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Preliminary Proxy Statement
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Confidential, for Use of the Commission Only (as permitted by Rule 14a‑6(e)(2))
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Definitive Proxy Statement
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Definitive Additional Materials
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Soliciting Material Pursuant to §240.14a‑12
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No fee required.
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Fee computed on table below per Exchange Act Rules 14a‑6(i)(1) and 0‑11.
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Title of each class of securities to which transaction applies:
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Aggregate number of securities to which transaction applies:
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Per unit price or other underlying value of transaction computed pursuant to Exchange Act Rule 0‑11 (set forth the amount on which the filing fee is calculated and state how it was determined): | |
| (4) |
Proposed maximum aggregate value of transaction: | |
| (5) | Total fee paid: |
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Fee paid previously with preliminary materials:
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Check box if any part of the fee is offset as provided by Exchange Act Rule 0‑11(a)(2) and identify the filing for which the offsetting fee was paid previously. Identify the previous filing by registration statement number, or the Form
or Schedule and the date of its filing.
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| (1) |
Amount previously paid:
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| (2) |
Form, Schedule or Registration Statement No.:
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Filing Party:
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Date Filed:
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For the Fiscal Year Ended December 31,
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2020E
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2021E
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2022E
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2023E
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2024E
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(in millions)
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Patient service operating revenues
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$
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811.6
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$
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824.0
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$
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889.4
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$
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955.2
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$
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1,034.9
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Total operating expenses(1)
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$
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720.2
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$
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723.9
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$
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783.4
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$
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842.7
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$
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913.0
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Net income
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$
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47.8
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$
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55.2
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$
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60.7
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$
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66.9
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$
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75.6
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Plus: Stock-based compensation expense
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$
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8.0
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$
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8.1
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$
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8.3
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$
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8.4
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$
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8.6
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Plus: Depreciation, amortization and impairment
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$
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35.9
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$
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41.2
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$
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43.7
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$
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46.2
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$
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49.2
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Plus: Interest expense, net
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$
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40.9
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$
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34.6
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$
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33.9
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$
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33.1
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$
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32.2
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Plus: Income tax expense
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$
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1.8
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$
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2.2
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$
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3.1
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$
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4.1
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$
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5.5
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Plus (minus): Change in fair value of income tax receivable
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$
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(1.3
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)
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$
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-
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$
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-
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$
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-
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$
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-
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Plus (minus): Loss (gain) on sale of assets
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$
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(1.4
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)
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$
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-
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$
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-
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$
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-
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$
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-
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Plus: Certain legal and other matters
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$
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5.4
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$
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-
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$
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-
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$
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-
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$
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-
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Plus: Severance
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$
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2.0
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$
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-
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$
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-
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$
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-
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$
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-
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Adjusted EBITDA(2)
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$
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139.1
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$
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141.3
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$
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149.7
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$
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158.7
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$
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171.1
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Less: Net income attributable to noncontrolling interests
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$
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(48.1
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)
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$
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(48.9
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)
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$
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(51.9
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)
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$
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(55.3
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)
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$
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(59.9
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)
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Adjusted EBITDA less NCI (2)
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$
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91.0
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$
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92.4
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$
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97.8
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$
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103.4
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$
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111.2
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Capital expenditures
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$
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20.9
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$
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28.8
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$
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38.3
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$
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48.3
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$
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56.6
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Unlevered free cash flow
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$
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39.1
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$
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38.6
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$
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31.1
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$
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34.8
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$
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33.0
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Total ending clinics
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249
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259
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273
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290
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310
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Total operating expenses includes patient care costs, general and administrative expenses, depreciation, amortization and impairment, and certain legal and other matters.
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Unlevered free cash flow equals Adjusted EBITDA less NCI reduced by stock based compensation expense, one-time legal expenses, income tax expense (estimated rate of 26%), capital expenditures and settlement payments due to UnitedHealth
Group Incorporated, increased by cash from divestitures and a one time tax benefit related to CARES Act legislation in 2020E, and adjusted for changes in net working capital. 2020E represents estimated cash flows expected from September
through December 2020.
