1196501--3/11/2009--HMS_HOLDINGS

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Our Operating Results Are Subject To Significant Fluctuations Due To Variability In The Timing Of When We Recognize Contingency Fee Revenue And Other Factors. As A Result, You Will Not Be Able To Rely On Our Operating Results In Any Particular Period As An Indication Of Our Future Performance The Majority Of Our Contracts With Customers May Be Terminated For Convenience We Face Significant Competition For Our Services Simplification Of The Healthcare Payment Process Could Reduce The Need For Our Services Changes In The United States Healthcare Environment Could Have A Material Negative Impact On Our Revenue And Net Income We Are Subject To Extensive Government Regulation, And Any Violation Of The Laws And Regulations Applicable To Us Could Reduce Our Revenue And Profitability And Otherwise Adversely Affect Our Operating Results We Must Comply With Restrictions On Patient Privacy And Information Security, Including Taking Steps To Ensure That Our Business Associates Who Obtain Access To Sensitive Patient Information Maintain Its Confidentiality Our Business Depends On Effective Information Systems And The Integrity Of The Data In Our Information Systems We Depend On Information Suppliers. If We Are Unable To Manage Successfully Our Relationships With A Number Of These Suppliers, The Quality And Availability Of Our Services May Be Harmed We Depend On Our Largest Clients For Significant Revenue, And If We Lose A Major Client, Our Revenue Could Be Adversely Affected Our Indebtedness Results In Significant Debt Service Obligations And Limitations

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1196501--3/11/2009--HMS_HOLDINGS_CORP