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     AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON MAY 24, 1996MARCH 5, 1998
                                                     REGISTRATION NO. 33-
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                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
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                                    FORM S-4
                             REGISTRATION STATEMENT
                                     UNDER
                           THE SECURITIES ACT OF 1933
                             ---------------------
 
                              MEDAPHIS CORPORATION
             (Exact name of registrant as specified in its charter)
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            DELAWARE                            7374                           58-1651222
(State or other jurisdiction of     (Primary Standard Industrial            (I.R.S. Employer
 incorporation or organization)     Classification Code Number)           Identification Number)No.)
2700 CUMBERLAND PARKWAY, SUITE 300 ATLANTA, GEORGIA 30339 (770) 319-3300444-5300 (Address, including zip code, and telephone number, including area code, of registrant's principal executive offices) --------------------- RANDOLPH G. BROWN 2700 CUMBERLAND PARKWAY, SUITE 300 ATLANTA, GEORGIA 30339 (770) 319-3300 RANDOLPH L.M. HUTTO COPY TO: EXECUTIVE VICE PRESIDENT AND GENERAL COUNSEL PAUL T. SCHNELL MEDAPHIS CORPORATION SKADDEN, ARPS, SLATE, MEAGHER & FLOM LLP 2700 CUMBERLAND PARKWAY, SUITE 300 919 THIRD AVENUE ATLANTA, GEORGIA 30339 NEW YORK, NEW YORK 10022 (770) 444-5300 (312) 735-3000 (Name, address, including zip code, and telephone number, including area code, of agent for service) --------------------- COPIES TO:
JURISDICTION PRIMARY STANDARD I.R.S. EMPLOYER OF INDUSTRIAL IDENTIFICATION EXACT NAME OF ADDITIONAL REGISTRANTS* INCORPORATION CLASSIFICATION CODE NUMBER NUMBER - ------------------------------------- ------------- -------------------------- --------------- ROBERT W. MILLER WILLIAM R. SPALDING EDWARD J. PIERCE KING & SPALDING SENIOR VICE PRESIDENT-- ROBERT F. WEBER 191 PEACHTREE STREET ADMINISTRATION, GENERAL COUNSEL SEYFARTH, SHAW, FAIRWEATHER & ATLANTA, GEORGIA 30303 AND SECRETARY GERALDSON (404) 572-4600 MEDAPHIS CORPORATION 2029 CENTURY PARK EAST 2700 CUMBERLAND PARKWAY SUITE 3300 SUITE 300 LOS ANGELES, CALIFORNIA 90067 ATLANTA, GEORGIA 30339 (310) 277-7200 (770) 319-3300 Medaphis Physician Services Corporation............ Georgia 7374 58-1953146 Gottlieb's Financial Services, Inc. ............... Georgia 7374 58-2062951 Medical Management Sciences, Inc. ................. Maryland 7374 52-1068115 Medaphis Services Corporation...................... Georgia 7374 58-1996009 Medaphis Healthcare Information Technology Company.......................................... Georgia 7371 58-2195433 Automation Atwork.................................. California 7371 94-2895826 Consort Technologies, Inc. ........................ Georgia 7371 58-1769437 Health Data Sciences Corporation................... Delaware 7371 95-3846477 BSG Corporation.................................... Delaware 7373 51-0333775 AssetCare, Inc. ................................... Georgia 7322 58-1893956 National Healthcare Technologies, Inc. ............ Indiana 7374 35-1865406 BSG Alliance/IT, Inc. ............................. Delaware 7373 51-0333999 BSG Government Solutions, Inc. .................... Maryland 7373 52-1726810
---------------------* Address and telephone number of principal executive offices are the same as those of Medaphis Corporation. APPROXIMATE DATE OF COMMENCEMENT OF PROPOSED SALE TO THE PUBLIC: As soon as practicable following the effectiveness ofafter this Registration Statement.Statement becomes effective. If anythe securities being registered on this Form are being offered in connection with the formation of a holding company and there is compliance with General Instruction G, check the following box. / /[ ] If this form is filed to register additional securities for an offering pursuant to Rule 462(b) under the Securities Act, check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering. [ ] __________ If this form is a post-effective amendment filed pursuant to Rule 462(d) under the Securities Act, check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering. [ ] __________ CALCULATION OF REGISTRATION FEE
- ------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------================================================================================================================== PROPOSED MAXIMUM PROPOSED AMOUNT MAXIMUM MAXIMUM AMOUNT OF TITLE OF EACH CLASS OF SECURITIES AMOUNT TO BE OFFERING PRICE AGGREGATE REGISTRATIONOFFERING AMOUNT OF SECURITIES TO BE REGISTERED REGISTERED(2)BE REGISTERED PER SHARE(1) OFFERINGUNIT(1) PRICE(1) FEE(1)REGISTRATION FEE - ------------------------------------------------------------------------------------------------------------------ Common Stock, $.01 par value per share... 6,548,382 $6.84 $44,781,000 $15,442.00Series B 9 1/2% Senior Notes due 2005............................. $175,000,000 100% $175,000,000 $51,625 - ------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------Guarantees of Series B 9 1/2% Senior Notes due 2005............ $175,000,000 (2) (2) None ==================================================================================================================
(1) Estimated pursuant to Rule 457 solely for the purpose of calculating the registration fee. (2) No further fee and computedis payable pursuant to Rule 457(f)(2) under the Securities Act of 1933, as amended, based on the sum of the book values of the Common Stock, par value $0.10 per share, of Health Data Sciences Corporation ("HDS"), the book value of the Series B Convertible Preferred Stock, par value $0.10 per share, of HDS, the book value of the Series C Convertible Stock, par value $0.10 per share, of HDS, and the book value of the Series F Convertible Preferred Stock, par value $0.10 per share, of HDS to be converted into the right to receive shares of Common Stock of Medaphis Corporation upon consummation of the Merger. The aggregate book value of such shares of Common Stock, Series B Convertible Preferred Stock, Series C Convertible Preferred Stock and Series F Convertible Preferred Stock of HDS as of March 31, 1996 was $44,781,000. (2) Includes 6,125,000 shares of the Common Stock, $.01 par value per share (the "Medaphis Common Stock"), of Medaphis Corporation to be issued pursuant to the Merger Agreement and 423,382 shares of Medaphis Common Stock that may be issued in exchange for shares of the Common Stock of HDS issued pursuant to the terms of options previously issued by HDS and exercised prior to the consummation of the transaction contemplated by the Merger Agreement, all as described in the Registration Statement.457(n). THE REGISTRANTREGISTRANTS HEREBY AMENDS THIS REGISTRATION STATEMENT ON SUCH DATE OR DATES AS MAY BE NECESSARY TO DELAY ITS EFFECTIVE DATE UNTIL THE REGISTRANTREGISTRANTS SHALL FILE A FURTHER AMENDMENT WHICHTHAT SPECIFICALLY STATES THAT THIS REGISTRATION STATEMENT SHALL THEREAFTER BECOME EFFECTIVE IN ACCORDANCE WITH SECTION 8(A) OF THE SECURITIES ACT OF 1933, AS AMENDED, OR UNTIL THISTHE REGISTRATION STATEMENT SHALL BECOME EFFECTIVE ON SUCH DATE AS THE COMMISSION, ACTING PURSUANT TO SAID SECTION 8(A), MAY DETERMINE. - -------------------------------------------------------------------------------- - --------------------------------------------------------------------------------================================================================================ 2 MEDAPHIS CORPORATION CROSS REFERENCE TABLE LOCATION IN PROXY STATEMENT/PROSPECTUS OF INFORMATION REQUIRED BY ITEMS OFSHEET
FORM S-4
ITEM NUMBER AND CAPTION IN FORM S-4 LOCATION IN PROSPECTUS ------------------------------------------- ------------------------------------------- ------------- ---------------------- A. INFORMATION ABOUT THE TRANSACTION 1. Forepart of the Registration Statement and Outside FrontBack Cover PagePages of Prospectus... Outside Front Cover of Proxy Statement/Prospectus; Facing Page of the Registration StatementPages 2. Inside Front and Outside Back Cover Pages of Prospectus............................ Available Information; Incorporation of Certain Documents by Reference; Table of ContentsInside Front Cover Page; Outside Back Cover Page 3. Risk Factors, Ratio of Earnings to Fixed Charges and Other Information............ SummarySummary; Risk Factors; Selected Historical Consolidated Financial Data; Unaudited Pro Forma Consolidated Financial Data 4. Terms of the Transaction................... Summary; The MergerExchange Offer; Description of Notes; Certain Federal Income Tax Consequences; Plan of Distribution 5. Pro Forma Financial Information............ Summary; Unaudited Pro Forma CombinedSelected Historical Consolidated Financial InformationData 6. Material ContactsContracts with the Company Being Acquired................................. Summary; The MergerNot Applicable 7. Additional Information Required for Reoffering by Persons and Parties Deemed to be Underwriters....................... Not Applicable 8. Interests of Named Experts and Counsel.....Experts................. Not Applicable 9. Disclosure of Commission Position on Indemnification for Securities Act Liabilities.............................. Not Applicable B. INFORMATION ABOUT THE REGISTRANT 10. Information Withwith Respect to S-3 Registrants.............................. Summary; Unaudited Pro Forma CombinedConsolidated Financial Information; Business of MedaphisData 11. Incorporation of Certain Information by Reference................................ Incorporation of Certain Documents byBy Reference 12. Information Withwith Respect to S-2 or S-3 Registrants.............................. Not Applicable 13. Incorporation of Certain Information by Reference................................ Not Applicable 14. Information Withwith Respect to Registrants Other Thanother than S-2 or S-3 or S-2 Registrants........ Not Applicable
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FORM S-4 ITEM LOCATION IN PROSPECTUS ------------- ---------------------- C. INFORMATION ABOUT THE COMPANY BEING ACQUIRED 15. Information Withwith Respect to S-3 Companies................................ Not Applicable 16. Information Withwith Respect to S-2 or S-3 Companies................................ Not Applicable
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ITEM NUMBER AND CAPTION IN FORM S-4 LOCATION IN PROSPECTUS ------------------------------------------- ------------------------------------------- 17. Information Withwith Respect to Companies Other Than S-2 or S-3 Companies................ Summary; Selected Consolidated Financial Information of HDS; Management's Discussion and Analysis of Financial Condition and Results of Operations of HDS; Business of HDS; Ownership of HDS Capital Stock; Index to Consolidated Financial Statements of HDSNot Applicable D. VOTING AND MANAGEMENT INFORMATION 18. Information if Proxies, Consents or Authorizations Areare to be Solicited....... Summary; The Merger; Ownership of HDS Capital Stock; The HDS Special Meeting; Stockholder ProposalsNot Applicable 19. Information if Proxies, Consents or Authorizations Areare not to be Solicited, or in an Exchange Offer.................. Not ApplicableManagement; Certain Transactions
4 [LETTERHEADSUBJECT TO COMPLETION, DATED MARCH 4, 1998 PROSPECTUS FEBRUARY , 1998 MEDAPHIS CORPORATION OFFER TO EXCHANGE ITS SERIES B 9 1/2% SENIOR NOTES DUE 2005 FOR ANY AND ALL OF HDS] ITS OUTSTANDING SERIES A 9 1/2% SENIOR NOTES DUE 2005 THE EXCHANGE OFFER AND WITHDRAWAL RIGHTS WILL EXPIRE AT 5:00 P.M., 1996 Dear Stockholder: YouNEW YORK CITY TIME, ON , 1998, UNLESS EXTENDED ------------------------ Medaphis Corporation, a Delaware corporation (the "Company"), hereby offers, upon the terms and subject to the conditions set forth in this Prospectus (as the same may be amended or supplemented from time to time, the "Prospectus") and in the accompanying Letter of Transmittal (which together constitute the "Exchange Offer"), to exchange up to $175,000,000 aggregate principal amount of its Series B 9 1/2% Senior Notes due 2005 (the "New Notes") for a like principal amount of its outstanding Series A 9 1/2% Senior Notes due 2005 (the "Old Notes", and together with the Old Notes, the "Notes"), of which $175,000,000 aggregate principal amount are cordially invitedoutstanding. The New Notes are being offered in order to attend an important Special Meetingsatisfy certain obligations of the Stockholders of Health Data Sciences Corporation ("HDS") to be held on , 1996, at [10:00 a.m.], local time, atCompany under the Mission Inn, 3649 Seventh Street, Riverside, California. At the Special Meeting, you will be asked to consider and vote upon a proposal to approve the MergerRegistration Rights Agreement, dated as of May 23, 1996February 20, 1998 (the "Merger"Registration Rights Agreement"), by and among HDS, Medaphis Corporation ("Medaphis") and RAKSub, Inc., a wholly-owned subsidiary of Medaphis ("Newco"), which provides for (i) the acquisition of HDS by Medaphis, and (ii) the merger of Newco with and into HDS (the "Merger"). If the Merger is consummated, each outstanding share of HDS Common Stock, HDS Series B Preferred Stock, HDS Series C Preferred Stock and HDS Series F Preferred Stock will be converted into the right to receive .7911 of a share of Medaphis Common Stock. The Merger Agreement has been approved and adopted by the Boards of Directors of HDS and Medaphis and is subject to approval by (i) the holders of a majority of the outstanding shares of HDS Common Stock, HDS Series B Preferred Stock, HDS Series C Preferred Stock and HDS Series F Preferred Stock, voting together as a single class, and (ii) the holders of at least 85% of the outstanding shares of HDS Series F Preferred Stock, voting as a separate class. THE BOARD OF DIRECTORS OF HDS HAS DETERMINED THAT THE MERGER IS IN THE BEST INTERESTS OF HDS AND ITS STOCKHOLDERS, HAS APPROVED THE MERGER, HAS APPROVED AND ADOPTED THE MERGER AGREEMENT AND RECOMMENDS THAT THE HDS STOCKHOLDERS VOTE FOR THE PROPOSAL TO APPROVE THE MERGER AGREEMENT. Details of the background and reasons for the proposed Merger appear and are explained in the accompanying Proxy Statement/Prospectus. Additional information regarding HDS and Medaphis also is set forth in the Proxy Statement/Prospectus and, with respect to Medaphis, incorporated therein by reference to other documents. It is important that your shares be represented at the Special Meeting either in person or by proxy. HDS has prepared a proxy card for the HDS Common Stock, the HDS Series B Preferred StockCompany and the HDS Series C Preferred Stock, and a separate proxy card for the HDS Series F Preferred Stock. A proxy card or cards for the HDS Common Stock or HDS Preferred Stock you own is enclosed. Whether or not you plan to attend the Special Meeting, please complete, sign and date the appropriate enclosed proxy card(s) and return such card(s) in the enclosed postage paid envelope. Holders of HDS Series F Preferred Stock who are also holders of any other class of HDS stock are requested to sign and return both proxy cards enclosed. If you attend the Special Meeting, you may vote in person if you wish, even if you have previously returned your proxy card. Your prompt cooperation will be greatly appreciated. Sincerely, Ralph A. Korpman, M.D. Chairman of the Board and Chief Executive Officer 5 HEALTH DATA SCIENCES CORPORATION --------------------- NOTICE OF SPECIAL MEETING OF STOCKHOLDERS TO BE HELD ON , 1996 --------------------- Notice is hereby given that a Special Meeting of Stockholders of Health Data Sciences Corporation ("HDS") will be held on , 1996, at [10:00] a.m., local time, at the Mission Inn, 3649 Seventh Street, Riverside, California, for the following purposes: (1) To consider and vote upon a proposal to approve the Merger Agreement (the "Merger Agreement") dated as of May 23, 1996, by and among HDS, Medaphis Corporation ("Medaphis") and RAKSub, Inc., a wholly owned subsidiary of Medaphis ("Newco"), pursuant to which (i) Newco will be merged with and into HDS (the "Merger"), and (ii) each outstanding share of HDS Common Stock, HDS Series B Preferred Stock, HDS Series C Preferred Stock and HDS Series F Preferred Stock will be converted into the right to receive .7911 of a share of Medaphis Common Stock. (2) To transact such other business as may properly come before the meeting or any adjournment thereof. Holders of shares of HDS Common Stock, HDS Series B Preferred Stock, HDS Series C Preferred Stock and HDS Series F Preferred Stock have the right to dissent from the Merger and receive payment for the statutory "fair value" of their shares, upon compliance with the provisions of the Delaware General Corporation Law regarding appraisal rights, a copy of which is attached as Annex B to the accompanying Proxy Statement/Prospectus and is summarized therein under the caption "The Merger -- Appraisal Rights."Donaldson, Lufkin & Jenrette Securities Corporation. The Board of Directors has fixed the close of business on , 1996, as the record date for the determination of stockholders entitled to receive notice of and to vote at the Special Meeting and at any adjournment thereof. Your attention is directed to the Proxy Statement/Prospectus submitted with this Notice. By order of the Board of Directors Janice E. Ticich Secretary San Bernardino, California , 1996 PLEASE COMPLETE, DATE AND SIGN THE ENCLOSED PROXY CARD(S) AND RETURN SUCH CARD(S) PROMPTLY IN THE ENCLOSED ENVELOPE WHETHER OR NOT YOU PLAN TO ATTEND THE SPECIAL MEETING. IF YOU ATTEND THE MEETING, YOU MAY VOTE IN PERSON IF YOU WISH, EVEN IF YOU HAVE PREVIOUSLY RETURNED YOUR PROXY CARD(S). 