Form 10-Q for the quarterly period ended June 30, 2007

-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, VRVVfudWDgZtjDBQKiPVq+sbVLViz5N5tr90RVAt+vXwpThY4zzZyfT9s/ZvFbVa beu0PCzqVZrNkvOo/XJ4Ig== 0001193125-07-182495.txt : 20070814 0001193125-07-182495.hdr.sgml : 20070814 20070814150835 ACCESSION NUMBER: 0001193125-07-182495 CONFORMED SUBMISSION TYPE: 10-Q PUBLIC DOCUMENT COUNT: 5 CONFORMED PERIOD OF REPORT: 20070630 FILED AS OF DATE: 20070814 DATE AS OF CHANGE: 20070814 FILER: COMPANY DATA: COMPANY CONFORMED NAME: US Oncology Holdings, Inc. CENTRAL INDEX KEY: 0001333191 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOSPITALS [8060] IRS NUMBER: 200873619 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-Q SEC ACT: 1934 Act SEC FILE NUMBER: 333-126922 FILM NUMBER: 071054371 BUSINESS ADDRESS: STREET 1: 16825 NORTHCHASE DRIVE, SUITE 1300 CITY: HOUSTON STATE: TX ZIP: 77060 BUSINESS PHONE: (832) 601-8766 MAIL ADDRESS: STREET 1: 16825 NORTHCHASE DRIVE, SUITE 1300 CITY: HOUSTON STATE: TX ZIP: 77060 FILER: COMPANY DATA: COMPANY CONFORMED NAME: US ONCOLOGY INC CENTRAL INDEX KEY: 0000943061 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] IRS NUMBER: 841213501 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-Q SEC ACT: 1934 Act SEC FILE NUMBER: 000-26190 FILM NUMBER: 071054372 BUSINESS ADDRESS: STREET 1: 16825 NORTHCHASE DR STREET 2: STE 1300 CITY: HOUSTON STATE: TX ZIP: 77060 BUSINESS PHONE: 2818732674 FORMER COMPANY: FORMER CONFORMED NAME: AMERICAN ONCOLOGY RESOURCES INC /DE/ DATE OF NAME CHANGE: 19950327 10-Q 1 d10q.htm FORM 10-Q FOR THE QUARTERLY PERIOD ENDED JUNE 30, 2007 Form 10-Q for the quarterly period ended June 30, 2007

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

(Mark One)

x	QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended June 30, 2007

¨	TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

Commission file numbers: 333-126922 and 0-26190

US Oncology Holdings, Inc.

US Oncology, Inc.

(Exact name of registrants as specified in their charters)


Delaware		20-0873619
Delaware		20-0873619
(State or other jurisdiction of incorporation or organization)		(I.R.S. Employer Identification No.)

16825 Northchase Drive, Suite 1300

Houston, Texas

77060

(Address of principal executive offices)

(Zip Code)

(832) 601-8766

(Registrants’ telephone number, including area code)

Indicate by check mark whether the Registrants (1) have filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrants were required to file such reports), and (2) have been subject to such filing requirements for the past 90 days. Yes ¨ No x

Indicate by check mark whether the Registrants are large accelerated filers, accelerated filers, or non-accelerated filers. See definition of “accelerated filer and large accelerated filer” in Rule 12b-2 of the Exchange Act. (Check one):

Large accelerated filers ¨ Accelerated filers ¨ Non-accelerated filers x

Indicate by check mark whether the Registrants are shell companies (as defined in Rule 12(b)-2 of the Securities Exchange Act of 1934.) Yes ¨ No x

As of August 6, 2007, 140,642,380 and 100 shares of US Oncology Holdings, Inc. and US Oncology, Inc. common stock were outstanding, respectively.

This Form 10-Q is a combined quarterly report being filed separately by two registrants; US Oncology Holdings, Inc. and US Oncology, Inc. Unless the context indicates otherwise, any reference in this report to “Holdings” refers to US Oncology Holdings, Inc. and any reference to “US Oncology” refers to US Oncology, Inc., the wholly-owned operating subsidiary of Holdings. References to the “Company”, “we”, “us”, and “our” refer collectively to US Oncology Holdings, Inc. and US Oncology, Inc.

US ONCOLOGY HOLDINGS, INC.

US ONCOLOGY, INC.

FORM 10-Q

FOR THE QUARTERLY PERIOD ENDED JUNE 30, 2007


	TABLE OF CONTENTS

		PAGE NO.
PART I. FINANCIAL INFORMATION

Item 1.	Condensed Consolidated Financial Statements:

	Condensed Consolidated Balance Sheets	3

	Condensed Consolidated Statements of Operations and Comprehensive Income	4

	Condensed Consolidated Statements of Stockholders’ Equity	6

	Condensed Consolidated Statements of Cash Flows	7

	Notes to Condensed Consolidated Financial Statements	8

Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	32

Item 4.	Controls and Procedures	58

PART II. OTHER INFORMATION

Item 1.	Legal Proceedings	59

Item 1A.	Risk Factors	61

Item 4.	Submission of Matters to a Vote of Security Holders	63

Item 6.	Exhibits	64

SIGNATURES		66

This Form 10-Q is being filed by each of the registrants, US Oncology Holdings, Inc. and US Oncology, Inc. Each Registrant hereto is filing on its own behalf the information as required by Form 10-Q which is contained in this quarterly report.

-2-

PART I. FINANCIAL INFORMATION

ITEM 1.

CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

CONDENSED CONSOLIDATED BALANCE SHEETS

(Unaudited, in thousands, except share information)


	US Oncology Holdings, Inc.						US Oncology Holdings, Inc.
	June 30, 2007			December 31, 2006			June 30, 2007		December 31, 2006
ASSETS
Current assets:
Cash and equivalents	$	130,122		$	281,768		$	130,121	$	281,766
Accounts receivable		341,885			341,306			341,885		341,306
Other receivables		112,811			105,544			112,811		105,544
Prepaid expenses and other current assets		22,482			21,139			17,887		21,139
Inventories		89,607			78,381			89,607		78,381
Deferred income taxes		733			4,268			4,537		4,268
Due from affiliates		62,451			66,674			53,157		67,792

Total current assets		760,091			899,080			750,005		900,196
Property and equipment, net		402,866			393,318			402,866		393,318
Service agreements, net		228,157			240,100			228,157		240,100
Goodwill		757,270			757,870			757,270		757,870
Other assets		85,485			76,126			66,423		68,498

Total assets	$	2,233,869		$	2,366,494		$	2,204,721	$	2,359,982

LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Current maturities of long-term indebtedness	$	9,433		$	9,397		$	9,433	$	9,397
Accounts payable		251,415			198,978			251,104		198,696
Dividends payable		—			190,000			—		40,609
Due to affiliates		155,047			146,683			161,880		303,516
Accrued compensation cost		25,385			26,854			25,385		26,854
Accrued interest payable		36,813			30,965			24,093		24,111
Income taxes payable		—			1,842			5,754		10,426
Other accrued liabilities		31,928			32,565			31,928		32,565

Total current liabilities		510,021			637,284			509,577		646,174

Deferred revenue		7,763			8,337			7,763		8,337
Deferred income taxes		30,246			33,520			30,599		32,886
Long-term indebtedness		1,489,119			1,319,664			1,064,119		1,069,664
Other long-term liabilities		6,376			8,032			6,376		8,032

Total liabilities		2,043,525			2,006,837			1,618,434		1,765,093

Commitments and contingencies (Note 8)
Minority interests		13,957			14,148			13,957		14,148
Preferred stock Series A, 15,000,000 shares authorized, 13,938,657 shares issued and outstanding, liquidation preference of $284,120,616, and $298,810,010, respectively		298,060			312,749			—		—
Preferred stock Series A-1, 2,000,000 shares authorized, 1,948,251 shares issued and outstanding, liquidation preference of $42,961,405 and $41,857,142, respectively		51,901			50,797			—		—
Stockholders’ (deficit) equity:
Common stock, $0.001 par value, 300,000,000 shares authorized, 141,167,213 and 141,021,880 shares issued and outstanding in 2007 and 2006, respectively		141			141			—		—
Common stock, $0.01 par value, 100 shares authorized, issued and outstanding		—			—			1		1
Additional paid-in capital		—			—			569,894		580,740
Accumulated other comprehensive income, net of tax		4,671			951			—		—
Retained earnings (deficit)		(178,386	)		(19,129	)		2,435		—

Total stockholders’ (deficit) equity		(173,574	)		(18,037	)		572,330		580,741

	$	2,233,869		$	2,366,494		$	2,204,721	$	2,359,982

The accompanying notes are an integral part of these statements.

-3-

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME

(unaudited, in thousands)


	US Oncology Holdings, Inc.						US Oncology, Inc.
	Three Months Ended June 30,						Three Months Ended June 30,
	2007			2006			2007			2006
Product revenue	$	490,559		$	445,203		$	490,559		$	445,203
Service revenue		262,794			244,215			262,794			244,215

Total revenue		753,353			689,418			753,353			689,418
Cost of products		484,965			422,047			484,965			422,047
Cost of services:
Operating compensation and benefits		118,438			113,355			118,438			113,355
Other operating costs		73,952			65,837			73,952			65,837
Depreciation and amortization		17,646			17,885			17,646			17,885

Total cost of services		210,036			197,077			210,036			197,077

Total cost of products and services		695,001			619,124			695,001			619,124
General and administrative expense		23,268			22,210			23,223			22,177
Depreciation and amortization		3,896			3,790			3,896			3,790

		722,165			645,124			722,120			645,091

Income from operations		31,188			44,294			31,233			44,327

Other expense:
Interest expense, net		(35,144	)		(29,714	)		(24,039	)		(23,657	)
Minority interests		(615	)		(610	)		(615	)		(610	)

Income (loss) before income taxes		(4,571	)		13,970			6,579			20,060
Income tax benefit (provision)		4,207			(5,354	)		(4,144	)		(7,659	)

Net income (loss)	$	(364	)	$	8,616		$	2,435		$	12,401

Other comprehensive income:
Change in unrealized gain on cashflow hedge, net of tax		5,253			249			—			—

Comprehensive income	$	4,889		$	8,865		$	2,435		$	12,401

The accompanying notes are an integral part of these statements.

-4-

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME

(unaudited, in thousands)


	US Oncology Holdings, Inc.						US Oncology, Inc.
	Six Months Ended June 30,						Six Months Ended June 30,
	2007			2006			2007			2006
Product revenue	$	972,174		$	901,095		$	972,174		$	901,095
Service revenue		513,219			490,066			513,219			490,066

Total revenue		1,485,393			1,391,161			1,485,393			1,391,161
Cost of products		949,630			860,360			949,630			860,360
Cost of services:
Operating compensation and benefits		235,786			230,037			235,786			230,037
Other operating costs		146,745			132,637			146,745			132,637
Depreciation and amortization		35,375			33,919			35,375			33,919

Total cost of services		417,906			396,593			417,906			396,593

Total cost of products and services		1,367,536			1,256,953			1,367,536			1,256,953
General and administrative expense		43,544			41,288			43,458			41,129
Impairment and restructuring charges		7,395			—			7,395			—
Depreciation and amortization		7,261			7,590			7,261			7,590

		1,425,736			1,305,831			1,425,650			1,305,672

Income from operations		59,657			85,330			59,743			85,489

Other expense:
Interest expense, net		(66,169	)		(57,172	)		(47,845	)		(45,151	)
Minority interests		(1,337	)		(1,135	)		(1,337	)		(1,135	)
Loss on early extinguishment of debt		(12,917	)		—			—			—

Income (loss) before income taxes		(20,766	)		27,023			10,561			39,203
Income tax benefit (provision)		4,816			(10,836	)		(6,076	)		(15,316	)

Net income (loss)	$	(15,950	)	$	16,187		$	4,485		$	23,887

Other comprehensive income (loss):
Change in unrealized gain on cashflow hedge, net of tax		3,720			796			—			—

Comprehensive income (loss)	$	(12,230	)	$	16,983		$	4,485		$	23,887

The accompanying notes are an integral part of these statements.

-5-

US ONCOLOGY HOLDINGS, INC.

CONDENSED CONSOLIDATED STATEMENT OF STOCKHOLDERS’ EQUITY

(unaudited, in thousands)


	Shares Issued		Par Value		Additional Paid-In Capital			Accumulated Other Comprehensive Income		Retained Earnings (Deficit)			Total
Balance at December 31, 2006	141,022		$	141	$	—		$	951	$	(19,129	)	$	(18,037	)

Exercise of options to purchase common stock, net of tax	475			—		1,227			—		—			1,227
Restricted stock award issuances	250			—		461			—		—			461
Forfeiture of restricted stock awards	(580	)		—		—			—		—			—
Dividends paid	—			—		—			—		(133,580	)		(133,580	)
Accretion of preferred stock dividends	—			—		(1,688	)		—		(9,727	)		(11,415	)
Accumulated other comprehensive income for unrealized gain or loss on interest rate swap, net of tax	—			—		—			3,720		—			3,720
Net loss	—			—		—			—		(15,950	)		(15,950	)

Balance at June 30, 2007	141,167		$	141	$	—		$	4,671	$	(178,386	)	$	(173,574	)

US ONCOLOGY, INC.

CONDENSED CONSOLIDATED STATEMENT OF STOCKHOLDER’S EQUITY

(unaudited, in thousands, except share information)


	Shares Issued	Par Value		Additional Paid-In Capital			Retained Earnings (Deficit)			Total
Balance at December 31, 2006	100	$	1	$	580,740		$	—		$	580,741

Amortization of deferred compensation	—		—		461			—			461
Dividend paid	—		—		(11,842	)		(2,050	)		(13,892	)
Contribution of proceeds from exercises of options to purchase common stock	—		—		535			—			535
Net income	—		—		—			4,485			4,485


Balance at June 30, 2007	100	$	1	$	569,894		$	2,435		$	572,330

The accompanying notes are an integral part of this statement.

-6-

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited, in thousands)


	US Oncology Holdings, Inc.						US Oncology, Inc.
	Six Months Ended June 30,						Six Months Ended June 30,
	2007			2006			2007			2006
Cash flows from operating activities:
Net income (loss)	$	(15,950	)	$	16,187		$	4,485		$	23,887
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Depreciation and amortization, including
amortization of deferred financing costs		46,824			45,121			45,997			44,755
Impairment and restructuring charges		7,395			—			7,395			—
Deferred income taxes		(973	)		2,506			(770	)		2,509
Non-cash compensation expense		461			1,141			461			1,141
Loss on sale of assets		151			—			151			—
Minority interest expense		1,337			1,135			1,337			1,135
Loss on early extinguishment of debt		12,917			—			—			—
(Increase) Decrease in:
Accounts and other receivables		(7,846	)		(21,539	)		(7,846	)		(21,539	)
Prepaid expenses and other current assets		3,164			(3,180	)		3,264			(3,180	)
Inventories		(11,226	)		(34,169	)		(11,226	)		(34,169	)
Other assets		(831	)		3,817			(568	)		3,613
Increase (Decrease) in:
Accounts payable		52,160			(76,552	)		52,312			(76,268	)
Due from/to affiliates		12,538			2,518			22,970			2,518
Income taxes receivable/payable		(7,038	)		(4,978	)		(6,493	)		(498	)
Other accrued liabilities		1,282			(12,713	)		(4,582	)		(12,713	)

Net cash provided by (used in) operating activities		94,365			(80,706	)		106,887			(68,809	)

Cash flows from investing activities:
Acquisition of property and equipment		(48,057	)		(37,519	)		(48,057	)		(37,519	)
Net payments in affiliation transactions		(134	)		(3,165	)		(134	)		(3,165	)
Net proceeds from sale of assets		750			1,197			750			1,197
Investment in unconsolidated subsidiary		—			(750	)		—			(750	)

Net cash used in investing activities		(47,441	)		(40,237	)		(47,441	)		(40,237	)

Cash flows from financing activities:
Proceeds from senior floating rate PIK toggle notes, net of issue costs		413,227			—			—			—
Proceeds from other indebtedness		1,323			—			1,323			—
Repayment of senior floating rate notes		(256,766	)		—			—			—
Repayment of term loan		(5,023	)		(1,000	)		(5,023	)		(1,000	)
Repayment of other indebtedness		(1,855	)		(3,499	)		(1,855	)		(3,499	)
Debt financing costs		—			—			(153	)		—
Net distributions to parent		—			—			(54,501	)		(11,916	)
Repayment of advance to parent		—			—			(150,000	)		—
Distributions to minority interests		(1,417	)		(876	)		(1,417	)		(876	)
Contributions from minority interests		—			482			—			482
Payment of dividends on preferred stock		(25,000	)		—			—			—
Payment of dividends on common stock		(323,580	)		—			—			—
Proceeds from exercise of stock options		521			34			—			—
Contributions of proceeds from exercise of stock options		—			—			535			18

Net cash used in financing activities		(198,570	)		(4,859	)		(211,091	)		(16,791	)

Decrease in cash and cash equivalents		(151,646	)		(125,802	)		(151,645	)		(125,837	)
Cash and cash equivalents:
Beginning of period		281,768			125,838			281,766			125,837

End of period	$	130,122		$	36		$	130,121		$	—

Interest paid	$	62,376		$	56,088		$	46,923		$	44,603
Taxes paid		2,651			13,306			2,651			13,306

The accompanying notes are an integral part of this statement.

-7-

US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

QUARTER ENDED JUNE 30, 2007

NOTE 1 – Basis of Presentation

The consolidated financial statements of Holdings include the accounts of its wholly-owned subsidiary, US Oncology. Holdings conducts substantially all of its business through US Oncology and its subsidiaries that provide extensive services and support to its affiliated cancer care sites nationwide to help them expand their offering of the most advanced treatments, build integrated community-based cancer care centers, improve their therapeutic drug management programs, and participate in cancer-related clinical research studies. US Oncology is affiliated with 1,122 physicians operating in 442 locations, including 90 radiation oncology facilities in 38 states. US Oncology also provides a broad range of services to pharmaceutical manufacturers, including product distribution and informational services such as data reporting and analysis.

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with generally accepted accounting principles in the United States (“GAAP”) for interim financial reporting and in accordance with instructions for Form 10-Q and Rule 10.01 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by generally accepted accounting principles for complete financial statements. In the opinion of management, the unaudited condensed consolidated financial statements contained in this report reflect all adjustments that are normal and recurring in nature and considered necessary for a fair presentation of the financial position and the results of operations for the interim periods presented. The year-end condensed balance sheet data was derived from audited financial statements, but does not include all disclosures required by GAAP. The results of operations for the interim period are not necessarily indicative of the results expected for the full year. The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets, liabilities, revenues and expenses, as well as disclosures of contingent assets and liabilities. Because of inherent uncertainties in this process, actual future results could differ from those expected at the reporting date. These unaudited, condensed consolidated financial statements, footnote disclosures and other information should be read in conjunction with the financial statements and the notes thereto included in the Company’s Annual Report on Form 10-K, filed with the Securities and Exchange Commission (“SEC”) on February 27, 2007, and subsequent filings.

NOTE 2 – Revenues

The Company derives revenues primarily from (i) comprehensive service agreements with physician practices; (ii) pharmaceutical services agreements with physician practices under the oncology pharmaceutical services (“OPS”) model; (iii) fees paid by pharmaceutical companies for services as a group purchasing organization, data services and other manufacturer services and (iv) research agreements with pharmaceutical manufacturers and other trial sponsors.

Governmental programs, such as Medicare and Medicaid, are collectively the affiliated practices’ largest payers. For the three months ended June 30, 2007 and 2006, the affiliated practices derived 37.9% and 34.9%, respectively, of their net patient revenue from services provided under the Medicare program (of which 3.8% and 2.9%, respectively, relates to Medicare managed care) and 3.0% and 3.2%, respectively, from services provided under state Medicaid programs. For the six months ended June 30, 2007 and 2006, the affiliated practices derived 37.8% and 35.0%, respectively, of their net patient revenue from services provided under the Medicare program (of which 3.7% and 2.6%, respectively, relates to Medicare managed care) and 3.0% and 3.2%, respectively, from services provided under state Medicaid programs. Capitation revenues were less than 1% of total net patient revenue in all periods. One additional payer represents more than 10% of the affiliated practices’ aggregate net revenues. During the second quarter of 2007 and 2006, that payer represented 10.0% and 10.3%, respectively, of the affiliated practices’ aggregate net revenues. For the six month periods ended June 30, 2007 and 2006, that payer represented 10.0% and 10.1%, respectively, of the affiliated practices’ aggregate net revenues. Changes in the payer reimbursement rates, or in affiliated practices’ payer mix could materially and adversely affect the Company’s revenues.

Medicare pays oncologists the average sales price (“ASP”) for drugs plus 6%. ASP-based reimbursement is adjusted quarterly, and as a result of these quarterly adjustments, the Company experienced an increase of approximately 0.8% and 0.7% in Medicare reimbursement during the quarters ended June 30, 2007 and 2006, respectively, since the end of the previous quarter. During the six months ended June 30, 2007 and 2006, the Company experienced an increase of approximately 2.0% and 0.4%, respectively, since the end of the previous fiscal year.

-8-

US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

QUARTER ENDED JUNE 30, 2007 - continued

Erythropoiesis-stimulating agents (“ESAs”) are widely-used drugs for the treatment of anemia, which is a condition that occurs when the level of healthy red blood cells in the body becomes too low, thus inhibiting the blood’s ability to carry oxygen. Many cancer patients suffer from anemia either as a result of their disease or as a result of the treatments they receive to treat their cancer. ESAs have historically been used by oncologists to treat anemia caused by chemotherapy, as well as anemia in cancer patients who are not currently receiving chemotherapy. ESAs are administered to increase levels of healthy red blood cells and are an alternative to more costly blood transfusions. The revenues and related costs of ESAs administered by our network of affiliated physicians is summarized as follows (in millions):


	Three Months Ended June 30,						Six Months Ended June 30,
	2007			2006			2007			2006
Revenue	$	41.5		$	40.1		$	84.0		$	78.2
Less: Operating Costs		(25.3	)		(27.9	)		(49.8	)		(54.4	)

Income from Operations	$	16.2		$	12.2		$	34.2		$	23.8

These financial results reflect the combined effect of results from the Medical Oncology Services segment which relate primarily to usage by practices receiving comprehensive management services and from the Pharmaceutical Services segment which includes purchases by physicians affiliated under the OPS model, as well as distribution and group purchasing fees received from manufacturers.

During the first quarter of 2007, the U.S. Food and Drug Administration (the “FDA”) issued a public health advisory outlining new safety information, including revised product labeling, about ESAs. In particular, the FDA highlighted studies that concluded that an increased risk of death may occur in cancer patients who are not receiving chemotherapy and who are treated with ESAs. Partly in response to such warnings, certain Medicare intermediaries ceased reimbursement for ESAs administered to patients who are not current or recent chemotherapy recipients at the time of administration. In addition, intermediaries have revised usage guidelines for ESAs in other circumstances. The FDA advisory and subsequent intermediary actions led the Centers for Medicare & Medicaid Services (“CMS”) to open a National Coverage Analysis (“NCA”), on March 14, 2007, on the use of ESAs for conditions other than advanced kidney disease, which was the first step toward issuing a proposed national coverage decision. The final national coverage decision (“NCD”) was released on July 30, 2007, and is effective as of that date (see Note 12 – Subsequent Event – Coverage of Erythropoiesis-Stimulating Agents for further discussion).

We expect continued payer scrutiny of the side effects of supportive care products and other drugs that represent significant costs to payers. Such scrutiny by payers or additional scientific data could lead to future restrictions on usage or reimbursement for other pharmaceuticals as a result of payer or FDA action or reductions in usage as a result of the independent determination of oncologists practicing in our network of other pharmaceuticals. Any such reduction could have an adverse effect on our business. In our evidence-based medicine initiative, affiliated physicians continually review emerging scientific information to develop clinical pathways for use in oncology and remain engaged with payers in determining optimal usage for all pharmaceuticals.

