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Home Source documents Settlement Agreement among the United States, SNG Dialysis Centers, Sankar Nephrology Group, LLC, and Brad Schofield

Settlement Agreement among the United States, SNG Dialysis Centers, Sankar Nephrology Group, LLC, and Brad Schofield

Summary

Settlement agreement among the United States, acting for the Department of Health and Human Services, six SNG dialysis centers in Texas, Sankar Nephrology Group, LLC, and relator Brad Schofield, who filed a False Claims Act qui tam case in the District of Massachusetts on January 17, 2024. The centers admit that they received Phase I payments from the CARES Act Provider Relief Fund and later reported zero revenue to the Health Resources and Services Administration after they had already closed or been sold. That reporting suggested the pandemic had wiped out their revenue and brought them $1,200,000 more than they were entitled to. The defendants agree to pay $2,040,000 plus 4.25% interest from August 6, 2026 in installments, of which $1,200,000 is restitution, and they received credit for cooperating with the investigation.

Summary drafted by a model from the document's text below and checked by script against that text before publication. It is a navigation aid, not a reading of what the document proves. Where AI is used

Full text

                                 SETTLEMENT AGREEMENT

       This Settlement Agreement ("Settlement Agreement") is entered into among the United

States of America, acting through the United States Department of Justice and on behalf of the

United States Department of Health and Human Services ("HHS") (collectively, the "United

States"); SNG- Bellaire Dialysis Center, LP, SNG- Hillcroft Dialysis Center, LP, SNG­

Northwest Dialysis Center, LP, SNG - Pasadena Dialysis Center, LP, SNG- Sandcastle Dialysis

Center, LP, SNG-Texas City Dialysis, LP (collectively, the "Defendant SNG Dialysis Centers"

or the "Defendants"); Sankar Nephrology Group, LLC, ("SNG"); and Brad Schofield

("Schofield" or "Relator") (the United States, Defendants, and Schofield collectively are referred

to as the "Parties"), through their authorized representatives.

                                            RECITALS

       A.      Defendant SNG Dialysis Centers are Texas corporations that were majority-

owned by SNG and closed or transacted between 2018 and 2 020.

       B.      Schofield is a resident of Texas.

       C.      In response to the COVID-19 pandemic, on March 27, 2020, Congress enacted

the Coronavirus Aid, Relief, and Economic Security Act ("CARES Act"), Pub. L. No. 116-136.

Among other things, the CARES Act created the Provider Relief Fund ("PRF"), which

reimbursed eligible health care providers for lost revenue or increased expenses caused by the

COVID-19 pandemic. The Health Resources and Services Administration ("HRSA,i), an agency

within HHS, managed the PRF.

       D.      In Phase I of the PRF, HRSA distributed funds directly to health care providers

based on their past Medicare billing, subject to certain conditions, including that health care

providers report their lost revenue and increased expenses caused by the COVID-19 pandemic.
       E.      On January 17, 2024, Schofield filed a qui tam action in the United States District

Court for the District of Massachusetts captioned United States and State ofTexas ex rel.

Schofieldv. Fresenius Medical Care NA. , et al., No. 24-cv-10139-NMG, pursuant to the qui tam

provisions of the False Claims Act, 31 U.S.C. § 3730(b) (the "Civil Action").

       F.      The SNG Dialysis Centers each admit, acknowledge, and accept responsibility for

the following facts:

               a.      As part ofthe Phase I distribution, the Defendant SNG Dialysis Centers

                       received PRF payments.

               b.      By the time each ofthe Defendant SNG Dialysis Centers reported their

                       lost revenue and increased expenses to HRSA, each ofthe Defendant SNG

                       Dialysis Centers had either ceased operations or had sold their operations

                       to another owner.

               c.      Each of the Defendant SNG Dialysis Centers reported to HRSA that they

                       had zero revenue during the reporting period, which created the false

                       implication that their revenue had gone to zero because ofthe COVID-19

                       pandemic, rather than a pre-arranged sale or closure.

               d.      As a result of this reporting, the Defendant SNG Dialysis Centers received

                       $1,200,000 more in PRF funding than the Defendant SNG Dialysis

                       Centers would have otherwise been entitled.