6 INFORMATION CONTAINED HEREIN IS SUBJECT TO COMPLETION OR AMENDMENT. A REGISTRATION STATEMENT RELATING TO THESE SECURITIES HAS BEEN FILED WITH THE SECURITIES AND EXCHANGE COMMISSION. THESE SECURITIES MAY NOT BE SOLD NOR MAY OFFERS TO BUY BE ACCEPTED PRIOR TO THE TIME THE REGISTRATION STATEMENT BECOMES EFFECTIVE. THIS PROSPECTUS SHALL NOT CONSTITUTE AN OFFER TO SELL OR THE SOLICITATION OF AN OFFER TO BUY NOR SHALL THERE BE ANY SALE OF THESE SECURITIES IN ANY STATE IN WHICH SUCH OFFER, SOLICITATION OR SALE WOULD BE UNLAWFUL PRIOR TO REGISTRATION OR QUALIFICATION UNDER THE SECURITIES LAWS OF ANY SUCH STATE. SUBJECT TO COMPLETION, DATED MAY 24, 1996 HEALTH DATA SCIENCES CORPORATION PROXY STATEMENT SPECIAL MEETING OF STOCKHOLDERS TO BE HELD ON , 1996 --------------------- MEDAPHIS CORPORATION PROSPECTUS SHARES OF COMMON STOCK This Proxy Statement/Prospectus is being furnished to stockholders of Health Data Sciences Corporation ("HDS") in connection with the solicitation of proxies on behalf of the Board of Directors of HDS for use at the Special Meeting of Stockholders of HDS to be held on , 1996, and at any adjournment thereof (the "Special Meeting"). At the Special Meeting, stockholders of HDS will be asked to consider and vote upon a proposal to approve the Merger Agreement (the "Merger Agreement"), dated as of May 23, 1996, by and among HDS, Medaphis Corporation ("Medaphis") and RAKSub, Inc., a wholly owned subsidiary of Medaphis ("Newco"), pursuant to which Newco will be merged with and into HDS (the "Merger"). If the Merger is consummated, each outstanding share of common stock, $.10 par value per share, of HDS ("HDS Common Stock"), Series B Convertible Preferred Stock, $.10 par value per share, of HDS ("HDS Series B Preferred Stock"), Series C Convertible Preferred Stock, $.10 par value per share, of HDS ("HDS Series C Preferred Stock") and Series F Convertible Preferred Stock, $.10 par value per share, of HDS ("HDS Series F Preferred Stock" and, along with the HDS Series B Preferred Stock and the HDS Series C Preferred Stock, the "HDS Preferred Stock") (other than treasury shares or shares held by HDS stockholders who perfect their appraisal rights under Delaware law) will be converted into the right to receive .7911 of a share of the Common Stock, par value $.01 per share, of Medaphis ("Medaphis Common Stock"). This Proxy Statement/Prospectus and the form(s) of proxy for the Special Meeting will first be sent to stockholders of HDS on or about , 1996. This Proxy Statement/Prospectus also constitutes a prospectus of Medaphis relating to the issuance of shares of Medaphis Common Stock to stockholders of HDS pursuant to the terms of the Merger Agreement. Medaphis has filed a Registration Statement on Form S-4 (the "Registration Statement")New Notes are identical in all material respects to the respective terms of the Old Notes, except that (i) the New Notes have been registered under the Securities Act of 1933, as amended (the "Securities Act"), and therefore will not be subject to certain restrictions on transfer applicable to the Old Notes and (ii) holders of the New Notes will generally not be entitled to certain rights, including the payment of Liquidated Damages (as defined), pursuant to the Registration Rights Agreement. In the event that the Exchange Offer is consummated, any Old Notes which remain outstanding after consummation of the Exchange Offer and the New Notes issued in the Exchange Offer will vote together as a single class for purposes of determining whether holders of the requisite percentage in outstanding principal amount thereof have taken certain actions or exercised certain rights under the Indenture (as defined herein). The New Notes will bear interest at the rate of 9 1/2% per annum, payable semi-annually on February 15 and August 15 of each year, commencing on August 15, 1998. The New Notes will mature on February 15, 2005. The New Notes will be redeemable at the option of the Company, in whole or in part, at any time on or after February 15, 2002, at the redemption prices set forth herein, plus accrued and unpaid interest to the redemption date. In addition, at any time on or prior to February 15, 2001, the Company may redeem up to 35% of the original principal amount of Notes at a redemption price equal to 109.5% of the principal amount thereof, plus accrued and unpaid interest and Liquidated Damages, if any, to the redemption date, with the Securities and Exchange Commission (the "Commission") coveringnet cash proceeds of one or more Equity Offerings (as defined); provided that at least $100.0 million aggregate principal amount of Notes remain outstanding immediately following any such redemption. Upon a Change of Control (as defined), the shares of Medaphis Common StockCompany will be required to be issued in connection with the Merger. No person has been authorized to give any information or to make any representation other than as contained herein in connection with the offer of Medaphis Common Stock to be issued in connection with the Merger, and, if given or made, such information or representation must not be relied upon as having been authorized by Medaphis, HDS or any other person. This Proxy Statement/Prospectus does not constitute an offer to sell or a solicitation of an offer to purchase Medaphis Common Stock inall outstanding Notes at a purchase price equal to 101% of the principal amount thereof, plus accrued and unpaid interest and Liquidated Damages, if any, jurisdiction in which such offer or solicitation is not authorized or in which the person making such offer or solicitation is not qualified to do so or to any person to whom it would be unlawful. Neither the delivery of this Proxy Statement/Prospectus nor any distribution of such Medaphis Common Stock shall, under any circumstances, create any implication that the information contained herein is correct as of any time subsequent to the date hereof. THE SHARESpurchase date. See "Description of Notes -- Certain Covenants -- Change of Control." The New Notes will be general unsecured obligations of the Company and will rank pari passu in right of payment with all current and future unsecured senior indebtedness of the Company. The New Notes will be guaranteed (the "Subsidiary Guarantees") by all of the Company's present and future domestic Restricted Subsidiaries (as defined) (the "Subsidiary Guarantors"). The Subsidiary Guarantees will be general unsecured obligations of the Subsidiary Guarantors and will rank pari passu in right of payment with all current and future unsecured senior indebtedness of the Subsidiary Guarantors. However, the New Notes and the Subsidiary Guarantees will be effectively subordinated to all existing and future secured indebtedness of the Company and the Subsidiary Guarantors, including borrowings under the New Credit Facility (as defined), which will be secured by a lien on substantially all of the material assets of the Company and the Subsidiary Guarantors. As of February 27, 1998, the Company and the Subsidiary Guarantors had approximately $44 million of secured indebtedness outstanding and had approximately $45 million of additional borrowing ability under the New Credit Facility. See "Description of New Credit Facility." This Prospectus and the Letter of Transmittal are first being mailed to all holders of Old Notes on , 1998. (continued on next page) SEE "RISK FACTORS" BEGINNING ON PAGE 14 FOR A DISCUSSION OF MEDAPHIS COMMON STOCKCERTAIN FACTORS THAT SHOULD BE CONSIDERED BY HOLDERS IN DECIDING WHETHER TO BE ISSUEDTENDER OLD NOTES IN THE MERGEREXCHANGE OFFER. THESE SECURITIES HAVE NOT BEEN APPROVED OR DISAPPROVED BY THE SECURITIES AND EXCHANGE COMMISSION OR ANY STATE SECURITIES COMMISSION NOR HAS THE SECURITIES AND EXCHANGE COMMISSION OR ANY STATE SECURITIES COMMISSION PASSED UPON THE ACCURACY OR ADEQUACY OF THIS PROXY STATEMENT/PROSPECTUS. ANY REPRESENTATION TO THE CONTRARY IS A CRIMINAL OFFENSE. The date of this Proxy Statement/Prospectus is , 1996.1998. 7 AVAILABLE INFORMATION Medaphis5 The Company is making the Exchange Offer of the New Notes in reliance on the position of the staff of the Division of Corporation Finance of the Securities and Exchange Commission (the "Commission") as set forth in certain interpretive letters addressed to third parties in other transactions. However, the Company has not sought its own interpretive letter and there can be no assurance that the staff of the Division of Corporation Finance of the Commission would make a similar determination with respect to the Exchange Offer as it has in such interpretive letters to third parties. Based on these interpretations by the staff of the Division of Corporation Finance of the Commission, and subject to the informationaltwo immediately following sentences, the Company believes that New Notes issued pursuant to this Exchange Offer in exchange for Old Notes may be offered for resale, resold and otherwise transferred by a holder thereof (other than a holder who is a broker-dealer) without further compliance with the registration and prospectus delivery requirements of the Securities Act, provided that such New Notes are acquired in the ordinary course of such holder's business and that such holder is not participating, and has no arrangement or understanding with any person to participate, in a distribution (within the meaning of the Securities Act) of such New Notes. However, any holder of Old Notes who is an "affiliate" of the Company or who intends to participate in the Exchange Offer for the purpose of distributing New Notes, or any broker-dealer who purchased Old Notes from the Company to resell pursuant to Rule 144A under the Securities Act ("Rule 144A") or any other available exemption under the Securities Act, (a) will not be able to rely on the interpretations of the staff of the Division of Corporation Finance of the Commission set forth in the above-mentioned interpretive letters, (b) will not be permitted or entitled to tender such Old Notes in the Exchange Offer and (c) must comply with the registration and prospectus delivery requirements of the Securities Act in connection with any sale or other transfer of such Old Notes unless such sale is made pursuant to an exemption from such requirements. In addition, as described below, if any broker-dealer holds Old Notes acquired for its own account as a result of market-making or other trading activities and exchanges such Old Notes for New Notes, then such broker-dealer must deliver a prospectus meeting the requirements of the Securities Act in connection with any resales of such New Notes. Each holder of Old Notes who wishes to exchange Old Notes for New Notes in the Exchange Offer will be required to represent that (i) it is not an "affiliate" of the Company, (ii) any New Notes to be received by it are being acquired in the ordinary course of its business, (iii) it has no arrangement or understanding with any person to participate in a distribution (within the meaning of the Securities Act) of such New Notes, and (iv) if such holder is not a broker-dealer, such holder is not engaged in, and does not intend to engage in, a distribution (within the meaning of the Securities Act) of such New Notes. In addition, the Company may require such holder, as a condition to such holder's eligibility to participate in the Exchange Offer, to furnish to the Company (or an agent thereof) in writing information as to the number of "beneficial owners" (within the meaning of Rule 13d-3 under the Securities Exchange Act of 1934, as amended (the "Exchange Act"),) on behalf of whom such holder holds the Notes to be exchanged in the Exchange Offer. Each broker-dealer that receives New Notes for its own account pursuant to the Exchange Offer must acknowledge that it acquired the Old Notes for its own account as the result of market-making activities or other trading activities and must agree that it will deliver a prospectus meeting the requirements of the Securities Act in accordance therewith, files reports, proxy statementsconnection with any resale of such New Notes. The Letter of Transmittal states that by so acknowledging and other information withby delivering a prospectus, a broker-dealer will not be deemed to admit that it is an "underwriter" within the Commission. Such reports, proxy statements and other information filed withmeaning of the CommissionSecurities Act. Based on the position taken by Medaphis can be inspected and copied at the officestaff of the Division of Corporation Finance of the Commission at Room 1024, 450 Fifth Street, N.W.in the interpretive letters referred to above, the Company believes that broker-dealers who acquired Old Notes for their own accounts, as a result of market-making activities or other trading activities ("Participating Broker-Dealers"), Washington, D.C. 20549, or at its Regional Offices located at 7 World Trade Center, Suite 1300,may fulfill their prospectus delivery requirements with respect to the New York, New York 10048, and 500 West Madison Street, Suite 1400, Chicago, Illinois, 60661, and copiesNotes received upon exchange of such materials can be obtainedOld Notes (other than Old Notes which represent an unsold allotment from the Public Reference Sectionoriginal sale of the Commission at 450 Fifth Street, N.W., Washington, D.C. 20549, at prescribed rates. Medaphis has filedOld Notes) with a prospectus meeting the Commission the Registration Statement underrequirements of the Securities Act. This Proxy Statement/Prospectus does not contain allAct, which may be the prospectus prepared for an exchange offer so long as it contains a description of the informationplan of distribution with respect to the resale of such New Notes. Accordingly, this Prospectus, as it may be amended or supplemented from time to time, may be used by a Participating Broker-Dealer during the period referred to below in connection with resales of New Notes received in exchange for Old Notes where such Old Notes were acquired by such Participating Broker-Dealer for its own account as a result of market-making or other trading activities. Subject to certain provisions set forth in the Registration Statement,Rights Agreement, the Company i 6 has agreed that this Prospectus, as it may be amended or supplemented from time to time, may be used by a Participating Broker-Dealer in connection with resales of such New Notes for a period ending 180 days after the Expiration Date (as defined herein) (subject to extension under certain partslimited circumstances described below) or, if earlier, when all such New Notes have been disposed of which are omittedby such Participating Broker-Dealer. See "Plan of Distribution." However, a Participating Broker-Dealer who intends to use this Prospectus in accordanceconnection with the rules and regulationsresale of New Notes received in exchange for Old Notes pursuant to the Exchange Offer must notify the Company, or cause the Company to be notified, on or prior to the Expiration Date, that it is a Participating Broker-Dealer. Such notice may be given in the space provided for that purpose in the Letter of Transmittal or may be delivered to the Exchange Agent at one of the Commission. For further information relating to Medaphisaddresses set forth herein under "The Exchange Offer -- Exchange Agent." Any Participating Broker-Dealer who is an "affiliate" of the Company may not rely on such interpretive letters and must comply with the sharesregistration and prospectus delivery requirements of Medaphis Common Stock offered hereby, reference is hereby madethe Securities Act in connection with any resale transaction. See "The Exchange Offer -- Resales of New Notes." In that regard, each Participating Broker-Dealer who surrenders Old Notes pursuant to the Registration Statement, including the exhibits and schedules thereto, which mayExchange Offer will be inspected without charge at the officedeemed to have agreed, by execution of the Commission at 450 Fifth Street, N.W., Washington, D.C. 20549, and copiesLetter of which may be obtainedTransmittal, that, upon receipt of notice