During 2006, the Company received payments from Medicare for certain data relating to quality of care for cancer patients ("the Medicare Demonstration Project"). Reimbursement under the Medicare Demonstration Project contributed $0.7 million and $1.3 million to pretax income during the three months and six months ended June 30, 2006, respectively. The Oncology Medicare Demonstration Project expired as of December 31, 2006, and the reduced reimbursement will negatively impact 2007 fiscal year pretax income. This impact could be offset by the Physician Voluntary Reporting Program, called the Physician Quality Reporting Initiative (‘‘PQRI’’) which was effective July 1, 2007. The PQRI program is a voluntary program per physician. Eligible professionals who successfully report a designated set of quality measures on claims for dates of service from July 1 to December 31, 2007, may earn a bonus payment, subject to a cap, of 1.5% of total allowed charges for Medicare physician fee schedule services. In order to satisfactorily meet the requirements of the program and receive the bonus payment, certain reporting thresholds must be met. The PQRI program is a voluntary program and the extent of participation among our affiliated physicians, the achievement of reporting thresholds and its financial impact for the remainder of 2007 is not yet known during this early phase.

On February 1, 2006 Congress passed, and on February 8, 2006 the President signed into law, the Deficit Reduction Act (“DRA”) which contained a provision affecting imaging reimbursement. The technical component of the physician fee

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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

QUARTER ENDED JUNE 30, 2007 - continued

schedule for physician-office imaging services has been capped at the Hospital Outpatient Prospective Payment System (“HOPPS”) rates. Since Congress did not include a provision in the Tax Relief and Healthcare Act of 2006 to revise the DRA Imaging provision, Medicare reimbursement, effective January 1, 2007, is limited to no more than the HOPPS rates. The impact on US Oncology affiliated practices primarily relates to reduced reimbursement for Positron Emission Tomography (“PET”), Positron Emission Tomography/Computerized Tomography (“PET/CT”) and Computerized Tomography (“CT”) services. During the three months and six months ended June 30, 2007, the reduced reimbursement for these imaging services reduced pretax income by $2.4 million and $4.7 million, respectively, compared to the corresponding periods of 2006.

As a result of market specific conditions, impairment and restructuring charges were recorded during the three months ended March 31, 2007 (see Note 4 – “Impairment and Restructuring Charges”). There were no such charges for the three months ended June 30, 2007 or for the three months and six months ended June 30, 2006. The Company also reserved $3.5 million during the three months ended March 31, 2007 due to the uncertainty about collectibility of management fees from those practices. During the three months ended June 30, 2007, the Company reserved $1.7 million for additional credit risks identified upon review of receivables under OPS agreements.

The Company’s most significant, and only service agreement to provide more than 10% of total revenues, is with Texas Oncology, P.A. which accounted for 26.2% and 26.1% of revenue for the six month periods ended June 30, 2007, and 2006, respectively.

NOTE 3 – Intangible Assets and Goodwill

Changes in intangible assets relating to service agreements, customer relationships and goodwill during the six months ended June 30, 2007 consisted of the following (in thousands):


	Service Agreements, net			Customer Relationships, net			Goodwill
Balance at December 31, 2006	$	240,100		$	4,740		$	757,870
Impairment and restructuring charges		(4,325	)		—			—
Amortization expense and other		(7,618	)		(249	)		(600	)

Balance at June 30, 2007	$	228,157		$	4,491		$	757,270

The carrying value of goodwill and the carrying value of service agreements are subject to impairment tests under the requirements of Statement of Financial Accounting Standards (“SFAS”) No. 142 “Goodwill and Other Intangible Assets”. (See Note 12 – Subsequent Event.)

Accumulated amortization relating to service agreements was $26.7 million and $18.9 million at June 30, 2007 and December 31, 2006, respectively. During the three months ended March 31, 2007, the Company impaired service agreement intangible assets with a carrying value of $4.3 million (see Note 4 – “Impairment and Restructuring Charges”). There were no such charges for the three months ended June 30, 2007 or for the three months and six months ended June 30, 2006.

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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

QUARTER ENDED JUNE 30, 2007 - continued

NOTE 4 – Impairment and Restructuring Charges

In two markets in which the Company has affiliated practices, market-specific conditions caused the Company to recognize impairment and restructuring charges amounting to $7.4 million during the three months ended March 31, 2007. No impairment charges were recognized during the three months ended June 30, 2007 or during the three or six month periods ended June 30, 2006. The components of the charge are as follows (in thousands):


	Six Months Ended June 30, 2007
Services Agreement, net	$	4,325
Property and equipment, net		2,512
Future Lease Obligations		558

Total	$	7,395

In one of the markets, state regulators reversed a prior determination and ruled that, under the state’s certificate of need law, the affiliated practice was required to cease providing radiation therapy services to patients at a newly constructed cancer center. The Company is appealing this determination and is exploring other options that would make the treatment facility available to radiation therapy patients. However, such efforts did not advance sufficiently during the first quarter ended March 31, 2007, and, therefore, the resumption of radiation services or other recovery of this investment was not deemed likely at that time.

In the second market, financial performance has deteriorated as a result of an excessive cost structure relative to practice revenue. The Company is working with the practice involved to restructure the market, establish a base for future growth and to otherwise improve financial performance. During the first quarter ended March 31, 2007, the Company recorded impairment and restructuring charges because, based on anticipated operating results, the Company did not expect that practice performance would be sufficient to recover the value of certain assets and the intangible asset associated with its management services agreement in the market.

NOTE 5 – Indebtedness

As of June 30, 2007 and December 31, 2006, long-term indebtedness consisted of the following (in thousands):


	June 30, 2007			December 31, 2006
US Oncology, Inc.
Senior Secured Credit Facility, due 2011	$	474,065		$	479,088
9.0% Senior Notes, due 2012		300,000			300,000
10.75% Senior Subordinated Notes, due 2014		275,000			275,000
9.625% Senior Subordinated Notes, due 2012		3,000			3,000
Subordinated notes		2,128			2,825
Mortgage, capital lease obligations and other		19,359			19,148

		1,073,552			1,079,061
Less current maturities		(9,433	)		(9,397	)

	$	1,064,119		$	1,069,664

US Oncology Holdings, Inc.
Senior Floating Rate PIK Toggle Notes, due 2012		425,000			—
Senior Floating Rate Notes, due 2015		—			250,000

	$	1,489,119		$	1,319,664

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

QUARTER ENDED JUNE 30, 2007 - continued

Future principal obligations under US Oncology’s and Holdings’ long-term indebtedness as of June 30, 2007, are as follows (in thousands):


	Twelve months ending June 30,
	2008		2009		2010		2011		2012		Thereafter
US Oncology payments due	$	9,433	$	6,270	$	6,274	$	348,506	$	113,131	$	589,938
Holdings payments due		—		—		—		—		425,000		—

	$	9,433	$	6,270	$	6,274	$	348,506	$	538,131	$	589,938

Senior Secured Credit Facility

The senior secured credit facility provides for senior secured financing of up to $660.0 million, consisting of:

•

a $160.0 million revolving credit facility, including a letter of credit sub-facility and a swingline loan sub-facility that will terminate on August 20, 2010. At June 30, 2007, $136.6 million was available for borrowing. This availability has been reduced by outstanding letters of credit amounting to $23.4 million. At June 30, 2007 and December 31, 2006, no amounts had been borrowed under the revolving credit facility.

•

a $500.0 million term loan facility with a maturity of August, 2011. The amount outstanding under the term loan was $474.1 million as of June 30, 2007 and $479.1 million as of December 31, 2006. No additional amounts may be borrowed under the term loan facility without future amendment to the facility.

The interest rates applicable to loans, other than swingline loans, under the senior secured credit facility are, at the Company’s option, equal to either an alternate base rate or an adjusted LIBOR for one, two, three or six month interest periods chosen by the Company (or a nine or 12 month period if all lenders agree to make an interest period of such duration available) in each case, plus an applicable margin percentage. Swingline loans bear interest at the interest rate applicable to alternate base rate revolving loans.

The adjusted LIBOR is based upon offered rates in the London interbank market. The alternate base rate is the greater of (1) the prime rate or (2) one-half of 1% over the weighted average of the rates on overnight Federal funds transactions as published by the Federal Reserve Bank of New York. Currently, the applicable margin percentage is a percentage per annum equal to (1) 1.25% for alternate base rate term loans, (2) 2.25% for adjusted LIBOR term loans, (3) 1.50% for alternate base rate revolving loans and (4) 2.50% for adjusted LIBOR revolving loans.

Indebtedness under the senior secured credit facility is guaranteed by all of US Oncology’s current restricted subsidiaries (see Note 11), all of US Oncology’s future restricted subsidiaries and by Holdings, and is secured by a first priority security interest in substantially all of US Oncology’s existing and future real and personal property, including accounts receivable, inventory, equipment, general intangibles, intellectual property, investment property, cash and a first priority pledge of US Oncology’s capital stock and the capital stock of the guarantor subsidiaries.

The senior secured credit facility requires US Oncology to comply, on a quarterly basis, with certain financial covenants, including a minimum interest coverage ratio (interest expense divided by EBITDA, as defined by the indenture) and a maximum leverage ratio (indebtedness divided by EBITDA, as defined by the indenture). At June 30, 2007, the Company was required to maintain a minimum interest coverage ratio of no less than 2.20:1 and a maximum leverage ratio of no more than 5.00:1. As of June 30, 2007, US Oncology’s actual interest coverage ratio was 2.50:1 and its actual leverage ratio was 4.58:1. Both of these covenants become more restrictive over time and, at maturity in 2011, both will be 3.00:1. Also, the Company may be obligated (based on certain leverage thresholds) to make payments on its term loan facility of up to 75% of “excess cash flow”, as defined. No such payment was required for the year ended December 31, 2006. In addition, the senior secured credit facility includes various negative covenants, including with respect to indebtedness, liens, investments, permitted businesses and transactions and other matters, as well as certain customary representations and warranties, affirmative covenants and events of default, including payment defaults, breach of representations and warranties, covenant defaults, cross defaults to certain indebtedness, certain events of bankruptcy, certain events under ERISA, material judgments, actual or asserted failure of any guaranty or security document supporting the senior secured credit facility to be in full force and effect and change of control. If such an event of default occurs, the lenders under the senior secured credit facility are entitled to take various actions, including the acceleration of amounts due under the senior secured credit facility and all actions permitted to be taken by a secured creditor. As of June 30, 2007, the Company is in compliance with all financial covenants.

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

QUARTER ENDED JUNE 30, 2007 - continued

The Company is in compliance with all financial covenants as of June 30, 2007. However, see further discussion in Note 12 regarding the ESA matter and its impact on our ability to maintain compliance in future periods.

In March, 2005, the Company amended its senior secured credit facility to permit the issuance of $250.0 million Senior Floating Rate Notes, due 2015 by Holdings and to use the proceeds to pay a dividend to the stockholders of Holdings. In December, 2006, the Company amended its senior secured credit facility to both permit a private offering and use the net proceeds, along with cash on hand, for payment of a dividend. This dividend of $190.0 million was paid in January, 2007. In March, 2007, the Company amended its senior secured credit facility to permit the issuance of $425.0 million Senior Floating Rate PIK Toggle Notes, due 2012 by Holdings and to use the proceeds to refinance the existing $250.0 million Senior Floating Rate Notes and offering costs, as well as to pay a dividend of $158.6 million to the stockholders of Holdings.

Senior Floating Rate Notes

At the time Holdings issued $250 million Senior Floating Rate Notes, due 2015 (“the Holdings Notes”) in March, 2005, the Holdings Notes (refinanced in March, 2007) were senior unsecured obligations with interest at a floating rate, reset semi-annually, equal to 6-month LIBOR plus 5.25%. Simultaneously with the financing, Holdings entered into an interest rate swap agreement, effectively fixing the interest rate at 9.4% for a period of two years ended March 15, 2007.

The Company designated the interest rate swap as a cash flow hedge against the variability of future interest payments for accounting purposes. Derivatives that have been designated and qualify as cash flow hedging instruments are reported at fair value. The gain or loss on the effective portion of the hedge is initially reported as a component of accumulated other comprehensive income in the Company’s Condensed Consolidated Statement of Stockholders’ Equity. The remaining gain or loss, if any, is recognized currently in earnings. Amounts classified as part of accumulated other comprehensive income are reclassified into net income in the same period in which the hedged forecasted transaction affects earnings. During the six months ended June 30, 2007, the Company reclassified a gain of $1.0 million on the interest rate swap into net income.

In March 2007 the Company completed a $425.0 million floating rate debt offering, the terms of which are described below. Proceeds from the Notes were used to repay the $250.0 million Floating Rate Notes and, after payment of transaction fees and expenses, a $158.6 million dividend to common and preferred shareholders.

In connection with the refinancing of the Floating Rate Notes, the Company recognized a $12.9 million extinguishment loss related to payment of a 2.0% call premium, interest expense during a 30 day call period, and the write off of unamortized issuance costs related to the retired debt.

Senior Floating Rate PIK Toggle Notes

On March 13, 2007, Holdings issued $425.0 million aggregate principal amount of Senior Unsecured Floating Rate PIK Toggle Notes due 2012 (the “Notes”) in a private offering to institutional investors. In connection with the issuance of the Notes, Holdings entered into a Purchase Agreement providing for the initial sale of the Notes and a Registration Rights Agreement with respect to registration rights for the benefit of the holders of the Notes. As required by the Registration Rights Agreement, the Company filed a registration statement on Form S-4 with the Securities and Exchange Commission on July 11, 2007, to register an offer to exchange the initial notes with substantially identical exchange notes. The Registration Rights Agreement requires that the Company file a registration statement no later than 120 days after issuance of the Notes and use its reasonable best efforts to have the registration statement declared effective no later than 210 days after the issuance of the Notes and consummate the exchange offer no later than 240 days after issuance of the Notes. In the event that the Company does not comply with these requirements, default interest will accrue at a rate of 0.25% per annum, which will increase by an additional 0.25% and up to 1.00%, for each 90 day period that non-compliance is not cured.

Holdings may elect to pay interest on the Notes entirely in cash, by increasing the principal amount of the Notes (“PIK interest”), or by paying 50% in cash and 50% by increasing the principal amount of the Notes. The initial interest payment due September 15, 2007 must be made in cash and the Company must make an election regarding whether subsequent interest payments will be made in cash or through PIK interest prior to the start of the applicable interest period. Cash interest will

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

QUARTER ENDED JUNE 30, 2007 - continued

accrue on the Notes at a rate per annum equal to LIBOR plus the applicable spread. PIK interest will accrue on the Notes at a rate per annum equal to the cash interest rate plus 0.75%. LIBOR will be reset semiannually. The applicable spread is 4.50% and will increase by 0.50% on March 15, 2009 and increase by another 0.50% on March 15, 2010. The Notes mature on March 15, 2012.

Simultaneously with the financing, Holdings entered into an interest rate swap agreement, effectively fixing the LIBOR base rate at 4.97% through maturity in 2012. Prior to the spread increase in both 2009 and 2010, the fixed interest rate will be 9.47% for a period of two years ending March 14, 2009. The swap agreement has been designated as a cash flow hedge against the variability of future interest payments for accounting purposes. Derivatives that have been designated and qualify as cash flow hedging instruments are reported at fair value. The gain or loss on the effective portion of the hedge is initially reported as a component of other comprehensive income in the Company’s Condensed Consolidated Statement of Stockholders’ Equity. Holdings documents its risk management strategy and hedge effectiveness at the inception of the hedge and over the term of each hedging relationship. The remaining gain or loss, if any, is recognized currently in earnings. Amounts recorded as accumulated other comprehensive income are reclassified into net income in the same period in which the hedged forecasted transaction affects earnings.

During the three months and six months ended June 30, 2007, the Company recognized an unrealized gain, net of tax, of $5.3 million and $4.7 million, respectively, as other comprehensive income in the Condensed Consolidated Statement of Stockholders’ Equity. This gain will be reclassified and recognized into pretax income as the interest expense on the notes is recognized.

Holdings may redeem some or all of the Notes prior to September 15, 2007 at a price equal to 100% of the principal amount plus accrued and unpaid interest and a “make-whole” premium based on the present value of the notes at the time of the redemption. Holdings may redeem all or any of the Notes on or after September 15, 2007 at the redemption prices set forth below, plus accrued and unpaid interest, if any, to the redemption date:


Redemption period	Price
On or after September 15, 2007 and prior to September 15, 2008	100.0	%
On or after September 15, 2008 and prior to September 15, 2009	102.0	%
On or after September 15, 2009 and prior to September 15, 2010	101.0	%
On or after September 15, 2010	100.0	%

Holdings issued the Notes pursuant to an Indenture dated March 13, 2007 between Holdings and a Trustee. Among other provisions, the Indenture contains certain covenants that limit the ability of Holdings and certain restricted subsidiaries, including US Oncology, to incur additional debt, pay dividends on, redeem or repurchase capital stock, issue capital stock of restricted subsidiaries, make certain investments, enter into certain types of transactions with affiliates, engage in unrelated businesses, create liens securing the debt of Holdings and sell certain assets or merge with or into other companies.

Because Holdings’ principal asset is its investment in US Oncology, US Oncology provides funds to service Holdings’ indebtedness through payment of dividends to Holdings. During the six months ended June 30, 2007, US Oncology paid dividends of $13.9 million to Holdings to finance the semi-annual interest payment due March 15, 2007 on the $250.0 million senior floating rate notes and certain costs related to the issuance of the senior floating rate PIK toggle notes. US Oncology will continue to fund the future semi-annual interest payments on the $425.0 million floating rate toggle notes. The terms of the existing senior secured credit facility, as well as the indentures governing US Oncology’s senior notes and senior subordinated notes, and certain other agreements, restrict it and certain of its subsidiaries from making payments or transferring assets to Holdings, including dividends, loans or other distributions. Such restrictions include prohibition of dividends in an event of default and limitations on the total amount of dividends paid to Holdings. The senior notes and senior subordinated notes also require that US Oncology be solvent both at the time, and immediately following, a dividend payment to Holdings. In the event these agreements do not permit US Oncology to provide Holdings with sufficient distributions to fund interest payments, Holdings would be unable to pay interest on the notes in cash and would instead be required to pay PIK interest. If Holdings is unable to make principal payments on the Holdings Notes when due, Holdings may default on its notes, unless other sources of funding are available. The amount available under the restricted payments provision is based upon a portion of US Oncology’s cumulative net income adjusted upward for certain transactions, primarily receipt of equity offering proceeds, and reduced principally by cumulative dividends paid to Holdings, among other transactions. Reductions in the Company’s net income would reduce the amount of cash that is available to the Company for debt service and capital expenditures. Amounts available under this restricted payments provision were $32.2 million as of June 30, 2007.

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

QUARTER ENDED JUNE 30, 2007 - continued

NOTE 6 – Stock-Based Compensation

The following disclosures relate to stock incentive plans involving shares of Holdings common stock or options to purchase Holdings common stock. Activity related to Holdings’ stock-based compensation is included in the financial statements of US Oncology, as the participants in such plans are employees of US Oncology.

For all awards issued or modified after the adoption of SFAS 123R, Share-Based Payments (“SFAS 123R”), by the Company effective January 1, 2006, compensation expense is recognized in the Company’s financial statements over the requisite service period, net of estimated forfeitures, and based on the fair value as of the grant date.

US Oncology Holdings, Inc. 2004 Equity Incentive Plan

The Holdings’ Board of Directors adopted the US Oncology Holdings, Inc. 2004 Equity Incentive Plan (the “Equity Incentive Plan”) effective in August, 2004. The purpose of the plan is to attract and retain the best available personnel and to provide additional incentives to employees and consultants to promote the success of the business. The Equity Incentive Plan provides for grants of up to 22,290,371 shares of restricted common stock and 4,933,595 options to purchase Holdings common stock. Depending on the individual grants, awards vest either at the grant date, over defined service periods, or upon achieving a return on invested capital in excess of established thresholds. Based on the individual vesting criteria for each award, the Company recorded compensation expense of approximately $0.2 million and $0.6 million, respectively, for the three months ended June 30, 2007 and 2006, and $0.5 million and $1.1 million, respectively, for the six months ended June 30, 2007 and 2006 related to awards made under the Equity Incentive Plan.

At June 30, 2007, 20,569,000 shares of restricted stock, net of forfeitures, had been granted and 1,721,371 shares were available for future awards. The Company granted awards of 100,000 restricted shares during the three months ended June 30, 2007, and 250,000 restricted shares during the six months ended June 30, 2007 with an aggregate fair value of approximately $0.3 million and $0.7 million, respectively, which will vest over a three to five year period from the date of grant. No shares of restricted stock were granted during the six months ended June 30, 2006. During both the three months and six months ended June 30, 2007, 1,105,000 restricted shares were forfeited by holders.

Compensation expense related to outstanding restricted stock awards is estimated to be $0.8 million, $0.6 million, $0.4 million, $0.2 million and $0.1 million for the fiscal years ending December 31, 2007, 2008, 2009, 2010 and 2011, respectively. Deferred compensation related to these awards becomes fully amortized during the year ending December 31, 2012.

The following summarizes activity for options awarded under the Equity Incentive Plan for the six months ended June 30, 2007:


	Stock Options
	Shares Represented by Options		Weighted Average Exercise Price		Weighted Average Remaining Contractual Term
Options outstanding, December 31, 2006	3,581,500		$	1.25
Granted	622,500			2.72
Exercised	(472,500	)		1.10
Forfeited	(452,500	)		1.47

Options outstanding, June 30, 2007	3,279,000		$	1.52	8.4 years

Options exercisable, June 30, 2007	1,097,750		$	1.06	7.4 years

At June 30, 2007, 3,279,000 options to purchase Holdings common stock were outstanding and 951,595 options were available for future awards. Holdings granted 622,500 and 487,500 options to purchase common shares during the six months ended June 30, 2007

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

QUARTER ENDED JUNE 30, 2007 - continued

and 2006, respectively. The fair value of options awarded during the quarter ended June 30, 2007 was estimated at $0.89 per share using the Black-Scholes option pricing model with the following assumptions: risk free interest rate of 4.46%; expected life of five years; expected volatility of 26.9% based on an index of peer companies; and expected dividend yield of zero. Compensation expense related to options granted during the three months ended June 30, 2007 and 2006 has been recorded based on the fair value as of the grant date and vesting provisions. Compensation expense incurred during the three months and six months ended June 30, 2007 and 2006 for these awards was not material.

Holdings 2004 Director Stock Option Plan

The Holdings’ Board of Directors also adopted the US Oncology Holdings 2004 Director Stock Option Plan (the “Director Stock Option Plan”), which was effective in October, 2004 upon stockholder approval. The total number of shares of common stock for which options may be granted under the Director Stock Option Plan is 500,000 shares. Under this plan, each eligible director in office and each eligible director who joined the board after adoption is automatically granted an option, annually, to purchase 5,000 shares of common stock. In addition, each such director is automatically granted an option, annually, to purchase 1,000 shares of common stock for each board committee on which such director served. As of June 30, 2007, options to purchase 128,000 shares of common stock, net of forfeitures, have been granted to directors under the Director Stock Option Plan. The options vest six months after the date of grant. During the six months ended June 30, 2007, no options issued under the Director Stock Option Plan were exercised.

Holdings 2004 Long-Term Cash Incentive Plan

In addition to stock incentive plans, Holdings has adopted the US Oncology Holdings, Inc. 2004 Long-Term Cash Incentive Plan (the “Cash Incentive Plan”). Under the Cash Incentive Plan, which is administered by the Compensation Committee of the Board of Directors of Holdings, awards granted to participants provide for cash payments upon (i) a qualified initial public offering or change in control or (ii) dividends on or redemptions of preferred stock. Cash payments are payable to participants based upon certain performance objectives as set forth in the terms, conditions and other provisions of the awards under the Cash Incentive Plan. No triggering events have occurred since March 31, 2005 under the Cash Incentive Plan.

If any of the payment triggering events described in the Cash Incentive Plan occur in the future, the Company may incur an additional obligation (and compensation expense) as a result of such event or events. As of June 30, 2007, no amounts were available for payment under the Cash Incentive Plan. The amount of this obligation may increase based upon future performance of the Company.

