PainCare Holdings, Inc. Appoints Beemer, Pricher, Kuehnhackl & Heidbrink, P.A. As New Auditing Firm

ORLANDO, Fla., Nov. 21 /PRNewswire-FirstCall/ -- PainCare Holdings, Inc. , a world class leader in the delivery of orthopedic rehabilitation, minimally invasive spine surgery and pain management solutions, today announced the appointment of Beemer, Pricher, Kuehnhackl & Heidbrink, P.A. as the Company's new independent audit firm for fiscal 2005.

Beemer, Pricher, Kuehnhackl & Heidbrink replace the Company's previous independent auditors, Tschopp, Whitcomb & Orr, P.A. The change in auditing firms was not the result of any disagreements between the Company and Tschopp, Whitcomb & Orr, P.A on any matter of accounting principles or practices, consolidated financial statement disclosures or auditing scope or procedure.

Commenting on the change in audit firms, Randy Lubinsky, Chief Executive Officer of PainCare Holdings, noted, "Our audit committee began a search and selection process for new independent auditors in response to our Company's rapid growth and need for an auditing group with greater depth of resources. We have greatly valued our relationship with Tschopp, Whitcomb & Orr and appreciate the commitment and level of accounting and auditing excellence they have dedicated to PainCare for the past two years. Moving forward, we are pleased to welcome Beemer, Pricher, Kuehnhackl & Heidbrink as our new auditing firm and expect that they will bring an enhanced level of client service and expertise to PainCare as we continue to build our Company into a nationally recognized leader in the healthcare industry."

About Beemer, Pricher, Kuehnhackl & Heidbrink, P.A.

Originally established in Orlando in September of 1990, Beemer, Pricher, Kuehnhackl & Heidbrink, P.A. is an independent public accounting firm formed as a result of the shareholders' commitment to provide accounting, auditing and review, tax compliance and consulting service of the highest quality to a variety of industries and individuals, at a level of fees which clients will regard as a substantial value. Immediately prior to the firm's formation, its founders were senior managers and managers in the Orlando office of the accounting firm of Price Waterhouse, an organization internationally recognized for its high standards of client service. By limiting its practice to those areas in which its associates have proven expertise and experience, the firm has been able to build a successful practice with quality client service as its hallmark.

About PainCare Holdings, Inc.

Founded in Orlando, Florida in 2000, PainCare is rapidly emerging as one of North America's leading providers of cost-effective, high-tech pain relief. The Company has established and is growing a highly specialized, professional health services organization that is comprised of many internationally renowned neuro- and orthopedic surgeons, physiatrists and pain management specialists. Specifically, PainCare's group of medical professionals offers pain sufferers a wide range of modalities including interventional pain management, minimally invasive spine surgery and orthopedic rehabilitation.

Through acquired or managed practices, and in partnership with independent physician practices, group practices and medical institutions throughout the country, PainCare also offers numerous ancillary services including MedX-Direct, a proprietary, on-site, turnkey orthopedic rehabilitation program; EDX-Direct, a comprehensive electro-diagnostic medicine program; diagnostic imaging services; Intra Articular Joint Program, a proprietary, non-operative treatment protocol for addressing knee pain and stiffness caused by osteoarthritis; and medical real estate services. In addition, the Company owns and operates nine ambulatory surgery centers.

For more information on PainCare Holdings, please visit http://www.paincareholdings.com .

This press release contains forward-looking statements that may be subject to various risks and uncertainties. Such forward-looking statements are made pursuant to the "safe harbor" provisions of the Private Securities Litigation Reform Act of 1995 and are made based on management's current expectations or beliefs as well as assumptions made by, and information currently available to, management. These forward-looking statements, which may include statements regarding our future financial performance or results of operations, including expected revenue growth, cash flow growth, future expenses, future operating margins and other future or expected performance, are subject to the following risks: the acquisition of businesses or the launch of new lines of business, which could increase operating expenses and dilute operating margins; the inability to attract new patients by our owned practices, the managed practices and the limited management practice; increased competition, which could lead to negative pressure on our pricing and the need for increased marketing; the inability to maintain, establish or renew relationships with physician practices, whether due to competition or other factors; the inability to comply with regulatory requirements governing our owned practices, the managed practices and the limited management practices; that projected operating efficiencies will not be achieved due to implementation difficulties or contractual spending commitments that cannot be reduced; and to the general risks associated with our businesses.

In addition to the risks and uncertainties discussed above you can find additional information concerning risks and uncertainties that would cause actual results to differ materially from those projected or suggested in the forward-looking statements in the reports that we have filed with the Securities and Exchange Commission. The forward-looking statements contained in this press release represent our judgment as of the date of this release and you should not unduly rely on such statements. Unless otherwise required by law, we undertake no obligation to publicly update or revise any forward- looking statements, whether as a result of new information, future events or otherwise after the date of this press release. In light of these risks and uncertainties, the forward-looking events and circumstances discussed in the filing may not occur, and actual results could differ materially from those anticipated or implied in the forward-looking statements.

FOR MORE INFORMATION, PLEASE CONTACT: Media Relations Mike Krutzler, Higher Advertising, Inc. at 407.447.1340 or via email at Mike@higheradvertising.com Investor Relations Dodi Handy, Elite Financial Communications Group, LLC at 407.585.1080 or via email at prz@efcg.net

PainCare Holdings, Inc.

CONTACT: Media Relations, Mike Krutzler of Higher Advertising, Inc.,+1-407-447-1340, or Mike@higheradvertising.com; or Investor Relations, DodiHandy of Elite Financial Communications Group, LLC, +1-407-585-1080, orprz@efcg.net, both for PainCare

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