from the Commission at prescribed rates. Statements contained in this Proxy Statement/Prospectus as toCompany of the contentsoccurrence of any contractevent or other document referred to are not necessarily complete and in each instance reference is made to the copydiscovery of such contractany fact which makes any statement contained or document filed as an exhibit to the Registration Statement, each such statement being qualified in all respects by such reference. INCORPORATION OF CERTAIN DOCUMENTS BY REFERENCE The following documents previously filed with the Commission by Medaphis are incorporated by reference intoin this Proxy Statement/Prospectus: (i) Medaphis' Annual Report on Form 10-K forProspectus untrue in any material respect or which causes this Prospectus to omit to state a material fact necessary in order to make the fiscal year ended December 31, 1995, filed on April 1, 1996; (ii) Medaphis' Quarterly Report on Form 10-Q for the quarter ended March 31, 1996, filed on May 15, 1996; (iii) Medaphis' Current Reports on Form 8-K filed on April 3, 1995 (as amendedstatements contained or incorporated by Form 8-K/A filed on April 5, 1995), October 13, 1995, January 19, 1996, April 3, 1996, May 21, 1996 and May 24, 1996; and (iv) The descriptionreference herein, in light of the Medaphis Common Stockcircumstances under which they were made, not misleading or of the occurrence of certain other events specified in Medaphis'the Registration Statement on Form 8-A/A filed on May 22, 1996. In addition, all documents filed by MedaphisRights Agreement, such Participating Broker-Dealer will suspend the sale of New Notes pursuant to Section 13(a), 13(c), 14this Prospectus until the Company has amended or 15(d)supplemented this Prospectus to correct such misstatement or omission and has furnished copies of the Exchange Act subsequentamended or supplemented Prospectus to such Participating Broker-Dealer or the dateCompany has given notice that the sale of the New Notes may be resumed, as the case may be. If the Company gives such notice to suspend the sale of the New Notes, it shall extend the 180-day period referred to above during which Participating Broker-Dealers are entitled to use this Proxy Statement/Prospectus in connection with the resale of New Notes by the number of days during the period from and prior toincluding the date of the giving of such notice to and including the date when Participating Broker-Dealers shall have received copies of the amended or supplemented Prospectus necessary to permit resales of the New Notes or to and including the date on which the Company has given notice that the sale of New Notes may be resumed, as the case may be. Prior to the Exchange Offer, there has been only a limited secondary market and no public market for the Old Notes. The New Notes will be a new issue of securities for which there currently is no market. Although Donaldson, Lufkin & Jenrette Securities Corporation has informed the Company that it currently intends to make a market in the New Notes, it is not obligated to do so, and any such market making may be discontinued at any time without notice. Accordingly, there can be no assurance as to the development or liquidity of any market for the New Notes. The Company currently does not intend to apply for listing of the New Notes on any securities exchange or for quotation through the National Association of Securities Dealers Automated Quotation System. Any Old Notes not tendered and accepted in the Exchange Offer will remain outstanding and will be entitled to all the same rights and will be subject to the same limitations applicable thereto under the Indenture (except for those rights which terminate upon consummation of the MergerExchange Offer). Following consummation of the Exchange Offer, the holders of Old Notes will continue to be subject to all of the existing restrictions upon transfer thereof and the Company will not have any further obligation to such holders (other than under certain limited circumstances) to provide for registration under the Securities Act of the Old Notes held by them. To the extent that Old Notes are tendered and accepted in the Exchange Offer, a holder's ability to sell untendered Old Notes could be adversely affected. See "Risk Factors -- Consequences of a Failure to Exchange Old Notes." THIS PROSPECTUS AND THE RELATED LETTER OF TRANSMITTAL CONTAIN IMPORTANT INFORMATION. HOLDERS OF OLD NOTES ARE URGED TO READ THIS PROSPECTUS AND THE RELATED LETTER OF TRANSMITTAL CAREFULLY BEFORE DECIDING WHETHER TO TENDER THEIR OLD NOTES PURSUANT TO THE EXCHANGE OFFER. ii 7 Old Notes may be tendered for exchange on or prior to 5:00 p.m., New York City time, on , 1998 (such time on such date being hereinafter called the "Expiration Date"), unless the Exchange Offer is extended by the Company (in which case the term "Expiration Date" shall mean the latest date and time to which the Exchange Offer is extended). Tenders of Old Notes may be withdrawn at any time on or prior to the Expiration Date. The Exchange Offer is not conditioned upon any minimum principal amount of Old Notes being tendered for exchange. However, the Exchange Offer is subject to certain events and conditions which may be waived by the Company and to the terms and provisions of the Registration Rights Agreement. Old Notes may be tendered in whole or in part in denominations of $1,000 and integral multiples thereof. The Company has agreed to pay all expenses of the Exchange Offer. See "The Exchange Offer -- Fees and Expenses." Holders of the Old Notes whose Old Notes are accepted for exchange will not receive interest on such Old Notes and will be deemed to be incorporated by reference into this Proxy Statement/ Prospectushave waived the right to receive any interest on such Old Notes accrued from and to be a part hereofafter February 20, 1998. See "The Exchange Offer -- Interest on New Notes." The Company will not receive any cash proceeds from the dateissuance of filingthe New Notes offered hereby. No dealer-manager is being used in connection with this Exchange Offer. See "Use of such documents. Any statements contained in a document incorporated by reference herein shall be deemed to be modified or superseded for purposesProceeds" and "Plan of this Proxy Statement/Prospectus to the extent that a statement contained herein (or in any other subsequently filed document which also is incorporated by reference herein) modifies or supersedes such statement. Any statement so modified or superseded shall not be deemed to constitute a part of this Proxy Statement/ Prospectus except as so modified or superseded.Distribution." THIS PROXY STATEMENT/PROSPECTUS INCORPORATES DOCUMENTS BY REFERENCE WHICH ARE NOT PRESENTED HEREIN OR DELIVERED HEREWITH. COPIES OF THESE DOCUMENTS (OTHER THAN EXHIBITS TO SUCH DOCUMENTS, UNLESS SUCH EXHIBITS ARE SPECIFICALLY INCORPORATED BY REFERENCE INTO SUCH DOCUMENTS) ARE AVAILABLE WITHOUT CHARGE, UPON WRITTEN OR ORAL REQUEST FROM MELISSA COLEY, INVESTOR RELATIONS COORDINATOR,CARYN DICKERSON, VICE PRESIDENT AND TREASURER, MEDAPHIS CORPORATION, 2700 CUMBERLAND PARKWAY, SUITE 300, ATLANTA, GEORGIA 30339;30339, TELEPHONE NUMBER (770) 319-3300.444-5300. IN ORDER TO ENSURE TIMELY DELIVERY OF THE DOCUMENTS, PRIOR TO THE SPECIAL MEETING, ANY SUCH REQUEST SHOULD BE MADE BY , 1996. ii1998. --------------------- DISCLOSURE REGARDING FORWARD-LOOKING STATEMENTS: THIS PROSPECTUS INCLUDES "FORWARD-LOOKING STATEMENTS" WITHIN THE MEANING OF THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995 (SECTION 27A OF THE SECURITIES ACT AND SECTION 21E OF THE SECURITIES EXCHANGE ACT OF 1934, AS AMENDED (THE "EXCHANGE ACT")). THE COMPANY WISHES TO ENSURE THAT ALL SUCH FORWARD-LOOKING STATEMENTS ARE ACCOMPANIED BY MEANINGFUL CAUTIONARY STATEMENTS PURSUANT TO THE SAFE HARBOR ESTABLISHED IN SUCH ACT. ALL STATEMENTS OTHER THAN STATEMENTS OF HISTORICAL FACTS INCLUDED IN THIS PROSPECTUS, INCLUDING WITHOUT LIMITATION, CERTAIN STATEMENTS UNDER "SUMMARY," "MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS" AND "THE BUSINESS," MAY CONSTITUTE FORWARD-LOOKING STATEMENTS. FORWARD-LOOKING STATEMENTS INCLUDE THE INTENT, BELIEF OR CURRENT EXPECTATIONS OF THE COMPANY AND MEMBERS OF ITS SENIOR MANAGEMENT TEAM. ALL FORWARD-LOOKING STATEMENTS ARE INHERENTLY UNCERTAIN AS THEY ARE BASED ON VARIOUS EXPECTATIONS AND ASSUMPTIONS CONCERNING FUTURE EVENTS AND THEY ARE SUBJECT TO NUMEROUS KNOWN AND UNKNOWN RISKS AND UNCERTAINTIES WHICH COULD CAUSE ACTUAL EVENTS OR RESULTS TO DIFFER MATERIALLY FROM THOSE PROJECTED. DUE TO THOSE UNCERTAINTIES AND RISKS, PROSPECTIVE PARTICIPANTS IN THE EXCHANGE OFFER ARE URGED NOT TO PLACE UNDUE RELIANCE ON SUCH FORWARD-LOOKING STATEMENTS CONTAINED IN THIS PROSPECTUS. ALTHOUGH THE COMPANY BELIEVES THAT THE EXPECTATIONS REFLECTED IN SUCH FORWARD-LOOKING STATEMENTS ARE REASONABLE, IT CAN GIVE NO ASSURANCE THAT SUCH EXPECTATIONS WILL PROVE TO HAVE BEEN CORRECT. IMPORTANT FACTORS THAT COULD CAUSE ACTUAL RESULTS TO DIFFER MATERIALLY FROM THE COMPANY'S EXPECTATIONS ("CAUTIONARY STATEMENTS") ARE DISCLOSED IN THIS PROSPECTUS, INCLUDING, WITHOUT LIMITATION, IN CONJUNCTION WITH THE FORWARD-LOOKING STATEMENTS INCLUDED IN THIS PROSPECTUS AND UNDER "RISK FACTORS." ALL SUBSEQUENT WRITTEN AND ORAL FORWARD-LOOKING STATEMENTS ATTRIBUTABLE TO THE COMPANY OR PERSONS ACTING ON ITS BEHALF ARE EXPRESSLY QUALIFIED IN THEIR ENTIRETY BY THE CAUTIONARY STATEMENTS. THE COMPANY UNDERTAKES NO OBLIGATION TO UPDATE OR REVISE THIS "SAFE-HARBOR COMPLIANCE STATEMENT FOR FORWARD-LOOKING STATEMENTS" TO REFLECT FUTURE DEVELOPMENTS. iii 8 TABLE OF CONTENTS
PAGE ---- Available Information................................................................. ii Incorporation of Certain Documents by Reference....................................... ii Summary............................................................................... 1 The Parties......................................................................... 1 The HDS Special Meeting............................................................. 2 The Merger.......................................................................... 3 Results of Operations............................................................... 8 Markets and Market Prices........................................................... 8 Comparative Per Share Information................................................... 9 Selected Historical and Pro Forma Financial Data.................................... 11 Risk Factors.......................................................................... 15 General Information................................................................... 18 The HDS Special Meeting............................................................... 18 Time, Date, Place and Purpose....................................................... 18 Record Date and Shares Entitled to Vote............................................. 18 Vote Required; Security Ownership of Management..................................... 19 Solicitation and Revocation of Proxies.............................................. 19 The Merger............................................................................ 20 Background of the Merger............................................................ 20 Reasons for the Merger.............................................................. 20 Terms of the Merger Agreement....................................................... 20 Effective Time of the Merger........................................................ 22 Recommendation of the HDS Board of Directors........................................ 22 Opinion of Financial Advisor to HDS................................................. 22 Interests of Certain Persons in the Merger.......................................... 23 Certain Agreements in Connection with the Merger.................................... 23 HDS Options......................................................................... 24 Accounting Treatment................................................................ 24 Certain Federal Income Tax Consequences............................................. 25 Resale of Medaphis Common Stock..................................................... 26 Comparison of Rights of Holders of Medaphis Common Stock and HDS Common Stock and HDS Preferred Stock.............................................................. 26 Comparison of Rights of Holders of Medaphis Common Stock and HDS Preferred Stock.... 28 HDS Preferred Stock Purchase Agreements............................................. 30 Certain Repurchase Rights and Transfer Restrictions................................. Appraisal Rights.................................................................... 31 Business of Medaphis.................................................................. 34 Unaudited Pro Forma Combined Financial Information.................................... 37 Selected Consolidated Financial Information of HDS.................................... 41 Management's Discussion and Analysis of Financial Condition and Results of Operations of HDS.............................................................................. 42 Business of HDS....................................................................... 45 Ownership of HDS Capital Stock........................................................ 50 Experts............................................................................... 53 Legal Matters......................................................................... 54 Stockholder Proposals................................................................. 54 Index to Consolidated Financial Statements............................................ 55 Annex A: Merger Agreement............................................................. A-1 Annex B: Text of Section 262 of the Delaware General Corporation Law.................. B-1 Annex C: Fairness Opinion of Hambrecht & Quist........................................ C-1
iii 9 SUMMARY The following is a summary of certain information contained or incorporated by reference, elsewhere in this Proxy Statement/Prospectus. ThisThe following summary is not intended to be complete andinformation is qualified in its entirety by reference to, and should be read in conjunction with, the more detailed information and the financial statements and notes thereto appearing elsewhere or incorporated by reference, in this Proxy Statement/Prospectus.Prospectus, including information under "Risk Factors." References herein to the "Company" or "Medaphis" refer to Medaphis Corporation and its consolidated subsidiaries unless otherwise noted. The Company's fiscal year is the calendar year. Certain statements set forth below constitute "forward-looking statements" within the meaning of Section 27A of the Securities Act and Section 21E of the Exchange Act. See "Disclosure Regarding Forward-Looking Statements." THE PARTIES MEDAPHISBUSINESS Medaphis is a leading providerleader in delivering healthcare information products and business management services, together with enabling technologies in selected industries. Medaphis serves approximately 20,700 physicians and 2,700 hospitals predominantly in North America. Medaphis believes it is well-positioned to capitalize on the healthcare industry trends toward consolidation, managed care and cost containment through a broad range of services and products that enable customers to provide quality patient care efficiently and cost effectively. The Company's large client base and national presence further support the Company's competitive position. Medaphis provides its services and products through its Healthcare Services Group and Per-Se Technologies, its Information Technology Group. The Company reported a net loss of $19.3 million for the year ended December 31, 1997, including restructuring and other charges and a litigation settlement. The Company generated revenue during the year ended December 31, 1997 of $557.9 million and EBITDA (as defined) of $37.8 million, each determined on a pro forma basis giving effect to the disposition of Medaphis' non-core insurance subrogation subsidiary, Healthcare Recoveries, Inc. ("HRI"), which was sold in May 1997. HEALTHCARE SERVICES GROUP. The Healthcare Services Group provides a range of business management services to physicians and systems to the healthcare industry. Medaphis'hospitals, including clinical data collection, data input, medical coding, billing, cash collections and accounts receivable management. These services and systems are designed to assist its clientscustomers with the business management functions associated with the delivery of healthcare services, thereby permittingallowing physicians and hospitalshospital staff to focus on providing quality patient care. These services also assist physicians and hospitals by improving cash flows and by reducing administrative costs and burdens. The Healthcare Services Group typically enters into contracts