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In this newsletter we take a look at three small-cap companies mentioned at QualityStocksTwits that we felt were a caliber above the rest. With QSTwits, investors are able to eavesdrop on what others are buzzing about or contribute to the conversation and build a reputation among thousands. For more information, visit www.QualityStocksTwits.com

This Month's Tiny Gems - April 2010

Five Star Quality Care, Inc. (NYSE AMEX: FVE)

Five Star Quality Care, Inc. (NYSE AMEX: FVE), a nationwide healthcare and senior living services provider, has set itself apart as a standout investment opportunity.

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Metropolitan Health Networks Inc. (NYSE AMEX: MDF)

Metropolitan Health Networks Inc. (NYSE AMEX: MDF), popularly known as Metcare of Florida, is a growing provider of health care services with Medicare, covering approximately 35,000 customers in 18 counties of south and central Florida.

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Tiens Biotech Group (USA) Inc. (NYSE AMEX: TBV)

Tiens Biotech Group (USA) Inc. (NYSE AMEX: TBV) conducts its main business operations through its 80% owned subsidiary, Tianjin Tianshi Biological Development Company Ltd., and its wholly-owned subsidiary, Tianjin Tiens Life Resources Company Ltd.

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