NOTE 7 – Segment Financial Information

The Company’s reportable segments are based on internal management reporting that disaggregates the business by service line. The Company’s reportable segments are medical oncology services, cancer center services, pharmaceutical services, and research/other services (primarily consisting of research services). The Company provides comprehensive practice management services for the non-clinical aspects of practice management to affiliated practices in its medical oncology and cancer center services segments. In addition to managing their non-clinical operations, the medical oncology segment provides oncology pharmaceutical services to practices affiliated under comprehensive service agreements. The cancer center services segment develops and manages comprehensive, community-based cancer centers, which integrate various aspects of outpatient cancer care, from laboratory and radiology diagnostic capabilities to radiation therapy for practices affiliated under comprehensive service agreements. The pharmaceutical services segment distributes oncology pharmaceuticals to our affiliated practices, including practices affiliated under our OPS model, provides pharmaceuticals and counseling services to patients through its oral oncology specialty pharmacy and mail order business and offers informational and other services to pharmaceutical manufacturers. The research/other services segment contracts with pharmaceutical and biotechnology firms to provide a comprehensive range of services relating to clinical trials.

Balance sheet information by reportable segment is not reported, since the Company does not produce such information internally.

The tables below present segment results for the three and six months ended June 30, 2007 and 2006 (in thousands). Income (loss) from operations of Holdings is identical to those of US Oncology with the exception of nominal administrative expenses:

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

QUARTER ENDED JUNE 30, 2007 - continued


	Three Months Ended June 30, 2007
	Medical Oncology Services			Cancer Center Services			Pharmaceutical Services			Research/ Other			Corporate Costs			Eliminations⁽¹⁾			Total
US Oncology, Inc.
Product revenues	$	382,271		$	—		$	554,625		$	—		$	—		$	(446,337	)	$	490,559
Service revenues		140,495			89,393			18,860			14,046			—			—			262,794

Total revenues		522,766			89,393			573,485			14,046			—			(446,337	)		753,353
Operating expenses		(502,833	)		(54,921	)		(552,049	)		(13,889	)		(23,223	)		446,337			(700,578	)
Depreciation and amortization		—			(9,795	)		(1,287	)		(102	)		(10,358	)		—			(21,542	)

Income (loss) from operations	$	19,933		$	24,677		$	20,149		$	55		$	(33,581	)	$	—		$	31,233


US Oncology Holdings, Inc.
Operating expenses	$	—		$	—		$	—		$	—		$	(45	)	$	—		$	(45	)

Income (loss) from operations	$	19,933		$	24,677		$	20,149		$	55		$	(33,626	)	$	—		$	31,188

Goodwill	$	408,913		$	191,424		$	156,933		$	—		$	—		$	—		$	757,270


	Three Months Ended June 30, 2006
	Medical Oncology Services			Cancer Center Services			Pharmaceutical Services			Research/ Other			Corporate Costs			Eliminations⁽¹⁾			Total
US Oncology, Inc.
Product revenues	$	374,973		$	—		$	474,620		$	—		$	—		$	(404,390	)	$	445,203
Service revenues		141,120			80,601			10,291			12,203			—			—			244,215

Total revenues		516,093			80,601			484,911			12,203			—			(404,390	)		689,418
Operating expenses		(480,126	)		(51,266	)		(463,559	)		(10,679	)		(22,176	)		404,390			(623,416	)
Depreciation and amortization		—			(9,920	)		(1,635	)		—			(10,120	)		—			(21,675	)

Income (loss) from operations	$	35,967		$	19,415		$	19,717		$	1,524		$	(32,296	)	$	—		$	44,327


US Oncology Holdings, Inc.
Operating expenses	$	—		$	—		$	—		$	—		$	(33	)	$	—		$	(33	)

Income (loss) from operations	$	35,967		$	19,415		$	19,717		$	1,524		$	(32,329	)	$	—		$	44,294

Goodwill	$	409,322		$	177,898		$	129,512		$	—		$	—		$	—		$	716,732

⁽¹⁾	Eliminations represent the sale of pharmaceuticals from our distribution center (pharmaceutical services segment) to our practices affiliated under comprehensive service agreements (medical oncology segment). The distribution center began operations on a limited basis, in September of 2005.

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

QUARTER ENDED JUNE 30, 2007 - continued


	Six Months Ended June 30, 2007
	Medical Oncology Services			Cancer Center Services			Pharmaceutical Services			Research/ Other			Corporate Costs			Eliminations ⁽¹⁾			Total
US Oncology, Inc.
Product revenues	$	767,626		$	—		$	1,079,429		$	—		$	—		$	(874,881	)	$	972,174
Service revenues		277,047			173,689			35,437			27,046			—			—			513,219

Total revenues		1,044,673			173,689			1,114,866			27,046			—			(874,881	)		1,485,393
Operating expenses		(999,904	)		(109,699	)		(1,071,023	)		(26,416	)		(43,458	)		874,881			(1,375,619	)
Impairment and restructuring charges		—			(3,070	)		—			—			(4,325	)		—			(7,395	)
Depreciation and amortization		—			(19,324	)		(2,639	)		(301	)		(20,372	)		—			(42,636	)

Income (loss) from operations	$	44,769		$	41,596		$	41,204		$	329		$	(68,155	)	$	—		$	59,743


US Oncology Holdings, Inc.
Operating expenses	$	—		$	—		$	—		$	—		$	(86	)	$	—		$	(86	)

Income (loss) from operations	$	44,769		$	41,596		$	41,204		$	329		$	(68,241	)	$	—		$	59,657

Goodwill	$	408,913		$	191,424		$	156,933		$	—		$	—		$	—		$	757,270


	Six Months Ended June 30, 2006
	Medical Oncology Services			Cancer Center Services			Pharmaceutical Services			Research/ Other			Corporate Costs			Eliminations ⁽¹⁾			Total
US Oncology, Inc.
Product revenues	$	761,971		$	—		$	943,538		$	—		$	—		$	(804,414	)	$	901,095
Service revenues		282,456			159,607			23,206			24,797			—			—			490,066

Total revenues		1,044,427			159,607			966,744			24,797			—			(804,414	)		1,391,161
Operating expenses		(976,646	)		(101,754	)		(924,912	)		(24,136	)		(41,129	)		804,414			(1,264,163	)
Depreciation and amortization		—			(19,311	)		(1,697	)		—			(20,501	)		—			(41,509	)

Income (loss) from operations	$	67,781		$	38,542		$	40,135		$	661		$	(61,630	)	$	—		$	85,489


US Oncology Holdings, Inc.
Operating expenses	$	—		$	—		$	—		$	—		$	(159	)	$	—		$	(159	)

Income (loss) from operations	$	67,781		$	38,542		$	40,135		$	661		$	(61,789	)	$	—		$	85,330

Goodwill	$	409,322		$	177,898		$	129,512		$	—		$	—		$	—		$	716,732

⁽¹⁾	Eliminations represent the sale of pharmaceuticals from our distribution center (pharmaceutical services segment) to our practices affiliated under comprehensive service agreements (medical oncology segment). The distribution center began operations on a limited basis, in September of 2005.

NOTE 8 – Commitments and Contingencies

Leases

The Company leases office space, along with certain comprehensive cancer centers and equipment under noncancelable operating lease agreements. As of June 30, 2007, total future minimum lease payments, including escalation provisions and leases with entities affiliated with practices, are as follows (in thousands):


	Twelve months ending June 30,
	2008		2009		2010		2011		2012		Thereafter
Payments due	$	70,742	$	62,295	$	53,235	$	42,980	$	36,930	$	169,521

Guarantees

Beginning January 1, 1997, the Company guaranteed that amounts retained by the Company’s affiliated practice in Minnesota will amount to a minimum of $5.2 million annually under the terms of the related service agreement, provided that certain targets are met. The Company has not been required to make any payments associated with this guarantee.

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

QUARTER ENDED JUNE 30, 2007 - continued

Effective January 1, 2007, the Company offered a guarantee to one of its affiliated practices that amounts retained by that practice will amount to a minimum of $3.5 million through March 31, 2008. The Company has honored this offer to date, however continuing the guarantee is subject to reaching a definitive agreement with the practice. Additionally, beginning January 1, 2007, the Company guaranteed that a second practice would receive no less than $2.0 million for the year ending December 31, 2007. During the three months and six months ended June 30, 2007, amounts paid under these guarantees amounted to $0.5 million and $1.5 million, respectively.

U.S. Department of Justice Subpoena

During the fourth quarter of 2005, the Company received a subpoena from the United States Department of Justice’s Civil Litigation Division (“DOJ”) requesting a broad range of information about the Company and its business, generally in relation to the Company’s contracts and relationships with pharmaceutical manufacturers. The Company is in the process of responding to the subpoena and has cooperated fully with the DOJ. At the present time, the DOJ has not made any specific allegation of wrongdoing on the part of the Company. The Company cannot, however, provide assurance that such an allegation or litigation will not result from this investigation. While the Company believes that it is operating and has operated its business in compliance with the law, including with respect to the matters covered by the subpoena, the Company cannot provide assurance that the DOJ will not make a determination that wrongdoing has occurred. The Company has devoted significant resources to responding to the DOJ subpoena and anticipates that such resources may be required on an ongoing basis to fully respond to the subpoena.

The Company has also received requests for information relating to class action litigation against pharmaceutical manufacturers relating to alleged manipulation of AWP and alleged inappropriate marketing practices with respect to AWP.

Qui Tam Lawsuits

From time to time, the Company has become aware that the Company and certain of its subsidiaries and affiliated practices have been the subject of qui tam lawsuits (commonly referred to as “whistle-blower” suits). Because qui tam actions are filed under seal, it is possible that the Company is the subject of other qui tam actions of which it is unaware.

Specifically, during March, 2007, the Company became aware that it and one of its affiliated practices are the subject of allegations that the practice may have engaged in activities that violate the Federal False Claims Act. These allegations are contained in a qui tam complaint. The details of this suit are not publicly available or disclosable at the current time since qui tam complaints are filed on a confidential basis with a United States federal court. The DOJ is in the early stages of its investigation, and as such, has not made a decision on the merits of the whistle-blower’s claim. The Company intends to continue to investigate and vigorously defend itself against any and all such claims, and the Company continues to believe that it conducts its operations in compliance with law. Based upon its present understanding of the nature and scope of the claim and investigation, the Company does not expect this claim to have a material adverse effect on its operations or financial condition. This claim and investigation are in their early stages, and our expectation could change as we receive more information.

In previous qui tam suits which the Company has been made aware of, the DOJ has declined to intervene in such suits and the suits have been dismissed. Qui tam suits are brought by private individuals, and there is no minimum evidentiary or legal threshold for bringing such a suit. The DOJ is legally required to investigate the allegations in these suits. The subject matter of many such claims may relate both to alleged actions of the Company and alleged actions of an affiliated practice. Because the affiliated practices are separate legal entities not controlled by the Company, such claims necessarily involve a more complicated, higher cost defense, and may adversely impact the relationship between the Company and the practices. If the individuals who file complaints and/or the United States were to prevail in these claims against the Company, and the magnitude of the alleged wrongdoing were determined to be significant, the resulting judgment could have a material adverse financial and operational effect on the Company, including potential limitations in future participation in governmental reimbursement programs. In addition, addressing complaints and government investigations requires the Company to devote significant financial and other resources to the process, regardless of the ultimate outcome of the claims.

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

QUARTER ENDED JUNE 30, 2007 - continued

Other Litigation

The provision of medical services by the Company’s affiliated practices entails an inherent risk of professional liability claims. The Company does not control the practice of medicine by the clinical staff or their compliance with regulatory and other requirements directly applicable to patients. In addition, because the practices purchase and prescribe pharmaceutical products, they face the risk of product liability claims. In addition, because of licensing requirements and affiliated practices’ participation in governmental healthcare programs, the Company and affiliated practices are, from time to time, subject to governmental audits and investigations, as well as internally initiated audits, some of which may result in refunds to governmental programs. Although the Company and its affiliated practices maintain insurance coverage, successful malpractice, regulatory or product liability claims asserted against it or one of the affiliated practices, in excess of insurance coverage, could have a material adverse effect on the Company.

The Company and its network physicians are defendants in a number of lawsuits involving employment and other disputes and breach of contract claims. In addition, the Company is involved from time to time in disputes with, and claims by, its affiliated practices against the Company.

Specifically, the Company is involved in litigation with a practice in Oklahoma that was affiliated with the Company under the net revenue model until April, 2006. While the Company was still affiliated with the practice, the Company initiated arbitration proceedings pursuant to a provision in the service agreement providing for contract reformation in certain events. The practice countered with a lawsuit that alleges, among other things, that the Company has breached the service agreement and that the service agreement is unenforceable as a matter of public policy due to alleged violations of healthcare laws. The practice sought unspecified damages and a termination of the contract. The Company believes that its service agreement is lawful and enforceable and that the Company is operating in accordance with applicable law. As a result of alleged breaches of the service agreement by the practice, the Company terminated the service agreement in April, 2006. In March 2007, the Oklahoma Supreme Court overturned a lower court’s ruling that would have compelled arbitration in this matter and remanded the case back to the lower court to hold hearings to determine whether and to what extent the arbitration provisions of the service agreement will be applicable to the dispute. Because of the need for extra proceedings, the Company believes that the Oklahoma Supreme Court ruling will extend the amount of time it will take to resolve this dispute and increase the risk of the litigation to the Company. In any event, as with any complex litigation, the Company anticipates that this dispute may take several years to resolve.

During the first quarter of 2006, the practice represented 4.6% of the Company’s consolidated revenue. In October, 2006, the Company sold, for cash, the property, plant and equipment to the practice for an amount that approximated its net book value at the time of sale. In connection with the purchase price allocation for the merger in August, 2004, no value was assigned to goodwill or its management service agreement with this practice due to the ongoing dispute that existed at that time. As a result of the ongoing litigation, the Company has been unable to collect on a timely basis a receivable owed to the Company relating to accounts receivable purchased by the Company under the service agreement and amounts for reimbursement of expenses paid by the Company on the practice’s behalf. At June 30, 2007, the total owed to the Company for those receivables of $22.5 million is reflected on its balance sheet as other assets. Currently, certain amounts are held in an escrowed bank account into which the practice has been making, and is required to continue to make, monthly deposits. These amounts will be released upon resolution of the litigation. In addition, certain amounts are being held in a bank account that has been frozen pending the outcome of related litigation regarding that account. In addition, the Company has filed a security lien on the receivables of the practice. Based on financial information available to the Company, management currently expects that the amounts held in the bank accounts combined with the receivables of the practice in which the Company has filed a security lien represent adequate collateral to recover the $22.5 million receivable recorded as other assets at June 30, 2007. Accordingly, the Company expects to realize the amount that it believes to be owed by the practice. However, realization is subject to a successful conclusion to the litigation with the practice, and the Company cannot provide assurance as to when the litigation will be finally concluded or as to what the ultimate outcome of the litigation will be. The Company expects to continue to incur expenses in connection with its litigation with the practice.

Certificate of Need Regulatory Action

During the third quarter of 2006, one of the Company’s affiliated practices in North Carolina lost (through state regulatory action) the ability, currently, to provide radiation services at its cancer center in Asheville. The practice continues to provide medical oncology services, but is not permitted to use the radiation services area of the center (approximately 18% of the square footage of the cancer center). The practice is appealing the regulatory action and is exploring other strategic alternatives with respect to radiation oncology and the cancer center space.

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

QUARTER ENDED JUNE 30, 2007 - continued

Beginning in March, 2007 the Company began experiencing delays with third parties, in pursuing the strategic alternatives to the regulatory appeal, referred to above. These delays led to uncertainty regarding the form and timing associated with alternatives to a successful appeal. Consequently, impairment testing was performed as of March 31, 2007 and the Company recorded an impairment charge of $1.6 million relating to a management services agreement asset and equipment in the quarter ended March 31, 2007. (These charges are a component of the impairment losses disclosed in Note 4.) No such impairment charges were recorded in the quarter ended June 30, 2007. Discussions with a third party regarding the terms of an agreement resumed in the second quarter, although definitive terms have not been reached. While the Company believes the parties have agreed to the general terms of a venture, there are factors that could impact the final terms, including the outcome of the appeal, the recruitment of additional oncologists and the content of definitive documents.

At June 30, 2007, our Consolidated Balance Sheet included net assets in the amount of $3.0 million related to this practice, which includes primarily working capital in the amount of $1.6 million. The construction of the cancer center in which the practice operates is financed as an operating lease and, as such, is not recorded on the Company’s balance sheet. At June 30, 2007, the lease had a remaining term of 19 years and the net present value of minimum future lease payments is approximately $7.1 million. A termination obligation for this lease has not been accrued as the Company has not exhausted its strategic alternatives or legal appeals that may provide an ability to resume radiation therapy services at this location. Management will continue to monitor this matter.

Insurance

The Company and its affiliated practices maintain insurance with respect to medical malpractice and various liability risks on a claims-made basis, in amounts believed to be customary and adequate. The Company maintains other traditional insurance coverages on either a fully insured or high deductible basis, using loss funds for any estimated losses within the retained deductibles.

Summary

The Company believes the allegations in suits against it are customary for the size and scope of the Company’s operations. However, adverse judgments, individually or in the aggregate, could have a material adverse effect on the Company.

Assessing the Company’s financial and operational exposure on litigation matters requires the application of substantial subjective judgments and estimates based upon facts and circumstances, resulting in estimates that could change as more information becomes available.

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

QUARTER ENDED JUNE 30, 2007 - continued

NOTE 9 – Recent Accounting Pronouncements

From time to time, the Financial Accounting Standards Board (“FASB”), the SEC and other regulatory bodies seek to change accounting rules, including rules applicable to the Company’s business and financial statements. The Company cannot assure you that future changes in accounting rules would not require it to make retrospective application to its financial statements.

In June, 2006, the FASB issued FASB Interpretation No. 48, “Accounting for Uncertainty in Income Taxes – An Interpretation of FASB Statement No. 109” (“FIN 48”), which clarifies the accounting for uncertainty in income taxes by defining criteria that an individual tax position must meet for any part of the benefit of that position to be recognized in the financial statements. Additionally, FIN 48 provides guidance on the measurement, derecognition, classification and disclosure of tax positions, along with accounting for the related interest and penalties. Upon adoption of FIN 48, effective January 1, 2007, the Company had no adjustment for unrecognized income tax benefits. As of the effective date, January 1, 2007, and as of June 30, 2007, the Company had unrecognized tax benefits amounting to $2.3 million recorded. The Company recognizes any interest and penalties related to unrecognized tax benefits as income tax expense. The tax years 2003, 2004, 2005 and 2006 remain open to examination by the major taxing jurisdictions to which we are subject. US Oncology Holding, Inc., and its subsidiaries, are currently under audit by the Internal Revenue Service for the period beginning January 1, 2003 and ending August 20, 2004.

In February, 2007, the FASB issued SFAS No. 159, “The Fair Value Option for Financial Assets and Financial Liabilities” (“SFAS 159”). SFAS 159 permits entities to choose to measure a number of financial instruments and certain other items at fair value and establishes presentation and disclosure requirements designed to facilitate comparisons between entities that choose different measurement attributes for similar types of assets and liabilities. SFAS 159 is effective beginning January 1, 2008. We have not yet determined the impact, if any, from the adoption of SFAS 159.

NOTE 10 – Income Taxes

Holdings effective tax rate was a benefit of 92.0% for the three months ended June 30, 2007 and a provision of 38.3% for the three months ended June 30, 2006. Holdings effective tax rate was 23.2% and 40.0% for the six months ended June 30, 2007 and 2006, respectively. The benefit for the quarter ended June 30, 2007 relates primarily to a decrease in the estimate of Texas gross margin taxes for fiscal 2007. The difference between the effective tax rate for Holdings and US Oncology relates to the incremental interest expense and general and administrative expenses incurred by Holdings which increase its taxable loss and, consequently, increase the impact that non-deductible costs have on its effective tax rate. The six months ended June 30, 2007 also includes the loss on extinguishment of debt incurred by Holdings.

The effective tax rate for US Oncology, Inc. was 63.0% for the three months ended June 30, 2007 and 38.2% for the three months ended June 30, 2006. During the six months ended June 30, 2007, the effective tax rate was 57.5% compared with 39.0% for the same period in 2006. The difference between our effective and statutory tax rates is attributable primarily to the Texas margin tax (which became effective January 1, 2007) and non-deductible entertainment and public policy costs.

NOTE 11 – Financial Information for Subsidiary Guarantors and Non-Subsidiary Guarantors

The 9% Senior Secured Notes (the “Senior Notes”) and 10.75% Senior Subordinated Notes (the “Senior Subordinated Notes”) issued by US Oncology, Inc. are guaranteed fully and unconditionally, and on a joint and several basis, by all of US Oncology’s wholly-owned subsidiaries. Certain of US Oncology’s subsidiaries, primarily joint ventures, do not guarantee the Senior Notes and the Senior Subordinated Notes.

Presented on the following pages are condensed consolidating financial statements for US Oncology, Inc. (the issuer of the Senior Notes and the Senior Subordinated Notes), the subsidiary guarantors and the non-guarantor subsidiaries as of and for the three months and six months ended June 30, 2007 and 2006. The equity method has been used with respect to US Oncology’s investments in its subsidiaries.

As of June 30, 2007, the non-guarantor subsidiaries include Cancer Treatment Associates of Northeast Missouri, Ltd., Colorado Cancer Centers, L.L.C., Southeast Texas Cancer Centers, L.P., East Indy CC, L.L.C., KCCC JV, L.L.C., AOR Real Estate of Greenville, L.P., The Carroll County Cancer Center, Ltd, MDH-USO Management Company, L.P., Oregon Cancer Center, Ltd., and Metropolitan Integrated Cancer Care, L.L.C.

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

QUARTER ENDED JUNE 30, 2007 - continued

US Oncology, Inc.

Condensed Consolidating Balance Sheet

As of June 30, 2007

(unaudited, in thousands, except share information)


	US Oncology, Inc. (Parent Company Only)			Subsidiary Guarantors		Non-guarantor Subsidiaries			Eliminations			Consolidated
ASSETS
Current assets:
Cash and equivalents	$	—		$	130,120	$	1		$	—		$	130,121
Accounts receivable		—			330,786		11,099			—			341,885
Other receivables		—			112,811		—			—			112,811
Prepaid expenses and other current assets		17			17,870		—			—			17,887
Inventories		—			89,607		—			—			89,607
Deferred income taxes		4,537			—		—			—			4,537
Due from affiliates		797,641			—		—			(744,484	) ^(a)		53,157
Investment in subsidiaries		609,269			—		(587	)		(608,682	) ^(b)		—

Total current assets		1,411,464			681,194		10,513			(1,353,166	)		750,005
Property and equipment, net		—			364,409		38,457			—			402,866
Service agreements, net		—			222,847		5,310			—			228,157
Goodwill		—			751,677		5,593			—			757,270
Other assets		33,370			31,523		1,530			—			66,423

	$	1,444,834		$	2,051,650	$	61,403		$	(1,353,166	)	$	2,204,721

LIABILITIES AND STOCKHOLDER’S EQUITY
Current liabilities:
Current maturities of long-term indebtedness	$	8,534		$	89	$	810		$	—		$	9,433
Accounts payable		—			250,446		658			—			251,104
Intercompany accounts		(249,113	)		251,751		(2,638	)		—			—
Due to affiliates		6,949			890,113		9,302			(744,484	) ^(a)		161,880
Accrued compensation cost		—			24,987		398			—			25,385
Accrued interest payable		24,093			—		—			—			24,093
Deferred income taxes		5,754			—		—			—			5,754
Other accrued liabilities		29			32,496		(597	)		—			31,928

Total current liabilities		(203,754	)		1,449,882		7,933			(744,484	)		509,577
Deferred revenue		—			7,763		—			—			7,763
Deferred income taxes		30,599			—		—			—			30,599
Long-term indebtedness		1,045,659			2,289		16,171			—			1,064,119
Other long-term liabilities		—			2,555		3,821			—			6,376

Total liabilities		872,504			1,462,489		27,925			(744,484	)		1,618,434

Commitments and contingencies
Minority interests		—			—		13,957			—			13,957
Stockholder’s equity
Common stock, $0.01 par value, 100 shares authorized, issued and outstanding		1			—		—			—			1
Additional paid-in capital		569,894			—		—			—			569,894
Retained earnings		2,435			—		—			—			2,435
Subsidiary equity		—			589,161		19,521			(608,682	) ^(b)		—

Total stockholder’s equity		572,330			589,161		19,521			(608,682	)		572,330

	$	1,444,834		$	2,051,650	$	61,403		$	(1,353,166	)	$	2,204,721

(a)	Elimination of intercompany balances

(b)	Elimination of investment in subsidiaries

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

QUARTER ENDED JUNE 30, 2007 - continued

US Oncology, Inc.

