##### Table of Contents





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 March 31, 2009

OR



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

FOR THE TRANSITION PERIOD FROM  TO

Commission File Number 0-19946





LINCARE HOLDINGS INC.

(Exact name of registrant as specified in its charter)







|                                                               |  |                                     
|-------------------------------------------------------------- |  | ------------------------------------
|Delaware                                                       |  | 51-0331330                          
|(State or other jurisdiction of incorporation or organization) |  | (I.R.S. Employer Identification No.)



|                                         |  |           
|---------------------------------------- |  | ----------
|19387 US 19 NorthClearwater, FL          |  | 33764     
|(Address of principal executive offices) |  | (Zip Code)

Registrants telephone number, including area code:

(727) 530-7700





Indicate by check mark whether
the registrant (1) has 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 registrant was required to file such reports),
and (2) has been subject to such filing requirements for the past 90 days.    Yes  x    No   ̈

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File
required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or such shorter period that the registrant was required to submit and post such files). (Registrant is not
subject to the requirements of Rule 405 of Regulation S-T at this time)    Yes   ̈    No   ̈

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or non-accelerated filer, or a smaller reporting
company. See definitions of large accelerated filer, accelerated filer, and smaller reporting company in Rule 12b-2 of the Exchange Act. (Check one):



|                        |  |                                                  |  |                           |  |  
|----------------------- |  | ------------------------------------------------ |  | ------------------------- |  | -
|Large accelerated filer |  | x                                                |  | Accelerated filer         |  |  ̈
|                        |  |                                                  | 
|Non-accelerated filer   |  |  ̈  (Do not check if a smaller reporting company) |  | Smaller reporting company |  |  ̈

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the
Exchange Act).    Yes   ̈    No  x

Indicate the number of shares outstanding of each of the issuers classes of common stock, as of the latest practicable date.



|                              |  |                              
|----------------------------- |  | -----------------------------
|Class                         |  | Outstanding at April 30, 2009
|Common Stock, $0.01 par value |  | 68,785,530                   









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LINCARE HOLDINGS INC. AND SUBSIDIARIES

FORM 10-Q

For The Quarterly Period
Ended March 31, 2009

INDEX



|                              |  |                                                                                       |  |     
|----------------------------- |  | ------------------------------------------------------------------------------------- |  | ----
|                              |  |                                                                                       |  | Page
|PART I. FINANCIAL INFORMATION |  |                                                                                      
|Item 1.                       |  | Financial Statements (unaudited)                                                      |  | 3   
|                              |  | Condensed consolidated balance sheets                                                 |  | 3   
|                              |  | Condensed consolidated statements of operations                                       |  | 4   
|                              |  | Condensed consolidated statements of cash flows                                       |  | 5   
|                              |  | Notes to condensed consolidated financial statements (unaudited)                      |  | 6   
|Item 2.                       |  | Managements Discussion and Analysis of Results of Operations and Financial Condition |  | 18  
|Item 3.                       |  | Quantitative and Qualitative Disclosures About Market Risk                            |  | 32  
|Item 4.                       |  | Controls and Procedures                                                               |  | 32  
|                              | 
|PART II. OTHER INFORMATION    |  |                                                                                      
|Item 1.                       |  | Legal Proceedings                                                                     |  | 34  
|Item 2.                       |  | Unregistered Sales of Equity Securities and Use of Proceeds                           |  | 35  
|Item 3.                       |  | Defaults Upon Senior Securities                                                       |  | 35  
|Item 4.                       |  | Submission of Matters to a Vote of the Security Holders                               |  | 35  
|Item 5.                       |  | Other Information                                                                     |  | 35  
|Item 6.                       |  | Exhibits                                                                              |  | 35  
|SIGNATURE                     |  | 36                                                                                   
|INDEX OF EXHIBITS             |  | S-1                                                                                  



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PART I. FINANCIAL INFORMATION



|Item 1. | Financial Statements (Unaudited)
|------- | --------------------------------

LINCARE HOLDINGS INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(In thousands)

(Unaudited)



|                                                           |  |               |           |                     |   |          
|---------------------------------------------------------- |  | ------------- | --------- | ------------------- | - | ---------
|                                                           |  | March 31,2009 |           | December 31,2008   
|                                                           |  |               |           | (As adjustedNote 1)
|ASSETS                                                     |  |               |           |                     |   |          
|Current assets:                                            |  |               |           |                     |   |          
|Cash and cash equivalents                                  |  | $             | 14,144    |                     | $ | 72,651   
|Accounts receivable, net                                   |  |               | 181,914   |                     |   | 176,797  
|Income tax receivable                                      |  |               | 0         |                     |   | 2,894    
|Inventories                                                |  |               | 9,147     |                     |   | 9,468    
|Prepaid and other current assets                           |  |               | 2,767     |                     |   | 3,057    
|Deferred income taxes                                      |  |               | 22,224    |                     |   | 22,286   
|                                                           |  |               |           |                     |   |          
|Total current assets                                       |  |               | 230,196   |                     |   | 287,153  
|                                                           |  |               |           |                     |   |          
|Property and equipment, net                                |  |               | 354,994   |                     |   | 347,860  
|Long-term investments                                      |  |               | 59,900    |                     |   | 60,400   
|Goodwill                                                   |  |               | 1,232,178 |                     |   | 1,232,178
|Other                                                      |  |               | 10,792    |                     |   | 11,249   
|                                                           |  |               |           |                     |   |          
|Total assets                                               |  | $             | 1,888,060 |                     | $ | 1,938,840
|                                                           |  |               |           |                     |   |          
|LIABILITIES AND STOCKHOLDERS EQUITY                       |  |               |           |                     |   |          
|Current liabilities:                                       |  |               |           |                     |   |          
|Current installments of long-term obligations              |  | $             | 6,640     |                     | $ | 6,902    
|Accounts payable                                           |  |               | 55,620    |                     |   | 60,472   
|Accrued expenses:                                          |  |               |           |                     |   |          
|Compensation and benefits                                  |  |               | 31,586    |                     |   | 27,989   
|Liability insurance                                        |  |               | 18,284    |                     |   | 17,895   
|Other current liabilities                                  |  |               | 50,790    |                     |   | 54,484   
|Income taxes payable                                       |  |               | 4,606     |                     |   | 0        
|                                                           |  |               |           |                     |   |          
|Total current liabilities                                  |  |               | 167,526   |                     |   | 167,742  
|                                                           |  |               |           |                     |   |          
|Long-term obligations, net, excluding current installments |  |               | 458,232   |                     |   | 454,045  
|Deferred income taxes and other taxes                      |  |               | 302,781   |                     |   | 288,574  
|                                                           |  |               |           |                     |   |          
|Total liabilities                                          |  |               | 928,539   |                     |   | 910,361  
|                                                           |  |               |           |                     |   |          
|Commitments and contingencies:                             |  |               |           |                     |   |          
|Stockholders equity:                                      |  |               |           |                     |   |          
|Common stock                                               |  |               | 699       |                     |   | 744      
|Additional paid-in capital                                 |  |               | 565,626   |                     |   | 560,597  
|Retained earnings                                          |  |               | 393,196   |                     |   | 467,138  
|                                                           |  |               |           |                     |   |          
|Total stockholders equity                                 |  |               | 959,521   |                     |   | 1,028,479
|                                                           |  |               |           |                     |   |          
|Total liabilities and stockholders equity                 |  | $             | 1,888,060 |                     | $ | 1,938,840
|                                                           |  |               |           |                     |   |          

See accompanying notes to condensed consolidated financial statements (unaudited).



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LINCARE HOLDINGS INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(In thousands, except per share data)

(Unaudited)



|                                                                                  |  |                            |         |   |                     |   |         |  
|--------------------------------------------------------------------------------- |  | -------------------------- | ------- | - | ------------------- | - | ------- | -
|                                                                                  |  | For The Three Months Ended |        
|                                                                                  |  | March 31,2009              |         |   | March 31,2008       |  
|                                                                                  |  |                            |         |   | (As adjustedNote 1) |  
|Net revenues                                                                      |  | $                          | 371,674 |   |                     | $ | 415,420 |  
|                                                                                  |  |                            |         |   |                     |   |         |  
|Costs and expenses:                                                               |  |                            |         |   |                     |   |         |  
|Cost of goods and services                                                        |  |                            | 102,580 |   |                     |   | 97,587  |  
|Operating expenses                                                                |  |                            | 97,097  |   |                     |   | 96,278  |  
|Selling, general and administrative expenses                                      |  |                            | 85,554  |   |                     |   | 82,195  |  
|Bad debt expense                                                                  |  |                            | 5,575   |   |                     |   | 6,231   |  
|Depreciation and amortization expense                                             |  |                            | 29,054  |   |                     |   | 29,564  |  
|                                                                                  |  |                            |         |   |                     |   |         |  
|                                                                                  |  |                            | 319,860 |   |                     |   | 311,855 |  
|                                                                                  |  |                            |         |   |                     |   |         |  
|Operating income                                                                  |  |                            | 51,814  |   |                     |   | 103,565 |  
|                                                                                  |  |                            |         |   |                     |   |         |  
|Other income (expense):                                                           |  |                            |         |   |                     |   |         |  
|Interest income                                                                   |  |                            | 396     |   |                     |   | 2,058   |  
|Interest expense                                                                  |  |                            | (8,619  | ) |                     |   | (10,708 | )
|                                                                                  |  |                            |         |   |                     |   |         |  
|                                                                                  |  |                            | (8,223  | ) |                     |   | (8,650  | )
|                                                                                  |  |                            |         |   |                     |   |         |  
|Income before income taxes                                                        |  |                            | 43,591  |   |                     |   | 94,915  |  
|Income tax expense                                                                |  |                            | 17,607  |   |                     |   | 36,673  |  
|                                                                                  |  |                            |         |   |                     |   |         |  
|Net income                                                                        |  | $                          | 25,984  |   |                     | $ | 58,242  |  
|                                                                                  |  |                            |         |   |                     |   |         |  
|Basic earnings per common share                                                   |  | $                          | 0.36    |   |                     | $ | 0.80    |  
|                                                                                  |  |                            |         |   |                     |   |         |  
|Diluted earnings per common share                                                 |  | $                          | 0.36    |   |                     | $ | 0.76    |  
|                                                                                  |  |                            |         |   |                     |   |         |  
|Weighted average number of common shares outstanding                              |  |                            | 72,074  |   |                     |   | 72,860  |  
|                                                                                  |  |                            |         |   |                     |   |         |  
|Weighted average number of common shares and common share equivalents outstanding |  |                            | 72,316  |   |                     |   | 78,304  |  
|                                                                                  |  |                            |         |   |                     |   |         |  

See accompanying notes to condensed consolidated financial statements (unaudited).



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LINCARE HOLDINGS INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands)

(Unaudited)



|                                                                                  |  |                            |          |   |                     |   |         |  
|--------------------------------------------------------------------------------- |  | -------------------------- | -------- | - | ------------------- | - | ------- | -
|                                                                                  |  | For The Three Months Ended |         
|                                                                                  |  | March 31,2009              |          |   | March 31,2008       |  
|                                                                                  |  |                            |          |   | (As adjustedNote 1) |  
|Cash flows from operating activities:                                             |  |                            |          |   |                     |   |         |  
|Net income                                                                        |  | $                          | 25,984   |   |                     | $ | 58,242  |  
|Adjustments to reconcile net income to net cash provided by operating activities: |  |                            |          |   |                     |   |         |  
|Bad debt expense                                                                  |  |                            | 5,575    |   |                     |   | 6,231   |  
|Depreciation and amortization expense                                             |  |                            | 29,054   |   |                     |   | 29,564  |  
|Net loss (gain) on disposal of property and equipment                             |  |                            | 14       |   |                     |   | (6      | )
|Amortization of debt issuance costs                                               |  |                            | 443      |   |                     |   | 753     |  
|Amortization of discount on bonds payable                                         |  |                            | 4,199    |   |                     |   | 3,916   |  
|Stock-based compensation expense                                                  |  |                            | 10,434   |   |                     |   | 4,015   |  
|Deferred income taxes                                                             |  |                            | 8,544    |   |                     |   | 10,801  |  
|Excess tax benefit from stock-based compensation                                  |  |                            | 0        |   |                     |   | (19     | )
|Change in assets and liabilities net of effects of acquired businesses:           |  |                            |          |   |                     |   |         |  
|Increase in accounts receivable                                                   |  |                            | (10,692  | ) |                     |   | (20,200 | )
|Decrease in inventories                                                           |  |                            | 321      |   |                     |   | 31      |  
|Decrease in prepaid and other assets                                              |  |                            | 221      |   |                     |   | 1,646   |  
|Decrease in accounts payable                                                      |  |                            | (4,176   | ) |                     |   | (7,262  | )
|Increase in accrued expenses                                                      |  |                            | 840      |   |                     |   | 15,243  |  
|Increase in income taxes payable                                                  |  |                            | 7,507    |   |                     |   | 23,452  |  
|                                                                                  |  |                            |          |   |                     |   |         |  
|Net cash provided by operating activities                                         |  |                            | 78,268   |   |                     |   | 126,407 |  
|                                                                                  |  |                            |          |   |                     |   |         |  
|Cash flows from investing activities:                                             |  |                            |          |   |                     |   |         |  
|Proceeds from sale of property and equipment                                      |  |                            | 2        |   |                     |   | 14      |  
|Capital expenditures                                                              |  |                            | (36,795  | ) |                     |   | (29,481 | )
|Purchases of investments                                                          |  |                            | 0        |   |                     |   | (31,450 | )
|Sales and maturities of investments                                               |  |                            | 500      |   |                     |   | 31,625  |  
|                                                                                  |  |                            |          |   |                     |   |         |  
|Net cash used in investing activities                                             |  |                            | (36,293  | ) |                     |   | (29,292 | )
|                                                                                  |  |                            |          |   |                     |   |         |  
|Cash flows from financing activities:                                             |  |                            |          |   |                     |   |         |  
|Payments of principal on debt                                                     |  |                            | (275     | ) |                     |   | (10,036 | )
|Payments of debt issuance costs                                                   |  |                            | 0        |   |                     |   | (4      | )
|Proceeds from exercise of stock options and issuance of common shares             |  |                            | 0        |   |                     |   | 606     |  
|Excess tax benefit from stock-based compensation                                  |  |                            | 0        |   |                     |   | 19      |  
|Payments to acquire treasury stock                                                |  |                            | (100,207 | ) |                     |   | (35,211 | )
|                                                                                  |  |                            |          |   |                     |   |         |  
|Net cash used in financing activities                                             |  |                            | (100,482 | ) |                     |   | (44,626 | )
|                                                                                  |  |                            |          |   |                     |   |         |  
|Net (decrease) increase in cash and cash equivalents                              |  |                            | (58,507  | ) |                     |   | 52,489  |  
|Cash and cash equivalents, beginning of period                                    |  |                            | 72,651   |   |                     |   | 51,707  |  
|                                                                                  |  |                            |          |   |                     |   |         |  
|Cash and cash equivalents, end of period                                          |  | $                          | 14,144   |   |                     | $ | 104,196 |  
|                                                                                  |  |                            |          |   |                     |   |         |  
|Supplemental disclosure of cash flow information:                                 |  |                            |          |   |                     |   |         |  
|Cash paid for interest                                                            |  | $                          | 1        |   |                     | $ | 149     |  
|                                                                                  |  |                            |          |   |                     |   |         |  
|Cash paid for income taxes                                                        |  | $                          | 1,007    |   |                     | $ | 2,207   |  
|                                                                                  |  |                            |          |   |                     |   |         |  

See accompanying notes to condensed consolidated financial statements (unaudited).