with physician and hospital customers providing for payment to the Company of a contingent management fee that generally is based upon a percentage of net collections and is billable monthly upon collection or, where required, on a fixed fee basis. The Healthcare Services Group consists of the following two divisions: PHYSICIAN SERVICES. Physician Services is a leading provider of business management solutions and claims processing to physicians in the United States, a market currently estimated to be approximately $10 billion annually. Of this market, management estimates that approximately 24% is currently served by outsourcing companies such as Medaphis. With more than 17,250 physician clients throughout 47 states, management estimates the Company has an approximate 12% share of the domestic outsourcing market, based on 1996 revenues, more than four times the market share of its nearest competitor. Physician Services offers clients both revenue and cost management services. Revenue management services include medical coding, electronic and manual claims submission, automated patient billing, past due and delinquent accounts receivable collection, capitation analysis (i.e., an analysis of the price per member paid to healthcare providers by managed care health programs for a predetermined set of healthcare services and procedures) and contract negotiation with payors, including managed care organizations. Cost management services provide comprehensive practice management, including front office administration, employee benefit plan design and administration, cash flow forecasting and budgeting and general consulting services. HOSPITAL SERVICES. Hospital Services is a leading provider of business management services to their patients. Medaphis also provides subrogation and related recoveryhospitals in the United States, representing over 1,100 hospitals in a highly fragmented industry. Hospital 1 9 Services offers services primarily related to "late stage" (over 90 days) receivables, including claims submission and automated patient billing. Hospital Services also offers: (i) eligibility services, in which Hospital Services personnel assist patients in qualifying for reimbursement under appropriate federal, state and local government healthcare programs and (ii) facilities management contracts, in which Hospital Services assumes responsibility for the customer's entire business office functions, including patient admissions/registration, medical records and business office activities. PER-SE TECHNOLOGIES. Per-Se Technologies ("Per-Se") provides application software and a broad range of information technology and consulting services to healthcare payors, scheduling and other service-oriented markets such as energy, communications and financial services. Per-Se is an early entrant in the emerging market for Delivery Chain Management ("DCM") solutions, which enable users to assess each customer's unique needs and cost-effectively deliver products and services individually tailored to meet them. Per-Se develops solutions using its Deliver to Order(TM) methodology that enables customers to choose among packaged application software, software supplied by other companies and modified by Per-Se, enabling technology services, and outsourcing to balance their needs for flexibility, time to deployment and cost. In the third quarter of 1997 Medaphis combined the operations of Healthcare Information Technologies ("HIT"), its software products division ("Product Operations"), and the operations of BSG Corporation ("BSG"), its information technology services division ("Services Operations"), under the Per-Se name. This combination has helped the Company in its efforts to contain costs and eliminate redundancies. Per-Se's management expects to benefit from the synergy of combining HIT's leading information products in the high-growth healthcare information systems market with BSG's ability to hospitalsprovide enabling technology infrastructure and emerging integrated healthcare delivery systemsservices. Per-Se is organized into Product Operations and Services Operations. PRODUCT OPERATIONS. Through its Product Operations, Per-Se provides application software and systems integration services through over 1,800 hospital installations and work flow engineering systems. Medaphis'to approximately 3,450 physicians. Per-Se offers the following product lines: (i) an integrated enterprise-wide patient-centered information system that coordinates quality integrated care at nearly 200 acute-care and extended-care facilities representing more than 30,000 beds, and for thousands of ambulatory clinics and home-care providers; (ii) an advanced radiology information management system for both single- and multi-site hospitals and imaging center networks; and (iii) a suite of rules-based staff productivity, patient scheduling and information systemsresource management software with over 1,900 global installations. These products address both the business and the clinical management needs of Per-Se's healthcare provider customers, and can function in either a stand-alone provider setting or across an entire healthcare delivery network. Per-Se also provides a variety of interfaces to ensure that its products are designedcompatible with other software products used by healthcare providers. Per-Se Product Operations' revenue is derived from software licenses, resale of hardware, installation and implementation services, and continuing customer support and software maintenance activities. Customer support and software maintenance fees generally renew annually to improve efficiency by automating certain scheduling and related management functions withinprovide a healthcare facility andrecurring base of revenue. SERVICES OPERATIONS. Through its Services Operations, Per-Se provides full-service systems integration, information technology consulting and work flow engineering systemstailored software development to more than 100 customers, primarily in service-oriented markets such as healthcare, energy, communications and financial services. Per-Se provides its expertise in information technology and business services are designed to increase flexibility, improve end-user accessorganizations seeking to information and increase decision-makingcreate competitive advantages through the strategic use of advanced technologies. These technologies enable customers to streamline business processes and development of client/server, imagingimprove access to information within their organizations, as well as to create strategic advantages by extending business processes and information to customers, suppliers and other advanced technologies.organizations through networked systems. HEALTHCARE INDUSTRY OVERVIEW The healthcare industry is undergoing major changes, as pressures to cut costs and increase quality and productivity are inspiring healthcare providers to seek ways to manage their practices more effectively. In general, the healthcare industry is in a state similar to that of the financial services industry in the early 1980s. The same type of computerized technology that fueled the substantial growth and change in that industry is just beginning to be deployed in the healthcare industry. 2 10 Since 1986, healthcare expenditures have doubled to more than $1.0 trillion, representing approximately 14% of the 1996 U.S. Gross Domestic Product. At the same time, the healthcare delivery system is experiencing a shift from a highly fragmented group of independent healthcare providers to integrated healthcare networks that combine all of the services, products and equipment necessary to address people's healthcare needs. In the face of escalating costs and increasingly complex care delivery systems, healthcare providers are seeking to manage costs, increase productivity and enhance the quality of patient care through improved access to clinical and financial information. This creates an opportunity for companies such as Medaphis currently providesthat provide comprehensive cost-effective management services and information systems. Additionally, the federal government's focus on eliminating healthcare fraud and abuse presents high growth opportunities for companies such as Medaphis that provide sophisticated technology products and services to help healthcare service providers comply with complex healthcare laws and reimbursement procedures. In light of these trends, healthcare industry analysts expect expenditures on products and services that support healthcare information systems to continue to increase over the next several years. TURNAROUND; NEW MANAGEMENT The Company suffered several setbacks in recent years, including: (i) government investigations into (a) the billing and collection practices in two offices of Medaphis Physician Services Corporation ("MPSC") (as further described below) and (b) the billing procedures and computerized coding system used in Gottlieb's Financial Services ("GFS") to process claims, which may lead to claims of errors in billing; (ii) the failure of prior managements' acquisition strategy to integrate businesses acquired; (iii) several restatements of various financial statements of the Company, including restatements of the Company's fiscal 1994, 1995, 1996 and interim 1997 financial statements; (iv) the shut down of the operations of one of the companies acquired; (v) the abandonment of an extensive reengineering program that failed to realize the improvement in customer service and reduction of costs that were expected; (vi) a steep drop in the price of its common stock; and (vii) the filing of various lawsuits and claims made against the Company, including multiple putative shareholder class action lawsuits alleging violations of the federal securities law. In response to certain of these setbacks, assembly of a new management team began in the fourth quarter of 1996, headed by David E. McDowell (former President and Chief Operating Officer of McKesson Corporation). The new management team combines healthcare industry talent with information technology expertise from other industries that have already undergone the transition to effective use of information technology. The Company believes that the combined strengths of this team position Medaphis to take advantage of growth opportunities in the healthcare marketplace. In addition, in February 1997, new management announced its 1997 operating plan, refocusing the Company on its core businesses of delivering healthcare information products and business management services, together with enabling technologies in selected industries. The major components of the plan included: (i) exiting non-core businesses; (ii) achieving improved predictability of business results through enhanced management accountability and systemscontrols; (iii) reducing costs and increasing efficiencies in the core businesses; (iv) achieving excellence in customer service; and (v) implementing cross-selling initiatives. The Company made significant progress in accomplishing the 1997 operating plan, including the divestiture of HRI in May 1997 for net proceeds of approximately $117.0 million, the combination of the operations of HIT and BSG under the Per-Se name, the improvement of financial controls and imposition of cost-containment measures throughout the Company, and the formulation of a new customer-focused strategy centered on a "markets of one" approach to approximately 19,700 physicianssolutions meeting the distinct needs of each customer. RECENT DEVELOPMENT The Company has previously disclosed an investigation being conducted by the United States Attorney's Office for the Central District of California concerning the billing and over 2,200 hospitalscollection practices in all 50 states, subrogationtwo offices of the Company's wholly owned subsidiary, MPSC, which offices are located in Calabasas and recovery servicesCypress, California 3 11 (the "Designated Offices") (the "California Investigation"). Medaphis first became aware of the California Investigation on June 13, 1995, and the Company subsequently has made periodic disclosures concerning the status of the California Investigation. Investigations such as the California Investigation can be initiated following the commencement of qui tam litigation which is commenced under applicable state and federal statutes and is maintained under court seal without disclosure to healthcare plans covering in excess of 24 million people throughoutthe defendant. Under the applicable statutes, the United States and systems integrationthe State of California may elect to intervene fully or partially in qui tam litigation, and work flow engineering servicesproceed with the action. The United States typically will provide a defendant with the opportunity to enter into settlement negotiations prior to the intervention of the United States in the matter. An application by the United States to partially lift the seal in qui tam litigation in order to make disclosure of the complaint available to the defendant often precedes such settlement discussions. On February 6, 1998, on application of the United States, the United States District Court for the Central District of California issued an order partially lifting the seal on the qui tam suit entitled United States of America and State of California, ex. rel. Relator I and Relator II v. Compmed Corporation, Medaphis Corporation, Does 1 to 200, Inclusive, Civil Action No. 94-8158 LGB (kx). On February 11, 1998, the United States provided Medaphis with a copy of the Complaint, Substitution of Attorney, and Order which prohibited the Company from making any use of the Complaint, including any public disclosure, other than for the purposes of settlement negotiations, without further order of the Court. On February 12, 1998, upon the joint application of Medaphis and the United States, the Court issued an order modifying its February 6, 1998 order to allow Medaphis to make public disclosures concerning the Complaint and its contents to the extent that Medaphis determined such disclosures were required by applicable securities laws, provided that such disclosure did not reveal the Relators' identities. According to the Complaint, filed December 20, 1995 by the Realtors and which contains allegations raised by them, the action is to recover civil penalties on behalf of the United States and abroad. Medaphis is incorporated under the laws of the State of Delaware. Medaphis Common Stock is tradedCalifornia arising out of alleged false claims presented by the defendants on behalf of their clients for payment under various state and federal insurance programs. As previously disclosed, no charges or claims by the government have been made. The Nasdaq Stock MarketComplaint includes causes of action under the symbol "MEDA." Unlessfederal False Claims Act, 31 U.S.C. sec. 3729 et seq., and the context otherwise requires, referenceCalifornia False Claims Act, Cal. Gov't Code sec. 12650 et seq. The Complaint also includes causes of action relating to Medaphis's termination of Realtor II, including a count under the state and federal whistleblower protection statutes. The Complaint alleges overpayments of approximately $20,500,000 together with treble damages and additional penalties based on statutory civil penalties. The Complaint alleges that at least 50,000 separate false claims were filed under federal programs and at least 8,000 separate false claims were filed under state programs. The Complaint also alleges unspecified compensatory, general and punitive damages on behalf of Relator II on his or her employment claims. The allegations in the Complaint are limited to the office of Compmed (acquired by Medaphis) in Culver City, California. Medaphis includesbelieves that this Complaint relates to and concerns the California Investigation. Medaphis is engaged in discussions with the United States, and intends to pursue settlement discussions with the United States, the State of California, and the Relators. There can be no assurance that the Complaint will be resolved promptly or that the Complaint will not have a material adverse effect upon the Company. BUSINESS STRATEGY Medaphis' primary business objective is to expand its market position in delivering cost-effective, high-quality healthcare information products and business management services, together with enabling technologies in selected industries, thereby realizing the growth potential of the Company. In 1998, Medaphis plans to capitalize on the progress made in 1997 by continuing to attract talented people, strengthening its infrastructure, streamlining operations for efficiency and investing in product and service development, training, sales, marketing and other programs designed to fuel growth. 