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American Renal Associates Holdings, Inc. Announces Chief Financial Officer Transition

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Jason Boucher Will Assume the Chief Financial Officer Role,
Effective October 1, 2018

American Renal Associates Holdings, Inc. (NYSE:ARA) ("ARA" or the
"Company"), a leading provider of outpatient dialysis services, today
announced the appointment of Jason Boucher as Vice President and Chief
Financial Officer (CFO) effective October 1, 2018. Mr. Boucher will
succeed Jonathan (Jon) Wilcox, who will be leaving the Company on
September 30, 2018 for another opportunity. Mr. Wilcox and Mr. Boucher
will work closely together during this time period to ensure a smooth
transition.

Mr. Boucher, 46, currently serves as the Company's Vice President of
Finance, Chief Accounting Officer and Treasurer. Mr. Boucher has more
than 20 years of leadership experience in finance and accounting roles,
including seven years at the Company, and more than eight years with
other publicly-traded companies. Mr. Boucher will report to Chairman and
CEO Joseph (Joe) Carlucci, and he will lead ARA's corporate finance
department and oversee accounting, tax, treasury, financial planning and
revenue cycle management. Mr. Boucher is a Certified Public Accountant,
and he received his B.S. from Plymouth State College and his M.B.A. from
Suffolk University's Sawyer School of Management. The Company has
retained an executive search firm to fill the Vice President of Finance
role during or shortly after the CFO transition period.

"On behalf of the entire Company, I want to thank Jon for his many
contributions to ARA over the past nine years," said Mr. Carlucci. "Our
Company has benefited greatly from Jon's strong judgment and his
outstanding financial and operational expertise, and we wish him the
best in his future endeavors."

Mr. Carlucci continued, "Jason is a talented individual, a strong leader
and well-respected within our Company, as well as among our physician
partners. I am proud that the experience of our management team has
positioned ARA to fill the CFO role in a seamless manner as a result of
our strong bench."

"I am fortunate to have worked with so many outstanding people with whom
I have been part of ARA's growth and success over the past nine years,"
Mr. Wilcox said. "My focus now is on supporting Jason and the entire
team to ensure a seamless and effective transition."

"Jon has done a great job leading our team, and I am very excited about
the opportunity to succeed him as CFO," said Mr. Boucher. "I look
forward to continuing to work closely with the Company's leadership team
as we capitalize on the many growth opportunities ahead of us."

2018 Outlook for Adjusted EBITDA-NCI:

The Company is also reiterating its recently updated guidance for 2018
Adjusted EBITDA-NCI to be in a range of $105 million to $111 million.

The Company is not providing a quantitative reconciliation of our
Non-GAAP outlook to the corresponding GAAP information because the GAAP
measures that we exclude from our Non-GAAP outlook are not available
without unreasonable effort on a forward-looking basis due to their
unpredictability, high variability, complexity and low visibility. These
excluded GAAP measures include noncontrolling interests, interest
expense, income taxes, and other charges. We expect the variability of
these charges to have a potentially unpredictable, and potentially
significant, impact on our future GAAP financial results.

Please see the "Forward-Looking Statements" section of this release for
a discussion of certain risks to our outlook.

Forward-Looking Statements

This press release contains forward-looking statements within the
meaning of Section 27A of the Securities Act of 1933, as amended, and
Section 21E of the Securities Exchange Act of 1934, as amended. These
statements, which have been included in reliance of the "safe harbor"
provisions of the Private Securities Litigation Reform Act of 1995,
involve risks and uncertainties and assumptions relating to our
operations, financial condition, business, prospects, growth strategy
and liquidity, which may cause our actual results to differ materially
from those projected by such forward-looking statements, and the Company
cannot give assurances that such statements will prove to be correct.
You can identify forward-looking statements because they do not relate
strictly to historical or current facts. These statements may include
words such as "aim," "anticipate," "believe," "estimate," "expect,"
"forecast," "outlook," "potential," "project," "projection," "plan,"
"intend," "seek," "may," "could," "would," "will," "should," "can," "can
have," "likely," the negatives thereof and other words and terms of
similar meaning in connection with any discussion of the timing or
nature of future operating or financial performance or other events.

The forward-looking statements appear in a number of places throughout
this press release and include statements regarding our intentions,
beliefs or current expectations concerning, among other things, our
results of operations, financial condition, liquidity, prospects,
growth, strategies and the industry in which we operate. All
forward-looking statements are subject to risks and uncertainties,
including but not limited to those risks and uncertainties described in
"Risk Factors" and "Special Note Regarding Forward-Looking Statements"
in our Annual Report on Form 10-K for the year ended December 31, 2017,
as updated by our reports on Form 10-Q filed or to be filed with the
Securities and Exchange Commission ("SEC") that may cause actual results
to differ materially from those that we expected.