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LINCARE HOLDINGS INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

Note 1. Basis of Presentation, Summary of Significant Accounting Policies and Change in
Accounting Principle

The accompanying condensed consolidated financial statements are unaudited and have been prepared in accordance
with generally accepted accounting principles accepted in the United States for interim financial information and with the instructions to Form 10-Q. They should be read in conjunction with the consolidated financial statements and related
notes to the financial statements of Lincare Holdings Inc. and Subsidiaries (Lincare or the Company) on Form 10-K for the fiscal year ended December 31, 2008. In the opinion of management, all adjustments, consisting of
normal recurring accruals, necessary for a fair presentation of the results of operations for the interim periods presented have been reflected herein. Certain amounts in the prior years financial statements have been reclassified to conform
to the current year presentation. The results of operations for interim periods are not necessarily indicative of the results to be expected for the entire year.

The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the reported amounts of assets
and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual amounts could differ from those estimates. It is at
least reasonably possible that a change in those estimates will occur in the near term.

Investments:At
March 31, 2009, the Company held $57.0 million of auction rate securities. These securities are variable-rate debt instruments with contractual maturities between the years 2020 and 2041 with interest rates that reset every seven or 35 days
pursuant to a bidding process as determined by the underlying security indentures. Under the provisions of Statement of Financial Accounting Standard (SFAS) No. 115, Accounting for Certain Investments in Debt and Equity
Securities, the investments are classified as trading securities and are carried at fair value, with any realized and unrealized gains and losses included in other income and expense.

At March 31, 2009, the Company held a $2.9 million put option from UBS Financial Services, Inc. Under the provisions of SFAS No. 159, The
Fair Value Option for Financial Assets and Financial Liabilities  Including an Amendment of FASB Statement No. 115, the put option is carried at fair value, with any realized and unrealized gains and losses included in other income
and expense.

Concentration of Credit Risk: The Companys revenues are generated through locations in 48 states. The Company
generally does not require collateral or other security in extending credit to customers; however, the Company routinely obtains assignment of (or is otherwise entitled to receive) benefits receivable under the health insurance programs, plans or
policies of its customers. Included in the Companys net revenues is reimbursement from government sources under Medicare, Medicaid and other federally funded programs, which aggregated approximately 61% of net revenues for the three months
ended March 31, 2009 and 2008. The exclusion of the Company from participating in federally funded programs would have a material adverse effect on the Companys business, financial condition, operating results and cash flows.

Revenue Recognition: The Companys revenues are recognized on an accrual basis in the period in which services and related products are
provided to customers and are recorded at net realizable amounts estimated to be paid by customers and third-party payors. The Companys billing system contains payor-specific price tables that reflect the fee schedule amounts in effect or
contractually agreed upon by various government and commercial payors for each item of equipment or supply provided to a customer. The Company has established an allowance to account for sales adjustments that result from differences between the
payment amount received and the expected realizable amount. Actual adjustments that result from differences between the payment amount received and the expected realizable amount are recorded against the allowance for sales adjustments and are
typically identified and ultimately recorded at the point of cash application or when otherwise determined pursuant to the Companys collection procedures. The Company reports revenues in its financial statements net of such adjustments.

Certain items provided by the Company are reimbursed under rental arrangements that generally provide for fixed monthly payments
established by fee schedules for as long as the patient is using the equipment and medical necessity continues (subject to capped rental arrangements that limit the rental payment periods in some instances and that may



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LINCARE HOLDINGS INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS(Continued)

(Unaudited)



result in a transfer of title to the equipment at the end of the rental payment period). Once initial delivery of rental equipment is made to the patient, a
monthly billing cycle is established based on the initial date of delivery. The Company recognizes rental arrangement revenues ratably over the monthly service period and defers revenue for the portion of the monthly bill that is unearned. No
separate payment is earned from the initial equipment delivery and setup process. During the rental period, the Company is responsible for servicing the equipment and providing routine maintenance, if necessary.

The Companys revenue recognition policy is consistent with the criteria set forth in Staff Accounting Bulletin 104, Revenue Recognition
(SAB 104), for determining when revenue is realized or realizable and earned. The Company recognizes revenue in accordance with the requirements of SAB 104 that:



| |  |  | persuasive evidence of an arrangement exists;
| | - |  | ---------------------------------------------



| |  |  | delivery has occurred;
| | - |  | ----------------------



| |  |  | the sellers price to the buyer is fixed or determinable; and
| | - |  | -------------------------------------------------------------



| |  |  | collectibility is reasonably assured.
| | - |  | -------------------------------------

Due to the nature of the industry and the reimbursement environment in which the Company operates, certain estimates are required to record net revenues and accounts receivable at their net realizable values at the time products or services
are provided. Inherent in these estimates is the risk that they will have to be revised or updated as additional information becomes available. Specifically, the complexity of many third-party billing arrangements and the uncertainty of
reimbursement amounts for certain services from certain payors may result in adjustments to amounts originally recorded. Such adjustments are typically identified and recorded by the Company at the point of cash application, claim denial or account
review. Included in accounts receivable are earned but unbilled accounts receivable from earned revenues. Unbilled accounts receivable represent charges for equipment and supplies delivered to customers for which invoices have not yet been generated
by the billing system. Prior to the delivery of equipment and supplies to customers, the Company performs certain certification and approval procedures to ensure collection is reasonably assured. Once the items are delivered, unbilled accounts
receivable are recorded at net amounts expected to be paid by customers and third-party payors. Billing delays, generally ranging from several days to several weeks, can occur due to delays in obtaining certain required payor-specific documentation
from internal and external sources as well as interim transactions occurring between cycle billing dates established for each customer within the billing system, and business acquisitions awaiting assignment of new provider enrollment identification
numbers. In the event that a third-party payor does not accept the claim, the customer is ultimately responsible for payment of the products or services. Accounts receivable are reported net of allowances for sales adjustments and uncollectible
accounts. Sales adjustments are recorded against revenues and result from differences between the payment amount received and the expected realizable amount. Bad debt is recorded as an operating expense and consists of billed charges that are
ultimately deemed uncollectible due to the customers or third-party payors inability or refusal to pay.

The Company performs
analyses to evaluate the net realizable value of accounts receivable. Specifically, the Company considers historical realization data, accounts receivable aging trends, other operating trends and relevant business conditions. Because of continuing
changes in the health care industry and third-party reimbursement, it is possible that the Companys estimates could change, which could have a material impact on the Companys results of operations and cash flows.

Sales and Certain Other Taxes:In its consolidated financial statements, Lincare accounts for taxes imposed on revenue-producing transactions by
government authorities on a net basis, and accordingly, excludes such taxes from net revenues. Such taxes include, but are not limited to sales, use, privilege and excise taxes.

Cost of Goods and Services: Cost of goods and services includes the cost of equipment (excluding depreciation of $20.7 million in the first three
months of 2009 and 2008), drugs and supplies sold to patients and certain operating costs related to the Companys respiratory drug product line. These costs include an allocation of customer service, distribution and administrative costs
relating to the respiratory drug product line of approximately $12.5 million and $12.8 million for the three-month periods ended March 31, 2009 and 2008, respectively. Included in cost of goods and services in the three-month periods are salary
and related expenses of pharmacists and pharmacy technicians of approximately $2.7 million.



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LINCARE HOLDINGS INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS(Continued)

(Unaudited)



Operating Expenses:The Company manages 1,056 operating centers from which customers are
provided equipment, supplies and services. An operating center averages approximately seven to eight employees and is typically comprised of a center manager, two customer service representatives (referred to as CSRs 
telephone intake, scheduling, documentation), two or three service representatives (referred to as Service Reps  delivery, maintenance and retrieval of equipment and delivery of disposables), a respiratory therapist
(non-reimbursable and discretionary clinical follow-up with the customer and communication to the prescribing physician) and a sales representative (marketing calls to local physicians and other referral sources).

The Company includes in operating expenses the costs incurred at the Companys operating centers for certain service personnel (center manager,
CSRs and Service Reps), facilities (rent, utilities, communications, property taxes, etc.), vehicles (vehicle leases, gasoline, repair and maintenance), and general business supplies and miscellaneous expenses. Operating expenses for the
interim periods of 2009 and 2008 within these major categories were as follows:



|                                  |  |                             |        |      |   |       
|--------------------------------- |  | --------------------------- | ------ | ---- | - | ------
|Operating Expenses (in thousands) |  | Three Months EndedMarch 31,
|                                  |  | 2009                        |        | 2008
|Salary and related                |  | $                           | 64,102 |      | $ | 61,750
|Facilities                        |  |                             | 15,060 |      |   | 14,553
|Vehicles                          |  |                             | 9,817  |      |   | 11,942
|General supplies/miscellaneous    |  |                             | 8,118  |      |   | 8,033 
|                                  |  |                             |        |      |   |       
|Total                             |  | $                           | 97,097 |      | $ | 96,278
|                                  |  |                             |        |      |   |       

Included in operating expenses during the three months ended March 31, 2009 are salary and
related expenses for Service Reps in the amount of $26.1 million. Such salary and related expenses for the three months ended March 31, 2008 were $25.2 million.

Selling, General and Administrative Expenses:Selling, general and administrative expenses (SG&A) include costs related to sales and marketing activities, corporate overhead and other business
support functions. Included in SG&A during the three months ended March 31, 2009 and 2008 are salary and related expenses of $67.7 million and $59.1 million, respectively. These salary and related expenses include the cost of the
Companys respiratory therapists for the three months ended March 31, 2009 and 2008 of $16.0 million and $15.3 million, respectively. The Companys respiratory therapists generally provide non-reimbursable and discretionary clinical
follow-up with the customer and communication, as appropriate, to the prescribing physician with respect to the customers plan of care. The Company includes the salaries and related expenses of its respiratory therapist personnel (licensed
respiratory therapists or, in some cases, registered nurses) in SG&A because it believes that these personnel enhance the Companys business relative to its competitors who do not employ respiratory therapists.

Change in Accounting Principle: In May 2008, the Financial Accounting Standards Board (FASB) issued FSP APB 14-1, Accounting for
Convertible Debt Instruments That May Be Settled in Cash upon Conversion (Including Partial Cash Settlement). FSP APB 14-1 specifies that issuers of such instruments should separately account for the liability and equity components in a manner
that reflects the entitys nonconvertible debt borrowing rate when interest cost is recognized in subsequent periods. Upon adoption, the debt component of such instrument would be recognized by measuring the fair value of a similar liability
that does not have an associated equity component. The equity component of such instrument would be recognized as the difference between the proceeds from the issuance of the note and the fair value of the liability component. The FSP requires
accretion of the resultant debt discount (equal to the proceeds allocated to the equity component) over the expected life of the debt. FSP APB 14-1 was effective for financial statements issued for fiscal years beginning after December 15,
2008, and interim periods within those fiscal years. The Company adopted FSP APB 14-1 effective January 1, 2009 and the FSP was applied on a retrospective basis to October 31, 2007, the issuance date of the convertible debt in accordance
with the requirements of the FSP. Refer to Note 7 to the consolidated financial statements for the fiscal year ended December 31, 2008, for further discussion of the implementation of FSP APB 14-1 and the convertible debentures to which the FSP
applies.



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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS(Continued)

(Unaudited)



The retrospective adjustment to the Companys financial statements was completed in accordance
with SFAS No. 154, Accounting Changes and Error Corrections. Accordingly, the change in accounting principle has been applied retrospectively by adjusting the financial statement amounts for the prior periods presented to reflect
liability and equity components in a manner that reflects Lincares nonconvertible debt borrowing rate when interest cost is recognized in periods subsequent to the issuance date of the convertible instruments. The cumulative effect of
this change in accounting principle was a $1.6 million reduction to retained earnings at January 1, 2008.

The following table details
the retrospective application impact on previously reported amounts:



|                                                      |  |                   |         |             |   |        
|----------------------------------------------------- |  | ----------------- | ------- | ----------- | - | -------
|                                                      |  | (In thousands)   
|CONSOLIDATED BALANCE SHEETS:                          |  | December 31, 2008
|                                                      |  | As reported       |         | As adjusted
|Income tax receivable                                 |  | $                 | 2,863   |             | $ | 2,894  
|Other assets, noncurrent                              |  |                   | 12,980  |             |   | 11,249 
|Long-term obligations, excluding current installments |  |                   | 550,013 |             |   | 454,045
|Deferred income taxes and other taxes                 |  |                   | 253,267 |             |   | 288,574
|Additional paid-in capital                            |  |                   | 490,109 |             |   | 560,597
|Retained earnings                                     |  |                   | 478,665 |             |   | 467,138



|                                      |  |                                       |        |   |                          |   |         |  
|------------------------------------- |  | ------------------------------------- | ------ | - | ------------------------ | - | ------- | -
|                                      |  | (In thousands, except per share data) |       
|CONSOLIDATED STATEMENT OF OPERATIONS: |  | For the three months ended            |       
|                                      |  | March 31,2008As reported              |        |   | March 31,2008As adjusted |  
|Interest expense                      |  | $                                     | (6,882 | ) |                          | $ | (10,708 | )
|Income before income taxes            |  |                                       | 98,741 |   |                          |   | 94,915  |  
|Income tax expense                    |  |                                       | 38,081 |   |                          |   | 36,673  |  
|Net income                            |  |                                       | 60,660 |   |                          |   | 58,242  |  
|Basic  earnings per common share     |  |                                       | 0.83   |   |                          |   | 0.80    |  
|Diluted  earnings per common share   |  |                                       | 0.79   |   |                          |   | 0.76    |  

Cash flows from operating activities were not impacted by the retrospective application of FSP APB
14-1.

(2) Fair Value Measurements

Under SFAS No. 157, Fair Value Measurements, fair value is defined as the price that would be received to sell an asset or paid to transfer a liability (i.e. the exit price) in an orderly transaction between
market participants at the measurement date. In determining fair value, the Company uses various valuation approaches, including quoted market prices and discounted cash flows. SFAS No. 157 also establishes a hierarchy for inputs used in
measuring fair value that maximizes the use of observable inputs and minimizes the use of unobservable inputs by requiring that the most observable inputs be used when available. Observable inputs are inputs that market participants would use in
pricing the asset or liability developed based on market data obtained from independent sources. Unobservable inputs are inputs that reflect a companys judgment concerning the assumptions that market participants would use in pricing the asset
or liability developed based on the best information available under the circumstances. The fair value hierarchy is broken down into three levels based on the reliability of inputs as follows:



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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS(Continued)

(Unaudited)



| |  |  | Level 1  Valuations based on quoted prices in active markets for identical instruments that the Company is able to access. Since valuations are based on
quoted prices that are readily and regularly available in an active market, valuation of these products does not entail a significant degree of judgment.
| | - |  | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| |  |  | Level 2  Valuations based on quoted prices in active markets for instruments that are similar, or quoted prices in markets that are not active for identical
or similar instruments, and model-derived valuations in which all significant inputs and significant value drivers are observable in active markets.
| | - |  | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| |  |  | Level 3  Valuations based on inputs that are unobservable and significant to the overall fair value measurement.
| | - |  | -----------------------------------------------------------------------------------------------------------------

The Company utilizes Level 3 fair value measurements to value its long-term investments in auction rate securities (ARS) consisting of
securities collateralized by student loans, and a related put option (see Note 3, Investments).

To the extent that valuation is
based on models or inputs that are less observable or unobservable in the market, the determination of fair value requires more judgment. Accordingly, the Companys degree of judgment exercised in determining fair value is greatest for
instruments categorized in Level 3. In certain cases, the inputs used to measure fair value may fall into different levels of the fair value hierarchy. In such cases, SFAS No. 157 requires that an asset or liability be classified in its
entirety based on the lowest level of input that is significant to the measurement of fair value.

Fair value is a market-based measure
considered from the perspective of a market participant who holds the asset or owes the liability rather than an entity-specific measure. Therefore, even when market assumptions are not readily available, the Companys own assumptions are set
to reflect those that market participants would use in pricing the asset or liability at the measurement date. The Company uses prices and inputs that are current as of the measurement date, including during periods of market dislocation, such as
the recent illiquidity in the auction rate securities market. In periods of market dislocation, the observability of prices and inputs may be reduced for many instruments. This condition has caused, and in the future may cause, the Companys
financial instruments to be reclassified from Level 1 to Level 2 or from Level 2 to Level 3.