       G.      The United States contends that it has certain civil claims against the Defendants

for engaging in the conduct described in Recital F (hereafter referred to as the "Covered

Conduct.") for the time period April 2020 to July 2021. In particular, the United States contends




                                                2
that, as a result ofthe Covered Conduct, the Defendants submitted false claims for payment and

false statements material to a false claim to HRSA.

       H.      Relator claims entitlement under 31 U.S.C. § 3730(d) to a share of the proceeds of

this Settlement Agreement and to Relator's reasonable expenses, attorneys' fees and costs.

       I.      The Defendant SNG Dialysis Centers received credit under the Department of

Justice's guidelines for taking disclosure, cooperation, and remediation into account in False

Claims Act cases, Justice Manual § 4-4.112. Among other actions, after the United States

contacted the Defendant SNG Dialysis Centers regarding the PRF funding, the Defendant SNG

Dialysis Centers promptly acknowledged responsibility, and cooperated in the government's

investigation by providing investigators with information that they would not have been able to

obtain through ordinary process, and by committing to continue to provide cooperation in the

government's investigation.

       J.      In consideration ofthe mutual promises and obligations ofthis Settlement

Agreement, the Parties agree and covenant as follows:

                                 TERMS AND CONDITIONS

       1.      The Defendants collectively shall pay to the United States two million forty

thousand dollars ($2,040,000) plus interest at a rate of 4.25% per annum from August 6, 2026

("Settlement Amount"). Of the Settlement Amount, $1,200,000 shall constitute restitution to the

United States. Defendants shall pay the Settlement Amount according to the following payment

schedule:

                              Payment date              Amount
                               10/28/2026             $523,113.49
                                1/28/2027             $523,113.49
                                4/28/2027             $523,1 13.49
                                7/28/2027             $523,113.49



                                                3
Each payment shall be made by electronic funds transfer pursuant to written instruction to be

provided by the United States Attorney's Office. The Settlement Amount may be prepaid, in

whole or in part, without penalty or premium. The parties agree that the above payment schedule

shall be subject to modification to account for any such prepayment. The Defendant SNG

Dialysis Centers are jointly and severally liable for the Settlement amount.

       2.      SNG shall execute the Guaranty Agreement attached hereto as Exhibit A,

pursuant to which SNG will guaranty and satisfy any outstanding amounts owed to the United

States under this Agreement (the "Guaranty Agreement").

       3.      Conditioned upon the United States receiving the Settlement Amount payments,

the United States agrees that it shall pay to Relater by electronic funds transfer 20% percent of

each such payment received under the Settlement Agreement ("Relator's Share") as soon as

feasible after receipt of each payment.

       4.      Defendants agree to pay $200,000 to Relator and Relator's counsel in full

satisfaction of their claims for expenses, attorney's fees, and costs incurred in connection with

the Civil Action, by electronic funds transfer within 45 days of the Effective Date ofthis

Settlement Agreement. No additional attorney's fees, expenses, or costs shall be paid or claimed

by Relator or his counsel beyond those provided for under 31 U.S.C. § 3730(h) for Retaliatory

Actions.

       5.      Subject to the exceptions in Paragraph 7 (concerning reserved claims) below, and

subject to Paragraph 14 (concerning default), and Paragraph 15 (concerning bankruptcy) below,

and upon the United States' receipt ofthe Settlement Amount, the United States releases

Defendants from any civil or administrative monetary claim the United States has for the




                                                 4
Covered Conduct under the False Claims Act, 31 U.S.C. §§ 3729-3733 or the common law

payment by mistake, unjust enrichment, and fraud.

       6.       Subject to the exceptions in Paragraph 7 below, and subject to Paragraph 14

(concerning default), and Paragraph 15 (concerning bankruptcy) below, and upon the United

States' receipt ofthe Settlement Amount, Relator, for himself and for his heirs, successors,

attorneys, agents, and assigns, releases Defendants from any civil monetary claim the Relator has

on behalf ofthe United States for the Covered Conduct under the False Claims Act, 31 U.S.C.