4 12 To reach its objectives, Medaphis intends to execute strategies that include: - CAPITALIZE ON INDUSTRY TRENDS. The healthcare industry is rapidly transitioning to consolidated care delivery systems, capitation and managed care. Many physicians who previously practiced independently or in small group practices now practice as part of larger groups or integrated delivery networks that unite physicians with different practice specialities to cover a broad range or even the entire spectrum of healthcare needs. The Company's services and products can assist healthcare providers in pricing services and negotiating agreements in a marketplace increasingly moving toward capitation and managed care. Although historically a large portion of Medaphis' Healthcare Services revenue has come from billing and receivables management services, Medaphis intends to respond to the changing nature of the healthcare industry by developing higher value-added services and products that enable customers to operate more effectively in increasingly complex environments. The Company plans to grow revenue derived from offerings such as: information management and consulting services for mergers and group formations; activity-based costing systems; capitation management and analysis; outcomes reporting; medical guidelines management; patient eligibility services; and facilities management. - LEAD INDUSTRY IN DELIVERING INTEGRATED SOLUTIONS. Medaphis intends to capitalize on its experience as a software provider and systems integrator to deliver workable integrated solutions that combine new technologies with customers' existing information systems. There are substantial opportunities for the expansion of information technology systems within the healthcare market, which management believes has adopted such technology at a slower rate than have some other industries. Management anticipates that current healthcare industry trends will continue, and that expenditures for information technology and services will increase as a percentage of total healthcare expenditures. Medaphis has the healthcare information products, personnel, services and systems in place to deliver integrated solutions that capitalize on this growth opportunity. - DIFFERENTIATE FROM COMPETITORS BY BECOMING KNOWN FOR CREATING "INDIVIDUALLY DELIVERED" SOLUTIONS. Medaphis plans to deliver personalized value, attract new customers and strengthen customer loyalty by focusing on a "markets of one" approach to business that enables its customers to combine Medaphis' array of packaged applications, tailored third-party solutions, component frameworks and information technology services to craft solutions suited to their unique needs. - LEAD THE COMPLIANCE INITIATIVE IN THE HEALTHCARE MARKET. The healthcare industry is subject to extensive and complex federal and state government regulations. These regulations, along with the federal government's close monitoring of healthcare costs and stricter regulatory controls over the industry, are driving the demand for better systems to monitor and ensure compliance with healthcare laws and regulations. Management believes the Company's size, customer base and access to payor data enable it to assemble and analyze data and trends more effectively and to invest in compliance initiatives. Through continued investments in technology and training, Medaphis intends to strengthen further its position in developing and improving compliance systems that enable customers to operate in accordance with continually changing healthcare regulations. For example, in December of 1997 Physician Services teamed with the Graham Company, a Philadelphia-based insurance broker, to develop an exclusive insurance product in conjunction with an underwriter for Physician Services' customers that will pay for losses (civil fines and penalties and multiple damages) incurred by a physician for any actual or alleged breach of duty, neglect, error, misstatement, misleading statement, omission or act in billing his or her professional services. - EXECUTE PROGRAMS THAT EXPAND EXISTING CUSTOMER RELATIONSHIPS. Medaphis plans to sell products and services from each of its operations to existing customers across all operations. In addition, Medaphis will leverage advanced technology knowledge and capabilities derived from solutions Per-Se creates for services industries such as communications, energy and financial services that have adopted technology solutions more quickly than healthcare. Medaphis believes cross-development initiatives will enable it to deliver leading-edge, yet proven, technology solutions to the healthcare market. 5 13 - MAKE STRATEGIC ACQUISITIONS, PARTNERSHIPS AND ALLIANCES. Medaphis intends to enhance internal growth by making, when and if appropriate, a limited number of strategic acquisitions, as well as by formulating alliances and partnerships, that extend the skills, processes, capabilities, products, systems or geographic coverage already in place within the Company. REFINANCING In conjunction with the offering of the Old Notes, the Company entered into the New Credit Facility (as defined). The Company used the net proceeds of such offering, together with available cash and the initial borrowing under the New Credit Facility, to refinance the Company's $210 million principal amount of Senior Secured Increasing Rate Notes due April 1, 1999 (the "Bridge Notes"), $185 million of which were purchased by an affiliate of Donaldson, Lufkin & Jenrette Securities Corporation on December 23, 1997 and the remainder of which were purchased by such affiliate on January 22, 1998. Approximately $157.5 million of the proceeds from the sale of the Bridge Notes was used by the Company on December 23, 1997 to repay and refinance in full the Company's then existing credit facility which was scheduled to mature on June 30, 1998 and which would have required the issuance by the Company to the lenders thereunder of warrants for 1% of the voting common stock of the Company if such credit facility had not been repaid in full prior to December 31, 1997. Management believes the refinancing has provided the Company with the financial flexibility to support its turnaround plan and facilitate its future growth strategies. GENERAL INFORMATION Medaphis Corporation is a Delaware corporation formed in 1985 and itsoperates through a number of wholly-owned subsidiaries. Medaphis'The Company's principal executive offices are located at 2700 Cumberland Parkway, Suite 300, Atlanta, Georgia 30339, and its telephone number is (770) 319-3300. HDS HDS is444-5300. THE EXCHANGE OFFER The Exchange Offer............ Up to $175,000,000 aggregate principal amount of New Notes are being offered in exchange for a developer and supplierlike aggregate principal amount of healthcare information systems to institutions, payers, healthcare networks, and providers. HDS offers a product line generally known as ULTICARE(R), an integrated information system which addresses a healthcare enterprise's information needs through the integrated monitoring, scheduling, documentation, and control of patient care activities. To accomplish this, patient care workstations are situated throughout the enterprise: at patient bedsides, at nursing stations, in ancillaries (laboratory, radiology, pharmacy, etc.), in physician offices and with mobile health workers such as home care staff. HDS forms relationships throughout the organization, especially with senior management of integrated delivery systems (whether payer, provider, or practitioner based). HDS has extensive experience in most phases of patient care automation: nursing, physicians, laboratories, radiology, pharmacy, case management, and quality assurance, among others. HDS customers include hospitals, integrated healthcare enterprises, health maintenance organizations, municipal healthcare systems and elder care organizations. 1 10 ULTICARE offers functional modules to meet the specific information needs of each customer. TheyOld Notes. Old Notes may be purchased together astendered for exchange in whole or in part in denominations of $1,000 or any integral multiple thereof. The Company is making the Exchange Offer in order to satisfy its obligations under the Registration Rights Agreement relating to the Old Notes. For a package or separately, by module. ULTICARE Modular, a four-module package, is an affordable and flexible way to obtain patient information throughout an enterprise without having to purchase the entire system at once. It combines HDS's patient-centered Registration/ADT, order communications, nursing, and results reporting modules to provide a highly functional core clinical information system. A wide selection of additional modules are also available for integration. The following are somedescription of the currently available ULTICARE modules: - Patient Registration/ADT - Point-of-Care Nursing Support - Physician Support - Health Maintenance Record - Case Management/Critical Pathways - Order Communication/Charge Capture - Result Reporting - Quality Assurance/Utilization Review - Laboratory Departmental Processing - Medical Records Departmental Processing - Pharmacy Departmental Processing - Radiology Departmental Processing - Other Ancillary Departmental Processing - Patient Schedulingprocedures for tendering Old Notes, see "The Exchange Offer -- Procedures for Tendering Old Notes." Expiration Date............... 5:00 p.m., New York City time, on , 1998, unless the Exchange Offer is extended by the Company (in which case the Expiration Date will be the latest date and Control - Call Center Management - Physician/Professional Staff Registry - Cost Finding and Analysis - Outpatient Appointment and Encounter Processing - Report Writer/Query Processor - Criteria Evaluation Processor - Electronic Mail HDStime to which the Exchange Offer is incorporated under the lawsextended). See "The Exchange Offer -- Terms of the StateExchange Offer." Conditions to the Exchange Offer......................... The Exchange Offer is subject to certain conditions, which may be waived by the Company in its sole discretion. The Exchange Offer is not conditioned upon any minimum principal amount of Delaware. There is no public marketOld Notes being tendered. See "The Exchange Offer -- Conditions to the Exchange Offer." Offer......................... The Company reserves the right in its sole and absolute discretion, subject to applicable law, at any time and from time to time, (i) to delay the acceptance of the Old Notes for exchange, (ii) to terminate the HDS Common Stock orExchange Offer if certain specified conditions have 6 14 not been satisfied, (iii) to extend the HDS Preferred Stock. HDS's principal executive offices are located at 268 West Hospitality Lane #300, San Bernardino, California 92408,Expiration Date of the Exchange Offer and its telephone number is (909) 888-3282. THE HDS SPECIAL MEETING TIME, DATE, PLACE AND PURPOSE The Special Meeting will be held on , 1996, at [10:00] a.m. local time, atretain all Old Notes tendered pursuant to the Mission Inn, 3649 Seventh Street, Riverside, California. AtExchange Offer, subject, however, to the Special Meeting,right of holders of HDS Common Stock and HDS Preferred Stock, voting together as a single class, as well as holders of HDS Series F Preferred Stock, voting as a separate class, will be askedOld Notes to consider and vote upon a proposalwithdraw their tendered Old Notes, or (iv) to approvewaive any condition or otherwise amend the Merger Agreement. A copyterms of the Merger Agreement is attached hereto as Annex A and is incorporated hereinExchange Offer in any respect. See "The Exchange Offer -- Terms of the Exchange Offer." Withdrawal Rights............. Tenders of Old Notes may be withdrawn at any time on or prior to the Expiration Date by this reference. RECORD DATE AND SHARES ENTITLED TO VOTE Only holders of record of shares of HDS Common Stock and HDS Preferred Stock at the close of business on , 1996 (the "Record Date"), are entitled todelivering a written notice of such withdrawal to the Exchange Agent in conformity with certain procedures set forth below under "The Exchange Offer -- Withdrawal Rights." Procedures for Tendering Old Notes......................... Brokers, dealers, commercial banks, trust companies and to vote at the Special Meeting. Asother nominees who hold Old Notes through DTC (as defined herein) may effect tenders by book-entry transfer in accordance with DTC's Automated Tender Offer Program ("ATOP"). Holders of such date, there were issued and outstanding: 4,081,990 shares of HDS Common Stock held by 157 holders of record, 742,000 shares of HDS Series B Preferred Stock held by 147 holders of record, 1,312,500 shares of HDS Series C Preferred Stock held by 49 holders of record and 1,605,353 shares of HDS Series F Preferred Stock held by 12 holders of record. Holders of record of HDS Common Stock and HDS Preferred Stock onOld Notes registered in the Record Date for the Special Meeting are entitled to one vote per share on any matter that may properly come before the Special Meeting. 2 11 VOTE REQUIRED; SECURITY OWNERSHIP OF MANAGEMENT The presence in person or by proxy of the holdersname of a majority of the shares of HDS Common Stock and HDS Preferred Stock (collectively, the "HDS Capital Stock") outstanding as of the Record Date is necessarybroker, dealer, commercial bank, trust company or other nominee are urged to constitute a quorum at the Special Meeting. The affirmative vote of (i) the holders of a majority of the outstanding shares of HDS Common Stock and HDS Preferred Stock, voting together as a single class, and (ii) the holders of at least 85% of the outstanding shares of HDS Series F Preferred Stock, voting as a separate class, in each case, outstanding as of the Record Date, voting incontact such person or by proxy, is necessarypromptly if they wish to approve the Merger Agreement. As of the Record Date, the executive officers and directors of HDS beneficially owned an aggregate of (i) 1,954,023 shares of HDS Common Stock and HDS Preferred Stock (not including any shares which might be deemedtender Old Notes. In order for Old Notes to be beneficially owned on accounttendered by a means other than by book-entry transfer, a Letter of outstanding options), or approximately 25.24% of the shares of HDS Common StockTransmittal must be completed and HDS Preferred Stock then outstanding and (ii) 2,040 shares of HDS Series F Preferred Stock, or less than 1% of the HDS Series F Preferred Stock then outstanding. Approval of the Merger Agreement by the stockholders of Medaphis is not required. PROXIES HDS has prepared a form of proxy card for the HDS Common Stock, the HDS Series B Preferred Stock and the HDS Series C Preferred Stock, and a separate form of proxy card for the HDS Series F Preferred Stock. HDS has enclosed the applicable proxy card or cards with this Proxy Statement/Prospectus. Holders of HDS Common Stock, HDS Series B Preferred Stock or HDS Series C Preferred Stock are requested to sign and return the proxy marked "HDS Common and Series B and C Preferred Stock." Holders of the HDS Series F Preferred Stock are requested to sign and return the proxy marked "HDS Series F Preferred Stock." Holders of HDS Series F Preferred Stock who are also holders of any other class of HDS Capital Stock are requested to sign and return both proxy cards enclosed. All shares of HDS Common Stock and HDS Preferred Stock represented by properly executed proxies, unless such proxies have been previously revoked, will be votedsigned in accordance with the instructions indicatedcontained herein. The Letter of Transmittal and any other documents required by the Letter of Transmittal must be delivered to the Exchange Agent by mail, facsimile, hand delivery or overnight carrier and either such Old Notes must be delivered to the Exchange Agent or specified procedures for guaranteed delivery must be complied with. See "The Exchange Offer -- Procedures for Tendering Old Notes." Letters of Transmittal and certificates representing Old Notes should not be sent to the Company. Such documents should only be sent to the Exchange Agent. See "The Exchange Offer -- Exchange Agent." Resales of New Notes.......... The Company is making the Exchange Offer in reliance on the position of the staff of the Division of Corporation Finance of the Commission as set forth in certain interpretive letters addressed to third parties in other transactions. The Company has not sought its own interpretive letter and there can be no assurance that the staff of the Division of Corporation Finance of the Commission would make a similar determination with respect to the Exchange Offer as it has in such proxies. Ifinterpretive letters to third parties. Based on these interpretations by the staff of the Division of Corporation Finance of the Commission, and subject to the two immediately following sentences, the Company believes that New Notes issued pursuant to this Exchange Offer in exchange for Old Notes may be offered for resale, resold and otherwise transferred by a holder thereof (other than a holder who is a broker-dealer) without further compliance with the registration and prospectus