SFAS No. 157 requires that the valuation
techniques used by the Company must be consistent with at least one of the three possible approaches: the market approach, income approach and/or cost approach. The Companys Level 3 valuations of auction rate securities are based on the income
approach, specifically, discounted cash flow analyses which utilize significant inputs based on the Companys estimates and assumptions. Inputs include current coupon rates and expected maturity dates.

During the three months ended March 31, 2009, the Company recognized a $7.9 million unrealized gain on the ARS recorded to other income, and
recorded a corresponding increase to long-term investments. This was offset by recognizing a $7.9 million unrealized loss on the UBS Put Option recorded to other expense, and recorded a corresponding decrease to long-term investments.

The following table presents the valuation of the Companys financial assets as of March 31, 2009, measured at fair value on a recurring basis
by the input levels prescribed by SFAS No. 157:



|                                           |  |                                        |      |       |   |     
|------------------------------------------ |  | -------------------------------------- | ---- | ----- | - | ----
|                                           |  | SignificantUnobservableInputs(Level 3) |      | Total
|                                           |  | (In millions)                         
|Long-term investments - trading securities |  | $                                      | 57.0 |       | $ | 57.0
|Long-term investments - UBS Put Option     |  |                                        | 2.9  |       |   | 2.9 
|                                           |  |                                        |      |       |   |     
|Total                                      |  | $                                      | 59.9 |       | $ | 59.9
|                                           |  |                                        |      |       |   |     



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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS(Continued)

(Unaudited)



The following table presents the changes in the Companys financial assets that are measured at
fair value on a recurring basis using significant unobservable inputs (Level 3):



|                                 |  |                                         |      |  
|-------------------------------- |  | --------------------------------------- | ---- | -
|                                 |  | SignificantUnobservableInputs (Level 3) |     
|                                 |  | (In millions)                           |     
|Balance on December 31, 2008     |  | $                                       | 60.4 |  
|Unrealized gain - ARS            |  |                                         | 7.9  |  
|Unrealized loss - UBS Put Option |  |                                         | (7.9 | )
|Redemptions at par               |  |                                         | (0.5 | )
|                                 |  |                                         |      |  
|Balance on March 31, 2009        |  | $                                       | 59.9 |  
|                                 |  |                                         |      |  

Note 3. Investments

At March 31, 2009, the Company held $57.0 million of auction rate securities. These securities are variable-rate debt instruments with contractual maturities between the years 2020 and 2041 with interest rates
that reset every seven or 35 days pursuant to a bidding process as determined by the underlying security indentures. Under the provisions of SFAS No. 115, Accounting for Certain Investments in Debt and Equity Securities, the
investments are classified as trading securities and are carried at fair value, with any realized and unrealized gains and losses included in other income and expense. In addition, at March 31, 2009, the Company held a $2.9 million Put Option
with UBS. Under the provisions of SFAS No. 159, The Fair Value Option for Financial Assets and Financial Liabilities  Including an Amendment of FASB Statement No. 115, the Put Option is carried at fair value, with any
realized and unrealized gains and losses included in other income and expense.

During the first quarter of 2008, the Company reclassified
all of its investments in auction rate securities from short-term to long-term investments. Of the auction rate securities held as of March 31, 2009, $57.0 million are secured by pools of student loans guaranteed by state-designated guaranty
agencies or monoline insurers or reinsured by the United States government. All of the auction rate securities held by the Company are senior obligations under the applicable indentures authorizing the issuance of such securities. Recent turmoil in
the credit markets has resulted in widespread failures to attract demand for such securities at the periodic auction dates occurring subsequent to December 31, 2007. As of March 31, 2009, all of the securities held by the Company continued
to experience auction failures, resulting in the Company continuing to hold such securities.

All of the auction rate securities owned by
the Company were purchased from UBS Financial Services, Inc., a subsidiary of UBS AG (UBS), and are held by UBS for the benefit of the Company. On August 8, 2008, UBS announced a settlement in principle with the Securities
and Exchange Commission, the New York Attorney General and other state regulatory agencies to restore liquidity to remaining clients who hold auction rate securities. In November 2008, the Company accepted an offer (the UBS Put Option)
from UBS to sell to it at par value all of the Companys remaining auction rate securities in accordance with the terms of the settlement agreement. Under the settlement agreement, the Company will be able to redeem all of its auction rate
securities at par during a two-year time period beginning June 30, 2010, while UBS may purchase all or some of the auction rate securities at par from the Company at any time through July 2, 2012. The Company elected to measure the UBS Put
Option under the fair value option of SFAS No. 159, The Fair Value Option for Financial Assets and Financial Liabilities  Including an Amendment of FASB Statement No. 115, using a discounted cash flow approach that takes
into account certain estimates for interest rates and the timing and amount of expected future cash flows, adjusted for any bearer risk associated with UBS financial ability to repurchase the ARS beginning June 30, 2010. These assumptions
are volatile and subject to change as the underlying sources of these assumptions and market conditions change. The Company anticipates that any future changes in the fair value of the UBS Put Option will be offset by the changes in the fair value
of the related auction rate securities with no material net impact to the consolidated statements of operations. The UBS Put Option will continue to be measured at fair value until the earlier of its maturity or exercise. At March 31, 2009, the
fair value of the UBS Put Option was $2.9 million.



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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS(Continued)

(Unaudited)



During the three months ended March 31, 2009, the Company recognized a $7.9 million unrealized
gain on the ARS recorded to other income, and recorded a corresponding increase to long-term investments. This was offset by recognizing a $7.9 million unrealized loss on the UBS Put Option recorded to other expense, and recorded a corresponding
decrease to long-term investments.

The Company will continue to monitor credit market conditions to assess the liquidity of its
investments. Due to the Companys ability to access its cash and cash equivalents, amounts available under its revolving credit facility, and its expected operating cash flows, the Company believes that it has adequate liquidity available to
meet its obligations.

Note 4. Business Combinations

Lincare acquires the business and related assets of local and regional companies as an ongoing strategy to increase revenue within its respective markets. Lincare arrives at a negotiated purchase price taking into
account such factors including, but not limited to, the acquired companys historical and projected revenue growth, operating cash flow, product mix, payor mix, service reputation and geographical location.

During the three month periods ended March 31, 2009 and 2008, the Company did not acquire the business or assets of any companies.

Note 5. Accounts Receivable, Net

Accounts
receivable, net at March 31, 2009 and December 31, 2008 consist of:



|                                                                |  |                |         |   |                  |   |         |  
|--------------------------------------------------------------- |  | -------------- | ------- | - | ---------------- | - | ------- | -
|                                                                |  | March 31,2009  |         |   | December 31,2008 |  
|                                                                |  | (In thousands) |        
|Trade accounts receivable                                       |  | $              | 226,325 |   |                  | $ | 223,868 |  
|Less allowance for sales adjustments and uncollectible accounts |  |                | (44,411 | ) |                  |   | (47,071 | )
|                                                                |  |                |         |   |                  |   |         |  
|Accounts receivable, net                                        |  | $              | 181,914 |   |                  | $ | 176,797 |  
|                                                                |  |                |         |   |                  |   |         |  

Note 6. Property and Equipment, Net

Property and equipment, net at March 31, 2009 and December 31, 2008 consist of:



|                               |  |                |           |   |                  |   |           |  
|------------------------------ |  | -------------- | --------- | - | ---------------- | - | --------- | -
|                               |  | March 31,2009  |           |   | December 31,2008 |  
|                               |  | (In thousands) |          
|Property and equipment at cost |  | $              | 1,030,472 |   |                  | $ | 1,002,503 |  
|Less accumulated depreciation  |  |                | (675,478  | ) |                  |   | (654,643  | )
|                               |  |                |           |   |                  |   |           |  
|Property and equipment, net    |  | $              | 354,994   |   |                  | $ | 347,860   |  
|                               |  |                |           |   |                  |   |           |  



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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS(Continued)

(Unaudited)



Note 7. Long-Term Obligations

Long-term obligations at March 31, 2009 and December 31, 2008 consist of:



|                                                                                                                  |  |                |         |   |                  |   |         |  
|----------------------------------------------------------------------------------------------------------------- |  | -------------- | ------- | - | ---------------- | - | ------- | -
|                                                                                                                  |  | March 31,2009  |         |   | December 31,2008 |  
|                                                                                                                  |  | (In thousands) |        
|                                                                                                                  |  |                |         |   | (As adjusted)    |  
|Convertible debt to mature in 2037, bearing fixed interest of 2.75%, with a put/call option in 2012               |  | $              | 275,000 |   |                  | $ | 275,000 |  
|Original issue discount                                                                                           |  |                | (35,556 | ) |                  |   | (37,728 | )
|Convertible debt to mature in 2037, bearing fixed interest of 2.75%, with a put/call option in 2014               |  |                | 275,000 |   |                  |   | 275,000 |  
|Original issue discount                                                                                           |  |                | (56,212 | ) |                  |   | (58,240 | )
|Capital lease obligations due through 2010                                                                        |  |                | 126     |   |                  |   | 163     |  
|Unsecured, deferred acquisition obligations net of imputed interest, payable in various installments through 2009 |  |                | 6,514   |   |                  |   | 6,752   |  
|                                                                                                                  |  |                |         |   |                  |   |         |  
|Total long-term obligations                                                                                       |  |                | 464,872 |   |                  |   | 460,947 |  
|Less: current installments                                                                                        |  |                | 6,640   |   |                  |   | 6,902   |  
|                                                                                                                  |  |                |         |   |                  |   |         |  
|Long-term debt, excluding current installments                                                                    |  | $              | 458,232 |   |                  | $ | 454,045 |  
|                                                                                                                  |  |                |         |   |                  |   |         |  

The Companys current revolving credit agreement with several lenders and Bank of America
N.A. as agent, dated December 1, 2006, permits the Company to borrow amounts up to $390.0 million under a five-year revolving credit facility. The revolving credit facility contains a $60.0 million letter of credit sub-facility, which reduces
the principal amount available under the facility by the amount of outstanding letters of credit on the sub-facility. As of March 31, 2009 and December 31, 2008, no borrowings were outstanding under the credit facility and $27.0 million in
standby letters of credit were issued as of those dates. The revolving credit agreement has a maturity date of December 1, 2011. Upon entering into the credit agreement, origination and other upfront fees and expenses of $1.0 million were paid
and are being amortized over five years. In addition to the upfront fees, the Company pays an annual administration agency fee along with a quarterly facility fee. The facility fee is based on the Companys consolidated leverage ratio and
ranges between 0.10% and 0.175% annually. The leverage ratio is calculated each quarter to determine the applicable interest rate on revolving loans, the letter of credit fee and the facility fee for the following quarter. The revolving credit
agreement contains several financial and other negative and affirmative covenants customary in such agreements and is secured by a pledge of the stock of the wholly-owned subsidiaries of Lincare Holdings Inc. The financial covenants in the
Companys credit agreement include interest coverage and leverage ratios, as defined in the agreement. The Companys credit agreement requires compliance with all covenants set forth in the agreement and the Company was in compliance with
all covenants as of March 31, 2009 and December 31, 2008. The credit agreement defines the occurrence of certain specified events as events of default which, if not waived by or cured to the satisfaction of the requisite lenders, allow the
lenders to take actions against the Company, including termination of commitments under the agreement, acceleration of any unpaid principal and accrued interest in respect of outstanding borrowings, payment of additional cash collateral to be held
in escrow for the benefit of the lenders and enforcement of any and all rights and interests created and existing under the credit agreement. Under certain conditions, an event of default may result in an increase in the interest rate (the
Default Rate) payable by the Company on loans outstanding under the credit facility. The Default Rate is equal to the interest rate (including any applicable percentage as set forth in the agreement) otherwise applicable to such loans
plus 2% per annum. In the case of a bankruptcy event (as defined in the credit agreement), all commitments automatically terminate and all amounts outstanding under the credit facility become immediately due and payable.

On October 31, 2007, the Company completed the sale of $275.0 million principal amount of convertible senior debentures due 2037  Series A
(the Series A Debentures) and $275.0 million principal amount of convertible senior debentures due 2037  Series B (the Series B Debentures and together with the Series A Debentures, the Series



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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS(Continued)

(Unaudited)



Debentures) in a private placement. The Series Debentures pay interest semi-annually at a rate of 2.75% per annum. The Series Debentures are
unsecured and unsubordinated obligations and will be convertible under specified circumstances based upon a base conversion rate, which, under certain circumstances, will be increased pursuant to a formula that is subject to a maximum conversion
rate. Upon conversion, holders of the Series Debentures will receive cash up to the principal amount, and any excess conversion value will be delivered in shares of the Companys common stock or in a combination of cash and shares of common
stock, at the Companys option. The initial base conversion rate for the Debentures is 19.5044 shares of common stock per $1,000 principal amount of Series Debentures, equivalent to an initial base conversion price of approximately $51.27 per
share. In addition, if at the time of conversion the applicable price of the Companys common stock exceeds the base conversion price, holders of the Series A Debentures and Series B Debentures will receive an additional number of shares of
common stock per $1,000 principal amount of the Debentures, as determined pursuant to a specified formula. The Company will have the right to redeem the Series A Debentures and the Series B Debentures at any time after November 1, 2012 and
November 1, 2014, respectively. Holders of the Series Debentures will have the right to require the Company to repurchase for cash all or some of their Series Debentures upon the occurrence of certain fundamental change transactions or on
November 1, 2012, 2017, 2022, 2027 and 2032 in the case of the Series A Debentures and November 1, 2014, 2017, 2022, 2027 and 2032 in the case of the Series B Debentures.

The Company has estimated the fair value of the liability components of the Series Debentures by calculating the present value of the cash flows of
similar liabilities without associated equity components. In performing those calculations, the Company estimated that instruments similar to the Series A and B Debentures without a conversion feature as of the date of issuance would have had 7.0%
and 7.4% rates of return (respectively) and expected lives of five and seven years (respectively). These estimated rates of return were based on the Companys nonconvertible debt borrowing rate at the time of issuance and the expected lives
were based on the holders put option features embedded in the notes. The initial proceeds from the instruments exceeded the estimated fair value of the liability components, and as a result, upon adoption, the Company reclassified $47.4
million and $67.2 million, respectively, of the carrying value of the Series A and B convertible debentures to equity as of the October 31, 2007 issuance date. These amounts represent the equity components of the proceeds from the
debentures. The Company also recognized debt discounts equal to the equity components which will be accreted to interest expense over the respective 5 and 7-year terms of the first put option dates specified in the indentures underlying the
debentures. The accreted interest plus the cash interest payments based on the stated coupon rates results in interest cost being recognized in the income statement that reflect the interest rates on similar instruments without a conversion
feature.

The debt and equity components recognized for our Series A and Series B convertible debentures were as follows (in millions):



|                                           |  |                |       |                   |   |          |  |          |       |  |   |      
|------------------------------------------ |  | -------------- | ----- | ----------------- | - | -------- |  | -------- | ----- |  | - | -----
|                                           |  | March 31, 2009 |       | December 31, 2008
|                                           |  | Series A       |       | Series B          |   | Series A |  | Series B
|Principal amount of convertible debentures |  | $              | 275.0 |                   | $ | 275.0    |  | $        | 275.0 |  | $ | 275.0
|Unamortized discount                       |  |                | 35.6  |                   |   | 56.2     |  |          | 37.7  |  |   | 58.2 
|Net carrying amount                        |  |                | 239.4 |                   |   | 218.8    |  |          | 237.3 |  |   | 216.8
|Additional paid-in capital                 |  |                | 29.1  |                   |   | 41.2     |  |          | 29.1  |  |   | 41.2 

At March 31, 2009, the remaining period over which the discount on the liability components
will be amortized is 43 months and 67 months for the Series A and Series B convertible debentures, respectively.

