878736--2/21/2007--MANOR_CARE

related topics

{regulation, government, change}

{cost, contract, operation}

{cost, regulation, environmental}

{cost, operation, labor}

{competitive, industry, competition}

{gas, price, oil}

If we fail to comply with extensive laws and government regulations, we could suffer penalties or be required to make significant changes to our operations. We are required to comply with laws governing the transmission and privacy of health information. State efforts to regulate the construction or expansion activities of health care providers could impair our ability to expand our operations. Health care reform legislation may affect our business. We face national, regional and local competition. Labor costs may increase with a potential shortage of qualified personnel. Our operations are subject to occupational health and safety regulations. We may be unable to reduce costs to offset completely decreases in our occupancy rates.

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878736--2/21/2007--MANOR_CARE_INC