Some of the factors that could cause actual results to differ materially
from those expressed or implied by the forward-looking statements
include, among others, the following:

  • continuing decline in the number of patients with commercial
    insurance, including as a result of changes to the healthcare
    exchanges or changes in regulations or enforcement of regulations
    regarding the healthcare exchanges and challenges from commercial
    payors or any regulatory or other changes leading to changes in the
    ability of patients with commercial insurance coverage to receive
    charitable premium support;
  • decline in commercial payor reimbursement rates;
  • the ultimate resolution of the Centers for Medicare and Medicaid
    Services ("CMS") Interim Final Rule published December 14, 2016
    related to dialysis facilities Conditions for Coverage (CMS 3337-IFC),
    including an issuance of a different but related Final Rule;
  • reduction of government-based payor reimbursement rates or
    insufficient rate increases or adjustments that do not cover all of
    our operating costs;
  • our ability to successfully develop de novo clinics, acquire existing
    clinics and attract new physician partners;
  • our ability to compete effectively in the dialysis services industry;
  • the performance of our joint venture subsidiaries and their ability to
    make distributions to us;
  • changes to the Medicare end-stage renal disease ("ESRD") program that
    could affect reimbursement rates and evaluation criteria, as well as
    changes in Medicaid or other non-Medicare government programs or
    payment rates, including the ESRD prospective payment rate system
    proposed rule for 2019 issued on July 11, 2018;
  • federal or state healthcare laws that could adversely affect us;
  • our ability to comply with all of the complex federal, state and local
    government regulations that apply to our business, including those in
    connection with federal and state anti-kickback laws and state laws
    prohibiting the corporate practice of medicine or fee-splitting;
  • heightened federal and state investigations and enforcement efforts;
  • the impact of the litigation by affiliates of UnitedHealth Group, Inc.
    and the resolution thereof, the Department of Justice inquiry,
    securities and derivative litigation and related matters;
  • the ability of the Company and UnitedHealth Group, Inc. to negotiate a
    final settlement agreement and a national network agreement;
  • changes in the availability and cost of erythropoietin-stimulating
    agents and other pharmaceuticals used in our business;
  • development of new technologies that could decrease the need for
    dialysis services or decrease our in-center patient population;
  • our ability to timely and accurately bill for our services and meet
    payor billing requirements;
  • claims and losses relating to malpractice, professional liability and
    other matters; the sufficiency of our insurance coverage for those
    claims and rising insurance costs; and any negative publicity or
    reputational damage arising from such matters;
  • loss of any members of our senior management;
  • damage to our reputation or our brand and our ability to maintain
    brand recognition;
  • our ability to maintain relationships with our medical directors and
    renew our medical director agreements;
  • shortages of qualified skilled clinical personnel, or higher than
    normal turnover rates;
  • competition and consolidation in the dialysis services industry;
  • deteriorations in economic conditions, particularly in states where we
    operate a large number of clinics, or disruptions in the financial
    markets;
  • the participation of our physician partners in material strategic and
    operating decisions and our ability to favorably resolve any disputes;
  • our ability to honor obligations under the joint venture operating
    agreements with our physician partners were they to exercise certain
    put rights and other rights;
  • unauthorized disclosure of personally identifiable, protected health
    or other sensitive or confidential information;
  • our ability to meet our obligations and comply with restrictions under
    our substantial level of indebtedness; and
  • the ability of our principal stockholder, whose interests may conflict
    with yours, to strongly influence or effectively control our corporate
    decisions.

The forward-looking statements made in this press release are made only
as of the date hereof. Except as required by law, we undertake no
obligation to update any forward-looking statement, whether as a result
of new information or otherwise. More information about potential
factors that could affect our business and financial results is included
in our filings with the SEC.

About American Renal Associates

American Renal Associates ("ARA") is a leading provider of outpatient
dialysis services in the United States. As of March 31, 2018, ARA
operated 228 dialysis clinic locations in 26 states and the District of
Columbia serving approximately 15,700 patients with end stage renal
disease. ARA operates principally through a physician partnership model,
in which it partners with approximately 400 local nephrologists to
develop, own and operate dialysis clinics. ARA's Core Values emphasize
taking good care of patients, providing physicians with clinical
autonomy and operational support, hiring and retaining the best possible
staff and providing best practices management services. For more
information about American Renal Associates, visit www.americanrenal.com.

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