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                        DIALYSIS CORPORATION OF AMERICA
                                as the Borrower,

                                      and

                         KEYBANK NATIONAL ASSOCIATION,
                                 as the Lender

                              -------------------

                                AMENDMENT NO. 1
                                       to
                                CREDIT AGREEMENT
                                   dated as of
                               December 15, 2005

                              -------------------

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     This AMENDMENT NO. 1 TO CREDIT AGREEMENT (this "Amendment"), dated as of
December 15, 2005, is entered into by and between DIALYSIS CORPORATION OF
AMERICA, a Florida corporation (herein, together with its successors and
assigns, the "Borrower"), and KEYBANK NATIONAL ASSOCIATION, a national
banking association (herein, together with its successors and assigns, the
"Lender").

     PRELIMINARY STATEMENTS:

     (1) The Borrower and the Lender entered into the Credit Agreement, dated
as of October 24, 2005 (the "Credit Agreement"; capitalized terms used herein
                             ----------------
and not defined herein are used herein as defined in the Credit Agreement).

     (2) The parties hereto desire to modify certain terms and provisions of
the Credit Agreement.

     NOW, THEREFORE, the parties hereto agree as follows:

     SECTION 1. AMENDMENTS.

     1.1. Amendment to Definition.  The definition of "Consolidated Net
          -----------------------
Worth" in Article I of the Credit Agreement is hereby amended and restated
retroactive to the Closing Date as follows:

         "Consolidated Net Worth" means, at any date, the stockholders'
          ----------------------
     equity of Borrower, determined on a Consolidated basis and in accordance
     with GAAP.

     1.2 Amendment to Covenant.  Section 6.1(d) of the Credit Agreement is
         ---------------------
hereby amended and restated retroactive to the Closing Date as follows:

         (d) Consolidated Net Worth.  Borrower shall not suffer or permit its
             ----------------------
     Consolidated Net Worth, at any time, to be less than the sum of (i)
     $21,110,773, plus (ii) the sum of (A)(1) with respect to the period from
     the Closing Date through December 31, 2005, 50% of the positive
     Consolidated Net Income (without any reduction for net losses) for such
     period, and (2) with respect to each fiscal year of Borrower thereafter,
     commencing with the 2006 fiscal year, 50% of the positive Consolidated
     Net Income (without any reduction for net losses) for such fiscal year,
     and (B) 100% of the proceeds from any equity offering by any Company or
     any debt offering of any Company to the extent actually converted to
     into equity.

     SECTION 2. REPRESENTATIONS AND WARRANTIES.  The Borrower represents and
warrants to the Lender as follows:

     2.1. Authorization, Validity and Binding Effect.  This Amendment has
          ------------------------------------------
been duly authorized by all necessary corporate action on the part of the
Borrower, has been duly executed and delivered by a duly authorized officer
or officers of the Borrower, and constitutes the valid and binding agreement
of the Borrower, enforceable against the Borrower in accordance with its
terms.



     2.2. Representations and Warranties True and Correct.  The
          -----------------------------------------------
representations and warranties of the Borrower contained in the Credit
Agreement, as amended hereby, are true and correct on and as of the date
hereof as though made on and as of the date hereof, except to the extent that
such representations and warranties expressly relate to a specified date, in
which case such representations and warranties are hereby reaffirmed as true
and correct when made.

     2.3. No Event of Default.  After giving effect to this Amendment, no
          -------------------
condition or event has occurred or exists that constitutes or that, after
notice or lapse of time or both, would constitute a Default or an Event of
Default.

     2.4. No Claims.  The Borrower is not aware of any claim or offset
          ---------
against, or defense or counterclaim to, any of its obligations or liabilities
under the Credit Agreement or any other Credit Document.

     SECTION 3. RATIFICATIONS.  Except as expressly modified and superseded
by this amendment, the terms and provisions of the Credit Agreement are
ratified and confirmed and shall continue in full force and effect.

