1159281--3/13/2006--FIVE_STAR_QUALITY_CARE_INC

related topics
{acquisition, growth, future}
{cost, regulation, environmental}
{investment, property, distribution}
{stock, price, operating}
{regulation, change, law}
{provision, law, control}
{competitive, industry, competition}
{debt, indebtedness, cash}
{regulation, government, change}
{cost, contract, operation}
{interest, director, officer}
{customer, product, revenue}
{cost, operation, labor}
A small percentage decline in our revenues or increase in our expenses could have a material negative impact upon our operating results. SLS s continuing management of some of our communities may have adverse consequences to us. Our growth strategy may not succeed. We may be unable to lease the two hospitals from Senior Housing, and, if we are able to lease these hospitals, we may not achieve the anticipated benefits of our operation of these hospitals. We may not achieve the anticipated benefits of our acquisition of the Gordon communities. We may not achieve the anticipated benefits of our termination of management agreements for 13 communities that SLS managed for us. The nature of our business exposes us to litigation risks. As a result, our insurance costs have increased and may continue to increase, and we self insure a large portion of our litigation risks. Our business is subject to extensive regulation which increases our costs and may result in losses. The failure of Medicare and Medicaid rates to match our costs will reduce our income. Compliance with Sarbanes-Oxley will continue to increase our accounting costs and reduce our income. A significant increase in our labor costs may have a material adverse effect on us. Our business may require regular capital expenditures. Our business is highly competitive and we may be unable to operate profitably. We are subject to possible conflicts of interest; we have engaged in, and expect to continue to have, transactions with related parties. The limitations on the ownership of our shares and other anti-takeover provisions in our governing documents and in our material agreements may prevent our shareholders from receiving a takeover premium for their shares. The price of our common shares has fluctuated, and a number of factors may cause our common share price to decline. Circumstances that adversely affect the ability of seniors to pay for our services could have a material adverse effect on us.

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