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This document is the 2006 annual report of a dialysis services provider. It includes a table of contents, letter to stakeholders, and sections on management discussion/analysis, financial statements, risk factors, and other financial data. The letter discusses strong clinical outcomes, successful integration of an acquisition, strong cash flows, earnings exceeding expectations, progress on public policy issues, and a compliant compliance program. It notes challenges in 2007 including government scrutiny, increased competition, and anticipated margin compression.



















































































