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Risks

• Our results of operations have been adversely affected and could in the future be materially adversely affected by the COVID-19 coronavirus pandemic.
• Natural and other disasters may adversely affect our business.
• If we fail to grow our business internally or through strategic acquisitions we may be unable to execute our business plan, maintain high levels of service, or adequately address competitive challenges.
• If we are unable to increase our market share among national and regional insurance carriers and large, self-funded employers, our results may be adversely affected.
• If competition increases, our growth and profits may decline.
• If the referrals for our patient management services decline, our business, financial condition and results of operations would be materially adversely affected.
• Declines in workers’ compensation claims may materially harm our results of operations.
• Healthcare providers are becoming increasingly resistant to the application of certain healthcare cost containment techniques; this may cause revenue from our cost containment operations to decrease.
• Our failure to compete successfully could make it difficult for us to add and retain customers and could reduce or impede the growth of our business.
• If the utilization by healthcare payors of early intervention services continues to increase, the revenue from our later-stage network and healthcare management services could be negatively affected.
• We face competition for staffing, which may increase our labor costs and reduce profitability.
• Sustained increases in the cost of our employee benefits could materially reduce our profitability.
• The introduction of software products incorporating new technologies and the emergence of new industry standards could render our existing software products less competitive, obsolete, or unmarketable.
• The failure to attract and retain qualified or key personnel may prevent us from effectively developing, marketing, selling, integrating, and supporting our services.
• If we lose several customers in a short period, our results may be materially adversely affected.
• We are subject to risks associated with acquisitions of intangible assets.
• We are sensitive to regional weather conditions and natural disasters that may adversely affect our operations.
• A cybersecurity attack or other disruption to our information technology systems could result in the loss, theft, misuse, unauthorized disclosure, or unauthorized access of customer or sensitive company information or could disrupt our operations, which could damage our relationships with customers or employees, expose us to litigation or regulatory proceedings, or harm our reputation, any of which could materially adversely affect our business, financial condition or results of operations.
• A breach of security may cause our customers to curtail or stop using our services.
• If we are unable to leverage our information systems to enhance our outcome-driven service model, our results may be adversely affected.
• Our Internet-based services are dependent on the development and maintenance of the Internet infrastructure.
• Exposure to possible litigation and legal liability may adversely affect our business, financial condition, and results of operations.
• If lawsuits against us are successful, we may incur significant liabilities.
• The increased costs of professional and general liability insurance may have an adverse effect on our profitability.
• Changes in government regulations could increase our costs of operations and/or reduce the demand for our services.
• Increasing regulatory focus on privacy issues and expanding laws could impact our business models and expose us to increased liability.
• The market price and trading volume of our common stock may be volatile, which could result in rapid and substantial losses for our stockholders.