for payments to the Company at amounts different from its established rates. These third-party payors include Medicare, Medicaid, commercial insurance carriers, health maintenance organizations and preferred provider organizations. The basis for payment to the Company under these agreements primarily includes prospectively determined rates and discounts from established charges. The Company's net revenues are recorded at the estimated realizable amounts from third-party payors. The Company provides an allowance for doubtful accounts based on historical experience of amounts that result to be uncollectible. Amounts written off are charged against the allowance.

During the years ended December 31, 1996, 1997 and 1998, the Company received approximately 67%, 74% and 67%, respectively, of its dialysis revenues from Medicare and Medicaid programs. The remaining balance of dialysis revenues was from insurance companies and private and other third-party payors.

Revenues associated with the administration of erythropoietin ("EPO") are a significant source of revenue for the Company. The Company is unable to predict future changes in the reimbursement rate for EPO administered, the typical dosage per administration, or the cost of the medication. In addition, EPO is produced by only one manufacturer. The interruption of supplies of EPO or a change in the reimbursement rate could have a material adverse effect on the Company's business, financial condition and results of operations.

CASH EQUIVALENTS. The Company considers all highly liquid investments with a maturity of three months or less when purchased to be cash equivalents.

SECURITIES AVAILABLE FOR SALE. At December 31, 1997, securities available for sale were primarily comprised of marketable debt securities, including U.S. Government and corporate debt securities. These investments were stated at their fair value and the fair value approximated cost. These securities were sold during the first quarter of 1998.

INVENTORIES. Inventories are stated at the lower of cost (first-in, first-out) or market.

FIXED ASSETS. Fixed assets are carried at cost. Depreciation is computed using the straight-line method over the estimated useful lives of the assets ranging from five to ten years for medical and other equipment, and furniture and fixtures. Leasehold improvements are amortized over the lesser of lease term or the useful life of the assets.

27

Equipment held under capital lease obligations has been capitalized at the present value of the minimum lease payments. Depreciation of assets capitalized under lease obligations is computed under the straight-line method over the lives of the assets or leases, whichever is appropriate, and is included in depreciation expense.

INTANGIBLE ASSETS.

NON-COMPETE AGREEMENTS. Non-compete agreements are being amortized over the terms of the agreements, typically from 2 to 10 years, using the straight-line method.

PATIENT LISTS. Patient lists are amortized over 5 years, using the straight-line method.

GOODWILL. Goodwill, the excess of the aggregate purchase price over the fair value of net assets acquired, is amortized over 20 to 25 years using the straight-line method.

IMPAIRMENT OF LONG-LIVED ASSETS. Long-lived assets, including intangible assets, used in the Company's operations are reviewed by management for impairment when circumstances indicate that the carrying amount of an asset may not be recoverable. This evaluation is based on certain financial indicators, such as estimated future undiscounted cash flows.

INCOME TAXES. Deferred income tax assets and liabilities are computed annually for differences between the financial statement and tax bases of assets and liabilities that will result in taxable or deductible amounts in the future based on enacted tax laws and rates applicable to the periods in which the differences are expected to affect taxable income. Valuation allowances are established when necessary to reduce deferred tax assets to the amount expected to be realized. Income tax expense is the tax payable or refundable for the period plus or minus the change during the period in deferred tax assets and liabilities.

EARNINGS (LOSS) PER SHARE. Basic earnings (loss) per share is computed by dividing net income (loss) by the weighted average number of common shares outstanding for the period. In the computation of diluted earnings (loss) per share, the weighted average number of common shares outstanding is adjusted for the effect of all dilutive potential common stock. In computing diluted earnings
(loss) per share, Renex has utilized the treasury stock method.

For the years ended December 31, 1996 and 1997, there was no difference between basic and diluted loss per common share. At December 31, 1997, options and warrants to purchase 845,854 shares of common stock were outstanding but were not included in the computation of diluted loss per share because they would have an anti-dilutive effect. A reconciliation of the numerator and the denominator of the basic and diluted earnings per share computation for net income is as follows for the year ended December 31, 1998:

                                                       Income            Shares          Per-Share
                                                    (Numerator)       (Denominator)       Amount
                                                    ----------        -------------      ---------
BASIC EPS:
Net income...................................     $     1,370,000         7,065,270    $       0.19
                                                                                       ============

EFFECT OF DILUTIVE SECURITIES:
Options and warrants.........................                  --            57,736
                                                  ---------------   ---------------

DILUTED EPS:
Net income plus assumed conversion...........     $     1,370,000         7,123,006    $       0.19
                                                  ===============   ===============    ============

FAIR VALUE OF FINANCIAL INSTRUMENTS. The Company's financial instruments include receivables, payables and debt. The fair values of such financial instruments have been determined based on market interest rates as of December 31, 1998. The fair values were not materially different than their carrying values.

28

STOCK BASED COMPENSATION. SFAS No. 123 encourages, but does not require, companies to record compensation cost for stock-based employee compensation plans at fair value. The Company has chosen to continue to account for stock-based compensation to employees using the intrinsic value method as prescribed by Accounting Principles Board Opinion ("APB") No. 25, "Accounting for Stock Issued to Employees," and related interpretations. Accordingly, compensation cost for stock options issued to employees is measured as the excess, if any, of the quoted market price of the Company's stock at the date of grant over the amount an employee must pay for the stock. Compensation cost related to stock options of non-employees is recorded at fair value.

COMPREHENSIVE INCOME. Effective January 1, 1998, the Company adopted SFAS No. 130, "Reporting Comprehensive Income," which establishes standards for reporting and display of comprehensive income and its components. The Company's net income for the years ended December 31, 1996, 1997 and 1998 equals comprehensive income for the same period.

OPERATING SEGMENTS. Effective December 31, 1998, Renex implemented SFAS No. 131, "Disclosures about Segments of an Enterprise and Related Information." SFAS No. 131 establishes standards for reporting information about a Company's operating segments and related disclosures about its products, services, geographic areas of operations and major customers. Renex currently operates under one segment. The manner in which Renex has presented information throughout its Consolidated Financial Statements and the accompanying Notes and "Management's Discussion and Analysis of Financial Condition and Results of Operations" is the way the Company's management views and analyzes the business to make decisions about operating matters.

RECLASSIFICATIONS. Certain prior year amounts have been reclassified to conform to current year presentation.

2. BUSINESS COMBINATIONS

In March 1998, the Company purchased certain of the assets and the operating business and assumed certain liabilities of South Georgia Dialysis Services, LLC, a Georgia limited liability company ("SGDS") which operated four dialysis facilities. The purchase price of $4,500,000 was paid in cash at closing. The consolidated financial statements reflect the results of operations of the acquired business from the acquisition date. A portion of the purchase price was allocated to the net assets acquired based on their estimated fair values. The balance of the purchase price, $3,311,000, was recorded as goodwill.

In December 1997, the Company acquired certain assets and assumed certain liabilities of an acute hemodialysis, therapeutic hemapheresis and intra-operative blood retrieval service provider. The consolidated financial statements reflect the results of operations of the acquired business from the acquisition date. A portion of the purchase price was allocated to the net assets acquired based on their estimated fair values. The balance of the purchase price, $526,000, was recorded as goodwill. In addition, during 1998, the Company paid $500,000 for the achievement of certain earnout provisions based on the profitability of this business. Such amounts have been added to goodwill.

In April 1996, the Company acquired two limited liability companies, Central Dialysis Center, L.L.C. and Metropolitan Dialysis Center, L.L.C., each with an interest in separate facilities under development. The acquisitions have been accounted for under the purchase method.

Central Dialysis Center, L.L.C. was acquired for 166,667 shares valued at $395,000 and assumed liabilities of $121,000. The Company entered into non-compete agreements with a group of nephrologists for a period of two and one-half years and completed the build-out of the facility, which began operations in October 1996. The purchase price of $516,000 was allocated to the non-compete agreements. As provided in the agreement, in October 1998 Renex extended the non-competition agreements with the physicians for an additional seven and one-half years. As consideration for the extension, the Company issued 445,594 common shares to the physicians representing $2.2 million. See Note 5, Intangible Assets.

Metropolitan Dialysis Center, L.L.C. was also acquired for 166,666 shares valued at $395,000 and assumed liabilities of $42,000. The Company also entered into non-compete agreements with a similar group of nephrologists. However, this facility was not completed due to the zoning variance request being denied. Based on the Company's inability to generate revenue without a facility and the uncertainty that a suitable location would be found, the Company determined the assets to be impaired and, accordingly, wrote off the intangible assets of $437,000 in 1996.

29

3. ALLOWANCE FOR DOUBTFUL ACCOUNTS

Changes in the Company's allowance for doubtful accounts are as follows:

                                                           DECEMBER 31,
                                           ----------------------------------------------
                                               1996            1997            1998
                                               ----            ----            ----
Beginning balance......................    $     393,000  $   1,261,000   $   1,252,000
Provision for doubtful accounts........        1,293,000        962,000       1,096,000
Recoveries.............................               --        106,000          74,000
Write-offs.............................         (425,000)    (1,077,000)       (629,000)
                                           -------------- --------------  --------------
Ending balance.........................    $   1,261,000  $   1,252,000   $   1,793,000
                                           =============  =============   =============

The Company grants credit without collateral to its patients, most of whom are insured under third party payor agreements, including Medicare and Medicaid, which represent the most significant portion of the balance of receivables. The remaining receivables are primarily due from third party commercial insurance payors, including managed care companies.

4. FIXED ASSETS

Fixed assets are summarized as follows:

                                                                        DECEMBER 31,
                                                                ------------------------------
                                                                     1997           1998
                                                                     ----           ----
Leasehold improvements...................................       $   5,419,000   $   6,729,000
Medical equipment........................................           1,065,000       3,044,000
Furniture and fixtures...................................             684,000       1,186,000
Equipment, under capital lease obligations...............           3,553,000       4,413,000
                                                                -------------   -------------
         Total...........................................          10,721,000      15,372,000
Less accumulated depreciation and amortization...........          (3,046,000)     (4,898,000)
                                                                -------------   -------------
Fixed assets-- net.......................................       $   7,675,000   $  10,474,000
                                                                =============   =============

5. INTANGIBLE ASSSETS

In October 1998, the Company extended the non-competition agreements for an additional seven and one half years with the physicians who sold to the Company the Orange, New Jersey facility. As consideration for the extension, the Company issued 445,594 common shares to the physicians pursuant to the terms of their non-competition agreements representing $2.2 million which was allocated to non-compete agreements and goodwill.

Intangible assets are summarized as follows:

                                                                        DECEMBER 31,
                                                                ------------------------------
                                                                     1997           1998
                                                                     ----           ----
Non-compete agreements...................................       $     165,000   $     793,000
Patient lists............................................             106,000         517,000
Goodwill.................................................           1,883,000       7,641,000
                                                                -------------   -------------
                                                                    2,154,000       8,951,000
Less accumulated amortization............................            (517,000)     (1,037,000)
                                                                -------------   -------------
Intangible assets -- net.................................       $   1,637,000   $   7,914,000
                                                                =============   =============

6. MEDICAL MALPRACTICE INSURANCE

The Company maintains general liability and professional malpractice liability insurance on its staff and other insurance appropriate for its operations. The general liability policy provides coverage of $1,000,000 per occurrence and $2,000,000 in the aggregate. The professional liability policy provides coverage for professional (medical) activities of the Company's employees. This policy provides coverage of $1,000,000 per occurrence and $3,000,000 in the aggregate. In addition, the Company maintains excess liability insurance for both general and professional malpractice liability which provides additional coverage of $2,000,000 per occurrence and $2,000,000 in the aggregate.

30

7. LONG-TERM DEBT

On June 5, 1995, the Company entered into a senior subordinated secured loan agreement for $12,500,000 with a lender. In connection with this debt, the Company issued 211,023 warrants to the lender. Management allocated $150,000 as the value of these warrants to additional paid in capital and as a reduction of long-term debt. In October 1997, the Company completed its IPO netting proceeds of $21.6 million and used $6.4 million of the net proceeds of the IPO to pay off the outstanding balance on the loan. In connection with the early extinguishment of this debt, the Company recorded an extraordinary loss of approximately $1.4 million primarily related to the write-off of unamortized financing costs and the unamortized cost of the warrants.

8. LINE OF CREDIT

In April 1998, the Company obtained a $15 million secured line of credit with a financial institution (the "Line of Credit"). Borrowings under the Line of Credit are based on cash flow measurements, and bear interest ranging from the lower of the LIBOR rate, plus 2.25% up to 2.75%, or the prime rate minus .5% up to the prime rate depending on the Company's leverage ratio. The Line of Credit will be utilized primarily for acquisitions and also provides working capital advances via sublimits up to $5 million. The Line of Credit contains certain financial covenants as to minimum net worth, leverage, capitalization and cash flow ratios along with restrictions on new indebtedness and payment of dividends. The Line of Credit replaced the Company's previous $4 million line of credit, and due to restrictions on indebtedness, it also effectively replaced the Company's $6 million lease line for equipment financing. As of December 31, 1998, the Company did not have any borrowings under the Line of Credit.

9. CAPITAL LEASE OBLIGATIONS

The Company has various capital lease obligations related to purchase of equipment for its various facilities and obligations assumed from facilities acquired. Maturities of capital lease obligations for each of the five years ending December 31 are as follows:

YEAR ENDING                                    TOTAL
-----------                                    -----
1999...................................    $     881,000
2000...................................          859,000
2001...................................          709,000
2002...................................           94,000
2003...................................               --
                                           -------------
                                               2,543,000
Less amount representing interest......         (339,000)
                                           -------------
Total..................................    $   2,204,000
                                           =============

10. PREFERRED STOCK

SERIES A:

On August 2, 1996, the Company notified all shareholders of the redemption of all the issued and outstanding shares of the Series A on September 1, 1996 (the "Redemption Date"). Each share of Series A was convertible to common stock at $1.50 per common share. At the Redemption Date, any non-converted shares of Series A were redeemed by the Company at a redemption price of $1.00 per share plus accrued cumulative dividends of $.0462 per share.

As a result of the redemption, 988,000 shares of Series A were converted to 658,667 shares of common stock, $.001 par value. The remaining 12,000 shares were redeemed by the Company, resulting in the payment of $544 in dividends.

SERIES B:

In July 1996, the Company authorized the issuance and sale of 1,050,000 shares of Series B preferred stock, $.10 redeemable convertible series ("Series B"), $.01 par value at $1.00 per share. The Series B provided for conversion to common stock on November 15, 1996 if not otherwise redeemed by such date. On November 15, 1996, the Company notified all shareholders of the redemption of all issued and outstanding shares of Series B on November 27, 1996. Each share of Series B was convertible to common stock at the conversion price of $3.00 per share, plus accrued cumulative dividends through the Series B redemption date of $.034 per share.

31

As a result of the redemption, 775,000 shares of Series B were converted to 268,250 shares of common stock, $.001 par value. The remaining 275,000 shares were redeemed by the Company, resulting in the payment of $36,000 in dividends.

11. WARRANTS TO PURCHASE COMMON STOCK

In connection with a December 9, 1994 warrant redemption, the Company authorized the issuance of new Common Stock Purchase Warrants (the "New Warrants"). New Warrants to purchase 246,201 shares were issued. Each New Warrant entitled the holder thereof to purchase one share of common stock at an exercise price of $9.00 per share through December 1998. In December 1998, the Company extended the term of the New Warrants to December 2000. The Company has determined that the fair value of the New Warrants is not material and therefore no amounts related thereto have been reflected in the accompanying financial statements. The New Warrants are redeemable by the Company at a redemption price of $.30 per New Warrant. At December 31, 1997 and 1998, none of the New Warrants had been exercised and all were outstanding.

In June 1995, the Company issued 211,023 warrants to a lender as an additional cost of financing. In connection with the early retirement of this debt, these warrants were redeemed in October 1997. See Note 7, Long-Term Debt.

In July 1996, the Company issued 78,751 warrants in connection with the sale of 1,050,000 shares of Series B preferred stock ("Series B warrants"). Each Series B warrant entitles the holder to purchase one share of common stock at an exercise price of $6.00 per share until July 1999. At December 31, 1997 and 1998, none of these warrants have been exercised and all were outstanding.

In November 1996, the Company issued 116,669 warrants to a financial advisor in connection with a six month advisory agreement. Each warrant entitles the holder to purchase one share of common stock at an exercise price of $3.00 per share until November 1999. Compensation expense has been recorded to reflect the fair value of the warrants. At December 31, 1997 and 1998, none of these warrants have been exercised and all were outstanding.

In October 1997, in connection with the IPO, the Company issued warrants to the Representatives of the Underwriters to purchase 300,000 shares of common stock at an exercise price of $8.56 until October 2002. At December 31, 1997 and 1998, none of these warrants have been exercised and all were outstanding.

In April 1998, the Company issued 10,000 warrants to financial and management advisors whereby each warrant entitles the holder to purchase one share of common stock at exercise prices ranging from $5.25 to $6.00 per share for three to five years from the date of issuance. Compensation expense has been recorded to reflect the fair value of the warrants. At December 31, 1998, none of these warrants have been exercised and all were outstanding.

12. STOCK OPTIONS

The Company has employee and director stock option plans. The employee plan permits the grant of options to purchase up to 1,000,000 shares of common stock. The director plan permits the grant of options to purchase up to 166,667 shares of common stock.

Under the director plan, each non-employee director receives automatic non-discretionary grants of options each year (the "Annual Grant"). The Annual Grant date is April 27 of each year. Prior to October 1998, on each Annual Grant Date, each non-employee director received options to purchase 834 shares of common stock for service on the board, additional options to purchase 334 shares of common stock for service on each committee of the board, other than the executive committee, and additional options to purchase 334 shares for service as chairman of a committee other than the executive committee. Non-employee directors receive options to purchase 834 shares for service on the executive committee and an additional 834 as chairman of the executive committee. The term of the options granted under the director plan is five years and the options vest 100% immediately, but are not exercisable for six months from date of grant. In October 1998, the Board of Directors authorized an amendment to the Director Plan doubling the amount of options granted on each Annual Grant Date. The amendment to the Director Plan is subject to shareholder approval.

All officers and employees are eligible for grants of options under the employee plan (the "Plan") which includes incentive stock options granted for employees' current services to the Company and non-statutory stock options granted for special services which employees provide the Company, as determined by the Plan. The Plan is administered by a stock option committee which has the discretion to determine to whom, the amount, exercise prices, exercise terms and all other matters relating to the grant of options under the employee plan. The Plan prohibits the grant of incentive stock options under the Plan or any other plan of the Company to any individual in any calendar year for common stock having an aggregate fair market value determined at the time the option is granted in excess of $100,000. Options aggregating 285,003 shares granted to Messrs. Shea, Lugo and Wallace, are vested 100%. Options

32

to purchase 334,373 shares granted under the Plan to all other employees vest 25% six months after the date of grant and 25% on each anniversary of the date of grant thereafter so long as the individual remains employed by the Company. All options granted prior to 1999 have a five-year term, but are not exercisable for six months from the date of grant. In November 1998, options to purchase 86,172 shares were extended through April 2000.

Both the director and employee plans provide for the automatic grant of reload options to an optionee who would pay all, or part of, the option exercise price by delivery of shares of common stock already owned by such optionee. The following table summarizes stock options activity:

                                                                              DECEMBER 31,
                                           -----------------------------------------------------------------------------------
                                                      1996                        1997                        1998
                                           --------------------------- --------------------------- ---------------------------
                                                          WEIGHTED                    WEIGHTED                    WEIGHTED
                                                          AVERAGE                     AVERAGE                     AVERAGE
DIRECTORS' PLAN                               SHARES    EXERCISE PRICE    SHARES    EXERCISE PRICE    SHARES    EXERCISE PRICE
---------------                               ------    --------------    ------    --------------    ------    --------------
Outstanding, beginning of period......        11,676   $       6.00       19,347   $       6.00       30,016   $       6.71
  Granted.............................         7,671           6.00       10,669           8.00       13,350           5.62
                                           ---------   ------------    ---------   ------------    ---------   ------------
Outstanding, end of period............        19,347   $       6.00       30,016   $       6.71       43,366   $       6.37
                                           ---------   ------------    ---------   ------------    ---------   ------------
Options exercisable at end of period..        18,513                      30,016                      36,524
                                           ---------                   ---------                   ---------

                                                                              DECEMBER 31,
                                           -----------------------------------------------------------------------------------
                                                      1996                        1997                        1998
                                           --------------------------- --------------------------- ---------------------------
                                                          WEIGHTED                    WEIGHTED                    WEIGHTED
                                                          AVERAGE                     AVERAGE                     AVERAGE
EMPLOYEE PLAN                                SHARES    EXERCISE PRICE    SHARES    EXERCISE PRICE    SHARES    EXERCISE PRICE
-------------                                ------    --------------    ------    --------------    ------    --------------
Outstanding, beginning of period......        94,501   $       6.00      165,344   $       6.00      325,048   $       6.98
  Granted.............................        77,510           6.00      159,704           8.00      321,931           6.09
  Cancelled...........................        (6,667)           --            --             --      (27,603)            --
                                           ---------   -----------     ---------   ------------    ---------   ------------
Outstanding, end of period............       165,344   $       6.00      325,048   $       6.98      619,376   $       6.51
                                           ---------   ------------    ---------   ------------    ---------   ------------
Options exercisable at end of period          78,184                     155,059                     367,241
                                           ---------                   ---------                   ---------

                                                                              DECEMBER 31,
                                           -----------------------------------------------------------------------------------
                                                      1996                        1997                        1998
                                           --------------------------- --------------------------- ---------------------------
                                                          WEIGHTED                    WEIGHTED                    WEIGHTED
                                                          AVERAGE                     AVERAGE                     AVERAGE
    OTHER                                    SHARES    EXERCISE PRICE    SHARES    EXERCISE PRICE    SHARES    EXERCISE PRICE
-------------                                ------    --------------    ------    --------------    ------    --------------
Outstanding, beginning of the period          36,669   $       6.00       36,669   $       6.00       49,170   $       6.51
  Granted...........................              --           6.00       12,501           8.00           --             --
                                           ---------   ------------    ---------   ------------    ---------   ------------
Outstanding, end of the period......          36,669   $       6.00       49,170   $       6.51       49,170   $       6.51
                                           ---------   ------------    ---------   ------------    ---------   ------------
Options exercisable at end of period          36,669                      49,170                      49,170
                                           ---------                   ---------                   ---------

The Company applies APB No. 25 and related interpretations in accounting for its stock option plans as described in Note 1. Accordingly, no compensation cost has been recognized in 1996, 1997 or 1998 related to these plans. The Company's pro forma net income, pro forma net income per common share and pro forma weighted average fair value of options granted, with related assumptions, assuming Renex had adopted the fair value method of accounting for all stock-based compensation arrangements consistent with the provisions of SFAS No. 123, using the Black-Scholes option pricing model, are indicated below:

                                                                           YEARS ENDED DECEMBER 31,
                                                                           ------------------------
                                                                           1997                1998
                                                                           ----                ----
Pro forma net income(1).........................................           $ --              $641,000
Pro forma net income per common share(1)........................           $ --                $0.09
Pro forma weighted average fair value of options granted (1)....           $ --                $2.31
Expected life (years)...........................................             3                  2
Risk-free interest rate.........................................           6.63%           4.35% - 5.60%
Expected volatility.............................................           .001                 .71
Dividend yield..................................................             0%                  0%


(1) In 1997, the fair value of the options was determined to be zero.

The resulting pro forma compensation cost may not be representative of that to be expected in future years.

33

13. SHARE REPURCHASE PROGRAM

In November 1998, the Company's Board of Directors approved a share repurchase program authorizing the Company to repurchase up to 500,000 shares of common stock on the open market from time to time at prices acceptable to the Company. Through December 31, 1998, no shares have been repurchased. See Note 19, Subsequent Events.

14. SHAREHOLDER RIGHTS PLAN

In November 1998, the Company's Board of Directors approved a Shareholder Rights Plan authorizing a dividend distribution of one Preferred Stock Purchase Right for each outstanding share of the Company's common stock. Under the plan, in specified circumstances when the rights can be exercised, each Right will entitle shareholders to purchase one one-hundredth of a share of the Company's new Series A Junior Participating Preferred Stock at an exercise price of $25. The Rights will be exercisable only under certain circumstances relating to a possible acquisition of, or tender offer for, the Company. Each Right will allow shareholders to purchase a certain number of shares of the Company's common stock or an acquiring company's common shares depending on the form of the business combination.

15. INCOME TAXES

The provision for income taxes consists of the following:

YEAR ENDED
DECEMBER 31, 1998

Current:
  Federal...........................     $               --
  State.............................                106,000
                                         ------------------
Provision for income taxes..........     $          106,000
                                         ==================

At December 31, 1998, the Company had tax net operating loss carryforwards of $3.6 million that expire beginning in 2008 and ending in 2012.

The tax effects of temporary differences that give rise to significant portions of the deferred tax assets and deferred tax liability at December 31, 1997 and 1998 are presented below:

                                                                        DECEMBER 31,
                                                               -------------------------------
                                                                    1997            1998
                                                                    ----            ----
Deferred tax assets
  Net operating loss carryforwards..........................   $   2,574,000   $   1,195,000
  Other.....................................................         313,000       1,096,000
                                                               -------------   -------------
    Total deferred tax assets...............................       2,887,000       2,291,000
Deferred tax liability

  Change to accrual method for income tax purposes..........        (702,000)       (198,000)
                                                               -------------   -------------
Net deferred tax asset (before valuation allowance).........       2,185,000       2,093,000
Less valuation allowance....................................      (2,185,000)     (2,093,000)
                                                               -------------   -------------
Net deferred tax asset......................................   $          --   $          --
                                                               =============   =============

34

The reconciliation of the federal income tax rate with the Company's effective rate is as follows:

YEAR ENDED
DECEMBER 31, 1998

Federal income tax rate...........................             34.0%
State income taxes................................              7.2%
Realization of valuation allowance................            (28.2)%
Other.............................................             (5.8)%
                                                           ----------
Effective tax rate................................              7.2%
                                                           =========

16. EMPLOYEE BENEFIT PLANS

As of January 1, 1997, the Company adopted a tax qualified employee savings and retirement plan (the "401(k) Plan") covering the Company's employees. Pursuant to the 401(k) Plan, eligible employees may elect to contribute to the
401(k) Plan up to the lesser of 15% of their annual compensation or the statutorily prescribed annual limit ($10,000 in 1998). The Company matches 25% of the contributions of employees, up to 4% of each employee's salary. All employees who were employed at December 31, 1996, and new hires who thereafter attain at least one year's service, are eligible to participate in the 401(k) Plan. The amount of matching contribution by the Company during the years ended December 31, 1997 and 1998 was $43,000 and $40,000, respectively.

The Trustees of the 401(k) Plan, at the direction of each participant, invest the assets of the 401(k) Plan in designated investment options. The
401(k) Plan is intended to qualify under Section 401 of the Code, so that contributions to the 401(k) Plan, and income earned on the 401(k) Plan contributions, are not taxable until withdrawn. Matching contributions by the Company are deductible when made.

17. RELATED PARTY TRANSACTIONS

The Company is a party to the following transactions with related parties by virtue of common ownership:

                                                     YEARS ENDED DECEMBER 31,
                                          -----------------------------------------------
                                               1996            1997            1998
                                               ----            ----            ----
Legal fees.......................         $     133,000   $     260,000   $     102,000
Rent expense.....................               109,000         180,000         175,000
Leasehold expenditures...........               427,000         175,000              --

18. COMMITMENTS

COMMITMENTS. The Company leases facility space and equipment under noncancelable operating leases. Minimum annual lease payments under these leases are as follows:

YEAR ENDING                                   AMOUNT
-----------                                   ------
1999.............................         $   1,817,000
2000.............................             1,700,000
2001.............................             1,581,000
2002.............................             1,397,000
2003.............................             1,153,000
Thereafter.......................             5,165,000
                                          -------------
Total............................         $  12,813,000
                                          =============

Rental expense under these operating leases was $1,046,000, $1,222,000 and $1,747,000 (of which $257,000, $209,000 and $230,000, respectively, relate to equipment leases for patient care included in facilities expenses) for the years ended December 31, 1996, 1997 and 1998, respectively.

35

LITIGATION. The Company is subject to claims and suits in the ordinary course of business, including those arising from patient treatments, which the Company believes are covered by insurance. The Company is not involved in any material litigation and is not aware of any potential claims which would likely give rise to a material liability.

19. SUBSEQUENT EVENTS

Subsequent to December 31, 1998, the Company repurchased 170,500 shares of Renex common stock at a cost of approximately $765,000 under the share repurchase program described in Note 13, Share Repurchase Program.

ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE

None.

36

PART III

ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE COMPANY

The following table sets forth certain information with respect to the executive officers and directors of the Company as of December 31, 1998:

           NAME                    AGE                     POSITION
           ----                    ---                     --------
Milton J. Wallace(1).....          63       Chairman of the Board
Arthur G. Shapiro, M.D.(1)         60       Vice Chairman of Board, Director of Medical
                                            Affairs
James P. Shea(1).........          57       President, Chief Executive Officer, Director
Orestes L. Lugo..........          40       Vice President-- Finance, Chief Financial
                                            Officer
Patsy L. Anders..........          54       Vice President-- Business Development
Mignon B. Early..........          35       Vice President-- Operations
Jeffery C. Finch.........          37       Vice President
Eugene P. Conese, Sr.(2).          68       Director
C. David Finch, M.D......          39       Director
John E. Hunt, Sr.(2).....          80       Director
Charles J. Simons(2)(3)..          80       Director
Mark D. Wallace(3).......          30       Director, Secretary
Jeffrey H. Watson(3).....          40       Director


(1) Member of the Executive Committee.
(2) Member of the Compensation and Stock Option Committee.
(3) Member of the Audit Committee.

MILTON J. WALLACE is a co-founder of the Company and has been Chairman of the Board of the Company since its inception in July 1993. Mr. Wallace has been a practicing attorney in Miami for over 30 years, and is currently a shareholder in the law firm of Wallace, Bauman, Legon, Fodiman & Shannon, P.A. He was a co-founder and a member of the Board of Directors of Home Intensive Care, Inc., a provider of home infusion and dialysis services, serving as Chairman of its Executive Committee from 1985 through July 1993 and Chairman of the Board from December 1989 until July 1993when Home Intensive Care, Inc. was acquired by W.R. Grace & Co. Mr. Wallace is Chairman of the Board of Med/Waste, Inc., a provider of medical waste management services and a director of Imperial Industries, Inc., a provider of construction materials. He is a director of several private companies and is Chairman of the Dade County Florida, Housing Finance Authority. Mr. Wallace is the father of Mark D. Wallace, a Director of the Company.

ARTHUR G. SHAPIRO, M.D. is a co-founder of the Company and has been Vice Chairman of the Company's Board and Director of Medical Affairs since the Company's inception in July 1993. Dr. Shapiro has held an appointment to the University of Miami School of Medicine as a professor of clinical obstetrics and gynecology since January 1995. From 1985 until 1995, he was engaged in the private practice of medicine. He is board certified in obstetrics and gynecology, reproductive endocrinology and laser surgery. He is a Fellow in the American College of Obstetrics and Gynecology and the American College of Endocrinology. Dr. Shapiro was a co-founder of Home Intensive Care, Inc. and served on its Board of Directors from 1985 until July 1993. Dr. Shapiro also served as Home Intensive Care, Inc.'s Medical Director from 1990 until July 1993. He is a Director of Med/Waste, Inc.

JAMES P. SHEA has been President and Chief Executive Officer of the Company since August 1993 and a Director since December 1993. From July 1992 until June 1993, he served as Director General for Home Intensive Care, Inc.'s international division. From 1986 to 1990, he was Senior Vice President of Protocare, Inc., an infusion therapy and respiratory care provider, which he helped establish. From 1985 to 1986, he was General Manager of the health care products division of The Norton Company, a manufacturer of engineered materials. From 1983 to 1985, he was President of the infusion division of National Medical Care, Inc., a kidney dialysis and infusion therapy provider, which is now owned by Fresenius Medical Care AG.

ORESTES L. LUGO has served as the Company's Vice President -- Finance and Chief Financial Officer since August 1995. From March 1994 until August 1995, he was Chief Financial Officer of PacifiCare of Florida, a health maintenance organization and subsidiary of PacifiCare Health Systems, Inc. From September 1993 until March 1994, he was Chief Financial Officer of Supreme International, Inc., a clothing manufacturer. From July 1989 until September 1993, Mr. Lugo served as Vice President of Finance for Home Intensive Care, Inc. From 1980 to 1989, Mr. Lugo was employed by the public accounting firm of Touche Ross, last as a senior manager. Mr. Lugo is a Certified Public Accountant.