Condensed Consolidating Balance Sheet

As of December 31, 2006

(unaudited, in thousands, except share information)


	US Oncology, Inc. (Parent Company Only)			Subsidiary Guarantors		Non-guarantor Subsidiaries			Eliminations			Consolidated
ASSETS
Current assets:
Cash and equivalents	$	—		$	281,766	$	—		$	—		$	281,766
Accounts receivable		—			328,661		12,645			—			341,306
Other receivables		—			105,544		—			—			105,544
Prepaid expenses and other current assets		8			21,131		—			—			21,139
Inventories		—			78,381		—			—			78,381
Deferred income taxes		4,268			—		—			—			4,268
Due from affiliates		1,053,079			—		—			(985,287	) ^(a)		67,792
Investment in subsidiaries		562,402			—		(587	)		(561,815	) ^(b)		—

Total current assets		1,619,757			815,483		12,058			(1,547,102	)		900,196
Property and equipment, net		—			353,408		39,910			—			393,318
Service agreements, net		—			234,498		5,602			—			240,100
Goodwill		—			752,277		5,593			—			757,870
Other assets		36,597			30,371		1,530			—			68,498

	$	1,656,354		$	2,186,037	$	64,693		$	(1,547,102	)	$	2,359,982

LIABILITIES AND STOCKHOLDER’S EQUITY
Current liabilities:
Current maturities of long-term indebtedness	$	8,564		$	152	$	681		$	—		$	9,397
Accounts payable		—			197,767		929			—			198,696
Dividend payable		40,609			—		—			—			40,609
Intercompany accounts		(249,114	)		251,752		(2,638	)		—			—
Due to affiliates		156,833			1,116,112		15,858			(985,287	) ^(a)		303,516
Accrued compensation cost		—			26,314		540			—			26,854
Accrued interest payable		24,111			—		—			—			24,111
Income taxes payable		10,426			—		—			—			10,426
Other accrued liabilities		249			33,068		(752	)		—			32,565

Total current liabilities		(8,322	)		1,625,165		14,618			(985,287	)		646,174
Deferred revenue		—			8,337		—			—			8,337
Deferred income taxes		32,886			—		—			—			32,886
Long-term indebtedness		1,051,049			2,657		15,958			—			1,069,664
Other long-term liabilities		—			3,894		4,138			—			8,032

Total liabilities		1,075,613			1,640,053		34,714			(985,287	)		1,765,093

Commitments and contingencies
Minority interests		—			—		14,148			—			14,148
Stockholder’s equity
Common stock, $0.01 par value, 100 shares authorized, issued and outstanding		1			—		—			—			1
Additional paid-in capital		580,740			—		—			—			580,740
Retained earnings		—			—		—			—			—
Subsidiary equity		—			545,984		15,831			(561,815	) ^(b)		—

Total stockholder’s equity		580,741			545,984		15,831			(561,815	)		580,741

	$	1,656,354		$	2,186,037	$	64,693		$	(1,547,102	)	$	2,359,982

(a)	Elimination of intercompany balances

(b)	Elimination of investment in subsidiaries

-24-

US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

QUARTER ENDED JUNE 30, 2007 - continued

US Oncology, Inc.

Condensed Consolidating Statement of Operations

For the Three Months Ended June 30, 2007

(unaudited, in thousands)


	US Oncology, Inc. (Parent Company Only)			Subsidiary Guarantors			Non-guarantor Subsidiaries			Eliminations			Consolidated
Product revenue	$	—		$	478,752		$	11,807		$	—		$	490,559
Service revenue		—			254,591			8,203			—			262,794

Total revenue		—			733,343			20,010			—			753,353
Cost of products		—			473,293			11,672			—			484,965
Cost of services:
Operating compensation and benefits		—			114,574			3,864			—			118,438
Other operating costs		—			72,948			1,004			—			73,952
Depreciation and amortization		—			16,706			940			—			17,646

Total cost of services		—			204,228			5,808			—			210,036
Total cost of products and services		—			677,521			17,480			—			695,001
General and administrative expense		68			23,155			—			—			23,223
Depreciation and amortization		—			3,896			—			—			3,896

		68			704,572			17,480			—			722,120

Income (loss) from operations		(68	)		28,771			2,530			—			31,233
Other income (expense)
Interest expense, net		(24,775	)		1,075			(339	)		—			(24,039	)
Intercompany interest		6,042			(6,042	)		—			—			—
Minority interests		—			—			(615	)		—			(615	)

Income (loss) before income taxes		(18,801	)		23,804			1,576			—			6,579
Income tax benefit (provision)		(4,144	)		—			—			—			(4,144	)
Equity in earnings of subsidiaries		25,380			—			—			(25,380	)(a)		—

Net income	$	2,435		$	23,804		$	1,576		$	(25,380	)	$	2,435

(a)	Elimination of investment in subsidiaries

-25-

US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

QUARTER ENDED JUNE 30, 2007 - continued

US Oncology, Inc.

Condensed Consolidating Statement of Operations

For the Three Months Ended June 30, 2006

(unaudited, in thousands)


	US Oncology, Inc. (Parent Company Only)			Subsidiary Guarantors			Non-guarantor Subsidiaries			Eliminations			Consolidated
Product revenue	$	—		$	432,965		$	12,238		$	—		$	445,203
Service revenue		—			236,417			7,798			—			244,215

Total revenue		—			669,382			20,036			—			689,418
Cost of products		—			414,553			7,494			—			422,047
Cost of services:
Operating compensation and benefits		—			109,353			4,002			—			113,355
Other operating costs		—			60,483			5,354			—			65,837
Depreciation and amortization		—			16,812			1,073			—			17,885

Total cost of services		—			186,648			10,429			—			197,077
Total cost of products and services		—			601,201			17,923			—			619,124
General and administrative expense		139			22,038			—			—			22,177
Depreciation and amortization		—			3,790			—			—			3,790

		139			627,029			17,923			—			645,091

Income (loss) from operations		(139	)		42,353			2,113			—			44,327
Other income (expense)
Interest expense, net		(23,763	)		347			(241	)		—			(23,657	)
Intercompany interest		6,715			(6,715	)		—			—			—
Minority interests		—			—			(610	)		—			(610	)

Income (loss) before income taxes		(17,187	)		35,985			1,262			—			20,060
Income tax provision		(7,659	)		—			—			—			(7,659	)
Equity in earnings of subsidiaries		37,247			—			—			(37,247	)(a)		—

Net income	$	12,401		$	35,985		$	1,262		$	(37,247	)	$	12,401

(a)	Elimination of investment in subsidiaries

-26-

US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

QUARTER ENDED JUNE 30, 2007 - continued

US Oncology, Inc.

Condensed Consolidating Statement of Operations

For the Six Months Ended June 30, 2007

(unaudited, in thousands)


	US Oncology, Inc. (Parent Company Only)			Subsidiary Guarantors			Non-guarantor Subsidiaries			Eliminations			Consolidated
Product revenue	$	—		$	949,138		$	23,036		$	—		$	972,174
Service revenue		—			496,728			16,491			—			513,219

Total revenue		—			1,445,866			39,527			—			1,485,393
Cost of products		—			927,128			22,502			—			949,630
Cost of services:
Operating compensation and benefits		—			227,838			7,948			—			235,786
Other operating costs		—			144,596			2,149			—			146,745
Depreciation and amortization		—			33,466			1,909			—			35,375

Total cost of services		—			405,900			12,006			—			417,906
Total cost of products and services		—			1,333,028			34,508			—			1,367,536
General and administrative expense		156			43,302			—			—			43,458
Impairment and restructuring charges		—			7,395			—			—			7,395
Depreciation and amortization		—			7,261			—			—			7,261

		156			1,390,986			34,508			—			1,425,650

Income (loss) from operations		(156	)		54,880			5,019			—			59,743
Other income (expense)
Interest expense, net		(48,855	)		1,649			(639	)		—			(47,845	)
Intercompany interest		12,083			(12,083	)		—			—			—
Minority interests		—			—			(1,337	)		—			(1,337	)

Income (loss) before income taxes		(36,928	)		44,446			3,043			—			10,561
Income tax benefit (provision)		(6,076	)		—			—			—			(6,076	)
Equity in earnings of subsidiaries		47,489			—			—			(47,489	)(a)		—

Net income	$	4,485		$	44,446		$	3,043		$	(47,489	)	$	4,485

(a)	Elimination of investment in subsidiaries

-27-

US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

QUARTER ENDED JUNE 30, 2007 - continued

US Oncology, Inc.

Condensed Consolidating Statement of Operations

For the Six Months Ended June 30, 2006

(unaudited, in thousands)


	US Oncology, Inc. (Parent Company Only)			Subsidiary Guarantors			Non-guarantor Subsidiaries			Eliminations			Consolidated
Product revenue	$	—		$	876,691		$	24,404		$	—		$	901,095
Service revenue		—			474,860			15,206			—			490,066

Total revenue		—			1,351,551			39,610			—			1,391,161
Cost of products		—			845,267			15,093			—			860,360
Cost of services:
Operating compensation and benefits		—			222,096			7,941			—			230,037
Other operating costs		—			122,064			10,573			—			132,637
Depreciation and amortization		—			31,895			2,024			—			33,919

Total cost of services		—			376,055			20,538			—			396,593
Total cost of products and services		—			1,221,322			35,631			—			1,256,953
General and administrative expense		233			40,896			—			—			41,129
Depreciation and amortization		—			7,590			—			—			7,590

		233			1,269,808			35,631			—			1,305,672

Income (loss) from operations		(233	)		81,743			3,979			—			85,489
Other income (expense)
Interest expense, net		(45,788	)		1,110			(473	)		—			(45,151	)
Intercompany interest		13,430			(13,430	)		—			—			—
Minority interests		—			—			(1,135	)		—			(1,135	)

Income (loss) before income taxes		(32,591	)		69,423			2,371			—			39,203
Income tax provision		(15,316	)		—			—			—			(15,316	)
Equity in earnings of subsidiaries		71,794			—			—			(71,794	) (a)		—

Net income	$	23,887		$	69,423		$	2,371		$	(71,794	)	$	23,887

(a)	Elimination of investment in subsidiaries

-28-

US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

QUARTER ENDED JUNE 30, 2007 - continued

US Oncology, Inc.

Condensed Consolidating Statement of Cash Flows

For the Six Months Ended June 30, 2007

(unaudited, in thousands)


	US Oncology, Inc. (Parent Company Only)			Subsidiary Guarantors			Non-guarantor Subsidiaries			Consolidated
Cash flows from operating activities:
Net cash provided by (used in) operating activities	$	209,952		$	(104,693	)	$	1,628		$	106,887

Cash flows from investing activities:
Acquisition of property and equipment		—			(47,822	)		(235	)		(48,057	)
Payments in affiliation transactions		—			(134	)		—			(134	)
Net proceeds from sale of assets		—			750			—			750

Net cash used in investing activities		—			(47,206	)		(235	)		(47,441	)

Cash flows from financing activities:
Proceeds from other indebtedness		658			—			665			1,323
Repayment of term loan		(5,023	)		—			—			(5,023	)
Repayment of other indebtedness		(1,468	)		(62	)		(325	)		(1,855	)
Debt financing costs		(153	)		—			—			(153	)
Repayment of advance to parent		(150,000	)		—			—			(150,000	)
Distributions to minority interests		—			315			(1,732	)		(1,417	)
Net distributions to parent		(54,501	)		—			—			(54,501	)
Contributions of proceeds from exercise of stock options		535			—			—			535

Net cash provided by (used in) financing activities		(209,952	)		253			(1,392	)		(211,091	)

Decrease in cash and cash equivalents		—			(151,646	)		1			(151,645	)
Cash and cash equivalents:
Beginning of period		—			281,766			—			281,766

End of period	$	—		$	130,120		$	1		$	130,121

-29-

US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

QUARTER ENDED JUNE 30, 2007 - continued

US Oncology, Inc.

Condensed Consolidating Statement of Cash Flows

For the Six Months Ended June 30, 2006

(unaudited, in thousands)


	US Oncology, Inc. (Parent Company Only)			Subsidiary Guarantors			Non-guarantor Subsidiaries			Consolidated
Cash flows from operating activities:
Net cash provided by (used in) operating activities	$	16,146		$	(88,634	)	$	3,679		$	(68,809	)

Cash flows from investing activities:
Proceeds from sale of property and equipment		—			1,197			—			1,197
Acquistion of property and equipment		—			(34,479	)		(3,040	)		(37,519	)
Investment in unconsolidated subsidiary		—			(750	)		—			(750	)
Net payments in affiliation transactions		—			(3,165	)		—			(3,165	)

Net cash used in investing activities		—			(37,197	)		(3,040	)		(40,237	)

Cash flows from financing activities:
Net distributions to parent		(11,916	)		—			—			(11,916	)
Repayment of term loan		(1,000	)		—			—			(1,000	)
Repayment of other indebtedness		(3,248	)		(6	)		(245	)		(3,499	)
Distributions to minority interests		—			—			(876	)		(876	)
Contributions from minority interests		—			—			482			482
Proceeds from exercise of options		18			—			—			18

Net cash used in financing activities		(16,146	)		(6	)		(639	)		(16,791	)

Decrease in cash and cash equivalents		—			(125,837	)		—			(125,837	)
Cash and cash equivalents:
Beginning of period		—			125,837			—			125,837

End of period	$	—		$	—		$	—		$	—

NOTE 12 – Subsequent Event – Coverage of Erythropoiesis-Stimulating Agents

On July 30, 2007, the Centers for Medicare & Medicaid Services (“CMS”) released its national coverage decision (“NCD”) on reimbursement for erythropoiesis-stimulating agents (“ESAs”). In response to a public health advisory issued by the U.S. Food and Drug Administration (the “FDA”) on March 14, 2007 that outlined new safety information, including revised product labeling, about ESAs, CMS opened a National Coverage Analysis and, on May 14, 2007, released a proposed NCD. The proposed NCD outlined coverage more restrictive than that referenced in the FDA warning and was subject to a 30 day public comment period. After expiration of the comment period, the final NCD was released on July 30, 2007 and, while coverage remains more restrictive than the initial FDA warning, the final NCD contains several changes that are less restrictive than the coverage initially proposed by CMS. The NCD goes significantly beyond limiting coverage for ESAs in patients who are not currently receiving chemotherapy that was referenced in the initial FDA warning discussed above. The NCD includes determinations that eliminate coverage for anemia not related to cancer treatment. Coverage would also be eliminated for patients with certain other risk factors. In circumstances where ESA treatment is reimbursed, the NCD (i) requires that in order to commence ESA treatment, patients be significantly more anemic than is common practice today; (ii) imposes limitations on the duration of ESA therapy and the circumstances in which it should be continued; and (iii) limits dosing and dose increases in nonresponsive patients.

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

QUARTER ENDED JUNE 30, 2007 - continued

Because the NCD relates to specific clinical determinations in connection with administration of ESAs and we do not make clinical decisions for affiliated physicians, analysis of the financial impact of the NCD is a complex process. As a result, the financial impact cannot be precisely estimated at this time. Factors that could significantly affect the financial impact on the Company include clinical interpretations of the NCD made by our affiliated physicians, and whether managed care and other non-governmental payers adopt reimbursement limitations similar to those in the NCD. The NCD is expected to result in a significant decline in the use of ESAs by oncologists, including those affiliated with the Company. A significant decline in ESA usage, will have a significant adverse affect on the Company’s results of operations, and, particularly, its Medical Oncology Services and Pharmaceutical Services segments. Decreased financial performance of affiliated practices as a result of declining ESA usage could also have an effect on their relationship with the Company. In addition, reduced utilization of ESAs may adversely impact the Company’s ability to continue to receive favorable pricing from ESA manufacturers because existing purchasing agreements include pricing adjustments based upon specified purchase volumes as well as market share. The Company intends to renegotiate these agreements to reflect reduced anticipated ESA utilization, but there can be no assurance that it will be successful in doing so.

The Company’s Senior Secured Credit Facility (the “Facility”) includes covenants that are assessed quarterly, based on the prior four quarters’ EBITDA (as defined by the Facility), and become more restrictive over time. Based upon its current estimates, the Company believes it can satisfy its debt service obligations and maintain compliance with these restrictive covenants through June 30, 2008, but intends to seek an amendment to the Facility before that date. There can be no assurance that such amendment can be obtained on terms acceptable to the Company. Absent such an amendment, maintaining compliance through the second quarter of 2008 would require substantial optional prepayments of indebtedness and reductions to discretionary spending and cannot be assured. In the event the Company makes optional prepayments of its indebtedness, its ability to invest in future growth could be limited. An uncured covenant violation under the Facility would constitute a default which could lead to acceleration of indebtedness under the Facility as well as the Company’s other indebtedness.

US Oncology’s senior notes and senior subordinated notes also limit its ability to make restricted payments from US Oncology, including dividends paid by US Oncology to Holdings. As of June 30, 2007 US Oncology has the ability to make $32.2 million in restricted payments, which amount increases based upon 50 percent of US Oncology’s net income and is reduced by i) the amount of any restricted payments made and ii) net losses of US Oncology. Delaware law also requires that US Oncology be solvent both at the time, and immediately following, a dividend payment to Holdings. Because Holdings relies on dividends from US Oncology to fund cash interest payments on its Senior Unsecured Floating Rate PIK Toggle Notes, in the event that such restrictions prevent US Oncology from paying such a dividend, Holdings would be unable to pay interest on the notes in cash and would instead be required to pay PIK interest (see Note 5 – Indebtedness). However, pursuant to the terms of those notes, the PIK interest election is only available to the Company for the semi-annual interest payments due after September 15, 2007. The interest installment due on September 15, 2007 must be paid in cash.

The Company believes the release of the NCD on July 30, 2007 is an event which triggers the need for the Company to assess the recoverability of its management services agreement intangibles, with a carrying value of $228.2 million at June 30, 2007 and goodwill related to the medical oncology services and pharmaceutical services segments with carrying values of $408.9 million and $156.9 million, respectively at June 30, 2007. The Company will be performing an assessment of the recoverability of these assets during the third quarter of 2007 and may recognize significant impairment charges as a result. Also, assessments may be necessary in subsequent quarters as the impact of the NCD evolves.

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION

AND RESULTS OF OPERATIONS

ITEM 2.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Introduction

The following discussion should be read in conjunction with the financial statements, related notes, and other financial information appearing elsewhere in this report. In addition, see “Forward-Looking Statements and Risk Factors” included in our Annual Report on Form 10-K, filed with the SEC on February 27, 2007, and subsequent filings.

General

US Oncology Holdings, Inc. (“Holdings”) was formed in March, 2004. Currently, its principal assets are 100% of the shares of common stock of US Oncology, Inc. (“US Oncology”). Holdings and US Oncology and their subsidiaries are collectively referred to as the “Company.” US Oncology, headquartered in Houston, Texas, is one of the nation’s largest cancer treatment and research networks. As of June 30, 2007, our network included:

•

1,122 affiliated physicians

•

442 sites of service

•

79 comprehensive cancer centers and 11 facilities providing radiation therapy only

•

A clinical trial program currently managing 64 active clinical trials

•

A pharmaceutical distribution business currently distributing $1.9 billion annually in oncology pharmaceuticals from its 75,000 square foot distribution facility

Throughout our network, we aim to enhance efficiency and lower cost structures at our affiliated practices, while enabling them to continue to deliver quality patient care. The services we provide are designed to increase patient access and advance the delivery of high-quality, community-based cancer care by enabling physicians to provide cancer patients with a full continuum of care, including professional medical services, chemotherapy infusion, radiation oncology, diagnostic services, access to clinical trials, patient education and other services, often in a single location.

We believe that today, particularly in light of recent changes in Medicare reimbursement and continued pressures on overall reimbursement, the most successful oncology practices will be those that have a preeminent position in their local market, have diversified beyond medical oncology and have efficient management processes. We believe that our services best position practices to attain these characteristics. At the same time, the economics of healthcare and the aging of the American population mean that pressures to reduce healthcare costs and increase efficiency of medical practice operations will continue. We believe that community-based oncology care is the most patient-friendly and cost-effective care available, and we believe that we can continue to enhance practice efficiency within the community setting.

We provide practice management services primarily under comprehensive services agreements in both our medical oncology and cancer center services segments. Financial results relating to these services are reflected in the appropriate segment. Under comprehensive service agreements with affiliated practices, we provide services designed to encompass all of the non-clinical aspects of practice management. To a lesser extent, we contract with practices solely for the purchase and management of specialty oncology pharmaceuticals under our oncology pharmaceutical services (“OPS”) model, which does not encompass all of our other services. OPS revenues are included in our pharmaceutical services segment. A more complete description of the services we provide to network practices is included in our Annual Report on Form 10-K for the year ended December 31, 2006, as filed with the Securities and Exchange Commission on February 27, 2007.

In addition to providing services to our network physicians, we capitalize on our network’s size and scope by providing services to pharmaceutical manufacturers and payers, to improve the delivery of cancer care in America. These services include:

•

Group Purchasing Organization (“GPO”) services. We negotiate purchasing contracts with pharmaceutical manufacturers and other vendors, administer the contracts and provide related services.

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION

AND RESULTS OF OPERATIONS - continued

•

Pharmaceutical Distribution services. Through our distribution center in Fort Worth, Texas, we supply approximately 95% of pharmaceuticals (in dollar terms) administered by our network of affiliated practices. We believe our own distribution operation gives us an opportunity to enhance efficiency within our network, and affords us the opportunity to ensure the safety and authenticity of drugs used by our practices as a result of our control of the pharmaceuticals directly from the manufacturer to the patient.

•

Information, Marketing and Analytical services. We provide a range of data and analytical services relating to purchasing and utilization of pharmaceuticals and other matters, as well as marketing assistance and other product-related services.

•

Reimbursement Support services. In July, 2006, we acquired AccessMed, a provider of reimbursement hotline and patient assistance programs and is located in Overland Park, Kansas, in a stock acquisition for net cash consideration of $31.4 million. The acquisition expands our services offered to pharmaceutical manufacturers and also allows us to centralize the appeals and patient financial assistance processes for affiliated practices.

•

Oral Oncology Specialty Pharmacy services. We launched our oral oncology specialty pharmacy and mail order business at our Fort Worth facility on August 1, 2006. This new capability is designed to address the increasing number of new oral chemotherapeutical compounds, as well as the needs of payers seeking to consolidate their pharmaceutical purchasing power to reduce costs. The service is an offering that is also available to patients outside of our affiliated network practices. In addition to providing patients with pharmaceuticals, we provide patient counseling services that are directed toward appropriate use of medications, monitoring of side effects and complications and reimbursement issues.

We continue to work with the physician leadership in the network to identify opportunities to improve the quality of cancer care. The focus of these efforts in 2007 is to:

•

Increase the financial strength of network practices by expanding their service offerings, consolidating their market position in their geographic markets and supporting clinical initiatives that help ensure the continued delivery of high quality and effective cancer care to their patients.

•

Further enhance the network’s ability to deliver high quality cancer care. The Practice Quality and Efficiency (“PQE”) initiative is being led and supported by the network’s National Policy Board and by various physician committees and task forces. The initiative includes implementing an evidence-based approach to medical decision making, defining the key elements of a comprehensive quality program, and enhancing practice capacity to treat new patients.

•

Expand the network’s evidence-based medicine initiative, Cancer Care Pathways, which continues to enjoy strong adoption among physicians and practices.

•

Continue implementation of iKnowMed, the Company’s oncology-specific electronic medical records system.

•

Initiate Comprehensive Cancer Care Management (“C3M”) program. During 2007, in parallel with the PQE initiative referenced above, the Company will initiate a program designed to provide a comprehensive array of patient support services to improve the quality of the patient experience during treatment and to provide direct patient support facilitating the patient’s transition to long-term survivorship or end-of-life care. Our specialty pharmacy business also enables us to integrate oral pharmaceuticals into our management of the overall continuum of care for patients.

•

Continue support to pharmaceutical manufacturers and payers. Through its Market Focus division, the Company provides a wide array of sophisticated clinical data management services, market research, marketing and related services for pharmaceutical manufacturers and payers.

