EXHIBIT 21.1

LIST OF SUBSIDIARIES

SUBSIDIARY	LOCATION	INCORPORATED
BPO Management Services, Ltd.*	Winnipeg, Canada	Canada
Blue Hill Data Services, Inc.	Pearl River, NY	New York
Human Resource Micro-Systems, Inc.	San Francisco, CA	California
NetGuru Systems, Inc.	Waltham, MA	New Hampshire
Research Engineers, GmbH	Herne, Germany	Germany
Healthaxis, Ltd.	Irving, TX	Texas
Healthaxis Imaging Services, LLC.	Irving, TX	Texas
Satellite Image Systems (Jamaica) Limited	Jamaica	Jamaica
Healthaxis Production Processing Inc.	Irving, TX	Texas
* Formed by amalgamation of ADAPSYS Document Management LP, Novus Imaging Solutions, Inc, and DocuCom Imaging Solutions, Inc. in January 2008