37

PATSY L. ANDERS has served as the Company's Vice President -- Business Development since January 1996. From the Company's inception in July 1993 through January 1996, she served as the Company's Director of Business Development. From 1990 until July 1993, Ms. Anders was the Physician Liaison for Quality Care Dialysis Centers, Inc., the wholly-owned dialysis facility subsidiary of Home Intensive Care, Inc. From 1986 through 1990, Ms. Anders was Director of Physician Relations for Home Intensive Care, Inc. In 1989, Ms. Anders founded Anders and Associates, a physician placement firm specializing in the placement of nephrologists, and has served as its President since its inception.

MIGNON B. EARLY, RN, BSN has been the Company's Vice President -- Operations since January 1997. From July 1995 until January 1997, she was the Company's Director of Training and Development. From January 1994 until July 1995, she served as a clinic administrator for the Company in the St. Louis, Missouri region. From December 1990 until January 1994, Ms. Early was a clinic administrator for Quality Care Dialysis Centers, Inc. Ms. Early is a registered nurse.

JEFFERY C. FINCH has been a Vice President of the Company since December 1995. From June 1990 until December 1995, Mr. Finch served as Chief Executive Officer of Dialysis Facilities, Inc., a dialysis company which owned three dialysis facilities purchased by the Company in December 1995, which Mr. Finch co-founded in 1990. He is a principal of JCD Partnership, a real estate and property management firm. Mr. Finch is the brother of C. David Finch, M.D., a Director of the Company.

EUGENE P. CONESE, SR. has been a Director of the Company since November 1996. Mr. Conese is Chairman of the Board of World Air Lease, Inc. From 1987 until September 1997, he served as Chairman of the Board of Directors and Chief Executive Officer of Greenwich Air Services, Inc., a provider of repair and overhaul services for gas turbine aircraft engines. Greenwich Air Services, Inc. was acquired by General Electric Company in September 1997. Mr. Conese is a Director of Trans World Airlines, Inc. and is a member of the Board of Trustees of Iona College.

C. DAVID FINCH, M.D. has been a Director of the Company since December 1995, when the Company acquired Dialysis Facilities, Inc., a dialysis company he co-founded in 1990. He is a board certified nephrologist and maintains a private practice of medicine in nephrology and hypertension in Jackson, Mississippi. Dr. Finch serves as the Medical Director of the Company's dialysis facilities in the Jackson, Mississippi area. He also serves as Director of Dialysis at Vicksburg Medical Center and Parkview Regional Medical Center. He is a principal in JCD Partnership, a real estate and property management firm, and the brother of Jeffery C. Finch, a Vice President of the Company.

JOHN E. HUNT, SR. has been a Director of the Company since its inception in July 1993. Since August 1983, Mr. Hunt has been Chairman of the Board of Hunt Insurance Group, Inc., an insurance agency holding company. For the previous 40 years, Mr. Hunt was President of John E. Hunt & Associates, a Tallahassee and Miami, Florida insurance agency. For the past 13 years, he has also been President of Insurance Consultants and Analysis, Inc., an insurance consulting firm. Mr. Hunt serves as Chairman of the Board of Trustees of the Florida Police Chiefs' Education and Research Foundation, Inc., and as a trustee of Florida Southern College. Mr. Hunt was a Director of Home Intensive Care, Inc. from 1985 until July 1993.

CHARLES J. SIMONS has been a Director of the Company since its inception in July 1993. Mr. Simons is the Vice Chairman of the Board of G.W. Plastics, Inc., a plastics manufacturer, and is an independent management and financial consultant. From 1940 to 1981, he was employed by Eastern Airlines, last serving as Vice Chairman, Executive Vice President and as a Director. Mr. Simons is a Director of Bessemer Trust of Florida, an investment management firm; Calspan Corporation, an aerospace company; Med/Waste, Inc., and Viragen, Inc., a pharmaceutical company; and a number of private companies. Mr. Simons is the Chairman of the Board of the Matthew Thornton Health Plan.

MARK D. WALLACE has been Secretary and a Director of the Company since the Company's inception in July 1993. Since July 1992, Mark Wallace has been a practicing attorney and is currently a partner at the law firm of Stack, Fernandez, Anderson, Harris & Wallace, P.A. Mr. Wallace is the son of Milton J. Wallace, Chairman of the Board of the Company.

JEFFREY H. WATSON has been a Director of the Company since July 1994. Since December 1995, he has been Chairman of the Board and President of J. Watson & Co., a government relations and business consulting firm. From June 1994 until December 1995, he was Vice President for Government Relations of the Jefferson Group, an independent public affairs firm. From January 1993 until June 1994, Mr. Watson served as Deputy Assistant for Inter-Governmental Affairs for the Clinton Administration. From December 1991 through November 1992, Mr. Watson was employed by the election campaign for President Clinton. From 1989 until November 1991, Mr. Watson served as Finance Administrator for the City of Miami, Florida's Department of Development and Housing Conservation. From 1986 until January 1989, he served as an Administrative Assistant for the Mayor of Miami, Florida. From September 1985 through March 1986, he was a Managing Partner and Chief Financial Manager of J. Howard Industries, a company involved in low-income housing redevelopment and construction.

38

BOARD OF DIRECTORS

The Company's Board of Directors is divided into three classes. The members of each class serve for staggered three year terms, including three Class I directors (Charles J. Simons, Jeffrey H. Watson and Eugene P. Conese, Sr.), three Class II directors (Mark D. Wallace, John E. Hunt, Sr. and James P. Shea) and three Class III directors (Milton J. Wallace, Arthur G. Shapiro and C. David Finch). Class II, III and I director terms expire upon the election of directors at the annual meeting of shareholders to be held in 1999, 2000 and 2001, respectively. Directors hold office until the expiration of their respective terms and until their successors are elected, or until death, resignation or removal. Each officer serves at the discretion of the Board of Directors, subject to certain contractual rights described below.

COMMITTEES OF THE BOARD OF DIRECTORS

The Board of Directors has established standing Executive, Audit and Compensation and Stock Option Committees. The Executive Committee consists of Milton J. Wallace, Arthur G. Shapiro and James P. Shea. When the Board of Directors is not in session, the Executive Committee possesses all of the powers of the Board. Although the Executive Committee has broad powers, in practice it meets infrequently to take formal action on a specific matter when it would be impractical to call a meeting of the full Board.

The Audit Committee consists of Charles J. Simons, Jeffrey H. Watson and Mark Wallace. The functions of the Audit Committee are to recommend to the Board the appointment of independent public accountants for the annual audit of the Company's financial statements; review the scope of the annual audit and other services the auditors are asked to perform; review the report on the Company's financial statements following the audit; review the accounting and financial policies of the Company; and review management's procedures and policies with respect to the Company's internal accounting controls.

The Compensation and Stock Option Committee consists of Eugene P. Conese, Sr., John E. Hunt, Sr. and Charles J. Simons. The functions of the Compensation and Stock Option Committee are to review and approve salaries, benefits and bonuses for all executive officers of the Company; to review and recommend to the Board matters relating to employee compensation and benefit plans; and to administer the Company's 1994 Employee Stock Option Plan.

DIRECTOR COMPENSATION

Directors who are officers or employees of the Company receive no additional compensation for their services as members of the Board of Directors. Commencing 1998, non-employee directors receive an annual retainer of $5,000 cash compensation for service on the Board of Directors and receive reimbursement of expenses. Non-employee directors also receive $500 for each Board or committee meeting attended. Non-employee directors also receive annual grants of options under the Directors Plan.

SECTION 16(a) BENEFICIAL OWNERSHIP REPORTING COMPLIANCE

The Company's officers and directors are required to file Forms 3, 4 and 5 with the Securities and Exchange Commission in accordance with Section 16(a) of the Securities and Exchange Act of 1934, as amended and the rules and regulations promulgated thereunder. Based solely on a review of such reports furnished to the Company as required by Rule 16(a)-3, no director failed to timely file such reports in 1998.

39

ITEM 11. EXECUTIVE COMPENSATION

SUMMARY COMPENSATION INFORMATION. The following table summarizes the compensation earned by, and paid to, the Company's President and Chief Executive Officer and each other executive officer for the two years ended December 31, 1997 and 1998 who received compensation in excess of $100,000 for any such periods (the "Named Executive Officers").

SUMMARY COMPENSATION TABLE

                                                                                                       Long Term
                                                                                                   Compensation Award
                                                                                                -------------------------
                                                                                                       Securities
                                                                              Other Annual             Underlying
    Name and Principal Position       Year     Salary (1)       Bonus         Compensation            Options (#)
------------------------------------ -------- -------------- ------------ --------------------- -------------------------
James P. Shea.....................    1998    $   205,200    $  190,000       $   12,540                 92,176
  President and CEO                   1997        128,465            --            8,630                 33,334

Orestes L. Lugo...................    1998        167,400       124,000       $   10,800                 25,235
  Vice President-Finance              1997        114,617            --            7,110                 26,667
  And CFO

Milton J. Wallace.................    1998         73,077       100,000       $    7,940                 54,255
  Chairman of the Board               1997             --            --               --                  1,667

Patsy L. Anders...................    1998         97,200        41,985       $    8,004                  8,000
  Vice President-                     1997         70,769         8,600            5,400                 20,000
  Business Development

Mignon B. Early...................    1998         93,846        38,000       $       --                  8,000
  Vice President-Operations           1997         77,580        12,000               --                 20,000


(1) The Company provides its officers with certain non-cash group life and health benefits generally available to all salaried employees. Such benefits are not included in the above table pursuant to applicable Securities and Exchange Commission rules. No Named Executive Officer received aggregate personal benefits or perquisites that exceed the lesser of $50,000 or 10% of his total annual salary and bonus for such year.

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STOCK OPTION GRANTS. The following table sets forth information concerning grants of stock options to each of the Named Executive Officers during the year ended December 31, 1998:

OPTIONS GRANTED IN LAST FISCAL YEAR

                                                    Individual Grants
                        ---------------------------------------------------------------------------
                                                                                                          Potential Realizable
                                                                                                            Value at Assumed
                                                                                                             Annual Rate of
                              Number of          % of Total Options                                     Stock Price Appreciation
                              Secruities             Granted to         Exercise or                       for Option Term ($)(5)
                          Underlying Optiions    Employees in Fiacl     Base Price     Expiration       ---------------------------
         Name                Granted(#)(1)            Year (4)           ($/Share)        Date            5%           10%
-----------------------     ---------------------- ---------------------- -------------- -------------- ------------- -------------
James P. Shea.........         16,176                       5%            $  7.19       2/25/00     $  12,000     $  24,400
                               16,000                       5%               6.00       4/22/03        26,600        58,600
                               60,000                    18.6%               5.63       12/4/03        93,600       206,400
                               ------                  -------
                               92,176(2)                 28.6%
                               ======                  =======

Orestes L. Lugo.......         13,235                     4.1%            $  7.19       2/25/00     $   9,800     $  20,000
                               12,000                     3.7%               6.00       4/22/03        19,900        43,900
                               ------                  -------
                               25,235(2)                  7.8%
                               ======                  =======

Milton J. Wallace.....         12,255                     3.8%            $  7.19       2/25/00     $   9,100     $  18,500
                               12,000                     3.7%               6.00       4/22/03        19,900        43,900
                               30,000                     9.3%               5.63       12/4/03        46,800       103,200
                               ------                  -------
                               54,255(2)                 16.8%
                               ======                  =======

Patsy L. Anders.......          8,000(3)                  2.5%            $  6.00       4/22/03     $  13,300     $  29,300
                                =====                  =======

Mignon B. Early.......          8,000(3)                  2.5%            $  6.00       4/22/03     $  13,300     $  29,300
                                =====                  =======


(1) All such options were granted pursuant to the 1994 Employee Stock Option Plan.
(2) Options vest 100% immediately but are not exercisable for six months following grant.
(3) Options vest over three years, with 25% of such options vesting six months following the date of grant, 25% on the first anniversary from the date of grant and 25% at the end of each succeeding year from the grant date.
(4) Based on an aggregate of 321,931 options granted to employees in 1998, including the Named Executive Officers.
(5) The 5% and 10% assumed rates of appreciation are mandated by the rules of the Securities and Exchange Commission and do not represent the Company's estimate or projection of the future Common Stock price.

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YEAR-END OPTION HOLDINGS. The following table sets forth certain aggregated option information for the Named Executive Officers for the year ended December 31, 1998:

AGGREGATED OPTION EXERCISES IN LAST FISCAL YEAR
AND FISCAL YEAR END OPTION VALUES

                                       NUMBER OF SECURITIES                         VALUE OF UNEXERCISED
                                            UNDERLYING                                  IN-THE-MONEY
                                      UNEXERCISED OPTIONS(#)                             OPTIONS(2)
                                 --------------------------------------- ---------------------------------------
NAME(1)                          EXERCISABLE           UNEXERCISABLE          EXERCISABLE          UNEXERCISABLE
-------                          -----------           -------------          -----------          -------------
James P. Shea............          98,845                  60,000              $   62,600            $   97,200
Orestes L. Lugo..........          71,903                      --                  40,800                    --
Milton J. Wallace........          45,091                  30,000                  39,700                48,600
Patsy L. Anders..........          29,500                  18,500                  24,400                10,600
Mignon B. Early..........          19,084                  17,250                  11,400                 9,100


(1) No options were exercised by the above Named Executive Officers during the fiscal year ended December 31, 1998.

(2) The value of unexercised options represents the difference between the exercise price of the options and the closing sales price of the Company's Common Stock on December 31, 1998 of $7.25 as reported by NASDAQ/NMS.

EMPLOYMENT AGREEMENTS

In April 1997, the Company entered into two year employment agreements with James P. Shea, the Company's President and Chief Executive Officer, and Orestes L. Lugo, Vice President - Finance and Chief Financial Officer. The terms of these agreements were amended to five years for Mr. Shea and three years for Mr. Lugo. In January 1998, the Company entered into a five year employment agreement with Milton J. Wallace, the Company's Chairman of the Board. The employment agreements provide for base salaries of $190,000, $155,000 and $100,000 for Messrs. Shea, Lugo and Wallace, respectively. Mr. Wallace's base salary commenced April 1998. Base salary for each officer is increased on each anniversary date of each agreement during the term by a minimum of 6%. Each officer receives an automobile allowance and certain other non-cash benefits, including life, health and disability insurance. The employment agreements for Messrs. Wallace and Shea are automatically renewed for five years at the end of the initial term and each extended term, unless either party provides notice of termination at least 180 days prior to the expiration of such term. Mr. Lugo's employment agreement is automatically renewed for three years at the end of the initial term and each extended term, unless either party provides notice of termination at least 120 days prior to the expiration of such term.

Messrs. Shea, Lugo and Wallace are entitled to receive bonuses in each fiscal year during the term of their agreements. Such agreements require the Board of Directors to establish incentive bonus plans for each fiscal year which would provide a means for each officer to earn a bonus upon the achievement of established goals and criteria.

The respective employment agreements grant to each of Messrs. Shea, Lugo and Wallace the right to terminate his employment agreement within eighteen months following a "change of control," and to receive an amount equal to the greater of: (i) base salary due for the remainder of the term of the agreement and three times the bonus amount paid in the last 12 months had it not been terminated; or
(ii) $500,000. Such change of control severance is payable 100% in cash on the effective date of such termination. If Messrs. Shea, Lugo or Wallace is terminated without cause during the term of their respective agreements, such officer will be entitled to the same severance mentioned above for a "change of control".

In April 1997, the Company entered into a two year employment agreement with Patsy L. Anders, Vice President - Business Development. The agreement currently provides for a base salary of $90,000 per year. Base salary is increased on the anniversary of each year during the term by a minimum of 6%. Ms. Anders receives an automobile allowance and certain other non-cash benefits, including life, health and disability insurance. Ms. Anders, upon the achievement of established goals and criteria, is entitled to receive a bonus in each fiscal year during the term of the agreement. Such agreement requires the Board of Directors to establish an incentive bonus plan for each fiscal year. Her employment agreement is automatically renewed for two years at the end of the initial term and each extended term, unless either party provides written notice of termination at least 120 days prior to the expiration of such term.

If Ms. Anders is terminated without a cause prior to a "change of control," she will be entitled to severance equal to the greater of the remaining base salary due under the agreement or one year's base salary. If Ms. Anders is terminated without cause following a "change of control," she will be entitled to severance equal to the greater of (i) two times the remaining base salary which would have

42

been paid for the remainder of the term of the agreement or (ii) two times the sum of one year's base salary then in effect, and any and all bonuses paid to Ms. Anders in the eighteen months prior to the effective date of termination. Ms. Anders' employment agreement grants her the right to terminate the agreement within 180 days following a "change of control," and entitles her to the same severance as mentioned above under termination without a cause following a "change of control." Such "change of control" severance is payable 50% in cash on the effective date of such termination, with the balance payable over a twelve month period.

In March 1997, the Company entered into a three year employment agreement with Mignon B. Early, Vice President - Operations. The agreement provides for a base salary of $80,000 and certain other non-cash benefits, including life, health and disability insurance. Ms. Early is entitled to receive a bonus in each fiscal year during the term of her agreement. Such agreement requires the Board or Directors to establish an incentive bonus plan for each fiscal year which would provide a means for her to earn a bonus up to 50% of her respective base salary upon the achievement of established goals and criteria.

If Ms. Early is terminated without cause prior to a "change of control," she will be entitled to severance equal to the base salary accrued through the effective date of termination and six months base salary. If Ms. Early is terminated without cause following a "change of control," she will be entitled to severance equal to all accrued base salary through the date of termination and one year's base salary. In April 1998, Ms. Early's base annual salary was increased to $100,000.

For the purposes of the employment agreements, "change of control" is defined as: (i) the acquisition, other than from the Company directly, by any person, entity or group, within the meaning of ss. 13(d) or 14(d) of the Securities Exchange Act of 1934 (the "Exchange Act"), of beneficial ownership of 25% or more of the outstanding Common Stock; (ii) if the individuals who serve on the Board as of the date of the employment agreement, no longer constitute a majority of the members of the Board; provided, however, any person who becomes a director subsequent to such date, who was elected to fill a vacancy by a majority of the individuals then serving on the Board, shall be considered as if a member prior to such date; (iii) approval by a majority of the voting stock of the Company of a merger, reorganization or consolidation whereby the shareholders of the Company immediately prior to such approval do not, immediately after consummation of such reorganization, merger or consolidation own more than 50% of the voting stock of the surviving entity; or (iv) a liquidation or dissolution of the Company, or the sale of all or substantially all of the Company's assets.

STOCK OPTION PLANS

EMPLOYEE PLAN

The Company maintains a 1994 Employee Stock Option Plan ("Employee Plan"). The Employee Plan is designed as an incentive program to cause employees to increase their interest in the Company's performance and to attract and retain qualified personnel. Subject to certain anti-dilution provisions, the Employee Plan consists of 1,000,000 shares of Common Stock reserved for issuance upon the exercise of options which may be granted, including 619,376 shares subject to outstanding options as of December 31, 1998.

The Employee Plan is administered by the Compensation and Stock Option Committee. The Compensation and Stock Option Committee has the discretion, among other things, as to whom to grant options, the amount of options, the terms of options and the exercise prices. All employees of the Company are eligible to receive options under the Employee Plan. Such employees are eligible to receive either "incentive" or "nonqualified" stock options, subject to the limitations of the Internal Revenue Code of 1986, as amended (the "Code"). The exercise price of an incentive stock option may not be less than 100% of the market price of the underlying Common Stock as of the date of grant. No option may be granted which has a term longer than 10 years. Stock options may have vesting requirements as established by the Compensation and Stock Option Committee, but, except in the case of an employee's death or permanent disability, in no event may the options be exercisable until six months after grant. All unvested options under the Employee Plan become immediately vested in full upon a change of control of the Company, as such term is defined in the Employee Plan.

Upon termination of an optionee's employment with the Company for any reason, all options granted to such employee under the Employee Plan would terminate immediately, except that the Compensation and Stock Option Committee has the discretion to permit such holder to exercise vested options for a period of 90 days after termination. Options granted under the Employee Plan may not be transferred and are not exercisable except by the employee.

The Employee Plan provides for the automatic grant of "reload" options to an employee, who pays all, or a portion of, an exercise price by delivery of shares of Common Stock then owned by such employee. Reload options are granted for each share of Common Stock so tendered. The exercise price of such reload option is the then fair market value of the Common Stock. All other terms of the

43

reload options would be identical to the original options; provided, however, that if the expiration date is less than one year, the expiration date is extended to one year from the date of issuance of the reload options.

As of December 31, 1998, options to purchase a total of 619,376 shares of Common Stock, with a weighted average exercise price of $6.51 have been granted to executive officers and other employees of the Company. Each option granted has a term of five years. Options granted to Messrs. Shea, Lugo and Wallace are vested 100%. For all other officers and employees, options vest 25% at the end of six months and 25% on each anniversary of such grant until 100% are vested. Options are not exercisable until six months after the date of grant.

DIRECTORS PLAN

The Company maintains a Directors Stock Option Plan (the "Directors Plan"). Subject to certain anti-dilution provisions in the Plan, there are 166,667 shares of Common Stock reserved for issuance upon the exercise of options which may be granted pursuant to the Directors Plan, including 43,366 shares subject to outstanding options. All non-employee directors are eligible to receive grants of options ("Eligible Directors"). Each Eligible Director receives automatic, non-discretionary grants of options based upon specific criteria set forth in the Directors Plan. Prior to October 1998, on April 27 of each year, each Eligible Director received non-qualified options to purchase 834 shares of Common Stock for service on the Board of Directors and additional options to purchase 334 shares for service on each committee of the Board, other than the Executive Committee, for which members would receive options to purchase 834 shares. Also, additional options to purchase 334 shares are granted to Eligible Directors who serve as a chairman of each standing committee of the Board, other than the chairman of the Executive Committee, who would receive options to purchase 834 shares. In October 1998, the Board of Directors authorized an amendment to the Director Plan providing for a special grant of options based on the formula of annual grants on October 1, 1998. In addition, commencing April 27, 1999, annual option grants are double the amount of options granted in April 1998. The amendment to the Director Plan is subject to stockholder approval.

The exercise price of each option granted under the Directors Plan is equal to the fair market value of the Common Stock on the date of grant as determined in accordance with the provisions of the Directors Plan. All options granted have a term of five years, but, except in the case of an Eligible Director's death or permanent disability, are not exercisable until six months after the date of grant. No option is transferable by the Eligible Director, except by the laws of descent and distribution. If the Eligible Director's membership on the Board terminates, including by reason of death, such options are exercisable for the lesser of the remaining term of such option, or one year.

The Directors Plan provides for the automatic grant of "reload" options to an Eligible Director, who pays all, or a portion of, an exercise price by delivery of shares of Common Stock then owned by such Eligible Director. Reload options are granted for each share of Common Stock so tendered. The exercise price of such reload option is the then fair market value of the Common Stock. All other terms of the reload options, including the expiration date, would be identical to the original options, provided, however, that if the expiration date is less than one year, the expiration date is extended to one year from the date of issuance of the reload options.

As of December 31, 1998, options to purchase 43,366 shares of Common Stock, with a weighted average exercise price of $6.37 per share, have been automatically granted to Eligible Directors as a group and remain outstanding.

401(k) PLAN

As of January 1997, the Company adopted a tax-qualified employee savings and retirement plan (the "401(k) Plan") covering the Company's employees. Pursuant to the 401(k) Plan, eligible employees may elect to contribute to the 401(k) Plan up to the lesser of 15% of their annual compensation or the statutorily prescribed annual limit ($10,000 in 1998). The Company matches 25% of the contributions of employees up to 4% of each employee's salary. All employees who attain at least one year's service are eligible to participate in the 401(k) Plan.

The Trustees of the 401(k) Plan, at the direction of each participant, invest the assets of the 401(k) Plan in designated investment options. The
401(k) Plan is intended to qualify under Section 401 of the Code, so that contributions to the 401(k) Plan, and income earned on the 401(k) Plan contributions are not taxable until withdrawn. Matching contributions by the Company are deductible when made.

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COMPENSATION COMMITTEE INTERLOCKS AND INSIDER PARTICIPATION

None of the members of the Company's Compensation and Stock Option Committee is or has been an officer or employee of the Company.

ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT

The following table sets forth certain information as of December 31, 1998, with respect to the beneficial ownership of the Company's Common Stock by: (i) each person who is known by the Company to own more than 5% of such shares of Common Stock; (ii) each Named Executive Officer; (iii) each of the Company's directors; and (iv) all directors and executive officers as a group.

                                                    NUMBER OF SHARES        PERCENT OF SHARES
NAME AND ADDRESS OF BENEFICIAL OWNER(1)           BENEFICIALLY OWNED(2)   BENEFICIALLY OWNED(3)
---------------------------------------           ---------------------   ---------------------
Milton J. Wallace(4)........................              769,813                    10.3%
Arthur G. Shapiro, M.D.(5)..................              759,838                    10.2
James P. Shea(6)............................              283,445                     3.7
C. David Finch, M.D.(7).....................              198,197                     2.7
Orestes L. Lugo(8)..........................              113,554                     1.5
John E. Hunt, Sr.(9)........................               82,155                     1.1
Charles J. Simons(10).......................               56,041                     *
Patsy L. Anders (11)........................               43,317                     *
Eugene P. Conese, Sr.(12)...................               28,836                     *
Mignon B. Early (13)........................               20,284                     *
Mark D. Wallace(14).........................               16,170                     *
Jeffrey H. Watson(15).......................                8,170                     *
William C. Morris(16).......................              662,400                     8.9%
J. & W. Seligman & Co., Inc.(17)............              662,400                     8.9%
All executive officers and directors as group
  (13 persons)(18)..........................            2,477,034                    31.5%


* Less than one percent.

(1) Unless otherwise indicated, the address for each beneficial owner is c/o the Company at 201 Alhambra Circle, Suite 800, Coral Gables, Florida 33134.
(2) Except as set forth herein, all securities are directly owned and the sole investment and voting power are held by the person named. A person is deemed to be the beneficial owner of securities that can be acquired by such person within 60 days of December 31, 1998 upon the exercise of options or warrants.
(3) Based upon 7,422,966 shares of Common Stock issued and outstanding as of December 31, 1998. Each beneficial owner's percentage is determined by assuming that all such exercisable options or warrants that are held by such person (but not those held by any other person) have been exercised. (4) Mr. Wallace's address is 1200 Brickell Avenue, Suite 1720, Miami, Florida 33131. Except as set forth herein, all shares of Common Stock are owned jointly by Mr. Wallace and his wife. Includes: (i) 12,000 shares of Common Stock owned by Milton J. Wallace and his wife as custodian for a minor child; (ii) 35,600 shares of Common Stock owned by Mr. Wallace's Individual Retirement Account; (iii) 106,122 shares of Common Stock (including 8,655 of Common Stock issuable upon exercise of warrants and Series B Warrants) owned by a corporation, of which Mr. Wallace is an officer, director and controlling stockholder, (iv) 45,091 shares of Common Stock issuable upon exercise of stock options; and (v) 15,000 shares of Common Stock issuable upon exercise of Series B Warrants owned by his Individual Retirement Account.
(5) Except as set forth herein, all shares of Common Stock are owned jointly by Dr. Shapiro and his wife. Includes: (i) 17,234 shares of Common Stock owned by Dr. Shapiro's Individual Retirement Account; (ii) 28,376 shares of Common Stock issuable upon exercise of stock options; (iii) 106,042 shares of Common Stock (including 8,575 shares of Common Stock issuable upon exercise of warrants and Series B Warrants) owned by a corporation, of which Dr. Shapiro is an officer and director; (iv) 3,750 shares of Common Stock issuable upon exercise of Series B Warrants owned by Dr. Shapiro's Individual Retirement Account, and (v) 3,750 shares of common stock issued upon exercise of Series B Warrants.
(6) Except as set forth herein all shares of Common Stock and all warrants are owned jointly by Mr. Shea and his wife. Includes: (i) 98,845 shares of Common Stock issuable upon exercise of stock options; (ii) 33,334 shares of Common Stock issuable upon exercise of warrants; and (iii) 15,000 shares of Common Stock issuable upon exercise of Series B Warrants.
(7) Includes 6,000 shares of Common Stock issuable upon exercise of stock options.

45

(8) Includes: (i) 71,903 shares of Common Stock issuable upon exercise of stock options; (ii) 3,334 shares of Common Stock issuable upon exercise of warrants; and (iii) 3,750 shares of Common Stock issuable upon exercise of Series B Warrants.
(9) Includes: (i) 4,837 shares of Common Stock issuable upon exercise of stock options; (ii) 6,667 shares of Common Stock issuable upon exercise of warrants; (iii) 11,667 shares of Common Stock owned by Mr. Hunt's spouse; (iv) 1,667 shares of Common Stock issuable upon exercise of warrants owned by his spouse; and (v) 3,750 shares of Common Stock issuable upon exercise of Series B Warrants. Mr. Hunt disclaims beneficial ownership of the shares owned by his spouse.
(10) Includes: (i) 6,838 shares of Common Stock issuable upon exercise of stock options; (ii) 1,667 shares of Common Stock issuable upon exercise of warrants; and (iii) 7,500 shares of Common Stock issuable upon exercise of Series B Warrants.
(11) Includes 29,500 shares of Common Stock issuable upon exercise of stock options.
(12) Includes: (i) 3,836 shares of Common Stock issuable upon exercise of stock options; and (ii) 5,000 shares of Common Stock issuable upon exercise of warrants.
(13) Includes 19,084 shares of Common Stock issuable upon exercise of stock options.
(14) Includes 4,170 shares of Common Stock issuable upon exercise of stock options.
(15) Includes 5,170 shares of Common Stock issuable upon exercise of stock options. (16) Mr. Morris' address is 100 Park Avenue, New York, NY 10017. Mr. Morris is a principal of J. & W. Seligman & Co., Inc. ("JWS"), an investment advisor. The shares above include 662,400 shares beneficially owned by JWS, which also includes 364,000 shares owned by Seligman Frontier Fund, Inc. (the "Fund"), an investment company under the Investment Company Act of 1940. JWS is an investment advisor to the Fund. (17) JWS' address is 100 Park Avenue, New York, NY 10017. Includes 364,000 shares owned by the Fund, to which JWS is an investment advisor.
(18) Includes: (i) 325,650 shares of Common Stock issuable upon exercise of options; (ii) 65,002 shares of Common Stock issuable upon exercise of warrants; and (iii) 56,396 shares of Common Stock issuable upon exercise of Series B Warrants.

ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS

JCD Partnership, a real estate holding and property management firm, of which C. David Finch, M.D., Jeffery Finch and Charles D. Finch, Sr. are the principals, owns the real property and improvements at the Company's dialysis facilities at Jackson, Mississippi and Delta, Louisiana. JCD Partnership leases the properties to the Company pursuant to ten year leases, in which the Company pays annual rent of $92,400 and $82,500, respectively. The Company paid $427,000 and $175,000 to JCD Partnership in connection with the leasehold improvements at each facility for the years ended December 31, 1996 and 1997, respectively.

C. David Finch, M.D. owed DFI approximately $85,000 at the time of DFI's acquisition by the Company evidenced by a note. The notes, with interest at the rate of 8% per annum, is payable upon demand by the Company. As of December 31, 1997 and 1998, approximately $85,000 in principal remained unpaid, together with accrued interest of $13,600 and $20,700 as of such dates, respectively.

Milton J. Wallace, Chairman of the Board of Directors of the Company, is a shareholder of the law firm of Wallace, Bauman, Legon, Fodiman & Shannon, P.A. The law firm serves as general counsel to the Company for which the firm received $102,000 during 1998.

46

ITEM 14. EXHIBITS, FINANCIAL SCHEDULES AND REPORTS ON FORM 8-K

(a) Exhibits furnished as part of this report:

(1) Financial Statements. The financial statements required are included in PART II, Item 8.

(b) Report on Form 8K - None.

(c) Exhibits - The following exhibits as required by Item 601 of Regulation S-K are filed herewith.

