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. We based these forward-looking statements on expectations, estimates, forecasts and projections about future events and the industry in which we operate at the time the applicable statements were made. Forward-looking statements are identified by words such as “believe,” “anticipate,” “expect,” “intend,” “plan,” “will,” “should,” “would,” “project,” “may,” variations of such words and other similar expressions. In addition, statements that refer to projections of financial items; anticipated growth; future growth and revenues; future economic conditions and performance; plans, objectives and strategies for future operations; and other characterizations of future events or circumstances, are forward-looking statements. 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 from those implied by the forward-looking statements on our website are set forth in our Annual Report on Form 10-K for the year ended December 31, 2016, our quarterly and other periodic reports, our current reports and our other filings with the Securities and Exchange Commission (all of which we encourage you to review). These factors include, but are not limited to, the following:

 

  • the effects of economic downturns or slow recoveries, which could result in less demand for our services and pricing pressures;

  • the negative effects that intermediary organizations may have on our ability to secure new and profitable contracts with our clients;

  • the level of consolidation and concentration of buyers of healthcare workforce solutions and staffing services, which could affect the pricing of our services and our ability to mitigate concentration risk;

  • any inability on our part to quickly respond to changing marketplace conditions, such as alternative modes of healthcare delivery, reimbursement or client needs;

  • the ability of our clients to retain and increase the productivity of their permanent staff, or their ability to increase the efficiency and effectiveness of their internal recruiting efforts, through online recruiting or otherwise, which may negatively affect our revenue, results of operations and cash flows;

  • the repeal of the Patient Protection and Affordable Care Act without a corresponding replacement, or such a repeal with a corresponding replacement that significantly reduces the number of individuals who maintain health insurance, either of which may negatively affect the demand for our services;

  • any inability on our part to grow and operate our business profitably in compliance with federal and state healthcare industry regulation including conduct of operations, costs and payment for services and payment for referrals as well as laws regarding employment practices and government contracting;

  • any challenge to the classification of certain of our healthcare professionals as independent contractors, which could adversely affect our profitability;

  • the effect of medical malpractice, employment and wage regulation and other claims asserted against us, which could subject us to substantial liabilities;

  • security breaches and other disruptions that could compromise our information, which could cause our business and reputation to suffer and could subject us to substantial liabilities;

  • any inability on our part to implement new infrastructure and technology systems effectively or technology disruptions, either of which may adversely affect our operating results and our ability to manage our business effectively;

  • disruption to or failure of our SaaS-based technology within certain of our service offerings or our inability to adequately protect our intellectual property rights with respect to such technology, which could reduce client satisfaction, harm our reputation and negatively affect our business;

  • our dependence on third parties for the execution of certain critical functions;

  • cybersecurity risks and cyber incidents, which could adversely affect our business or disrupt operations;

  • any inability on our part to continue to recruit and retain sufficient quality healthcare professionals at reasonable costs;

  • any inability on our part to properly screen and match quality healthcare professionals with suitable placements;

  • any inability on our part to successfully attract, develop and retain a sufficient number of quality sales and operations personnel;

  • the loss of our key officers and management personnel, which could adversely affect our business and operating results;

  • any inability on our part to maintain our positive brand awareness and identity;

  • any inability on our part to consummate and effectively incorporate acquisitions into our business operations;

  • any recognition by us of an impairment to goodwill or indefinite-lived intangibles;

  • our level of indebtedness, which could adversely affect our ability to raise additional capital to fund our operations, limit our ability to react to changes in the economy or our industry, and expose us to interest rate risk to the extent of any variable rate debt;

  • the terms of our debt instruments, which impose restrictions on us that may affect our ability to successfully operate our business; and

  • the effects of significant adverse adjustments to our insurance-related accruals, which could decrease our earnings or increase our losses, as the case may be, or negatively affect our cash flows.

Unless otherwise required by applicable law, we undertake no obligation to update the forward-looking statements contained on this website.