Medical Connections Holdings Inc. (OTCBB: MCTH.OB) struck a deal to buy Trustaff Management Inc., a Cincinnati-based healthcare staffing firm, according to a filing with the U.S. Securities and Exchange Commission.

Trustaff posted revenue of more than $42 million in 2009, according to the filing. The company had 100 corporate staff members supporting 500 healthcare professionals working at clients across the U.S.

Medical Connections Holdings will pay approximately $26 million in cash with $19.5 million payable at the close of the deal. Another $4 million will be payable in a three-year note and $2.5 million will be placed in escrow to fund any indemnification claims relating to tax liabilities.

Trustaff provides travel nurses, allied healthcare and physician staffing.

Medical Connections Holdings plans to enter into employment agreements with four key employees/founders of Trustaff at closing of the deal.

The deal is set to close in the second quarter.