EXHIBIT
NUMBER                                    DESCRIPTION
-------                                   -----------
  *3.1       --       Articles of Incorporation of the Company
  *3.2       --       By-Laws of the Company
  *4.1       --       Specimen Certificate of Common Stock
  10.1       --       Amended and Restated Employment Agreement dated June 30, 1998
                      by and between Renex Corp. and James P. Shea
  10.2       --       Amended and Restated Employment Agreement dated June 30, 1998
                      by and between Renex Corp. and Orestes L. Lugo
  10.3       --       Credit Agreement by and between NationsBank, N.A. as of April
                      30, 1998
 *10.4       --       Directors Stock Option Plan
 *10.5       --       1994 Employee Stock Option Plan
 *10.6       --       Master Lease Agreement by and between Renex Corp. and
                      Morcroft Leasing Corp. as of January 1, 1994
 *10.7       --       Lease Agreement by and between JCD Partnership and Renex
                      Dialysis Facilities, Inc. dated December 29, 1995 for certain
                      property located in Jackson, Mississippi
 *10.8       --       Lease Contract and Agreement by and between JCD Partnership
                      and Renex Dialysis Facilities, Inc. dated December 29, 1995 for
                      certain property located in Jackson, Mississippi
 *10.9       --       Lease Contract and Agreement by and between JCD Partnership
                      and Renex Dialysis Facilities, Inc. dated December 29, 1995 for
                      certain property located in Delta, Louisiana
  10.10      --       Employment Agreement dated January 1, 1998 by and between
                      Renex Corp. and Milton J. Wallace
  10.11      --       Employment Agreement dated March 1, 1997 by and between
                      Renex Corp. and Mignon Early
  10.12      --       Employment Agreement dated April 22, 1997 by and between
                      Patsy L. Anders
  21.1       --       Subsidiaries of the Company
  27.1       --       Financial Data Schedule (for SEC use only)


*Incorporated by reference to the Company's Registration Statement on Form S-1 File No. 333-32611.

(d) Financial Statement Schedules - The following financial statement schedules required by Regulation S-X are herewith filed as follows.

47

SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on behalf of the undersigned, thereunto duly authorized.

RENEX CORP.

Date: MARCH 29, 1999                By: /s/ James P. Shea
                                        ---------------------------------------
                                           James P. Shea
                                           PRESIDENT AND CHIEF EXECUTIVE OFFICER

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant and in the capacities and on the dates indicates.

        SIGNATURE                                  TITLE                          DATE
        ---------                                  -----                          ----
  /s/ MILTON J. WALLACE              Chairman of the Board                   March 29, 1999
-----------------------------         Of Directors
    Milton J. Wallace

/s/ ARTHUR G. SHAPIRO, M.D.           Vice Chairman of the Board             March 29, 1999
-----------------------------         Director of Medical Affairs
 Arthur G. Shapiro, M.D.

    /s/ JAMES P. SHEA                President/CEO, Director                 March 29, 1999
-----------------------------
      James P. Shea

   /s/ MARK D. WALLACE               Director/Secretary                      March 29, 1999
-----------------------------
     Mark D. Wallace

/s/ EUGENE P. CONESE, SR.            Director                                March 29, 1999
-----------------------------
  Eugene P. Conese, Sr.

 /s/ C. DAVID FINCH, M.D.            Director                                March 29, 1999
-----------------------------
   C. David Finch, M.D.

  /s/ JOHN E. HUNT, SR.              Director                                March 29, 1999
-----------------------------
    John E. Hunt, Sr.

  /s/ JEFFREY H. WATSON              Director                                March 29, 1999
-----------------------------
    Jeffrey H. Watson

  /s/ CHARLES J. SIMONS              Director                                March 29, 1999
-----------------------------
    Charles J. Simons

   /s/ ORESTES L. LUGO               Vice President/Chief                    March 29, 1999
-----------------------------         Financial and Principal
     Orestes L. Lugo                  Accounting Officer

48

EXHIBIT 10.1

AMENDED AND RESTATED
EMPLOYMENT AGREEMENT

THIS AMENDED AND RESTATED EMPLOYMENT AGREEMENT (the "Agreement") entered into as of the 30th day of June, 1998 by and between RENEX CORP., a Florida corporation ("Company"), and JAMES P. SHEA ("SHEA").

R E C I T A L S:

A. The Company is a provider of kidney dialysis treatments in various parts of the United States to individuals suffering from end stage renal disease (the "Business"); and

B. SHEA has been in the continuous employ of the Company since August 1993 as its President/Chief Executive Officer; and

C. The Company and Shea entered into an Employment Agreement dated April 21, 1997 (the "Employment Agreement");

D. The Company desires to continue to employ SHEA as the Company's President/Chief Executive Officer and SHEA desires to continue to be employed by the Company in such position on the terms and conditions provided herein; and

E. The Company believes that it is in the best interest of the Company to assure Shea of a secure minimum compensation and to diminish the inevitable distraction of SHEA that may result in the event of the possibility, threat or occurrence of a change of control, by providing for certain compensation arrangements upon a change of control; and

F. The parties desire to amend the Employment Agreement on the terms hereof and to restate the Employment Agreement, in its entirety herein.

NOW THEREFORE, in consideration of the mutual promises and covenants contained in this Agreement and such other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows:

1. RECITATIONS. The above recitations are true and correct and are incorporated herein by this reference.

2. EMPLOYMENT.

2.1. POSITION OF EMPLOYMENT. The Company hereby continues the employment of SHEA as its President/Chief Executive Officer upon all of the terms and conditions hereinafter set forth. SHEA shall perform such duties as are usually performed by a President/Chief Executive Officer of a business similar in scope as the Business and such other reasonable additional duties as may be prescribed from time to time by the Company's Board of Directors, taking into account SHEA's education, experience and job responsibilities. SHEA shall report directly to the Board of Directors. All actions shall be subject and subordinate to review and


approval by the Board of Directors and any and all committees of the Board of Directors. The precise responsibilities of SHEA may be modified from time to time in accordance with reasonable policy established by the Board of Directors of the Company consistent with SHEA's qualifications and experience.

2.2. BOARD MEMBERSHIP. During the term of this Agreement, the Company shall use its best efforts to nominate and cause the election of SHEA to the Company's Board of Directors.

2.3. DEVOTION OF TIME. During the term of SHEA's employment, SHEA shall devote his full business time, ability and attention to the business affairs of the Company. SHEA agrees to use his best efforts to perform faithfully and efficiently such responsibilities. SHEA shall be permitted to (i) serve on corporate, civic or charitable boards or committees; and (ii) deliver lectures, fulfill speaking engagements or teach at educational institutions. All income received from such other endeavors shall be for the exclusive benefit of SHEA and the Company shall have no interest therein.

2.4. WORKING FACILITIES. During the term of this Agreement, the Company shall furnish, at SHEA's principal place of employment, an office, furnishings, secretary and such other facilities commensurate and suitable to his position and adequate for the performance of his duties hereunder.

2.5. LOCATION OF EMPLOYMENT. Unless otherwise agreed to by SHEA, SHEA's principal place of business shall be within Dade or Broward Counties, Florida.

3. TERM OF EMPLOYMENT

3.1. TERM OF EMPLOYMENT. The term of this Agreement shall be effective as of April 21, 1997 (the "Commencement Date") and shall end five
(5) years thereafter, subject to earlier termination or extension as otherwise set forth in this Agreement.

3.2. AUTOMATIC EXTENSION. This Agreement shall be automatically extended for successive five (5) year periods at the end of the initial or any extended term, unless either party provides written notice of termination to the other party at least 180 days prior to the expiration of the initial or extended term respectively.

3.3. TERMINATION OF EMPLOYMENT BY THE COMPANY FOR CAUSE. The Company may terminate SHEA's employment upon fifteen (15) days written notice for the reasons set forth in Section 3.3.1 below, if such default is not cured within such notice period, or such additional time as is reasonably necessary to cure such default if SHEA is using diligent efforts to cure such default. The Company shall be entitled to terminate SHEA's employment without notice or an opportunity to cure for the reasons set forth in Section 3.3.2 herein.

3.3.1. NOTICE. Notice or an opportunity to cure shall be required for the following reasons:

(a) A default or breach by SHEA of any of the material provisions of this Agreement detrimental to the Company;

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(b) refusal to follow reasonable and lawful directives of the Company's Board of Directors or any committee thereof which are consistent with SHEA's duties and responsibility outlined in this Agreement; or

3.3.2. NO NOTICE. No notice or an opportunity to cure shall be required for the following:

(a) actions by SHEA constituting fraud, embezzlement or dishonesty;

(b) the deliberate and knowing breach by SHEA of the Company's internal financial controls;

(c) SHEA furnishing false, misleading, or omissive information or omitting to furnish material information to the Company's Board of Directors, or any committee thereof, in the reasonable judgment of the Board of Directors;

(d) any action by SHEA which constitutes a breach of the confidentiality of the Business and/or trade secrets of the Company;

(e) SHEA's gross negligence in the performance of his duties as outlined in this Agreement;

(f) any violation of federal or state law by SHEA which have a material detrimental impact on the Company;

(g) at such time as SHEA shall have failed, by reason of mental or physical disability or illness ("Disability" as hereinafter defined), to perform his services pursuant to this Agreement for a period of one hundred eighty (180) days. Disability shall be defined to mean the inability of SHEA to perform his duties under this Agreement, based on injury, illness or physical or mental conditions as determined by the Company's Board of Directors, which determination must be supported by two licensed physicians, one of each selected by the Company and SHEA; provided, however, if the Company maintains a policy insuring against the disability of SHEA, Disability shall have the meaning ascribed in such policy. Upon the Board's initial determination of disability, SHEA will submit to mental and physical examinations which shall be paid by the Company, unless otherwise covered by health benefits provided by the Company to SHEA. The failure of SHEA to submit to such reasonable examinations within fifteen (15) days of such request shall be conclusive that such Disability exists.

3.3.3. NO ADDITIONAL COMPENSATION. Upon termination for the reasons set forth in Section 3.3 herein, the Company shall not be liable for any further compensation or benefits following the date of termination, other than accrued Base Salary. Notwithstanding, SHEA shall be entitled to receive all appropriate benefits mandated by the Consolidated Budget Reconciliation Act of 1985 ("COBRA").

3.4. TERMINATION BY SHEA. SHEA may terminate this Agreement upon thirty (30) days written notice, upon the occurrence of a material default of this Agreement by the Company, which default is not cured within the thirty (30) day notice period. Such notice shall set forth with particularity the facts underlying the claimed default. If SHEA terminates this Agreement under this Section 3.4, SHEA shall be entitled to the Severance Payment as provided in Section 4.6.

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3.5. TERMINATION WITHOUT CAUSE. The Company shall have the right to terminate this Agreement without Cause on thirty (30) days written notice, subject to payment by the Company of the Severance Payment described in
Section 4.6 herein. Notwithstanding anything herein to the contrary, in the event that SHEA's employment is terminated in accordance with this Section 3.5, SHEA's rights under any and all employee stock option programs or individual stock option arrangements shall remain in effect and provide to SHEA the ability to exercise any and all stock options vested as of the date of termination through the remainder of the terms of such options, which termination dates shall not be accelerated based on the termination of employment.

3.6. TERMINATION UPON DEATH. This Agreement shall be terminated immediately upon the death of SHEA. Within thirty (30) days following such termination, the Company shall pay to SHEA's estate: (i) all accrued Base Salary and bonuses; and (ii) a sum equal to six (6) months' Base Salary. In addition, upon the determination of bonuses for the fiscal year in which SHEA died, the Company shall pay to SHEA's estate, a prorated bonus based on the number of days SHEA provided services hereunder during the year of his death.

3.7. TERMINATION BY SHEA UPON CHANGE OF CONTROL. SHEA may terminate this Agreement upon thirty (30) days written notice at any time within eighteen (18) months after the occurrence of a "Change of Control." Upon such termination, SHEA shall be entitled to the Severance Payment set forth in
Section 4.6 below. Notwithstanding anything herein to the contrary, in the event that SHEA's employment is terminated in accordance with this Section 3.7, SHEA's rights under any and all employee stock option programs or individual stock option arrangements shall remain in effect and provide to SHEA the ability to exercise any and all stock options vested as of the date of termination through the remainder of the terms of such options, which termination dates shall not be accelerated based on the termination of employment.

3.8. DEFINITION OF CHANGE OF CONTROL. Change of Control is defined for the purposes of this Agreement as any of the following acts:

3.8.1. The acquisition by any person, entity or "group" within the meaning of Section 13(d) or 14(d) of the Securities Exchange Act of 1934 (the "Exchange Act") of beneficial ownership (within the meaning of Rule 13d-3 promulgated under the Exchange Act) of twenty-five (25%) percent or more of either the then outstanding shares of the Company's common stock or the combined voting power of the Company's then outstanding voting securities entitled to vote generally in the election of directors. Notwithstanding, any purchase by underwriters pursuant to a firm commitment underwriting shall not constitute a Change of Control; or

3.8.2. If the individuals who serve on the Company Board of Directors as of the Commencement Date (the "Incumbent Board") cease for any reason to constitute at least a majority of the Board of Directors; provided, however, that any person who becomes a director subsequent to the Commencement Date whose election or nomination for election by the Company's shareholders was approved by a vote of at least a majority of the directors then compiling the Incumbent Board shall be for purposes of this Agreement considered as if such person was a member of the Incumbent Board; or

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3.8.3. Approval by the Company's stockholders of
(i) a merger, reorganization or consolidation whereby the Company's shareholders immediately prior to such approval do not, immediately after consummation of such reorganization, merger or consolidation own more than 50% of the combined voting power entitled to vote generally in the election of directors of the surviving entity's then outstanding voting securities; or (ii) liquidation or dissolution of the Company; or (iii) the sale of all or substantially all of the assets of the Company.

4. COMPENSATION AND BENEFITS

4.1. SALARY. Subject to the provisions of Section 4.2 herein, the Company shall pay to SHEA, a base salary at a total annual rate of $190,000 (the "Base Salary") payable in cash. Base Salary shall be paid in regular payroll intervals consistent with payroll policy established by the Company from time to time.

4.2. COST OF LIVING INCREASE. On each anniversary date of the Commencement Date during the term hereof or any extension, Base Salary shall be increased by the greater of (i) six (6%) percent of then existing Base Salary, or (ii) the percentage increase, if any, of the consumer price index for Urban Wage Earners and Clerical Workers (Greater Metropolitan Miami area; all items) issued by the Bureau of Labor Statistics of the U.S. Department of Labor. The Company's Board of Directors shall have the discretion to grant increases in Base Salary in excess of the amounts provided herein.

4.3. BONUS. Prior to the commencement of each fiscal year, the Board of Directors or its compensation committee, if any, shall establish in good faith a reasonable and justifiable incentive bonus plan for SHEA for such fiscal year. The incentive bonus plan shall provide SHEA the ability to earn a bonus based upon certain goals and objectives to be established in such incentive bonus plan. Such bonus, if any, shall be payable within thirty (30) days following the completion of the Company's audit for such fiscal year by its independent auditors.

4.4. STOCK OPTIONS. SHEA shall be eligible from time to time to receive grants of stock options, under stock option plans or otherwise, in such amounts and at such times as determined by the Board of Directors or any committee thereof. All options granted to SHEA shall:

(a) have a minimum term of five (5) years within which to exercise such options;

(b) have a vesting schedule of no worse than twenty-five (25%) percent as of the date of grant and twenty-five (25%) on each anniversary date of such grant thereafter;

(c) vesting shall be accelerated upon a change of control of the Company;

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(d) have an exercise price no greater than the market price of the underlying securities as of the date of grant; and

(e) such other terms and conditions as are customary for similar types of options.

4.5. ADDITIONAL BENEFITS.

4.5.1. VACATION. SHEA shall be entitled to a reasonable number of discretionary paid vacation days consistent with his level of employment, duties and seniority during each twelve-month period during the term of this Agreement, but in no event less than twenty (20) days during each period. Vacation time may be accumulated for a period of not longer than two (2) years. SHEA shall not receive compensation for days not used.

4.5.2. AUTOMOBILE EXPENSES. During the term of this Agreement, the Company shall pay to SHEA an automobile allowance of $700 per month net of taxes, which shall be inclusive of all expenses associated with the operation of such automobile, including depreciation, gasoline, insurance, repairs and maintenance.

4.5.3. REIMBURSEMENT OF EXPENSES. SHEA shall be reimbursed by the Company, upon presentation of adequate receipts, for all business expenses which are reasonably incurred by SHEA in the performance of his duties under this Agreement, including but not limited to travel, cellular phone and similar expenses. All travel expenses shall be incurred in accordance with reasonable policy established by the Board of Directors.

4.5.4. PARTICIPATION IN EMPLOYEE BENEFIT PLANS. SHEA shall be entitled to participate, subject to eligibility and other terms generally established by the Company's Board of Directors, in any group hospitalization, health, dental care, profit sharing and pension, and other benefit plans, as may be adopted or amended by the Company from time to time as affecting employees of similar status. The Company shall provide health insurance for SHEA and his dependents and shall pay all premiums incurred thereby.

4.6. SEVERANCE PAYMENT. SHEA shall be entitled to the Severance Payment as calculated below in the event that SHEA's employment is terminated (i) by the Company without cause; (ii) by SHEA after a material default by the Company; (iii) by SHEA after a Change of Control pursuant to
Section 3.7; or (iv) by the Company for any reason after a Change of Control. The Severance Payment shall be an amount equal to the greater of:

(a) The sum of (i) Base Salary payments SHEA would have received has his employment continued for the remaining term of this Agreement; and (ii) three times any bonus paid to SHEA in the preceding twelve (12) months prior to termination, including the value of any options issued in lieu of cash bonuses; or

(b) $500,000.

The Severance Payment shall be paid 100% in cash on the effective date of such termination. In addition to the Severance Payment, SHEA shall be entitled to all of the benefits

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and personal perquisites otherwise provided in this Agreement for a period of time which is the greater of (i) the remaining term of this Agreement (if it were not terminated), or (ii) three (3) years (the "Severance Period"). Such benefits shall include, but are not limited to, automobile allowance, health and life insurance and any other benefit SHEA was receiving at the time of termination. Notwithstanding anything herein to the contrary, reimbursement of expenses as provided in Section 4.5.3 herein is not a benefit during the Severance Period. Any benefit or prerequisite that is payable in cash shall be payable in equal installments on the first day of each month during the Severance Period.

5. REPRESENTATIONS. SHEA hereby represents to the Company that he is in good health, he is physically and mentally capable of performing his duties hereunder and he has no knowledge of any present or past physical or mental condition which would cause an insurance company to reject an application by SHEA for life insurance or for accident, sickness or disability insurance. SHEA represents and warrants that to the best of his knowledge he is not subject to any restrictive covenants under any other agreements prohibiting his performance in full hereunder, or which would subject the Company to any valid claims for tortious interference.

6. CONFIDENTIALITY AND NON-DISCLOSURE OF INFORMATION.

6.1. CONFIDENTIALITY. SHEA shall not, during the term of this Agreement or at any time thereafter, divulge, furnish or make accessible to anyone without the Company's prior written consent, any knowledge or information with respect to any aspect of the Business, including but not limited to: the Company's costs; fees or models; physician or patient names; provider names; referral sources; addresses and telephone numbers of patients and referral sources; billing procedures, prices and terms; its business techniques, computer programs and printouts; identity of prospective patients, providers or referral sources; information disclosed by the Company's patients to the Company; or other information concerning the Business or its employees. All information given to SHEA in connection with his employment shall be considered confidential and proprietary.

6.2. OWNERSHIP OF INFORMATION. SHEA recognizes that all records; patient lists; provider lists; referral lists; material cost data; fees or models; files and correspondence with patients, referral services, physicians, and providers of services; computer printouts; contracts; reports; notes; business plans; compilations of other recorded matter; and copies or reproductions thereof, relating to the Company's operations and activities made or received by SHEA in the course of his employment are the exclusive property of the Company and SHEA holds and uses same as trustee for the Company and subject to the Company's sole control and will deliver same to the Company at the termination of his employment, or earlier if so requested. All of such information, which if used by SHEA outside the scope of his employment, could cause irreparable and continuing injury to the Business for which there may not be an adequate remedy at law.

7. RESTRICTIVE COVENANT. As an inducement to cause the Company to enter into this Agreement, SHEA covenants and agrees that during his employment, and for a period of one (1) year after he ceases to be employed by the Company, regardless of the manner or cause of termination:

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7.1. NON-COMPETITION. SHEA will not be an employee, agent, director, stockholder or owner (except of not more than 1% of the securities of any publicly traded entity), partner, consultant, financial backer, creditor or be otherwise directly or indirectly connected with or participate in the management, operation or control of any business, firm, proprietorship, corporation, partnership, association, entity or venture engaged in the provision of services similar to the Company's business as of termination (a "Competing Business") within 100 miles of any office, center, clinic or other location of the Company, or any of its subsidiaries or affiliates;

7.2. SOLICITATION OF BUSINESS. SHEA will not contact, call upon, solicit business from, sell or render services to any patient, provider, insurer, HMO, managed care company or contract party of the Company, or any of its affiliates with respect to a Competing Business or purchase from any supplier or potential supplier any materials for same and SHEA shall not directly or indirectly aid or assist any other person, firm or corporation to do any of the aforesaid acts; or

7.3. SOLICITATION OF EMPLOYEES. SHEA will not directly or indirectly, as principal, agent, owner, partner, stockholder, officer, director, employee, independent contractor or consultant or in any individual or representative capacity for himself or on behalf of any business, firm, corporation, partnership, association or proprietorship enter into any agreements with, solicit, or directly or indirectly cause others to solicit the employment of any officer, sales person, agent, or other employee of the Company, or any of its subsidiaries or affiliates for the purpose of causing said officer, sales person, agent or other employee to terminate employment with the Company.

7.4. NON-ENFORCEMENT OF RESTRICTIVE COVENANT:
Notwithstanding anything herein to the contrary, if this Agreement is terminated
(a) by SHEA as a result of the material breach of this Agreement by the Company,
(b) if the Company fails to make any Severance Payment required herein within ten (10) days after such payment is due, or (c) by SHEA in accordance with
Section 3.7 herein, then in such event the Restrictive Covenants contained in this Section 7 shall thereafter be unenforceable by the Company. Notwithstanding termination of the restrictive covenants, the Company will still be obligated to pay the remaining Severance Payments thereafter due.

8. ACKNOWLEDGMENT. SHEA HEREBY ACKNOWLEDGES AND UNDERSTANDS THIS AGREEMENT INHIBITS SHEA'S ABILITY TO WORK FOR THE SAME OR SIMILAR KIND OF BUSINESS FOR A PERIOD OF ONE (1) YEAR AFTER THE END OF SHEA's EMPLOYMENT WITH THE COMPANY. SHEA acknowledges and confirms that the length of the term and geographic restrictions contained in this Agreement are fair and reasonable and not the result of overreaching, duress or coercion of any kind. SHEA further acknowledges and confirms that his full, uninhibited and faithful observance of each of the covenants contained in this Agreement will not cause any undue hardships, financial or otherwise and that enforcement of this Agreement will not impair SHEA's ability to obtain employment commensurate with SHEA's abilities and on terms fully acceptable to SHEA. SHEA acknowledges that SHEA will be receiving significant information regarding the Business which SHEA has not previously received and would not receive without being employed by the Company. SHEA acknowledges and confirms that such information would cause the Company serious injury and loss if used by SHEA for the benefit of a competitor.

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9. MATERIAL VIOLATION. A violation of Sections 6 or 7 shall constitute a material and substantial breach of this Agreement and shall result in the imposition of the Company's remedies contained in Section 11. SHEA acknowledges that compliance with the provisions of Sections 6 and 7 are necessary to protect the goodwill and proprietary interests of the Company and is a material condition of employment. SHEA acknowledges and agrees that proof of one such personal solicitation by SHEA of a patient, referral source, HMO, managed care company, insurance company, supplier or employee, shall constitute absolute and conclusive evidence that SHEA has substantially and materially breached the provisions of this Agreement.

10. MATERIAL COVENANTS. It is understood by and between the parties that the foregoing covenants set forth in Sections 6 and 7 are essential elements of this Agreement, and that but for the agreement of SHEA to comply with such covenants, the Company would not have entered into this Agreement. Such covenants by SHEA shall be construed as agreements independent of any other provision of this Agreement and the existence of any claim or cause of action SHEA may have against the Company whether predicated on this Agreement or otherwise, shall not constitute a defense to the enforcement by the Company of these covenants.

11. REMEDIES. SHEA hereby acknowledges, covenants and agrees that in the event of a material default or breach under this Agreement:

(a) the Company will suffer irreparable and continuing damages as a result of such breach and its remedy at law will be inadequate. SHEA agrees that in the event of a violation or breach of this Agreement, in addition to any other remedies available to them, the Company shall be entitled to an injunction restraining any such default or any other appropriate decree of specific performance, without any requirement to prove actual damages or to post any bond or any other security and to any other equitable relief the court deems proper; and

(b) Any and all of the Company's remedies described in this Agreement shall not be exclusive and shall be in addition to any other remedies which the Company may have at law or in equity including, but not limited to, the right to monetary damages.

12. SEVERABILITY. The invalidity of any one or more of the words, phrases, sentences, clauses, sections, subdivisions, subparagraphs, paragraphs or articles contained in this Agreement shall not affect the enforceability of the remaining portions of this Agreement or any part thereof, all of which are inserted conditionally on their being legally valid. In the event that one or more of the words, phrases, sentences, clauses, sections, subdivisions, subparagraphs, paragraphs or articles are determined to be unenforceable and if such invalidity shall be caused by the length of any period of time or the size of any area set forth in any part hereof, such period of time or such area, or both, shall be considered to be reduced to a period or area which would cure such invalidity.

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13. NOTICE. Any notices or other communications to any party pursuant to or relating to this Agreement must be in writing and shall be deemed to have been given or delivered when hand-delivered, mailed through the U.S. Postal Service via certified mail, return receipt requested, postage prepaid, through a nationally recognized overnight courier, or via facsimile to the party at their addresses below:

Company:                        Renex Corp.
                                2100 Ponce de Leon Boulevard, Suite 950
                                Coral Gables, Florida 33134
                                Attention:  Chairman of the Board

with a copy to:                 Bryan W. Bauman, Esq.
                                Wallace, Bauman, Fodiman & Shannon, P.A.
                                2222 Ponce de Leon Boulevard, Sixth Floor
                                Coral Gables, Florida 33134

SHEA:                           James P. Shea
                                10295 Collins Avenue
                                Bal Harbor, Florida 33154

or such other address given by such party to the other party at any time hereafter.

14. ENTIRE AGREEMENT. This Agreement contains the sole and entire agreement between the parties with respect to the subject matter hereof and supersedes any and all other prior written or oral agreements between them as to such subject matter.

15. AMENDMENT. No amendment, waiver or modification of this Agreement or any provisions of this Agreement shall be valid unless in writing and duly executed by both parties.

16. BINDING AGREEMENT. This Agreement shall be binding upon and inure to the benefit of the parties and their respective heirs, legal representatives, successors and assigns.

17. WAIVER. Any waiver by any party of any breach of any provision of this Agreement shall not be considered as or constitute a continuing waiver or waiver of any other breach of any provision of this Agreement.

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18. ASSIGNMENT. No party may assign their rights hereunder without the prior written consent of the other, except that the Company may assign its rights to any affiliate or successor entity without the consent of SHEA subject to the provisions of Section 3.7 herein.

19. CAPTIONS. Captions contained in this Agreement are inserted only as a matter of convenience or for reference and in no way defines, limits, extends, or describes the scope of this Agreement or the intent of any provisions of this Agreement.

20. ATTORNEYS' FEES. In the event of any litigation arising out of this Agreement, the prevailing party shall be entitled to recover its attorneys' fees and costs, including attorneys' fees and costs incurred on appeal.

21. GOVERNING LAW. This Agreement shall be governed by the laws of the State of Florida.

IN WITNESS WHEREOF, the parties have executed this Agreement as of the day and year first above written.

RENEX CORP., a Florida corporation

By:

ORESTES L. LUGO
Vice President/Chief Financial Officer


JAMES P. SHEA

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EXHIBIT 10.2

AMENDED AND RESTATED
EMPLOYMENT AGREEMENT

THIS AMENDED AND RESTATED EMPLOYMENT AGREEMENT (the "Agreement") entered into as of the 30th day of June, 1998 by and between RENEX CORP., a Florida corporation ("Company"), and ORESTES L. LUGO ("LUGO").

R E C I T A L S:

A. The Company is a provider of kidney dialysis treatments in various parts of the United States to individuals suffering from end stage renal disease (the "Business"); and

B. LUGO has been in the continuous employ of the Company since August 1995 as its Vice President/Chief Financial Officer; and

C. The Company and LUGO entered into an Employment Agreement as of the 21st day of April 1997 (the "Employment Agreement"); and

D. The Company desires to continue to employ LUGO as the Company's Vice President/Chief Financial Officer and LUGO desires to continue to be employed by the Company in such position on the terms and conditions provided herein; and

E. The Company believes that it is in the best interest of the Company to assure LUGO of a secure minimum compensation and to diminish the inevitable distraction of LUGO that may result in the event of the possibility, threat or occurrence of a change of control, by providing for certain compensation arrangements upon a change of control; and

F. The parties desire to amend the Employment Agreement on the terms hereof and to restate the Employment Agreement in its entirety herein.

NOW THEREFORE, in consideration of the mutual promises and covenants contained in this Agreement and such other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows:

1. RECITATIONS. The above recitations are true and correct and are incorporated herein by this reference.

2. EMPLOYMENT.

2.1. POSITION OF EMPLOYMENT. The Company hereby continues the employment of LUGO as its Vice President/Chief Financial Officer upon all of the terms and conditions hereinafter set forth. LUGO shall perform such duties as are usually performed by a Vice President/Chief Financial Officer of a business similar in scope as the Business and such other reasonable additional duties as may be prescribed from time to time by the Company's Board of Directors, taking into account LUGO's education, experience and job responsibilities. LUGO shall report directly to the President. All actions shall be subject and subordinate to review and approval by the Board of Directors and any and all committees of the Board of Directors. The


precise responsibilities of LUGO may be modified from time to time in accordance with reasonable policy established by the Board of Directors of the Company consistent with LUGO's qualifications and experience.

2.2. DEVOTION OF TIME. During the term of LUGO's employment, LUGO shall devote his full business time, ability and attention to the business affairs of the Company. LUGO agrees to use his best efforts to perform faithfully and efficiently such responsibilities. LUGO shall be permitted to (i) serve on corporate, civic or charitable boards or committees; and (ii) deliver lectures, fulfill speaking engagements or teach at educational institutions. All income received from such other endeavors shall be for the exclusive benefit of LUGO and the Company shall have no interest therein.

2.3. WORKING FACILITIES. During the term of this Agreement, the Company shall furnish, at LUGO's principal place of employment, an office, furnishings, secretary and such other facilities commensurate and suitable to his position and adequate for the performance of his duties hereunder.

2.4. LOCATION OF EMPLOYMENT. Unless otherwise agreed to by LUGO, LUGO's principal place of business shall be within Dade or Broward Counties, Florida.

3. TERM OF EMPLOYMENT

3.1. TERM OF EMPLOYMENT. The term of this Agreement shall be from April 21, 1997 (the "Commencement Date") and shall end three (3) years thereafter, subject to earlier termination or extension as otherwise set forth in this Agreement.

3.2. AUTOMATIC EXTENSION. This Agreement shall be automatically extended for successive three (3) year periods at the end of the initial or any extended term, unless either party provides written notice of termination to the other party at least 120 days prior to the expiration of the initial or extended term respectively.

3.3. TERMINATION OF EMPLOYMENT BY THE COMPANY FOR CAUSE. The Company may terminate LUGO's employment upon fifteen (15) days written notice for the reasons set forth in Section 3.3.1 below, if such default is not cured within such notice period, or such additional time as is reasonably necessary to cure such default if LUGO is using diligent efforts to cure such default. The Company shall be entitled to terminate LUGO's employment without notice or an opportunity to cure for the reasons set forth in Section 3.3.2 herein.

3.3.1. NOTICE. Notice or an opportunity to cure shall be required for the following reasons:

(a) A default or breach by LUGO of any of the material provisions of this Agreement detrimental to the Company;

(b) refusal to follow reasonable and lawful directives of the Company's Board of Directors or any committee thereof which are consistent with LUGO' duties and responsibility outlined in this Agreement; or

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3.3.2. NO NOTICE. No notice or an opportunity to cure shall be required for the following:

(a) actions by LUGO constituting fraud, embezzlement or dishonesty;

(b) the deliberate and knowing breach by LUGO of the Company's internal financial controls;

(c) LUGO furnishing false, misleading, or omissive information or omitting to furnish material information to the Company's Board of Directors, or any committee thereof, in the reasonable judgment of the Board of Directors;

(d) any action by LUGO which constitutes a breach of the confidentiality of the Business and/or trade secrets of the Company;

(e) LUGO's gross negligence in the performance of his duties as outlined in this Agreement;

(f) any violation of federal or state law by LUGO which have a material detrimental impact on the Company;

(g) at such time as LUGO shall have failed, by reason of mental or physical disability or illness ("Disability" as hereinafter defined), to perform his services pursuant to this Agreement for a period of one hundred eighty (180) days. Disability shall be defined to mean the inability of LUGO to perform his duties under this Agreement, based on injury, illness or physical or mental conditions as determined by the Company's Board of Directors, which determination must be supported by two licensed physicians, one of each selected by the Company and LUGO; provided, however, if the Company maintains a policy insuring against the disability of LUGO, Disability shall have the meaning ascribed in such policy. Upon the Board's initial determination of disability, LUGO will submit to mental and physical examinations which shall be paid by the Company, unless otherwise covered by health benefits provided by the Company to LUGO. The failure of LUGO to submit to such reasonable examinations within fifteen (15) days of such request shall be conclusive that such Disability exists.