§§ 3729-3733.

       7.      Notwithstanding the releases given in Paragraph 5 ofthis Settlement Agreement,

or any other term of this Settlement Agreement, the following claims and rights of the United

States are specifically reserved and are not released:

                a.     Any liability arising under Title 26, U.S. Code (Internal Revenue Code);

                b.     Any criminal liability;

               c.      Except as explicitly stated in this Settlement Agreement, any

                       administrative liability or enforcement right including mandatory or

                       permissive exclusion from Federal health care programs;

               d.      Any liability to the United States (or its agencies) for any conduct other

                       than the Covered Conduct;

               e.      Any liability based upon obligations created by this Settlement

                       Agreement; and

               f.      Any liability of individuals.

       8.      Relator and his heirs, successors, attorneys, agents, and assigns shall not object to

this Settlement Agreement but agree and confirm that this Settlement Agreement is fair,



                                                 5
adequate, and reasonable under all the circumstances, pursuant to 31 U.S.C. § 3730(c)(2)(B).

Conditioned upon Relator's receipt of the Relator's Share, Relator and his heirs, successors,

attorneys, agents, and assigns fully and finally release, waive, and forever discharge the United

States, its agencies, officers, agents, employees, and servants, from any claims arising from the

filing of the Civil Action or under 31 U.S.C. § 3730, and from any claims to a share ofthe

proceeds of this Settlement Agreement and/or the Civil Action.

           9.     Relator, for himself, and for his heirs, successors, attorneys, agents, and assigns,

releases Defendants, and their officers, agents, and employees, from any liability to Relator

arising from the filing of the Civil Action, or under 31 U.S.C. § 3730(d) for expenses or

attorneys' fees and costs. This release does not apply to Relator's personal claims under 31

U.S.C. § 3730(h).

           I 0.   Defendants waive and shall not assert any defenses Defendants may have to any

criminal prosecution or administrative action relating to the Covered Conduct that may be based

in whole or in part on a contention that, under the Double Jeopardy Clause in the Fifth

Amendment of the Constitution, or under the Excessive Fines Clause in the Eighth Amendment

of the Constitution, this Settlement Agreement bars a remedy sought in such criminal

prosecution or administrative action.

           11.    Defendants fully and finally release the United States, its agencies, officers,

agents, employees, and servants, from any claims (including attorneys' fees, costs, and expenses

of every kind and however denominated) that Defendants have asserted, could have asserted, or

may assert in the future against the United States, its agencies, officers, agents, employees, and

servants, related to the Covered Conduct or the United States' investigation or prosecution

thereof.



                                                    6
        12.    Defendants each agree to the following:

               a.       Unallowable Costs Defined: All costs (as defined in the Federal

Acquisition Regulation, 48 C.F.R. § 31.205-47; and in Titles XVIII and XIX ofthe Social

Security Act, 42 U.S.C. §§ 1395-1395lll and 1396-1396w-5; and the regulations and official

program directives promulgated thereunder) incurred by or on behalf of Defendants, their present

or former officers, directors, employees, shareholders, and agents in connection with:

               (I)      the matters covered by this Settlement Agreement;

               (2)      the United States' audit(s) and civil investigation(s) of the matters covered

                        by this Settlement Agreement;

               (3)      Defendants' investigation, defense, and corrective actions undertaken in

                        response to the United States' audit(s) and civil investigation(s) in

                        connection with the matters covered by this Settlement Agreement

                        (including attorneys' fees);

               (4)    the negotiation and performance ofthis Settlement Agreement; and

               (5)      the payment Defendants' make to the United States pursuant to this

                        Settlement Agreement and any payments that Defendants may make to

                      Relator, including costs and attorneys' fees,

are unallowable costs for government contracting purposes (hereinafter referred to as

"Unallowable Costs").

               b.       Future Treatment ofUnallowable Costs: Unallowable Costs shall be

separately determined and accounted for by Defendants, and Defendants shall not charge such

Unallowable Costs directly or indirectly to any contracts with the United States.