delivery requirements of the Securities Act, provided that such New Notes are acquired in the ordinary course of such holder's business and that such holder is not participating, and has no instructions are indicated,arrangement or understanding with any person to participate, in a distribution 7 15 (within the meaning of the Securities Act) of such sharesNew Notes. However, any holder of Old Notes who is an "affiliate" of the Company or who intends to participate in the Exchange Offer for the purpose of distributing the New Notes, or any broker-dealer who purchased the Old Notes from the Company to resell pursuant to Rule 144A or any other available exemption under the Securities Act, (a) will not be able to rely on the interpretations of the staff of the Division of Corporation Finance of the Commission set forth in the above-mentioned interpretive letters, (b) will not be permitted or entitled to tender such Old Notes in the Exchange Offer and (c) must comply with the registration and prospectus delivery requirements of the Securities Act in connection with any sale or other transfer of such Old Notes unless such sale is made pursuant to an exemption from such requirements. In addition, as described below, if any broker-dealer holds Old Notes acquired for its own account as a result of market-making or other trading activities and exchanges such Old Notes for New Notes, then such broker-dealer must deliver a prospectus meeting the requirements of the Securities Act in connection with any resales of such New Notes. Each holder of Old Notes who wishes to exchange Old Notes for New Notes in the Exchange Offer will be voted for approvalrequired to represent that (i) it is not an "affiliate" of the Merger Agreement and, in the discretion of the proxy holder, as toCompany, (ii) any other matter which may properly come before the Special Meeting. See "The HDS Special Meeting -- Solicitation and Revocation of Proxies." THE MERGER BACKGROUND OF THE MERGER Beginning in early May, 1996, Medaphis and HDS engaged in substantive discussions regarding a possible acquisition transaction. A definitive Merger Agreement was executed on May 23, 1996. Prior to the execution of the Merger Agreement, there was no material relationship between Medaphis and HDS. REASONS FOR THE MERGER HDS. The Board of Directors of HDS formed a special committee consisting of the three non-employee members of the Board (the "Special Committee") to consider the proposed terms of the Merger. In approving and adopting the Merger Agreement and formulating its recommendation that the stockholders of HDS approve and adopt the Merger Agreement and consummate the Merger, the HDS Board of Directors considered a number of factors, including, without limitation, the following: (i) the recommendation of the Special Committee that the Board of Directors approve and adopt the Merger Agreement; (ii) the current privately-held status of HDS; (iii) the quality of, and risks associated with, Medaphis Common StockNew Notes to be received by HDS stockholdersit are being acquired in the Merger; (iv)ordinary course of its business, (iii) it has no arrangement or understanding with any person to participate in a distribution (within the termsmeaning of the Merger Agreement; (v)Securities Act) of such New Notes, and (iv) if such holder is not a broker-dealer, such holder is not engaged in, and does not intend to engage in, a distribution (within the expectationmeaning of the Securities Act) of such New Notes. Each broker-dealer that receives New Notes for its own account pursuant to the MergerExchange Offer must acknowledge that it acquired the Old Notes for its own account as the result of market-making activities or other trading activities and must agree that it will deliver a prospectus meeting the requirements of the Securities Act in connection with any resale of such New Notes. The Letter of Transmittal states that, by so acknowledging and by delivering a prospectus, a broker-dealer will not be deemed to admit that it is an "underwriter" within the meaning of the Securities Act. Based on the position taken by the staff of the Division of Corporation Finance of the Commission in the interpretive letters referred to above, the Company believes that Participating Broker-Dealers who acquired Old Notes for their own accounts as a result of market-making activities or other trading activities may fulfill their prospectus delivery requirements with respect to the New Notes received upon exchange of such Old Notes (other than Old Notes which represent an unsold allotment from the original sale of the Old Notes) with a prospectus meeting the requirements of the Securities Act, which may be the prospectus prepared for an exchange offer so long as it contains a description of the plan of distribution with respect to the resale of such New Notes. Accordingly, this Prospectus, as it may be amended or supplemented from time to time, may be used by a 8 16 Participating Broker-Dealer in connection with resales of New Notes received in exchange for Old Notes where such Old Notes were acquired by such Participating Broker-Dealer for its own account as a result of market-making or other trading activities. Subject to certain provisions set forth in the Registration Rights Agreement and to the limitations described below under "The Exchange Offer -- Resales of New Notes," the Company has agreed that this Prospectus, as it may be amended or supplemented from time to time, may be used by a Participating Broker-Dealer in connection with resales of such New Notes for a period ending 180 days after the Expiration Date (subject to extension under certain limited circumstances) or, if earlier, when all such New Notes have been disposed of by such Participating Broker-Dealer. See "Plan of Distribution." Any Participating Broker-Dealer who is an "affiliate" of the Company may not rely on such interpretive letters and must comply with the registration and prospectus delivery requirements of the Securities Act in connection with any resale transaction. See "The Exchange Offer -- Resales of New Notes." Exchange Agent................ The exchange agent with respect to the Exchange Offer is State Street Bank and Trust Company (the "Exchange Agent"). The addresses, and telephone and facsimile numbers, of the Exchange Agent are set forth in "The Exchange Offer -- Exchange Agent" and in the Letter of Transmittal. Use of Proceeds............... The Company will not receive any cash proceeds from the issuance of the New Notes offered hereby. See "Use of Proceeds." Certain Federal Income Tax Considerations................ Holders of Old Notes should review the information set forth under "Certain Federal Income Tax Consequences" prior to tendering Old Notes in the Exchange Offer. THE OFFERING Securities Offered............ $175 million aggregate principal amount of Series B 9 1/2% Senior Notes due 2005. Maturity Date................. February 15, 2005. Interest Rate; Payment Dates......................... The New Notes will bear interest at the rate of 9 1/2% per annum from the date of issuance, payable semi-annually on February 15 and August 15 of each year, commencing August 15, 1998. Subsidiary Guarantees......... Payment of principal of, premium, if any, and interest on the New Notes will be treatedunconditionally guaranteed, on a senior unsecured basis, jointly and severally (the "Subsidiary Guarantees") by all of the Company's present and future domestic Restricted Subsidiaries (the "Subsidiary Guarantors"). The financial statements of the Subsidiary Guarantors have not been presented as a tax-free reorganizationall subsidiaries, except for federal income tax purposes so that generally no gaincertain inconsequential foreign subsidiaries, have provided guarantees and the Parent does not have any significant operations or lossassets, separate from its investment in it subsidiaries. Ranking....................... The New Notes will be recognized by HDS stockholdersgeneral unsecured obligations of the Company and will rank pari passu in right of payment with all 9 17 current and future unsecured senior indebtedness of the Company. The Subsidiary Guarantees will be general unsecured obligations of the Subsidiary Guarantors and will rank pari passu in right of payment with all current and future unsecured senior indebtedness of the Subsidiary Guarantors. However, the New Notes and the Subsidiary Guarantees will be effectively subordinated to all current and future secured indebtedness of the Company and the Subsidiary Guarantors, including borrowings under the new credit agreement entered into in connection with the exchangeoffering of HDS Common Stock or HDS Preferred Stock for Medaphis Common Stock in the Merger; (vi)Old Notes (the "New Credit Facility"), which is secured by a lien on substantially all the opinion renderedmaterial assets of the Company and the Subsidiary Guarantors. As of February 27, 1998, the Company and the Subsidiary Guarantors had approximately $44 million of secured indebtedness outstanding and approximately $45 million of additional borrowing ability under the New Credit Facility, all of which would be effectively senior to the HDS BoardNew Notes and the Subsidiary Guarantees. See "Description of Directors by Hambrecht & Quist LLC ("Hambrecht & Quist") thatNew Credit Facility" and "Description of Notes -- General." Optional Redemption........... The New Notes will be redeemable at the consideration to be received byoption of the holders of HDS Common Stock and HDS Preferred StockCompany, in whole or in part, at any time on or after February 15, 2002, at the Merger is fair, from a financial point 3 12 of view, to such stockholders, the full text of which isredemption prices set forth as Annex Cherein, plus accrued and unpaid interest, if any, to the Proxy Statement/Prospectus (see "The Mergerredemption date. In addition, at any time on or prior to February 15, 2001, the Company may redeem up to 35% of the aggregate principal amount of the Notes originally outstanding at a redemption price equal to 109.5% of the principal amount thereof, plus accrued and unpaid interest and Liquidated Damages, if any, to the redemption date, with the net proceeds of one or more Equity Offerings (as defined), provided that at least $100.0 million of the aggregate principal amount of the Notes originally outstanding remain outstanding immediately following any such redemption. See "Description of Notes -- OpinionOptional Redemption." Change of Financial AdvisorControl............. Upon a Change of Control, the Company will be required to HDS");offer to purchase all outstanding Notes at a purchase price equal to 101% of the principal amount thereof, plus accrued and (vii) certain strategic and business reasons forunpaid interest, if any, to the Merger, as set forth below as Medaphis' reasons for pursuingpurchase date. See "Description of Notes -- Certain Covenants -- Change of Control." Certain Covenants............. The indenture governing the Merger. THE BOARD OF DIRECTORS OF HDS HAS DETERMINED THAT THE MERGER IS IN THE BEST INTERESTS OF HDS AND ITS STOCKHOLDERS, HAS APPROVED THE MERGER, HAS APPROVED AND ADOPTED THE MERGER AGREEMENT AND RECOMMENDS THAT THE HDS STOCKHOLDERS VOTE FOR THE PROPOSAL TO APPROVE THE MERGER AGREEMENT. Medaphis. In approving the Merger, the Merger Agreement and the transactions contemplated thereby, the Board of Directors of Medaphis considered,Notes (the "Indenture") contains covenants that, among other things, limit the following strategic and business reasons for the Merger. First, the Merger provides Medaphis with an advanced clinical information management system which organizes data and processes around a patient-centered model and facilitates the delivery of protocol-based care on a real-time basis. ULTICARE, HDS's lead system, represents an integrated information management system which addresses a healthcare enterprise's information needs through the integrated monitoring, scheduling, documentation and control of all patient care activities. As the evolving healthcare environment continues to promote consolidation among healthcare providers and the growth of managed care, Medaphis believes that the demand for clinical information management systems designed to reduce costs within a healthcare enterprise and improve the quality of care across the enterprise should increase. The Merger provides Medaphis with established and deliverable products and expertise to take immediate advantage of this market opportunity. Moreover, management of Medaphis believes that ULTICARE will complement Medaphis' existing product and service offerings. Second, Medaphis believes that the Merger will present opportunities for Medaphis to cross sell systems and services among the consolidated Medaphis/HDS customer base. Through its recent acquisitions of BSG Corporation ("BSG") and Rapid Systems Solutions, Inc. ("Rapid Systems"), Medaphis has become oneability of the leading client/server systems integrationCompany and work flow engineering companiesits Restricted Subsidiaries: (i) to pay dividends and make other Restricted Payments (as defined); (ii) to incur additional indebtedness; (iii) to incur liens; (iv) to enter into transactions with affiliates; (v) to engage in sale-leaseback transactions; (vi) to enter into agreements restricting the United States. Managementability of Medaphis believes that Medaphis' systems integrationRestricted Subsidiaries to pay dividends and work flow engineering resourcesmake distributions; (vii) to merge or consolidate with any other entity; and expertise should prove helpful in connection with(viii) to transfer or sell assets. In addition, under certain circumstances, the sale and installation of HDS's clinical information systems, particularly in Integrated Healthcare Delivery Systems ("IHDS") and other large healthcare enterprises which have an ever increasing need for integration of clinical, financial, operational, administrative and analytical systems and data across the enterprise. Similarly, management of Medaphis believes that opportunities exist for Medaphis to provide business management outsourcing services and information management systems to the HDS client base, andCompany will be required to offer HDS's clinical information systems to Medaphis' existing base of healthcare providers and payor clients. Medaphis currently provides business management services and systemspurchase outstanding Notes at a price equal to approximately 19,700 physicians and over 2,200 hospitals in all 50 states and subrogation and recovery services to 45 payors covering in excess of 24 million lives. Third, Medaphis believes that the Merger will enhance Medaphis' ability to pursue its mission of seeking to achieve an unequaled level of measurable quality and productivity in the delivery of information technology systems and business services which respond to the wants, needs and values of its customers. Management believes that HDS's clinical information systems and expertise together with Medaphis' existing product development expertise should assist Medaphis in developing a proprietary data model for its clients which captures and organizes data relating to the delivery of healthcare services and utilizes such data in real-time to reduce costs, increase efficiency and improve the quality of care provided. It has been estimated that the healthcare industry spends in excess of $40 billion per year and employs in excess of 1 million people to capture data on healthcare services provided and then to price, bill and collect for such services. Management of Medaphis believes that the Merger will provide Medaphis with a necessary component to address the cost and management problems currently confronting the healthcare industry. TERMS OF THE MERGER AGREEMENT General. The Merger Agreement provides that, following approval100% of the Merger Agreement by the stockholdersprincipal amount of HDSsuch Notes, plus accrued and the satisfaction or waiver of the other conditions to the Merger, at the Effective 4 13 Time (as hereinafter defined), Newco will be merged withunpaid interest and into HDS in accordance with the provisions of the Delaware General Corporation Law ("DGCL"). HDS will be the surviving corporation in the Merger. As a result of the Merger, the separate corporate existence of Newco will cease, and HDS will become a wholly owned subsidiary of Medaphis. Conversion Ratio. Each share of HDS Capital Stock issued and outstanding at the time of the Merger (other than treasury shares and shares held by HDS stockholders who perfect their appraisal rights under the DGCL) will be converted into the right to receive .7911 of a share of Medaphis Common Stock (the "Conversion Ratio"). The Conversion Ratio was determined in arms' length negotiations between representatives of Medaphis and HDS. See "The Merger -- Background of the Merger." Cash will be paid in lieu of issuing fractional shares of Medaphis Common Stock in an amount equal to the average closing price of Medaphis Common Stock, as reported on The Nasdaq Stock Market, for the ten consecutive trading days ending on the trading day immediately priorLiquidated Damages, if any, to the date of purchase with the Special Meeting (the "Average Closing Price"), multiplied bynet proceeds of certain Asset Sales (as defined). These covenants are subject to a number of important exceptions. See "Description of Notes -- Certain Covenants." 