3.3.3. NO ADDITIONAL COMPENSATION. Upon termination for the reasons set forth in Section 3.3 herein, the Company shall not be liable for any further compensation or benefits following the date of termination, other than accrued Base Salary. Notwithstanding, LUGO shall be entitled to receive all appropriate benefits mandated by the Consolidated Budget Reconciliation Act of 1985 ("COBRA").

3.4. TERMINATION BY LUGO. LUGO may terminate this Agreement upon thirty (30) days written notice, upon the occurrence of a material default of this Agreement by the Company, which default is not cured within the thirty (30) day notice period. Such notice shall set forth with particularity the facts underlying the claimed default. If LUGO terminates this Agreement under this Section 3.4, LUGO shall be entitled to the Severance Payment as provided in Section 4.6.

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3.5. TERMINATION WITHOUT CAUSE. The Company shall have the right to terminate this Agreement without Cause on thirty (30) days written notice, subject to payment by the Company of the Severance Payment described in
Section 4.6 herein. Notwithstanding anything herein to the contrary, in the event that LUGO's employment is terminated in accordance with this Section 3.5, LUGO's rights under any and all employee stock option programs or individual stock option arrangements shall remain in effect and provide to LUGO the ability to exercise any and all stock options vested as of the date of termination through the remainder of the terms of such options, which termination dates shall not be accelerated based on the termination of employment.

3.6. TERMINATION UPON DEATH. This Agreement shall be terminated immediately upon the death of LUGO. Within thirty (30) days following such termination, the Company shall pay to LUGO's estate: (i) all accrued Base Salary and bonuses; and (ii) a sum equal to six (6) months' Base Salary. In addition, upon the determination of bonuses for the fiscal year in which LUGO died, the Company shall pay to LUGO's estate, a prorated bonus based on the number of days LUGO provided services hereunder during the year of his death.

3.7. TERMINATION BY LUGO UPON CHANGE OF CONTROL. LUGO may terminate this Agreement upon thirty (30) days written notice at any time within eighteen (18) months after the occurrence of a "Change of Control." Upon such termination, LUGO shall be entitled to the Severance Payment set forth in
Section 4.6 below. Notwithstanding anything herein to the contrary, in the event that LUGO's employment is terminated in accordance with this Section 3.7, LUGO's rights under any and all employee stock option programs or individual stock option arrangements shall remain in effect and provide to LUGO the ability to exercise any and all stock options vested as of the date of termination through the remainder of the terms of such options, which termination dates shall not be accelerated based on the termination of employment.

3.8. DEFINITION OF CHANGE OF CONTROL. Change of Control is defined for the purposes of this Agreement as any of the following acts:

3.8.1. The acquisition by any person, entity or "group" within the meaning of Section 13(d) or 14(d) of the Securities Exchange Act of 1934 (the "Exchange Act") of beneficial ownership (within the meaning of Rule 13d-3 promulgated under the Exchange Act) of twenty-five (25%) percent or more of either the then outstanding shares of the Company's common stock or the combined voting power of the Company's then outstanding voting securities entitled to vote generally in the election of directors. Notwithstanding, any purchase by underwriters pursuant to a firm commitment underwriting shall not constitute a Change of Control; or

3.8.2. If the individuals who serve on the Company Board of Directors as of the Commencement Date (the "Incumbent Board") cease for any reason to constitute at least a majority of the Board of Directors; provided, however, that any person who becomes a director subsequent to the Commencement Date whose election or nomination for election by the Company's shareholders was approved by a vote of at least a majority of the directors then compiling the Incumbent Board shall be for purposes of this Agreement considered as if such person was a member of the Incumbent Board; or

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3.8.3. Approval by the Company's stockholders of
(i) a merger, reorganization or consolidation whereby the Company's shareholders immediately prior to such approval do not, immediately after consummation of such reorganization, merger or consolidation own more than 50% of the combined voting power entitled to vote generally in the election of directors of the surviving entity's then outstanding voting securities; or (ii) liquidation or dissolution of the Company; or (iii) the sale of all or substantially all of the assets of the Company.

4. COMPENSATION AND BENEFITS

4.1. SALARY. Subject to the provisions of Section 4.2 herein, the Company shall pay to LUGO, a base salary at a total annual rate of $155,000 payable in cash. Base Salary shall be paid in regular payroll intervals consistent with payroll policy established by the Company from time to time.

4.2. COST OF LIVING INCREASE. On each anniversary date of the Commencement Date during the term hereof or any extension, Base Salary shall be increased by the greater of (i) six (6%) percent of then existing Base Salary, or (ii) the percentage increase, if any, of the consumer price index for Urban Wage Earners and Clerical Workers (Greater Metropolitan Miami area; all items) issued by the Bureau of Labor Statistics of the U.S. Department of Labor. The Company's Board of Directors shall have the discretion to grant increases in Base Salary in excess of the amounts provided herein.

4.3. BONUS. Prior to the commencement of each fiscal year, the Board of Directors or its compensation committee, if any, shall establish in good faith a reasonable and justifiable incentive bonus plan for LUGO for such fiscal year. The incentive bonus plan shall provide LUGO the ability to earn a bonus based upon certain goals and objectives to be established in such incentive bonus plan. Such bonus, if any, shall be payable within thirty (30) days following the completion of the Company's audit for such fiscal year by its independent auditors.

4.4. STOCK OPTIONS. LUGO shall be eligible from time to time to receive grants of stock options, under stock option plans or otherwise, in such amounts and at such times as determined by the Board of Directors or any committee thereof. All options granted to LUGO shall:

(a) have a minimum term of five (5) years within which to exercise such options;

(b) have a vesting schedule of no worse than twenty-five (25%) percent as of the date of grant and twenty-five (25%) on each anniversary date of such grant thereafter;

(c) vesting shall be accelerated upon a change of control of the Company;

(d) have an exercise price no greater than the market price of the underlying securities as of the date of grant; and

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(e) such other terms and conditions as are customary for similar types of options.

4.5. ADDITIONAL BENEFITS.

4.5.1. VACATION. LUGO shall be entitled to a reasonable number of discretionary paid vacation days consistent with his level of employment, duties and seniority during each twelve-month period during the term of this Agreement, but in no event less than fifteen (15) days during each period. Vacation time may be accumulated for a period of not longer than two (2) years. LUGO shall not receive compensation for days not used.

4.5.2. AUTOMOBILE EXPENSES. During the term of this Agreement, the Company shall pay to LUGO an automobile allowance of $600 per month net of taxes, which shall be inclusive of all expenses associated with the operation of such automobile, including depreciation, gasoline, insurance, repairs and maintenance.

4.5.3. PROFESSIONAL EDUCATION. During each calender year during the term of this Agreement, the Company shall pay for the cost of 40 hours of continuing professional education ("CPE") credits necessary for LUGO to maintain his certified public accounting license. Such CPE costs shall include LUGO's attendance at one national out-of-town CPE class of his choice during each calender year, up to a maximum of $3,000 for such attendance, which expenses shall include the cost of the CPE credits, travel, hotel accommodations and other reimbursement of expenses consistent with normal Company travel policy.

4.5.4. REIMBURSEMENT OF EXPENSES. LUGO shall be reimbursed by the Company, upon presentation of adequate receipts, for all business expenses which are reasonably incurred by LUGO in the performance of his duties under this Agreement, including but not limited to travel, cellular phone and similar expenses. All travel expenses shall be incurred in accordance with reasonable policy established by the Board of Directors.

4.5.5. PARTICIPATION IN EMPLOYEE BENEFIT PLANS. LUGO shall be entitled to participate, subject to eligibility and other terms generally established by the Company's Board of Directors, in any group hospitalization, health, dental care, profit sharing and pension, and other benefit plans, as may be adopted or amended by the Company from time to time as affecting employees of similar status. The Company shall provide health insurance for LUGO and his dependents and shall pay all premiums incurred thereby.

4.6. SEVERANCE PAYMENT. LUGO shall be entitled to the Severance Payment as calculated below in the event that LUGO's employment is terminated (i) by the Company without cause; (ii) by LUGO after a material default by the Company; (iii) by LUGO after a Change of Control pursuant to
Section 3.7; or (iv) by the Company for any reason after a Change of Control. The Severance Payment shall be an amount equal to the greater of:

(a) The sum of (i) Base Salary payments LUGO would have received has his employment continued for the remaining term of this Agreement; and (ii) three

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times any bonus paid to LUGO in the preceding twelve (12) months prior to termination, including the value of any stock options or stock issued in lieu of cash bonuses; or

(b) $500,000.

The Severance Payment shall be paid 100% in cash on the effective date of such termination. In addition to the Severance Payment, LUGO shall be entitled to all of the benefits and personal perquisites otherwise provided in this Agreement for a period of time which is the greater of (i) the remaining term of this Agreement (if it were not terminated), or (ii) three (3) years (the "Severance Period"). Such benefits shall include, but are not limited to, automobile allowance, health and life insurance and any other benefit LUGO was receiving at the time of termination. Notwithstanding anything herein to the contrary, reimbursement of expenses as provided in Section 4.5.4 herein is not a benefit during the Severance Period. Any benefit or prerequisite that is payable in cash shall be payable in equal installments on the first day of each month during the Severance Period.

5. REPRESENTATIONS. LUGO hereby represents to the Company that he is in good health, he is physically and mentally capable of performing his duties hereunder and he has no knowledge of any present or past physical or mental condition which would cause an insurance company to reject an application by LUGO for life insurance or for accident, sickness or disability insurance. LUGO represents and warrants that to the best of his knowledge he is not subject to any restrictive covenants under any other agreements prohibiting his performance in full hereunder, or which would subject the Company to any valid claims for tortious interference.

6. CONFIDENTIALITY AND NON-DISCLOSURE OF INFORMATION.

6.1. CONFIDENTIALITY. LUGO shall not, during the term of this Agreement or at any time thereafter, divulge, furnish or make accessible to anyone without the Company's prior written consent, any knowledge or information with respect to any aspect of the Business, including but not limited to: the Company's costs; fees or models; physician or patient names; provider names; referral sources; addresses and telephone numbers of patients and referral sources; billing procedures, prices and terms; its business techniques, computer programs and printouts; identity of prospective patients, providers or referral sources; information disclosed by the Company's patients to the Company; or other information concerning the Business or its employees. All information given to LUGO in connection with his employment shall be considered confidential and proprietary.

6.2. OWNERSHIP OF INFORMATION. LUGO recognizes that all records; patient lists; provider lists; referral lists; material cost data; fees or models; files and correspondence with patients, referral services, physicians, and providers of services; computer printouts; contracts; reports; notes; business plans; compilations of other recorded matter; and copies or reproductions thereof, relating to the Company's operations and activities made or received by LUGO in the course of his employment are the exclusive property of the Company and LUGO holds and uses same as trustee for the Company and subject to the Company's sole control and will deliver same to the Company at the termination of his employment, or earlier if so requested. All of such information, which if used by LUGO outside the scope of his employment, could cause irreparable and continuing injury to the Business for which there may not be an adequate remedy at law.

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7. RESTRICTIVE COVENANT. As an inducement to cause the Company to enter into this Agreement, LUGO covenants and agrees that during his employment, and for a period of one (1) year after he ceases to be employed by the Company, regardless of the manner or cause of termination:

7.1. NON-COMPETITION. LUGO will not be an employee, agent, director, stockholder or owner (except of not more than 1% of the securities of any publicly traded entity), partner, consultant, financial backer, creditor or be otherwise directly or indirectly connected with or participate in the management, operation or control of any business, firm, proprietorship, corporation, partnership, association, entity or venture engaged in the provision of services similar to the Company's business as of termination (a "Competing Business") within 100 miles of any office, center, clinic or other location of the Company, or any of its subsidiaries or affiliates;

7.2. SOLICITATION OF BUSINESS. LUGO will not contact, call upon, solicit business from, sell or render services to any patient, provider, insurer, HMO, managed care company or contract party of the Company, or any of its affiliates with respect to a Competing Business or purchase from any supplier or potential supplier any materials for same and LUGO shall not directly or indirectly aid or assist any other person, firm or corporation to do any of the aforesaid acts; or

7.3. SOLICITATION OF EMPLOYEES. LUGO will not directly or indirectly, as principal, agent, owner, partner, stockholder, officer, director, employee, independent contractor or consultant or in any individual or representative capacity for himself or on behalf of any business, firm, corporation, partnership, association or proprietorship enter into any agreements with, solicit, or directly or indirectly cause others to solicit the employment of any officer, sales person, agent, or other employee of the Company, or any of its subsidiaries or affiliates for the purpose of causing said officer, sales person, agent or other employee to terminate employment with the Company.

7.4. NON-ENFORCEMENT OF RESTRICTIVE COVENANT:
Notwithstanding anything herein to the contrary, if this Agreement is terminated
(a) by LUGO as a result of the material breach of this Agreement by the Company,
(b) if the Company fails to make any Severance Payment required herein within ten (10) days after such payment is due, or (c) by LUGO in accordance with
Section 3.7 herein, then in such event the Restrictive Covenants contained in this Section 7 shall thereafter be unenforceable by the Company. Notwithstanding termination of the restrictive covenants, the Company will still be obligated to pay the remaining Severance Payments thereafter due.

8. ACKNOWLEDGMENT. LUGO HEREBY ACKNOWLEDGES AND UNDERSTANDS THIS AGREEMENT INHIBITS LUGO'S ABILITY TO WORK FOR THE SAME OR SIMILAR KIND OF BUSINESS FOR A PERIOD OF ONE (1) YEAR AFTER THE END OF LUGO's EMPLOYMENT WITH THE COMPANY. LUGO acknowledges and confirms that the length of the term and geographic restrictions contained in this Agreement are fair and reasonable and not the result of overreaching, duress or coercion of any kind. LUGO further acknowledges and confirms that his full, uninhibited and faithful observance of each of the covenants contained in this Agreement will not cause any undue hardships, financial or otherwise and that enforcement of this Agreement will not impair LUGO's ability to obtain employment commensurate with LUGO's abilities and on terms

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fully acceptable to LUGO. LUGO acknowledges that LUGO will be receiving significant information regarding the Business which LUGO has not previously received and would not receive without being employed by the Company. LUGO acknowledges and confirms that such information would cause the Company serious injury and loss if used by LUGO for the benefit of a competitor.

9. MATERIAL VIOLATION. A violation of Sections 6 or 7 shall constitute a material and substantial breach of this Agreement and shall result in the imposition of the Company's remedies contained in Section 11. LUGO acknowledges that compliance with the provisions of Sections 6 and 7 are necessary to protect the goodwill and proprietary interests of the Company and is a material condition of employment. LUGO acknowledges and agrees that proof of one such personal solicitation by LUGO of a patient, referral source, HMO, managed care company, insurance company, supplier or employee, shall constitute absolute and conclusive evidence that LUGO has substantially and materially breached the provisions of this Agreement.

10. MATERIAL COVENANTS. It is understood by and between the parties that the foregoing covenants set forth in Sections 6 and 7 are essential elements of this Agreement, and that but for the agreement of LUGO to comply with such covenants, the Company would not have entered into this Agreement. Such covenants by LUGO shall be construed as agreements independent of any other provision of this Agreement and the existence of any claim or cause of action LUGO may have against the Company whether predicated on this Agreement or otherwise, shall not constitute a defense to the enforcement by the Company of these covenants.

11. REMEDIES. LUGO hereby acknowledges, covenants and agrees that in the event of a material default or breach under this Agreement:

(a) the Company will suffer irreparable and continuing damages as a result of such breach and its remedy at law will be inadequate. LUGO agrees that in the event of a violation or breach of this Agreement, in addition to any other remedies available to them, the Company shall be entitled to an injunction restraining any such default or any other appropriate decree of specific performance, without any requirement to prove actual damages or to post any bond or any other security and to any other equitable relief the court deems proper; and

(b) Any and all of the Company's remedies described in this Agreement shall not be exclusive and shall be in addition to any other remedies which the Company may have at law or in equity including, but not limited to, the right to monetary damages.

12. SEVERABILITY. The invalidity of any one or more of the words, phrases, sentences, clauses, sections, subdivisions, subparagraphs, paragraphs or articles contained in this Agreement shall not affect the enforceability of the remaining portions of this Agreement or any part thereof, all of which are inserted conditionally on their being legally valid. In the event that one or more of the words, phrases, sentences, clauses, sections, subdivisions, subparagraphs, paragraphs or articles are determined to be unenforceable and if such invalidity shall be caused by the length of any period of time or the size of any area set forth in any part hereof, such period of time or such area, or both, shall be considered to be reduced to a period or area which would cure such invalidity.

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13. NOTICE. Any notices or other communications to any party pursuant to or relating to this Agreement must be in writing and shall be deemed to have been given or delivered when hand-delivered, mailed through the U.S. Postal Service via certified mail, return receipt requested, postage prepaid, through a nationally recognized overnight courier, or via facsimile to the party at their addresses below:

Company                    Renex Corp.
                           2100 Ponce de Leon Boulevard, Suite 950
                           Coral Gables, Florida 33134
                           Attention: President

with a copy to:            Bryan W. Bauman, Esq.
                           Wallace, Bauman, Fodiman & Shannon, P.A.
                           2222 Ponce de Leon Boulevard, Sixth Floor
                           Coral Gables, Florida 33134

LUGO:                      1900 Sunset Harbor Drive, Unit 1102
                           Miami Beach, Florida 33140

or such other address given by such party to the other party at any time hereafter.

14. ENTIRE AGREEMENT. This Agreement contains the sole and entire agreement between the parties with respect to the subject matter hereof and supersedes any and all other prior written or oral agreements between them as to such subject matter.

15. AMENDMENT. No amendment, waiver or modification of this Agreement or any provisions of this Agreement shall be valid unless in writing and duly executed by both parties.

16. BINDING AGREEMENT. This Agreement shall be binding upon and inure to the benefit of the parties and their respective heirs, legal representatives, successors and assigns.

17. WAIVER. Any waiver by any party of any breach of any provision of this Agreement shall not be considered as or constitute a continuing waiver or waiver of any other breach of any provision of this Agreement.

18. ASSIGNMENT. No party may assign their rights hereunder without the prior written consent of the other, except that the Company may assign its rights to any affiliate or successor entity without the consent of LUGO subject to the provisions of Section 3.7 herein.

19. CAPTIONS. Captions contained in this Agreement are inserted only as a matter of convenience or for reference and in no way defines, limits, extends, or describes the scope of this Agreement or the intent of any provisions of this Agreement.

20. ATTORNEYS' FEES. In the event of any litigation arising out of this Agreement, the prevailing party shall be entitled to recover its attorneys' fees and costs, including attorneys' fees and costs incurred on appeal.

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21. GOVERNING LAW. This Agreement shall be governed by the laws of the State of Florida.

IN WITNESS WHEREOF, the parties have executed this Agreement as of the day and year first above written.

RENEX CORP., a Florida corporation

By:

JAMES P. SHEA
President/Chief Executive Officer


ORESTES L LUGO

-11-

EXHIBIT 10.3

CREDIT AGREEMENT


BY AND BETWEEN

RENEX CORP.,
A FLORIDA CORPORATION

AND

NATIONSBANK, N.A.,
A NATIONAL BANKING ASSOCIATION


DATED AS OF APRIL 30, 1998



TABLE OF CONTENTS

                                                                                   PAGE
                                                                                   ----
ARTICLE I - DEFINITIONS...............................................................4
         1.1 DEFINITIONS..............................................................4
         1.2 ACCOUNTING TERMS........................................................11
         1.3 OTHER DEFINITIONAL PROVISIONS...........................................11

ARTICLE II - REVOLVING CREDIT COMMITMENT.............................................12
         2.1 REVOLVING CREDIT COMMITMENT.............................................12
         2.2 NOTICE AND MANNER OF BORROWING..........................................12
         2.3 NOTE....................................................................12
         2.4 INTEREST................................................................13
         2.5 PAYMENTS................................................................14
         2.6 COLLATERAL..............................................................14
         2.7 FEES....................................................................14

ARTICLE III - AVAILABILITY...........................................................15
         3.1 Availability............................................................15

ARTICLE IV - GUARANTY................................................................15
         4.1 GUARANTY................................................................15

ARTICLE V - COLLATERAL...............................................................16
         5.1 COLLATERAL..............................................................16
         5.2 CROSS-COLLATERAL........................................................16

ARTICLE VI - CONDITIONS PRECEDENT TO BORROWING.......................................16
         6.1 EACH LOAN...............................................................16
         6.2 INITIAL LOAN............................................................16

ARTICLE VII - CONDITIONS PRECEDENT TO ACQUISITIONS...................................18
         7.1 Acquisitions............................................................18

ARTICLE VIII - REPRESENTATIONS AND WARRANTIES........................................20
         8.1 CORPORATE EXISTENCE AND POWER...........................................20
         8.2 CORPORATE AUTHORITY.....................................................20
         8.3 FINANCIAL CONDITION.....................................................20
         8.4 FULL DISCLOSURE.........................................................21
         8.5 LITIGATION..............................................................21
         8.6 PAYMENT OF TAXES........................................................21

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         8.7 NO ADVERSE RESTRICTIONS OR DEFAULTS.....................................21
         8.8 INVESTMENT COMPANY ACT..................................................22
         8.9 AUTHORIZATIONS..........................................................22
         8.10 REIMBURSEMENT FROM THIRD PARTY PAYORS..................................22
         8.11 FRAUD AND ABUSE........................................................22
         8.12 LICENSING AND ACCREDITATION............................................23
         8.13 SUBSIDIARIES AND AFFILIATES............................................23
         8.14 TITLE TO PROPERTIES....................................................23
         8.15 USE OF LOANS...........................................................23
         8.16 ERISA..................................................................24

ARTICLE IX - AFFIRMATIVE COVENANTS...................................................24
         9.1 LOAN PROCEEDS...........................................................24
         9.2 CORPORATE EXISTENCE.....................................................25
         9.3 MAINTENANCE OF BUSINESS AND PROPERTIES..................................25
         9.4 INSURANCE...............................................................25
         9.5 PAYMENT OF INDEBTEDNESS, TAXES, ETC.....................................25
         9.6 COMPLIANCE WITH LAWS....................................................26
         9.7 NOTICE OF DEFAULT.......................................................26
         9.8 FINANCIAL STATEMENTS, REPORTS, ETC......................................26
         9.9 VISITATION RIGHTS.......................................................28
         9.10 NOTICE OF LITIGATION AND OTHER PROCEEDINGS.............................28
         9.11 ERISA..................................................................28
         9.12 NET WORTH..............................................................29
         9.13 CURRENT RATIO..........................................................29
         9.14 CURRENT MATURITIES COVERAGE RATIO......................................29
         9.15 LEVERAGE RATIO.........................................................29
         9.16 CAPITALIZATION RATIO...................................................29
         9.17 BOOKS AND RECORDS......................................................30
         9.18 OPERATING ACCOUNTS.....................................................30
         9.19 MANAGEMENT.............................................................30
         9.20 REIMBURSEMENT FROM THIRD PARTY PAYORS..................................30

ARTICLE X - NEGATIVE COVENANTS.......................................................31
         10.1 LIMITATION ON LIENS....................................................31
         10.2 LIMITATION ON INDEBTEDNESS.............................................31
         10.3 THIRD-PARTY GUARANTIES.................................................32
         10.4 DIVIDENDS..............................................................32
         10.5 MERGERS, CONSOLIDATIONS AND ACQUISITION OF ASSETS......................32
         10.6 SALE, LEASE, ETC.......................................................32
         10.7 INVESTMENTS............................................................32
         10.8 TRANSACTIONS WITH AFFILIATES...........................................33
         10.9 SALE AND LEASEBACK.....................................................33
         10.10 PURCHASE OF OWN SHARES................................................33

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         10.11 TRANSFER OF SHARES....................................................33
         10.12 BUSINESS OPERATIONS...................................................33
         10.13 OWNERSHIP OF ASSETS...................................................33
         10.14 LOANS AND ADVANCES....................................................33
         10.15 CAPITAL EXPENDITURES..................................................29
         10.16 FRAUD AND ABUSE.......................................................33

ARTICLE XI - ENVIRONMENTAL...........................................................34
         11.1 HAZARDOUS AND TOXIC MATERIALS GENERALLY................................34

ARTICLE XII - EVENTS OF DEFAULT......................................................35
         12.1 EVENTS OF DEFAULT......................................................35

ARTICLE XIII - MISCELLANEOUS.........................................................38
         13.1 NO WAIVER, REMEDIES CUMULATIVE.........................................38
         13.2 SURVIVAL OF REPRESENTATIONS............................................38
         13.3 EXPENSES...............................................................38
         13.4 NOTICES................................................................39
         13.5 CONSTRUCTION...........................................................39
         13.6 SUCCESSORS AND ASSIGNS.................................................39
         13.7 JURISDICTION, SERVICE OF PROCESS.......................................39
         13.8 LIMIT ON INTEREST......................................................40
         13.9 PAYMENT ON OTHER THAN BUSINESS DAY.....................................41
         13.10 NET PAYMENTS..........................................................41
         13.11 INDEMNIFICATION OF LENDER.............................................41
         13.12 COUNTERPARTS..........................................................42
         13.13 HEADINGS..............................................................42
         13.14 SEVERABILITY..........................................................42
         13.15 COURSE OF DEALING; AMENDMENT; SUPPLEMENTAL AGREEMENTS.................42
         13.16 RIGHT OF SETOFF.......................................................42
         13.17 ARBITRATION...........................................................43

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THIS CREDIT AGREEMENT, dated as of April 30, 1998 (the "Agreement"), is by and between RENEX CORP., a Florida corporation (the "Borrower") and NATIONSBANK, N.A. (the "Lender").

R E C I T A L S

A. The Borrower has requested Lender to provide to the Borrower a revolving credit facility as set forth herein.

B. The Lender is willing to provide a revolving credit facility to the Borrower for the purposes, upon the terms, and subject to the conditions set forth in this Agreement.

NOW, THEREFORE, in consideration of the mutual covenants and promises herein contained, and for other good and valuable consideration, it is agreed as follows:

ARTICLE I - DEFINITIONS

1.1 DEFINITIONS.

In addition to terms defined elsewhere in this Agreement, the following terms have the meanings indicated which meanings shall be equally applicable to both the singular and the plural forms of such terms:

"ACCOUNTS OR ACCOUNTS RECEIVABLE" shall have the meaning ascribed to Account in Section 679.106 of the Florida Statutes and shall include all present and future accounts, General Intangibles, Chattel Paper, Instruments, notes, acceptances, Documents or other rights to payment and all forms of obligations owing at any time to the Borrower or any of its Subsidiaries arising out of the sale or lease of Inventory or rendition of services, all rights of the Borrower or any of its Subsidiaries earned or yet to be earned under contracts to sell or lease Inventory or render services and all documents of any kind in respect of any of the foregoing, and all the proceeds thereof, of every kind and nature and in whatsoever form.

"ACQUISITION" shall mean the acquisition by Borrower of a Dialysis Facility.

"ACQUISITION ADVANCE" shall mean a Borrowing for the purpose of financing an Acquisition.

"ADJUSTED ACQUISITION EBITDA" shall mean: (i) the actual earnings before Interest Expense, taxes, depreciation and amortization of the Dialysis Facility being acquired, for the immediately preceding four (4) fiscal quarters, adjusted in order to give effect to any increase or decrease in expenses related to compensation due to newly contracted employee's compensation on a going forward basis as set forth in a written employment agreement; (ii) contractually identified increase or decrease in expenses approved by Lender in its reasonable discretion; and (iii) proforma adjustments approved by Lender in its sole discretion.

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"ADJUSTED EBITDA" shall mean the actual earnings before Interest Expense, taxes, depreciation and amortization of Borrower, adjusted in order to give effect to any increase or decrease in expenses resulting from: (i) the Adjusted Acquisition EBITDA relating to any Acquisitions; and (ii) expenses related to compensation due to newly contracted employee's compensation as set forth in a written employment agreement.

"AFFILIATE" shall mean any Person which directly or indirectly through one or more intermediaries controls, or is controlled by or is under common control with, the Borrower. The term "control" means the possession, directly or indirectly, of the power to cause the direction of the management and policies of a Person, whether through the ownership of voting securities, by contract or otherwise.

"AGREEMENT" means this Credit Agreement, as the same may from time to time be amended, modified, extended or renewed.

"BORROWER" has the meaning assigned to that term in the introduction to this Agreement.

"BORROWING" shall mean the drawing down by the Borrower of a loan or loans from the Lender on any given Borrowing Date.

"BORROWING BASE" has the meaning assigned to that term in Article III of this Agreement.

"BORROWING DATE" shall mean the date as of which a Borrowing is consummated.

"BUSINESS DAY" shall mean a day on which commercial banks are open for business in Miami, Florida.

"CAPITAL EXPENDITURES" shall mean any expenditure by a Person which is or is required to be capitalized on its balance sheet for financial reporting purposes in accordance with generally accepted accounting principles, including, without limitation, the incurrence by such Person of any Capitalized Lease Obligations, excluding any expenditures paid for with insurance proceeds.

"CAPITALIZED LEASE OBLIGATIONS" shall mean, as to any Person, the obligations or such Person, as lessee or guarantor, to pay rent or other amounts under a lease of (or other agreement conveying the right to use) real and/or personal property, which obligations are required to be classified and accounted for as a capital lease on a balance sheet of the Person under generally accepted accounting principles.

"CAPITALIZATION RATIO" shall mean the ratio derived by comparing Borrower's: (i) aggregate outstanding of all Funded Indebtedness; to (ii) aggregate outstanding of all Funded Indebtedness plus stockholder's equity.

"CHATTEL PAPER" shall have the meaning ascribed to said term in Section 679.105 of the Florida Statutes.

"CLOSING DATE" shall mean as of April 30, 1998.

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"CODE" shall mean the Internal Revenue Code of 1986, as the same may be from time to time hereafter modified or amended.

"COLLATERAL" has the meaning assigned to that term in Section 5.1 of this Agreement.

"CONTRACT PROVIDER" means any Person who provides professional/medical health care services under or pursuant to any contract with the Borrower or any Subsidiary.

"CURRENT MATURITIES COVERAGE RATIO" shall mean the ratio derived by comparing Borrower's: (i) Adjusted EBITDA plus Rentals plus Interest Income less cash income tax payments; to (ii) Interest Expense, plus Rentals, plus current maturities of long term Indebtedness, plus current maturities of Capitalized Lease Obligations, plus twenty percent (20%) of the aggregate outstanding balance of all Revolving Credit Loans.

"CURRENT RATIO" shall mean the ratio derived by comparing Borrower's:
(i) current assets as shown on the balance sheet of Borrower at any particular date; to (ii) current Liabilities as shown on the balance sheet of Borrower on such date.

"DEFAULT" shall mean any event which, with the lapse of time, the giving of notice, or both, would become an Event of Default, provided such Default has not been waived in writing by Lender.

"DEFAULT RATE" shall mean, for the period commencing on the date of the occurrence of an Event of Default and terminating on the date the Event of Default is cured, a rate equal to the lessor of: (i) the maximum rate of interest permitted by law; or (ii) two percent (2%) in excess of the Prime Rate.

"DIALYSIS FACILITIES" shall mean certain facilities or acute dialysis or hemapheresis services programs which provide dialysis and ancillary services for patients suffering from end stage renal disease.

"DOCUMENTS" shall have the meaning ascribed to said term in Section 679.105 of the Florida Statutes and shall include all bills of lading, airway bills, dock warrants, dock receipts, warehouse receipts or orders for the delivery of goods, and also any other document which in the regular course of business or financing is treated as adequately evidencing that the person in possession of it is entitled to receive, hold and dispose of the document and the goods it covers.

"DOLLARS" or "$" shall mean dollars in lawful currency of the United States of America.

"ELIGIBLE ACCOUNTS RECEIVABLE" shall mean the net amount of Borrower's Accounts Receivable outstanding after eliminating from the aggregate amount of outstanding Accounts Receivable such Accounts Receivable which are unpaid more than one hundred fifty (150) days after the invoice date.

"EQUIPMENT" shall have the meaning ascribed to said term in Section 679.109 of the Florida Statutes and shall include all of the Borrower's or any of its Subsidiary's goods,

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machinery, equipment, fixed assets, rolling stock, fixtures, furniture, office equipment, tools, parts and other items of personal property of every kind and description, now owned or hereafter acquired by the Borrower or any Subsidiary, wheresoever located, together with all additions, attachments, accessions, parts, replacements and substitutions thereof.

"ERISA" shall mean the Employee Retirement Income Security Act of 1974, as the same may from time to time be amended.

