DSI Renal is acquiring 54 dialysis clinics from Fresenius Medical Care AG & Co., including nine dialysis clinics in Hawaii.

The acquisition by Nashville, Tenn.-based DSI Renal was due to a divestiture order from the Federal Trade Commission, which had sought to block Fresenius’ acquisition of all 24 Liberty Dialysis clinics in Hawaii.

Once the sale is finalized, DSI Renal will be the fourth-largest provider of outpatient dialysis services in the United States, the company said in a statement.

The Hawaii clinics that are included in the deal are all located on Oahu: Kapahulu, Pearlridge, Honolulu, Kapolei, Koolau, Wahiawa, Waipahu and Windward.

“This acquisition is transformative for DSI in that we are establishing a larger, national focus and footprint,” President and CEO Craig Goguen said in a statement. “On a local level, we’re creating jobs that will bolster Nashville’s economy, and we’re also helping to foster competition in markets across the country for thousands of people who rely on clinics like ours to provide life?saving dialysis treatment.”

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