10 18 Use of Proceeds............ The Company will not receive any cash proceeds in the fraction of a share whichExchange Offer. The Company used the holder of HDS Capital Stock would otherwise be entitled to receive. See "The Merger -- Termsnet proceeds of the Merger Agreement -- Conversion Ratio." Issuanceoffering of Additional Options. In connectionthe Old Notes, together with the Merger, Medaphis has agreed to issue additional options covering 100,000 shares of Medaphis Common Stock to certain employees of HDS. The exercise price for such options will be the fair market value of Medaphis Common Stock at the time of grantavailable cash and the options shall vest over five years. Conditionsinitial borrowing under the New Credit Facility, to refinance the Merger. In additionBridge Notes. See "Use of Proceeds." For more complete information regarding the New Notes, including definitions of certain capitalized terms used above, see "Description of Notes." RISK FACTORS Holders should consider carefully the information set forth under the caption "Risk Factors," and all other information set forth in this Prospectus in deciding whether to approvaltender in the Exchange Offer. 11 19 SUMMARY CONSOLIDATED FINANCIAL DATA The following tables set forth (i) summary consolidated financial information for Medaphis for and as of each of the Merger Agreement by the stockholders of HDS and certain customary conditions, consummation of the Merger is subject to the satisfaction or waiver of, among others, the following conditions: (i) that HDS and Medaphis shall have received the written opinion of King & Spalding concerning certain federal income tax consequences of the Merger; (ii) that HDS and Medaphis shall have been advised in writing by Deloitte & Touche LLP that, in accordance with generally accepted accounting principles, the Merger qualifies to be treated as a pooling of interests for accounting purposes; (iii) that holders of not more than 10% of the outstanding shares of HDS Capital Stock shall have elected to exercise appraisal rights pursuant to the DGCL; (iv) that the Registration Statement of which this Proxy Statement/Prospectus forms a part shall be effective; and (v) that the applicable waiting periods shall have terminated under the Hart-Scott-Rodino Antitrust Improvements Act of 1976, as amended (the "HSR Act"). See "The Merger -- Terms of the Merger Agreement -- Conditions to the Merger." Amendment. The Merger Agreement may be amended by mutual agreement of the parties thereto. Any amendment to the Merger Agreement must be in writing and signed by the parties to the Merger Agreement. Termination. The Merger Agreement may be terminated (i) by mutual agreement of the Boards of Directors of HDS and Medaphis; (ii) by HDS or Medaphis if any of the conditions to such party's obligations to consummate the Merger have not been complied with or performed, and such noncompliance or nonperformance has not been cured or eliminated on or before August 15, 1996; (iii) by HDS or by Medaphis if the Merger Agreement has not been approved by the holders of a majority of the outstanding shares of HDS Common Stock and HDS Preferred Stock, voting together as a single class, and the holders of at least 85% of the outstanding shares of HDS Series F Preferred Stock, voting as a separate class; and (iv) by HDS if the Average Closing Price is less than $37. Fees and Expenses. Medaphis will pay its own fees, costs and expenses incurred in connection with the Merger Agreement and the transactions contemplated thereby. HDS will pay its own fees, costs and expenses incurred in connection with the Merger Agreement and the transactions contemplated thereby but such fees, costs and expenses shall not exceed certain specified amounts and the reasonable fees and expenses of accountants and counsel for HDS. In addition, HDS has agreed that, if (i) the Merger Agreement is terminated solely as a result of the failure of HDS's stockholders to approve the Merger Agreement, (ii) on or prior to the date scheduled for the Special Meeting, HDS receives a proposal or offer from another entity concerning a merger, sale of substantial assets or stock or similar transaction involving HDS (an "Acquisition Transaction"), (iii) HDS engages in negotiations or enters into a letter of intent, agreement in principle or definitive agreement with another entity concerning an Acquisition Transaction within 182 days after the date 5 14 of such termination of the Merger Agreement and (iv) such Acquisition Transaction is consummated during or after such 182-day period, then HDS shall pay Medaphis $7,500,000 to reimburse and compensate Medaphis for its expense, time and effort in connection with the matters contemplated by the Merger Agreement. EFFECTIVE TIME OF THE MERGER AND EXCHANGE OF SHARES Effective Time of the Merger. The Merger will become effective upon the filing of a certificate of merger relating thereto with the Secretary of State of the State of Delaware (the "Effective Time"). The Merger Agreement provides that the parties thereto will cause such certificate of merger to be filed as soon as practicable after all of the conditions to the consummation of the Merger have been satisfied or waived. See "The Merger -- Effective Time of Merger." Exchange of HDS Stock Certificates. Prior to the Effective Time, instructions and a letter of transmittal will be furnished to all stockholders of HDS for use in exchanging their stock certificates for certificates evidencing the shares of Medaphis Common Stock they will be entitled to receive as a result of the Merger. STOCKHOLDERS OF HDS SHOULD NOT SUBMIT THEIR STOCK CERTIFICATES FOR EXCHANGE UNTIL INSTRUCTIONS AND THE LETTER OF TRANSMITTAL ARE RECEIVED. See "The Merger -- Terms of the Merger Agreement -- Exchange of HDS Stock Certificates." RECOMMENDATION OF THE HDS BOARD OF DIRECTORS THE BOARD OF DIRECTORS OF HDS HAS DETERMINED THAT THE MERGER IS IN THE BEST INTERESTS OF HDS AND ITS STOCKHOLDERS, HAS APPROVED THE MERGER, HAS APPROVED AND ADOPTED THE MERGER AGREEMENT, AND RECOMMENDS THAT THE HDS STOCKHOLDERS VOTE FOR THE PROPOSAL TO APPROVE THE MERGER AGREEMENT. INTERESTS OF CERTAIN PERSONS IN THE MERGER In considering the Merger, holders of HDS Capital Stock should be aware that certain executive officers and directors of HDS have certain interests that may present them with potential conflicts of interest with respect to the Merger. See "The Merger -- Interests of Certain Persons in the Merger." Ownership of HDS Capital Stock. As of the date of this Proxy Statement/Prospectus, executive officers and directors of HDS beneficially owned an aggregate of 1,954,023 shares of HDS Capital Stock (not including any shares which might be deemed to be beneficially owned on account of outstanding options). If the Special Meeting had been held on May 23, 1996, the trading day before the date of this Proxy Statement/Prospectus (the "Last Trading Date"), executive officers and directors of HDS would have been entitled to receive in the Merger an aggregate of 1,545,828 shares of Medaphis Common Stock having an aggregate market value of approximately $60.9 million based on the closing price per share of Medaphis Common Stock reported on The Nasdaq Stock Market on the Last Trading Date. See "Ownership of HDS Capital Stock." Employment Agreements. In connection with the Merger, Ralph A. Korpman, M.D., Jere Chrispens, Peter Gladkin, Janice E. Ticich and Karen C. Miller (collectively, the "Key Employees" and individually a "Key Employee") will enter into employment agreements (the "Employment Agreements") pursuant to which Medaphis will agree to employ each of them for a term of two years. Certain other employees of HDS will enter into Employment Agreements providing for a one-year term. Each person entering into an Employment Agreement will be paid an agreed upon annual salary and will be entitled to receive certain incentive compensation payments. The Employment Agreements will contain certain non-competition and non-solicitation covenants and will be in form and substance mutually satisfactory to each party. Each Key Employee and certain other stockholders of HDS will also enter into a Non-competition, Non-solicitation and Confidentiality Agreement with Medaphis (the "Non-Compete Agreement") that will be in form and substance mutually satisfactory to each party. See "The Merger -- Certain Agreements in Connection with the Merger -- Employment Agreements" and "-- Certain Agreements in Connection with the Merger -- Non-competition, Non-solicitation and Confidentiality Agreements." 6 15 HDS OPTIONS Pursuant to the Merger, Medaphis shall assume all of HDS's rights and obligations with respect to the outstanding and unexercised options to acquire shares of HDS Common Stock (the "HDS Options"). Prior to the Effective Time, Medaphis will request that each holder of an HDS Option enter into an Option Notice and Assumption Agreement (an "Option Assumption Agreement") with Medaphis. Upon receipt of an Option Assumption Agreement from a holder of an HDS Option following the Effective Time, Medaphis will issue to such holder a non-qualified option (a "Non-Qualified Option") to be granted under Medaphis' Non-Qualified Stock Option Plan for Employees of Acquired Companies (the "Medaphis Stock Option Plan"). Each Non-Qualified Option issued to a holder of an HDS Option will be subject to vesting as follows: the Option shall vest as to 25% of the shares of Medaphis Common Stock for which it may be exercised for each year that the Optionholder has been employed by HDS. Pursuant to the Merger Agreement, Medaphis is not entitled or required to substitute a Non-Qualified Option for an HDS Option until it has received from the holder of an HDS Option a properly completed and executed Option Assumption Agreement with respect to the HDS Option. Each Non-Qualified Option issued in substitution for an HDS Option will evidence the right to purchase the number of shares of Medaphis Common Stock equal to the product of the number of shares of HDS Common Stock covered by the HDS Option immediately prior to the Effective Time multiplied by the Conversion Ratio. The exercise price for each such Non-Qualified Option will be equal to the quotient obtained by dividing the exercise price of the HDS Option immediately prior to the Effective Time by the Conversion Ratio. In addition, Medaphis has agreed to issue new options to certain employees of HDS. See "The Merger -- Terms of the Merger Agreement -- Issuance of Additional Options." ACCOUNTING TREATMENT The Merger is expected to qualify as a pooling of interests for accounting purposes. The obligations of Medaphis and HDS to consummate the Merger are conditioned upon the receipt of an opinion from Deloitte & Touche LLP, to the effect that, in accordance with generally accepted accounting principles, the Merger qualifies to be treated as a pooling of interests for accounting purposes. Medaphis and HDS have agreed that neither they nor any of their respective subsidiaries or affiliates will take or fail to take any action that would jeopardize the treatment of the Merger as a pooling of interests for accounting purposes. CERTAIN FEDERAL INCOME TAX CONSEQUENCES Medaphis and HDS expect the Merger to be a tax-free reorganization for federal income tax purposes so that no gain or loss will be recognized by stockholders of HDS, except in respect of cash received in lieu of fractional shares. The obligations of Medaphis and HDS to consummate the Merger are conditioned upon the receipt of an opinion of King & Spalding, counsel to Medaphis, to the effect that, subject to the assumptions, qualifications and limitations set forth therein, the Merger will qualify as a tax-free reorganization for federal income tax purposes under the Internal Revenue Code of 1986, as amended ("Code"). In addition, Non-Qualified Options substituted for outstanding HDS Options will, as a result of such substitution, no longer qualify as incentive stock options for federal income tax purposes. See "The Merger--Certain Federal Income Tax Consequences." APPRAISAL RIGHTS Holders of HDS Common Stock and HDS Preferred Stock are entitled to appraisal rights and, if the Merger is consummated, to receive payment in cash for the statutory "fair value" of their shares (excluding any element of value arising from the accomplishment or expectation of the Merger), upon compliance with the provisions of Section 262 of the DGCL. In order to perfect these rights, a stockholder must not vote in favor of the Merger and must deliver to HDS a written demand for appraisal of such stockholder's shares prior to the vote on the Merger at the HDS Special Meeting. The delivery of a proxy or vote against the Merger will not constitute such a demand. Failure to follow any of these or other applicable procedures may result in the loss of statutory appraisal rights. Holders of Medaphis Common Stock are not entitled to appraisal rights in 7 16 connection with the Merger. See "The Merger -- Appraisal Rights" and Annex B, which sets forth the full text of Section 262 of the DGCL relating to appraisal rights. RESULTS OF OPERATIONS Medaphis expects to record charges of approximately $900,000 and $6.5 million in the quarter ended June 30, 1996 associated with the acquisitions of Rapid Systems and BSG, respectively, which are being accounted for as poolings-of-interests. The charges relate to transaction fees, costs and expenses incurred in connection with the mergers. Medaphis also expects to incur an additional charge of $3.8 million for similar fees, costs and expenses in connection with the Merger. The charge is expected to be recordedthree fiscal years in the period in which the Merger is consummated. MARKETS AND MARKET PRICES Medaphis Common Stock is listed on The Nasdaq Stock Market under the symbol "MEDA." No cash dividends have ever been declared or paid on Medaphis Common Stock. The following table sets forth for the calendar quarter indicated the high and low closing prices per share of Medaphis Common Stock as reported on The Nasdaq Stock Market.
MEDAPHIS COMMON STOCK(1) --------------------- HIGH LOW ------ ------ 1994: First Quarter..................................................... $18.88 $15.69 Second Quarter.................................................... 18.50 13.25 Third Quarter..................................................... 18.13 12.50 Fourth Quarter.................................................... 23.44 17.88 1995: First Quarter..................................................... $31.50 $22.19 Second Quarter.................................................... 34.00 21.25 Third Quarter..................................................... 29.38 20.88 Fourth Quarter.................................................... 37.00 26.50 1996: First Quarter..................................................... $52.50 $34.50 Second Quarter (through May 23, 1996)............................. 53.82 $39.38
- --------------- (1) On May 3, 1995, Medaphis' Board of Directors declared a two-for-one stock split of the outstanding shares of Medaphis Common Stock. The stock split was effected in the form of a stock dividend payable on May 31, 1995, to Medaphis stockholders of record as of May 24, 1995. The high and low closing prices per share of Medaphis Common Stock have been retroactively adjusted to reflect the stock split. As of the date hereof, Medaphis had approximately 450 stockholders of record. On (i) May 23, 1996, the last trading date prior to public announcement of the Merger, and (ii) , 1996, the closing sale price of Medaphis Common Stock, as reported on The Nasdaq Stock Market, was $39.375 and $ per share, respectively. HDS is privately held and there is no established public market for any of the HDS Common Stock or HDS Preferred Stock. As of the date of this Proxy Statement/Prospectus, there were 157 holders of record of HDS Common Stock, representing 100% of the ownership of HDS Common Stock, and 181 holders of record of HDS Preferred Stock, representing 100% of the ownership of HDS Preferred Stock. 8 17 COMPARATIVE PER SHARE INFORMATION The following table sets forth certain per common share information for Medaphis and HDS on both historical and pro forma combined bases (giving effect to the Merger using the pooling-of-interests method of accounting) and certain information on an equivalent pro forma combined basis for each share of HDS Common Stock. No cash dividends have ever been declared or paid on Medaphis Common Stock or HDS Common Stock.