"EVENT OF DEFAULT" has the meaning assigned to that term in Section 12.1 hereof.

"FUNDED INDEBTEDNESS" Indebtedness on which interest is paid or payable in accordance with the terms and conditions of such Indebtedness.

"GENERAL INTANGIBLES" shall have the meaning ascribed to said term in
Section 679.106 of the Florida Statutes and shall include, without limitation, any personal property other than goods, Accounts, Inventory, Equipment, Chattel Paper and Instruments, including, all franchises, licenses, leases and subleases whereby Borrower or any Subsidiary leases to another any of Borrower's or any Subsidiary's Inventory or Equipment, contracts, permits and authorizations of governmental agencies and others, tradenames, trademarks, service marks, patents, copyrights, intellectual property and all other intangible property of the Borrower or any Subsidiary.

"HCFA" shall mean the United States Health Care Financing Administration and any successor thereto.

"INDEBTEDNESS" of any Person shall mean (a) all indebtedness for borrowed money or for the deferred purchase price of any property or services
(other than accounts payable and accruals in the ordinary course of business)
for which the Person is liable as principal, (b) all indebtedness (excluding unaccrued finance charges) secured by a Lien on property owned or being purchased by the Person, whether or not such indebtedness shall have been assumed by the Person, (c) all Capitalized Lease Obligations (excluding unaccrued finance charges) of the Person, (d) any arrangement (commonly described as a sale-and-leaseback transaction) with any financial institution or other lender or investor providing for the leasing to the Person of property which at the time has been or is to be sold or transferred by the Person to the lender or investor, or which has been or is being acquired from another Person by the lender or investor for the purpose of leasing the property to the Person,
(e) any contingent obligation or liability including those under Third-Party Guaranties and letters of credit for borrowed money, and (f) all obligations of partnerships or joint ventures in respect of which the Person is primarily or secondarily liable as a partner or joint venturer or otherwise (provided that in any event for purposes of determining the amount of the Indebtedness, the full amount of such obligations, without giving effect to the contingent liability or contributions of other participants in the partnership or joint venture, shall be included to the extent such Person is liable therefor).

"INTERCOMPANY INDEBTEDNESS" shall mean Indebtedness by and between Borrower and its Subsidiaries.

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"INTEREST EXPENSE" for any period shall mean the aggregate amount of interest charges on all Indebtedness of the Borrower or any Subsidiary, as the case may be (said amount not to include the netting or inclusion of Interest Income).

"INTEREST INCOME" for any period shall mean the aggregate amount of interest earned by Borrower or any Subsidiary, as the case may be (said amount not to include the netting or inclusion of Interest Expense).

"INSTRUMENTS" shall have the meaning ascribed to said term in Section 679.105 of the Florida Statutes.

"INVENTORY" shall mean all goods, merchandise and other personal property now owned or hereafter acquired by Borrower or any Subsidiary, wheresoever located, which are held for sale or lease or are furnished under a contract of service or are raw materials, work in process or materials used or consumed or to be used or consumed in Borrower's or any Subsidiary's business, in all of its forms, together with all Inventory in transit, repossessed or returned Inventory and all Documents of title representing the Inventory, and all accessions thereto and products thereof.

"INVESTMENTS" shall mean, with respect to any Person, all advances, loans or extensions of credit to any other Person, all purchases or commitments to purchase any stock, bonds, notes, debentures or other securities of any other Person, and any investment in other Persons, including partnerships or joint ventures.

"LENDER" has the meaning assigned to that term in the introduction to this Agreement.

"LEVERAGE RATIO" shall mean the ratio derived by comparing Borrower's:
(i) aggregate outstanding of all Funded Indebtedness; to (ii) Adjusted EBITDA.

"LIABILITIES" shall mean, at the time any determination thereof is to be made, the aggregate amount of all liabilities of the Borrower or any Subsidiary determined in accordance with generally accepted accounting principles, including, without limitation, the contingent obligation of the Borrower or any Subsidiary to reimburse amounts outstanding under any letters of credit or under other similar facilities.

"LIEN" shall mean a mortgage, pledge, lien, security interest, or other charge or encumbrance or any segregation of assets or revenues or other preferential arrangement (whether or not constituting a security interest) with respect to any present or future assets, including fixtures, revenues, or rights to the receipt of income of the Person referred to in the context in which the term is used.

"LIBOR RATE" shall mean the fluctuating rate of interest per annum (rounded upwards, if necessary, to the nearest 1/100 of 1%) appearing on Telerate Page 3750 (or any successor page) as the thirty (30) day London interbank offered rate for deposits in Dollars. If, for any reason, such rate is not available, the term "LIBOR" shall mean the rate per annum (rounded upwards, if necessary to the nearest 1/100 of 1%) appearing on Reuters Screen LIBO Page as the thirty (30)

8

day London interbank offered rate for deposits in Dollars; provided, however, if more than one rate is specified on Reuters Screen LIBO Page, the applicable rate shall be the arithmetic mean of all rates. As used herein, "Telerate Page 3750" means the British Bankers Association Libor Rates (determined at 11:00 a.m. London, England time) that are published by Dow Jones Telerate, Inc.

"MATERIAL ADVERSE CHANGE" shall mean any material adverse change in or material adverse effect upon the business, assets, liabilities (actual or contingent), condition (financial or otherwise), operations, properties of Borrower and its Subsidiaries taken as a whole.

"MEDICAID CERTIFICATION" shall mean certification by HCFA or a state agency or entity under contract with HCFA that health care operations are in compliance with all the conditions of participation set forth in the Medicaid Regulations, to the extent applicable.

"MEDICAID PROVIDER AGREEMENT" shall mean an agreement entered into between a state agency or other such entity administering the Medicaid program and a health care operation under which the health care operation agrees to provide services for Medicaid patients in accordance with the terms of the agreement and Medicaid Regulations.

"MEDICAID REGULATIONS" shall mean all federal statutes, rules, regulations and laws (whether set forth in Title XIX of the Social Security Act or elsewhere) affecting the medical assistance program established by Title XIX of the Social Security Act and all state statutes, regulations, rules and laws enacted in connection therewith, as may be amended, supplemented or otherwise modified from time to time.

"MEDICAL DIRECTOR AGREEMENT" shall mean an agreement between the Borrower or any of its Subsidiaries and a physician responsible for professional medical director services at a Dialysis Facility as required by Medicare Regulations or Medicaid Regulations.

"MEDICARE CERTIFICATION" shall mean certification by HCFA or a state agency or entity under contract with HCFA that the health care operation is in compliance with all the conditions of participation set forth in the Medicare Regulations.

"MEDICARE PROVIDER AGREEMENT" shall mean an agreement entered into between a state agency or other such entity administering the Medicare program and a health care operation under which the health care operation agrees to provide services for Medicare patients in accordance with the terms of the agreement and Medicare Regulations.

"MEDICARE REGULATIONS" shall mean all federal statutes, rules, regulations and laws (whether set forth in Title XVIII of the Social Security Act or elsewhere) affecting the health insurance program for the aged and disabled established by Title XVIII of the Social Security Act, as may be amended, supplemented or otherwise modified form time to time.

"NET WORTH" shall mean, at the time any determination thereof is to be made, (i) the aggregate amount of all assets of a Person, as may be properly classified as such, under generally accepted accounting principles, less (ii) the aggregate amount of all Liabilities of such Person, all as determined in accordance with generally accepted accounting principles applied on a consistent basis.

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"NOTE" has the meaning assigned to that term in Section 2.3 of this Agreement.

"PERMITTED LIENS" shall mean a mortgage, pledge, lien, security interest or other charge or encumbrance or any segregation of assets or revenues or other preferential arrangement (whether or not constituting a security interest and including, without limitation, any conditional sale or other title retention agreement, and the filing of, or agreement to give, any financing statement under the Uniform Commercial Code or comparable law of any jurisdiction) with respect to any present or future assets, including fixtures, revenues or rights to the receipt of income of the Person referred to in the context in which the term is used which are permitted to exist under this Agreement pursuant to Section 10.1 of this Agreement.

"PERSON" shall mean any natural person, corporation, unincorporated organization, trust, joint-stock company, joint venture, association, company, partnership or government, or any agency or political subdivision of any government.

"PLAN" shall mean any employee benefit plan which is subject to the provisions of Title IV of ERISA and which is maintained in whole or in part for employees of the Borrower or any of its Subsidiaries.

"PRIME RATE" shall mean the index rate of interest announced or published by Lender from time to time as its Prime Rate. Said rate is a reference rate for the information and use of Lender in establishing the actual rates to be charged to its borrowers. The Prime Rate may be determined on a daily basis with any change in the Prime Rate to be effective on the date of any such change.

"RELATED DOCUMENTS" shall mean the Note, the Security Agreement, the Guaranties, the UCC-1's and any and all other documents statements, and opinions described in the Closing Documents List attached hereto as Exhibit C.

"RENTALS" of any Person shall mean, as of any date, the aggregate amount of the obligations and liabilities of such Person to make payments under all leases, subleases and similar arrangements for the use of real, personal or mixed property, other than Capitalized Lease Obligations.

"REVOLVING CREDIT COMMITMENT" shall mean the obligation of the Lender to make a Revolving Credit Loan or Revolving Credit Loans to the Borrower in an aggregate principal amount not to exceed Fifteen Million Dollars ($15,000,000.00) pursuant and subject to Section 2.1(a) hereof.

"REVOLVING CREDIT LOAN" OR "REVOLVING CREDIT LOANS" shall mean the principal amount and the aggregate principal amount, respectively, advanced by the Lender as a loan or loans to the Borrower under Article II, or, where the context so requires, the amount thereof then outstanding or any portion thereof.

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"REVOLVING CREDIT MATURITY DATE" shall mean the date the Revolving Credit Commitment will mature, which for the purposes of this Agreement is April 30, 2001.

"SUBORDINATED INDEBTEDNESS" shall mean Indebtedness subordinated in repayment priority to that of Indebtedness of Borrower to Lender pursuant to the terms and conditions of a subordination agreement acceptable to Lender, in its reasonable discretion, which subordination agreement: (i) must have a maturity date of no sooner than the Revolving Credit Maturity Date; (ii) shall prohibit payment of principal; and (iii) shall prohibit payments of interest in the event of a Default or Event of Default under this Agreement.

"SUBSIDIARY" shall mean any Person in which the Borrower may own, directly or indirectly, an equity interest of more than fifty percent (50%), or which may effectively be controlled by the Borrower, during the term of this Agreement, as well as all Subsidiaries and other Persons from time to time included in the consolidated financial statements of the Borrower.

"TERMINATION EVENT" shall mean a "reportable event" as defined in
Section 4043(b) of ERISA or the filing of a notice of intent to terminate under
Section 4041 of ERISA.

"Third Party GUARANTY" shall mean, as to any Person, all liabilities or obligations of such Person in respect of any Indebtedness or other obligations of others guaranteed, directly or indirectly, in any manner by such Person, or in effect guaranteed, directly or indirectly, by such Person through an agreement, contingent or otherwise, to purchase such Indebtedness or obligation, or to purchase or sell property, or to purchase or sell services, primarily for the purpose of enabling the debtor to make payment of the Indebtedness or obligation or to assure the owner of such Indebtedness or obligation against loss, or to supply funds to or in any manner invest in the debtor, or otherwise.

"WORKING CAPITAL ADVANCES" shall mean a Borrowing for the purpose of financing Borrower's purchases of equipment, leasehold improvements and working capital requirements.

1.2 ACCOUNTING TERMS.

Accounting terms not specifically defined in this Agreement shall have the meaning given to them under accounting principles and practices generally accepted in the United States, applied on a consistent basis with the financial statements referred to in Section 9.8 hereof, and shall be determined both as to classification of items and amounts in accordance therewith. All Subsidiaries shall be consolidated to the fullest extent permitted by such principles and practices, and any accounting terms, financial covenants, and financial statements referred to herein shall be determined and prepared on the basis of such consolidation.

1.3 OTHER DEFINITIONAL PROVISIONS.

The words "hereof," "herein," and "hereunder" and words of similar import when used in this Agreement refer to this Agreement as a whole and not to any particular provision of this Agreement, and section, subsection, and exhibit references refer to this Agreement unless otherwise specified.

* END OF ARTICLE I *

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ARTICLE II - REVOLVING CREDIT COMMITMENT

2.1 REVOLVING CREDIT COMMITMENT.

(a) The Lender agrees, subject to the terms and conditions of this Agreement, to make Revolving Credit Loans in United States Dollars to the Borrower for a period terminating on the earlier of the Revolving Credit Maturity Date or the termination in full of the Revolving Credit Commitment of the Lender pursuant to Article XII hereof, at such times and in such amounts as the Borrower shall request in accordance with the provisions of this Agreement, provided that the aggregate principal amount of the Revolving Credit Loans outstanding at any one time shall not exceed the Revolving Credit Commitment. Within the limits of the Revolving Credit Commitment, and subject to the provisions of this Agreement, the Borrower may borrow, repay, and reborrow from time to time for a period from the date hereof to and including the earlier of the Revolving Credit Maturity Date or the termination in full of the Revolving Credit Commitment of the Lender pursuant to Article XII hereof.

(b) Any Revolving Credit Loan made under this Article II and, to the extent permitted by law, interest thereon which is not paid when due (whether at stated maturity, by acceleration, or otherwise), after giving effect to any applicable cure period, shall bear interest at the Default Rate (computed on the actual number of days elapsed over a 360-day year).

2.2 NOTICE AND MANNER OF BORROWING.

(a) Borrower shall give written notice (or telephonic notice, promptly confirmed in writing) to the Lender in a form to be provided by Lender, prior to 2:00 p.m., Miami time, on each proposed Borrowing Date.

(b) Each Borrowing under this Article II shall be made at the office of the Lender, at its address as set forth opposite its signature at the end of this Agreement, by crediting the Borrower's general deposit account with the Lender in the amount thereof.

2.3 NOTE.

(a) The Revolving Credit Loans made by the Lender under this Article II shall be evidenced by, and repaid with interest in accordance with, a single Master Revolving Credit Note executed by the Borrower in favor of the Lender in substantially the form of Exhibit A attached hereto and made a part hereof, with appropriate insertions, in the amount of the Revolving Credit Commitment, dated the initial Borrowing Date and payable to the order of the Lender (the "Note").

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(b) Each Revolving Credit Loan evidenced by the Note and all prepayments of the principal thereof shall be evidenced by the records of the Lender.

(c) Although the stated amount of the Note shall be equal to the Revolving Credit Commitment, the Note shall be enforceable, with respect to the Borrower's obligation to pay the principal amount thereof, only to the extent of the unpaid principal amount of the Revolving Credit Commitment at the time evidenced thereby. Interest on the Note shall be payable on, and only for the period during which, the principal amount of the Loan evidenced thereby is outstanding.

2.4 INTEREST.

(a) The principal balance outstanding from time to time under the Note shall bear interest at a fluctuating rate per annum equal to one of the following interest rate options: (i) Fifty (50) basis points less than the Prime Rate (the "Prime Option"); or (ii) two hundred twenty-five (225) basis points in excess of the LIBOR Rate (the "LIBOR Option").

(b) The interest rate applicable to the Revolving Credit Commitment shall increase or decrease, commencing the first (1st) day of the first (1st) month following receipt of financial statements for the end of a fiscal quarter referred to in Section 9.8(b) of this Agreement, in accordance with the following:

(1) In the event Borrower achieves a Leverage Ratio less than or equal to 2.0 to 1.0 the LIBOR Option shall be adjusted to two hundred twenty-five (225) basis points in excess of the LIBOR Rate and the Prime Option shall be adjusted to fifty (50) basis points less than the Prime Rate.

(2) In the event Borrower achieves a Leverage Ratio less than or equal to 2.5 to 1.0 but not less than 2.0 to 1.0; the LIBOR Option shall be adjusted to two hundred fifty (250) basis points in excess of the LIBOR Rate and the Prime Option shall be adjusted to twenty-five (25) basis points less than the Prime Rate.

(3) In the event Borrower achieves a Leverage Ratio less than or equal to 3.0 to 1.0 but not less than 2.5 to 1.0; the LIBOR Option shall be adjusted to two hundred seventy-five (275) basis points in excess of the LIBOR Rate and the Prime Option shall be adjusted to the Prime Rate.

(c) Interest on the principal balance from time to time outstanding under the Note shall be due and payable monthly on the fifth (5th) day of each month commencing the fifth (5th) day of the first (1st) month following the Borrowing of a Revolving Credit Loan. If such payment day is not a Business Day, the Business Day immediately preceding such date shall be the date on which interest shall be due and payable. Interest under the Note shall be charged only on the Revolving Credit Loans advanced and shall be computed from the date of such advance to the date of repayment.

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(d) All interest under the Note shall be computed on a daily basis, based on a 365-day year. In no event shall interest be due at a rate in excess of the highest lawful rate in effect from time to time. It is not the intention of the parties hereto to make any agreement which shall be violative of the laws of the State of Florida or the United States of America relating to usury. In no event shall Borrower pay or Lender accept or charge any interest which, together with any other charges upon the principal or any portion thereof, howsoever computed, after taking into account any requirement for commitment and facility fees, shall exceed the maximum lawful rate of interest allowable under the laws of the State of Florida or the United States of America from time to time. Should any provision of this Agreement or any existing or future notes, loan agreements or any other agreements between the parties be construed to require the payment of interest which, together with any other charges upon the principal or any portion thereof, after taking into account any requirement for commitment and facility fees, shall exceed such maximum lawful rate of interest, then any such excess shall be applied against the remaining principal balance.

(e) Any principal and, to the extent permitted by law, interest which is not paid when due under the Note (whether at stated maturity, by acceleration or otherwise) and which constitutes an Event of Default shall bear interest at a rate per annum (computed as aforesaid) equal to the Default Rate.

2.5 PAYMENTS.

All payments of principal and interest under the Note shall be to the Lender at its address as set forth opposite its signature at the end of this Agreement or as otherwise directed by Lender, in immediately available funds.

2.6 COLLATERAL.

All obligations of the Borrower under the Revolving Credit Commitment shall be secured by the Collateral set forth in Article V of this Agreement.

2.7 FEES.

In connection with the Revolving Credit Commitment Borrower shall pay to Lender the following fees:

(a) UPFRONT FEE: An upfront fee equal to One Hundred Thirty One Thousand Two Hundred Fifty Dollars ($131,250.00) due and payable on or before the Closing Date.

(b) UNUSED FEE: A fee computed at a rate equal to twelve and one half (12.5) basis points per annum multiplied by the average daily unused portion of the Revolving Credit Commitment for the immediately preceding calendar quarter, payable in arrears within fifteen (15) days of the end of each calendar quarter, commencing on the first (1st) of such date to occur after the Closing Date.

* END OF ARTICLE II *

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ARTICLE III - AVAILABILITY

3.1 ACQUISITION ADVANCE AVAILABILITY.

Acquisition Advances under the Revolving Credit Commitment for the purpose of financing Acquisitions ("Advances") shall be governed by the following: (i) Acquisition Advances shall be limited to fifty (50%) percent of the aggregate purchase price of an Acquisition up to the unused principal amount of the Revolving Credit Commitment; (ii) the Adjusted Acquisition EBITDA of the Dialysis Facilities being acquired shall be equal to or greater than One Dollar ($1.00); and (iii) Borrower shall be in compliance with all financial covenants set forth in Sections 9.12, 9.13, 9.14, 9.15 and 9.16 herein, immediately following such Acquisition as determined by Lender.

3.2 WORKING CAPITAL ADVANCE AVAILABILITY.

Working Capital Advances under the Revolving Credit Commitment shall be limited to, in the aggregate, Five Million Dollars ($5,000,000.00), provided, however, in the event any Working Capital Advance would cause the aggregate of all Working Capital Advances to exceed Two Million Dollars ($2,000,000.00), Working Capital Advances shall be limited to a borrowing base equal to the lesser of: (i) Five Million Dollars ($5,000,000.00); or (ii) eighty percent (80%) of Eligible Accounts Receivable. Notwithstanding the foregoing, Working Capital Advances to finance the purchase of equipment or leasehold improvements in connection with any new Dialysis Facility shall be limited to One Million Five Hundred Thousand Dollars ($1,500,000.00).

* END OF ARTICLE III *

ARTICLE IV - GUARANTY

4.1 GUARANTY.

The full and timely payment and performance of the Revolving Credit Commitment, as well as all obligations of Borrower to Lender, howsoever and whenever created, shall be unconditionally guaranteed by all Subsidiaries of Borrower, now owned or hereafter acquired or created (hereinafter referred to individually as a "Guarantor" and collectively, as the "Guarantors"), pursuant to a Guaranty (hereinafter referred to individually as a "Guaranty" and collectively. as the "Guaranties") in form and content acceptable to Lender and its counsel.

* END OF ARTICLE IV *

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ARTICLE V - COLLATERAL

5.1 COLLATERAL.

In order to secure the full and timely payment of the Revolving Credit Loans outstanding under the Revolving Credit Commitment, as well as any renewals, extensions or modifications thereof, and to secure performance of all obligations of Borrower to Lender, however and whenever created, Borrower agrees that it will execute or cause to be executed and delivered to Lender a security agreement in favor of Lender (the "Security Agreement") and a UCC-1 financing statement in favor of Lender (the "UCC-1"), in form and substance acceptable to Lender, granting to Lender a first priority perfected security interest subject to no other liens or encumbrances except for Permitted Liens or as may be otherwise set forth in the Security Agreement or this Agreement, in the following, together with the proceeds and products thereof: (1) all Borrower's and each Subsidiary's presently existing and hereafter created Accounts or Accounts Receivable; (2) all Borrower's and each Subsidiary's presently owned and hereafter acquired Inventory; (3) all Borrower's and each Subsidiary's presently owned and hereafter acquired Equipment; and (4) all Borrower's and each Subsidiary's presently owned and hereafter acquired Chattel Paper, Documents, Instruments and General Intangibles;

All of the above-described collateral is hereafter referred to as "Collateral".

5.2 CROSS-COLLATERAL.

The Collateral shall secure all Indebtedness, howsoever or whenever incurred, whether direct or indirect, contingent or absolute, of Borrower or any Subsidiary to Lender.

* END OF ARTICLE V *

ARTICLE VI - CONDITIONS PRECEDENT TO BORROWING

The Lender shall not be obligated to make any Revolving Credit Loan to the Borrower hereunder unless, except as specifically provided for herein, the following conditions precedent shall have been satisfied in the sole opinion of the Lender:

6.1 EACH LOAN.

The obligation of the Lender to make each Revolving Credit Loan pursuant to Article II herein is subject to the condition precedent that: (i) the Borrower shall have delivered to the Lender the notice of Borrowing provided for in Section 2.2 hereof; and (ii) all representations and warranties set forth in Article XIII herein shall be true and correct in all material respects as of the date thereof.

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6.2 INITIAL LOAN.

The obligation of the Lender to enter into this Agreement and make the initial Revolving Credit Loans pursuant to Article II herein is subject to the following additional conditions precedent, each of which shall have been met, performed or delivered to Lender by the initial Borrowing Date:

(a) NOTE. The Note, duly executed and completed in the form of Exhibit B attached hereto and made a part hereof.

(b) OPINION OF COUNSEL. A legal opinion reasonably acceptable to the Lender and its counsel.

(c) INSURANCE. Evidence that all of the Borrower's insurable properties, are insured as required by Section 9.4 of this Agreement. All insurance policies covering the Collateral shall name the Lender as "Loss Payee" and shall grant the Lender at least thirty (30) days prior written notice of intended policy cancellation, non-renewal or material modification.

(d) CORPORATE DOCUMENTS. Certified copies of the Articles of Incorporation and Bylaws of the Borrower and each Subsidiary and all amendments thereto, together with a Certificate of Good Standing of the Borrower and each Subsidiary and proof of qualification of each to do business in each jurisdiction in which its business is conducted.

(e) CERTIFICATION OF NO ADVERSE CHANGE. Evidence or certification from Borrower that, from the date of the latest financial information furnished to Lender by Borrower there has been no Material Adverse Change.

(f) LITIGATION CERTIFICATE. Opinion from Borrower's counsel that there exists no pending or threatened litigation, the result of which could result in a Material Adverse Change.

(g) SUPPORTING DOCUMENTS. This Agreement, each of the Related Documents and each of the certificates and any and all other documents described in the Closing Documents List attached hereto as Exhibit D and made a part hereof.

(h) LIEN SEARCH. Completion and satisfaction of a lien search conducted in each jurisdiction where Borrower or a Guarantor or their assets are located.

(i) DUE DILIGENCE. Completion and satisfaction of due diligence analysis and review with respect to the assets, liabilities, businesses, operations, conditions, and prospects of Borrower, and each Guarantor (with respect to Contract Providers limited to licensing and good standing to provide services), as applicable but not limited to: (i) a NationsBank Business Credit Audit; and (ii) a review of Borrower's fiscal year 1999 financial projections.

(j) GOVERNMENT REGULATIONS. The proceeds of advances under the Revolving Credit Commitment will be expended in compliance with all applicable governmental and regulatory laws, rules and regulations (including without limitation Federal Reserve Regulation U).

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(k) FEES. Lender shall have been paid all fees and expenses payable on or prior to the due date thereof in accordance with the terms hereof.

(l) SOLVENCY. A certificate of Borrower's chief executive officer or chief financial officer confirming the solvency of Borrower (after consummation of the transactions contemplated hereby) and satisfaction of all other conditions precedent to the initial borrowing.

(m) CONSENTS. All requisite third parties shall have approved or consented to the transactions contemplated hereby to the extent required, and there shall be no governmental or judicial action, actual or threatened, that has or would have a reasonable likelihood of restraining, preventing or imposing burdensome conditions on the transactions contemplated hereby.

(n) MEDICARE AUDIT. Any Medicare Audits of Borrower or its Subsidiaries shall be submitted to Lender and said audits shall be satisfactory to Lender in its sole discretion.

(o) OTHER. All other documents, agreements or instruments required in connection with this Agreement.

* END OF ARTICLE VI *

ARTICLE VII - CONDITIONS PRECEDENT TO ACQUISITIONS

7.1 ACQUISITIONS.

Borrower acknowledges and agrees that so long as there are no outstanding Revolving Credit Loans under the Revolving Credit Commitment and Borrower is not seeking any Acquisition Advances , no Lender approval shall be required for an Acquisition. If there are Advances outstanding under the Revolving Credit Commitment or if Borrower is seeking Acquisition Advances, Lender approval is required for all Acquisitions; provided, however, until the aggregate total consideration for Acquisitions by Borrower after the Closing Date equals or exceeds Five Million Dollars ($5,000,000.00), Lender approval shall only be required for Acquisitions where the total consideration in connection with an Acquisition equals or exceeds Two Million Dollars ($2,000,000.00). Lender approval of the above referenced Acquisitions shall be based upon the following conditions having been satisfied:

(a) Satisfactory review and approval by Lender of the purchase documentation related to each proposed Acquisition, which documentation shall include but not be limited to subordination of any seller's notes or Indebtedness to any seller entered into with respect to such Acquisition.

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(b) Delivery and satisfactory review and approval by Lender of a minimum of two (2) years of compiled historical financial statements prepared on an accrual basis of the proposed Acquisition to the extent such Acquisition was in operation for two fiscal years.

(c) Satisfactory review of Borrower's pro forma consolidated balance sheet giving effect to the proposed Acquisition.

(d) Satisfactory review of Borrower's consolidated and consolidating financial projections on a pro forma basis giving effect to the proposed Acquisition.

(e) Satisfactory review of the Medical Director Agreement relating to the proposed Acquisition, and any other contracts with Contract Providers.

(f) Evidence satisfactory to Lender that the proposed Acquisition will not cause a default under this Agreement including, without limitation, all representations and warranties, covenants and Events of Default.

(g) Any other information, financial or otherwise, that may be reasonably requested by Lender.

(h) Borrower shall have obtained all required third party consents and approvals.

(i) Execution of definitive collateral documentation.

(j) Copy of Borrower's "due diligence" package with respect to each proposed Acquisition provided to management and board of directors of Borrower.

(k) a litigation search of each proposed Acquisition acceptable to Lender in its reasonable discretion.

In no event will Lender approve an Acquisition: (i) which is opposed by the entity's board of directors or controlling shareholders; or (ii) which is not in the business of performing dialysis and ancillary services for patients suffering from end stage renal disease or acute dialysis services.

* END OF ARTICLE VII *

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ARTICLE VIII - REPRESENTATIONS AND WARRANTIES

In order to induce the Lender to enter into this Agreement and to make the Revolving Credit Loans provided for herein, the Borrower and each Subsidiary, as applicable, makes the following representations and warranties to the Lender, all of which shall survive the execution and delivery of this Agreement and the Note:

8.1 CORPORATE EXISTENCE AND POWER.

The Borrower and each Subsidiary is a corporation duly incorporated, validly existing, and in good standing under the laws of the jurisdiction of its incorporation and is duly qualified or licensed to transact business in all places where such qualification or license is necessary. The Borrower and each Subsidiary, as applicable, has the corporate power to make and perform this Agreement, the Note and the applicable Related Documents, and this Agreement, the Note and the applicable Related Documents, when duly executed and delivered, will constitute the legal, valid, and binding obligations of the Borrower, and each Subsidiary, as applicable, enforceable substantially in accordance with their respective terms, except as the same may be limited by bankruptcy, insolvency, reorganization, or other laws affecting creditors' rights generally.

8.2 CORPORATE AUTHORITY.

The making and performance by the Borrower and each Subsidiary, as applicable, of this Agreement, the Note and the applicable Related Documents, and any additional documents contemplated to be executed in connection herewith have been duly authorized by all necessary corporate action of the Borrower and each Subsidiary, and do not and will not violate any provision of law or regulation, or any writ, order, or decree of any court, governmental commission, bureau, or other administrative agency or public regulatory body or regulatory authority or agency or any provision of the articles or certificate of incorporation or Bylaws of the Borrower, and each Subsidiary, and do not and will not, with the passage of time or the giving of notice, result in a breach of, or constitute a default or require any consent under, or result in the creation of any Lien, charge or encumbrance upon any property or assets of the Borrower and each Subsidiary, pursuant to, any instrument or agreement to which the Borrower or any Subsidiary is a party or by which the Borrower or any Subsidiary or any of their respective properties may be bound or affected.

8.3 FINANCIAL CONDITION.

The consolidated balance sheet of the Borrower as of December 31, 1997, and the consolidated statement of operations, statement of cash flows and statement of shareholder's equity of the Borrower for the twelve (12) month period ending on that date were prepared in accordance with generally accepted accounting principles consistently applied on a generally recognized consistent basis of accounting, as applicable, are complete, correct and fairly present the financial condition on a consolidated basis of the Borrower and each of its Subsidiaries as of

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those dates and the results of Borrower's and each Subsidiary's operations on a consolidated basis for the periods ending on those dates. Other than as disclosed by those financial statements or as listed on Schedule II hereto, the Borrower and each of its Subsidiaries did not have any direct or contingent obligations or liabilities which would result in a Material Adverse Change. Since December 31, 1997, there has been no Material Adverse Change.

8.4 FULL DISCLOSURE.

The financial statements referred to in Section 8.3 do not, nor does this Agreement, or any written statement furnished by the Borrower or any of its Subsidiaries to the Lender in connection with the negotiation of this Agreement and the Revolving Credit Loans, contain any untrue statement of a material fact or omit a material fact necessary to make the statements contained therein or herein not misleading.

8.5 LITIGATION.

There are no suits or proceedings pending, or to the knowledge of the Borrower, threatened before any court or by or before any governmental or regulatory authority, commission, bureau, or agency or public regulatory body against or affecting the Borrower or any of its Subsidiaries or any Contract Provider which, if adversely determined, would result in a Material Adverse Change or would result in the revocation, termination, cancellation or suspension of Borrower's or any Subsidiary's or, or Medicare Certification, Medicaid Provider Agreement or Medicare Provider Agreement.

8.6 PAYMENT OF TAXES.

The Borrower has filed or caused to be filed, or has obtained extensions to file all federal, state, and local tax returns which are required to be filed, and has paid or caused to be paid, or, with respect to the Borrower and each of its Subsidiaries, have reserved on its books amounts sufficient for the payment of, all taxes as shown on said returns or on any assessment received by it, to the extent that the taxes have become due, except as otherwise permitted by the provisions hereof. No tax liens have been filed and the Borrower and each of the Subsidiaries have not been notified of, or otherwise has knowledge of, any claim being asserted with respect to any such taxes, fees, or other charges which are reasonably likely to result in a Material Adverse Change.