Our distribution center provides a platform to further expand our services related to oncology pharmaceuticals such as the launch of our oral oncology specialty pharmacy and mail order business, which allows us to respond to market needs and provide additional value including patient compliance programs and medication therapy management solutions.

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION

AND RESULTS OF OPERATIONS - continued

Another key and ongoing initiative is expanding our network. We plan to grow in three ways. First, we seek to enter into comprehensive service agreements with practices in new markets and expand those where we already have a regional presence. By seeking new markets we can grow our national presence while taking advantage of the efficiencies that result from leveraging our existing regional and national infrastructure and capabilities. Second, we intend to grow our OPS network of physicians by continuing to offer and develop our OPS relationships. Third, we intend to expand our existing markets both by assisting practices with individual physician recruitment and by affiliating with other established practices. On a local level, this helps our affiliated practices solidify their standing in local communities, while taking advantage of efficiencies that result from leveraging existing local assets and infrastructure.

Economic Models

Our comprehensive service agreements are long-term agreements (generally with initial terms of 25 to 40 years), which cannot be terminated unilaterally without cause. Physicians at practices managed under comprehensive service agreements are required to enter into employment or non-competition agreements with the practice. We may pay consideration to physicians in physician groups in exchange for the groups selling us operating assets and entering into such long-term contracts or joining an already affiliated group. Historically, we also have assisted affiliated groups expand by recruiting individual physicians without buying assets or paying consideration for service agreements. We intend to continue to expand our business, both by affiliating with new groups and recruiting new physicians.

Under substantially all of our comprehensive service agreements, we are compensated on the “earnings model”. Under this model, we are reimbursed for all expenses we incur in connection with managing a practice, and are paid an additional fee based upon a percentage of the practice’s earnings before income taxes, subject to certain adjustments. Of our comprehensive services revenue for the quarter ended June 30, 2007, less than one percent was derived from comprehensive service agreements under the net revenue model, in which our fee consists of a fixed amount, plus a percentage of net revenues, plus, if certain performance criteria are met, a performance fee. In some states, our agreements provide for a fixed management fee.

Forward-Looking Statements and Risk Factors

The following statements are or may constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995: (i) certain statements, including possible or assumed future results of operations contained in “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” (ii) any statements contained herein regarding the prospects for any of our businesses or services and our development activities relating to physician affiliations, cancer centers and Positron Emission Tomography (“PET”) installations; (iii) any statements preceded by, followed by or that include the words “believes”, “expects”, “anticipates”, “intends”, “estimates”, “plans” or similar expressions; and (iv) other statements contained herein regarding matters that are not historical facts.

Our business and results of operations are subject to risks and uncertainties, many of which are beyond management’s ability to control or predict. Because of these risks and uncertainties, actual results may differ materially from those expressed or implied by such forward-looking statements, and investors are cautioned not to place undue reliance on such statements, which speak only as of the date thereof.

Additional risks and uncertainties relating to our operations include Medicare reimbursement for prescription drugs used by affiliated practices, including continued implementation of the Medicare Modernization Act of 2003 (“MMA”), Medicare’s July, 2007 implementation of new reimbursement rules for erythropoiesis-stimulating agents (‘‘ESAs’’) and associated effects such as non-governmental payers possible adoption of similar rules, calculation of average sales price, implementation of third-party vendor programs and other matters, impact of ASP-based reimbursement on other aspects of our business (such as private payer reimbursement, our ability to obtain favorable pharmaceutical pricing, the ability of practices to continue offering chemotherapy services to Medicare patients or maintaining existing practice sites, physician response to the legislation, including with respect to retirement or choice of practice setting, development activities, and the possibility of additional impairments of assets, including management services agreements), concentration of pharmaceutical purchases and favorable pricing among a limited number of vendors, reimbursement for pharmaceutical products generally, our ability to maintain good relationships with existing practices, our ability to successfully implement our strategic initiatives, (such as expansion of the array of services offered to pharmaceutical manufacturers, implementation of our iKnowMed medical record system, expansion into new markets and development of existing markets), our ability to continue to comply with restrictive covenants in our debt agreements, our ability to fund our operations through operating cash flow or utilization of our existing credit

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facility or our ability to obtain additional financing on acceptable terms, our ability to complete cancer centers and PET facilities currently in development, our ability to recover the costs of our investments in cancer centers, our ability to complete negotiations and enter into agreements with practices currently negotiating with us, reimbursement for health-care services including physician-office imaging services, continued efforts by payers to lower their costs, government regulation and enforcement, continued relationships with pharmaceutical companies and other vendors, changes in cancer therapy or the manner in which care is delivered, drug utilization, increases in the cost of providing cancer treatment services and the operations of the company’s affiliated physician practices.

The reductions in Medicare reimbursement may also cause some oncologists to cease providing care in the physician office setting by retiring from the practice of medicine, moving to a hospital setting, or beginning in 2006, choosing to obtain drugs through the Competitive Acquisition Program (“CAP”) or other similar non-government payer program. Any such changes in our affiliated practices would adversely affect our results of operations. In addition, any reduction in the overall size of the outpatient oncology market could adversely affect our prospects for growth and business development. We believe that the increasing national budget deficit, aging population and newly enacted prescription drug benefit will mean that pressure to reduce healthcare costs, drug costs in particular, will continue to intensify.

Please refer to our filings with the SEC, including our Annual Report on Form 10-K, filed with the SEC on February 27, 2007, and subsequent filings, for a more extensive discussion of factors that could cause actual results to differ materially from our expectations.

The cautionary statements contained or referred to in this report should be considered in connection with any written or oral forward-looking statements that may be issued by us or persons acting on our behalf. We do not undertake any obligation to release any revisions to or to update publicly any forward-looking statements to reflect events or circumstances after the date thereof or to reflect the occurrence of unanticipated events.

Reimbursement Matters

Pharmaceutical Reimbursement under Medicare

Medicare (“Centers for Medicare and Medicaid Services” or “CMS”) pays oncologists the average sales price (“ASP”) for drugs plus 6%. ASP-based reimbursement is adjusted quarterly, and as a result of these quarterly adjustments, the Company experienced an increase of approximately 0.8% and 0.7% in Medicare reimbursement during the quarters ended June 30, 2007 and 2006, respectively, since the end of the previous quarter. During the six months ended June 30, 2007 and 2006, the Company experienced an increase of approximately 2.0% and 0.4%, respectively, since the end of the previous fiscal year.

Adoption of ASP pricing by Medicare, combined with the importance of pharmaceuticals to our business and concentration of our purchases with a limited number of manufacturers, represents a significant risk for the Company. Nearly all of our pricing advantage relative to ASP is derived from purchases of drugs from a very small number of manufacturers. Implementation of ASP-based reimbursement has reduced the amount of differential pricing that is available to us from pharmaceutical manufacturers, which is one of our key competitive strengths.

Erythropoiesis-stimulating agents (‘‘ESAs’’) are widely-used drugs for the treatment of anemia, which is a condition that occurs when the level of healthy red blood cells in the body becomes too low, thus inhibiting the blood’s ability to carry oxygen. Many cancer patients suffer from anemia either as a result of their disease or as a result of the treatments they receive to treat their cancer. ESAs have historically been used by oncologists to treat anemia caused by chemotherapy, as well as anemia in cancer patients who are not currently receiving chemotherapy. ESAs are administered to increase levels of healthy red blood cells and are an alternative to blood transfusions. The financial impact to the Company of ESAs administered by our network of affiliated physicians is summarized as follows (in millions):

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	Three Months Ended June 30,						Six Months Ended June 30,
	2007			2006			2007			2006
Revenue	$	41.5		$	40.1		$	84.0		$	78.2
Less: Operating Costs		(25.3	)		(27.9	)		(49.8	)		(54.4	)

Income from Operations	$	16.2		$	12.2		$	34.2		$	23.8

These financial results reflect the combined effect of results from our Medical Oncology Services segment which relate primarily to usage by practices receiving comprehensive management services and from our Pharmaceutical Services segment which includes purchases by physicians affiliated under the OPS model, as well as distribution and group purchasing fees received from manufacturers.

During the first quarter of 2007, the U.S. Food and Drug Administration (the ‘‘FDA’’) issued a public health advisory outlining new safety information, including revised product labeling, about ESAs. In particular, the FDA highlighted studies that concluded that an increased risk of death may occur in cancer patients who are not receiving chemotherapy and who are treated with ESAs. Partly in response to such warnings, certain Medicare intermediaries ceased reimbursement for ESAs administered to patients who are not current or recent chemotherapy recipients at the time of administration. In addition, intermediaries have revised usage guidelines for ESAs in other circumstances. The FDA advisory and subsequent intermediary actions led the Centers for Medicare & Medicaid Services (‘‘CMS’’) to open a National Coverage Analysis (‘‘NCA’’), on March 14, 2007, on the use of ESAs for conditions other than advanced kidney disease, which was the first step toward issuing a proposed national coverage decision. The final national coverage decision (‘‘NCD’’) was released on July 30, 2007, and is effective as of that date.

The NCD goes significantly beyond limiting coverage for ESAs in patients who are not currently receiving chemotherapy that was referenced in the initial FDA warning discussed above. The NCD includes determinations that eliminate coverage for anemia not related to cancer treatment. Coverage would also be eliminated for patients with certain other risk factors. In circumstances where ESA treatment is reimbursed, the NCD (i) requires that in order to commence ESA treatment, patients be significantly more anemic than is common practice today; (ii) imposes limitations on the duration of ESA therapy and the circumstances in which it should be continued and (iii) limits dosing and dose increases in nonresponsive patients.

As we have previously disclosed in our filing on Form 8-K dated May 18, 2007, the impact of the NCD to US Oncology will be significantly in excess of the $8 million to $10 million reduction in pretax income for the year ended December 31, 2007 that we initially disclosed as the estimated impact of the ESA guidelines issued during the first quarter of 2007 relating solely to the FDA warning relating to anemia of cancer. Because the NCD relates to specific clinical determinations in connection with administration of ESAs and we do not make clinical decisions for affiliated physicians, analysis of the financial impact of the NCD is a complex process. As a result, the financial impact cannot be precisely estimated at this time. Factors that could significantly affect the financial impact on the Company include clinical interpretations of the NCD made by our affiliated physicians, and whether managed care and other non-governmental payers adopt reimbursement limitations similar to those in the NCD. The NCD is expected to result in a significant decline in the use of ESAs by oncologists, including those affiliated with the Company. A significant decline in ESA usage, will have a significant adverse affect on the Company’s results of operations, and, particularly, its Medical Oncology Services and Pharmaceutical Services segments. Although the financial impact of the coverage determination continues to be evaluated, current estimates indicate that, had the NCD been effective April 1, 2007, income from operations for the second quarter would have been reduced by approximately $7 to $11 million. Decreased financial performance of affiliated practices as a result of declining ESA usage could also have an effect on their relationship with the Company. In addition, reduced utilization of ESAs may adversely impact the Company’s ability to continue to receive favorable pricing from ESA manufacturers because existing purchasing agreements include pricing adjustments based upon specified purchase volumes as well as market share. The Company intends to renegotiate these agreements to reflect reduced anticipated ESA utilization, but there can be no assurance that it will be successful in doing so. We expect continued payer scrutiny of the side effects of supportive care products and other drugs that represent significant costs to payers. Such scrutiny by payers or additional scientific data could lead to future restrictions on usage or reimbursement for other pharmaceuticals as a result of payer or FDA action or reductions in usage as a result of the independent determination of oncologists practicing in our network of other pharmaceuticals. Any such reduction could have an adverse effect on our business. In our evidence-based medicine initiative, affiliated physicians continually review emerging scientific information to develop clinical pathways for use in oncology and remain engaged with payers in determining optimal usage for all pharmaceuticals.

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Medicare Demonstration Project

During 2006, the Company received payments from Medicare for certain data relating to quality of care for cancer patients ("the Medicare Demonstration Project"). Reimbursement under the Medicare Demonstration Project contributed $0.7 million and $1.3 million to pretax income during the three months and six months ended June 30, 2006, respectively. The Oncology Medicare Demonstration Project expired as of December 31, 2006, and the reduced reimbursement will negatively impact 2007 fiscal year pretax income by an estimated $2.6 million based on results for the year ended December 31, 2006. This impact could be offset by the Physician Voluntary Reporting Program, called the Physician Quality Reporting Initiative (‘‘PQRI’’) which was effective July 1, 2007. The PQRI program is a voluntary physician program. Eligible professionals who successfully report a designated set of quality measures on claims for dates of service from July 1 to December 31, 2007, may earn a bonus payment, subject to a cap, of 1.5% of total allowed charges for Medicare physician fee schedule services. In order to satisfactorily meet the requirements of the program and receive the bonus payment, certain reporting thresholds must be met. The extent of participation in this program by affiliated physicians and their achievement of reporting thresholds and its financial impact for the remainder of 2007 cannot yet be determined.

Competitive Acquisition Program

CMS was required to implement the Competitive Acquisition Program (“CAP”) in 2006, whereby physician practices could elect to have an external supplier both provide the drugs and biologicals administered in the physician’s office to the patient and bill and collect from Medicare. One approved vendor chose to participate in the program and the program was effective for physician practices on August 1, 2006. CMS and the U.S. Congress are monitoring the effectiveness and viability of the program based on the number of physicians who contracted with this vendor. No US Oncology affiliated practice has elected to participate in this program.

Reimbursement for Physician Services

In November, 2006, CMS released its Final Rule of the Five-Year Review of Work Relative Value Units (“RVU” or “Work RVU”) under the Physician Fee Schedule and Proposed Changes to the Practice Expense ("PE") Methodology (the "Final Rule"). The Work RVU changes were implemented in full on January 1, 2007, while the PE methodology changes will be phased in over a four-year period (2007-2010). Significant Final Rule changes included i) increases to evaluation and management reimbursement, ii) adoption of a “bottom-up” payment methodology for calculating direct practice costs, iii) modifications to the methodology used to calculate indirect practice costs, and iv) substitution of the “non-physician work pool” (which is currently used to calculate practice expense RVUs for services without physician involvement, such as radiation oncology treatment planning), with reimbursement using the standard methodology.

For 2007, we estimate that the Final Rule will result in a 1.8% increase in Medicare non-drug reimbursement, (or approximately $2.0 million of pretax income), based on our affiliated physicians’ practice patterns for 2006. This is comprised of a 2.3% increase in radiation oncology reimbursement and a 1.8% increase in non-drug medical oncology reimbursement. During the three months and six months ended June 30, 2007, the rule increased pretax income by $0.6 million and $1.2 million, respectively, over the comparable 2006 Medicare non-drug reimbursement. When fully implemented in 2010, we would expect a 4.1% increase in Medicare reimbursement for all non-drug services, compared to 2006, comprised of a 13% increase in radiation oncology reimbursement and a 0.1% decrease in non-drug medical oncology reimbursement. Some managed care contracts linked to Medicare reimbursement would also increase ratably.

Medicare reimbursement for physician services is based on a fee schedule, which establishes payment for a given service, in relation to actual resources used in providing the service (RVUs). The resources used are converted into a dollar amount of reimbursement through a conversion factor, which is updated annually by CMS, based on a formula. The Tax Relief and Health Care Act of 2006 provided for suspension of a 5% decrease in reimbursement (through the conversion factor update) which otherwise would have been effective as of January 1, 2007. The physician fee schedule update for 2008 will again be set under the statutory formula and is estimated to result in a decrease of 9.9% as of January 1, 2008. If Congress does not revise the conversion factor between now and December 31, 2007, Medicare reimbursement for physician services would decrease by 9.9%, effective January 1, 2008, which, if applied to annualized reimbursement for the six months ended June 30, 2007, would negatively impact 2008 pretax income by an estimated $10 million. Also, there is likelihood that if Congress does not revise the conversion factor, reimbursement for some managed care contracts linked to Medicare reimbursement would decrease ratably.

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Imaging Reimbursement

In February, 2006 Congress passed and the President signed into law, the Deficit Reduction Act (“DRA”) which contained a provision affecting imaging reimbursement. The technical component of the physician fee schedule for physician-office imaging services has been capped at the Hospital Outpatient Prospective Payment System (“HOPPS”) rates. Since Congress did not include a provision in the Tax Relief and Healthcare Act of 2006 to revise the DRA Imaging provision, Medicare reimbursement, effective January 1, 2007, is limited to no more than the HOPPS rates. The impact on US Oncology affiliated practices primarily relates to reduced reimbursement for Positron Emission Tomography (“PET”), Positron Emission Tomography/Computerized Tomography (“PET/CT”) and Computerized Tomography (“CT”) services. During the three months and six months ended June 30, 2007, the reduced reimbursement for these imaging services reduced pretax income by $2.4 million and 4.7 million, respectively, compared to the corresponding periods of 2006. By applying 2007 reimbursement levels to services provided in the first six months of 2007, pretax income would be expected to decrease by an estimated $8-10 million for the year.

General Reimbursement Matters

Other reimbursement matters that could impact our future results include the risk factors described herein, as well as:

•

changes in our business, including new cancer centers, PET system installations or otherwise expanding operations of affiliated physician groups;

•

the extent to which non-governmental payers change their reimbursement rates or implement other initiatives, such as pay for performance, or change benefit structures;

•

changes in practice performance or behavior, including the extent to which physicians continue to administer drugs to Medicare patients, or changes in our contracts with physicians;

•

changes in our cost structure or the cost structure of affiliated practices, including any change in the prices our affiliated practices pay for drugs; and

•

any other changes in reimbursement or practice activity that are unrelated to the prescription drug legislation.

Summary

The Centers for Medicare & Medicaid Services (“CMS”) issued a final coverage determination regarding reimbursement for erythropoiesis-stimulating agents (“ESAs”) on July 30, 2007. The financial impact of the national coverage decision to us is not yet known. The Deficit Reduction Act (“DRA”) imaging reimbursement reductions are effective January 1, 2007, and the Company estimates a decrease in pretax income of $8 to $10 million for 2007, based on the level of diagnostic services provided in the first six months of 2007. The Medicare Oncology Demonstration Project expired as of December 31, 2006, and pretax income for 2007, as a result, is estimated to decrease by $2.6 million. These decreases are offset, in part, by increases in reimbursement of approximately 1.8% in overall non-drug reimbursement (or $2.0 million of pretax income for 2007) relating to Work RVU and PE Methodology changes, referred to previously. If Congress does not revise the formula-driven conversion factor between now and December 31, 2007, the Company estimates a decrease in pretax income of $10 million for 2008, applying the conversion factor to annualized results for the six months ended June 30, 2007.

Critical Accounting Policies and Estimates

Our discussion and analysis of our financial condition and results of operations are based upon our unaudited condensed consolidated financial statements, which have been prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”) for interim financial statements. The preparation of these financial statements requires management to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues and expenses, and related disclosure of contingent assets and liabilities. On an ongoing basis, we evaluate these estimates, including those related to accounts receivable, intangible assets, goodwill, accrued expenses, income taxes, and contingencies and litigation. We base our estimates on historical experience and various other assumptions that we believe to be reasonable under the circumstances. These estimates form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from those estimates.

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In addition, as circumstances change, we may revise the basis of our estimates accordingly. For example, in the past we have recorded charges to reflect revisions in our valuation of accounts receivable as a result of actual collection patterns. We maintain decentralized billing systems and continue to upgrade and modify those systems. We take this into account as we evaluate the realizability of receivables and record appropriate reserves, based upon the risks of collection inherent in such a structure. In the event subsequent collections are higher or lower than our estimates, results of operations in subsequent periods could be either positively or negatively impacted as a result of such prior estimates. This risk is particularly relevant for periods in which there is a significant shift in reimbursement from large payers, such as the changes in Medicare reimbursement.

Refer to the “Critical Accounting Policies and Estimates” section of our Annual Report on Form 10-K, filed with the SEC on February 27, 2007, and subsequent filings, for a discussion of our critical accounting policies. Management believes such critical accounting policies affect the more significant judgments and estimates used in the preparation of our consolidated condensed financial statements. These critical accounting policies include our policy for recognition of revenue from affiliated practices, valuation of accounts receivable, stock-based compensation, impairment of long-lived assets, and volume-based pharmaceutical rebates.

Recent Accounting Pronouncements

From time to time, the FASB, the SEC and other regulatory bodies seek to change accounting rules, including rules applicable to our business and financial statements. We cannot assure you that future changes in accounting rules would not require us to make retrospective application to our financial statements.

In June, 2006, the FASB issued FASB Interpretation No. 48, “Accounting for Uncertainty in Income Taxes – An Interpretation of FASB Statement No. 109” (“FIN 48”), which clarifies the accounting for uncertainty in income taxes by defining criteria that an individual tax position must meet for any part of the benefit of that position to be recognized in the financial statements. Additionally, FIN 48 provides guidance on the measurement, derecognition, classification and disclosure of tax positions, along with accounting for the related interest and penalties. The provisions of FIN 48 are effective January 1, 2007 for the Company, with the cumulative effect of the change in accounting principle recorded as an adjustment to opening retained earnings. Upon adoption of FIN 48, effective January 1, 2007, we had no adjustment for unrecognized income tax benefits. As of the effective date, January 1, 2007, and as of June 30, 2007, we had unrecognized tax benefits amounting to $2.3 million recorded. We recognize any interest and penalties related to unrecognized tax benefits as income tax expense. The tax years 2003, 2004, 2005 and 2006 remain open to examination by the major taxing jurisdictions to which we are subject. US Oncology Holding, Inc., and its subsidiaries, are currently under audit by the Internal Revenue Service for the period beginning January 1, 2003 and ending August 20, 2004.

In February, 2007, the FASB issued SFAS No. 159, “The Fair Value Option for Financial Assets and Financial Liabilities” (“SFAS 159”). SFAS 159 permits entities to choose to measure many financial instruments and certain other items at fair value and establishes presentation and disclosure requirements designed to facilitate comparisons between entities that choose different measurement attributes for similar types of assets and liabilities. SFAS 159 is effective beginning January 1, 2008. We have not yet determined the impact, if any, from the adoption of SFAS 159.

Discussion of Non-GAAP Information

In this report, the Company uses the term “EBITDA” which represents earnings before interest, taxes, depreciation and amortization (including amortization of stock-based compensation), and minority interest. EBITDA is not calculated in accordance with generally accepted accounting principles in the United States (“GAAP”); rather it is derived from relevant items in the Company’s GAAP-based financial statements. A reconciliation of EBITDA to the Condensed Consolidated Statement of Operations and Comprehensive Income and the Condensed Consolidated Statement of Cash Flows is included in this quarterly report.

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indicator to evaluate liquidity and financial condition, both with respect to the business as a whole and with respect to individual sites in the US Oncology network. The Company’s senior secured credit facility also requires that we comply on a quarterly basis with certain financial covenants that include EBITDA as a financial measure. Management believes that EBITDA is useful to investors, since it provides investors with additional information that is not directly available in a GAAP presentation.

As a non-GAAP measure, EBITDA should not be viewed as an alternative to the Company’s income from operations, as an indicator of operating performance, or the Company’s cash flow from operations as a measure of liquidity. For example, EBITDA does not reflect:

•

the Company’s significant interest expense, or the cash requirements necessary to service interest and principal payments on the Company’s indebtedness;

•

cash requirements for the replacement of capital assets being depreciated and amortized, which typically must be replaced in the future, even though deprecation and amortization are non-cash charges;

•

changes in, or cash equivalents available for, the Company’s working capital needs;

•

the Company’s cash expenditures, or future requirements, for other capital expenditure or contractual commitments; and

•

the fact that other companies may calculate EBITDA differently than we do, which may limit its usefulness as a comparative measure.

Despite these limitations, management believes that EBITDA provides investors and analysts with a useful measure of liquidity and financial condition unaffected by differences in capital structures, capital investment cycles and ages of related assets among otherwise comparable companies. Management compensates for these limitations by relying primarily on the Company’s GAAP results and using EBITDA as supplemental information for comparative purposes and for analyzing compliance with the Company’s loan covenants.

