Maxim Healthcare Services is a privately held medical staffing company headquartered in Columbia, Maryland. Maxim Healthcare Services was founded in 1988 as Medical Staffing Corporation. President Brian Wynne opened the company's first office in Towson, Maryland, and the following year, Maxim began expanding, opening offices in Orlando, Florida; Springfield, New Jersey; and Silver Spring, Maryland. Maxim Healthcare's subsidiaries include Maxim Healthcare Services, Maxim Staffing Solutions, Maxim Medical Resources, Timeline Staffing, TravelMax, and Centras Home Care. Under the Medical Cal name, Maxim initially served almost exclusively the nursing home industry, but soon began providing staffing services to hospitals, clinics, schools, and assisted living facilities. In 1992, Medical Cal acquired NSI, a California-based home care and staffing company. As Medi-Cal continued to expand across the country, several trademark lawsuits forced the company to change its name, and in the spring of 1993, the company became known as Maxim Healthcare Services. Maxim Healthcare Services has three core service lines: Maxim Home Care, Maxim Health Systems and Maxim Staffing Solutions, which oversee 18 divisions. Maxim provides the following core services: home care, non-medical care, staffing in medical facilities, influenza treatment and recovery services, autism and applied behavior analysis. In 2008, Maxim Healthcare Services received accreditation from the Commission on Accreditation of Healthcare Organizations. Beginning in 2009, Maxim and some of its employees came under government scrutiny for submitting fraudulent billings and false statements to health officials, which was “a common practice at Maxim from 2003 through 2009,” according to the U.S. Attorney’s Office in New Jersey. Between 2009 and 2011, nine current and former Maxim employees, including three senior managers, were convicted of criminal charges. In 2011, Maxim entered into agreements with the U.S. Department of Justice and affected states, paying $150 million to dismiss the criminal and civil charges. However, the company has filed claims for millions of dollars for work that was not performed and offices that were not properly licensed. The company entered into a deferred prosecution agreement with the U.S. Attorney’s Office in New Jersey, a corporate integrity agreement with the Office of the Inspector General and the U.S. Department of Health and Human Services, and civil settlement agreements with the United States and 43 other countries.