8.7 NO ADVERSE RESTRICTIONS OR DEFAULTS.

Neither the Borrower nor any Subsidiary is a party to any agreement or instrument or subject to any court order or judgment, governmental decree, charter, or other corporate or other restriction which is materially adverse to its ability to conduct its business as currently conducted. Neither the Borrower nor any Subsidiary is in default in the performance, observance, or fulfillment of any of the obligations, covenants, or conditions contained in any agreement or instrument to which it is a party or by which the Borrower or any of its Subsidiaries or their respective properties may be bound or affected, or under any law, regulation, decree, order, or the like, which is materially adverse to their respective ability to conduct their

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business(es) as currently conducted. Neither the Borrower nor any of its Subsidiaries, nor to the knowledge of Borrower's officers, any Contract Provider, is in default in the performance, observance or fulfillment of any of the obligations, covenants or conditions contained in any Medicaid Provider Agreement, Medicare Provider Agreement or other agreement or instrument to which the Borrower or any Subsidiary or any Contract Provider is a party, which default has resulted in, or if not remedied within any applicable grace period could result in, the revocation, termination, cancellation or suspension of Medicare Certification of Borrower or any Subsidiary or any Contract Provider.

8.8 INVESTMENT COMPANY ACT.

The Borrower is not an "investment company" or a company "controlled" by an "investment company" within the meaning of the Investment Company Act of 1940, as amended.

8.9 AUTHORIZATIONS.

All authorizations, consents, approvals, and licenses required under applicable law or regulation for the ownership or operation of the property owned or operated by the Borrower or any of its Subsidiaries for the conduct of business in which the Borrower nor any of its Subsidiaries is engaged, have been duly issued and are in full force and effect, and neither the Borrower nor any of its Subsidiaries is in default under any order, decree, ruling, regulation, closing agreement, or other decision or instrument of any governmental commission, bureau, or other administrative agency or public regulatory body having jurisdiction over the Borrower or any of its Subsidiaries, which default would result in a Material Adverse Change. No approval, consent, or authorization of or filing or registration with any governmental commission, bureau, or other regulatory authority or agency is required with respect to the execution, delivery, or performance of this Agreement, the Note or the Related Documents.

8.10 REIMBURSEMENT FROM THIRD PARTY PAYORS.

The accounts receivable of the Borrower and each Subsidiary have been and will continue to be adjusted to reflect reimbursement policies of third party payors such as Medicare, Medicaid, Blue Cross/Blue Shield, private insurance companies, health maintenance organizations, preferred provider organizations, alternative delivery systems, managed care systems, government contracting agencies and other third party payors. In particular, accounts receivable relating to such third party payors do not and shall not exceed amounts any obligee is entitled to receive under any capitation arrangement, fee schedule, discount formula, cost-based reimbursement or other adjustment or limitation to its usual charges.

8.11 FRAUD AND ABUSE.

Neither the Borrower nor any Subsidiary nor, to the knowledge of Borrower's officers, any of its stockholders, officers or directors or any Contract Provider, have engaged in any activities affecting the Borrower which are prohibited under Medicare Regulations or Medicaid Regulations.

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8.12 LICENSING AND ACCREDITATION.

The Borrower and each Subsidiary, and, to the knowledge of Borrower's officers, each Contract Provider, as applicable, have (i) obtained and maintains Medicaid Certification and Medicare Certification; and (ii) entered into and maintains in good standing its Medicare Provider Agreement and its Medicaid Provider Agreement, if any. To the knowledge of Borrower's officers, each Contract Provider is duly licensed (where license is required) by each state or state agency or commission, or any other governmental authority having jurisdiction over the provisions of such services by such Person in the locations in which the Borrower or such Subsidiary conduct business, required to enable such Person to provide the professional services provided by such Person and otherwise as is necessary to enable the Borrower or such Subsidiary to operate as currently operated and as presently contemplated to be operated. To the knowledge of Borrower's officers, all such required licenses are in full force and effect on the date hereof and have not been revoked or suspended or otherwise limited.

8.13 SUBSIDIARIES AND AFFILIATES.

As of the date of execution of this Agreement, the Borrower has no Subsidiaries and no Affiliates other than as disclosed in Schedule I hereto. All the capital stock and evidence of the equity rights held by the Borrower or a Subsidiary in each Subsidiary hereafter created or acquired will be owned by the Borrower and/or another Subsidiary, beneficially and of record, free and clear of all Liens.

8.14 TITLE TO PROPERTIES.

The Borrower and each of its Subsidiaries, as applicable have good and marketable fee title to all real property, and good title to all other property and assets, reflected in the latest balance sheet of the Borrower referred to in Section 8.3 or purported to have been acquired by the Borrower or any of its Subsidiaries subsequent to such date, except property and assets sold or otherwise disposed of subsequent to such date in the ordinary course of business. All property and assets of any kind of the Borrower or any of its Subsidiaries are free from any Liens except for Permitted Liens. The Borrower and each of its Subsidiaries enjoys peaceful and undisturbed possession under all of the leases under which it is operating, none of which contains any unusual provisions that would result in a Material Adverse Change. All leases pertaining to real property are valid, subsisting, and in full force and effect and the Borrower and its Subsidiaries, as applicable have not received notice of default thereunder, and the Borrower and its Subsidiaries have no leases for personal property except as disclosed to Lender on the Borrower's financial statements. The Borrower and each of its Subsidiaries possess all patents, patent rights or licenses, trademarks, trademark rights, trade names, trade name rights, and copyrights which are required to conduct its business as now conducted without known conflict with the rights of others.

8.15 USE OF LOANS.

The proceeds of the Revolving Line of Credit Commitment shall be used by the Borrower exclusively for: (i) Acquisition Advances; and (ii) Working Capital Advances. The

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Borrower is not engaged principally, or as one of its important activities, in the business of extending credit for the purpose of purchasing or carrying margin stock (within the meaning of Regulation U of the Board of Governors of the Federal Reserve System), and no part of the proceeds of the Revolving Credit Loans hereunder will be used to purchase or carry any margin stock or to extend credit to others for the purpose of purchasing or carrying any margin stock. If requested by the Lender the Borrower will furnish to the Lender in connection with the Revolving Credit Loans hereunder a statement in conformity with the requirements of Federal Reserve Form U-1 referred to in said Regulation.

8.16 ERISA.

(a) None of the Plans or the trusts created thereunder has engaged in a prohibited transaction which could subject any such Plan or trust to a material tax or penalty on prohibited transactions imposed under Code
Section 4975 or ERISA.

(b) None of the Plans or the trusts created thereunder has been terminated; nor has any such Plan incurred any liability to the Pension Benefit Guaranty Corporation, other than for required insurance premiums which have been paid when due, or incurred any accumulated funding deficiency; nor has there been any reportable event, or other event or condition, which presents a risk of termination of any such Plan by the Pension Benefit Guaranty Corporation.

(c) The present value of all accrued benefits under the Plans did not, as of the most recent valuation date, exceed the then current value of the assets of Plans allocable to such accrued benefits.

(d) Neither the Borrower nor any Subsidiary has been a party to or has any employees who are covered by any multi-employer pension or benefit plan.

(e) As used in this Section 8.13, the terms "accumulated funding deficiency," "reportable event" and accrued benefits" shall have the respective meanings assigned to them in ERISA, and the term "prohibited transaction" shall have the meaning assigned to it in Code Section 4975 and ERISA.

* END OF ARTICLE VIII *

ARTICLE IX - AFFIRMATIVE COVENANTS

The Borrower and each Subsidiary, as applicable, covenants and agrees that from the Closing Date and until payment in full of the principal of and interest on the Note and the termination in full of the Revolving Credit Commitment unless the Lender shall otherwise consent in writing, the Borrower will and, to the extent that Borrower may from time to time have any Subsidiaries, will cause each of its Subsidiaries to:

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9.1 LOAN PROCEEDS.

Use the proceeds of the Revolving Credit Loans only for the purposes set forth in Section 8.12 and furnish the Lender with all evidence that it may reasonably require with respect to such use.

9.2 CORPORATE EXISTENCE.

Do or cause to be done all things necessary to maintain, preserve, and keep in full force and effect its existence in the jurisdiction of its incorporation, and qualify and remain qualified in each jurisdiction where qualification is necessary in view of its business operations or the ownership of its properties except for the discontinuation or cessation of any Subsidiary in the ordinary course of business and which does not result in a Material Adverse Change.

9.3 MAINTENANCE OF BUSINESS AND PROPERTIES.

At all times maintain, preserve, and protect all rights, privileges, patents, franchises, and trade names necessary in the conduct of its business and preserve all the remainder of its property used or useful in the conduct of its business and keep the same in good repair, working order, and condition, and from time to time make, or cause to be made, all needful and proper repairs, replacements, betterments, and improvements thereto so that the business carried on in connection therewith may be conducted properly at all times.

9.4 INSURANCE.

Insure and keep insured with reputable insurance companies and in amounts consistent with the coverages customarily maintained by other companies in the same or similar business and location, all insurable property owned by it against loss or damage from such hazards or risks, including fire; insure and keep insured employers' and public liability risks in good and responsible insurance companies of the types and in amounts consistent with the coverages customarily maintained by other companies in the same or similar business and location; maintain and cause all Contract Providers to maintain such other insurance as may be required by law or coverages customarily maintained by providers of professional health care services in the same or similar location and practice area (including without limitation, medical malpractice insurance); and upon request of the Lender furnish a certificate setting forth in summary form the nature and extent of the insurance maintained by the Borrower pursuant to this Section 9.4. Each insurance policy maintained by the Borrower pursuant to this Section 9.4 shall include a provision that the insurer will provide the Lender with thirty (30) days notice prior to the termination or expiration of such policy. With respect to all insurance policies maintained by Borrower covering the Collateral, said policies shall name the Lender "Loss Payee" and shall grant Lender at least thirty (30) days notice of intended policy cancellation, non-renewal or material modification.

9.5 PAYMENT OF INDEBTEDNESS, TAXES, ETC.

Pay all of its Indebtedness and obligations before the same shall become in default and comply in all material respects with all other agreements, indentures, mortgages, or documents binding on it; and pay and discharge or cause to be paid and discharged promptly all

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taxes, assessments, and governmental charges or levies imposed upon it or upon its property or upon any part thereof, before the same shall become in default, as well as all lawful claims for labor, materials, and supplies or otherwise which, if unpaid, might become a Lien upon such properties or any part thereof; provided, however, that neither the Borrower nor any of its Subsidiaries shall be required to pay and discharge or to cause to be paid and discharged any tax, assessment, charge, levy, or claim so long as the validity thereof shall be contested in good faith by appropriate proceedings and the Borrower or Subsidiary, as the case may be, shall have set aside on its books adequate reserves with respect to any tax, assessment, charge, levy, or claim, so contested.

9.6 COMPLIANCE WITH LAWS.

Duly observe, conform and comply with and cause all Contract Providers to observe, conform and comply with all laws, decisions, judgments, rules, regulations, and orders of all governmental authorities relative to the conduct Borrower's business, properties, and assets, except those being contested in good faith by appropriate proceedings diligently pursued including but not limited to, Titles XVIII and XIX of the Social Security Act, Medicare Regulations, Medicaid Regulations and all laws, rules and regulations pertaining to the licensing of professional and other health care providers; and obtain, maintain, and keep in full force and effect, and cause all Contract Providers to obtain, maintain and keep in full force and effect, all governmental licenses, authorizations, consents, and permits necessary to the proper conduct of the business of the Borrower, including, but not limited to Medicaid Certification, Medicare Certification, Medicaid Provider Agreement and Medicare Provider Agreement, and any others required for participation in the Federal Medicare and Medicaid programs.

9.7 NOTICE OF DEFAULT.

Upon the occurrence of any Default or Event of Default which management of the Borrower or any Subsidiary has knowledge of, promptly furnish written notice thereof to the Lender specifying the nature and period of existence thereof and the action which the Borrower is taking or proposes to take with respect thereto.

9.8 FINANCIAL STATEMENTS, REPORTS, ETC.

In the case of the Borrower, furnish to the Lender:

(a) within ninety (90) days after the end of each fiscal year of the Borrower (being December 31), audited consolidated balance sheet and statement of operations cash flows, and statement of shareholders equity together with supporting schedules (of the Borrower, all in reasonable detail, setting forth in each case the corresponding figures for the preceding fiscal year, prepared in accordance with generally accepted accounting principles, consistently applied, by a firm of independent certified public accountants of recognized standing selected by the Borrower and acceptable to the Lender, showing the financial condition of the Borrower and its Subsidiaries at the close of such year and the results of operations of the Borrower and its Subsidiaries during such year;

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(b) within ninety (90) days after the end of each fiscal year of Borrower, internally prepared statement of operation of each Subsidiary, in reasonable detail, certified by the President or Chief Financial Officer of the Borrower and prepared in accordance with generally accepted accounting principals showing the profit and loss performance of each Subsidiary at the close of such fiscal year.

(c) within forty-five (45) days after the end of each of the first three quarters of each fiscal year of the Borrower, similar financial statements to those referred to in subparagraph (a) above, internally prepared by the Borrower, said financial statements to be unaudited and without footnotes thereto, and certified by the President or Chief Financial Officer of the Borrower, such consolidated balance sheet to be as of the end of each quarter and the statement of operations and statement of cash flows to be for the period from the beginning of the fiscal year to the end of such quarter;

(d) within forty-five (45) days after the end of each of the second quarter of each fiscal year of Borrower, internally prepared statement of operations of each Subsidiary, in reasonable detail and certified by the President or Chief Financial Officer of the Borrower and prepared in accordance with generally accepted accounting principals, showing the profit and loss performance of each Subsidiary for such six month period.

(e) concurrently with the delivery of the financial statements required in Subsection (a) and each quarterly financial statement submitted in Subsection (b) hereinabove, a certificate signed by the President or the Chief Financial Officer of the Borrower stating that they have no knowledge of any event which constitutes a Default or Event of Default, accompanied by a report setting forth computations showing, in detail satisfactory to the Lender, whether the Borrower was in compliance with its obligations under Sections 9.12, 9.13, 9.14 and 9.14 and 9.16;

(f) prior to any request for an Acquisition Advance, an Acquisition Advance Certificate;

(g) all material reports and other statements (other than routine reports and other statements prepared in the ordinary course of business that would not result in a Material Adverse Change) that the Borrower or any Subsidiary may render to or file with any governmental authority, including without limitation HCFA.

(h) any management letter received by Borrower from its independent certified public accountants.

(i) promptly, from time to time, such other information regarding the assets, operations, business, affairs, and financial condition of the Borrower and any of its Subsidiaries as the Lender may reasonably request.

All financial statements required to be furnished to the Lender under this Section 9.8 shall be prepared in accordance with generally accepted accounting principles applied on a basis consistent with the accounting practices of the Borrower reflected in its financial statements

27

referred to in Section 9.3 hereof, or to the extent such treatment has changed, with a reconciliation thereof.

9.9 VISITATION RIGHTS.

Permit any authorized representative of the Lender from time to time, upon reasonable notice to the Borrower and during normal business hours, to examine and copy the records, books, papers and financial reports of, and visit and inspect the properties of, the Borrower or any of its Subsidiaries, and to discuss the affairs and finances of the Borrower or any of its Subsidiaries, with any of their respective officers, directors, and as long as no Default exists, independent public accountants, and in each case at the expense of the Lender so long as no default exists.

9.10 NOTICE OF LITIGATION AND OTHER PROCEEDINGS.

Give prompt notice in writing to the Lender of the commencement of (a) all litigation which, if adversely determined, is reasonably likely to result in a Material Adverse Change; (b) all other litigation involving a claim against the Borrower or any of its Subsidiaries for Twenty-Five Thousand Dollars ($25,000.00), or more per occurrence or One Hundred Thousand Dollars ($100,000.00) or more in the aggregate, in excess of applicable insurance coverage; and (c) any citation, order, decree, ruling, or decision issued by, or any denial of any application or petition to, or any proceedings before any governmental commission, bureau, or other administrative agency or public regulatory body against or affecting the Borrower or any of its Subsidiaries or any property of the Borrower or any Subsidiary, (including, without limitation, any proceedings against the Borrower or any Subsidiary or any Contract Provider to suspend, revoke or terminate any Medicaid Provider Agreement, Medicaid Certification, Medicare Provider Agreement or Medicare Certification of Borrower) or any lapse, suspension, revocation, or other termination or modification of any certification (including without limitation Borrower's or any Subsidiary's or any Contract Provider's Medicare Certification or Medicaid Certification), license, consent, or other authorization of any agency or public regulatory body, or any refusal of any thereof to grant any application therefor or renewal thereof, in connection with the operation of any business conducted by the Borrower or any of its Subsidiaries or any Contract Provider, which is reasonably likely to result in a Material Adverse Change.

9.11 ERISA.

Furnish to the Lender:

(a) As soon as available and in any event within fifteen (15) days after Borrower or any of its Subsidiaries knows or has reason to know that any Termination Event has occurred, a statement of a senior officer of the Borrower describing the Termination Event and the action which the Borrower or any of its Subsidiaries proposes to take so that the Termination Event shall not be continuing;

(b) Promptly after receipt of request therefor by the Lender, copies of each annual report filed by the Borrower or any of its Subsidiaries pursuant to Section 104 of ERISA

28

with respect to each Plan (including, to the extent required by Section 103 of ERISA, the related financial and actuarial statements and opinions and other supporting statements, certifications, schedules and information referred to in said Section 103) and each annual report, if any, required to be filed with respect to each Plan under Section 4065 of ERISA;

(c) Promptly after receipt thereof by the Borrower or any of its Subsidiaries from the Pension Benefit Guaranty Corporation, copies of each notice received by such party of the Pension Benefit Guaranty Corporation's intention to terminate any Plan or to have a Trustee appointed to administer any Plan; and

(d) Promptly after such request, any other documents and information relating to any Plan that the Lender may reasonably request from time to time.

9.12 NET WORTH.

At all times, Borrower shall achieve and maintain a consolidated Net Worth, tested quarterly, equal to or greater than: (i) Twenty-Three Million Six Hundred Thousand Dollars ($23,600,000.00) for fiscal year 1997; (ii) Twenty-Three Million Dollars ($23,000,000.00) for the first and second fiscal quarters of 1998; and (iii) after the second fiscal quarter of 1998 Twenty-Three Million Dollars ($23,000,000.00); plus (iv) one hundred percent (100%) of the equity added on the Borrower's balance sheet of a completed Acquisition; plus (v) one hundred percent (100%) of the proceeds received by Borrower from equity injections; and plus (vi) commencing June 30, 1998 and each fiscal quarter thereafter Borrower's Net Worth shall increase by an amount equal to one hundred percent (100%) of Borrower's net profit after taxes for each respective fiscal quarter; provided, however, for each fiscal quarter commencing July 1, 1998 and thereafter in no event shall the Net Worth requirement set forth herein decrease due to a net loss incurred during any fiscal year.

9.13 CURRENT RATIO.

At all times, Borrower shall maintain a Current Ratio equal or exceeding 1.0 to 1.0, tested quarterly. Commencing on the second anniversary of the Closing Date, "Current liabilities" shall include only twenty percent (20%) of Indebtedness funded under the Revolving Credit Commitment.

9.14 CURRENT MATURITIES COVERAGE RATIO.

At all times, Borrower shall maintain a Current Maturities Coverage Ratio equal or exceeding: (i) 1.2 to 1.0 for fiscal year 1998; and (ii) 1.4 to 1.0 for each fiscal year thereafter.

9.15 LEVERAGE RATIO.

At all times, Borrower shall maintain a Leverage Ratio not to exceed 3.0 to 1.0.

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9.16 CAPITALIZATION RATIO.

At all times, Borrower shall maintain a Capitalization Ratio of 0.50 to 1.0, tested quarterly.

Each of the covenants set forth in subparagraphs 9.14 and 9.15 are to be calculated on a rolling four quarter basis, utilizing the consolidated financial statements of the Borrower and its Subsidiaries for the immediately preceding four (4) fiscal quarters. The rolling four quarter calculation will include the previous four quarters of financial performance for any acquired entity or assets on an accrual basis. In no instance shall the Borrower be subject to financial covenants in its other financing and leasing arrangements that are more restrictive than those set forth above. For purposes of calculating the covenants referenced in Paragraphs 9.14 and 9.15 hereinabove, Interest Income and Interest Expenses shall be calculated on an annualization of actual Interest Income and Interest Expense reported in Borrower's financial statements cumulatively up to the first three (3) quarters of fiscal year 1998.

9.17 BOOKS AND RECORDS.

With respect to Borrower, keep and maintain full and accurate accounts and records of its operations according to generally accepted accounting principles consistently applied, and will permit Lender or any of their designated officers, employees, agents and representatives, at Lender's expense and upon reasonable notice, to have access thereto, and to make audits, and to inspect and otherwise check its properties, real, personal and mixed, and to arrange for verification of Accounts Receivable under reasonable procedures, directly with accounts debtors or by other methods. In addition Borrower and each Subsidiary shall provide to Lender any Medicare audits, which audits shall be satisfactory to Bank in its sole discretion.

9.18 OPERATING ACCOUNTS.

With respect to Borrower, maintain its primary depository bank accounts with Lender.

9.19 MANAGEMENT.

With respect to Borrower, maintain at least two (2) of James Shea, Milton Wallace and Orestes Lugo as active members of the day-to-day management team of Borrower.

9.20 REIMBURSEMENT FROM THIRD PARTY PAYORS.

The accounts receivable of the Borrower and each Subsidiary and each Contract Provider have been and will continue to be adjusted to reflect reimbursement policies of third party payors such as Medicare, Medicaid, Blue Cross/Blue Shield, private insurance companies, health maintenance organizations, preferred provider organizations, alternative delivery systems, managed care systems, government contracting agencies and other third party payors.

* END OF ARTICLE IX *

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ARTICLE X - NEGATIVE COVENANTS

The Borrower and each Subsidiary covenants and agrees that from the Closing Date and until payment in full of the principal of and interest on the Note and the termination in full of the Revolving Credit Commitment, unless the Lender shall otherwise consent in writing, the Borrower will not, nor will it, to the extent that it may from time to time have any Subsidiaries, permit any Subsidiary to:

10.1 LIMITATION ON LIENS.

Create or suffer to exist any Lien upon, or transfer or assignment of, any of its property or revenues or assets now owned or hereafter acquired to secure any Indebtedness or obligations, or enter into any arrangement for the acquisition of any property subject to conditional sale agreements or leases or other title retention agreements; excluding, however, from the operation of this covenant: (a) Liens given to secure purchase money transactions which do not exceed Five Hundred Thousand Dollars ($500,000.00) in the aggregate in any fiscal year, unless otherwise consented to by the Lender, which consent shall not be unreasonably withheld; (b) deposits or pledges to secure payment of workers' compensation, unemployment insurance, old age pensions, or other social security; (c) deposits or pledges to secure performance of bids, tenders, contracts (other than contracts for the payment of money) or leases, public or statutory obligations, surety or appeal bonds, or other deposits or pledges for purposes of like general nature in the ordinary course of business; (d) Liens for property taxes not delinquent and Liens for taxes which in good faith are being contested or litigated; (e) mechanic's, carrier's, workmen's, repairmen's, landlord's or other like liens arising in the ordinary course of business securing obligations which are not overdue for a period of thirty (30) days or more or which are in good faith being contested or litigated; and (f) existing Liens reflected in the financial statements referred to in Section 8.3 hereof, including any notes thereto, or additional existing Liens listed in Schedule II attached hereto and made a part hereof.

10.2 LIMITATION ON INDEBTEDNESS.

Incur, create, assume, or permit to exist any Indebtedness, except:

(a) the Note and any other Indebtedness of the Borrower or any of its Subsidiaries to the Lender;

(b) Existing Indebtedness reflected in the financial statements referred to in Section 8.3 hereof, including any notes thereto, or additional existing Indebtedness listed in Schedule II attached hereto and made a part hereof;

(c) Indebtedness incurred in connection with purchase money transactions which does not exceed Five Hundred Thousand Dollars ($500,000.00) in the aggregate in any fiscal year, unless otherwise consented to by the Lender, which consent shall not be unreasonably withheld;

(d) Subordinated Indebtedness; and

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(e) Indebtedness so long as said Indebtedness is eliminated on the consolidated and consolidating balance sheet of Borrower in accordance with generally accepted accounting principals.

10.3 THIRD-PARTY GUARANTIES.

Be or become liable in respect of any Third-Party Guaranty, except for: (a) the endorsement of negotiable instruments for deposit or collection or similar transactions in the ordinary course of business; (b) Third-Party Guaranties by the Borrower of Indebtedness of its Subsidiaries in favor of the Lender or otherwise permitted to the extent the Indebtedness is permitted in Section 10.2 hereof; (c) performance bonds entered into by the Borrower or its Subsidiaries to secure the obligations of itself or its Subsidiaries; and (d) Third-Party Guaranties of the Borrower and its Subsidiaries existing as of the date of execution hereof, as shown on Schedule II hereto.

10.4 DIVIDENDS.

Declare or pay any cash dividend or authorize or make any other cash distribution on any stock of the Borrower, whether now or hereafter outstanding, or make, or permit any Subsidiary to make, any payment on account of the purchase, acquisition, redemption or other retirement of any shares of such stock.

10.5 MERGERS, CONSOLIDATIONS AND ACQUISITION OF ASSETS.

Liquidate, dissolve, whether voluntary or involuntarily, merge or consolidate with or acquire any corporation or all or substantially all of the assets of any Person (except for Acquisitions as permitted herein), or dispose of all or substantially all of the assets of any Person.

10.6 SALE, LEASE, ETC.

Sell, lease, assign, transfer or otherwise dispose of any of its assets or revenues (other than obsolete or worn-out personal property, or personal property or real estate not used or useful in its business) whether now owned or hereafter acquired, other than in the ordinary course of business, including, without limitation, the stock of any Subsidiary, or sell, assign or discount any of its accounts receivable or any promissory note held by it, with or without recourse, other than the discount of such notes or accounts receivable (if permitted by Medicaid Regulations or Medicare Regulations) in the ordinary course of business for collection.

10.7 INVESTMENTS.

Make or suffer to exist any Investments, except that this prohibition shall not apply to (i) the investment policy attached as Schedule II to this Agreement; (ii) the purchase of direct obligations of the government of the United States of America, or any agency thereof, or obligations unconditionally guaranteed by the United States of America; (ii) certificates of deposit of any bank organized or licensed to conduct a banking business under the laws of the United States or any State thereof having capital, surplus and undivided profits of not less than

32

One Hundred Million Dollars ($100,000,000.00); (iii) Investments in commercial paper which, at the time of acquisition by the Borrower or any Subsidiary, is accorded the three (3) highest rating categories by Standard & Poor's Corporation, Moody's Investors Services, Inc. or any other nationally recognized credit rating agency of similar standing; and (iv) other Investments of the Borrower existing as of the date of execution hereof as shown on Schedule II hereof.

10.8 TRANSACTIONS WITH AFFILIATES.

Enter into or be a party to, any transaction or arrangement with any Affiliate (including, without limitation, the purchase from, sale to or exchange of property with, or the rendering of any service by or for, any Affiliate), except in the ordinary course of, and pursuant to the reasonable requirements of the Borrower's or any Subsidiary's business, and in connection with Acquisitions and upon fair and reasonable terms no less favorable to the Borrower or any Subsidiary than would be obtained in a comparable arm's length transaction with a Person other than an Affiliate.

10.9 SALE AND LEASEBACK.

After the sale of any property or assets owned by the Borrower or any Subsidiary, lease such property or substantially identical property.

10.10 PURCHASE OF OWN SHARES.

Other than redemptions in connection with indemnification claims pursuant to any Acquisition, purchase, retire or redeem any shares of its own stock.

10.11 TRANSFER OF SHARES.

Transfer or allow the transfer of any Subsidiary's shares of capital stock.

10.12 BUSINESS OPERATIONS.

Change its nature of business.

10.13 OWNERSHIP OF ASSETS.

With respect to Borrower, own any assets or conduct any business other than: (i) Acquisitions permitted herein; or (ii) the ownership of Subsidiaries;

10.14 LOANS AND ADVANCES.

Make loans or advances to any insiders, or Affiliates (excluding intercompany Indebtedness which nets to zero on Borrower's consolidated financial statements) in excess of Fifty Thousand Dollars ($50,000.00) in the aggregate at any one time outstanding.

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10.15 FRAUD AND ABUSE.

Neither the Borrower nor any Subsidiary nor, to the knowledge of Borrower's or any Subsidiary's officers, officers or directors or Contract Providers, have engaged in any activities which are prohibited under Medicare Regulations or Medicaid Regulations.

Lender acknowledges that the Borrower is disposing of its Woodbury Facility and accordingly, to the extent said disposition would otherwise be prohibited hereunder, Lender consents to said disposition.

* END OF ARTICLE X *

ARTICLE XI - ENVIRONMENTAL

11.1 HAZARDOUS AND TOXIC MATERIALS GENERALLY.

(a) The Borrower expressly represents to the Lender that to the best of its knowledge (i) except as set forth on Schedule III, there has been no complaint, order, citation, or notice with regard to air emissions, Hazardous Discharges (as hereinafter defined), or other environmental, health, or safety matters affecting any of the premises owned or operated by the Borrower or any of its Subsidiaries (the "Premises") or the businesses therein conducted which have not been fully satisfied and discharged, and (ii) except as set forth in Schedule III, there has been no spill, discharge, release, or cleanup of any hazardous or toxic waste or substance or any petroleum product or pesticide ("Hazardous Substances") at any of the Premises, including, without limitation, into or upon any of their respective soils, surface water, ground water, or the improvements located thereon (a "Hazardous Discharge"), and, accordingly, such properties are clean of all such wastes and substances. The Borrower expressly covenants and agrees that to the extent the Premises are used for the handling, storage, transportation, or disposal of any Hazardous Substance, it shall (i) implement and maintain a program or system to minimize the likelihood and effect of any Hazardous Discharge, (ii) use its best efforts to ensure that such use will be in accordance with all federal, state, and local environmental laws, rules, and regulations which apply to the handling, storage, transportation, or disposal of any Hazardous Substance and (iii) obtain any and all necessary permits, licenses, and approvals with respect to such use.

(b) The Borrower agrees to indemnify and hold the Lender harmless from and against any claims, losses, damages, liabilities (including, without limitation, all foreseeable and unforeseeable consequential damages), penalties, fines, charges, interest, judgments, administrative and judicial proceedings, voluntary or involuntary, remedial actions of any kind, public or private, incurred by the Lender as a result of any past, present, or future use, handling, storage, transportation or disposal of any Hazardous Substance by the Borrower or any of its Subsidiaries or any other user or operator of any of the Premises; including, without limitation, all costs and expenses incurred in connection therewith (including, without limitation, reasonable attorneys' fees and expenses (including those for appellate proceedings and court costs). The foregoing indemnity shall survive the repayment of the Revolving Credit Loans and the termination of this Agreement; provided that the Borrower shall not be liable to the Lender for its

34

own gross negligence or willful misconduct nor shall the Borrower be liable for any claims which are barred by any applicable statute of limitations.

(c) Subject to the provisions of this Article XI, the Borrower and its Subsidiaries shall comply with any and all federal, state, or local environmental laws, rules, or regulations which apply to the Premises or to any users or operators of any establishments at the Premises.