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Results of Operations

As of June 30, 2007 and 2006, respectively, we have affiliated with the following number of physicians (including those under OPS agreements), by specialty:


	June 30,
	2007	2006
Medical oncologists/hematologists	925	795
Radiation oncologists	148	139
Other oncologists	49	43

Total physicians	1,122	977

The following tables set forth the sources of growth in the number of physicians affiliated with the Company under both comprehensive and OPS agreements:


Comprehensive Service Agreements⁽¹⁾⁽²⁾	Three Months Ended June 30,				Six Months Ended June 30,
	2007		2006		2007		2006
Affiliated physicians, beginning of period	877		874		879		856
Physician practice affiliations	14		6		16		12
Recruited physicians	6		12		14		17
Physician practice separations ⁽²⁾	—		(35	)	—		(35	)
Retiring/Other	(8	)	(9	)	(20	)	(12	)
Net conversions from OPS agreements	3		—		3		10

Affiliated physicians, end of period	892		848		892		848


Oncology Pharmaceutical Services Agreements⁽³⁾	Three Months Ended June 30,				Six Months Ended June 30,
	2007		2006		2007		2006
Affiliated physicians, beginning of period	200		138		188		138
Physician practice affiliations	41		4		57		16
Physician practice separations	(5	)	(10	)	(9	)	(10	)
Retiring/Other	(3	)	(3	)	(3	)	(5	)
Net conversions to comprehensive service agreements	(3	)	—		(3	)	(10	)

Affiliated physicians, end of period	230		129		230		129

Total affiliated physicians	1,122		977		1,122		977

⁽¹⁾	Operations related to comprehensive service agreements are included in the medical oncology and cancer center services segments.

⁽²⁾	On April 18, 2006 we terminated our relationship with a net revenue practice comprised of 35 physicians.

⁽³⁾	Operations related to OPS agreements are included in the pharmaceutical services segment.

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The following table sets forth the number of radiation oncology facilities and PET systems managed by us:


	Three Months Ended June 30,				Six Months Ended June 30,
	2007		2006 ⁽²⁾		2007		2006⁽²⁾
Cancer Centers, beginning of period	79		82		80		83
Cancer Centers opened	1		—		1		—
Cancer Centers closed	(1	)	(4	)	(2	)	(5	)

Cancer Centers, end of period	79		78		79		78

Radiation oncology-only facilities, end of period	11		13		11		13

Total Radiation Oncology Facilities	90		91		90		91

PET Systems⁽¹⁾	35		30		35		30

(1)	Includes 19 and 10 PET/CT systems at June 30, 2007 and 2006, respectively.

(2)	Number of cancer centers and radiation oncology facilities are restated to exclude locations in which the Company or its affiliated practice participated in a joint venture with a hospital system and to include a radiation facility which was reopened and in service during 2006.

The following table sets forth key operating statistics as a measure of the volume of services provided by our practices affiliated under comprehensive service agreements:


	Three Months Ended June 30,		Six Months Ended June 30,
	2007	2006	2007	2006
Per Operating Day Statistics:
Medical oncology visits	10,040	9,603	9,923	9,827
Radiation treatments	2,729	2,705	2,733	2,729
IMRT treatments (included in radiation treatments)	608	484	590	470
PET scans	178	159	174	157
CT scans	744	642	726	649

Per Operating Day Same Store Statistics:
Medical oncology visits	9,937	9,603	9,779	9,493
Radiation treatments	2,639	2,605	2,640	2,597
IMRT treatments (included in radiation treatments)	519	432	499	428
PET scans	155	153	153	150
CT scans	707	619	686	602
New patients enrolled in research studies	708	642	1,469	1,288

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The following table sets forth the percentages of revenue represented by certain items reflected in our Condensed Consolidated Statement of Operations and Comprehensive Income. The following information should be read in conjunction with our unaudited condensed consolidated financial statements and notes thereto included elsewhere herein.


	US Oncology Holdings, Inc.										US Oncology, Inc.
	Three Months Ended June 30,										Three Months Ended June 30,
	2007					2006					2007					2006
Product revenue	$	490,559		65.1	%	$	445,203		64.6	%	$	490,559		65.1	%	$	445,203		64.6	%
Service revenue		262,794		34.9			244,215		35.4			262,794		34.9			244,215		35.4

Total revenue		753,353		100.0			689,418		100.0			753,353		100.0			689,418		100.0

Cost of products		484,965		64.4			422,047		61.2			484,965		64.4			422,047		61.2
Cost of services:
Operating compensation and benefits		118,438		15.7			113,355		16.4			118,438		15.7			113,355		16.4
Other operating costs		73,952		9.8			65,837		9.5			73,952		9.8			65,837		9.5
Depreciation and amortization		17,646		2.3			17,885		2.6			17,646		2.3			17,885		2.6

Total cost of services		210,036		27.8			197,077		28.5			210,036		27.8			197,077		28.5
Total cost of products and services		695,001		92.2			619,124		89.7			695,001		92.2			619,124		89.7
General and administrative expense		23,268		3.1			22,210		3.2			23,223		3.1			22,177		3.2
Depreciation and amortization		3,896		0.5			3,790		0.5			3,896		0.5			3,790		0.5

Total costs and expenses		722,165		95.8			645,124		93.4			722,120		95.8			645,091		93.4

Income from operations		31,188		4.2			44,294		6.6			31,233		4.2			44,327		6.6
Other expense:
Interest expense, net		(35,144	)	(4.7	)		(29,714	)	(4.3	)		(24,039	)	(3.2	)		(23,657	)	(3.4	)
Minority interests		(615	)	(0.1	)		(610	)	(0.1	)		(615	)	(0.1	)		(610	)	(0.1	)

Income (loss) before income taxes		(4,571	)	(0.6	)		13,970		2.2			6,579		0.9			20,060		3.1
Income tax benefit (provision)		4,207		0.6			(5,354	)	(0.8	)		(4,144	)	(0.6	)		(7,659	)	(1.1	)

Net income (loss)	$	(364	)	0.0	%	$	8,616		1.4	%	$	2,435		0.3	%	$	12,401		2.0	%

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION

AND RESULTS OF OPERATIONS - continued


	US Oncology Holdings, Inc.										US Oncology, Inc.
	Six Months Ended June 30,										Six Months Ended June 30,
	2007					2006					2007					2006
Product revenue	$	972,174		65.4	%	$	901,095		64.8	%	$	972,174		65.4	%	$	901,095		64.8	%
Service revenue		513,219		34.6			490,066		35.2			513,219		34.6			490,066		35.2

Total revenue		1,485,393		100.0			1,391,161		100.0			1,485,393		100.0			1,391,161		100.0

Cost of products		949,630		63.9			860,360		61.8			949,630		63.9			860,360		61.8
Cost of services:
Operating compensation and benefits		235,786		15.9			230,037		16.5			235,786		15.9			230,037		16.5
Other operating costs		146,745		9.9			132,637		9.5			146,745		9.9			132,637		9.5
Depreciation and amortization		35,375		2.4			33,919		2.4			35,375		2.4			33,919		2.4

Total cost of services		417,906		28.2			396,593		28.4			417,906		28.2			396,593		28.4
Total cost of products and services		1,367,536		92.1			1,256,953		90.2			1,367,536		92.1			1,256,953		90.2
General and administrative expense		43,544		2.9			41,288		3.0			43,458		2.9			41,129		3.0
Impairment and restructuring charges		7,395		0.5			—		—			7,395		0.5			—		—
Depreciation and amortization		7,261		0.5			7,590		0.5			7,261		0.5			7,590		0.5

Total costs and expenses		1,425,736		96.0			1,305,831		93.7			1,425,650		96.0			1,305,672		93.7

Income from operations		59,657		4.0			85,330		6.3			59,743		4.0			85,489		6.3
Other expense:
Interest expense, net		(66,169	)	(4.5	)		(57,172	)	(4.1	)		(47,845	)	(3.2	)		(45,151	)	(3.2	)
Minority interests		(1,337	)	(0.1	)		(1,135	)	(0.1	)		(1,337	)	(0.1	)		(1,135	)	(0.1	)
Loss on early extinguishment of debt		(12,917	)	(0.9	)		—		—			—		—			—		—

Income (loss) before income taxes		(20,766	)	(1.5	)		27,023		2.1			10,561		0.7			39,203		3.0
Income tax benefit (provision)		4,816		0.3			(10,836	)	(0.8	)		(6,076	)	(0.4	)		(15,316	)	(1.1	)

Net income (loss)	$	(15,950	)	(1.2	)%	$	16,187		1.3	%	$	4,485		0.3	%	$	23,887		1.9	%

In the following discussion, we address the results of operations of US Oncology and Holdings. With the exception of incremental interest expense associated with its floating rate notes, loss on early extinguishment of debt and nominal administrative expenses, the results of operations of Holdings are identical to those of US Oncology. Therefore, discussion related to revenue, cost of products and cost of services is identical for both companies. With the section beginning with the discussion of corporate costs, which includes interest and general and administrative expense, we first address the results of US Oncology, since it incurs the substantial portion of such expenses. Following the discussion of US Oncology, we separately address the incremental costs related to Holdings.

We derive revenue primarily in four areas:

•

Comprehensive service fee revenues. Under our comprehensive service agreements, we recognize revenues derived from amounts we bill and collect on behalf of affiliated practices, which are reduced by the amounts retained by those practices under our contracts. Service fee revenue is recorded when services are rendered based on established or negotiated rates, reduced by a) contractual adjustments and allowances for doubtful accounts and b) the amounts retained by practices. Differences between estimated contractual adjustments and final settlements are reported in the period when final settlements are determined.

•

Oncology pharmaceutical services fees. Under our OPS agreements, we bill practices for services rendered. These revenues include payment for all of the pharmaceutical agents used by the practice for which we pay the pharmaceutical manufacturers and a service fee for the pharmacy-related services we provide.

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MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION

AND RESULTS OF OPERATIONS - continued

•

GPO, data and other pharmaceutical service fees. We receive fees from pharmaceutical companies for acting as a group purchasing organization (“GPO”) for our affiliated practices, for acting as a drug distributor and for providing informational and other services to pharmaceutical companies. GPO fees are typically based upon the volume of drugs purchased by the practices. Fees for other services include amounts paid for data we collect, compile and analyze, as well as fees for other services we provide to pharmaceutical companies, including reimbursement support.

•

Clinical research fees. We receive fees for clinical research services from pharmaceutical and biotechnology companies. These fees are separately negotiated for each study and typically include a management fee, per patient accrual fees and fees for achieving various study milestones.

A portion of our revenue under our comprehensive service agreements and our OPS agreements with affiliated practices is derived from sales of pharmaceutical products and is reported as product revenues. Our remaining revenues are reported as service revenues. Physician practices that enter into comprehensive service agreements with us receive a broad range of services and receive pharmaceutical products. These products and services represent multiple deliverables rendered under a single contract, with a single fee. We have analyzed the component of the contract attributable to the provision of products (pharmaceuticals) and the component of the contract attributable to the provision of services and attributed fair value to each component.

We retain all amounts we collect in respect of practice receivables. On a monthly basis, we calculate what portion of their revenues our affiliated practices are entitled to retain by subtracting accrued practice expenses and our accrued fees from accrued revenues. We pay practices this remainder in cash, which they use primarily for physician compensation. The amounts we remit to physician groups are excluded from our revenue because they are not part of our fees. By paying physicians on a cash basis for accrued amounts, we assist in financing their working capital.

Revenue

The following tables reflect our revenue by segment for the three months and six months ended June 30, 2007 and 2006 (in thousands):


	Three Months Ended June 30,								Six Months Ended June 30
	2007			2006			Change		2007			2006			Change
Medical oncology services	$	522,766		$	516,093		1.3	%	$	1,044,673		$	1,044,427		—	%
Cancer center services		89,393			80,601		10.9			173,689			159,607		8.8
Pharmaceutical services		573,485			484,911		18.3			1,114,866			966,744		15.3
Research and other services		14,046			12,203		15.1			27,046			24,797		9.1
Eliminations ⁽¹⁾		(446,337	)		(404,390	)	10.4			(874,881	)		(804,414	)	8.8

Total revenue	$	753,353		$	689,418		9.3	%	$	1,485,393		$	1,391,161		6.8	%


As a percentage of total revenue:
Medical oncology services		69.4	%		74.9	%				70.3	%		75.0	%
Cancer center services		11.9			11.7					11.7			11.5
Pharmaceutical services		76.1			70.3					75.1			69.5
Research and other services		1.9			1.8					1.8			1.8
Eliminations ⁽¹⁾		(59.3	)		(58.7	)				(58.9	)		(57.8	)

Total revenue		100.0	%		100.0	%				100.0	%		100.0	%

⁽¹⁾	Eliminations represent the sale of pharmaceuticals from our distribution center (pharmaceutical services segment) to our affiliated practices (medical oncology segment). The distribution center began operations, on a limited basis, in September of 2005.

Medical Oncology Services. Medical oncology services revenue for the three months ended June 30, 2007 increased 1.3% compared to the second quarter of 2006, reflecting a 4.6% increase in the average number of daily visits, partially offset by a reduction of the management fees paid by affiliated practices (as discussed below) and reduced drug margin associated with the reduced utilization of supportive care drugs.

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION

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Medical oncology services revenue for the six months ended June 30, 2007 was comparable to the same period in 2006, reflecting a 1.0% increase in the average number of daily visits, offset by a reduction of the management fees paid by affiliated practices (as discussed below), financial support provided to two affiliated practices experiencing operational challenges, reduced utilization of ESAs and the elimination of payments by Medicare to oncologists for providing certain patient care information (the “Medicare Demonstration Project”) effective January 1, 2007.

The Company’s management fees are comprised of reimbursement for expenses we incur in connection with managing a practice, plus a fee that is a percentage of the affiliated practice’s earnings before income taxes. Our agreements also provide for performance-based reductions in our percentage-based fee that are intended to encourage disciplined use of capital and efficient pharmaceutical ordering and management practices. Certain management agreements have been amended during the second quarter of 2007, to provide a platform for long-term financial improvement of the practices’ results, to encourage practice growth and efficiency, and to streamline certain more complex service agreements.

The involvement of affiliated practices in our medical oncology services segment is important to the success of our pharmaceutical services segment. Effective July 1, 2006, to promote continued support of initiatives in this area, we began a program to reduce management fees paid by affiliated practices based upon compliance with distribution efficiency guidelines established by the Company and the profitability of the pharmaceutical services segment. For the three months and six months ended June 30, 2007 the management fee reduction amounted to $6.3 million and $10.5 million, respectively. This program was not in effect during the first six months of 2006 and, as such, no management fee reductions were recognized in that period.

Cancer Center Services. Cancer center services revenue for the three months ended June 30, 2007 increased 10.9% over the second quarter of 2006. The increase reflects a 4.1% increase in radiation treatments and diagnostic radiology procedures per day over the same period in the prior year, which were partially offset by the reduced Medicare reimbursement for diagnostic radiology services effective January 1, 2007. Revenue increased at a rate in excess of treatment volumes as a result of expanding services in advanced targeted radiation therapies, such as image guided radiation therapy (“IGRT”) and brachytherapy by network practices, which are reimbursed at higher rates than conventional radiation therapy.

For the six months ended June 30, 2007, cancer center services revenue increased 8.8% over the same period of 2006. Similar to the quarterly comparison, the increase reflects a 2.8% increase in radiation treatments and diagnostic radiology procedures per day.

Pharmaceutical Services. Pharmaceutical services revenue for the three months ended June 30, 2007 was $573.5 million, an increase of $88.6 million over the second quarter of 2006. The revenue increase is primarily due to the fact that our distribution center operations did not achieve normal operating levels until the second quarter of 2006. Also contributing to revenue growth was the addition of 145 net physicians affiliated through comprehensive service and oncology pharmaceutical services (“OPS”) agreements since the second quarter of 2006.

During the six months ended June 30, 2007, pharmaceutical services revenue was $1,114.9 million, an increase of $148.1 million over the comparable 2006 period for the reasons discussed in the quarterly comparison.

Operating Costs

Operating costs include cost of products and services, as well as depreciation and amortization related to our operating assets, and are presented in the tables below (in thousands):

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	Three Months Ended June 30,								Six Months Ended June 30,
	2007			2006			Change		2007			2006			Change
Cost of products	$	484,965		$	422,047		14.9	%	$	949,630		$	860,360		10.4	%
Cost of services:
Operating compensation and benefits		118,438			113,355		4.5			235,786			230,037		2.5
Other operating costs		73,952			65,837		12.3			146,745			132,637		10.6
Depreciation and amortization		17,646			17,885		(1.3	)		35,375			33,919		4.3

Total cost of services		210,036			197,077		6.6			417,906			396,593		5.4

Total cost of products and services	$	695,001		$	619,124		12.3		$	1,367,536		$	1,256,953		8.8


As a percentage of revenue:
Cost of products		64.4	%		61.2	%				63.9	%		61.8	%
Cost of services:
Operating compensation and benefits		15.7			16.4					15.9			16.5
Other operating costs		9.8			9.5					9.9			9.5
Depreciation and amortization		2.4			2.6					2.3			2.4

Total cost of services		27.9			28.5					28.1			28.4

Total cost of products and services		92.3	%		89.7	%				92.0	%		90.2	%

Cost of Products. Cost of products consists primarily of oncology pharmaceuticals and supplies used in our medical oncology and pharmaceutical services segments. Product costs increased 14.9% and 10.4% over the three month and six month period ended June 30, 2006 reflecting revenue growth in the corresponding periods. As a percentage of revenue, cost of products was 64.4% and 61.2% in the three months ended June 30, 2007 and 2006, respectively, and 63.9% and 61.8% in the six months ended June 30, 2007 and 2006, respectively. The increase from the prior year relates to lower management fees in the medical oncology services segment and the expiration of the Medicare Demonstration Project decreasing revenues which are unrelated to the revenue generated by pharmaceutical sales.

Cost of Services. Cost of services includes compensation and benefits of our operating-level employees and employees of our affiliated practices other than physicians. Cost of services also includes other operating costs such as rent, utilities, repairs and maintenance, insurance and other direct operating costs. As a percentage of revenue, cost of services was 27.9% and 28.5% during the three months ended June 30, 2007 and 2006, respectively, and 28.1% and 28.4% during the six months ended June 30, 2007 and 2006, respectively.

Corporate Costs and Net Income (US Oncology, Inc.).

Corporate costs include general and administrative expenses, depreciation and amortization related to corporate assets and interest expense. Corporate costs also include certain items not attributable to routine operations. The corporate costs of US Oncology, Inc. are summarized in the table below. Incremental corporate costs of US Oncology Holdings, Inc. are addressed in a separate discussion below entitled “Corporate Costs and Net Income (US Oncology Holdings, Inc.”).

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION

AND RESULTS OF OPERATIONS - continued


	Three Months Ended June 30,								Six Months Ended June 30,
(in thousands)	2007			2006			Change		2007			2006			Change
General and administrative expenses	$	23,223		$	22,177		4.7	%	$	43,458		$	41,129		5.7	%
Impairment and restructuring charges		—			—		—			7,395			—		nm	⁽¹⁾
Depreciation and amortization		3,896			3,790		2.8			7,261			7,590		(4.3	)
Interest expense, net		24,039			23,657		1.6			47,845			45,151		6.0
Minority interests		615			610		0.8			1,337			1,135		17.8

As a percentage of revenue:

General and administrative expenses		3.1	%		3.2	%				2.9	%		3.0	%
Depreciation and amortization		0.5			0.5					0.5			0.5
Interest expense, net		3.2			3.4					3.2			3.2
Minority interests		0.1			0.1					0.1			0.1

⁽¹⁾	Not meaningful

General and Administrative. General and administrative expense was $23.2 million for the three months ended June 30, 2007 and $22.2 million for the same period in 2006. During the six months ended June 30, 2007 and 2006, general and administrative expense was $43.5 million and $41.1 million, respectively. General and administrative expense in the second quarter and year to date periods of 2007 were higher than the comparable periods in 2006 due primarily to increased personnel costs, business development, marketing and meeting expenses in 2007. General and administrative expense represented 3.1% and 3.2% of revenue, respectively, for the quarters ended June 30, 2007 and 2006, and 2.9% and 3.0% of revenue, respectively, for the six month periods ended June 30, 2007 and 2006.

Interest. Interest expense, net, increased to $24.0 million in the second quarter of 2007 from $23.7 million in the comparable period of prior year. Interest expense for the six months ended June 30, 2007 increased to $47.8 million from $45.2 million. The increases over prior year reflect additional borrowings and increasing interest rates related to our variable rate debt instruments that are based on margin paid over LIBOR.

Income Taxes. Our effective tax rate was 63.0% for the three months ended June 30, 2007 and 38.2% for the three months ended June 30, 2006. During the six months ended June 30, 2007, the effective tax rate was 57.5% compared with 39.0% for the same period in 2006. The difference between our effective and statutory tax rates is attributable primarily to the Texas margin tax (which became effective January 1, 2007) and non-deductible entertainment and public policy costs.

Net Income. Net income for the quarter ended June 30, 2007 was $2.4 million, a decrease of $10.0 million from the quarter ended June 30, 2006. The decrease was impacted by higher interest expense, unfavorable tax rates and the reduction of revenue from management fees as discussed previously.

Net income for the six months ended June 30, 2007 was $4.5 million, a decrease of $19.4 million from the six months ended June 30, 2006. In addition to the items discussed for the second quarter comparison, the six months ended June 30, 2007 included a $7.4 million decline in pretax income from operations attributable to the impairment and restructuring charges discussed under “Liquidity and Capital Resources – Earnings before Interest, Taxes, Depreciation and Amortization.”

Corporate Costs and Net Income (Loss) (US Oncology Holdings, Inc.)

The following table summarizes the incremental costs incurred by US Oncology Holdings, Inc. as compared to the costs incurred by US Oncology, Inc.


	Three Months Ended June 30,						Six Months Ended June 30,
(in thousands)	2007		2006		Change		2007		2006		Change
General and administrative expenses	$	45	$	33	36.4	%	$	86	$	159	(45.9	)%
Interest expense, net		11,105		6,057	83.3			18,324		12,021	52.4
Loss on early extinguishment of debt		—		—	—			12,917		—	—

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MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION

AND RESULTS OF OPERATIONS - continued

General and Administrative. In addition to the general and administrative expenses incurred by US Oncology, Holdings incurred general and administrative expenses of $45 thousand and $33 thousand during the quarter ended June 30, 2007 and 2006, respectively. These costs primarily represent professional fees required for Holdings to maintain its corporate existence and comply with the terms of the indenture governing its senior floating rate notes (the “Holdings Notes”).

Interest Expense, net. In addition to interest expense incurred by US Oncology, Holdings incurred interest related to the Holdings Notes. Incremental interest expense related to these notes was approximately $11.1 million during the quarter ended June 30, 2007 and $6.0 million for the quarter ended June 30, 2006. The increase in incremental interest expense when comparing the three months ended June 30, 2007 to the same period in 2006 reflects the refinancing of the Holdings Notes in March, 2007 which resulted in increased interest expense on the $175.0 million incremental increase in borrowings. Through March, 2007, interest on the Holdings Notes has been fixed at 9.4% under the terms of a two year interest rate swap agreement resulting in a consistent amount of incremental interest expense during the term of the swap agreement. The refinanced notes (“Notes”) are subject to a similar interest rate swap agreement to fix the LIBOR base rate relating to the full amount of Holding’s new floating rate debt at 4.97% for five years. Prior to scheduled spread increases effective March 15, 2009, the interest rate has effectively been fixed at 9.47% for two years. The terms of the refinanced notes include a PIK option in which we may choose to settle the semi-annual interest payments in cash, by increasing the principal balance on the notes (“PIK”), or by a combination of 50% cash and 50% principal increase. The interest payment due September 15, 2007 must be made in cash and we must make an election regarding whether subsequent interest payments will be made in cash or through PIK interest prior to the start of the applicable interest period. Should we choose the PIK option, interest expense on the PIK will be at a rate equal to the cash interest rate plus 75 basis points.

Loss on Debt Extinguishment. In connection with refinancing the existing Holdings notes during the three months ended March 31, 2007, we recognized a $12.9 million extinguishment loss related to payment of 2.0% call premium, interest during a 30 day call period, and the write off of unamortized issuance costs related to the retired debt.

