1047335--3/16/2007--NATIONAL_HEALTHCARE

related topics

{regulation, government, change}

{debt, indebtedness, cash}

{regulation, change, law}

{system, service, information}

{acquisition, growth, future}

{cost, contract, operation}

{investment, property, distribution}

{financial, litigation, operation}

{personnel, key, retain}

{condition, economic, financial}

{loss, insurance, financial}

We depend on reimbursement from Medicare, Medicaid and other third-party payors and reimbursement rates from such payors may be reduced. We conduct business in a heavily regulated industry, and changes in, or violations of, regulations may result in increased costs or sanctions that reduce our revenue and profitability. - Significant legal actions, which are commonplace in our industry, could subject us to increased operating costs and substantial uninsured liabilities, which would materially and adversely affect our liquidity and financial condition. Recent legislation and the increasing costs of being publicly owned are likely to impact our future consolidated financial position and results of operations. - New accounting pronouncements or new interpretations of existing standards could require us to make adjustments in our accounting policies that could affect our financial statements. - By undertaking to provide management services, advisory services, and/or financial services to other entities, we become at least partially responsible for meeting the regulatory requirements of those entities. - We provide management services to long-term care centers under terms The cost to replace or retain qualified nurses, health care professionals and other key personnel may adversely affect our financial performance, and we may not be able to comply with certain states Future acquisitions may be difficult to complete, use significant resources, or be unsuccessful and could expose us to unforeseen liabilities. - Upkeep of healthcare properties is capital intensive, requiring us to continually direct financial resources to the maintenance and enhancement of our physical plant and equipment. Provision for losses in our financial statements may not be adequate.- Implementation of a new information technology infrastructure could cause business interruptions and negatively affect our profitability and cash flows. - If we fail to compete effectively with other health care providers, our revenues and profitability may decline.- Possible changes in the case mix of patients as well as payor mix and payment methodologies may significantly affect our profitability.- Private third-party payors continue to try to reduce health care costs. - We are exposed to market risk due to the fact that outstanding debt and future borrowings are or will be subject to wide fluctuations based on changing interest rates. - We are permitted to incur substantially more debt, which could further exacerbate the risks described above.- To service our indebtedness, we will require a significant amount of cash, the availability of which depends on many factors beyond our control. - We may not be able to meet all of our capital needs. - We and NHR jointly announced on December 21, 2006 that we have entered into an agreement and plan of merger that is expected to be completed during the summer of 2007.

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1047335--3/16/2007--NATIONAL_HEALTHCARE_CORP