Metropolitan Health Networks, Inc. (Metropolitan) provides and arranges for medical care through its provider service network (PSN) primarily to Medicare Advantage beneficiaries in 19 counties in the State of Florida who have enrolled in health plans primarily operated by Humana, Inc. (Humana). Humana is one of the participants in the Medicare Advantage program in the United States. As of December 31, 2008, the PSN provided healthcare benefits to approximately 33,000 Medicare Advantage beneficiaries. The Company also operated a health maintenance organization (the HMO), which provided healthcare benefits to Medicare Advantage beneficiaries in 13 Florida counties. On August 29, 2008, the HMO was sold to Humana Medical Plan, Inc. (the Humana Plan).