     SECTION 4. CONDITIONS PRECEDENT.  The amendments set forth in Section 1
hereof shall become effective as of the date first written above if on or
before the date hereof, the following conditions have been satisfied:

     (a) this Amendment shall have been executed by the Borrower and the
Lender, and counterparts hereof as so executed shall have been delivered to
the Lender;

     (b) the Borrower shall have caused each Guarantor to consent and agree
to and acknowledge the terms of this Amendment; and

     (c) the Borrower shall have provided such other items and shall have
satisfied such other conditions as may be reasonably required by the Lender.

     SECTION 5. MISCELLANEOUS.

     5.1. Successors and Assigns.  This Amendment shall be binding upon and
          ----------------------
inure to the benefit of the Borrower and the Lender and their respective
successors and assigns.

     5.2. Survival of Representations and Warranties.  All representations
          ------------------------------------------
and warranties made in this Amendment shall survive the execution and
delivery of this Amendment, and no investigation by the Lender or any
subsequent Loan shall affect the representations and warranties or the right
of the Lender to rely upon them.

     5.3. Reference to Credit Agreement.  The Credit Agreement and any and
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all other agreements, instruments or documentation now or hereafter executed
and delivered pursuant to the terms of the Credit Agreement as amended
hereby, are hereby amended so that any reference therein to the Credit
Agreement shall mean a reference to the Credit Agreement as amended hereby.



     5.4. Expenses.  As provided in the Credit Agreement, but without
          --------
limiting any terms or provisions thereof, the Borrower agrees to pay on
demand all costs and expenses incurred by the Lender in connection with the
preparation, negotiation, and execution of this Amendment, including without
limitation the costs and fees of the Lender's special legal counsel,
regardless of whether this Amendment becomes effective in accordance with the
terms hereof, and all costs and expenses incurred by the Lender in connection
with the enforcement or preservation of any rights under the Credit
Agreement, as amended hereby.

     5.5. Severability.  Any term or provision of this Amendment held by a
          ------------
court of competent jurisdiction to be invalid or unenforceable shall not
impair or invalidate the remainder of this Amendment and the effect thereof
shall be confined to the term or provision so held to be invalid or
unenforceable.

     5.6. Applicable Law.  This Amendment shall be governed by and construed
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in accordance with the laws of the State of Ohio, without regard to
principles of conflicts of laws.

     5.7. Headings.  The headings, captions and arrangements used in this
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Amendment are for convenience only and shall not affect the interpretation of
this Amendment.

     5.8. Entire Agreement.  This Amendment is specifically limited to the
          ----------------
matters expressly set forth herein. This Amendment and all other instruments,
agreements and documentation executed and delivered in connection with this
Amendment embody the final, entire agreement among the parties hereto with
respect to the subject matter hereof and supersede any and all prior
commitments, agreements, representations and understandings, whether written
or oral, relating to the matters covered by this Amendment, and may not be
contradicted or varied by evidence of prior, contemporaneous or subsequent
oral agreements or discussions of the parties hereto. There are no oral
agreements among the parties hereto relating to the subject matter hereof or
any other subject matter relating to the Credit Agreement.

     5.9. Waiver of Claims.  The Borrower, by signing below, hereby waives
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and releases the Lender and its directors, officers, employees, attorneys,
affiliates and subsidiaries from any and all claims, offsets, defenses and
counterclaims of which Borrower is aware, such waiver and release being with
full knowledge and understanding of the circumstances and effect thereof and
after having consulted legal counsel with respect thereto.

     5.10. Counterparts.  This Amendment may be executed by the parties
           ------------
hereto separately in one or more counterparts, each of which when so executed
shall be deemed to be an original, but all of which when taken together shall
constitute one and the same agreement. Transmission by a party to another
party (or its counsel) via facsimile or electronic mail of a copy of this
Amendment (or a signature page of this Amendment) shall be as fully effective
as delivery by such transmitting party to the other parties hereto of a
counterpart of this Amendment that had been manually signed by such
transmitting party.

