U.S. Renal Care and DSI Renal Announce Definitive Merger Agreement

August 22, 2015

(Plano, TX and Nashville, TN)—U.S. Renal Care, Inc. (USRC) and DSI Renal (DSI) announced today they have entered into a definitive merger agreement. USRC is the third largest dialysis provider in the country, and when combined with DSI, the company will serve approximately 23,000 patients across 33 states and the Territory of Guam.

“When you combine two organizations that put people first and share a commitment to providing exceptional care day in and day out, patients win. And that’s the way it should be,” said Chris Brengard, Chief Executive Officer at USRC. “DSI’s coordinated and compassionate approach to care aligns with our philosophy of treating the whole person. In addition, DSI and USRC share the same commitment to establishing and enhancing unique physician partnerships that ensure excellent clinical and operational management. We have a great deal of respect for the DSI organization, and we look forward to harnessing our shared values to enhance the quality of life for people all over the country.”

The merger is expected to close by the end of Q4 2015. Once complete, USRC will operate nearly 300 state-of-the-art outpatient clinics, 142 home dialysis programs and 26 acute care hospital contracts throughout the country.

“We have long shared U.S. Renal’s focus on strong physician partnerships placing quality above all else,” said Craig Goguen, President and Chief Executive Officer of DSI Renal. “This merger is important because it will generate significant efficiencies, which will lower the cost of providing dialysis, while expanding access to the highest standards of care for the diverse communities we serve.”

Currently, Plano, Texas-based USRC operates 198 facilities in 20 states and the Territory of Guam. With headquarters in Nashville, Tennessee, DSI currently operates 100 facilities in 22 states. Moving forward, USRC’s headquarters will remain in Plano, and DSI’s Nashville office will operate as a USRC business office and corporate support center.

This merger is subject to regulatory and certificate of need approval in certain states. Terms of the transaction were not disclosed.


About U.S. Renal Care, Inc.

Founded in Jonesboro, Arkansas, in 2000 by an experienced team of healthcare executives, U.S. Renal Care, Inc. works in partnership with nephrologists to develop, acquire, and operate outpatient treatment centers for persons suffering from chronic kidney failure, also known as End Stage Renal Disease (ESRD). The company provides patients with their choice of a full range of quality in-center and at-home hemodialysis, as well as at-home peritoneal dialysis services. U.S. Renal Care’s equity partners include Leonard Green & Partners, Cressey & Company and SV Life Sciences. For more information on U.S. Renal Care, Inc., please visit www.usrenalcare.com.

About DSI Renal

Founded in 2011, DSI Renal (formed as Dialysis Newco, Inc.) is a leading provider of dialysis services in the United States, offering state-of-the-art treatment for patients suffering from chronic kidney failure and renal disease. Together with its physician partners, DSI Renal owns and operates 100 dialysis clinics in 22 states. Investors in DSI Renal include Frazier Healthcare and New Enterprise Associates (NEA). For more information, please visit www.dsi-corp.com.