Risk Factors

Special Note Regarding Forward-Looking Statements

This website contains “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Forward-looking statements are identified by words such as “believe,” “anticipate,” “expect,” “intend,” “plan,” “will,” “may” and other similar expressions. In addition, any statements that refer to expectations, projections or other characterizations of future events or circumstances are forward-looking statements. We based these forward-looking statements on our current expectations and projections about future events. All forward looking statements involve risks and uncertainties. Our actual results could differ materially from those discussed in, or implied by, these forward-looking statements. Factors that could cause actual results to differ materially from those implied by the forward-looking statements found on this website include but are not limited to:

• our ability to sustain and grow our staffing services in a continued significant economic downturn; 

• our ability to continue to recruit and retain qualified temporary and permanent healthcare professionals at reasonable costs; 

• our ability to attract and retain sales and operational personnel; 

• our ability to secure new and profitable orders and searches from our hospital, healthcare facility, affiliated healthcare network and physician practice group clients, which may be impacted by the role of intermediary organizations, such as vendor management companies; 

• our ability to mitigate credit risk in light of concentration of buyers of healthcare staffing services, including our vendor management and managed services customers; 

• the overall level of demand for services offered by temporary and permanent healthcare providers, which may be affected by adoption of alternative modes of healthcare delivery and healthcare reform legislation; 

• the ability of our hospital, healthcare facility and physician practice group clients to retain and increase the productivity of their permanent staff; 

• our ability to successfully design our strategic growth, acquisition and integration strategies and to implement those strategies, in particular, our acquisition of Medfinders, which includes our ability to obtain credit at reasonable terms to complete acquisitions, integrate acquired companies’ accounting, management information, human resource and other administrative systems, and implement or remediate controls, procedures and policies at acquired companies; 

• our ability to leverage our cost structure; 

• access to and undisrupted performance of our management information and communication systems, including use of the Internet, and our candidate and client databases and payroll and billing software systems; 

• our ability to keep our client and provider-facing self-service web sites operational and without service interruptions; 

• the effect of existing or future government legislation and regulation, including the Affordable Care Act and other legislation impacting the current delivery and third party payor system for healthcare; 

• our ability to grow and operate our business in compliance with legislation and regulations, including regulations that may affect our clients and, in turn, affect demand for our services, such as Medicare reimbursement rates which may negatively affect both orders and client receivables; 

• the challenge to the classification of certain of our healthcare professionals as independent contractors; 

• the impact of medical malpractice and other claims asserted against us for which we carry significant self-insured retentions; 

• our ability to carry out our business strategy and maintain sufficient cash flow and capital structure to support our business; 

• our ability to meet our financial covenants, which if not met, could adversely affect our liquidity; 

• the loss of key officers and management personnel that could adversely affect our ability to remain competitive; and 

• the effect of recognition by us of an impairment to goodwill.

Other factors that could cause actual results to differ from those implied by the forward-looking statements found on this website are set forth in our Annual Report on Form 10-K for the year ended December 31, 2009, our Quarterly Reports on Form 10-Q, and our Current Reports on Form 8-K. These statements reflect our current beliefs, or where indicated the beliefs as of the date of such material, based upon information then available to us.