The document summarizes the results of a survey of small and medium sized businesses (SMBs) on various issues facing their companies. Some key findings include: - The majority of SMB executives report their companies are stable or growing. - Healthcare costs and talent availability remain the top business issues for SMBs. - More SMBs plan to hire in the coming quarter compared to the same time last year. - SMBs are generally optimistic about their own economic prospects. - SMBs report ongoing challenges finding qualified talent. - The majority of SMBs expect the Affordable Care Act to impact their businesses.