                                                  7
               C.      Treatment of Unallowable Costs Previously Submitted for Payment:

Within 90 days ofthe Effective Date of this Settlement Agreement, Defendants shall identify and

repay by adjustment to future claims for payment or otherwise any Unallowable Costs included

in payments previously sought by Defendants or any of its subsidiaries or affiliates from the

United States. Defendants agree that the United States, at a minimum, shall be entitled to recoup

from Defendants any overpayment plus applicable interest and penalties as a result ofthe

inclusion of such Unallowable Costs on previously submitted requests for payment. The United

States, including the Department of Justice and/or the affected agencies, reserves its rights to

audit, examine, or re-examine Defendants' books and records and to disagree with any

calculations submitted by Defendants or any of their subsidiaries or affiliates regarding any

Unallowable Costs included in payments previously sought by Defendants, or the effect of any

such Unallowable Costs on the amount of such payments.

       13.     Defendants and SNG agree to cooperate fully and truthfully with the United

States' investigation of individuals and entities not released in this Settlement Agreement. Upon

reasonable notice, Defendants shall encourage, and agrees not to impair, the cooperation of their

directors, officers, and employees, and shall use their best efforts to make available, and

encourage, the cooperation of former directors, officers, and employees for interviews and

testimony, consistent with the rights and privileges of such individuals. Defendants further agree

to furnish to the United States, upon request, complete and unredacted copies of all non­

privileged documents, reports, memoranda of interviews, and records in its possession, custody,

or control concerning any investigation of the Covered Conduct that it has undertaken, or that

has been performed by another on its behalf.




                                                 8
       14.     a.      In the event that Defendants fail to pay the Settlement Amount as provided

in the payment schedule set forth in Paragraph 1, Defendants shall be in Default of Defendants'

payment obligations ("Default"). The United States will provide a written Notice ofDefault, and

Defendants shall have an opportunity to cure such Default within seven (7) calendar days from

the date of receipt of the Notice of Default by making the payment due under the payment

schedule and paying any additional interest accruing under the Settlement Agreement up to the

date of payment. Notice of Default will be delivered to Defendants, or to such other

representative as Defendants shall designate in advance in writing. If Defendants fail to cure the

Default within seven (7) calendar days ofreceiving the Notice ofDefault and in the absence of

an agreement with the United States to a modified payment schedule ("Uncured Default"), the

remaining unpaid balance ofthe Settlement Amount shall become immediately due and payable,

and interest on the remaining unpaid balance shall thereafter accrue at the rate of 12% per

annum, compounded daily from the date of Default, on the remaining unpaid total (principal and

interest balance) (the "Default Settlement Amount").

               b.     In the event of Uncured Default, Defendants agree that the United States,

at its sole discretion, may (i) retain any payments previously made and exercise its rights under

the Guaranty Agreement to collect payment of the Default Settlement amount from SNG (ii)

retain any payments previously made, rescind this Agreement and pursue the Civil Action or

bring any civil and/or administrative claim, action, or proceeding against Defendants and SNG

for the claims that would otherwise be covered by the releases provided in Paragraph 5 above,

with any recovery reduced by the amount of any payments previously made by Defendants to the

United States under this Agreement; (iii) take any action to enforce this Agreement in a new

action or by reinstating the Civil Action; (iv) offset the remaining unpaid balance from any



                                                 9
amounts due and owing to Defendants and/or affiliated companies by any department, agency, or

agent of the United States at the time of Default or subsequently; and/or (v) exercise any other

right granted by law, or under the terms of this Agreement, or recognizable at common law or in

equity. The United States shall be entitled to any other rights granted by law or in equity by

reason of Default, including referral of this matter for private collection. In the event the United

States pursues a collection action, Defendants and SNG agree immediately to pay the United

States the greater of (i) a ten percent (10%) surcharge ofthe amount collected, as allowed by 28

U.S.C. § 3011 (a), or (ii) the United States' reasonable attorneys' fees and expenses incurred in

such an action. In the event that the United States opts to rescind this Agreement pursuant to this

paragraph, Defendants and SNG waive and agree not to plead, argue, or otherwise raise any

defenses of statute of limitations, laches, estoppel or similar theories, to any civil or

administrative claims that are (i) filed by the United States against Defendants and SNG within

120 days of written notification that this Agreement has been rescinded, and (ii) relate to the

Covered Conduct, except to the extent these defenses were available on January 17, 2024.

