Network 14 provides assistance to over 39,000 dialysis and transplant patients and approxmiately 530 dialysis and kidney transplant facilities. Network 14 encompasses the state of Texas, which is the second largest state in land area behind Alaska with 267 thousand square miles of land. Texas is also the second most populous state in the nation behind California with an estimated population of 23.5 million residents in 2006. The state population increased 12.7 percent from April 2000 to July 2006 compared to the US increase of 6.4 percent. In 2006, nearly 8.0 percent of the nation’s population resided in Texas. The metropolitan areas (Austin, Houston, San Antonio, Dallas) show fast population growth whereas most of the non metropolitan counties continued to record either a slow growth or population decline. In 2005, three cities in Texas were among the largest ten cities in the US: Dallas, Houston and San Antonio. San Antonio was the third fastest growing city in the US, with Houston and Fort Worth in fifth and sixth place respectively.