Income Taxes. Holdings effective tax rate was a benefit of 92.0% for the three months ended June 30, 2007 and a provision of 38.3% for the three months ended June 30, 2006. Holdings effective tax rate was 23.2% and 40.0% for the six months ended June 30, 2007 and 2006, respectively. The benefit for the quarter ended June 30, 2007 relates primarily to a decrease in the estimate of Texas gross margin taxes for fiscal 2007. The difference between the effective tax rate for Holdings and US Oncology relates to the incremental interest expense and general and administrative expenses incurred by Holdings which increase its taxable loss and, consequently, increase the impact that non-deductible costs have on its effective tax rate. The six months ended June 30, 2007 also includes the loss on extinguishment of debt incurred by Holdings.

Net Income (Loss). Holdings’ incremental net loss for the quarters ended June 30, 2007 and 2006 was $2.8 million and $3.8 million, respectively. The current quarter includes higher interest expense due to the increased $175.0 million in borrowings offset by higher income tax benefit due to Texas gross margin taxes. For the six months ended June 30, 2007 and 2006, Holdings’ incremental net loss was $20.4 million and $7.7 million, respectively. The difference compared with the prior year is primarily due to the loss on debt extinguishment related to the refinancing of Holdings’ Notes referred to previously.

Liquidity and Capital Resources

The following table summarizes the working capital and long-term indebtedness of Holdings and US Oncology as of June 30, 2007 (in thousands).


	Holdings		US Oncology
Current assets	$	760,091	$	750,005
Current liabilities		510,021		509,577

Net working capital	$	250,070	$	240,428

Long-term indebtedness	$	1,489,119	$	1,064,119

The principal difference between the net working capital of Holdings and US Oncology relates to higher income taxes payable reported by US Oncology, Inc., which is a subsidiary of the US Oncology Holdings, Inc. consolidated group for federal income tax reporting purposes. For purposes of its separate financial statements, US Oncology’s provision for income taxes has been computed on the basis that it filed a separate federal income tax return together with its subsidiaries.

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The following table summarizes the statement of cash flows of Holdings and US Oncology for the six months ended June 30, 2007 (in thousands).


	Holdings			US Oncology
Net cash provided by operating activities	$	94,365		$	106,887
Net cash used in investing activities		(47,441	)		(47,441	)
Net cash used in financing activities		(198,570	)		(211,091	)

Net decrease in cash and equivalents		(151,646	)		(151,645	)
Cash and equivalents:
December 31,2006		281,768			281,766

June 30, 2007	$	130,122		$	130,121

Cash Flows from Operating Activities

During the three months ended June 30, 2007, we generated $94.4 million in cash flow from operations compared to cash used in operations of $80.7 million during the six months ended June 30, 2006 reflecting working capital investments for inventory and accounts payable made for the Company’s distribution initiative in the first six months of 2006 as well as increased receivable collections during the current year. During the prior year period, inventory increased by $34.2 million and accounts payable decreased by $76.6 million as the Company became the primary pharmaceutical distributor for the network.

The operating cash flow of US Oncology exceeds the operating cash flow of Holdings by $12.5 million. The difference relates to dividends paid during the six months ended June 30, 2007 by US Oncology to Holdings to enable Holdings to service interest obligations related to its senior floating rate notes. The dividends are considered to be financing transactions by US Oncology as they represent distributions paid to its parent company, which were ultimately used to settle operating costs of Holdings.

Cash Flows from Investing Activities

During the six months ended June 30, 2007, we used $47.4 million for investing activities. The investments consisted primarily of $48.1 million in capital expenditures, including $21.7 million relating to the development and construction of cancer centers. Capital expenditures for maintenance capital expenditures were $25.1 million.

During the six months ended June 30, 2006, we used $40.2 million for investing activities. Capital expenditures during the quarter were $37.5 million, including $13.7 million relating to the development and construction of cancer centers.

Cash Flows from Financing Activities

During the six months ended June 30, 2007, $198.6 million was used in financing activities which primarily relates to a $425.0 million floating rate PIK toggle note offering (“the Notes”) by Holdings completed in March, 2007 the proceeds of which were used to repay the $250.0 million floating rate notes (“Holdings Notes”) and, after payment of $11.7 million in transaction fees and expenses, a $158.6 million dividend to common and preferred shareholders. In addition, proceeds received in December 2006 from a private placement of preferred and common stock, along with cash on hand, were used to pay a $190.0 million dividend in January 2007, to shareholders of record immediately prior to the offering. Cash flow used by US Oncology for financing activities also includes distributions of $13.9 million to its parent company to finance the payment of interest obligations on the Holdings Notes.

During the six months ended June 30, 2006, we used $4.9 million in cash through financing activities, primarily related to scheduled repayment of indebtedness.

The payment of interest on the Holdings Notes and the new Notes is financed through receipt of periodic dividends from US Oncology to Holdings. During the six months ended June 30, 2007, US Oncology paid $13.9 million to its parent for the payment of interest on Holdings Notes and the new Notes. We estimate cash required to service the new Notes will be $20.1 million for the remainder of fiscal year 2007. The terms of our existing senior secured credit facility, as well as the indentures governing the senior notes and senior subordinated notes, and certain other agreements, restrict US Oncology and certain subsidiaries from making payments or transferring assets to Holdings, including dividends, loans or other distributions. Such restrictions include prohibition of dividends in an event of default and limitations on the total amount of dividends paid to

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MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION

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Holdings. The senior notes and senior subordinated notes also require that US Oncology be solvent both at the time, and immediately following, a dividend payment to Holdings. In the event these agreements, or other considerations, do not permit US Oncology to provide Holdings with sufficient distributions to fund interest payments, Holdings would be unable to pay interest on the notes in cash and would instead be required to pay PIK interest. If Holdings is unable to make principal payments on the Holdings Notes when due, Holdings may default on its notes, unless other sources of funding are available. Amounts available under this restricted payments provision amounted to $32.2 million as of June 30, 2007.

Earnings before Interest, Taxes, Depreciation and Amortization

“EBITDA” represents earnings before interest and other expense, net, taxes, depreciation, and amortization (including amortization of stock-based compensation), and minority interest. EBITDA is not calculated in accordance with generally accepted accounting principles in the United States (“GAAP”); rather it is derived from relevant items in our GAAP-based financial statements. A reconciliation of EBITDA to the Condensed Consolidated Statement of Operations and Comprehensive Income and the Condensed Consolidated Statement of Cash Flows is included in this document.

We believe EBITDA is useful to investors in evaluating the value of companies in general, and in evaluating the liquidity of companies with debt service obligations and their ability to service their indebtedness. Management uses EBITDA as a key indicator to evaluate liquidity and financial condition, both with respect to the business as a whole and with respect to individual sites in our network. Our senior secured credit facility also requires that we comply on a quarterly basis with certain financial covenants that include EBITDA as a financial measure. As of June 30, 2007, our senior secured credit facility required that we maintain an interest coverage ratio (interest expense divided by EBITDA, as defined by the indenture) of at least 2.20:1 and a leverage ratio (indebtedness divided by EBITDA, as defined by the indenture) of no more than 5.00:1. Both of these covenants become more restrictive over time and, at maturity in 2011, both will be 3.00:1. For more information regarding our use of EBITDA and its limitations, see “Discussion of Non-GAAP Information.”

The EBITDA of US Oncology Holdings, Inc., with the exception of nominal incremental expenses and a $12.9 million loss on extinguishment of debt in the six months ended June 30, 2007, is substantially identical to the EBITDA of US Oncology, Inc. The following table reconciles net income (loss) as shown in the Company’s Condensed Consolidated Statement of Operations and Comprehensive Income to EBITDA, and reconciles EBITDA to net cash provided by or used in operating activities as shown in the Company’s Condensed Consolidated Statement of Cash Flows (in thousands):


	US Oncology Holdings, Inc.						US Oncology, Inc.
	Three Months Ended June 30,						Three Months Ended June 30,
	2007			2006			2007			2006
Net income (loss)	$	(364	)	$	8,616		$	2,435		$	12,401
Interest expense, net		35,144			29,714			24,039			23,657
Income tax (benefit) provision		(4,207	)		5,354			4,144			7,659
Depreciation and amortization		21,542			21,675			21,542			21,675
Amortization of stock compensation		201			596			201			596
Minority interest expense		615			610			615			610

EBITDA		52,931			66,565			52,976			66,598
Changes in assets and liabilities		47,378			14,863			43,527			11,075
Deferred income taxes		1,263			1,127			2,242			1,130
Interest expense, net		(35,144	)		(29,714	)		(24,039	)		(23,657	)
Income tax benefit (provision)		4,207			(5,354	)		(4,144	)		(7,659	)

Net cash provided by operating activities	$	70,635		$	47,487		$	70,562		$	47,487

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	US Oncology Holdings, Inc.						US Oncology, Inc.
	Six Months Ended June 30,						Six Months Ended June 30,
	2007			2006			2007			2006
Net income (loss)	$	(15,950	)	$	16,187		$	4,485		$	23,887
Interest expense, net		66,169			57,172			47,845			45,151
Income tax (benefit) provision		(4,816	)		10,836			6,076			15,316
Depreciation and amortization		42,636			41,509			42,636			41,509
Amortization of stock compensation		461			1,141			461			1,141
Minority interest expense		1,337			1,135			1,337			1,135

EBITDA		89,837			127,980			102,840			128,139

Impairment and restructuring charges		7,395			—			7,395			—
Loss on early extinguishment of debt		12,917			—			—			—
Changes in assets and liabilities		46,542			(143,184	)		51,343			(138,990	)
Deferred income taxes		(973	)		2,506			(770	)		2,509
Interest expense, net		(66,169	)		(57,172	)		(47,845	)		(45,151	)
Income tax benefit (provision)		4,816			(10,836	)		(6,076	)		(15,316	)

Net cash provided by (used in) operating activities	$	94,365		$	(80,706	)	$	106,887		$	(68,809	)

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MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION

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Following is the EBITDA for our operating segments for the three months and six months ended June 30, 2007 and 2006 (in thousands):


	Three Months Ended June 30, 2007
	Medical Oncology Services			Cancer Center Services			Pharmaceutical Services			Research/ Other			Corporate Costs			Eliminations ⁽¹⁾			Total
US Oncology, Inc.
Product revenues	$	382,271		$	—		$	554,625		$	—		$	—		$	(446,337	)	$	490,559
Service revenues		140,495			89,393			18,860			14,046			—			—			262,794

Total revenues		522,766			89,393			573,485			14,046			—			(446,337	)		753,353

Operating expenses		(502,833	)		(64,716	)		(553,336	)		(13,991	)		(33,581	)		446,337			(722,120	)

Income (loss) from operations		19,933			24,677			20,149			55			(33,581	)		—			31,233

Add back:
Depreciation and amortization		—			9,795			1,287			102			10,358			—			21,542
Amortization of stock-based compensation		—			—			—			—			201			—			201

EBITDA	$	19,933		$	34,472		$	21,436		$	157		$	(23,022	)	$	—		$	52,976


US Oncology Holdings, Inc.

Operating expenses	$	—		$	—		$	—		$	—		$	(45	)	$	—		$	(45	)

EBITDA	$	19,933		$	34,472		$	21,436		$	157		$	(23,067	)	$	—		$	52,931


	Three Months Ended June 30, 2006
	Medical Oncology Services			Cancer Center Services			Pharmaceutical Services			Research/ Other			Corporate Costs			Eliminations ⁽¹⁾			Total
US Oncology, Inc.
Product revenues	$	374,973		$	—		$	474,620		$	—		$	—		$	(404,390	)	$	445,203
Service revenues		141,120			80,601			10,291			12,203			—			—			244,215

Total revenues		516,093			80,601			484,911			12,203			—			(404,390	)		689,418

Operating expenses		(480,126	)		(61,186	)		(465,194	)		(10,679	)		(32,296	)		404,390			(645,091	)

Income (loss) from operations		35,967			19,415			19,717			1,524			(32,296	)		—			44,327

Add back:
Depreciation and amortization		—			9,920			1,635			—			10,120			—			21,675
Amortization of stock-based compensation		—			—			—			—			596			—			596

EBITDA	$	35,967		$	29,335		$	21,352		$	1,524		$	(21,580	)	$	—		$	66,598


US Oncology Holdings, Inc.

Operating expenses	$	—		$	—		$	—		$	—		$	(33	)	$	—		$	(33	)

EBITDA	$	35,967		$	29,335		$	21,352		$	1,524		$	(21,613	)	$	—		$	66,565

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MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION

AND RESULTS OF OPERATIONS - continued


	Six Months Ended June 30, 2007
	Medical Oncology Services			Cancer Center Services			Pharmaceutical Services			Research/ Other			Corporate Costs			Eliminations ⁽¹⁾			Total
US Oncology, Inc.
Product revenues	$	767,626		$	—		$	1,079,429		$	—		$	—		$	(874,881	)	$	972,174
Service revenues		277,047			173,689			35,437			27,046			—			—			513,219

Total revenues		1,044,673			173,689			1,114,866			27,046			—			(874,881	)		1,485,393

Operating expenses		(999,904	)		(129,023	)		(1,073,662	)		(26,717	)		(63,830	)		874,881			(1,418,255	)
Impairment and restructuring charges		—			(3,070	)		—			—			(4,325	)		—			(7,395	)

Income (loss) from operations		44,769			41,596			41,204			329			(68,155	)		—			59,743

Add back:
Depreciation and amortization		—			19,324			2,639			301			20,372			—			42,636
Amortization of stock-based compensation		—			—			—			—			461			—			461

EBITDA	$	44,769		$	60,920		$	43,843		$	630		$	(47,322	)	$	—		$	102,840


US Oncology Holdings, Inc.

Operating expenses	$	—		$	—		$	—		$	—		$	(86	)	$	—		$	(86	)
Loss on extinguishment of debt		—			—			—			—			(12,917	)		—			(12,917	)

EBITDA	$	44,769		$	60,920		$	43,843		$	630		$	(60,325	)	$	—		$	89,837


	Six Months Ended June 30, 2006
	Medical Oncology Services			Cancer Center Services			Pharmaceutical Services			Research/ Other			Corporate Costs			Eliminations ⁽¹⁾			Total
US Oncology, Inc.
Product revenues	$	761,971		$	—		$	943,538		$	—		$	—		$	(804,414	)	$	901,095
Service revenues		282,456			159,607			23,206			24,797			—			—			490,066

Total revenues		1,044,427			159,607			966,744			24,797			—			(804,414	)		1,391,161

Operating expenses		(976,646	)		(121,065	)		(926,609	)		(24,136	)		(61,630	)		804,414			(1,305,672	)

Income (loss) from operations		67,781			38,542			40,135			661			(61,630	)		—			85,489

Add back:
Depreciation and amortization		—			19,311			1,697			—			20,501			—			41,509
Amortization of stock-based compensation		—			—			—			—			1,141			—			1,141

EBITDA	$	67,781		$	57,853		$	41,832		$	661		$	(39,988	)	$	—		$	128,139


US Oncology Holdings, Inc.

Operating expenses	$	—		$	—		$	—		$	—		$	(159	)	$	—		$	(159	)

EBITDA	$	67,781		$	57,853		$	41,832		$	661		$	(40,147	)	$	—		$	127,980

(1)	Eliminations represent the sale of pharmaceuticals from our distribution center (pharmaceutical services segment) to our practices affiliated under comprehensive service agreements (medical oncology segment).

Impairment and Restructuring Charges. In the large majority of our markets, we believe our strategies of practice consolidation, diversification and process improvement continue to be effective. However in a small number of markets, specific local factors have prevented effective implementation of our strategies and practice performance has suffered. Specifically, in two markets in which we have affiliated practices, these market-specific conditions caused us to recognize impairment and restructuring charges amounting to $7.4 million during the three months ended March 31, 2007. No impairment charges were recognized during the three months ended June 30, 2007 or during the three or six month periods ended June 30, 2006. The components of the charge are as follows (in thousands):

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MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION

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	Six Months Ended June 30, 2007
Services Agreement, net	$	4,325
Property and equipment, net		2,512
Future Lease Obligations		558

Total	$	7,395

During the third quarter of 2006, in one of the markets, state regulators reversed a prior determination and ruled that, under the state’s certificate of need law, our affiliated practice was required to cease providing radiation therapy services to patients at a newly constructed cancer center. We are appealing this determination and are exploring other options that would make the treatment facility available to radiation therapy patients. These efforts did not advance sufficiently during the first quarter of 2007, and, therefore, the resumption of radiation services or other recovery of our investment is not considered likely and an impairment charge was recorded during the first quarter.

In the second market, financial performance has deteriorated as a result of an excessive cost structure relative to practice revenue. We are working with the practice involved to restructure the market, establish a base for future growth and to otherwise improve financial performance. During the three months ended March 31, 2007, we recorded impairment and restructuring charges because, based on currently anticipated operating results, we did not expect that practice performance will be sufficient to recover the value of certain assets and the intangible asset associated with our management service agreement in the market.

We remain committed to the two markets in which we have recognized impairment charges. In each market, we are taking actions to improve performance, including consolidation of facilities, possible transfers of assets, and other actions, such as recruiting physicians, designed to better align each of the practices with our strategic direction. As we work to restructure operations in these markets, we expect that they will likely continue to underperform relative to the network and during this period we may recognize additional costs.

Anticipated Capital Requirements

We currently expect our principal uses of funds in the near future to be the following:

•

Payments made for acquisition of assets and additional consideration, if any, in connection with new practice affiliations and business combinations. In July, 2007, we contributed $9.7 million to investments in two joint ventures.

•

Purchases of real estate and medical equipment for the development of new cancer centers, as well as installation of upgraded and replacement medical equipment at existing centers.

•

Debt service requirements on our outstanding indebtedness.

•

Payments made for possible acquisitions to support strategic initiatives.

•

Funding of working capital, including purchases of pharmaceuticals when pricing opportunities are available or to obtain certain rebates and discounts under contracts with volume-based thresholds.

•

Investments in information systems, including systems related to our electronic medical record product, iKnowMed.

For all of 2007, we anticipate spending $110 to $120 million for the development of cancer centers, purchase of clinical equipment and investments in information systems.

As of August 10, 2007, we had cash and cash equivalents of $165.2 million. Also as of August 10, 2007, we had $136.6 million available under our $160.0 million revolving credit facility which had been reduced by outstanding letters of credit,

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MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION

AND RESULTS OF OPERATIONS - continued

totaling $23.4 million. In the event that cash on hand combined with amounts available under the credit facility are insufficient to fund the Company’s anticipated working capital requirements, we may be required to obtain additional financing. There can be no assurance that additional financing, if available, will be made available on terms that are acceptable to the Company.

We expect to fund our current capital needs with (i) cash on hand, and cash flow generated from operations, (ii) borrowings under the $160 million revolving credit facility, (iii) lease or purchase money financing for certain equipment purchases and (iv) indebtedness to physicians in connection with new affiliations. Our success in implementing our capital expenditure plans could be adversely impacted by poor operating performance, resulting in reduced cash flow from operations. In addition, to the extent that poor performance or other factors impact our compliance with financial and other covenants under our revolving credit facility, our ability to borrow under that facility or to find other financing sources could be limited. Furthermore, capital at financing terms satisfactory to management may be limited, due to market conditions or operating performance.

Indebtedness

We have a significant amount of indebtedness. As of December 31, 2006 we had aggregate indebtedness of approximately $1.3 billion. As of June 30, 2007, due to the refinancing of Holdings’ floating rate notes in March, 2007, as discussed previously, our aggregate indebtedness increased to $1.5 billion. Of this amount, $1,073.6 million (including current maturities of $9.4 million) represents obligations of US Oncology, Inc., and $425 million represents an obligation of Holdings. Current maturities associated with this indebtedness range from $6.3 million to $9.4 million during the period from 2007 through 2010.

ESA Reimbursement

We expect the national coverage decision related to ESAs that was announced by CMS on July 30, 2007 will result in a material reduction in coverage for these drugs, which will also significantly reduce our revenues, net income, cash flow and EBITDA. See “Risk Factors – Risks Related to our Industry” and “Reimbursement Matters – Pharmaceutical Reimbursement under Medicare” for more detail regarding the NCD.

The Company’s Senior Secured Credit Facility (the “Facility”) includes covenants that are assessed quarterly, based on the prior four quarters’ EBITDA (as defined by the Facility), and become more restrictive over time. Based upon its current estimates, the Company believes it can satisfy its debt service obligations and maintain compliance with these restrictive covenants through June 30, 2008, but intends to seek an amendment to the Facility before that date. There can be no assurance that such amendment can be obtained on terms acceptable to the Company. Absent such an amendment, maintaining compliance through the second quarter of 2008 could require substantial optional prepayments of indebtedness and reductions to discretionary spending and cannot be assured. In the event the Company makes optional prepayments of its indebtedness, its ability to invest in future growth could be limited. An uncured covenant violation under the Facility would constitute a default which could lead to acceleration of indebtedness under the Facility as well as the Company’s other indebtedness.

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MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION

AND RESULTS OF OPERATIONS - continued

Inflation

The healthcare industry is labor intensive. Wages and other expenses increase during periods of inflation and when labor shortages occur in the marketplace. In addition, suppliers pass along rising costs to us in the form of higher prices. We have implemented cost control measures to curtail increases in operating costs and expenses. We cannot predict our ability to cover or offset future cost increases.

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

ITEM 4.

CONTROLS AND PROCEDURES

We carried out an evaluation, under the supervision and with the participation of management, including our Chief Executive Officer and Chief Financial Officer, of the effectiveness of the design and operation of our disclosure controls and procedures pursuant to Exchange Act Rule 13a-15 as of the end of the period covered by this report. Based upon that evaluation, the Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures are effective and designed to provide reasonable assurance that the information required to be disclosed is recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commission rules and forms. For the purpose of this review, disclosure controls and procedures means controls and procedures designed to ensure that information required to be disclosed by the Company in the reports that we file or submit is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms. These disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by the Company in the reports that we file or submit is accumulated and communicated to management, including our principal executive officer, principal financial officer and principal accounting officer, as appropriate to allow timely decisions regarding required disclosure.

There was no change in internal control over financial reporting that occurred during our last fiscal quarter that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

Management previously acknowledged its responsibility for internal controls and seeks to continue to improve those controls. In addition, in order to achieve compliance with Section 404 of the Sarbanes-Oxley Act of 2002 within the prescribed period, we have, since 2003, been engaged in a process to document and evaluate our internal controls over financial reporting. In this regard, management has dedicated internal resources, engaged outside consultants and adopted a detailed project work plan to (i) assess the adequacy of our internal control over financial reporting, (ii) take steps to improve control processes where appropriate, (iii) validate, through testing, that controls are functioning as documented and (iv) implement a continuous reporting and improvement process for internal control over financial reporting. During the second quarter of 2004, we commenced testing of internal controls that we had previously documented as part of this process. The Company will first be subject to certain requirements of Section 404, including inclusion of management’s report on internal control over financial reporting when it files its annual report on Form 10-K with respect to its fiscal year ending December 31, 2007. The independent registered accounting firm’s assessment of internal controls and its report thereon is first required with respect to the fiscal year ending December 31, 2008.

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

PART II – Other Information

Item 1.

Legal Proceedings

Professional Liability and Reimbursement Related Claims

The provision of medical services by our affiliated practices entails an inherent risk of professional liability claims. We do not control the practice of medicine by the clinical staff or their compliance with regulatory and other requirements directly applicable to practices. In addition, because the practices purchase and prescribe pharmaceutical products, they face the risk of product liability claims. In addition, because of licensing requirements and affiliated practices’ participation in governmental healthcare programs, we and affiliated practices are, from time to time, subject to governmental audits and investigations, as well as internally initiated audits, some of which may result in refunds to governmental programs. Although we and our practices maintain insurance coverage, successful malpractice, regulatory or product liability claims asserted against us or one of the practices in excess of insurance coverage could have a material adverse effect on us.

U.S. Department of Justice Subpoena

During the fourth quarter of 2005, we received a subpoena from the United States Department of Justice’s Civil Litigation Division (“DOJ”) requesting a broad range of information about us and our business, generally in relation to our contracts and relationships with pharmaceutical manufacturers. We are in the process of responding to the subpoena and are cooperating fully with the DOJ. At the present time, the DOJ has not made any specific allegation of wrongdoing on the part of the Company. We cannot, however, provide assurance that such an allegation or litigation will not result from this investigation. While we believe that we are operating and have operated our business in compliance with the law, including with respect to the matters covered by the subpoena, we cannot provide assurance that the DOJ will not make a determination that wrongdoing has occurred. In addition, we have devoted significant resources to responding to the DOJ subpoena and anticipate that such resources will be required on an ongoing basis to fully respond to the subpoena.

