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Ultimate Renal Care

"I am pleased to write this letter of recommendation on behalf of Innovative Health
Strategies, LLC (“IHS”). In December we successfully completed the sale of our
outpatient dialysis facility known as Ultimate Renal Care, which was owned by three
individuals, including two nephrologists.

The Ultimate Renal Care owners felt that the successful sale of their dialysis facility can
be directly attributed to the expert advice and careful attention to detail that comprised
the total services provided to us by IHS.

Without reservation we can fully recommend IHS’s services to any interested parties
looking to explore an outsourcing of their dialysis facilities.

You will find that the experience, professionalism and efficiency of IHS will ensure the
best possible outcome desirable, from both a financial and legal perspective.

Again, we strongly recommend Butch Marino and the IHS group as excellent advisors in
the sale of your dialysis business."

Cosette O. Jamieson, M.D.