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the inability to consummate the Merger within the anticipated time period, or at all, due to any reason, including the failure to obtain required regulatory approvals or the failure to satisfy the other
conditions to the consummation of the Merger; the failure by IRC or Merger Sub to obtain the necessary debt and equity financing arrangements set forth in the commitment letters received in connection with the Merger;
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the risk that the Merger Agreement may be terminated in circumstances requiring ARA to pay a termination fee;
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the risk that the Merger disrupts ARA’s current plans and operations or diverts management’s attention from its ongoing business;
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the effect of the announcement of the Merger on the ability of ARA to retain and hire key personnel and maintain relationships with its customers, suppliers, physician partners and others with whom it does
business;
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the effect of the announcement of the Merger on ARA’s operating results and business generally;
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the amount of costs, fees and expenses related to the Merger;
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the risk that ARA’s stock price may decline significantly if the Merger is not consummated;
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the nature, cost and outcome of any litigation and other legal proceedings, including the litigation described in the Supplemental Disclosure above and any proceedings related to the Merger and instituted
against ARA and others;
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the effect of the ongoing COVID-19 pandemic and responses thereto;
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the effect of the restatement of ARA’s previously issued financial results and related matters and the related investigation by the SEC;
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ARA’s ability to remediate material weaknesses in ARA’s internal control over financial reporting;
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continuing decline in the number of patients with commercial insurance or any regulatory or other changes leading to changes in the ability of patients with commercial insurance coverage to receive charitable
premium support;
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decline in commercial payor reimbursement rates; reduction of government-based payor coverage and reimbursement rates or insufficient rate increases or adjustments that do not cover all of ARA’s operating
costs;
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ARA’s ability to successfully develop de novo clinics, acquire existing clinics and attract new nephrologist partners;
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ARA’s ability to compete effectively in the dialysis services industry; the performance of ARA’s joint venture subsidiaries and their ability to make distributions to ARA;
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federal or state healthcare laws that could adversely affect ARA;
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ARA’s ability to comply with all of the complex federal, state and local government regulations that apply to its business, including those in connection with federal and state anti-kickback laws and state
laws prohibiting the corporate practice of medicine or fee-splitting;
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heightened federal and state investigations and enforcement efforts;
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changes in the availability and cost of erythropoietin-stimulating agents and other pharmaceuticals used in ARA’s business;
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development of new technologies or government regulation that could decrease the need for dialysis services or decrease ARA’s in-center patient population;
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ARA’s ability to timely and accurately bill for ARA’s services and meet payor billing requirements;
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claims and losses relating to malpractice, professional liability and other matters; the sufficiency of ARA’s insurance coverage for those claims and rising insurances costs, and negative publicity or
reputational damage arising from such matters;
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loss of any members of ARA’s senior management;
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damage to ARA’s reputation or ARA’s brand and ARA’s ability to maintain brand recognition;
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ARA’s ability to maintain relationships with its medical directors and renew its medical director agreements;
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shortages of qualified skilled clinical personnel, or higher than normal turnover rates; competition and consolidation in the dialysis services industry;
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deterioration in economic conditions, particularly in states where we operate a large number of clinics, or disruptions in the financial markets or the effects of natural or other disasters, public health
crises or adverse weather events;
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the participation of ARA’s physician partners in material strategic and operating decisions and ARA’s ability to favorably resolve any disputes;
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ARA’s ability to honor obligations under the joint venture operating agreements with its physician partners were they to exercise certain put rights and other rights;
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unauthorized disclosure of personally identifiable, protected health or other sensitive or confidential information;
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ARA’s ability to meet its obligations and comply with restrictions under its substantial level of indebtedness; and
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the ability of ARA’s principal stockholder, whose interests may conflict with yours, to strongly influence or effectively control ARA’s corporate decisions.
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