* END OF ARTICLE XI *

ARTICLE XII - EVENTS OF DEFAULT

12.1 EVENTS OF DEFAULT.

If any one of the following "EVENTS OF DEFAULT" shall occur and shall not have been remedied:

(a) Any representation or warranty made by the Borrower or Guarantor in connection with this Agreement, or any Revolving Credit Loan hereunder, or in any certificate or report furnished by the Borrower or Guarantor hereunder shall prove to have been incorrect in any material respect; or

(b) The Borrower shall fail to pay, when due, any principal of or interest on the Note, or to pay when due any other sum payable under this Agreement; or

(c) The Borrower or Guarantor shall default in the performance of any agreement, covenant or obligation contained herein, other than a default in payment and such default is not cured within thirty (30) days of the occurrence thereof; or

(d) Final judgment for the payment of money in an amount in excess of Twenty-Five Thousand Dollars ($25,000.00) per judgment or One Hundred Thousand Dollars ($100,000.00) in the aggregate in excess of applicable insurance coverage shall be rendered against the Borrower or any of its Subsidiaries, and the same shall remain undischarged for a period of thirty (30) days, during which period execution shall not effectively be stayed; or

(e) The Borrower shall voluntarily terminate operations or the Borrower or any Subsidiary or Guarantor shall (1) apply for or consent to the appointment of, or the taking of possession by, a receiver, custodian, trustee or liquidator of the Borrower or Subsidiary, as the case may be, or of all or of a substantial part of the assets of the Borrower or Subsidiary or Guarantor, as the case may be, (2) admit in writing its inability, or be generally unable, to pay its debts as the debts become due, (3) make a general assignment for the benefit of its creditors, (4) commence a voluntary case under the United States Bankruptcy Code (as now or hereafter in effect), (5) file a petition seeking to take advantage of any other law relating to bankruptcy, insolvency, reorganization, winding-up, or composition or adjustment of debts, (6) fail to

35

controvert in a timely and appropriate manner, or acquiesce in writing to, any petition filed against it in an involuntary case under the Bankruptcy Code, or
(7) take any corporate action for the purpose of effecting any of the foregoing; or

(f) The Borrower shall fail to furnish to the Lender notice of default in accordance with Section 9.7 hereof, within ten (10) days after any such Default or Event of Default becomes known to the President or Chief Financial Officer of the Borrower, whether or not notification to the Borrower is furnished by the Lender, unless such Default or Event of Default shall be cured prior to the expiration of such ten (10) day period; or

(g) Without its application, approval or consent, a proceeding shall be commenced, in any court of competent jurisdiction, seeking in respect of the Borrower or any Subsidiary or any Guarantor: the liquidation, reorganization, dissolution, winding-up, or composition or readjustment of debt, the appointment of a trustee, receiver, liquidator or the like of the Borrower or Subsidiary or any Guarantor, as the case may be, or of all or any substantial part of the assets of the Borrower or Subsidiary or any Guarantor, as the case may be, or other like relief in respect of the Borrower or Subsidiary or any Guarantor, as the case may be, under any law relating to bankruptcy, insolvency, reorganization, winding-up, or composition or adjustment of debts unless such proceeding is contested in good faith by the Borrower or Subsidiary or any Guarantor; and, if the proceeding is being contested in good faith by the Borrower or Subsidiary or any Guarantor, as the case may be, the same shall continue undismissed, or unstayed and in effect, for any period of sixty (60) consecutive days, or an order for relief against the Borrower or any Subsidiary shall be entered in any involuntary case under the Bankruptcy Code; or

(h) The Borrower or any of its Subsidiaries shall (1) default in the payment of principal or interest, on any Indebtedness to Lender (other than the Notes) beyond the period of grace, if any, provided in the instrument or agreement under which such Indebtedness was created; (2) default in the payment of principal or interest on any Indebtedness to any other lender beyond the applicable period of grace pertaining thereto, if any, provided in the instrument or agreement under which such Indebtedness was created; or (3) default in the observance or performance of any other agreement contained in any Indebtedness referred to in (1) or (2) above or in any instrument or agreement evidencing, securing or relating thereto, or any other event shall occur, the effect of which default or other event is to cause, or permit the holder or holders of such Indebtedness (or a trustee or agent on behalf of such holder or holders) to cause, such Indebtedness to become due prior to its stated maturity; provided, however, that no Event of Default shall occur under this Article XII so long as the Borrower or any of its Subsidiaries shall contest in good faith its obligations under the Indebtedness described in this Article XII by appropriate proceedings and the Borrower or Subsidiary, as the case may be, shall have set aside on its books adequate reserves with respect to any amount so contested; or

(i) A Termination Event has occurred; or a trustee shall be appointed to administer any Plan or Plans under Section 4042 of ERISA; or the Pension Benefit Guaranty Corporation shall institute proceedings to terminate, or to have a trustee appointed to administer, any Plan or Plans, and the proceeding shall not be dismissed within thirty (30) days; or a

36

voluntary notice of intent to terminate is filed under Section 4041 of ERISA which would, in the opinion of the Lender, result in a Material Adverse Change; or, with respect to any Plan as to which the Borrower or any Subsidiary may have any liability, there shall exist a deficiency in the Plan assets available to satisfy the benefits guaranteeable under ERISA with respect to the Plan which is material to the financial condition of the Borrower and such Subsidiary taken as a whole, and (1) steps are undertaken to terminate the Plan or (2) the Plan is terminated or (3) any Reportable Event which presents a material risk of termination with respect to the Plan shall occur; or

(j) Failure by Borrower or any of its Subsidiaries to conduct its business in the ordinary course consistent with past practices and in accordance with all local, state and Federal laws and regulations governing the conduct of Borrower's or any of Subsidiary's businesses, which failure is reasonably likely to result in a Material Adverse Change; or

(k) (i) Cancellation, revocation, suspension or termination of any Medicare Certification, Medicare Provider Agreement, or Medicaid Provider Agreement affecting the Borrower or any Subsidiary or materially affecting any Contract Provider, or (ii) the loss of any other permits, licenses, authorizations, certifications or approvals from any federal, state or local governmental authority or termination of any contract with any such authority, in either case which cancellation, revocation, suspension, termination or loss (X) in the case of any suspension or temporary loss only, continues for a period greater than thirty (30) days and (Y) results in the suspension or termination of operations of the Borrower or any Subsidiary or in the failure of the Borrower or any Subsidiaries to be eligible to participate in Medicare or Medicaid programs or to accept assignments of rights to reimbursement under Medicaid Regulations or Medicare Regulations; or

(l) Dissolution of Borrower or failure of the Borrower to maintain its corporate existence except for the discontinuation or cessation of any Subsidiary's existence in the ordinary course of business and which does not result in a Material Adverse Change; or

(m) Any Material Adverse Change shall occur; or

(n) Any default shall occur by Borrower under a Medical Director Agreement, or any other agreement with a Contract Provider, which is not cured within any applicable grace period and which has a material adverse effect on the Borrower and its Subsidiaries taken as a whole.

(o) This Agreement, the Note, the Related Documents or any other security document in favor of Lender, or any provisions thereof, shall be invalidated or deemed unenforceable in any material respect; or

(p) Any default shall occur under the Note Agreement or the Related Documents which default continues beyond any applicable grace or cure period contained therein;

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THEREUPON, in the case of any such event the Lender may at its option: (i) immediately terminate the Revolving Credit Commitment of the Lender hereunder, and/or (ii) immediately declare the principal of, and interest accrued on, the Note forthwith due and payable, whereupon the same shall become forthwith due and payable; and the principal of, and interest accrued on, the Note shall become immediately due and payable, both as to principal and interest, without presentment, demand, protest, or other notice of any kind, all of which are hereby expressly waived, anything contained herein or in the Note to the contrary notwithstanding; and (iii) exercise any and all rights and remedies available to Lender under this Agreement, the Note, the Related Documents, the Uniform Commercial Code in effect in the State of Florida or any other document, instrument or agreement executed and delivered in connection with this Agreement, and all rights and remedies available to Lender under any other applicable law.

* END OF ARTICLE XII *

ARTICLE XIII - MISCELLANEOUS

13.1 NO WAIVER, REMEDIES CUMULATIVE.

No failure on the part of the Lender to exercise and no delay in exercising any right granted hereunder or in the Notes shall operate as a waiver thereof, nor shall any single or partial exercise of any right hereunder preclude any other or further exercise thereof or the exercise of any other right. The remedies herein provided are cumulative and are not exclusive of any remedies provided by law.

13.2 SURVIVAL OF REPRESENTATIONS.

All representations and warranties made herein shall survive the making of the Revolving Credit Loans hereunder and the delivery of the Notes.

13.3 EXPENSES.

Whether or not any of the Revolving Credit Loans herein provided for shall be made, the Borrower agrees to pay on demand all reasonable costs and expenses of the Lender in connection with the preparation, printing, execution, and delivery of this Agreement, the Related Documents, the Note, and the other instruments and documents to be delivered hereunder and thereunder, including the reasonable fees and out-of-pocket expenses of legal counsel for the Lender, with respect thereto, and the reasonable fees of independent public accountants, and other outside experts retained by the Lender in connection with the enforcement of this Agreement, the Related Documents, the Note, and the other instruments and documents to be delivered hereunder and thereunder. In addition, the Borrower shall pay any and all stamp and other taxes payable or determined to be payable in connection with the execution and delivery of this Agreement, the Notes and the instruments and documents to be delivered hereunder and thereunder, and agrees to save the Lender harmless from and against any and all liabilities with respect to or resulting from any delay in paying or omitting to pay such taxes. All obligations provided for in this Section 13.3 shall survive any termination of this Agreement.

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13.4 NOTICES.

Except as otherwise provided for in this Agreement, any notice or other communication hereunder to any party hereto shall be delivered by hand, registered or certified mail, postage prepaid return receipt requested, in the United States mail or overnight delivery by a nationally recognized overnight courier service ("Overnight Courier") and shall be deemed to have been given or made on the third (3rd) Business Day after the deposit thereof in the mail, or shall be deemed to have been given or made on the second (2nd) Business Day after deposit thereof with an Overnight Courier, or when received if delivered by hand, addressed to the party at its address specified next to its signature hereto (or at any other address that the party may hereafter specify to the other parties in writing), except that notices by the Borrower under Section 2.2 hereof shall not be effective until received.

13.5 CONSTRUCTION.

This Agreement, the Related Documents, and the Note shall be deemed contracts made under the law of the State of Florida and shall be governed by and construed in accordance with the law of said state.

13.6 SUCCESSORS AND ASSIGNS.

This Agreement shall be binding upon and shall inure to the benefit of the Borrower and the Lender, and their respective successors and assigns; provided, that the Borrower may not assign any of its rights hereunder without the prior written consent of the Lender. The Lender may, without the consent of the Borrower, or any other Person, assign, negotiate, hypothecate, or grant participations in this Agreement or in any of its rights and security under this Agreement and each of the other documents contemplated to be executed in conjunction herewith; provided, however, the Lender agrees that in the event of all such assignments, negotiations, hypothecations, or participations the Lender shall remain as the holder of the majority amount of the Revolving Credit Loans and as administrative agent hereunder and shall not assign its obligations to administer the Revolving Credit Loans. The Borrower shall accord full recognition to any such assignment, and all rights and remedies of the Lender in connection with the interest so assigned shall be as fully enforceable by such assignee as they were by the Lender before such assignment. In connection with any proposed assignment, the Lender may disclose to the proposed assignee any information that the Borrower is required to deliver to the Lender pursuant to this Agreement.

13.7 JURISDICTION, SERVICE OF PROCESS.

(a) Any suit, action, or proceeding against the Borrower or any Subsidiary with respect to this Agreement, the Note, the Related Documents or any judgment entered by any court in respect of any thereof may be brought in the courts of the State of Florida or in the U.S. District Court for the

39

Southern District of Florida as the Lender (in its sole discretion) may elect, and the Borrower and each Subsidiary hereby accepts the nonexclusive jurisdiction of those courts for the purpose of any suit, action, or proceeding.

(b) In addition, the Borrower and each Subsidiary hereby irrevocably waives, to the fullest extent permitted by law, any objection which it may now or hereafter have to the laying of venue of any suit, action, or proceeding arising out of or relating to this Agreement, the Note, the Related Documents or any judgment entered by any court in respect of any thereof brought in Miami-Dade County, Florida, and hereby further irrevocably waives any claim that any suit, action, or proceeding brought in Dade County, Florida has been brought in an inconvenient forum. The Borrower and each Subsidiary further agrees that if any such suit, action, or proceeding is pending in more than one jurisdiction that the Lender's selection of the forum shall be binding on the Borrower and each Subsidiary.

13.8 LIMIT ON INTEREST.

Anything herein, in the Related Documents, or in the Notes to the contrary notwithstanding, the obligations of the Borrower under this Agreement, the Related Documents, and the Note to the Lender shall be subject to the limitation that payments of interest to the Lender shall not be required to the extent that receipt of any such payment by the Lender would be contrary to provisions of law applicable to the Lender (if any) which limit the maximum rate of interest which may be charged or collected by the Lender; provided, however, that nothing herein shall be construed to limit the Lender to presently existing maximum rates of interest, if an increased interest rate is hereafter permitted by reason of applicable federal or state legislation. If by the terms of this Agreement, the Related Documents, or the Note, the Borrower is at any time required or obligated to pay interest in excess of such maximum rate, the rate of interest payable hereunder and thereunder shall be computed at such maximum rate and the portion of all prior interest payments in excess of such maximum rate shall be applied to and shall be deemed to have been payments in reduction of the principal balance of this Agreement and the Note.

40

13.9 PAYMENT ON OTHER THAN BUSINESS DAY.

Except as otherwise provided for in this Agreement, should any payment required by this Agreement become due and payable other than on a Business Day, the maturity thereof shall be the immediately preceding Business Day.

13.10 NET PAYMENTS.

All payments by the Borrower under this Agreement and the Note shall be made without setoff or counterclaim and in such amounts as may be necessary in order that all payments, after deduction or withholding for or on account of any present or future taxes, levies, imposts, duties, or other charges of whatsoever nature imposed by any government or any political subdivision or taxing authority thereof (collectively, the "Taxes"), shall not be less than the amounts otherwise specified to be paid under this Agreement and the Note. Notwithstanding anything to the contrary contained in this Section 13.10, the Borrower shall not be liable for the payment of any tax on or measured by net income imposed on the Lender pursuant to the income tax laws of the United States or any of the United States or any political subdivision thereof. The Borrower shall pay all Taxes when due (and indemnify the Lender against any liability therefor) and shall promptly (and in any event not later than 30 days thereafter) furnish to the Lender any certificates, receipts, and other documents which may be required (in the judgment of the Lender) to establish any tax credit to which the Lender may be entitled. The obligations of the Borrower under this Section 13.10 shall survive the termination of this Agreement and the repayment of the Revolving Credit Loans, but such obligations shall terminate as to any claim or liability for Taxes for which the Borrower is responsible pursuant to this Section 13.10 on the same date that any such claim or liability for Taxes is barred by any applicable statute of limitations.

13.11 INDEMNIFICATION OF LENDER.

Borrower and each Subsidiary hereby jointly and severally indemnify and hold harmless, release and forever discharge Lender, its agents, servants, employees, officers, directors, affiliates, attorneys, successors and assigns from all damages, losses, claims, demands, liabilities, obligations, actions and causes of action whatsoever which may exist as of the date hereof or arise hereafter or which may be presently known or unknown and which may be of any nature and extent whatsoever which may be brought by third parties on account of or in any way directly or indirectly related to, concerning, arising out of, or founded upon this Agreement, the Related Documents and any agreement, document or instrument executed or to be executed in conjunction therewith or in connection with any and all transactions contemplated thereby. This indemnity and release on the part of the Borrower and the Subsidiary is contractual and not merely a recital. The foregoing indemnity shall survive the repayment of the Revolving Credit Loans and the termination of this Agreement; provided that neither the Borrower nor any Subsidiary shall indemnify or be liable to the Lender for its own gross negligence or willful misconduct nor shall the Borrower or any Subsidiary be liable for any claims which are barred by any applicable statute of limitations.

41

13.12 COUNTERPARTS.

This Agreement may be executed in any number of counterparts and by different parties hereto in separate counterparts, each of which when so executed and delivered shall be deemed an original and all of which when taken together shall constitute but one and the same instrument.

13.13 HEADINGS.

The headings and the Table of Contents of this Agreement are for convenience only and are not to affect the construction of or to be taken into account in interpreting the substance of this Agreement.

13.14 SEVERABILITY.

In the event that any one or more of the provisions contained in this Agreement shall for any reason be held to be invalid, illegal, or unenforceable in any respect, such invalidity, illegality, or unenforceability shall not affect any other provision of this Agreement, but this Agreement shall be construed as if such invalid, illegal, or unenforceable provision had never been contained herein.

13.15 COURSE OF DEALING; AMENDMENT; SUPPLEMENTAL AGREEMENTS.

No course of dealing between the Lender and the Borrower shall be effective to amend, modify, or change any provision of this Agreement. This Agreement may not be amended, modified, or changed in any respect except by an agreement in writing signed by the Lender and the Borrower. The Lender and the Borrower may, subject to the provisions of this Section 13.15, from time to time, enter into written agreements supplemental hereto for the purpose of adding any provisions to this Agreement or changing in any manner the rights and obligations of the Lender and the Borrower hereunder. Any such supplemental agreement in writing shall be binding upon the Lender and the Borrower.

13.16 RIGHT OF SETOFF.

Upon the occurrence and during the continuance of any Event of Default, the Lender is hereby authorized at any time and from time to time, without notice to the Borrower (any such notice being expressly waived by the Borrower), to set off and apply any and all deposits (general or special, time or demand, professional or final) at any time held and any other indebtedness owing by the Lender to or for the account of the Borrower against any and all of the obligations of the Borrower now or hereafter existing under this agreement or the note, or any other instrument executed in connection with this agreement or the notes or constituting security therefor, irrespective of whether or not the Lender shall have made demand under this agreement or the note and although such obligations may be unmatured. The Lender agrees promptly to notify the Borrower after any such setoff and application, provided that the failure to give such notice shall not affect the validity of such setoff and application. The rights of the Lender under this Section 13.16 are in addition to other rights and remedies (including, without limitation, other rights of setoff) which the Lender may have.

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13.17 ARBITRATION.

MANDATORY ARBITRATION. ANY CONTROVERSY OR CLAIM BETWEEN OR AMONG THE PARTIES HERETO INCLUDING BUT NOT LIMITED TO THOSE ARISING OUT OF OR RELATING TO THIS AGREEMENT OR ANY RELATED AGREEMENTS OR INSTRUMENTS, INCLUDING ANY CLAIM BASED ON OR ARISING FROM AN ALLEGED TORT, SHALL BE DETERMINED BY BINDING ARBITRATION IN ACCORDANCE WITH THE FEDERAL ARBITRATION ACT (OR IF NOT APPLICABLE, THE APPLICABLE STATE LAW), THE RULES OF PRACTICE AND PROCEDURE FOR THE ARBITRATION OF COMMERCIAL DISPUTES OF JUDICIAL ARBITRATION AND MEDIATION SERVICES, INC. (J.A.M.S.), AND THE "SPECIAL RULES" SET FORTH BELOW. IN THE EVENT OF ANY INCONSISTENCY, THE SPECIAL RULES SHALL CONTROL. JUDGMENT UPON ANY ARBITRATION AWARD MAY BE ENTERED IN ANY COURT HAVING JURISDICTION. ANY PARTY TO THIS AGREEMENT MAY BRING AN ACTION, INCLUDING A SUMMARY OR EXPEDITED PROCEEDING, TO COMPEL ARBITRATION OF ANY CONTROVERSY OR CLAIM TO WHICH THIS AGREEMENT APPLIES IN ANY COURT HAVING JURISDICTION OVER SUCH ACTION.

(a) SPECIAL RULES. THE ARBITRATION SHALL BE CONDUCTED IN THE CITY OF THE BORROWER'S DOMICILE AT TIME OF THIS AGREEMENT'S EXECUTION AND ADMINISTERED BY ENDISPUTE, INC. D/B/A J.A.M.S./ENDISPUTE WHO WILL APPOINT AN ARBITRATOR; IF J.A.M.S./ENDISPUTE IS UNABLE OR LEGALLY PRECLUDED FROM ADMINISTERING THE ARBITRATION, THEN THE AMERICAN ARBITRATION ASSOCIATION WILL SERVE. ALL ARBITRATION HEARINGS WILL BE COMMENCED WITHIN NINETY (90) DAYS OF THE DEMAND FOR ARBITRATION; FURTHER, THE ARBITRATOR SHALL ONLY, UPON A SHOWING OF CAUSE, BE PERMITTED TO EXTEND THE COMMENCEMENT OF SUCH HEARING FOR UP TO AN ADDITIONAL SIXTY (60) DAYS.

(b) RESERVATION OF RIGHTS. NOTHING IN THIS AGREEMENT SHALL BE DEEMED TO (I) LIMIT THE APPLICABILITY OF ANY OTHERWISE APPLICABLE STATUTES OF LIMITATION OR REPOSE AND ANY WAIVERS CONTAINED IN THIS AGREEMENT; OR (II) BE A WAIVER BY LENDER OF THE PROTECTION AFFORDED TO IT BY 12 U.S.C. 91 OR ANY SUBSTANTIALLY EQUIVALENT STATE LAW; OR (III) LIMIT THE RIGHT OF LENDER (A) TO EXERCISE SELF HELP REMEDIES SUCH AS (BUT NOT LIMITED TO) SETOFF, OR (B) TO FORECLOSE AGAINST ANY REAL OR PERSONAL PROPERTY COLLATERAL, OR (C) TO OBTAIN FROM A COURT PROVISIONAL OR ANCILLARY REMEDIES SUCH AS (BUT NOT LIMITED TO) INJUNCTIVE RELIEF

43

OR THE APPOINTMENT OF A RECEIVER. LENDER MAY EXERCISE SUCH SELF HELP RIGHTS, FORECLOSE UPON SUCH PROPERTY, OR OBTAIN SUCH PROVISIONAL OR ANCILLARY REMEDIES BEFORE, DURING OR AFTER THE PENDENCY OF ANY ARBITRATION PROCEEDING BROUGHT PURSUANT TO THIS AGREEMENT. NEITHER THIS EXERCISE OF SELF HELP REMEDIES NOR THE INSTITUTION OR MAINTENANCE OF AN ACTION FOR FORECLOSURE OR PROVISIONAL OR ANCILLARY REMEDIES SHALL CONSTITUTE A WAIVER OF THE RIGHT OF ANY PARTY, INCLUDING THE CLAIMANT IN ANY SUCH ACTION, TO ARBITRATE THE MERITS OF THE CONTROVERSY OR CLAIM OCCASIONING RESORT TO SUCH REMEDIES.

IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed as of the date and year first above written.

[BORROWER]:

RENEX CORP.,
a Florida corporation

By:

Print Name: James Shea Title: President
[Corporate Seal]

2100 Ponce de Leon Boulevard Coral Gables, Florida 33134 Attention: James Shea

[LENDER]:

NATIONSBANK, N.A., a national banking association

By:
Print Name: John Foreman Title: Vice President

100 Southeast 2nd Street 15th Floor Miami, Florida 33131 Attention: John Foreman and Commercial Banking Manager

44

[ACKNOWLEDGMENTS APPEAR ON NEXT PAGE]

45

COMMONWEALTH OF BAHAMAS                     )
ISLAND OF NEW PROVIDENCE                    )
CITY OF NASSAU                              )

The foregoing instrument was acknowledged before me in Nassau, Bahamas this 30th day of April, 1998 by James Shea as President of RENEX CORP., a Florida corporation, on behalf of the corporation.


Signature of Notary Public Nassau, Bahamas

Print, Type or Stamp Commissioned Name of Notary Public

Personally Known ______ or Produced Identification _______

Type of Identification Produced: _____ Driver's License _____ Other ___________

COMMONWEALTH OF BAHAMAS                     )
ISLAND OF NEW PROVIDENCE                    )
CITY OF NASSAU                              )

The foregoing instrument was acknowledged before me in Nassau, Bahamas this 30th day of April, 1998, by John Foreman, as Vice President of NATIONSBANK, N.A., a national banking association, on behalf of the Lender.


Signature of Notary Public Nassau, Bahamas


Print, Type or Stamp Commissioned Name of Notary Public

Personally Known ______ or Produced Identification _______

Type of Identification Produced: _____ Driver's License _____ Other ___________

46

JOINDER AND CONSENT

The undersigned Guarantors hereby join in and consent to that certain Credit Agreement by and between Renex Corp. and NationsBank, N.A., dated as of April 30, 1998 (the "Credit Agreement"), and agrees to be bound by each and every one of the terms and conditions applicable to Guarantor in the Credit Agreement.

[SUBSIDIARIES OF THE BORROWER]

                                            By:
                                               --------------------------------

                                            Print Name:
                                                       ------------------------

                                            As:
                                               --------------------------------
                                                         [Corporate Seal]

STATE OF FLORIDA                                     )
                                                     )
COUNTY OF MIAMI-DADE                                 )

The foregoing instrument was acknowledged before me on this ____ day of May, 1998 by _____________________, as ____________ of _____________________, a ___________, on behalf of the _______________.


Signature of Notary Public State of Florida


Print, Type or Stamp Commissioned Name of Notary Public

Personally Known ______ or Produced Identification _______

Type of Identification Produced: _____ Driver's License _____ Other ____________

47

SCHEDULE/EXHIBIT LIST
TO
CREDIT AGREEMENT

Schedule I      -      Subsidiaries, Affiliates

Schedule II     -      Additional Existing Liens, Permitted Liens, Additional
                       Existing Indebtedness, Existing Guaranties, Materially
                       Adverse and Contingent Liabilities, Investments

Schedule III    -      Environmental Matters

===============================================================================


Exhibit A       -      Form of Notice and Manner of Borrowing

Exhibit B       -      Form of Note

Exhibit C       -      Form of Acquisition Advance Certificate

Exhibit D       -      Form of Closing Document List

48

SCHEDULE I
TO
CREDIT AGREEMENT

SUBSIDIARIES

LIST TO BE PROVIDED TO LENDER

AFFILIATES

NONE


SCHEDULE II
TO
CREDIT AGREEMENT

ADDITIONAL EXISTING LIENS

NONE

PERMITTED LIENS

NONE

ADDITIONAL EXISTING INDEBTEDNESS

NONE

EXISTING GUARANTIES

NONE

MATERIALLY ADVERSE AND CONTINGENT LIABILITIES

NONE

INVESTMENTS
NONE

SCHEDULE III
TO
CREDIT AGREEMENT

ENVIRONMENTAL MATTERS
NONE

EXHIBIT A

FORM OF NOTE


EXHIBIT B

FORM OF ACQUISITION ADVANCE CERTIFICATE


EXHIBIT C

FORM OF CLOSING DOCUMENT CHECKLIST


EXHIBIT 10.10

EMPLOYMENT AGREEMENT

THIS EMPLOYMENT AGREEMENT ("Agreement") entered into as of the 1st day of January, 1998 by and between RENEX CORP., a Florida corporation (the "Company"), and MILTON J. WALLACE ("WALLACE").

R E C I T A L S:

A. The Company is a provider of kidney dialysis treatments in various parts of the United States to individuals suffering from end stage renal disease (the "Business");

B. WALLACE has served as Chairman of the Board of Directors of the Company since the Company's inception in July 1993; and

C. The Company believes that it is in the best interest of the Company to assure WALLACE of a secure minimum compensation and to diminish the inevitable distraction of WALLACE that may result in the event of the possibility, threat or occurrence of a Change of Control (as defined below) by providing for certain compensation arrangements upon a Change of Control.

NOW, THEREFORE, in consideration of the mutual promises and covenants contained in this Agreement, the parties agree as follows:

1. RECITATIONS. The above recitations are true and correct and are incorporated herein by this reference.

2. POSITION OF EMPLOYMENT.

2.1. EMPLOYMENT POSITION. The Company hereby employs WALLACE as Chairman of the Board of Directors. This Agreement shall commence as of the Commencement Date (as defined in Section 3 herein). WALLACE shall perform such duties as are usually performed by the Chairman of the Board of Directors of a public company similar in size and scope as the Company. All actions of WALLACE are subject and subordinate to the review and approval of the Company's Board of Directors. The Board of Directors shall be the final and exclusive arbiter of all policy decisions relative to the Company's Business. The precise services of WALLACE may be modified in accordance with reasonable policy established by the Board of Directors and not inconsistent with WALLACE's position. Notwithstanding anything herein to the contrary, the parties agree that WALLACE shall not have the duties and obligations of an executive officer of the Company, his sole responsibilities are as a non-executive Chairman of the Board.

2.2. BOARD MEMBERSHIP. During the term of this Agreement, the Company shall use its best efforts to nominate and cause the election of WALLACE to the Company's Board of Directors. If, for any reason WALLACE is removed from the Board or is not otherwise elected at any of the Company's annual meetings of shareholders during the term hereof, WALLACE shall be entitled to the severance payment contained in Section 4.5 herein.

2.3. DEVOTION OF TIME. During the term of this Agreement, WALLACE agrees to devote sufficient time and attention to the business and affair of the Company to the extent necessary to discharge the responsibilities assigned to WALLACE and to use reasonable best efforts to perform faithfully and efficiently such responsibilities. The Company agrees that WALLACE's position and employment herein is not full-time. WALLACE is involved in other business ventures, including the practice of law and serves as an employee of non-competitive companies. The Company agrees that WALLACE's involvement in such business ventures or the practice of law is not a conflict with, or in violation of, this Agreement. All sums received from such other endeavors shall be for the exclusive benefit of WALLACE and the Company shall have no interest therein.


2.4. CORPORATE OPPORTUNITY. It is the expressly understanding by and between the Company and WALLACE that the doctrine of corporate opportunity as set forth in Florida corporate law shall only apply to WALLACE and the Company for any business opportunities in the dialysis industry or such other industry in which the Company operates during the term of this Agreement. WALLACE shall not be required to offer to the Company any business opportunity or venture in any other industry.

3. TERM OF EMPLOYMENT.

3.1. TERM OF EMPLOYMENT. This Agreement shall begin as of January 1, 1998 (the "Commencement Date") and end on December 31, 2002, subject to earlier termination as otherwise set forth in this Agreement.

3.2. AUTOMATIC EXTENSION. This Agreement shall be automatically extended for successive five (5) year periods at the end of the initial or extended term, unless either party provides written notice of termination to the other party at least six (6) months prior to the expiration of the initial or such extended term, respectively.

3.3. TERMINATION OF EMPLOYMENT BY THE COMPANY FOR CAUSE. The Company may terminate WALLACE's employment upon fifteen (15) days written notice for the reasons set forth in Section 3.3.1 below, if such default is not cured within such notice period, or such additional time as is reasonably necessary to cure such default if WALLACE is using diligent efforts to cure such default. The Company shall be entitled to terminate WALLACE's employment without notice or an opportunity to cure for the reasons set forth in Section 3.3.2 herein.

3.3.1. NOTICE. Notice or an opportunity to cure shall be required for the following reasons:

(a) A default or breach by WALLACE of any of the material provisions of this Agreement detrimental to the Company;

(b) refusal to follow reasonable and lawful directives of the Company's Board of Directors or any committee thereof which are consistent with WALLACE's duties and responsibility outlined in this Agreement; or

3.3.2. NO NOTICE. No notice or an opportunity to cure shall be required for the following:

(a) actions by WALLACE constituting fraud, embezzlement or dishonesty;

(b) the deliberate and knowing breach by WALLACE of the Company's internal financial controls;

(c) WALLACE furnishing false, misleading, or omissive information or omitting to furnish material information to the Company's Board of Directors, or any committee thereof, in the reasonable judgment of the Board of Directors;

(d) any action by WALLACE which constitutes a breach of the confidentiality of the Business and/or trade secrets of the Company;

(e) WALLACE's gross negligence in the performance of his duties as outlined in this Agreement;

-2-

(f) any violation of federal or state law by WALLACE which have a material detrimental impact on the Company;

(g) at such time as WALLACE shall have failed, by reason of mental or physical disability or illness ("Disability" as hereinafter defined), to perform his services pursuant to this Agreement for a period of one hundred eighty (180) days. Disability shall be defined to mean the inability of WALLACE to perform his duties under this Agreement, based on injury, illness or physical or mental conditions as determined by the Company's Board of Directors, which determination must be supported by two licensed physicians, one of each selected by the Company and WALLACE; provided, however, if the Company maintains a policy insuring against the disability of WALLACE, Disability shall have the meaning ascribed in such policy. Upon the Board's initial determination of disability, WALLACE will submit to mental and physical examinations which shall be paid by the Company, unless otherwise covered by health benefits provided by the Company to WALLACE. The failure of WALLACE to submit to such reasonable examinations within fifteen (15) days of such request shall be conclusive that such Disability exists.

3.3.3. NO ADDITIONAL COMPENSATION. Upon termination for the reasons set forth in Section 3.3 herein, the Company shall not be liable for any further compensation or benefits following the date of termination, other than accrued Base Salary. Notwithstanding, WALLACE shall be entitled to receive all appropriate benefits mandated by the Consolidated Budget Reconciliation Act of 1985 ("COBRA").

3.4. TERMINATION WITHOUT CAUSE. The Company shall have the right to terminate this Agreement without Cause on thirty (30) days written notice, subject to payment by the Company of the Severance Payment described in
Section 4.5 herein. Notwithstanding anything herein to the contrary, in the event WALLACE's employment is terminated in accordance with this Section 3.4, WALLACE's rights under any and all stock option programs or individual stock option arrangements shall remain in effect and provide WALLACE the ability to exercise any and all stock options vested as of the date of termination through the remainder of the terms of such options, which termination dates shall not be accelerated based on the termination of employment.

3.5. TERMINATION BY WALLACE. WALLACE may terminate this Agreement upon thirty (30) days written notice after a material default of this Agreement by the Company, which default is not cured within the thirty-day notice period. Such notice shall set forth in reasonable detail the facts underlying the default. If WALLACE terminates this Agreement under this Paragraph 3.5, WALLACE shall be entitled to the Severance Payment as provided in Paragraph 4.5.

3.6. TERMINATION UPON DEATH. This Agreement shall be terminated immediately upon the death of WALLACE. Within thirty (30) days following such termination, the Company shall pay to WALLACE's estate: (i) all accrued Base Salary and bonuses; and (ii) a sum equal to six (6) months' Base Salary. In addition, upon the determination of bonuses for the fiscal year in which WALLACE died, the Company shall pay to WALLACE's estate, a prorated bonus based on the number of days WALLACE provided services hereunder during the year of his death.