Defendants and SNG agree not to contest any offset, recoupment, and /or collection action

undertaken by the United States pursuant to this paragraph, either administratively or in any state

or federal court, except on the grounds of actual payment to the United States.

               c.      In the event of Uncured Default, OIG-HHS may exclude Defendants and

SNG from participating in all Federal health care programs until Defendants and SNG pay the

Settlement Amount, with interest, as set forth above (Exclusion for Default). OIG-HHS will provide

written notice of any such exclusion to Defendants and SNG. Defendants and SNG waive any

further notice ofthe exclusion under 42 U.S.C. § 1320a-7(b)(7), and agrees not to contest such

exclusion either administratively or in any state or federal court. Reinstatement to program

participation is not automatic. If at the end ofthe period ofexclusion, Defendants and SNG wish to
apply for reinstatement, they must submit a written request for reinstatement to OIG-HHS in

accordance with the provisions of42 C.F.R. §§ 1001.3001-.3005. Defendants and SNG will not be

reinstated unless and until OIG-HHS approves such request for reinstatement. The option for

Exclusion for Default is in addition to, and not in lieu of, the options identified in this Agreement or

otherwise available.

        15.     In exchange for valuable consideration provided in this Agreement, Defendants,

SNG, and Relator acknowledge the following:

        a.      SNG has reviewed its financial situation and warrants that it is solvent within the

meaning of 11 U.S.C. §§ 547(b)(3) and 548(a)(l)(B)(ii)(I) and shall remain solvent following

payment to the United States of the Settlement Amount.

        b.      In evaluating whether to execute this Agreement, the Parties and SNG intend that

the mutual promises, covenants, and obligations set forth herein constitute a contemporaneous

exchange for new value given to Defendants, within the meaning of 11 U.S.C. § 547(c)(l), and

the Parties conclude that these mutual promises, covenants, and obligations do, in fact, constitute

such a contemporaneous exchange.

       c.      The mutual promises, covenants, and obligations set forth herein are intended by

the Parties to, and do in fact, constitute a reasonably equivalent exchange of value.

       d.      The Parties do not intend to hinder, delay, or defraud any entity to which

Defendants and SNG was or became indebted to on or after the date of any transfer contemplated

in this Agreement, within the meaning of 11 U.S.C. § 548(a)(1 ).

       e.      If(i) any ofDefendants' or SNG's payments or obligations under this Agreement

are avoided for any reason (including but not limited to, through the exercise of a trustee's

avoidance powers under the Bankruptcy Code) (an "Avoidance Event') or, (ii) before the

Settlement Amount is paid in full, Defendants or SNG or a third party commences a case,

                                                  11
proceeding, or other action under any law relating to bankruptcy, insolvency, reorganization, or

relief of debtors seeking any order for relief of Defendants' or SNG's debts, or to adjudicate

Defendants or SNG as bankrupt or insolvent; or seeking appointment of a receiver, trustee,

custodian, or other similar official for Defendants or SNG or for all or any substantial part of

Defendants' or SNG's assets (an "Insolvency Event"):

                (i) the United States may, at its sole discretion, retain any payments previously

made and exercise its rights under the Guaranty Agreement to collect payment ofthe Settlement

Amount or Default Settlement amount, as applicable, from SNG;

                (ii) the United States may, at its sole discretion, rescind the releases in this

Agreement and bring any civil and/or administrative claim, action, or proceeding against

Defendants and SNG for the claims that would otherwise be covered by the releases provided in

Paragraph 5;

                (iii) the United States has an undisputed, noncontingent, and liquidated allowed

claim against Defendants and SNG in the amount of$3,771,714.00, less any payments received

pursuant to Paragraph 1 ofthis Agreement or pursuant to the Guaranty Agreement, provided,

however, that such payments are not otherwise avoided and recovered from the United States by

a receiver, trustee, creditor, custodian, or similar official (the "Allowed Claim Amount");

