PITTSBURGH, PA – 7 November 2003 – Acusis®, a leading provider of outsourced medical transcription services, is pleased to announce that, after a thorough and directed search, Christopher Caruso will be joining the Company on November 10, 2003 as Vice President of Sales. In this senior position, he will use extensive experience derived from his sales and management past to build on the current short term sales initiatives as well as the long term sales direction and vision for the Company.

Caruso will be leading and managing a skilled and growing national sales force and using his previously demonstrated leadership and reputation for channeling relevant urgency into the medical transcription and customer environment. According to Acusis President and CEO, David Iwinski, Jr., “With such a wide outsourcing services market opportunity, it can be a challenge to address every lead possibility, especially when the Company's excellent reputation precedes it. Chris' communication style along with his experience in sales force and channel partnership development will greatly assist the Company to grow. Acusis places high priority on continuous expansion of our existing and new customer relationships.”

Prior to accepting this role at Acusis, Caruso was with the former Abreon Group (now Sarcom) as Vice President of Sales and General Manager. As both a member of senior staff and as a company officer, he was instrumental in revenue-generation as well as planning strategic direction. Over his expansive career, he has become proficient in many areas of sales and company development, including team building, elearning, project management and keeping channels open between sales, operations and marketing at all levels, affording him an innate ability to understand how a company's customers think and react. Prior to Abreon, he was Regional Vice President for Computer Associates International and has held similar positions with both small and large sales groups at Vanstar / Inacom Corporation, Entex Information Services and Murata Business Systems.

Adds Iwinski, “Chris will be able to use his varied experience to apply both a strategic and a tactical approach to his role in assessing challenging situations and taking appropriate actions. Leading our established and growing sales team, we feel that he will bring added Acusis excellence to the hospital, clinic and physician practice marketplace.”