The amount of interest
expense recognized for the three months ended March 31 were as follows (in millions):



|                                                   |  |                |     |                |   |          |  |          |     |  |   |    
|-------------------------------------------------- |  | -------------- | --- | -------------- | - | -------- |  | -------- | --- |  | - | ---
|                                                   |  | March 31, 2009 |     | March 31, 2008
|                                                   |  | Series A       |     | Series B       |   | Series A |  | Series B
|Contractual coupon interest                        |  | $              | 1.9 |                | $ | 1.9      |  | $        | 1.9 |  | $ | 1.9
|Amortization of discount on convertible debentures |  |                | 2.2 |                |   | 2.0      |  |          | 2.0 |  |   | 1.9
|Interest expense                                   |  |                | 4.1 |                |   | 3.9      |  |          | 3.9 |  |   | 3.8

In June 2003, the Company completed the sale of $275.0 million aggregate principal amount of 3.0%
Convertible Senior Debentures due 2033 (the Debentures) in a private placement. The Debentures were convertible into shares of our common stock based on a conversion rate of 18.7515 shares for each $1,000 principal amount of Debentures.
Interest on the Debentures was payable at the rate of 3.0% per annum on June 15 and December 15 of each year. On June 15, 2008, the Company redeemed all of the outstanding Debentures at par pursuant to a notice of redemption. The
Company



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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS(Continued)

(Unaudited)



funded the redemption with $110.0 million of available cash and $165.0 million of borrowings under its revolving credit facility. The entire amount of the
borrowings under the credit facility was paid down from operating cash flow by the end of 2008.

Note 8. Income Taxes

The Company conducts business nationally and, as a result, files U.S. federal income tax returns as well as tax returns in various state and local
jurisdictions. In the normal course of business the Company is subject to examination by taxing authorities throughout the United States. With few exceptions, the Company is no longer subject to U.S. federal, state and local income tax examinations
for years before 2003.

The Company does not expect that the total amount of unrecognized tax positions will significantly increase or
decrease in the next twelve months. The Company continues to recognize accrued interest and penalties related to unrecognized tax benefits as a component of income tax expense.

The Internal Revenue Service (IRS) has completed its examination of the Companys federal income tax returns through 2007. The federal
statute of limitations remains open for the year 2005 and onward. There are no material disputes for the open tax years.

The Company was
invited to participate in the IRSs Compliance Assurance Program, or CAP, for the years 2008 and 2009. The years 2008 and 2009 are currently under examination under the CAP program. The objective of CAP is to reduce taxpayer burden and
uncertainty while assuring the IRS of the tax returns accuracy prior to filing, thereby reducing or eliminating the need for post-filing examination.

Note 9. Earnings Per Common Share

Basic earnings per common share is computed by dividing earnings available to common
stockholders by the weighted average number of common shares outstanding for the period. Diluted earnings per common share reflects the potential dilution of securities that could share in the Companys earnings, including securities that may
be issued upon conversion of convertible debentures and exercise of outstanding stock options. When the exercise of stock options or the inclusion of awards would be anti-dilutive, they are excluded from the earnings per common share calculation.
For the three months ended March 31, 2009 and 2008, the number of excluded shares underlying anti-dilutive stock options and awards was 7,423,770 and 4,118,650, respectively.



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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

A reconciliation of the numerators and the denominators of the basic and diluted earnings per common share computations is as follows:



|                                                                                                                                                                                                                                                                                                                     |  |                                       |        |                     |   |        |    
|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |  | ------------------------------------- | ------ | ------------------- | - | ------ | ---
|                                                                                                                                                                                                                                                                                                                     |  | For The Three MonthsEnded March 31,   |       
|                                                                                                                                                                                                                                                                                                                     |  | 2009                                  |        | 2008                |  
|                                                                                                                                                                                                                                                                                                                     |  | (In thousands, except per share data) |       
|                                                                                                                                                                                                                                                                                                                     |  |                                       |        | (As adjustedNote 1) |  
|Numerator:                                                                                                                                                                                                                                                                                                           |  |                                       |        |                     |   |        |    
|Basic  Income available to common stockholders.                                                                                                                                                                                                                                                                     |  | $                                     | 25,984 |                     | $ | 58,242 |    
|Adjustment for assumed dilution:                                                                                                                                                                                                                                                                                     |  |                                       |        |                     |   |        |    
|Interest on convertible debt, net of tax                                                                                                                                                                                                                                                                             |  |                                       | 0      |                     |   | 1,267  | (1)
|                                                                                                                                                                                                                                                                                                                     |  |                                       |        |                     |   |        |    
|Diluted  Income available to common stockholders and holders of dilutive securities                                                                                                                                                                                                                                 |  | $                                     | 25,984 |                     | $ | 59,509 |    
|                                                                                                                                                                                                                                                                                                                     |  |                                       |        |                     |   |        |    
|                                                                                                                                                                                                                                                                                                                     |  |                                      
|Denominator:                                                                                                                                                                                                                                                                                                         |  |                                       |        |                     |   |        |    
|Weighted average shares                                                                                                                                                                                                                                                                                              |  |                                       | 72,074 |                     |   | 72,860 |    
|Effect of dilutive securities:                                                                                                                                                                                                                                                                                       |  |                                       |        |                     |   |        |    
|Incremental shares under stock compensation plans                                                                                                                                                                                                                                                                    |  |                                       | 242    |                     |   | 287    |    
|Incremental shares from assumed conversion of convertible debt                                                                                                                                                                                                                                                       |  |                                       | 0      |                     |   | 5,157  |    
|                                                                                                                                                                                                                                                                                                                     |  |                                       |        |                     |   |        |    
|Adjusted weighted average shares                                                                                                                                                                                                                                                                                     |  |                                       | 72,316 |                     |   | 78,304 |    
|                                                                                                                                                                                                                                                                                                                     |  |                                       |        |                     |   |        |    
|                                                                                                                                                                                                                                                                                                                     |  |                                      
|Per share amount:                                                                                                                                                                                                                                                                                                    |  |                                       |        |                     |   |        |    
|Basic                                                                                                                                                                                                                                                                                                                |  | $                                     | 0.36   |                     | $ | 0.80   |    
|                                                                                                                                                                                                                                                                                                                     |  |                                       |        |                     |   |        |    
|                                                                                                                                                                                                                                                                                                                     |  |                                      
|Diluted                                                                                                                                                                                                                                                                                                              |  | $                                     | 0.36   |                     | $ | 0.76   | (1)
|                                                                                                                                                                                                                                                                                                                     |  |                                       |        |                     |   |        |    
|                                                                                                                                                                                                                                                                                                                    
|(1)    Figures reflect the application of the if converted method of accounting for the Companys 3.0% Convertible Senior Debentures due 2033 (see Liquidity and Capital
Resources) in accordance with EITF No. 04-8. The debentures were redeemed in full on June 15, 2008, pursuant to a notice of redemption. | 

Note 10. Stock-Based Compensation

For the three months ended March 31, 2009 and 2008, the Company recognized total stock-based compensation expenses of $10.4 million and $4.0 million,
respectively, as well as related tax benefits of $3.3 million and $1.5 million, respectively. Substantially all stock-based compensation costs are classified within selling, general and administrative expenses on the accompanying condensed
consolidated statements of operations.

Stock Options

Stock option activity for the three months ended March 31, 2009 is summarized below:



|                                                              |  |                  |   |  |                              |       |                                                  |      |                          |   |  
|------------------------------------------------------------- |  | ---------------- | - |  | ---------------------------- | ----- | ------------------------------------------------ | ---- | ------------------------ | - | -
|                                                              |  | Number ofOptions |   |  | WeightedAverageExercisePrice |       | Weighted AverageRemainingContractual Life(Years) |      | AggregateIntrinsic Value
|Outstanding at December 31, 2008                              |  | 8,324,266        |   |  | $                            | 34.68 |                                                  |      |                          |   |  
|Options granted in 2009                                       |  | 0                |   |  |                              |      |                                                  |      |                          |   |  
|Exercised in 2009                                             |  | 0                |   |  |                              |      |                                                  |      |                          |   |  
|Cancelled in 2009                                             |  | (1,075,496       | ) |  |                              | 38.91 |                                                  |      |                          |   |  
|                                                              |  |                  |   |  |                              |       |                                                  |      |                          |   |  
|Outstanding at March 31, 2009                                 |  | 7,248,770        |   |  | $                            | 34.05 |                                                  | 2.86 |                          | $ | 0
|                                                              |  |                  |   |  |                              |       |                                                  |      |                          |   |  
|Exercisable at March 31, 2009                                 |  | 6,703,715        |   |  | $                            | 33.42 |                                                  | 2.72 |                          | $ | 0
|                                                              |  |                  |   |  |                              |       |                                                  |      |                          |   |  
|Vested or expected to vest in the future as of March 31, 2009 |  | 7,224,689        |   |  | $                            | 34.03 |                                                  | 2.85 |                          | $ | 0
|                                                              |  |                  |   |  |                              |       |                                                  |      |                          |   |  



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##### Table of Contents

LINCARE HOLDINGS INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS(Continued)

(Unaudited)



Stock options outstanding at March 31, 2009, were 7,248,770. Of the stock options outstanding at
March 31, 2009, options for 6,703,715 shares were exercisable and options for 545,055 shares were unvested. Of the total stock options outstanding at March 31, 2009, 7,224,689 were vested or expected to vest in the future, net of expected
cancellations and forfeitures of 24,081.

During the first quarter of 2009, the Companys executive officers, directors and certain of
its employees surrendered a total of approximately 1.1 million unvested, out-of-the money stock options for no compensation in return. The cancellation of these stock options resulted in acceleration of future stock option compensation expense
(included in selling, general and administrative expenses) of $4.7 million before taxes, or a non-cash charge of $0.04 earnings per common share during the period.

As of March 31, 2009, the total remaining unrecognized compensation cost related to unvested stock options amounted to $1.3 million, which will be amortized over the weighted-average remaining requisite service
period of 0.9 years.

Restricted Stock

The following table summarizes information about restricted stock activity for the three months ended March 31, 2009:



|                              |  |         |   |  |                                               |      
|----------------------------- |  | ------- | - |  | --------------------------------------------- | -----
|                              |  | Shares  |   |  | Weighted-Average GrantDate FairValue PerShare
|Unvested at December 31, 2008 |  | 911,850 |   |  | $                                             | 33.72
|Granted                       |  | 0       |   |  |                                               |     
|Vested                        |  | 0       |   |  |                                               |     
|Forfeited                     |  | (3,300  | ) |  |                                               | 39.02
|                              |  |         |   |  |                                               |      
|Unvested at March 31, 2009    |  | 908,550 |   |  | $                                             | 33.70
|                              |  |         |   |  |                                               |      

As of March 31, 2009, the total remaining unrecognized compensation cost related to
restricted stock amounted to $16.1 million, which will be amortized over the weighted-average remaining requisite service period of 1.6 years.

Note 11.
Comprehensive Income

SFAS No. 130, Reporting Comprehensive Income, establishes standards for the reporting and display
of comprehensive income and its components in the Companys condensed consolidated financial statements. The objective of SFAS No. 130 is to report a measure (comprehensive income (loss)) of all changes in equity of an enterprise that
result from transactions and other economic events in a period other than transactions with owners.

The Companys comprehensive
income is the same as reported net income for the three months ended March 31, 2009 and 2008.



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##### Table of Contents

LINCARE HOLDINGS INC. AND SUBSIDIARIES



|Item 2. | Managements Discussion and Analysis of Results of Operations and Financial Condition
|------- | -------------------------------------------------------------------------------------

This Managements Discussion and Analysis of Results of Operations and Financial Condition is intended to assist in understanding and
assessing the trends and significant changes in our results of operations and financial condition. Historical results may not indicate future performance. As used in this Managements Discussion and Analysis of Results of Operations and
Financial Condition, the words we, our, us and the Company refer to Lincare Holdings Inc. and its consolidated subsidiaries.

Medicare Reimbursement

As a provider of home oxygen and other respiratory therapy services to the
home health care market, we participate in Medicare Part B, the Supplementary Medical Insurance Program, which was established by the Social Security Act of 1965. Providers of home oxygen and other respiratory therapy services have historically been
heavily dependent on Medicare reimbursement due to the high proportion of elderly persons suffering from respiratory disease. Durable medical equipment (DME), including oxygen equipment, is traditionally reimbursed by Medicare based on
fixed fee schedules.

Recent legislation, including the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA),
the Medicare, Medicaid and SCHIP Extension Act of 2007 (SCHIP Extension Act), the Deficit Reduction Act of 2005 (DRA) and the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), contain
provisions that directly impact reimbursement for the primary respiratory and other DME products provided by Lincare. MIPPA delayed until 2010 the implementation of a Medicare competitive bidding program for oxygen equipment and certain other DME
items that was scheduled to begin on July 1, 2008 and instituted a 9.5% price reduction nationwide for these items as of January 1, 2009. The SCHIP Extension Act reduced Medicare reimbursement amounts for covered Part B drugs, including
inhalation drugs that we provide, beginning April 1, 2008. DRA provisions negatively impacted reimbursement for oxygen equipment beginning in 2009 and negatively impacted reimbursement for DME items subject to capped rental payments beginning
in 2007. MMA significantly reduced reimbursement for inhalation drug therapies beginning in 2005, reduced payment amounts for five categories of DME, including oxygen, beginning in 2005, froze payment amounts for other covered DME items through
2007, established a competitive bidding program for DME, and implemented quality standards and accreditation requirements for DME suppliers.

The SCHIP Extension Act, which became law on December 29, 2007, reduced Medicare reimbursement amounts for covered Part B drugs, including inhalation drugs that we provide, beginning April 1, 2008. The SCHIP Extension Act required
the Centers for Medicare and Medicaid Services (CMS) to adjust the methodology used to determine Medicare payment amounts for inhalation drugs by using volume-weighted average selling prices (ASP) based on actual sales
volumes rather than average sales prices. The SCHIP Extension Act also specifically lowered reimbursement for the inhalation drug albuterol. We estimate that these lower payment amounts for inhalation drugs reduced our net revenues and operating
income by approximately $22.0 million in the three months ended March 31, 2009 compared with the first fiscal quarter of 2008. We can not determine whether quarterly updates in ASP pricing data will continue to result in ongoing reductions in
payment rates for inhalation drugs, or what impact such payment reductions could have on our business in the future.

On February 1, 2006, Congress passed the DRA legislation which contains provisions that
impacted reimbursement for oxygen equipment and DME. DRA changed the reimbursement methodology for oxygen equipment from continuous monthly payment for as long as the equipment is in use by a Medicare beneficiary, which includes payment for oxygen
contents, related disposable supplies and accessories and maintenance of equipment, to a capped rental arrangement whereby payment for oxygen equipment may not extend over a period of continuous use of longer than 36 months. Separate payments for
oxygen contents continue to be made for the period of medical need beyond the 36thmonth. Additionally, payment for routine maintenance and service
of the oxygen equipment, limited to 30 minutes of labor, is made following each six-month period after the 36-month rental period ends. The oxygen provisions contained in DRA became effective on January 1, 2006. In the case of beneficiaries
receiving oxygen equipment prior to the effective date, the 36-month period of continuous use began on January 1, 2006. Accordingly, the first month in which the new payment methodology impacted our net revenues was January 2009.

The ultimate financial impact to the Company of the oxygen capped rental regulations will be dependent upon a number of variables, including (i) the
number of Medicare oxygen customers reaching 36 months of continuous service, (ii) the number of customers receiving reimbursable oxygen contents beyond the 36-month rental period, (iii) the ultimate



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duration of therapy for customers on service beyond 36 months, (iv) the incidence of customers with equipment deemed to be beyond its useful life that
may be eligible for new equipment and therefore a new rental period, (v) payment amounts and coverage guidelines established by CMS to reimburse suppliers for maintenance of oxygen equipment, and (vi) the extent to which other government
and private payors attempt to adopt new oxygen payment rules similar to those now in effect under Medicare. The Company continues to evaluate these factors in order to determine the expected impact of the regulations, which we believe will have a
material adverse effect on our revenues, operating income, cash flows and financial position in 2009 and beyond. The Company developed a preliminary estimate of the potential reduction in our revenues and operating income in 2009 resulting from the
oxygen capped rental regulations of between $130 million and $145 million. Based on activity through the end of the first quarter of 2009, we do not believe that this estimate needs to be revised at this time. The assumptions used to develop this
estimate are highly dependent upon the variables listed above, as well as other factors that we may be unable to anticipate. This estimate may be unreliable and subject to change as more information becomes available to the Company.