               (iv) if any payments are avoided and recovered by a receiver, trustee, creditor,

custodian, or similar official, the United States shall not be responsible for the return ofany

amounts already paid by the United States to the Relater; and

               (v) if, notwithstanding subparagraph (iii), any amounts already paid by the United

States to the Relater pursuant to Paragraph 3 are recovered from the United States in an action or

proceeding filed by a receiver, trustee, creditor, custodian, or similar official in or in connection



                                                  12
with a bankruptcy case that is filed within two years of the Effective Date of this Agreement or

of any payment made under Paragraph 1 of this Agreement, Relator shall, within thirty days of

written notice from the United States to the undersigned Relator's counsel, return to the United

States all amounts recovered from the United States.

        f.      Defendants and SNG agree that any civil and/or administrative claim, action, or

proceeding brought by the United States under Paragraph 15.e is not subject to an "automatic

stay" pursuant to 11 U.S.C. § 362(a) because it would be an exercise of the United States' police

and regulatory power. Defendants and SNG each agree they shall not argue or otherwise

contend that the United States' claim, action, or proceeding is subject to an automatic stay and,

to the extent necessary, consents to relief from the automatic stay for cause under 11 U.S.C. §

362(d)(l). Defendants and SNG agree to waive and shall not plead, argue, or otherwise raise any

defenses under the theories of statute of limitations, !aches, estoppel, or similar theories, to any

such civil or administrative claim, action, or proceeding brought by the United States within 120

days of written notification to Defendants and SNG that the releases have been rescinded

pursuant to this paragraph, except to the extent such defenses were available on January 17,

2024.

        16.    This Settlement Agreement is intended to be for the benefit ofthe Parties only.

The Parties do not release any claims against any other person or entity.

        17.    Upon receipt ofthe payments described in Paragraph I and 3, above, the United

States and the Relator shall promptly sign and file in the Civil Action a Joint Stipulation of

Dismissal subject to the terms of this Settlement Agreement. The Joint Stipulation of Dismissal

shall state that: (1) claims for the allegations described in the Covered Conduct are dismissed

with prejudice to the United States; (2) all other claims in the Civil Action, including claims



                                                 13
under 31 U.S.C. §§ 3729-33, shall be dismissed without prejudice to the United States; and (3)

all claims in the Civil Action shall be dismissed with prejudice as to the Relator, except for

claims under 31 U.S.C. § 3730(h) for Retaliatory Actions.

        18.    Except as provided in Paragraph 4, above, each Party shall bear its own legal and

other costs incurred in connection with this matter, including the preparation and performance of

this Settlement Agreement.

        I 9.   Each Party and signatory to this Settlement Agreement represents that it freely

and voluntarily enters into this Settlement Agreement without any degree of duress or

compulsion.

       20.     This Settlement Agreement is governed by the laws of the United States. The

exclusive venue for any dispute relating to this Settlement Agreement is the United States

District Court for the District of Massachusetts. For purposes of construing this Settlement

Agreement, this Settlement Agreement shall be deemed to have been drafted by all Parties to this

Settlement Agreement and shall not, therefore, be construed against any Party for that reason in

any subsequent dispute.

        21.    This Settlement Agreement constitutes the complete agreement between the

Parties. T~is Settlement Agreement may not be amended except by written consent ofthe

Parties. Forbearance by the United States from pursuing any remedy or relief available to it

under this Settlement Agreement shall not constitute a waiver of rights under this Settlement

Agreement.

        22.    The undersigned counsel represent and warrant that they are fully authorized to

execute this Settlement Agreement on behalf of the persons and entities indicated below.




                                                 14
       23.     This Settlement Agreement may be executed in counterparts, each of which

constitutes an original and all of which constitute one and the same Settlement Agreement.

       24.     This Settlement Agreement is binding on Defendants' and SNG's successors,

transferees, heirs, and assigns.

       25.     This Settlement Agreement is binding on Relator' s successors, transferees, heirs,

and assigns.

