1196501--3/13/2006--HMS_HOLDINGS

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{regulation, government, change}

{stock, price, operating}

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{customer, product, revenue}

{competitive, industry, competition}

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 Certain Provisions In Our Certificate Of Incorporation Could Discourage Unsolicited Takeover Attempts, Which Could Depress The Market Price Of Our Common Stock We Depend On Our Largest Clients For Significant Revenue, And If We Lose A Major Client, Our Revenue Could Be Adversely Affected. The Level Of Our Annual Profitability Has Historically Been Significantly Affected By Our Third And Fourth Quarter Operating Results.

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1196501--3/13/2006--HMS_HOLDINGS_CORP