DRA also changed the reimbursement methodology for items of DME in the capped rental payment
category, including but not limited to such items as continuous positive airway pressure (CPAP) devices, certain respiratory assist devices, nebulizers, hospital beds and wheelchairs. For such items of DME, payment may not extend over a
period of continuous use of longer than 13 months. On the first day that begins after the 13thcontinuous month during which payment is made for the
item, the supplier must transfer title of the item to the beneficiary. Additional payments for maintenance and service of the item are made for parts and labor not covered by a suppliers or manufacturers warranty. The DME capped rental
provisions contained in DRA applied to items furnished for which the first rental month occurred on or after January 1, 2006. Accordingly, the first month in which the new payment methodology impacted our net revenues was February 2007.

On December 8, 2003, MMA was signed into law. The MMA legislation contains provisions that directly impact reimbursement for the
primary respiratory and other DME products provided by Lincare. Among other things, MMA:



|(1) | Significantly reduced reimbursement for inhalation drug therapies. Historically, prescription drug coverage under Medicare has been limited to drugs furnished incident to a
physicians services and certain self-administered drugs, including inhalation drug therapies. Prior to MMA, Medicare reimbursement for covered drugs, including the inhalation drugs that we provide, was limited to 95% of the published average
wholesale price (AWP) for the drug. MMA established new payment limits and procedures for drugs reimbursed under Medicare Part B. Beginning in 2005, inhalation drugs furnished to Medicare beneficiaries are reimbursed at 106% of the
volume-weighted average selling price (ASP) of the drug, as determined from data provided each quarter by drug manufacturers under a specific formula described in MMA. Implementation of the ASP-based reimbursement formula has resulted in
dramatic reductions in payment rates for inhalation drugs since 2005.
|--- | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



|(2) | Established a competitive acquisition program for DME that was expected to commence in 2008, but was subsequently delayed by further legislation.MMA instructs CMS to
establish and implement programs under which competitive acquisition areas will be established throughout the United States for contract award purposes for the furnishing of competitively priced items of DME, including oxygen equipment. The program
was initially intended to be implemented in phases such that competition under the program would occur in ten of the largest metropolitan statistical areas (MSAs) in the first year, 80 of the largest MSAs in the following year, and
additional areas thereafter.
|--- | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

For each competitive acquisition area, CMS is to conduct a competition under which providers
will submit bids to supply certain covered items of DME. Successful bidders will be expected to meet certain program quality standards in order to be awarded a contract and only successful bidders can supply the covered items to Medicare
beneficiaries in the acquisition area. The applicable contract award prices are expected to be less than would be paid under current Medicare fee schedules and contracts will be re-bid at least every three years. CMS will be required to award
contracts to multiple entities submitting bids in each area for an item or service, but will have the authority to limit the number of contractors in a competitive acquisition area to the number needed to meet projected demand. CMS may use
competitive bid pricing information to adjust the payment amounts otherwise in effect for an area that is not a competitive acquisition area.

CMS concluded the bidding process for the first round of MSAs in September 2007. On March 20, 2008, CMS completed the bid evaluation process and announced the payment amounts that would have taken effect in the ten competitive bidding
areas beginning July 1, 2008. Contracts to provide products within the competitive bid areas were awarded to selected suppliers, including the Company, and took effect on July 1, 2008. On July 15, 2008, Congress enacted the MIPPA
legislation which retroactively delayed the implementation of competitive bidding for



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up to 18 months and reduced Medicare prices nationwide by 9.5% beginning in 2009 for the product categories, including oxygen, that were initially included
in competitive bidding. As a result of the delay, CMS cancelled all contract awards retroactively to June 30, 2008.

On April 18,
2009, the interim final rule (IFR) for competitive bidding became effective. The IFR outlines the process for rebidding the first round of competitive bidding in 2009. The bidding will apply to nine of the original ten MSAs in round one
and will be expanded to additional MSAs thereafter. A competition for a national mail order competitive bidding program may occur after 2010. It is unclear at this time when contracts would be awarded under the program and the respective effective
dates of the contracts. We will continue to monitor developments regarding the implementation of the competitive bidding program. We can not predict the outcome of the competitive bidding program on our business when fully implemented nor the
Medicare payment rates that will be in effect in future years for the items subjected to competitive bidding.

The 9.5% reduction in
Medicare payment rates imposed by the MIPPA legislation for the product categories, including oxygen, that were initially included in competitive bidding took effect on January 1, 2009. In addition to the 9.5% reduction, CMS subjected the
monthly payment amount for stationary oxygen equipment to additional cuts of 2.3%, thereby reducing the monthly payment rate from $199.28 in 2008 to $175.79 in 2009. We estimate that these price reductions, in aggregate, will reduce our net revenues
and operating income by approximately $110 million in 2009.

Federal and state budgetary and other cost-containment pressures will continue
to impact the home respiratory care industry. We can not predict whether new federal and state budgetary proposals will be adopted or the effect, if any, such proposals would have on our business.

Government Regulation

The federal government and all
states in which we currently operate regulate various aspects of our business. In particular, our operating centers are subject to federal laws regulating interstate motor-carrier transportation and covering the repackaging of oxygen. State laws
also govern, among other things, pharmacies, nursing services, distribution of medical equipment and certain types of home health activities and apply to those locations involved in such activities. Certain of our employees are subject to state laws
and regulations governing the ethics and professional practice of respiratory therapy, pharmacy and nursing.

As a health care supplier,
Lincare is subject to extensive government regulation, including numerous laws directed at preventing fraud and abuse and laws regulating reimbursement under various government programs. The marketing, billing, documenting and other practices of
health care companies are all subject to government scrutiny. To ensure compliance with Medicare and other regulations, regional health insurance carriers often conduct audits and request customer records and other documents to support claims
submitted for payment of services rendered to customers. Similarly, government agencies periodically open investigations and obtain information from health care providers pursuant to the legal process. Violations of federal and state regulations can
result in severe criminal, civil and administrative penalties and sanctions, including disqualification from Medicare and other reimbursement programs.

Numerous federal and state laws and regulations, including the Health Insurance Portability and Accountability Act of 1996 (HIPAA), govern the collection, dissemination, use and confidentiality of
patient-identifiable health information. As part of our provision of, and billing for, health care equipment and services, we are required to collect and maintain patient-identifiable health information. New health information standards, whether
implemented pursuant to HIPAA, congressional action or otherwise, could have a significant effect on the manner in which we handle health care related data and communicate with payors, and the cost of complying with these standards could be
significant. If we do not comply with existing or new laws and regulations related to patient health information, we could be subject to criminal or civil sanctions.

Health care is an area of rapid regulatory change. Changes in the laws and regulations and new interpretations of existing laws and regulations may affect permissible activities, the relative costs associated with
doing business, and reimbursement amounts paid by federal, state and other third-party payors. We can not predict the future of federal, state and local regulation or legislation, including Medicare and Medicaid statutes and regulations. Future
legislative and regulatory changes could have a material adverse impact on us.



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Operating Results

The following table sets forth for the periods indicated a summary of the Companys net revenues by product category:



|                                     |  |                                     |         |      |   |        
|------------------------------------ |  | ----------------------------------- | ------- | ---- | - | -------
|                                     |  | For The Three MonthsEnded March 31,
|                                     |  | 2009                                |         | 2008
|                                     |  | (In thousands)                     
|Oxygen and other respiratory therapy |  | $                                   | 336,342 |      | $ | 382,720
|Home medical equipment and other     |  |                                     | 35,332  |      |   | 32,700 
|                                     |  |                                     |         |      |   |        
|Total                                |  | $                                   | 371,674 |      | $ | 415,420
|                                     |  |                                     |         |      |   |        

Net revenues for the three months ended March 31, 2009, decreased by $43.7 million (or
10.5%), compared with the three months ended March 31, 2008. The Company estimates that the 10.5% decrease in net revenues in the first three months of 2009 was comprised of approximately 9.5% internal and acquisition growth offset by
approximately 20.0% negative impact from Medicare price reductions taking effect in 2009 (see Medicare Reimbursement). The internal growth in net revenues is attributable to underlying demographic growth in the markets for our products
and gains in customer counts resulting primarily from our sales and marketing efforts that emphasize high-quality equipment and customer service. Growth in net revenues from acquisitions is attributable to the effects of acquisitions of local
and regional companies and is based on the estimated contribution to net revenues for the four quarters following such acquisitions. During the three months ended March 31, 2009 and 2008, the Company did not acquire the business or assets
of any companies.

The contribution of oxygen and other respiratory therapy products to our net revenues was 90.5% and 92.1%, respectively,
during the three months ended March 31, 2009 and 2008. Our strategy is to focus on the provision of oxygen and other respiratory therapy services to patients in the home and to provide home medical equipment and other services where we
believe such services will enhance our core respiratory business.

Cost of goods and services, as a percentage of net revenues, was 27.6%
for the three months ended March 31, 2009, compared with 23.5% for the comparable prior year period. Cost of goods and services for the three months ended March 31, 2009, increased $5.0 million or 5.1%, when compared with the prior year
period. The increase in cost of goods and services in 2009 is attributable to an increase in the number of oxygen customers served and higher volumes in our inhalation drug and sleep therapy product lines.

Cost of goods and services for the three-month periods includes the cost of equipment (excluding depreciation of $20.7 million in the first three months
of 2009 and 2008), drugs and supplies sold to patients and certain costs related to the Companys respiratory drug product line. These costs include an allocation of customer service, distribution and administrative costs relating to the
respiratory drug product line of approximately $12.5 million and $12.8 million for the three months ended March 31, 2009 and 2008, respectively. Included in cost of goods and services in each quarter are salary and related expenses of
pharmacists and pharmacy technicians of $2.7 million.

Operating expenses, as a percentage of net revenues, were 26.1% for the three months
ended March 31, 2009, compared with 23.2% for the comparable prior year period. Operating expenses for the three months ended March 31, 2009, increased by $0.8 million, or 0.9%, over the prior year period. Contributing to the containment
of growth in operating expenses during the first three months of 2009 were lower fuel and other vehicle related expenses, lower purchases of supply items and controls over salary and related expenses.

The Company manages 1,056 operating centers from which customers are provided equipment, supplies and services. An operating center averages
approximately seven to eight employees and is typically comprised of a center manager, two customer service representatives (referred to as CSRs  telephone intake, scheduling, documentation), two or three service
representatives (referred to as Service Reps  delivery, maintenance and retrieval of equipment and delivery of disposables), a respiratory therapist (non-reimbursable and discretionary clinical follow-up with the customer and
communication to the prescribing physician) and a sales representative (marketing calls to local physicians and other referral sources).



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The Company includes in operating expenses the costs incurred at the Companys operating centers for
certain service personnel (center manager, CSRs and Service Reps), facilities (rent, utilities, communications, property taxes, etc.), vehicles (vehicle leases, gasoline, repair and maintenance), and general business supplies and miscellaneous
expenses. Operating expenses for the interim periods of 2009 and 2008 within these major categories were as follows:



|                                  |  |                             |        |      |   |       
|--------------------------------- |  | --------------------------- | ------ | ---- | - | ------
|Operating Expenses (in thousands) |  | Three Months EndedMarch 31,
|                                  |  | 2009                        |        | 2008
|Salary and related                |  | $                           | 64,102 |      | $ | 61,750
|Facilities                        |  |                             | 15,060 |      |   | 14,553
|Vehicles                          |  |                             | 9,817  |      |   | 11,942
|General supplies/miscellaneous    |  |                             | 8,118  |      |   | 8,033 
|                                  |  |                             |        |      |   |       
|                                  |  |                            
|Total                             |  | $                           | 97,097 |      | $ | 96,278
|                                  |  |                             |        |      |   |       

Included in operating expenses during the three months ended March 31, 2009 are salary and
related expenses for Service Reps in the amount of $26.1 million. Such salary and related expenses for the three months ended March 31, 2008 were $25.2 million.

Selling, general and administrative (SG&A) expenses, as a percentage of net revenues, were 23.0% for the three months ended March 31, 2009, compared with 19.8% for the comparable prior year
period. SG&A expenses for the three months ended March 31, 2009 increased by $3.4 million, or 4.1%, compared to the prior year period. Contributing to the increase in SG&A expenses in 2009 were $4.7 million of stock option compensation
expense attributable to the surrender and cancellation of approximately 1.1 million unvested, out-of-the money stock options held by our executive officers, directors and certain other employees for no compensation in return. The $4.7 million
charge represents acceleration of future non-cash compensation expense recognized during the current three-month period.

SG&A expenses
include costs related to sales and marketing activities, corporate overhead and other business support functions. Included in SG&A during the three months ended March 31, 2009 and 2008 are salary and related expenses of $67.7 million and
$59.1 million, respectively. These salary and related expenses include the cost of the Companys respiratory therapists for the three months ended March 31, 2009 and 2008 of $16.0 million and $15.3 million, respectively. The Companys
respiratory therapists generally provide non-reimbursable and discretionary clinical follow-up with the customer and communication, as appropriate, to the prescribing physician with respect to the customers plan of care. The Company includes
the salaries and related expenses of its respiratory therapist personnel (licensed respiratory therapists or, in some cases, registered nurses) in SG&A because it believes that these personnel enhance the Companys business relative to its
competitors who do not employ respiratory therapists.

Included in depreciation and amortization expense in the three months ended
March 31, 2009 is depreciation of patient service equipment of $20.7 million and depreciation of other property and equipment of $8.3 million. Included in depreciation and amortization expense in the three months ended March 31, 2008 is
depreciation of patient service equipment of $20.7 million and depreciation of other property and equipment of $8.8 million.

Operating
income for the three months ended March 31, 2009, was $51.8 million (13.9% of net revenues), compared with $103.6 million (24.9% of net revenues) for the comparable prior year period. The decrease in operating income in 2009 is attributed to
the dramatic reduction in Medicare reimbursement for the Companys primary product lines that took effect this year (see Medicare Reimbursement).

Liquidity and Capital Resources

Our primary sources of liquidity have been internally generated funds from operations,
borrowings under credit facilities and proceeds from equity and debt transactions. We have used these funds to meet our capital requirements, which consist primarily of operating costs, capital expenditures, acquisitions, debt service and share
repurchases.

Net cash provided by operating activities decreased by 38.1% to $78.3 million for the three months ended March 31, 2009,
compared with $126.4 million for the three months ended March 31, 2008. Net cash used in investing and financing activities was $136.8 million for the three months ended March 31, 2009. Investing and financing activities during the
three-month period ended March 31, 2009 included our net investment in property and equipment of $36.8 million, payments of principal on debt of $0.3 million, repurchases of our common stock of $100.2 million, and proceeds from the sale of
investments of $0.5 million.



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As of March 31, 2009, our principal sources of liquidity consisted of approximately $14.1 million of
cash and cash equivalents and $363.0 million available under our revolving credit agreement. The revolving credit agreement, dated December 1, 2006, makes available to us up to $390.0 million over a five-year period, subject to certain terms
and conditions set forth in the agreement. As of March 31, 2009, there were $27.0 million of standby letters of credit issued under the credit facility.

At March 31, 2009, the Company held $57.0 million of auction rate securities. These securities are variable-rate debt instruments with contractual maturities between the years 2020 and 2041 with interest rates
that reset every seven or 35 days pursuant to a bidding process as determined by the underlying security indentures. Under the provisions of SFAS No. 115, Accounting for Certain Investments in Debt and Equity Securities, the
investments are classified as trading securities and are carried at fair value, with any realized and unrealized gains and losses included in other income and expense.