     5.11. JURY TRIAL WAIVER.  THE BORROWER AND THE LENDER EACH WAIVES ANY
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RIGHT TO HAVE A JURY PARTICIPATE IN RESOLVING ANY DISPUTE, WHETHER SOUNDING
IN CONTRACT, TORT OR OTHERWISE, BETWEEN THE BORROWER AND THE LENDER, ARISING
OUT OF, IN CONNECTION WITH,



RELATED TO, OR INCIDENTAL TO THE RELATIONSHIP ESTABLISHED BETWEEN THEM IN
CONNECTION WITH THIS AMENDMENT, THE CREDIT AGREEMENT, THE NOTE OR OTHER
RELATED WRITING, INSTRUMENT, DOCUMENT OR AGREEMENT EXECUTED OR DELIVERED IN
CONNECTION HEREWITH OR THE TRANSACTIONS RELATED THERETO.

[Remainder of page intentionally left blank.]



     IN WITNESS WHEREOF, this Amendment has been duly executed and delivered
as of the date first above written.


                                       BORROWER:

                                       DIALYSIS CORPORATION OF AMERICA

                                          /S/ Stephen W. Everett
                                       By:----------------------------------
                                       Name: Stephen W. Everett
                                       Title: President and Chief Executive
                                                Officer



LENDER:

                                       KEYBANK NATIONAL ASSOCIATION

                                          /s/ J.T. Taylor
                                       By:----------------------------------
                                       Name: J.T. Taylor
                                       Title: Senior Vice President



                  GUARANTOR ACKNOWLEDGMENT AND AGREEMENT

     Each of the undersigned consents and agrees to and acknowledges the
terms of the foregoing Amendment No. 1 to Credit Agreement, dated as of
December 15, 2005. Each of the undersigned specifically acknowledges the
terms of and consent to the waivers set forth therein.  Each of the
undersigned further agrees that the obligations of each of the undersigned
pursuant to the Closing Date Guaranty executed by each of the undersigned
shall remain in full force and effect and be unaffected hereby.

     Each of the undersigned, by signing below, hereby waives and releases
the Lender and its respective directors, officers, employees, attorneys,
affiliates and subsidiaries from any and all claims, offsets, defenses and
counterclaims of which any of the undersigned is aware, such waiver and
release being with full knowledge and understanding of the circumstances and
effect thereof and after having consulted legal counsel with respect thereto.

     EACH OF THE UNDERSIGNED WAIVES ANY RIGHT TO HAVE A JURY PARTICIPATE IN
RESOLVING ANY DISPUTE, WHETHER SOUNDING IN CONTRACT, TORT OR OTHERWISE, AMONG
ANY OF THE UNDERSIGNED, THE BORROWER AND/OR THE LENDER, ARISING OUT OF, IN
CONNECTION WITH, RELATED TO, OR INCIDENTAL TO THE RELATIONSHIP ESTABLISHED
AMONG THEM IN CONNECTION WITH THIS AGREEMENT, THE CREDIT AGREEMENT, THE NOTE
OR OTHER RELATED WRITING, INSTRUMENT, DOCUMENT OR AGREEMENT EXECUTED OR
DELIVERED IN CONNECTION HEREWITH OR THE TRANSACTIONS RELATED THERETO.

     IN WITNESS WHEREOF, each of the undersigned has duly executed and
delivered this Guarantor Acknowledgement and Agreement as of the date first
written above.

                                       DCA Medical Services, Inc.
                                       DCA of Adel, LLC
                                       DCA of Calhoun, LLC
                                       DCA of Central Valdosta, LLC
                                       DCA of Fitzgerald, LLC
                                       DCA of Hawkinsville, LLC
                                       DCA of So. Ga., LLC
                                       DCA of Royston, LLC
                                       DCA of Rockville, LLC
                                       DCA of Norwood, LLC
                                       DCA of Lemoyne, Inc.
                                       DCA of Mechanicsburg, LLC
                                       DCA of Wellsboro, Inc.
                                       Keystone Kidney Care, Inc.
                                       DCA of Warsaw, LLC
                                       DCA of Aiken, LLC
                                       DCA of Aiken II, LLC
                                       DCA of Barnwell, LLC
                                       DCA of Edgefield, LLC

                                          /S/ Stephen W. Everett
                                       By:----------------------------------
                                       Name: Stephen W. Everett
                                       Title: President of each of the
                                               foregoing Guarantors