        26.     All Parties consent to the United States' disclosure ofthis Settlement Agreement,

and information about this Settlement Agreement, to the public.

        27.     This Settlement Agreement is effective on the date of signature ofthe last

signatory to the Settlement Agreement (the "Effective Date of this Settlement Agreement").

Facsimiles and electronic transmissions of signatures shall constitute acceptable, binding

signatures for purposes ofthis Settlement Agreement.


                                     [signature page follows]




                                                 15
                      THE UNITE~STATES OF AME:IRICA

DATED:   10/c?-9/A     BY:L••-       ~ \'>-
                       CHARLES WEINOGRAD                            ~
                       Assistant United States Attorney             ···--~     -
                       District of Massachusetts
                                              Digitally signed by
                             KENNETH          KENNETH KRAFT
                                              Date: 2026,10.26
                             KRAFT            15:46:34 -04'00'
DATED: _ _ __          BY:
                          -------------
                       KENNETH D. KRAFT
                       Assistant Inspector General for Legal Affairs
                       Office of Counsel to the Inspector General
                       Office of Inspector General
                       United States Department of Health and Human Services



                     DEFENDANT SNG DIALYSIS CENTERS
                                         _!-~~
                       BY:    __,..~~
                       SN~J3BtCAIRE DIALYSIS CENTER, LP
                       Ponniah Sankarapandian·,




                       SNG-JIII:.l::GROFT DIALYSIS CENTER, LP
                       Ponniah·-Sank:arapandian



DATED: l ~/),,,~kb
                       SNG N..OR'IllWEST DIALYSIS CENTER, LP
                       Ponniah S~karapandian


                                                    ~-~-
                                             -----···-·~
                                                      ~ - - · •
                       By:          --·- ....--· .. ,.
                       SNG - PA&ABENA DIALYSIS CENTER, LP
                       Ponniah Sankarapandian




                                        16
                         BY:           ~          ~
                         SNG - SAN·DC:&s=iffi.JAt:YSls CENTER, LP
                         Po~Sarrl(ar~pan~



                         BY:           ~---~-----·,· · ~ ~ ~~
                         SNG - T~~GI--l'Y DIALYSIS, LP
                         Ponniah Sankarapandian


       
                               · f\~~~~.~~
DATED: _ _ __            BY:                ,✓
                         NA THAN GARRETT
                         Counsel for Defendants


                                   GUARANTOR

                                                                    =-
       . I        I  •                          ')       ,..-5-- - -
DATED: l O v?--- f }(;   BY:              - ~   ~ - - =;-•     --··· ····-- ···   •

            l   -/   t   sANKAR-NEPHR6L@eraRouP
                         Ponni.ah:S-aiik;rapandian
                         Chairman / President


                         BRAD SCHOFIELD - RELATOR


DATED: _ _ __            BY:
                            -----------
                         BRAD SCHOFIELD



DATED: _ __              BY:
                            - - - - - - --
                         AND REW WIRMANI
                                                             ---
                         Counsel for Brad Schofield




                                          17
DATED: _ _ __        BY:- - -- - - - - - - - -
                     SNG - SANDCASTLE DI ALYSIS CENTER, LP
                     Ponniah Sankarapandian



DATED: _ _ __        BY:- - - - - - - - - - - - -
                     SNG - TEXAS CITY DIALYSIS, LP
                     Ponniah Sankarapandian



DATED: _ _ __        BY:_ _ _ _ _ _ _ _ __ __
                     NATHAN GARRETT
                     Counsel for Defendants


                               GUARANTOR


DATED: _ _   _   _   BY:
                        - - - -- - - - - - - -
                     SANKAR N EPHROLOGY GROUP
                     Ponniah Sankarapandian
                     Chairman / President


                     BRAD SCHOFIELD - RELATOR


       10/27/2026
DATED: _ _   __




DATED   IU/'2-1 ll¼Y____
                      _____-?~ _,: _ _
                     ANDREW..,}1/:l~ Nl
                     Counse}f6i· Braa Schofield
                     ~        /




                                     17


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