During the first quarter of 2008, the Company reclassified all of its investments in auction rate securities from short-term to long-term investments. Of the auction rate securities held as of March 31, 2009,
$57.0 million are secured by pools of student loans guaranteed by state-designated guaranty agencies or monoline insurers or reinsured by the United States government. All of the auction rate securities held by the Company are senior obligations
under the applicable indentures authorizing the issuance of such securities. Recent turmoil in the credit markets has resulted in widespread failures to attract demand for such securities at the periodic auction dates occurring subsequent to
December 31, 2007. As of March 31, 2009, all of the securities held by the Company continued to experience auction failures, resulting in our continuing to hold such securities. The Company received partial redemptions of these securities,
at par, in the amount of $0.5 million in February 2009.

All of the auction rate securities owned by the Company were purchased from UBS
Financial Services, Inc., a subsidiary of UBS AG (UBS), and are held by UBS for the benefit of the Company. On August 8, 2008, UBS announced a settlement in principle with the Securities and Exchange Commission, the New
York Attorney General and other state regulatory agencies to restore liquidity to remaining clients who hold auction rate securities. In November 2008, the Company accepted an offer (the UBS Put Option) from UBS to sell to it at par
value all of the Companys remaining auction rate securities in accordance with the terms of the settlement agreement. Under the settlement agreement, the Company will be able to redeem all of its auction rate securities at par during a
two-year time period beginning June 30, 2010, while UBS may purchase all or some of the auction rate securities at par from the Company at any time through July 2, 2012.

At March 31, 2009, the Company held a put option valued at $2.9 million from UBS. Under the provisions of SFAS No. 159, The Fair Value
Option for Financial Assets and Financial Liabilities  Including an Amendment of FASB Statement No. 115, the put option is carried at fair value, with any realized and unrealized gains and losses included in other income and
expense.

We will continue to monitor credit market conditions to assess the liquidity of our investments and access to external sources of
capital. Due to our ability to access our cash and cash equivalents, amounts available under our revolving credit facility, and our expected operating cash flows, we believe that we have adequate liquidity available to meet our obligations.

Our Board of Directors has authorized a share repurchase plan whereby the Company may repurchase from time to time, on the open market or
in privately negotiated transactions, shares of the Companys common stock in amounts determined pursuant to a formula (the share repurchase formula) that takes into account both the ratio of the Companys net debt to cash flow
and its available cash resources and borrowing availability. During the three months ended March 31, 2009, the Company repurchased and retired 4,500,000 shares for $100.2 million pursuant to the repurchase plan. As of March 31, 2009,
$277.1 million of the Companys common stock was eligible for repurchase in accordance with the plans formula.

On
October 31, 2007, we completed the sale of $275.0 million principal amount of convertible senior debentures due 2037  Series A (the Series A Debentures) and $275.0 million principal amount of convertible senior debentures due
2037  Series B (the Series B Debentures and together with the Series A Debentures, the Series Debentures) in a private placement. The Series Debentures pay interest semi-annually at a rate of 2.75% per annum. The
Series Debentures are unsecured and unsubordinated obligations and are convertible under specified circumstances based upon a base conversion rate, which, under certain circumstances, will be increased pursuant to a formula that is subject to a



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maximum conversion rate. Upon conversion, holders of the Series Debentures will receive cash up to the principal amount, and any excess conversion value will
be delivered in shares of our common stock or in a combination of cash and shares of common stock, at our option. The initial base conversion rate for the Debentures is 19.5044 shares of common stock per $1,000 principal amount of Series Debentures,
equivalent to an initial base conversion price of approximately $51.27 per share. In addition, if at the time of conversion the applicable price of our common stock exceeds the base conversion price, holders of the Series Debentures will receive an
additional number of shares of common stock per $1,000 principal amount as determined pursuant to a specified formula. We have the right to redeem the Series A Debentures and the Series B Debentures at any time after November 1, 2012 and
November 1, 2014, respectively. Holders of the Series Debentures will have the right to require us to repurchase for cash all or some of their Series Debentures upon the occurrence of certain fundamental change transactions or on
November 1, 2012, 2017, 2022, 2027 and 2032 in the case of the Series A Debentures and November 1, 2014, 2017, 2022, 2027 and 2032 in the case of the Series B Debentures.

On June 15, 2008, we redeemed $275.0 million of 3.0% Convertible Senior Debentures due 2033 (the Debentures) pursuant to a redemption
notice. The Debentures were convertible into shares of our common stock based on a conversion rate of 18.7515 shares for each $1,000 principal amount of Debentures. Interest on the Debentures was payable at the rate of 3.0% per annum on
June 15 and December 15 of each year. We funded the redemption of the Debentures with $110.0 million of available cash and $165.0 million of borrowings under our revolving credit facility. The entire amount of the borrowings under the
credit facility was paid down from operating cash flow by the end of 2008.

Our future liquidity will continue to be dependent upon our
operating cash flow and management of accounts receivable. We anticipate that funds generated from operations, together with our current cash on hand and funds available under our revolving credit facility, will be sufficient to finance our working
capital requirements, fund anticipated acquisitions and capital expenditures, and meet our contractual obligations for at least the next 12 months.

Accounts Receivable:The Company maintains payor-specific price tables in its billing system that reflect the fee schedule amounts statutorily in effect or contractually agreed upon by various government and commercial
payors for each item of equipment or supply provided to a customer. Due to the nature of the health care industry and the reimbursement environment in which Lincare operates, situations can occur where expected payment amounts are not established by
fee schedules or contracted rates, and estimates are required to record revenues and accounts receivable at their net realizable values. Inherent in these estimates is the risk that revenues and accounts receivable will have to be revised or updated
as additional information becomes available. Contractual adjustments to revenues and accounts receivable can result from price differences between allowed charges and amounts initially recognized as revenue due to incorrect price tables or
subsequently negotiated payment rates. Actual adjustments that result from differences between the payment amount received and the expected realizable amount are recorded against the allowance for sales adjustments and are typically identified and
ultimately recorded at the point of cash application or account review. We report revenues in our financial statements net of such adjustments. Accounts receivable are reported net of allowances for sales adjustments and uncollectible accounts. Bad
debt is recorded as an operating expense and consists of billed charges that are ultimately deemed uncollectible due to the customers or third-party payors inability or refusal to pay.

The Companys payor mix is highly concentrated among Medicare, Medicaid and other government third-party payors and contracted private insurance or
commercial payors. Government payment rates are determined according to published fee schedules established pursuant to statute, law or other regulatory processes and commercial payment rates are based on contractual line item pricing as reflected
in the respective contracts. Fee schedule updates have historically occurred on a prospective basis and have been made available to the Company in advance of the effective date of a change in reimbursement rates. The Companys proprietary
billing system has features that allow the Company to timely update payor price tables within the system as changes occur in order to accurately record revenues and accounts receivable at their expected realizable values. Additional systems and
manual controls and processes are used by management to evaluate the accuracy of these recorded amounts. Based on the Companys experience, it is unlikely that a change in estimate of unsettled amounts from third party payors would have a
material adverse impact on its financial position or results of operations.



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Accounts receivable balance concentrations by major payor category as of March 31, 2009 and
December 31, 2008 were as follows:



|                                               |  |               |   |  |                  |  
|---------------------------------------------- |  | ------------- | - |  | ---------------- | -
|Percentage of Accounts Receivable Outstanding: |  | March 31,2009 |   |  | December 31,2008 |  
|Medicare                                       |  | 35.2          | % |  | 35.5             | %
|Medicaid/Other Government                      |  | 15.7          | % |  | 16.2             | %
|Private Insurance                              |  | 37.2          | % |  | 39.0             | %
|Self-Pay                                       |  | 11.9          | % |  | 9.3              | %
|                                               |  |               |   |  |                  |  
|                                               |  |              
|Total                                          |  | 100.0         | % |  | 100.0            | %
|                                               |  |               |   |  |                  |  

Aged accounts receivable balances by major payor category as of March 31, 2009 and
December 31, 2008 were as follows:



|                                     |  |                |   |  |        |   |  |          |  
|------------------------------------ |  | -------------- | - |  | ------ | - |  | -------- | -
|Percentage of Accounts Aged in Days: |  | March 31, 2009 |  
|                                     |  | 0-60           |   |  | 61-120 |   |  | Over 120 |  
|Medicare                             |  | 82.8           | % |  | 8.6    | % |  | 8.6      | %
|Medicaid/Other Government            |  | 54.1           | % |  | 17.9   | % |  | 28.0     | %
|Private Insurance                    |  | 59.9           | % |  | 15.7   | % |  | 24.4     | %
|Self-Pay                             |  | 60.3           | % |  | 19.7   | % |  | 20.0     | %
|All Payors                           |  | 67.1           | % |  | 14.0   | % |  | 18.9     | %



|                                     |  |                   |   |  |        |   |  |          |  
|------------------------------------ |  | ----------------- | - |  | ------ | - |  | -------- | -
|Percentage of Accounts Aged in Days: |  | December 31, 2008 |  
|                                     |  | 0-60              |   |  | 61-120 |   |  | Over 120 |  
|Medicare                             |  | 82.5              | % |  | 8.8    | % |  | 8.7      | %
|Medicaid/Other Government            |  | 53.1              | % |  | 17.4   | % |  | 29.5     | %
|Private Insurance                    |  | 59.7              | % |  | 14.3   | % |  | 26.0     | %
|Self-Pay                             |  | 50.3              | % |  | 26.6   | % |  | 23.1     | %
|All Payors                           |  | 65.9              | % |  | 14.0   | % |  | 20.1     | %

We operate 34 regional billing and collection offices (RBCOs) that are responsible for
the billing and collection of accounts receivable. The RBCOs are aligned geographically to support the accounts receivable activity of the operating centers within their assigned territories. As of March 31, 2009, there were 1,343 full-time
employees in the RBCOs. Accounts receivable collections are performed by designated collectors within each of the RBCOs. The collectors use various reporting tools available within our proprietary billing system to identify claims that have been
denied or partially paid by the responsible party and claims that have not been processed by the third-party payor in a timely manner. Collections of accounts receivable are typically pursued using direct phone contact to determine the reason for
non-payment and, if necessary, corrected claims are prepared for resubmission and further follow-up with the responsible party. In some cases, third-party payors have developed electronic inquiry methods that we can access to determine the status of
individual claims. We have benefited from the increasing availability of electronic funds transfers from payors, which now account for approximately 64.8% of all payments received. We believe that our collection procedures contribute to our accounts
receivable days sales outstanding (DSO) of 44 days and bad debt expense of 1.5% being among the lowest in the industry, according to published industry data and public filings of some of our competitors.

The ultimate collection of accounts receivable may not be known for several months. We record bad debt expense based on a percentage of revenue using
historical Company-specific data. The percentage and amounts used to record bad debt expense and the allowance for doubtful accounts are supported by various methods and analyses including current and historical cash collections, bad debt
write-offs, aged accounts receivable and consideration of any payor-specific concerns. The ultimate write-off of an accounts receivable occurs once collection procedures are determined to have been



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exhausted by the collector and after appropriate review of the specific account and approval by supervisory and/or management employees within the RBCOs.
Management and RBCO supervisory and management employees also review accounts receivable write-off reports, correspondence from payors and individual account information to evaluate and correct processes that might have contributed to an
unsuccessful collection effort.

We do not use an aging threshold for account receivable write-offs. However, the age of an account balance
may provide an indication that collection procedures have been exhausted, and would be considered in the review and approval of an account balance write-off.

Future Minimum Obligations

In the normal course of business, we enter into obligations and commitments that require future
contractual payments. The commitments primarily result from repayment obligations for borrowings under our revolving credit facility and Series Debentures as well as contractual lease payments for facility, vehicle, and equipment leases, deferred
taxes and deferred acquisition obligations.

New Accounting Standards

In December 2007, the FASB issued SFAS No. 141(R), Business Combinations, which replaces SFAS No. 141. SFAS No. 141(R) requires an acquirer in a business combination to recognize the assets
acquired, liabilities assumed, and any noncontrolling interest in the acquiree at the acquisition date, measured at their fair values as of that date, with limited exceptions. It also requires the recognition of assets acquired and liabilities
assumed arising from certain contractual contingencies as of the acquisition date, measured at their acquisition-date fair values. The provisions of SFAS No. 141(R) are effective as of the beginning of the 2009 calendar year. The adoption of
SFAS No. 141(R) did not have a material impact on our financial condition, results of operations or cash flows.

In February 2008, the
FASB issued FSP FAS 157-2, Effective Date of FASB Statement No. 157, which delays the effective date of FASB Statement No. 157, Fair Value Measurements, to calendar years beginning January 1, 2009. The scope of
the proposed deferral applies to all nonfinancial assets and nonfinancial liabilities, except those that are recognized or disclosed at fair value in the financial statements on a recurring basis (at least annually). The adoption of FSP FAS 157-2
did not have a material impact on our financial condition, results of operations or cash flows.

In May 2008, the FASB issued FSP APB 14-1,
Accounting for Convertible Debt Instruments That May Be Settled in Cash upon Conversion (Including Partial Cash Settlement). FSP APB 14-1 specifies that issuers of such instruments should separately account for the liability and equity
components in a manner that will reflect the entitys nonconvertible debt borrowing rate when interest cost is recognized in subsequent periods. Upon adoption, the debt component of such instrument would be recognized by measuring the fair
value of a similar liability that does not have an associated equity component. The equity component of such instrument would be recognized as the difference between the proceeds from the issuance of the note and the fair value of the liability
component. The FSP requires accretion of the resultant debt discount (equal to the proceeds allocated to the equity component) over the expected life of the debt. FSP APB 14-1 is effective for financial statements issued for fiscal years beginning
after December 15, 2008, and interim periods within those fiscal years. The Company adopted FSP APB 14-1 effective January 1, 2009, and this standard was applied on a retrospective basis. For a full discussion of the impact to the
Companys condensed consolidated financial statements, refer to Note 1 to the March 31, 2009, 10-Q condensed consolidated financial statements.

In April 2009, the FASB issued FSP FAS 141(R)-1, Accounting for Assets Acquired and Liabilities Assumed in a Business Combination That Arise from Contingencies, which amends the guidance in SFAS
No. 141(R), Business Combinations, applicable to assets and liabilities arising from contingencies in a business combination. Under the FSP an acquirer is required to recognize at fair value an asset acquired or a liability assumed
in a business combination that arises from a contingency if the acquisition-date fair value of that asset or liability can be determined during the measurement period. If the acquisition-date fair value cannot be determined then the acquirer follows
the recognition criteria in SFAS No. 5, Accounting for Contingencies, and FASB Interpretation No. 14, Reasonable Estimation of the Amount of a Loss  an Interpretation of FASB Statement No. 5, to determine
whether the contingency should be recognized as of the acquisition date or after it. The provisions of FSP FAS 141(R)-1 were effective as of January 1, 2009. The adoption of FSP FAS 141(R)-1 did not have an impact on our financial condition, results
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In April 2009, the FASB issued proposed FSP FAS 157-4, Determining Fair Value When the Volume and
Level of Activity for the Asset or Liability Have Significantly Decreased and Identifying Transactions That Are Not Orderly, which provides guidance for estimating fair value in accordance with SFAS No. 157, Fair Value
Measurements, when the volume and level of activity for the asset or liability have significantly decreased. The FSP also provides guidance for determining whether a transaction is an orderly one. The FSP indicates if the reporting entity
concludes there has been a significant decrease in the volume and level of activity for the asset or liability in relation to normal market activity for the asset or liability then transactions or quoted prices may not be determinative of fair
value. In such a situation further analysis of the transactions or quoted prices is needed and a significant adjustment to the transactions or quoted prices may be necessary to estimate fair value in accordance with SFAS No. 157. The FSP
emphasizes that in identifying transactions that are not orderly an entity cannot assume that the observable transaction price is not orderly when the volume and level of activity for the asset or liability have significantly declined. Rather an
entity must perform an analysis to determine whether the observable price is representative of a transaction that is not orderly. The FSP amends the disclosure provisions of SFAS No. 157 to require entities to disclose in interim and annual
periods the inputs and valuation technique(s) used to measure fair value. This requirement was previously limited to annual periods under SFAS No. 157. Further, if an entity changes the valuation technique(s) or related assumptions in measuring
fair value the entity is required to qualitatively discuss the changes in valuation technique(s) and related assumptions in both interim and annual financial statements. Entities have alternatives for adopting the FSP including to not early adopt in
which case adoption is required no later than periods ending after June 15, 2009 or to early adopt for periods ending after March 15, 2009. We plan to adopt the FSP for periods ending after June 15, 2009. We do not expect the adoption
of FSP FAS 157-4 to have a material impact on our financial condition, results of operations or cash flows.

