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(4)
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The third sentence of the first paragraph under the caption What are the conditions to the Offer?
under the section of the Offer to Purchase captioned Summary Term Sheet beginning on page 1 of the Offer to Purchase is hereby amended and restated as follows:
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Our obligation to accept and purchase and pay for shares tendered in the Offer, however, depends upon a number of
conditions that must be satisfied or waived by us, at or prior to the Expiration Time, including, but not limited to, the following:
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(5)
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The third sentence in the first paragraph under the section of the Offer to Purchase captioned
Forward-Looking Statements beginning on page 12 of the Offer to Purchase is hereby amended and restated in its entirety as follows:
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In addition, any statements which refer to expectations, projections or other characterizations of future events or circumstances,
including statements regarding our future operations, financial condition and prospects, such as expectations for treatment growth rates, revenue per treatment, expense growth, levels of the provision for uncollectible accounts receivable, operating
income, adjusted operating income, cash flow, operating cash flow, earnings per share, estimated tax rates, estimated charges and accruals, capital expenditures, the development of new dialysis centers and dialysis center acquisitions, government
and commercial payment rates, revenue estimating risk, the impact of our level of indebtedness on our financial performance, our stock repurchase authorization, our advocacy costs, expectations related to our estimated future financial and operating
results, our expectations regarding the Offer, the use of proceeds from our new bank financing entered into on August 12, 2019, and the proposed redemption of our 2022 Notes, are forward-looking statements.
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(6)
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The fifth sentence in the first paragraph under the section of the Offer to Purchase captioned
Forward-Looking Statements beginning on page 12 of the Offer to Purchase is hereby amended and restated in its entirety as follows:
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These forward-looking statements are subject to risks and uncertainties, including, without limitation, those discussed in this section
and in Part II, Item 1A, Risk Factors of our Quarterly Report on
Form 10-Q for
the quarterly period ended June 30, 2019 and in Part I, Item 2, Managements Discussion and
Analysis of Financial Condition and Results of Operations of our Quarterly Reports on Form
10-Q
for the quarterly periods ended March 31, 2019 and June 30, 2019, and in Part II, Item 7,
Managements Discussion and Analysis of Financial Condition and Results of Operations of our Annual Report on
Form 10-K for
the fiscal year ended December 31, 2018.
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(7)
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The first bullet under the first paragraph under the section of the Offer to Purchase captioned
Forward-Looking Statements beginning on page 12 of the Offer to Purchase is hereby amended and restated in its entirety as follows:
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our ability to satisfy the conditions to the Offer;
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(8)
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The seventeenth bullet under the first paragraph under the section of the Offer to Purchase captioned
Forward-Looking Statements beginning on page 12 of the Offer to Purchase is hereby amended and restated in its entirety as follows:
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our ability to complete acquisitions, mergers or dispositions that we might announce or be considering, on terms
favorable to us or at all, or to integrate and successfully operate any business we may acquire or have acquired, or to successfully expand our operations and services in markets outside the United States, or to businesses outside of dialysis; and
our ability to complete the redemption of our 2022 Notes on the terms currently contemplated or at all;
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(9)
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The sixth paragraph under the section of the Offer to Purchase captioned Introduction beginning on
page 14 of the Offer to Purchase is hereby amended and restated in its entirety as follows:
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THE
OFFER IS NOT CONDITIONED UPON ANY MINIMUM NUMBER OF SHARES BEING TENDERED. THE OFFER IS, HOWEVER, SUBJECT TO A NUMBER OF OTHER TERMS AND CONDITIONS.
SEE
SECTIONS 7 AND 9
.
3