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The Company charged &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;$&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;3,269 and $9,206&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; for services rendered to Fresenius SE during the first six months of 2010 and 2009, respectively. &lt;/font&gt;&lt;/p&gt;&lt;p style='margin-top:6pt; margin-bottom:0pt'&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;margin-left:17px;"&gt;Under operating lease agreements for real estate entered into with Fresenius SE, the Company paid Fresenius SE &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;$&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;9,689&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;and $&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;9,766&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; during the first six months of 2010 and 2009, respectively. 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During the six-month periods ended June 30, 2010, and 2009, the Company made purchases from Fresenius SE in the amount of &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;$&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;22,553&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; and $&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;22,303&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;, respectively.&lt;/font&gt;&lt;/p&gt;&lt;p style='margin-top:6pt; margin-bottom:0pt'&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;margin-left:17px;"&gt;In addition to the purchases noted above, the Company currently purchases heparin supplied by APP Inc., through a group purchasing organization ("GPO"). In September 2008, Fresenius Kabi AG, a wholly-owned subsidiary of Fresenius SE, acquired 100% of APP Inc. The Company has no direct supply agreement with APP Inc. and does not submit purchase orders directly to APP Inc. During the six-month periods ended June 30, 2010 and 2009, Fresenius Medical Care Holdings, Inc. 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The total &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;amount &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;was&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;due on &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;July 31, 2010&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;.&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;The remaining balance of $143,178 (&amp;#8364;109,900) on July 31, 2010 was extended until August 31, 2010 at an interest rate of 1.09%. &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;On June 30, 2009, &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;under the &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;cash pooling agreement, &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;the Company made a cash advancement of $25,159 to&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; Fresenius SE at 1.16% interest which was repaid on July 6, 2009.&lt;/font&gt;&lt;/p&gt;&lt;p style='margin-top:6pt; margin-bottom:0pt'&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;margin-left:17px;"&gt;During the second quarter &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;of &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;2009, the Company reclassified an account payable to Fresenius SE in the amount of &amp;#8364;77,745 ($&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;109,885&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; at June 30, 2009) from account&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;s&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; payable to related parties to short-term borrowings from related parties. The amount represents taxes payable by the Company arising from the period 1997-2001 during which German trade taxes were paid by Fresenius SE on behalf of the Company. 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