Forward Looking Statements

Statements in this report concerning future results, performance or expectations are forward-looking statements within the meaning of the Private
Securities Litigation Reform Act of 1995, as amended. All forward-looking statements included in this document are based upon information available to us as of the date hereof and we assume no obligation to update any such forward-looking
statements. These statements involve known and unknown risks, uncertainties and other factors that may cause our actual results, levels of activity, performance or achievements to be materially different from any results, levels of activity,
performance or achievements expressed or implied by any forward-looking statements. In some cases, forward-looking statements that involve risks and uncertainties contain terminology such as may, will, should,
could, expects, intends, plans, anticipates, believes, estimates, predicts, potential, or continue or variations of these terms
or other comparable terminology.

Key factors that have an impact on our ability to attain these estimates include potential reductions in
reimbursement rates by government and other third-party payors, changes in reimbursement policies, the demand for our products and services, the availability of appropriate acquisition candidates and our ability to successfully complete and
integrate acquisitions, efficient operations of our existing and future operating facilities, regulation and/or regulatory action affecting us or our business, economic and competitive conditions, access to borrowed and/or equity capital on
favorable terms and other risks described below.

In developing our forward-looking statements, we have made certain assumptions relating
to reimbursement rates and policies, internal growth and acquisitions and the outcome of various legal and regulatory proceedings. If the assumptions we use differ materially from what actually occurs, then actual results could vary significantly
from the performance projected in the forward-looking statements. We are under no duty to update any of the forward-looking statements after the date of this report.

Certain Risk Factors Relating to the Companys Business

We operate in a rapidly changing
environment that involves a number of risks. The following discussion highlights some of these risks and others are discussed elsewhere in this report. These and other risks could materially and adversely affect our business, financial condition,
operating results and cash flows.

A MAJORITY OF OUR CUSTOMERS HAVE PRIMARY HEALTH COVERAGE UNDER MEDICARE PART B, AND RECENTLY ENACTED AND FUTURE
CHANGES IN THE REIMBURSEMENT RATES OR PAYMENT METHODOLOGIES UNDER THE MEDICARE PROGRAM COULD MATERIALLY AND ADVERSELY AFFECT OUR BUSINESS.



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As a provider of home oxygen and other respiratory therapy services for the home health care market, we
have historically depended heavily on Medicare reimbursement as a result of the high proportion of elderly persons suffering from respiratory disease. Medicare Part B, the Supplementary Medical Insurance Program, provides coverage to eligible
beneficiaries for DME, such as oxygen equipment, respiratory assistance devices, continuous positive airway pressure devices, nebulizers and associated inhalation medications, hospital beds and wheelchairs for the home setting. Approximately 68% of
our customers have primary coverage under Medicare Part B. There are increasing pressures on Medicare to control health care costs and to reduce or limit reimbursement rates for home medical equipment and services. Medicare reimbursement is subject
to statutory and regulatory changes, retroactive rate adjustments, administrative and executive orders and governmental funding restrictions, all of which could materially decrease payments to us for the services and equipment we provide.

Recent legislation and coverage policy revisions, including the Medicare Improvements for Patients and Providers Act of 2008
(MIPPA), the Medicare, Medicaid and SCHIP Extension Act of 2007 (SCHIP Extension Act), the Deficit Reduction Act of 2005 (DRA) and the Medicare Prescription Drug, Improvement, and Modernization Act of 2003
(MMA) contain provisions that directly impact reimbursement for the primary respiratory and other DME products provided by Lincare. MIPPA delayed until 2010 the implementation of a Medicare competitive bidding program for oxygen
equipment and certain other DME items that was scheduled to begin on July 1, 2008 and instituted a 9.5% price reduction nationwide for these items as of January 1, 2009. The SCHIP Extension Act reduced Medicare reimbursement amounts for
covered Part B drugs, including inhalation drugs that we provide, beginning April 1, 2008. DRA provisions negatively impacted reimbursement for oxygen equipment beginning in 2009 and negatively impacted reimbursement for DME items subject to
capped rental payments beginning in 2007. MMA significantly reduced reimbursement for inhalation drug therapies beginning in 2005, reduced payment amounts for five categories of DME, including oxygen, beginning in 2005, froze payment amounts for
other covered DME items through 2007, established a competitive acquisition program for DME and implemented quality standards and accreditation requirements for DME suppliers. These legislative provisions, now and when fully implemented, have had a
material adverse effect on our business, financial condition, operating results and cash flows. See MEDICARE REIMBURSEMENT for a full discussion of the MIPPA, SCHIP Extension Act, DRA and MMA provisions.

A SIGNIFICANT PERCENTAGE OF OUR BUSINESS IS DERIVED FROM THE SALE AND RENTAL OF MEDICARE-COVERED OXYGEN AND DME ITEMS, AND RECENT LEGISLATIVE ACTS IMPOSE SUBSTANTIAL
CHANGES IN THE MEDICARE PAYMENT METHODOLOGIES AND REDUCTIONS IN THE MEDICARE PAYMENT AMOUNTS FOR THESE ITEMS.

DRA changed the reimbursement methodology for oxygen equipment from continuous monthly payment for as long as the equipment is in use by a Medicare beneficiary, which includes payment for oxygen contents, related
disposable supplies and accessories and maintenance of equipment, to a capped rental arrangement whereby payment for oxygen equipment may not extend over a period of continuous use of longer than 36 months. Separate payments for oxygen contents
continue to be made for the period of medical need beyond the 36thmonth. Additionally, payment for routine maintenance and service of the oxygen
equipment, limited to 30 minutes of labor, is made following each six-month period after the 36-month rental period ends. The oxygen provisions contained in DRA became effective on January 1, 2006. In the case of beneficiaries receiving oxygen
equipment prior to the effective date, the 36-month period of continuous use began on January 1, 2006. Accordingly, the first month in which the new payment methodology impacted our net revenues was January 2009.

The DRA oxygen provisions and related regulations represent a fundamental change in the Medicare payment system for oxygen. These provisions are complex,
and are expected to result in profound changes in the provider-customer relationship for oxygen equipment and related services. The ultimate financial impact to the Company of the oxygen capped rental regulations will be dependent upon a number of
variables, including (i) the number of Medicare oxygen customers reaching 36 months of continuous service, (ii) the number of customers receiving reimbursable oxygen contents beyond the 36-month rental period, (iii) the ultimate
duration of therapy for customers on service beyond 36 months, (iv) the incidence of customers with equipment deemed to be beyond its useful life that may be eligible for new equipment and therefore a new rental episode, (v) payment
amounts and coverage guidelines established by CMS to reimburse suppliers for maintenance of oxygen equipment, and (vi) the extent to which other government and private payors attempt to adopt new oxygen payment rules similar to those now in
effect under Medicare. The Company continues to evaluate these factors in order to determine the expected impact of the regulations, which we believe will have a material adverse effect on our revenues, operating income, cash flows and financial
position in 2009 and beyond. The Company developed a preliminary estimate of the potential reduction in our revenues and operating income in 2009 resulting from the oxygen capped rental regulations of between $130 million and $145 million. Based on
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the end of the first quarter of 2009, we do not believe that this estimate needs to be revised at this time. The assumptions used to develop this estimate
are highly dependent upon the variables listed above, as well as other factors that we may be unable to anticipate. This estimate may be unreliable and subject to change as more information becomes available to the Company.

DRA also changed the reimbursement methodology for items of DME in the capped rental payment
category, including but not limited to such items as continuous positive airway pressure (CPAP) devices, certain respiratory assist devices, nebulizers, hospital beds and wheelchairs. For such items of DME, payment may not extend over a
period of continuous use of longer than 13 months. On the first day that begins after the 13thcontinuous month during which payment is made for the
item, the supplier must transfer title of the item to the beneficiary. Additional payments for maintenance and service of the item are made for parts and labor not covered by a suppliers or manufacturers warranty. The DME capped rental
provisions contained in DRA applied to items furnished for which the first rental month occurred on or after January 1, 2006. Accordingly, the first month in which the new payment methodology impacted our net revenues was February 2007.

On July 15, 2008, Congress enacted the MIPPA legislation which contains provisions that reduced Medicare payment rates nationwide for
certain DME items, including oxygen equipment, by 9.5% beginning in 2009. In addition to the 9.5% reduction, CMS subjected the monthly payment amount for stationary oxygen equipment to additional cuts of 2.3%, thereby reducing the monthly payment
rate from $199.28 in 2008 to $175.79 in 2009. We estimate that these price reductions, in aggregate, will reduce our net revenues and operating income by approximately $110 million in 2009.

A SIGNIFICANT PERCENTAGE OF OUR BUSINESS IS DERIVED FROM THE SALE OF MEDICARE-COVERED RESPIRATORY MEDICATIONS, AND RECENT LEGISLATION AND MEDICARE POLICY REVISIONS
IMPOSED SIGNIFICANT REDUCTIONS IN MEDICARE REIMBURSEMENT FOR SUCH INHALATION DRUGS.

Recently enacted legislation negatively affected
Medicare reimbursement amounts for covered Part B drugs, including inhalation drugs that we provide, beginning April 1, 2008 (See MEDICARE REIMBURSEMENT). The SCHIP Extension Act required CMS to adjust the average sales price
(ASP) calculation methodology used to determine Medicare payment amounts for inhalation drugs by using volume-weighted ASPs based on actual sales volume rather than average sales price. The SCHIP Extension Act also specifically lowered
reimbursement for the inhalation drug albuterol. We estimate that these lower payment amounts for inhalation drugs reduced our net revenues and operating income by approximately $22.0 million in the three months ended March 31, 2009 compared
with the first fiscal quarter of 2008.We can not determine whether quarterly updates in ASP pricing data will continue to result in ongoing reductions in payment rates for inhalation drugs, or what impact such payment reductions could have on our
business in the future.

RECENT REGULATORY CHANGES SUBJECT THE MEDICARE REIMBURSEMENT RATES FOR OUR EQUIPMENT AND SERVICES TO ADDITIONAL REDUCTIONS AND
TO POTENTIAL DISCRETIONARY ADJUSTMENT BY CMS, WHICH COULD REDUCE OUR REVENUES, NET INCOME AND CASH FLOWS.

In February 2006, a final
rule governing CMS Inherent Reasonableness, or IR, authority became effective. The IR rule establishes a process for adjusting fee schedule amounts for Medicare Part B services when existing payment amounts are determined to be either grossly
excessive or deficient. The rule describes the factors that CMS or its contractors will consider in making such determinations and the procedures that will be followed in establishing new payment amounts. To date, no payment adjustments have
occurred or been proposed as a result of the IR rule.

The effectiveness of the IR rule itself does not trigger payment adjustments for any
items or services. Nevertheless, the IR rule puts in place a process that could eventually have a significant impact on Medicare payments for our equipment and services. We can not predict whether or when CMS will exercise its IR authority with
respect to payment for our equipment and services, or the effect that such payment adjustments would have on our financial position or operating results.

FUTURE IMPLEMENTATION OF A COMPETITIVE BIDDING PROCESS UNDER MEDICARE COULD REDUCE OUR REVENUES, NET INCOME AND CASH FLOWS.

CMS is required by law to establish and implement programs under which competitive acquisition areas will be established throughout the United States for contract award purposes for the furnishing of competitively priced items of DME,
including oxygen equipment (See MEDICARE REIMBURSEMENT). The program was initially intended to be implemented in phases such that competition under the program would occur in ten of the largest MSAs in the first year, 80 of the largest
MSAs in the following year, and additional areas thereafter.



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For each competitive acquisition area, CMS is to conduct a competition under which providers will submit
bids to supply certain covered items of DME. Successful bidders will be expected to meet certain program quality standards in order to be awarded a contract and only successful bidders can supply the covered items to Medicare beneficiaries in the
acquisition area. The applicable contract award prices are expected to be less than would be paid under current Medicare fee schedules, and contracts will be re-bid at least every three years. CMS will be required to award contracts to multiple
entities submitting bids in each area for an item or service, but will have the authority to limit the number of contractors in a competitive acquisition area to the number needed to meet projected demand. CMS may use competitive bid pricing
information to adjust the payment amounts otherwise in effect for an area that is not a competitive acquisition area.

CMS concluded the
bidding process for the first round of MSAs in September 2007. On March 20, 2008, CMS completed the bid evaluation process and announced the payment amounts that would have taken effect in the ten competitive bidding areas beginning
July 1, 2008. Contracts to provide products within the competitive bid areas were awarded to selected suppliers, including the Company, and took effect on July 1, 2008. On July 15, 2008, Congress enacted the MIPPA legislation which
retroactively delayed the implementation of competitive bidding for up to 18 months and reduced Medicare prices nationwide by 9.5% beginning in 2009 for the product categories, including oxygen, that were initially included in competitive bidding.
As a result of the delay, CMS cancelled all contract awards retroactively to June 30, 2008.

On April 18, 2009, the interim final
rule (IFR) for competitive bidding became effective. The IFR outlines the process for rebidding the first round of competitive bidding in 2009. The bidding will apply to nine of the original ten MSAs in round one and will be expanded to
additional MSAs thereafter. A competition for a national mail order competitive bidding program may occur after 2010. It is unclear at this time when contracts would be awarded under the program and the respective effective dates of the contracts.
We will continue to monitor developments regarding the implementation of the competitive bidding program. We can not predict the outcome of the competitive bidding program on our business when fully implemented nor the Medicare payment rates that
will be in effect in future years for the items subjected to competitive bidding.

FUTURE REDUCTIONS IN REIMBURSEMENT RATES UNDER MEDICAID COULD REDUCE
OUR REVENUES, NET INCOME AND CASH FLOWS.

Due to budgetary shortfalls, many states are considering, or have enacted, cuts to their
Medicaid programs, including funding for our equipment and services. These cuts have included, or may include, elimination or reduction of coverage for some or all of our equipment and services, amounts eligible for payment under co-insurance
arrangements, or payment rates for covered items. Approximately 6% of our customers are eligible for primary Medicaid benefits, and State Medicaid programs fund approximately 13% of our payments from primary and secondary insurance benefits.
Continued state budgetary pressures could lead to further reductions in funding for the reimbursement for our equipment and services which, in turn, could have a material adverse effect on our financial position and operating results.

FUTURE REDUCTIONS IN REIMBURSEMENT RATES FROM PRIVATE PAYORS COULD HAVE A MATERIAL ADVERSE EFFECT ON OUR FINANCIAL CONDITION AND OPERATING RESULTS.

Payors such as private insurance companies and employers are under pressure to increase profitability and reduce costs. In response, certain payors are
limiting coverage or reducing reimbursement rates for the equipment and services we provide. Approximately 25% of our customers and approximately 32% of our primary and secondary payments are derived from private payors. Continued financial
pressures on these entities could lead to further reimbursement reductions for our equipment and services that could have a material adverse effect on our financial condition and operating results.

WE DEPEND UPON REIMBURSEMENT FROM THIRD-PARTY PAYORS FOR A SIGNIFICANT MAJORITY OF OUR REVENUES, AND IF WE FAIL TO MANAGE THE COMPLEX AND LENGTHY REIMBURSEMENT
PROCESS, OUR BUSINESS AND OPERATING RESULTS COULD SUFFER.

We derive a significant majority of our revenues from reimbursement by
third-party payors. We accept assignment of insurance benefits from customers and, in most instances, invoice and collect payments directly from Medicare, Medicaid and private insurance carriers, as well as from customers under co-insurance
provisions. Approximately 48% of our revenues are derived from Medicare, 32% from private insurance carriers, 13% from Medicaid and the balance directly from individual customers and commercial entities.

