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TIGroup Acquires Controlling Interest in Healthcare Services Provider
Date:11/5/2007

million in annual revenues over the next three to four years. We expect to immediately begin working on extending our operations by forging partnerships with doctors at our current facilities and other physician-owned businesses in our markets to become a leading provider of healthcare services in the region."

Dennis Smith, CFO of TIGroup, said, "We are pleased to be partnering with RHA, and to do so on terms that are quite favorable to our shareholders. This transaction adds strength to our balance sheet and significantly enhances our operating results, with annualized revenues estimated to reach $20 million in 2008."

About Rural Hospital Acquisition LLC

Rural Hospital Acquisition LLC ("RHA") creates partnerships with local physicians to identify, organize, develop and operate medical programs, services, and facilities that meet the identified needs of residents in targeted market areas. The company currently operates three rural critical access hospitals in Anadarko, Stroud and Tishomingo, Oklahoma. In addition, RHA provides both Part A and Part B centralized billing to its hospitals and affiliated physician clinics. RHA's future growth plans are focused on developing and consolidating healthcare services in regions around its current operations as well as in new opportunities in Oklahoma and surrounding states.

About Tri-Isthmus Group, Inc.

Tri-Isthmus Group, Inc. ("TIGroup") provides flexible financial solutions to businesses delivering quality healthcare solutions outside of traditional hospital settings and in support of new treatment solutions. For more information, visit http://www.tig3.com. TIGroup's common shares trade over-the-counter as TISG.

A profile for investors can be accessed at http://www.hawkassociates.com/tisgprofile.aspx. For investor relations information, contact Frank Hawkins or Julie
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SOURCE Tri-Isthmus Group, Inc.
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