3.7. TERMINATION BY WALLACE UPON CHANGE OF CONTROL. WALLACE may terminate this Agreement upon thirty (30) days written notice at any time within eighteen (18) months after the occurrence of a "Change of Control." Upon such termination, WALLACE shall be entitled to the Severance Payment set forth in Section 4.5 below. Notwithstanding anything herein to the contrary, in the event WALLACE's employment is terminated in accordance with this Section 3.7, WALLACE's rights under any and all stock option programs or individual stock option arrangements shall remain in effect and provide WALLACE the ability to exercise any and all stock options vested as of the date of termination through the remainder of the terms of such options, which termination dates shall not be accelerated based on the termination of employment.

-3-

3.8. DEFINITION OF CHANGE OF CONTROL. Change of Control is defined for the purposes of this Agreement as any of the following acts:

3.8.1. The acquisition by any person, entity or "group" within the meaning of ss. 13(d) or 14(d) of the Securities Exchange Act of 1934 (the "Exchange Act") of beneficial ownership (within the meaning of Rule 13d-3 promulgated under the Exchange Act) of twenty-five (25%) percent or more of either the then outstanding shares of the Company's common stock or the combined voting power of the Company's then outstanding voting securities entitled to vote generally in the election of directors. The temporary acquisition by underwriters in any firm commitment underwriting of a public offering of the Company's stock shall not be considered a Change of Control; or

3.8.2. If the individuals who serve on the Company Board of Directors as of the Commencement Date (the "Incumbent Board") cease for any reason to constitute at least a majority of the Board of Directors; provided, however, that any person who becomes a director subsequent to the Commencement Date whose election or nomination for election by the Company's shareholders was approved by a vote of at least a majority of the directors then compiling the Incumbent Board shall be for purposes of this Agreement considered as if such person was a member of the Incumbent Board; or

3.8.3. Approval by the Company's stockholders of: (i) a merger, reorganization or consolidation whereby the Company's shareholders immediately prior to such approval do not, immediately after consummation of such reorganization, merger or consolidation own more than 50% of the combined voting power entitled to vote generally in the election of directors of the surviving entity's then outstanding voting securities; or (ii) liquidation or dissolution of the Company; or (iii) the sale of all or substantially all of the assets of the Company.

4. COMPENSATION AND BENEFITS.

4.1. SALARY. Commencing April 1, 1998 and thereafter during the term of this Agreement, Company shall pay to WALLACE a base salary at a total annual rate of $100,000 (the "Base Salary"), payable in cash, adjusted in accordance with Section 4.2 herein. Base Salary shall be paid in regular payroll intervals consistent with payroll policy established by the Company from time to time. Notwithstanding, for the period from January 1, 1998 through March 31, 1998, no cash compensation shall be paid to WALLACE, provided however, the Company shall grant to WALLACE options to purchase 9,000 shares of common stock effective February 25, 1998. The options shall be for a period of five years, shall vest 100% immediately upon issuance and shall have an exercise price equal to the closing sale price of the Company's common stock on February 25, 1998. All other terms of such options shall be as provided in the Company's Employee Stock Option Plan.

4.2. COST OF LIVING INCREASE. On each anniversary date of the Commencement Date during the term hereof or any extension, Base Salary shall be increased by the greater of (i) six (6%) percent of then existing Base Salary, or (ii) the percentage increase, if any, of the consumer price index for Urban Wage Earners and Clerical Workers (Greater Metropolitan Miami area; all items) issued by the Bureau of Labor Statistics of the U.S. Department of Labor. The Company's Board of Directors shall have the discretion to grant increases in Base Salary in excess of the amounts provided herein.

4.3. BONUS. Prior to the commencement of each fiscal year of the Company, the Board of Directors, or its Compensation Committee, if any, shall establish in good faith a reasonable and justifiable incentive bonus plan for WALLACE for such fiscal year. The incentive bonus plan shall provide WALLACE the ability to earn a bonus based upon certain goals and objectives to be established in such incentive bonus plan. Such bonus, if any, shall be payable within thirty (30) days following the completion of the Company's audit for such fiscal year by its independent auditors.

-4-

4.4. STOCK OPTIONS. WALLACE shall be eligible from time to time to receive grants of stock options, under a stock option plan or otherwise, in such amounts and at such times as determined by the Board of Directors or any committee thereof. All options granted to WALLACE (other than the options granted pursuant to Section 4.1) shall:

(a) have a minimum term of five (5) years within which to exercise such options

(b) have a vesting schedule of no worse than twenty-five (25%) percent as of the date of grant and twenty-five (25%) percent on each anniversary date of such grant thereafter.

(c) vesting shall be accelerated upon a change of control of the Company;

(d) have an exercise price no greater than the market price of the underlying securities as of the date of grant; and

(e) such other terms and conditions as are customary for similar types of options.

4.5. SEVERANCE PAYMENT. WALLACE shall be entitled to the Severance Payment as calculated below in the event that WALLACE's employment is terminated (i) by the Company without cause; (ii) by WALLACE after a material default by the Company; (iii) by WALLACE after a Change of Control pursuant to
Section 3.7; or (iv) by the Company for any reason after a Change of Control. The Severance Payment shall be an amount equal to the greater of:

(a) The sum of (i) Base Salary payments WALLACE would have received has his employment continued for the remaining term of this Agreement; and (ii) three times any bonus paid to WALLACE in the preceding twelve (12) months prior to termination, including the value of any stock options or stock issued in lieu of cash bonuses; or

(b) $500,000.

The Severance Payment shall be paid 100% in cash on the effective date of such termination. In addition to the Severance Payment, WALLACE shall be entitled to all of the benefits and personal perquisites otherwise provided in this Agreement for a period of time which is the greater of (i) the remaining term of this Agreement (if it were not terminated), or (ii) three (3) years (the "Severance Period"). Such benefits shall include, but are not limited to, automobile allowance, health and life insurance and any other benefit WALLACE was receiving at the time of termination. Notwithstanding anything herein to the contrary, reimbursement of expenses as provided in Section 4.6.2 herein is not a benefit during the Severance Period. Any benefit or prerequisite that is payable in cash shall be payable in equal installments on the first day of each month during the Severance Period.

4.6. ADDITIONAL BENEFITS.

4.6.1. AUTOMOBILE EXPENSES. During the term of this Agreement and during any Severance Period thereafter, the Company shall pay to WALLACE an automobile expense allowance of $700 per month, net of taxes, which shall be inclusive of all expenses associated with the operation of such automobile, including depreciation, gasoline, insurance, repairs and maintenance.

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4.6.2. REIMBURSEMENT OF EXPENSES. WALLACE shall be reimbursed by the Company, upon presentation of adequate receipts, for all Business expenses which are reasonably incurred by WALLACE in the performance of his duties under this Agreement, including but not limited to travel, cellular phone and similar expenses. All travel expenses shall be incurred in accordance with reasonable policy established by the Board of Directors.

4.6.3. PARTICIPATION IN EMPLOYEE BENEFIT PLANS. WALLACE shall be entitled to participate, subject to eligibility and other terms generally established by the Company's Board of Directors, in any group hospitalization, health, dental care, profit sharing and pension, and other benefit plans, as may be adopted or amended by the Company from time to time as affecting employees of similar status. The Company shall provide health Insurance for WALLACE and his dependents and shall pay all premiums incurred thereby.

5. REPRESENTATION BY WALLACE. WALLACE hereby represents to the Company that he is in good health, he is physically and mentally capable of performing his duties hereunder and he has no knowledge of any present or past physical or mental condition which would cause an insurance company to reject an application by WALLACE for life insurance or for accident, sickness or disability insurance. WALLACE represents and warrants that to the best of his knowledge he is not subject to any restrictive covenants under any other agreements prohibiting his performance in full hereunder, or which would subject the Company to any valid claims for tortious interference.

6. CONFIDENTIALITY AND NON-DISCLOSURE OF INFORMATION.

6.1. CONFIDENTIALITY. WALLACE shall not, during the term of this Agreement or at any time thereafter, divulge, furnish or make accessible to anyone without Company's prior written consent any knowledge or information with respect to any aspect of the Business, including but not limited to: the Company's costs; fees or models; physician or patient names; provider names; referral sources; addresses and telephone numbers of patients and referral sources; billing procedures, prices and terms; its business techniques, computer programs and printouts; identity of prospective patients, providers or referral sources; information disclosed by the Company's patients to the Company; or other information concerning the Business or its employees. All information given to WALLACE in connection with his employment shall be considered confidential and proprietary.

6.2. OWNERSHIP OF INFORMATION. WALLACE recognizes that all records, patient lists, provider lists, referral lists, material cost data, fees or models, files and correspondence with patients, referral services, physicians and providers of services, computer printouts, contracts, reports, notes, business plans, compilations of other recorded matter, and copies or reproductions thereof, relating to the Company's operations and activities made or received by WALLACE in the course of his employment are the exclusive property of the Company and WALLACE holds and uses same as trustee for the Company and subject to the Company's sole control and will deliver same to the Company at the termination of his employment, or earlier if so requested by the Company in writing. All of such information which if lost or used by WALLACE outside the scope of his employment could cause irreparable and continuing injury to the Company's Business for which there may not be an adequate remedy at law.

7. RESTRICTIVE COVENANT. As an inducement to cause the Company to enter into this Agreement, WALLACE covenants and agrees that during his employment and, for a period of one (1) year after he ceases to be employed by the Company, regardless of the manner or cause of termination:

7.1. RESTRICTION. WALLACE will not be an employee, agent, director, stockholder or owner (except of not more than a controlling interest in the voting securities of any publicly traded entity), partner, consultant, financial backer, creditor or be otherwise directly or indirectly connected with or participate in the management, operation or control of any Business, firm, proprietorship, corporation, partnership, association, entity or venture engaged in the provision of services or supplies similar to the Business (a "Competing Business") within fifty (50) miles of any office or center of the Company or any of its subsidiaries existing at the termination of this Agreement (the "Restricted Area").

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7.2. SOLICITATION OF BUSINESS. WALLACE will not initiate any contact with, call upon, solicit business from, sell or render services to any customer of the Company with respect to a Competing Business in the Restricted Area or purchase from any supplier or potential supplier any materials for same and WALLACE shall not directly or indirectly aid or assist any other person, firm or corporation to do any of the aforesaid acts.

7.3. SOLICITATION OF EMPLOYEES. WALLACE will not directly or indirectly, as principal, agent, owner, partner, stockholder, officer, director, employee, independent contractor or consultant or in any individual or representative capacity for himself or on behalf of any business, firm, corporation, partnership association or proprietorship, initiate contact with or solicit, or directly or indirectly cause others to solicit the employment of any officer, sales person, agent, or other employee of the Company, for the purpose of causing said officer, sales person, agent or other employee to terminate employment with the Company for the purpose of obtaining employment by a Competing Business in the Restricted Area.

7.4. NON-ENFORCEMENT OF RESTRICTIVE COVENANT:
Notwithstanding anything herein to the contrary, if this Agreement is terminated
(a) by WALLACE as a result of the material breach of this Agreement by the Company, (b) if the Company fails to make any severance payment required herein within ten (10) days after such payment is due, or (c) by WALLACE in accordance with Section 3.7 herein, then in such event the Restrictive Covenants contained in this Section 7 shall thereafter be unenforceable by the Company. Notwithstanding termination of the restrictive covenants, the Company will still be obligated to pay the remaining Severance Payments thereafter due.

8. ACKNOWLEDGMENT. WALLACE HEREBY ACKNOWLEDGES AND UNDERSTANDS THIS AGREEMENT INHIBITS WALLACE'S ABILITY TO WORK FOR THE SAME OR SIMILAR KIND OF BUSINESS FOR A PERIOD OF ONE (1) YEAR AFTER THE END OF WALLACE's EMPLOYMENT WITH THE COMPANY. WALLACE acknowledges and confirms that the length of the term and geographic restrictions contained in this Agreement are fair and reasonable and not the result of overreaching, duress or coercion of any kind. WALLACE further acknowledges and confirms that his full, uninhibited and faithful observance of each of the covenants contained in this Agreement will not cause any undue hardships, financial or otherwise and that enforcement of this Agreement will not impair WALLACE's ability to obtain employment commensurate with WALLACE's abilities and on terms fully acceptable to WALLACE. WALLACE acknowledges that WALLACE will be receiving significant information regarding the Business which WALLACE has not previously received and would not receive without being employed by the Company. WALLACE acknowledges and confirms that such information would cause the Company serious injury and loss if used by WALLACE for the benefit of a competitor.

9. MATERIAL VIOLATION. A violation of Sections 6 or 7 shall constitute a material and substantial breach of this Agreement and shall result in the imposition of the Company's remedies contained in Section 11. WALLACE acknowledges that compliance with the provisions of Sections 6 and 7 are necessary to protect the goodwill and proprietary interests of the Company and is a material condition of employment. WALLACE acknowledges and agrees that proof of one such personal solicitation by WALLACE of a patient, referral source, HMO, managed care company, insurance company, supplier or employee, shall constitute absolute and conclusive evidence that WALLACE has substantially and materially breached the provisions of this Agreement.

10. MATERIAL COVENANTS. It is understood by and between the parties that the foregoing covenants set forth in Sections 6 and 7 are essential elements of this Agreement, and that but for the agreement of WALLACE to comply with such covenants, the Company would not have entered into this Agreement. Such covenants by WALLACE shall be construed as agreements independent of any other provision of this Agreement and the existence of any claim or cause of action WALLACE may have against the Company whether predicated on this Agreement or otherwise, shall not constitute a defense to the enforcement by the Company of these covenants.

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11. REMEDIES. WALLACE hereby acknowledges, covenants and agrees that in the event of a material default or breach under this Agreement:

(a) the Company will suffer irreparable and continuing damages as a result of such breach and its remedy at law will be inadequate. WALLACE agrees that in the event of a violation or breach of this Agreement, in addition to any other remedies available to them, the Company shall be entitled to an injunction restraining any such default or any other appropriate decree of specific performance, without any requirement to prove actual damages or to post any bond or any other security and to any other equitable relief the court deems proper; and

(b) Any and all of the Company's remedies described in this Agreement shall not be exclusive and shall be in addition to any other remedies which the Company may have at law or in equity including, but not limited to, the right to monetary damages.

12. SEVERABILITY. The invalidity of any one or more of the words, phrases, sentences, clauses, sections, subdivisions, or subparagraphs contained in this Agreement shall not affect the enforceability of the remaining portions of this Agreement or any part thereof, all of which are inserted conditionally on their being legally valid. In the event that one or more of the words, phrases, sentences, clauses, sections, subdivisions, subparagraphs, or articles are determined to be unenforceable and if such invalidity shall be caused by the length of any period of time or the size of any area set forth in any part hereof, such period of time or such area, or both, shall be considered to be reduced to a period or area which would cure such invalidity.

13. ASSIGNMENT. This Agreement shall be non-assignable by either the Company or WALLACE without the written consent of the other party, it being understood that the obligations and performance of this Agreement are personal in nature.

14. NOTICE. Any notices or other communications to any party pursuant to or relating to this Agreement must be in writing and shall be deemed to have been given or delivered when (i) hand-delivered, (ii) mailed through the U.S. Postal Service via certified mail, return receipt requested, postage prepaid, or (iii) through a nationally recognized overnight courier, or (iv) via facsimile, to the party at their addresses below:

WALLACE:                  2222 Ponce de Leon Boulevard, 6th Floor
                          Coral Gables, Florida 33134

The Company:              Renex Corp.
                          2100 Ponce de Leon Boulevard, Suite 950
                          Coral Gables, Florida 33134
                          Attention: James P. Shea, President

with a copy to:           BRYAN W. BAUMAN, ESQ.
                          Wallace, Bauman, Fodiman & Shannon, P.A.
                          2222 Ponce de Leon Boulevard, Sixth Floor
                          Coral Gables, Florida 33134

or such other address given by such party to the other party at any time hereafter.

15. ENTIRE AGREEMENT. This Agreement contains the sole and entire agreement between the parties with respect to the subject matter hereof.

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16. AMENDMENT. No amendment, waiver or modification of this Agreement or any provisions of this Agreement shall be valid unless in writing and duly executed by both parties.

17. BINDING AGREEMENT. This Agreement shall be binding upon and inure to the benefit of the parties and their respective heirs, legal representatives, successors and assigns.

18. WAIVER. Any waiver by any party of any breach of any provision of this Agreement shall not be considered as or constitute a continuing waiver or waiver of any other breach of any provision of this Agreement.

19. CAPTIONS. Captions contained in this Agreement are inserted only as a matter of convenience or for reference and in no way define, limit, extend, or describe the scope of this Agreement or the intent of any provisions of this Agreement.

20. ATTORNEYS' FEES. In the event of any litigation arising out of this Agreement, the prevailing party shall be entitled to recover its attorneys' fees and costs, including attorneys' fees and costs incurred on appeal.

21. GOVERNING LAW. This Agreement shall be governed by the laws of the State of Florida.

IN WITNESS WHEREOF, the parties have executed this Agreement as of the day and year first above written.

RENEX CORP., a Florida corporation

By:

JAMES P. SHEA, President


MILTON J. WALLACE

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EXHIBIT 10.12

EMPLOYMENT AGREEMENT

THIS EMPLOYMENT AGREEMENT entered into as of the 22nd day of April, 1997 by and between RENEX CORP., a Florida corporation ("Company"), and PATSY L. ANDERS ("ANDERS").

R E C I T A L S:

A. The Company is a provider of kidney dialysis treatments in various parts of the United States to individuals suffering from end stage renal disease (the "Business"); and

B. ANDERS has been in the continuous employ of the Company since August 1993; and

C. The Company desires to continue to employ ANDERS as the Company's Vice President/Business Develpoment and ANDERS desires to continue to be employed by the Company in such position on the terms and conditions provided herein; and

D. The Company believes that it is in the best interest of the Company to assure ANDERS of a secure minimum compensation and to diminish the inevitable distraction of ANDERS that may result in the event of the possibility, threat or occurrence of a change of control, by providing for certain compensation arrangements upon a change of control.

NOW THEREFORE, in consideration of the mutual promises and covenants contained in this Agreement and such other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows:

1. RECITATIONS. The above recitations are true and correct and are incorporated herein by this reference.

2. EMPLOYMENT.

2.1. POSITION OF EMPLOYMENT. The Company hereby continues the employment of ANDERS as its Vice President/Business Development upon all of the terms and conditions hereinafter set forth. ANDERS shall perform such duties as are usually performed by a Vice President/Business Development of a business similar in scope as the Business and such other reasonable additional duties as may be prescribed from time to time by the Company's Board of Directors, taking into account ANDERS' education, experience and job responsibilities. ANDERS shall report directly to the President. All actions shall be subject and subordinate to review and approval by the Board of Directors and any and all committees of the Board of Directors. The precise responsibilities of ANDERS may be modified from time to time in accordance with reasonable policy established by the Board of Directors of the Company consistent with ANDERS' qualifications and experience.

2.2. DEVOTION OF TIME. During the term of ANDERS' employment, ANDERS shall devote her full business time, ability and attention to the business affairs of the Company. ANDERS agrees to use her best efforts to perform faithfully and efficiently such responsibilities. ANDERS shall be permitted to (i) serve on corporate, civic or charitable boards or committees; and (ii) deliver lectures, fulfill speaking engagements or teach at educational institutions. All income received from such other endeavors shall be for the exclusive benefit of ANDERS and the Company shall have no interest therein.


2.3. WORKING FACILITIES. During the term of this Agreement, the Company shall furnish, at ANDERS' principal place of employment, an office, furnishings, secretary and such other facilities commensurate and suitable to her position and adequate for the performance of her duties hereunder.

2.4. LOCATION OF EMPLOYMENT. Unless otherwise agreed to by ANDERS, ANDERS' principal place of business shall be within Dade or Broward Counties, Florida.

3. TERM OF EMPLOYMENT

3.1. TERM OF EMPLOYMENT. The term of this Agreement shall begin on the date hereof (the "Commencement Date") and shall end two years thereafter, subject to earlier termination or extension as otherwise set forth in this Agreement.

3.2. AUTOMATIC EXTENSION. This Agreement shall be automatically extended for successive two (2) year periods at the end of the initial or any extended term, unless either party provides written notice of termination to the other party at least 120 days prior to the expiration of the initial or extended term respectively.

3.3. TERMINATION OF EMPLOYMENT BY THE COMPANY FOR CAUSE. The Company may terminate ANDERS' employment upon fifteen (15) days written notice for the reasons set forth in Section 3.3.1 below, if such default is not cured within such notice period, or such additional time as is reasonably necessary to cure such default if ANDERS is using diligent efforts to cure such default. The Company shall be entitled to terminate ANDERS's employment without notice or an opportunity to cure for the reasons set forth in Section 3.3.2 herein.

3.3.1. NOTICE. Notice or an opportunity to cure shall be required for the following reasons:

(a) A default or breach by ANDERS of any of the material provisions of this Agreement detrimental to the Company;

(b) refusal to follow reasonable and lawful directives of the Company's Board of Directors or any committee thereof which are consistent with ANDERS' duties and responsibility outlined in this Agreement; or

3.3.2. NO NOTICE. No notice or an opportunity to cure shall be required for the following:

(a) actions by ANDERS constituting fraud, embezzlement or dishonesty;

(b) the deliberate and knowing breach by ANDERS of the Company's internal financial controls;

(c) ANDERS furnishing false, misleading, or omissive information or omitting to furnish material information to the Company's Board of Directors, or any committee thereof, in the reasonable judgment of the Board of Directors;

(d) any action by ANDERS which constitutes a breach of the confidentiality of the Business and/or trade secrets of the Company;

(e) ANDERS' gross negligence in the performance of her duties as outlined in this Agreement;

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(f) any violation of federal or state law by ANDERS which have a material detrimental impact on the Company;

(g) at such time as ANDERS shall have failed, by reason of mental or physical disability or illness ("Disability" as hereinafter defined), to perform his services pursuant to this Agreement for a period of one hundred eighty (180) days. Disability shall be defined to mean the inability of ANDERS to perform her duties under this Agreement, based on injury, illness or physical or mental conditions as determined by the Company's Board of Directors, which determination must be supported by two licensed physicians, one of each selected by the Company and ANDERS; provided, however, if the Company maintains a policy insuring against the disability of ANDERS, Disability shall have the meaning ascribed in such policy. Upon the Board's initial determination of disability, ANDERS will submit to mental and physical examinations which shall be paid by the Company, unless otherwise covered by health benefits provided by the Company to ANDERS. The failure of ANDERS to submit to such reasonable examinations within fifteen (15) days of such request shall be conclusive that such Disability exists.

3.3.3. NO ADDITIONAL COMPENSATION. Upon termination for the reasons set forth in Section 3.3 herein, the Company shall not be liable for any further compensation or benefits following the date of termination, other than accrued Base Salary. Notwithstanding, ANDERS shall be entitled to receive all appropriate benefits mandated by the Consolidated Budget Reconciliation Act of 1985 ("COBRA").

3.4. TERMINATION BY ANDERS. ANDERS may terminate this Agreement upon thirty (30) days written notice, upon the occurrence of a material default of this Agreement by the Company, which default is not cured within the thirty (30) day notice period. Such notice shall set forth with particularity the facts underlying the claimed default.

3.5. TERMINATION WITHOUT CAUSE. The Company shall have the right to terminate this Agreement, without cause, upon thirty (30) days written notice to ANDERS. Notwithstanding such termination, the Company shall be obligated to pay to ANDERS as severance herein the following:

3.5.1. PRIOR TO CHANGE OF CONTROL. If termination without cause is prior to a "Change of Control," ANDERS shall be entitled to severance equal to the greater of (i) the Base Salary which would have been paid for the balance of the term of this Agreement if it were not terminated, or (ii) one (1) year's Base Salary. The severance payment under this
Section 3.5.1 shall be payable in twelve (12) equal monthly installments commencing on the first day of the month following termination. In addition, during such twelve (12) month period, all benefits to ANDERS set forth on
Section 4.5 herein shall continue to be paid.

3.5.2. FOLLOWING A CHANGE OF CONTROL. If ANDERS is terminated without cause at any time following a Change of Control, ANDERS shall be entitled to severance equal to the greater of (i) two times the Base Salary which would have been paid for the remainder of the term had the Agreement not been terminated, or (ii) two times the sum of (A) one year's Base Salary then in effect, and (B) any and all bonuses paid to ANDERS in the eighteen (18) months prior to the effective date of termination. The severance payments under this Section 3.5.2 shall be paid 50% in cash on the effective date of termination and the balance in twelve (12) equal monthly payments on the 1st day of each month commencing on the 1st day of the month following termination. In addition, all benefits set forth in Section 4.5 herein shall continue to be paid during such twelve month period.

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3.5.3. STOCK OPTIONS. Notwithstanding anything herein to the contrary, in the event that ANDERS' employment is terminated in accordance with this Section 3.5, ANDERS rights under any and all employee stock option programs or individual stock option arrangements shall remain in effect and provide to ANDERS the ability to exercise any and all stock options vested as of the date of termination through the remainder of the terms of such options, which termination dates shall not be accelerated based on the termination of employment.

3.6. TERMINATION UPON DEATH. This Agreement shall be terminated immediately upon the death of ANDERS. Within thirty (30) days following such termination, the Company shall pay to ANDERS' estate: (i) all accrued Base Salary and bonuses; and (ii) a sum equal to six (6) months' Base Salary. In addition, upon the determination of bonuses for the fiscal year in which ANDERS died, the Company shall pay to ANDERS's estate, a prorated bonus based on the number of days ANDERS provided services hereunder during the year of his death.

3.7. TERMINATION BY ANDERS UPON CHANGE OF CONTROL. ANDERS may terminate this Agreement at any time within one hundred eighty (180) days following a "Change of Control" of the Company by providing thirty (30) days written notice of termination, which notice must be sent within the 180 day period. Upon such termination, ANDERS shall be entitled to a severance payment equal to the greater of (i) two times the Base Salary which would have been paid for the remainder of the term had the Agreement not been terminated, or (ii) two times the sum of (A) one year's Base Salary then in effect, and (B) any and all bonuses paid to ANDERS in the eighteen (18) months prior to the effective date of termination. The severance payment under this Section 3.7 shall be paid 50% in cash on the effective date of termination and the balance in twelve (12) equal monthly payments on the 1st day of each month commencing on the 1st day of the month following termination. In addition, all benefits set forth in Section 4.5 herein shall continue to be paid during such twelve month period. Notwithstanding anything herein to the contrary, in the event that ANDERS' employment is terminated in accordance with this Section 3.5, ANDERS rights under any and all employee stock option programs or individual stock option arrangements shall remain in effect and provide to ANDERS the ability to exercise any and all stock options vested as of the date of termination through the remainder of the terms of such options, which termination dates shall not be accelerated based on the termination of employment.

3.8. DEFINITION OF CHANGE OF CONTROL. Change of Control is defined for the purposes of this Agreement as any of the following acts:

3.8.1. The acquisition by any person, entity or "group" within the meaning of ss. 13(d) or 14(d) of the Securities Exchange Act of 1934 (the "Exchange Act") of beneficial ownership (within the meaning of Rule 13d-3 promulgated under the Exchange Act) of twenty-five (25%) percent or more of either the then outstanding shares of the Company's common stock or the combined voting power of the Company's then outstanding voting securities entitled to vote generally in the election of directors. Notwithstanding, any purchase by underwriters pursuant to a firm commitment underwriting shall not constitute a Change of Control; or

3.8.2. If the individuals who serve on the Company Board of Directors as of the Commencement Date (the "Incumbent Board") cease for any reason to constitute at least a majority of the Board of Directors; provided, however, that any person who becomes a director subsequent to the Commencement Date whose election or nomination for election by the Company's shareholders was approved by a vote of at least a majority of the directors then compiling the Incumbent Board shall be for purposes of this Agreement considered as if such person was a member of the Incumbent Board; or

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3.8.3. Approval by the Company's stockholders of
(i) a merger, reorganization or consolidation whereby the Company's shareholders immediately prior to such approval do not, immediately after consummation of such reorganization, merger or consolidation own more than 50% of the combined voting power entitled to vote generally in the election of directors of the surviving entity's then outstanding voting securities; or (ii) liquidation or dissolution of the Company; or (iii) the sale of all or substantially all of the assets of the Company.

3.9. CERTAIN REDUCTION OF PAYMENTS BY THE COMPANY. Notwithstanding anything in this Agreement to the contrary, in the event that it is determined that any payment or distribution required to be made by the Company to ANDERS following a Change of Control under Sections 3.5.2 or 3.7 herein (a "Change of Control Payment"), would be nondeductible by the Company for Federal income tax purposes because of Section 280G of the Internal Revenue Code of 1986, as amended, then the aggregate amounts payable or distributable pursuant to this Agreement shall be reduced to the "Reduced Amount." The Reduced Amount shall be the greater of (i) an amount which is the maximum amount of Change of Control Payments possible without causing any such Change of Control Payment to be nondeductible by the Company because of Section 280G of the Code, or (ii) the Change of Control Payment, if the Change of Control Payments provides ANDERS with a greater after tax benefit than (i) herein. The Reduced Amount specified in (i) above shall be expressed in present value which maximizes the aggregate present value of Change of Control Payments without causing any Reduced Amount to be non-deductible by the Company under Section 280G. In addition, if the Change of Control Payments can be restructured through the provision by ANDERS of personal services or otherwise following a Change of Control, then the parties shall in good faith attempt to agree to a change in such relationship necessary for ANDERS to receive the full benefits of the Change of Control Payment. However, any restructuring of the relationship shall not require ANDERS to be employed by the Company or be subject to a non-competition agreement. The determinations required herein shall be made by the independent certified public accounting firm which was engaged by the Company to audit the Company's financial statements for the fiscal year preceding the year in which the Change of Control occurs. ANDERS shall have the right to contest such determination.

4. COMPENSATION AND BENEFITS

4.1. SALARY. Subject to the provisions of Section 4.2 herein, the Company shall pay to ANDERS, a base salary at a total annual rate of $65,000 (the "Base Salary") payable in cash. Base Salary shall be paid in regular payroll intervals consistent with payroll policy established by the Company from time to time. Base Salary shall be automatically increased to $90,000 per year on the earlier of (i) the date that the Company's registration statement of its initial public offering is declared effective by the Securities and Exchange Commission; or (ii) a Change of Control.

4.2. COST OF LIVING INCREASE. On each anniversary date of this Agreement during the term hereof or any extension, Base Salary shall be increased by the greater of (i) six (6%) percent of then existing Base Salary, or (ii) the percentage increase, if any, of the consumer price index for Urban Wage Earners and Clerical Workers (Greater Metropolitan Miami area; all items) issued by the Bureau of Labor Statistics of the U.S. Department of Labor. The Company's Board of Directors shall have the discretion to grant increases in Base Salary in excess of the amounts provided herein.

4.3. BONUS. Prior to the commencement of each fiscal year, the Board of Directors or its compensation committee, if any, shall establish in good faith a reasonable and justifiable incentive bonus plan for ANDERS for such fiscal year. The incentive bonus plan shall provide ANDERS the ability to earn a bonus based upon certain goals and objectives to be established in such incentive bonus plan. Such bonus, if any, shall be payable within thirty (30) days following the completion of the Company's audit for such fiscal year by its independent auditors.

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4.4. STOCK OPTIONS. ANDERS shall be eligible from time to time to receive grants of stock options, under stock option plans or otherwise, in such amounts and at such times as determined by the Board of Directors or any committee thereof. All options granted to ANDERS shall:

(a) have a minimum term of five (5) years within which to exercise such options;

(b) have a vesting schedule of no worse than twenty-five (25%) percent as of the date of grant and twenty-five (25%) on each anniversary date of such grant thereafter;

(c) vesting shall be accelerated upon a change of control of the Company;

(d) have an exercise price no greater than the market price of the underlying securities as of the date of grant; and

(e) such other terms and conditions as are customary for similar types of options.

4.5. ADDITIONAL BENEFITS.

4.5.1. VACATION. ANDERS shall be entitled to a reasonable number of discretionary paid vacation days consistent with her level of employment, duties and seniority during each twelve-month period during the term of this Agreement, but in no event less than fifteen (15) days during each period. Vacation time may be accumulated for a period of not longer than two (2) years. ANDERS shall not receive compensation for days not used.

4.5.2. AUTOMOBILE EXPENSES. During the term of this Agreement, the Company shall pay to ANDERS an automobile allowance of $500 per month, which shall be inclusive of all expenses associated with the operation of such automobile, including depreciation, gasoline, insurance, repairs and maintenance.

4.5.3. REIMBURSEMENT OF EXPENSES. ANDERS sha