Our financial condition and results of operations may be affected by the reimbursement process, which in the health care industry is complex and can
involve lengthy delays between the time that services are rendered and the time that the reimbursement amounts are settled. Depending on the payor, we may be required to obtain certain payor-specific



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documentation from physicians and other health care providers before submitting claims for reimbursement. Certain payors have filing deadlines and they will
not pay claims submitted after such time. We can not ensure that we will be able to continue to effectively manage the reimbursement process and collect payments for our equipment and services promptly.

WE ARE SUBJECT TO EXTENSIVE FEDERAL AND STATE REGULATION, AND IF WE FAIL TO COMPLY WITH APPLICABLE REGULATIONS, WE COULD SUFFER SEVERE CRIMINAL OR CIVIL SANCTIONS OR
BE REQUIRED TO MAKE SIGNIFICANT CHANGES TO OUR OPERATIONS THAT COULD HAVE A MATERIAL ADVERSE EFFECT ON OUR RESULTS OF OPERATIONS.

The
federal government and all states in which we operate regulate many aspects of our business. In particular, our operating centers are subject to federal laws that regulate the repackaging of drugs (including oxygen) and interstate motor-carrier
transportation. Our operations also are subject to state laws governing, among other things, pharmacies, nursing services, distribution of medical equipment and certain types of home health activities. Certain of our employees are subject to state
laws and regulations governing the ethics and professional practices of respiratory therapy, pharmacy and nursing.

As a health care
supplier, we are subject to extensive government regulation, including numerous laws directed at preventing fraud and abuse and laws regulating reimbursement under various government programs. The marketing, billing, documenting and other practices
of health care companies are all subject to government scrutiny. To ensure compliance with Medicare and other regulations, regional carriers often conduct audits and request customer records and other documents to support our claims for payment.
Similarly, government agencies periodically open investigations and obtain information from health care providers pursuant to legal process. Violations of federal and state regulations can result in severe criminal, civil and administrative
penalties and sanctions, including disqualification from Medicare and other reimbursement programs, which could have a material adverse effect on our business.

Health care is an area of rapid regulatory change. Changes in the law and new interpretations of existing laws may affect permissible activities, the costs associated with doing business, and reimbursement amounts
paid by federal, state and other third-party payors. We can not predict the future of federal, state and local regulation or legislation, including Medicare and Medicaid statutes and regulations, or possible changes in national health care policies.
Future legislation and regulatory changes could have a material adverse effect on our business.

WE ARE SUBJECT TO A CORPORATE INTEGRITY AGEEMENT WITH
THE OFFICE OF INSPECTOR GENERAL, AND IF WE FAIL TO COMPLY WITH THE TERMS OF THE CORPORATE INTEGRITY AGREEMENT, WE COULD SUFFER SEVERE CRIMINAL, CIVIL OR ADMINISTRATIVE SANCTIONS.

We are subject to a five-year corporate integrity agreement with the Office of Inspector General that began in May 2006. Violations of the terms of the
corporate integrity agreement could result in severe criminal, civil and administrative penalties and sanctions, including disqualification from Medicare and other reimbursement programs.

COMPLIANCE WITH REGULATIONS UNDER THE FEDERAL HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 AND RELATED RULES, OR HIPAA, RELATING TO THE TRANSMISSION
AND PRIVACY OF HEALTH INFORMATION COULD IMPOSE ADDITIONAL SIGNIFICANT COSTS ON OUR OPERATIONS.

Numerous federal and state laws and
regulations, including HIPAA, govern the collection, dissemination, use and confidentiality of patient-identifiable health information. HIPAA requires us to comply with standards for the use and disclosure of health information within our
company and with third parties. HIPAA also includes standards for common health care electronic transactions and code sets, such as claims information, plan eligibility, payment information and the use of electronic signatures, and privacy and
electronic security of individually identifiable health information. Each set of HIPAA regulations requires health care providers, including us, in addition to health plans and clearinghouses, to develop and maintain policies and procedures with
respect to protected health information that is used or disclosed.

If we do not comply with existing or new laws and regulations related
to patient health information, we could be subject to criminal or civil sanctions. New health information standards, whether implemented pursuant to HIPAA or otherwise, could have a significant effect on the manner in which we handle health care
related data and communicate with payors, and the cost of complying with these standards could be significant.

WE MAY UNDERTAKE ACQUISITIONS THAT COULD
SUBJECT US TO UNANTICIPATED LIABILITIES AND THAT COULD FAIL TO ACHIEVE EXPECTED BENEFITS.



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Our strategy is to increase our market share through internal growth and strategic acquisitions.
Consideration for the acquisitions has generally consisted of cash, unsecured non-interest bearing obligations and the assumption of certain liabilities.

The implementation of an acquisition strategy entails certain risks, including inaccurate assessment of disclosed liabilities, the existence of undisclosed liabilities, regulatory compliance issues associated with the
acquired business, entry into markets in which we may have limited or no experience, diversion of managements attention and human resources from our underlying business, difficulties in integrating the operations of an acquired business or in
realizing anticipated efficiencies and cost savings, failure to retain key management or operating personnel of the acquired business, and an increase in indebtedness and a limitation in the ability to access additional capital on favorable terms.
The successful integration of an acquired business may be dependent on the size of the acquired business, condition of the customer billing records, and complexity of system conversions and execution of the integration plan by local management. If
we do not successfully integrate the acquired business, the acquisition could fail to achieve its expected revenue contribution or there could be delays in the billing and collection of claims for services rendered to customers, which may have a
material adverse effect on our financial position and operating results.

WE FACE INTENSE NATIONAL, REGIONAL AND LOCAL COMPETITION AND IF WE ARE UNABLE
TO COMPETE SUCCESSFULLY, WE WILL LOSE REVENUES AND OUR BUSINESS WILL SUFFER.

The home respiratory market is a fragmented and highly
competitive industry. We compete against other national providers and, by our estimate, more than 2,000 local and regional providers. Home respiratory companies compete primarily on the basis of service rather than price since reimbursement levels
are established by Medicare and Medicaid or by the individual determinations of private health plans.

Our ability to compete successfully
and to increase our referrals of new customers are highly dependent upon our reputation within each local health care market for providing responsive, professional and high-quality service and achieving strong customer satisfaction. Given the
relatively low barriers to entry in the home respiratory market, we expect that the industry will become increasingly competitive in the future. Increased competition in the future could limit our ability to attract and retain key operating
personnel and achieve continued growth in our core business.

INCREASES IN OUR COSTS COULD ERODE OUR PROFIT MARGINS AND SUBSTANTIALLY REDUCE OUR NET
INCOME AND CASH FLOWS.

Cost containment in the health care industry, fueled, in part, by federal and state government budgetary
shortfalls, is likely to result in constant or decreasing reimbursement amounts for our equipment and services. As a result, we must control our operating cost levels, particularly labor and related costs, which account for a significant component
of our operating costs and expenditures. We compete with other health care providers to attract and retain qualified or skilled personnel. We also compete with various industries for administrative and service employees. Since reimbursement rates
are established by fee schedules mandated by Medicare, Medicaid and private payors, we are not able to offset the effects of general inflation in labor and related cost components, if any, through increases in prices for our equipment and services.
Consequently, such cost increases could erode our profit margins and reduce our net income.



|Item 3. | Quantitative and Qualitative Disclosures About Market Risk
|------- | ----------------------------------------------------------

There were no material changes to the information provided in Item 7A in our Annual Report on Form 10-K regarding our market risk.

Our revolving credit facility is subject to changing LIBOR-based interest rates. At March 31, 2009, we had no outstanding borrowings under the credit facility.



|Item 4. | Controls and Procedures
|------- | -----------------------

(a) Disclosure
Controls and Procedures

The Company has conducted an evaluation of its disclosure controls and procedures, as such term is defined
under Rules 13a-15(e) and 15d-15(e) of the Securities Exchange Act of 1934, as amended, as of the end of the period covered by this report (the Evaluation Date). Based on its evaluation, the Companys principal executive officer and
principal financial officer have concluded that the Companys disclosure controls and procedures are effective to ensure that information required to be disclosed by the Company is recorded, processed, summarized and reported within the
required time periods.



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(b) Changes in Internal Control Over Financial Reporting

No change in the Companys internal control over financial reporting (as defined in Rules 13a-15(f) and 15d  15(f) under the Securities and
Exchange Act of 1934, as amended) occurred during the fiscal quarter ended March 31, 2009, that has materially affected, or is reasonably likely to materially affect, the Companys internal control over financial reporting.



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PART II. OTHER INFORMATION



|Item 1. | Legal Proceedings
|------- | -----------------

As a health
care provider, the Company is subject to extensive government regulation, including numerous laws directed at preventing fraud and abuse and laws regulating reimbursement under various government programs. The marketing, billing, documenting and
other practices of health care companies are all subject to government scrutiny. To ensure compliance with Medicare and other regulations, regional carriers often conduct audits and request patient records and other documents to support claims
submitted by Lincare for payment of services rendered to customers. Similarly, government agencies periodically open investigations and obtain information from health care providers pursuant to legal process.

Violations of federal and state regulations can result in severe criminal, civil and administrative penalties and sanctions, including disqualification
from Medicare and other reimbursement programs.

From time to time, the Company receives inquiries from various government agencies
requesting customer records and other documents. It has been the Companys policy to cooperate with all such requests for information. However, the Company can provide no assurances as to the duration or outcome of these inquiries.

Private litigants may also make claims against health care providers for violations of health care laws in actions known as qui tam suits. In
these cases, the government has the opportunity to intervene in, and take control of, the litigation. We are a defendant in certain qui tam proceedings. The government has declined to intervene for purposes other than dismissal in all
unsealed qui tam actions of which we are aware and we are vigorously defending these suits.

Our operating centers are also subject
to federal and/or state laws regulating, among other things, interstate motor-carrier transportation, repackaging of oxygen, distribution of medical equipment, certain types of home health activities, pharmacy operations, nursing services and
respiratory services and apply to those locations involved in such activities. Certain of our employees are subject to state laws and regulations governing the ethics and professional practice of respiratory therapy, pharmacy and nursing. From time
to time, the Company receives inquiries and complaints from various government agencies related to its operations or personnel. It has been the Companys policy to cooperate with all such inquiries and vigorously defend any administrative
complaints. The Company can provide no assurances as to the duration or outcome of these inquiries and/or complaints.

We are also involved
in certain other claims and legal actions arising in the ordinary course of our business. The ultimate disposition of all such matters is not currently expected to have a material adverse impact on our financial position, results of operations or
liquidity.

The Company is subject to a five-year corporate integrity agreement with the Office of Inspector General that began in May
2006. Violations of the corporate integrity agreement can result in severe criminal, civil and administrative penalties and sanctions, including disqualification from Medicare and other reimbursement programs.



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|Item 2. | Unregistered Sales of Equity Securities and Use of Proceeds
|------- | -----------------------------------------------------------

During the three months ended March 31, 2009, the Company repurchased approximately 4.5 million shares of its common stock in the
open market.



|                                      |  |                                |  |                            |       |                                                               |           |                                                                                    |   |            
|------------------------------------- |  | ------------------------------ |  | -------------------------- | ----- | ------------------------------------------------------------- | --------- | ---------------------------------------------------------------------------------- | - | -----------
|ISSUER PURCHASES OF EQUITY SECURITIES
|Period                                |  | Total Numberof SharesPurchased |  | Average PricePaidPer Share |       | Total Numberof SharesPurchased asPart of theRepurchaseProgram |           | ApproximateDollar Value ofShares that MayYet BePurchasedUnder
theRepurchaseProgram
|January 1, 2009 to January 31, 2009   |  | 0                              |  | $                          | 0.00  |                                                               | 0         |                                                                                    | $ | 361,317,000
|February 1, 2009 to February 28, 2009 |  | 1,730,000                      |  |                            | 24.39 |                                                               | 1,730,000 |                                                                                    | $ | 339,934,000
|March 1, 2009 to March 31, 2009       |  | 2,770,000                      |  |                            | 20.94 |                                                               | 2,770,000 |                                                                                    | $ | 277,144,000
|                                      |  |                                |  |                            |       |                                                               |           |                                                                                    |   |            
|                                      |  |                                |  |                           
|Total                                 |  | 4,500,000                      |  | $                          | 22.27 |                                                               | 4,500,000 |                                                                                    |   |            
|                                      |  |                                |  |                            |       |                                                               |           |                                                                                    |   |            

Our Board of Directors has authorized a share repurchase plan whereby the Company may repurchase
shares of the Companys common stock in amounts determined pursuant to a formula that takes into account both the ratio of the Companys net debt to cash flow and its available cash resources and borrowing availability. As of
March 31, 2009, $277.1 million of common stock was eligible for repurchase in accordance with the plans formula.



|Item 3. | Defaults Upon Senior Securities -Not Applicable
|------- | -----------------------------------------------



|Item 4. | Submission of Matters to a Vote of the Security Holders -Not Applicable
|------- | -----------------------------------------------------------------------



|Item 5. | Other Information -Not Applicable
|------- | ---------------------------------



|Item 6. | Exhibits
|------- | --------



| | (a) | Exhibits included or incorporated herein: See Exhibit Index.
| | --- | ------------------------------------------------------------



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SIGNATURE

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.



LINCARE HOLDINGS INC.Registrant/s/ PAUL G. GABOSPaul G. Gabos Secretary, Chief Financial Officer and Principal Accounting Officer


May 6, 2009



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INDEX OF EXHIBITS



|              |  |                                                                                                                                                                                                                              
|------------- |  | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
|ExhibitNumber |  | Exhibit                                                                                                                                                                                                                      
|3.10 (A)      |  | Amended and Restated Certificate of Incorporation of Lincare Holdings Inc.                                                                                                                                                   
|              | 
|3.11 (A)      |  | Certificate of Amendment to the Amended and Restated Certificate of Incorporation of Lincare Holdings Inc.                                                                                                                   
|              | 
|3.20 (B)      |  | Amended and Restated By-Laws of Lincare Holdings Inc.                                                                                                                                                                        
|              | 
|4.10 (C)      |  | Lincare Holdings Inc. Indenture dated as of June 11, 2003                                                                                                                                                                    
|              | 
|4.20 (C)      |  | Lincare Holdings Inc. Registration Rights Agreement dated as of June 11, 2003                                                                                                                                                
|              | 
|4.30 (D)      |  | Lincare Holdings Inc. Series A Indenture dated as of October 31, 2007                                                                                                                                                        
|              | 
|4.40 (D)      |  | Lincare Holdings Inc. Series B Indenture dated as of October 31, 2007                                                                                                                                                        
|              | 
|4.50 (D)      |  | Lincare Holdings Inc. Registration Rights Agreement dated as of October 31, 2007                                                                                                                                             
|              | 
|4.60 (D)      |  | First Amendment to Credit Agreement with Bank of America, N.A. as Agent and Calyon, New York Branch as Syndication Agent dated as of October 31, 2007                                                                        
|              | 
|31.1          |  | Certification Pursuant to Rule 13a-14(a)/Rule 15d-14(a) of the Securities and Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002, executed by John P.
Byrnes, Chief Executive Officer
|              | 
|31.2          |  | Certification Pursuant to Rule 13a-14(a)/Rule 15d-14(a) of the Securities and Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002, executed by Paul G.
Gabos, Chief Financial Officer 
|              | 
|32.1          |  | Certification Pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, executed by John P. Byrnes, Chief Executive Officer                                                  
|              | 
|32.2          |  | Certification Pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, executed by Paul G. Gabos, Chief Financial Officer                                                   
|              | 
|A             |  | Incorporated by reference to the Registrants Form 10-Q dated August 12, 1998.                                                                                                                                               
|              | 
|B             |  | Incorporated by reference to the Registrants Form 10-Q dated August 13, 2002.                                                                                                                                               
|              | 
|C             |  | Incorporated by reference to the Registrants Form 8-K dated June 12, 2003.                                                                                                                                                  
|              | 
|D             |  | Incorporated by reference to the Registrants Form 8-K dated November 6, 2007.                                                                                                                                               



S-1