We have also received requests for information relating to class action litigation against pharmaceutical manufacturers relating to alleged manipulation of Average Wholesale Price (“AWP”) and alleged inappropriate marketing practices with respect to AWP.

Qui Tam Suits

From time to time, we have become aware that we and certain of our subsidiaries and affiliated practices have been the subject of qui tam lawsuits (commonly referred to as “whistle-blower” suits). Because qui tam actions are filed under seal, it is possible that we are the subject of other qui tam actions of which we are unaware.

Specifically, during March 2007, we became aware that we and one of our affiliated practices are the subject of allegations that the practice may have engaged in activities that violate the Federal False Claims Act. These allegations are contained in a qui tam complaint. The details of this suit are not publicly available or disclosable at the current time since qui tam complaints are filed on a confidential basis with a United States federal court. The DOJ is in the early stages of its investigation, and as such, has not made a decision on the merits of the whistle-blower’s claim. We intend to continue to investigate and vigorously defend ourselves against any and all such claims, and we continue to believe that we conduct our operations in compliance with law. Based upon our present understanding of the nature and scope of the claim and investigation, we do not expect this claim to have a material adverse effect on our operations or financial condition. This claim and investigation are in their early stages, and our expectation could change as we receive more information.

In previous qui tam suits which we have been made aware of, the DOJ has declined to intervene in such suits and the suits have been dismissed. Qui tam suits are brought by private individuals, and there is no minimum evidentiary or legal threshold for bringing such a suit. The DOJ is legally required to investigate the allegations in these suits. The subject matter of many such claims may relate both to our alleged actions and alleged actions of an affiliated practice. Because the affiliated practices are separate legal entities not controlled by us, such claims necessarily involve a more complicated, higher cost defense, and may adversely impact the relationship between the practices and us. If the individuals who file complaints and/or the United States were to prevail in these claims against us, and the magnitude of the alleged wrongdoing were determined to be significant, the resulting judgment could have a material adverse financial and operational effect on us, including potential limitations in future participation in governmental reimbursement programs. In addition, addressing complaints and government investigations requires us to devote significant financial and other resources to the process, regardless of the ultimate outcome of the claims.

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

Breach of Contract Claims

We and our network physicians are defendants in a number of lawsuits involving employment and other disputes and breach of contract claims. In addition, we are involved from time to time in disputes with, and claims by, our affiliated practices against us.

Specifically, we are involved in litigation with a practice in Oklahoma that was affiliated with us under the net revenue model until April, 2006. While we were still affiliated with the practice, we initiated arbitration proceedings pursuant to a provision in the service agreement providing for contract reformation in certain events. The practice countered with a lawsuit that alleges, among other things, that we have breached the service agreement and that our service agreement is unenforceable as a matter of public policy due to alleged violations of healthcare laws. The practice sought unspecified damages and a termination of the contract. We believe that our service agreement is lawful and enforceable and that we are operating in accordance with applicable law. As a result of alleged breaches of the service agreement by the practice, we terminated the service agreement in April, 2006. In March, 2007, the Oklahoma Supreme Court overturned a lower court’s ruling that would have compelled arbitration in this matter and remanded the case back to the lower court to hold hearings to determine whether and to what extent the arbitration provisions of the service agreement will be applicable to the dispute. Because of the need for extra proceedings, we believe that the Oklahoma Supreme Court ruling will extend the amount of time it will take to resolve this dispute and increase the risk of the litigation to us. In any event, as with any complex litigation, we anticipate that this dispute may take several years to resolve.

During the first quarter of 2006, the practice represented 4.6% of our consolidated revenue. In October, 2006, we sold, for cash, the property, plant and equipment to the practice for an amount that approximated its net book value at the time of sale. In connection with the purchase price allocation for the merger in August, 2004, no value was assigned to goodwill or our management service agreement with this practice due to the ongoing dispute that existed at that time.

As a result of the ongoing litigation, we have been unable to collect on a timely basis a receivable owed to us relating to accounts receivable purchased by us under the service agreement and amounts for reimbursement of expenses paid by us on the practice’s behalf. At June 30, 2007, the total receivable owed to us of $22.5 million is reflected on our balance sheet as other assets. Currently, certain amounts are held in an escrowed bank account into which the practice has been making, and is required to continue to make, monthly deposits. These amounts will be released upon resolution of the litigation. In addition, certain amounts are being held in a bank account that has been frozen pending the outcome of related litigation regarding that account. In addition, we have filed a security lien on the receivables of the practice. We believe that the amounts held in the bank accounts combined with the receivables of the practice in which we have filed a security lien represent adequate collateral to recover the $22.5 million receivable recorded in other assets at June 30, 2007. Accordingly, we expect to realize the amount that we believe to be owed by the practice. However, realization is subject to a successful conclusion to the litigation with the practice, and we cannot assure you as to when the litigation will be finally concluded or as to what the ultimate outcome of the litigation will be. We expect to continue to incur expenses in connection with our litigation with the practice.

We intend to vigorously pursue our claims, including claims for any costs and expenses that we incur as a result of the termination of the service agreement and to defend against the practice’s allegations that we breached the agreement and that the agreement is unenforceable. However, we cannot provide assurance as to what the outcome of the litigation will be, or, even if we prevail in the litigation, whether we will be successful in recovering the full amount, or any, of our costs associated with the litigation and termination of the service agreement.

Certificate of Need Regulatory Action

During the third quarter of 2006, one of our affiliated practices in North Carolina lost (through state regulatory action) the ability, currently, to provide radiation services at its cancer center in Asheville. The practice continues to provide medical oncology services, but is not permitted to use the radiation services area of the center (approximately 18% of the square footage of the cancer center). The practice is appealing the regulatory action and is exploring other strategic alternatives with respect to radiation oncology and the cancer center space.

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

Beginning in March, 2007 we began experiencing delays with third parties, in pursuing the strategic alternatives to the regulatory appeal, referred to above. These delays led to uncertainty regarding the form and timing associated with alternatives to a successful appeal. Consequently, impairment testing was performed as of March 31, 2007 and we recorded an impairment charge of $1.6 million relating to a management services agreement asset and equipment in the quarter ended March 31, 2007. (These charges are a component of the impairment losses disclosed in “Results of Operations – Impairment and Restructuring Charges” in Management’s Discussion and Analysis of Financial Condition and Results of Operations.) No such impairment charges were recorded in the quarter ended June 30, 2007. Discussions with a third party regarding the terms of an agreement resumed in the second quarter, although definitive terms have not been reached. While the Company believes the parties have agreed to the general terms of a venture, there are factors that could impact the final terms, including the outcome of the appeal, the recruitment of additional oncologists and the content of definitive documents.

At June 30, 2007, our Consolidated Balance Sheet included net assets in the amount of $3.0 million related to this practice, which includes primarily working capital in the amount of $1.6 million. The construction of the cancer center in which the practice operates was financed as an operating lease and, as such, was not previously recorded on our balance sheet. At June 30, 2007, the lease had a remaining term of 19 years and the net present value of minimum future lease payments is approximately $7.1 million. A termination obligation for this lease has not been accrued as we have not exhausted our strategic alternatives or legal appeals that may provide an ability to resume radiation therapy services at this location. Management will continue to monitor this matter.

Item 1A.

Risk Factors

As of the date of this filing, there has been a material change from the risk factors previously disclosed as “Risk Factors” in Item 1A. of our Annual Report on Form 10-K for the year ended December 31, 2006, and the additional risk factor has been included below. An investment in our company involves various risks and, when contemplating such an investment, you should consider carefully all of these risk factors. These risks and uncertainties are not the only ones facing us and there may be additional matters that we are unaware of or that we currently consider immaterial. All of these could adversely affect our business, financial condition, results of operations and cash flows and, thus, the value of an investment in our company.

Risks Relating to Our Industry

Restrictions on reimbursement by government programs for erythropoiesis-stimulating agents could result in a material reduction in revenues and profits of our affiliated practices and us.


	Three Months Ended June 30,						Six Months Ended June 30,
	2007			2006			2007			2006
Revenue	$	41.5		$	40.1		$	84.0		$	78.2
Less: Operating Costs		(25.3	)		(27.9	)		(49.8	)		(54.4	)

Income from Operations	$	16.2		$	12.2		$	34.2		$	23.8

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

During the first quarter of 2007, the U.S. Food and Drug Administration (the ‘‘FDA’’) issued a public health advisory outlining new safety information, including revised product labeling, about ESAs. In particular, the FDA highlighted studies that concluded that an increased risk of death may occur in cancer patients who are not receiving chemotherapy and who are treated with ESAs. Partly in response to such warnings, certain Medicare intermediaries ceased reimbursement for ESAs administered to patients who are not current or recent chemotherapy recipients at the time of administration. In addition, intermediaries have revised usage guidelines for ESAs in other circumstances. The FDA advisory and subsequent intermediary actions led the Centers for Medicare & Medicaid Services (‘‘CMS’’) to open a national coverage analysis (‘‘NCA’’), on March 14, 2007, on the use of ESAs for conditions other than advanced kidney disease, which was the first step toward issuing a proposed national coverage decision. The final national coverage decision (‘‘NCD’’) was released on July 30, 2007, and is effective as of that date.

The NCD goes significantly beyond limiting coverage for ESAs in patients who are not currently receiving chemotherapy that was referenced in the initial FDA warning discussed above. The NCD includes determinations that eliminate coverage for anemia not related to cancer treatment. Coverage is also eliminated for patients with certain other risk factors. In circumstances where ESA treatment is reimbursed, the NCD (i) requires that in order to commence ESA treatment, patients be significantly more anemic than is common practice today; (ii) imposes limitations on the duration of ESA therapy and the circumstances in which it should be continued and (iii) limits dosing and dose increases in nonresponsive patients.

As we have previously disclosed in our filing on Form 8-K dated May 18, 2007, the impact of the NCD to US Oncology will be significantly in excess of the $8 million to $10 million reduction in pretax income for the year ended December 31, 2007 that we initially disclosed as the estimated impact of the ESA guidelines issued during the first quarter of 2007 relating solely to the FDA warning relating to anemia of cancer. Because the NCD relates to specific clinical determinations in connection with administration of ESAs and we do not make clinical decisions for affiliated physicians, analysis of the financial impact of the NCD is a complex process. As a result, the financial impact cannot be precisely estimated at this time. Factors that could significantly affect the financial impact on the Company include clinical interpretations of the NCD made by our affiliated physicians, and whether managed care and other non-governmental payers adopt reimbursement limitations similar to those in the NCD. The NCD is expected to result in a significant decline in the use of ESAs by oncologists, including those affiliated with the Company. A significant decline in ESA usage, will have a significant adverse affect on the Company’s results of operations, and, particularly, its Medical Oncology Services and Pharmaceutical Services segments. Decreased financial performance of affiliated practices as a result of declining ESA usage could also have an effect on their relationship with the Company. In addition, reduced utilization of ESAs may adversely impact the Company’s ability to continue to receive favorable pricing from ESA manufacturers because existing purchasing agreements include pricing adjustments based upon specified purchase volumes as well as market share. The Company intends to renegotiate these agreements to reflect reduced anticipated ESA utilization, but there can be no assurance that it will be successful in doing so. Although the financial impact of the coverage determination continues to be evaluated, current estimates indicate that, had the NCD been effective April 1, 2007, income from operations for the second quarter would have been reduced by approximately $7 to $11 million.

The Company’s Senior Secured Credit Facility (the “Facility”) includes covenants that are assessed quarterly, based on the prior four quarters’ EBITDA (as defined by the Facility), and become more restrictive over time. Based upon its current estimates, the Company believes it can satisfy its debt service obligations and maintain compliance with these restrictive covenants through June 30, 2008, but intends to seek an amendment to the Facility before that date. There can be no assurance that such amendment can be obtained on terms acceptable to the Company. Absent such an amendment, maintaining compliance through the second quarter of 2008 could require substantial optional prepayments of indebtedness and reductions to discretionary spending and cannot be assured. In the event the Company makes optional prepayments of its indebtedness, its ability to invest in future growth could be limited. An uncured covenant violation under the Facility would constitute a default which could lead to acceleration of indebtedness under the Facility as well as the Company’s other indebtedness.

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

Notes, in the event that such restrictions prevent US Oncology from paying such a dividend, Holdings would be unable to pay interest on the notes in cash and would instead be required to pay PIK interest (see Note 5 – Indebtedness). However, pursuant to the terms of those notes, the PIK interest election is only available to the Company for the semi-annual interest payments due after September 15, 2007. The interest installment due on September 15, 2007 must be paid in cash.

Item 4.

Submission of Matters to a Vote of Security Holders

None.

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

Item 6.

Exhibits

(a) US Oncology Holdings, Inc. Exhibits


Exhibit Number		Description
3.1		Second Amended and Restated Certificate of Incorporation (filed as Exhibit 3.1 to the Company’s Current Report on Form 8-K dated December 27, 2006 and incorporated herein by reference.)

3.2		Amended and Restated By-Laws (filed as Exhibit 3.2 to the Company’s Registration Statement on Form S-4 filed July 27, 2005 and incorporated herein by reference.)

4.1		Form of Senior Unsecured Floating Rate Toggle Notes Due 2012 (filed as Exhibit 4.1 to the Company’s Current Report on Form 8-K dated March 13, 2007 and incorporated herein by reference.)

4.2		Indenture relating to the Senior Unsecured Floating Rate Toggle Notes Due 2012, dated as of March 13, 2007, between US Oncology Holdings, Inc. and LaSalle Bank National Association, as Trustee. (filed as Exhibit 4.2 to the Company’s Current Report on Form 8-K dated March 13, 2007 and incorporated herein by reference.)

4.3		Registration Rights Agreement relating to $425,000,000 Senior Unsecured Floating Rate Toggle Notes Due 2012, dated as of March 1, 2007 by and among US Oncology Holdings, Inc., and Citigroup Global Markets Inc., Morgan Stanley & Co. Incorporated and Wachovia Capital Markets, LLC, as Representatives of the Initial Purchasers. (filed as Exhibit 4.3 to the Company’s Current Report on Form 8-K dated March 13, 2007 and incorporated herein by reference.)

4.4		First Supplemental Indenture, dated as of August 20, 2004, among US Oncology, Inc., the Guarantors named therein and JP Morgan Chase Bank as Trustee. (filed as Exhibit 4.3 to the US Oncology, Inc.’s Registration Statement on Form S-4 filed December 17, 2004, and incorporated herein by reference.)

4.5		Indenture, dated as of August 20, 2004, among Oiler Acquisition Corp. and LaSalle Bank National Association, as Trustee. (filed as Exhibit 4.4 to the US Oncology, Inc’s Registration Statement on Form S-4 filed December 17, 2004, and incorporated herein by reference.)

4.6		Form of 9% Senior Note due 2012 (included in Exhibit 4.4).

4.7		First Supplemental Indenture, dated as of August 20, 2004, among US Oncology, Inc., the Guarantors named therein and LaSalle Bank National Association, as Trustee. (filed as Exhibit 4.6 to the Company’s Registration Statement on Form S-4 filed December 17, 2004, and incorporated herein by reference.)

4.8		Indenture, dated as of August 20, 2004, among Oiler Acquisition Corp. and LaSalle Bank National Association, as Trustee. (filed as Exhibit 4.7 to the Company’s Registration Statement on Form S-4 filed December 17, 2004, and incorporated herein by reference.)

4.9		Form of 10³/4% Senior Note due 2014 (included in Exhibit 4.7).

4.10		First Supplemental Indenture, dated as of August 20, 2004, among US Oncology, Inc., the Guarantors named therein and LaSalle Bank National Association, as Trustee. (filed as Exhibit 4.9 to the Company’s Registration Statement on Form S-4 filed December 17, 2004, and incorporated herein by reference.)

4.11		Registration Rights Agreement, dated as of August 4, 2004, among Oiler Acquisition Corp. and Citigroup Global Markets Inc., as representative for the Initial Purchasers. (filed as Exhibit 4.10 to the Company’s Registration Statement on Form S-4 filed December 17, 2004, and incorporated herein by reference.)

4.12		Accession Agreement, dated as of August 20, 2004, among the Guarantors listed therein. (filed as Exhibit 4.11 to the Company’s Registration Statement on Form S-4 filed December 17, 2004, and incorporated herein by reference.)

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.



31.1		Certification of Chief Executive Officer

31.2		Certification of Chief Financial Officer

32.1		Certification of Chief Executive Officer

32.2		Certification of Chief Financial Officer

(b) US Oncology, Inc. Exhibits


Exhibit Number		Description
3.1		Amended and Restated Certificate of Incorporation (filed as Exhibit 3.1 to the Company’s Registration Statement on Form S-4 filed December 17, 2004 and incorporated herein by reference.)

3.2		Amended and Restated By-Laws (filed as Exhibit 3.2 to the Company’s Form 10-K filed March 21, 2003 and incorporated herein by reference.)

4.1		Indenture, dated as of February 1, 2002, among US Oncology, Inc., the Guarantors named therein and JP Morgan Chase Bank as Trustee (filed as Exhibit 3 to, and incorporated by reference from, the Company’s Form 8-K filed February 5, 2002.)

4.2		Form of 9⁵/8% Senior Subordinated Note due 2012 (included in Exhibit 4.1).

4.3		First Supplemental Indenture, dated as of August 20, 2004, among US Oncology, Inc., the Guarantors named therein and JP Morgan Chase Bank as Trustee. (filed as Exhibit 4.3 to the Company’s Registration Statement on Form S-4 filed December 17, 2004, and incorporated herein by reference.)

4.4		Indenture, dated as of August 20, 2004, among Oiler Acquisition Corp. and LaSalle Bank National Association, as Trustee. (filed as Exhibit 4.4 to the Company’s Registration Statement on Form S-4 filed December 17, 2004, and incorporated herein by reference.)

4.5		Form of 9% Senior Note due 2012 (included in Exhibit 4.4).

4.6		First Supplemental Indenture, dated as of August 20, 2004, among US Oncology, Inc., the Guarantors named therein and LaSalle Bank National Association, as Trustee. (filed as Exhibit 4.6 to the Company’s Registration Statement on Form S-4 filed December 17, 2004, and incorporated herein by reference.)

4.7		Indenture, dated as of August 20, 2004, among Oiler Acquisition Corp. and LaSalle Bank National Association, as Trustee. (filed as Exhibit 4.7 to the Company’s Registration Statement on Form S-4 filed December 17, 2004, and incorporated herein by reference.)

4.8		Form of 10³/4% Senior Note due 2014 (included in Exhibit 4.7).

4.9		First Supplemental Indenture, dated as of August 20, 2004, among US Oncology, Inc., the Guarantors named therein and LaSalle Bank National Association, as Trustee. (filed as Exhibit 4.9 to the Company’s Registration Statement on Form S-4 filed December 17, 2004, and incorporated herein by reference.)

4.10		Registration Rights Agreement, dated as of August 4, 2004, among Oiler Acquisition Corp. and Citigroup Global Markets Inc., as representative for the Initial Purchasers. (filed as Exhibit 4.10 to the Company’s Registration Statement on Form S-4 filed December 17, 2004, and incorporated herein by reference.)

4.11		Accession Agreement, dated as of August 20, 2004, among the Guarantors listed therein. (filed as Exhibit 4.11 to the Company’s Registration Statement on Form S-4 filed December 17, 2004, and incorporated herein by reference.)

31.1		Certification of Chief Executive Officer

31.2		Certification of Chief Financial Officer

32.1		Certification of Chief Executive Officer

32.2		Certification of Chief Financial Officer

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US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.


	US ONCOLOGY HOLDINGS, INC. AND
	US ONCOLOGY, INC.

Date: August 14, 2007:	By:	/s/ Richard P. McCook
		Richard P. McCook,
		Executive Vice President and
		Chief Financial Officer
		(duly authorized signatory and principal financial officer)

Date: August 14, 2007:	By:	/s/ Vicki H. Hitzhusen
		Vicki H. Hitzhusen,
		Chief Accounting Officer
		(principal accounting officer)

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EX-31.1 2 dex311.htm CERTIFICATION OF CHIEF EXECUTIVE OFFICER (302) Certification of Chief Executive Officer (302)

US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

EXHIBIT 31.1

CERTIFICATION

US Oncology Holdings, Inc. and

US Oncology, Inc.

I, R. Dale Ross, certify that:


(1)		I have reviewed this quarterly report on Form 10-Q of US Oncology Holdings, Inc. and US Oncology, Inc.;

(2)		Based on my knowledge, this quarterly report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this quarterly report;

(3)		Based on my knowledge, the financial statements, and other financial information included in this quarterly report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this quarterly report;

(4)		The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) for the registrant and have:

	(a)	designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

	(b)	[intentionally omitted];

	(c)	evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

	(d)	disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

(5)		The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation, to the registrant’s auditors and the audit committee of registrant’s board of directors (or persons performing the equivalent function):

	(a)	All significant deficiencies in the design or operation of internal controls which could adversely affect the registrant’s ability to record, process, summarize and report financial data and have identified for the registrant’s auditors any material weaknesses in internal controls; and

	(b)	any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal controls.


Date: August 14, 2007	By:	/s/ R.DALE ROSS
		R. Dale Ross,
		Chief Executive Officer of US Oncology Holdings, Inc. and US Oncology, Inc.

EX-31.2 3 dex312.htm CERTIFICATION OF CHIEF FINANCIAL OFFICER (302) Certification of Chief Financial Officer (302)

US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

EXHIBIT 31.2

CERTIFICATION

US Oncology Holdings, Inc. and

US Oncology, Inc.

I, Richard P. McCook, certify that:


(1)			I have reviewed this quarterly report on Form 10-Q of US Oncology Holdings, Inc. and US Oncology, Inc.;

(2)			Based on my knowledge, this quarterly report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this quarterly report;

(3)			Based on my knowledge, the financial statements, and other financial information included in this quarterly report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this quarterly report;

(4)			The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) for the registrant and have:

	(a	)	designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

	(b	)	[intentionally omitted];

	(c	)	evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

	(d	)	disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

(5)			The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation, to the registrant’s auditors and the audit committee of registrant’s board of directors (or persons performing the equivalent function):

	(a	)	All significant deficiencies in the design or operation of internal controls which could adversely affect the registrant’s ability to record, process, summarize and report financial data and have identified for the registrant’s auditors any material weaknesses in internal controls; and

	(b	)	any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal controls.


Date: August 14, 2007	By:	/s/ RICHARD P. McCOOK
		Richard P. McCook,
		Executive Vice President and Chief Financial Officer of US Oncology Holdings, Inc. and US Oncology, Inc.

EX-32.1 4 dex321.htm CERTIFICATION OF CHIEF EXECUTIVE OFFICER (906) Certification of Chief Executive Officer (906)

US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

Exhibit 32.1

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Quarterly Report of US Oncology Holdings, Inc. and US Oncology, Inc. (the “Company”) on Form 10-Q for the period ended June 30, 2007 as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, R. Dale Ross, Chief Executive Officer of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

(1) The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) The information contained in the Report fairly presents, in all material respects, the financial condition and result of operations of the Company.

/s/ R. Dale Ross

R. Dale Ross

Chief Executive Officer of

US Oncology Holdings, Inc. and US Oncology, Inc.

August 14, 2007

EX-32.2 5 dex322.htm CERTIFICATION OF CHIEF FINANCIAL OFFICER (906) Certification of Chief Financial Officer (906)

US ONCOLOGY HOLDINGS, INC. AND US ONCOLOGY, INC.

Exhibit 32.2

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Quarterly Report of US Oncology Holdings, Inc. and US Oncology, Inc. (the “Company”) on Form 10-Q for the period ended June 30, 2007 as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, Richard P. McCook, Chief Financial Officer of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

(1) The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) The information contained in the Report fairly presents, in all material respects, the financial condition and result of operations of the Company.

/s/ Richard P. McCook

Richard P. McCook

Executive Vice President and

Chief Financial Officer of

US Oncology Holdings, Inc. and US Oncology, Inc.

August 14, 2007

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