PER SHARE OF COMMON STOCK --------------------------------- INCOME CASH BOOK (LOSS) DIVIDENDS(9) VALUE --------- ------------ ------ Medaphis -- Historical(1)(2)(3)(4) Year ended December 31, 1993.................................. $ 0.16 $ -- $ -- Year ended December 31, 1994.................................. 0.45 -- -- Year ended December 31, 1995.................................. (0.00) -- 6.99 Quarter ended March 31, 1996.................................. 0.18 -- 7.68 Medaphis -- Pro Forma Combined(1)(2)(3)(4)(5)(6) Year ended December 31, 1993.................................. $ 0.36 $ -- $ -- Year ended December 31, 1994.................................. 0.56 -- -- Year ended December 31, 1995.................................. 0.08 -- 7.02 Quarter ended March 31, 1996.................................. 0.17 -- 7.59 HDS -- Historical(7) Year ended March 31, 1994..................................... $ 1.13 $ -- $ -- Year ended March 31, 1995..................................... 1.15 -- -- Year ended March 31, 1996..................................... (0.98) -- 0.98 HDS -- Equivalent Pro Forma Combined(8) Year ended December 31, 1993.................................. $ 0.28 $ -- $ -- Year ended December 31, 1994.................................. 0.44 -- -- Year ended December 31, 1995.................................. 0.06 -- 5.55 Quarter ended March 31, 1996.................................. 0.13 -- 6.00
- --------------- (1) Income (loss) represents income (loss) from continuing operations. (2) Historical book value per share information for Medaphis as of the end of each period presented is computed by dividing historical stockholders' equity by the number of shares of Medaphis Common Stock outstanding at the end of each period presented, excluding common stock equivalents. Pro forma combined book value per share information as of the end of each period presented is computed by dividing pro forma stockholders' equity by the number of shares of Medaphis Common Stock outstanding on such dates and the shares of Medaphis Common Stock to be issued in the Merger. (3) On April 3, Medaphis acquired Rapid Systems in a merger transaction accounted for as a pooling-of-interests. In addition, on May 6, 1996, Medaphis acquired BSG in a merger transaction accounted for as a pooling-of-interests. Accordingly, the historical financial statements of Medaphis have been restated to reflect the mergers. (4) In 1995 and 1996, Medaphis acquired Automation Atwork and affiliates ("Atwork"), Medical Management Sciences, Inc. ("MMS"), Rapid Systems and BSG in merger transactions that were accounted for as poolings of interests. Prior to the mergers, Atwork, MMS, Rapid Systems and a company acquired by BSG prior to the BSG Merger had elected "S" corporation status for income tax purposes. As a result of the Mergers, (or, in the case of the company acquired by BSG, its acquisition by BSG), such entities terminated their "S" corporation elections. Per share of Common Stock information for Medaphis is presented on a pro forma basis as if the entities had been "C" corporations during the years ended December 31, 1993, 1994 and 19951997 and the three months ended MarchDecember 31, 1996. (5) The Medaphis Pro Forma Combined Income per share amounts1997; and (ii) summary unaudited pro forma statement of operations for the yearsyear ended December 31, 1993, 19941997, giving effect to the divestiture of HRI. The unaudited pro forma statement of operations does not give any effect to the offering of the Old Notes, the initial borrowing under the New Credit Facility or the application of the net proceeds therefrom due to the immaterial difference in the weighted average interest rate. The summary consolidated financial information of Medaphis for each of the three fiscal years in the period ended December 31, 1997 has been derived from the audited consolidated financial statements of Medaphis, which are incorporated herein by reference. The pro forma information is provided for informational purposes only and 1995is not necessarily indicative of actual results that would have been achieved had the offering of the Old Notes, the initial borrowing under the New Credit Facility and the three monthsapplication of the net proceeds therefrom, and the divestiture of HRI been consummated as of January 1, 1997 or of future results. The summary unaudited pro forma statement of operations is derived from the Unaudited Pro Forma Consolidated Financial Statement appearing elsewhere herein. The information set forth below should be read in conjunction with (i) the Consolidated Financial Statements of the Company and the related notes thereto, which are incorporated herein by reference; (ii) the Unaudited Pro Forma Consolidated Financial Statement and notes thereto, which is included elsewhere herein; and (iii) Management's Discussion and Analysis of Financial Condition and Results of Operations, which is included elsewhere herein.
PRO FORMA(1) THREE MONTHS YEAR ENDED DECEMBER 31, YEAR ENDED ENDED ------------------------------- DECEMBER 31, DECEMBER 31, 1995 1996 1997 1997 1997 -------- --------- -------- ------------- ------------- (DOLLARS IN THOUSANDS) STATEMENT OF OPERATIONS DATA: Revenue.................................... $538,012 $ 596,714 $572,625 $ 557,905 $149,463 Salaries and wages......................... 314,790 398,573 377,363 370,625 95,855 Other operating expenses................... 134,055 163,677 153,372 149,476 37,531 Depreciation............................... 14,187 28,276 29,355 28,954 7,815 Amortization............................... 18,048 25,713 24,137 24,137 6,136 Interest expense, net...................... 9,761 11,585 23,260 18,822 3,843 Litigation settlement...................... -- -- 52,500 52,500 -- Restructuring and other charges............ 48,750 180,316 22,640 22,640 5,979 Loss before extraordinary item and cumulative effect of accounting change................................... (2,650) (137,337) (93,229) (92,591) (7,696) OTHER FINANCIAL DATA: EBITDA(2).................................. $ 89,167 $ 34,464 $ 41,890 $ 37,804(3) $ 16,077 Capital expenditures....................... 51,120 51,135 19,971 19,863 4,773 Ratio of pro forma total debt to EBITDA.... -- -- -- 5.2x 3.1x(4) Ratio of EBITDA to pro forma interest expense.................................. -- -- -- 2.0x 3.4x(4)
12 20
AS OF DECEMBER 31, 1997 AS OF DECEMBER 31, ------------------------ -------------------- AS 1995 1996 ACTUAL ADJUSTED(5) -------- --------- -------- ------------- (IN THOUSANDS) BALANCE SHEET DATA: Working capital............................ $ 90,043 $ 56,492 $ 93,497 $ 78,703 Intangible assets.......................... 611,544 539,151 515,939 515,939 Total assets............................... 935,790 936,854 874,027 862,383 Total debt................................. 161,246 271,727 200,941 197,397 Convertible subordinated debentures........ 63,375 -- -- -- Stockholders' equity....................... 554,074 508,525 501,781 496,905
- --------------- (1) The Unaudited Pro Forma Consolidated Statement of Operations Data for the year ended MarchDecember 31, 1996 give1997, gives effect to (i) the Mergerdivestiture of HRI as if it had occurred on January 1, 19931997. (2) EBITDA is defined as earnings before interest expense, income taxes, depreciation, amortization, litigation settlement, restructuring and (ii) certainother charges, extraordinary item and cumulative effect of accounting change. See Note 4 to the notes to the Consolidated Financial Statements of Medaphis Corporation and subsidiaries where restructuring and other charges are discussed in more detail. EBITDA is not a measure of performance under GAAP. While EBITDA should not be considered as a substitute for net income, cash flows from operating activities and other income or cash flow statement data prepared in accordance with GAAP, or as a measure of profitability or liquidity, management understands that EBITDA is customarily used as a measurement in evaluating companies. Moreover, substantially all of the Company's financing agreements contain covenants in which EBITDA, as defined therein, is used as a measure of financial performance. The method of calculating EBITDA set forth above may be different from calculations of EBITDA employed by other companies and, accordingly, may not be directly comparable to such other calculations. See "Management's Discussion and Analysis of Financial Condition and Results of Operations" for a discussion of other measures of performance determined in accordance with GAAP. (3) EBITDA includes approximately $18.0 million of other unusual charges which reduced revenue in the quarter ended September 30, 1997 consisting of the following:
(000'S) ------- Adjustment to the methodology of calculating accounts receivable, unbilled...................................... $12,132 Adjustment to unbilled receivables related to one of the Company's software products............................... 3,000 Miscellaneous unusual bad debt reserves..................... 2,823 ------- $17,955 =======
If such charges had not been incurred in the quarter ended September 30 of fiscal year 1997, pro forma adjustments related to the mergers with 9 18 Atwork, MMS Rapid Systems and BSG. The amountsEBITDA would have equaled $55.8 million for the year ended December 31, 1995 also give effect1997. Such unusual charges will be added back to the 1995 Acquisitions, as hereinafter defined, as if each had occurred on January 1, 1995. (6) ForCompany's consolidated net income for 1997 for purposes of preparing Pro Forma Combined per sharecalculating the fixed charge coverage incurrence test contained in the Indenture. See "Description of Notes." (4) Represents ratio of (i) pro forma total debt to (ii) four times EBITDA in the three months ended December 31, 1997 and ratio of (i) four times EBITDA in the three months ended December 31, 1997 to (ii) pro forma interest expense. (5) The As Adjusted balance sheet data as of December 31, 1997 is adjusted for (i) the offering of the Old Notes, the initial borrowing under the New Credit Facility and the application of the net proceeds therefrom and (ii) the addition of new debt issuance costs and the write-off of the debt issuance costs associated with the Bridge Notes. See "Capitalization" for additional discussion. 13 21 RISK FACTORS In addition to the other information HDS'sset forth herein, prospective investors should carefully consider the following risk factors before deciding to participate in the Exchange Offer. The information contained in this Prospectus contains statements that are forward-looking in nature and, accordingly, are subject to a number of risks and uncertainties. A number of factors, including, but not limited to, those discussed below and those contained in "Disclosure Regarding Forward-Looking Statements," "Management's Discussion and Analysis of Financial Condition and Results of Operations" and "The Business," could cause actual results to differ materially from those anticipated by such forward-looking statements. In addition, such forward-looking statements are necessarily dependent upon assumptions, estimates and data that may be incorrect or imprecise. Accordingly, any forward-looking statements included or incorporated by reference herein do not purport to be predictions of future events or circumstances and may not be realized. Forward-looking statements can be identified by, among other things, the use of forward-looking terminology such as "believes," "expects," "plans," "may," "will," "should," "seeks," "pro forma" or "anticipates," or the negative thereof, or other variations thereon or comparable terminology, or by discussions of strategy or intentions. SUBSTANTIAL LEVERAGE; ABILITY TO SERVICE DEBT The Company has substantial indebtedness and, as a result, significant debt service obligations. As of February 27, 1998, the Company had approximately $44 million of secured indebtedness outstanding and had approximately $45 million of additional borrowing availability under the New Credit Facility. See "Capitalization." In addition, the Indenture, the New Credit Facility and the Company's other debt instruments will allow the Company to incur additional indebtedness under certain circumstances. The Company's ability to make payments on the Notes and to satisfy its other debt obligations will depend on its future operating performance, which will be affected by prevailing economic conditions and financial, business and other factors, certain of which are beyond the Company's control. The Company believes, based on circumstances as of the date of this Prospectus, that its cash flow, together with available borrowings under the New Credit Facility, will be sufficient to permit the Company to meet its operating expenses and to service its debt requirements as they become due for the foreseeable future, however, there can be no assurance that such results will be achieved. The Company's belief is based upon certain assumptions, including, among other things, that the Company will succeed in implementing its business strategy and that there will be no material adverse developments in the business, liquidity or capital requirements of the Company. If the Company is unable to service its indebtedness, it will be required to adopt alternative strategies, which may include actions such as reducing or delaying capital expenditures, selling assets, restructuring or refinancing its indebtedness or seeking additional equity capital. There can be no assurance that any of these strategies could be effected on satisfactory terms. The degree to which the Company is leveraged could have important consequences to holders of the Notes, including: (i) the Company's ability to obtain additional financing in the future for working capital, capital expenditures, acquisitions or other general corporate purposes may be impaired; (ii) a substantial portion of the Company's cash flow from operations may be dedicated to the payment of principal and interest on its indebtedness, thereby reducing the funds available to the Company for its operations; (iii) the New Credit Facility contains financial and other restrictive covenants, including without limitation those restricting the incurrence of additional indebtedness, the creation of liens, the payment of dividends, sales of assets, capital expenditures, and prepayment of the Notes and those requiring maintenance of minimum net worth, minimum EBITDA, minimum interest coverage and maximum leverage; (iv) certain of the Company's borrowings are and will continue to be at variable rates of interest which expose the Company to the risk of increases in interest rates; and (v) the Company may be more leveraged than certain of its competitors, which may place the Company at a relative competitive disadvantage and make the Company more vulnerable to changes in its industry and changing economic conditions. As a result of the Company's level of indebtedness, its financial capacity to respond to market conditions, extraordinary capital needs and other factors may be limited. 14 22 LITIGATION AND GOVERNMENT INVESTIGATIONS Medaphis is the subject of ongoing investigations by various state and federal agencies involving, among other things, billing and collection practices and potential allegations of fraud with respect to California Investigation and the GFS Investigation (as defined) and potential insider trading and certain accounting matters. Such actions could expose the Company and its subsidiaries to significant liabilities and penalties. Medaphis is also involved in substantial litigation which exposes the Company to material loss contingencies, including numerous federal securities class action lawsuits brought by shareholders and claims brought by former shareholders of entities acquired by the Company. The Company is also subject to certain qui tam litigation which the Company believes resulted in certain of the investigations by the above mentioned agencies. Medaphis has also received certain written demands that have not yet resulted in legal action. See "The Business -- Legal Proceedings" and the Legal Matters note to the Company's Consolidated Financial Statements. There can be no assurance that the Company will be able to defend these lawsuits successfully or that additional lawsuits or governmental investigations will not be commenced against the Company, nor can there be any assurance that the ongoing governmental investigations will not result in significant fines, damages or other penalties. Further, there can be no assurance that the lawsuits, the written demands and the pending governmental investigations and the resolution thereof will not have a disruptive effect upon the operations of the business, consume the time and attention of the senior management of the Company or have a material adverse effect upon the Company. In the event of an adverse outcome to pending litigation, there can be no assurance that insurance coverage, if any, would be available for or would fully cover any monetary damages assessed against the Company. Adverse developments or an adverse outcome in one or more of the lawsuits, written demands or investigations could have a material adverse effect on the Company or its ability to repay the Notes. DEPENDENCE ON TURNAROUND; FUTURE OPERATING RESULTS; MANAGEMENT The Company suffered several setbacks in recent years, including (i) government investigations into: (a) the billing and collection practices in two offices of MPSC (the "California Investigation"), and (b) the billing procedures and computerized coding system used in GFS to process claims, which may lead to claims of errors in billing (the "GFS Investigation"); (ii) the failure of prior managements' acquisition strategy to integrate companies acquired; (iii) several restatements of various financial statements of the Company, including restatements of the Company's fiscal 1994, 1995, 1996 and interim 1997 financial statements; (iv) the shutdown of the operations of one of the businesses acquired; (v) the abandonment of an extensive reengineering program that failed to realize the improvement in customer service and reduction of costs that were expected; (vi) a steep drop in the price of its common stock; and (vii) the filing of various lawsuits and claims made against the Company, including multiple putative shareholder class action lawsuits alleging violations of the federal securities laws. Consequently, the Company has been operating in what is commonly described as a "turnaround" situation. In addition to the risks generally associated with any entity in a turnaround situation, the Company faces certain challenges more specific to its operations, including: (i) integrating several recent acquisitions into its ongoing operations; (ii) shifting its strategic focus from acquiring compatible businesses to running its existing businesses efficiently and profitably; (iii) successfully completing the combination of the operations of BSG and HIT under the Per-Se name, following the reorganization of its Imonics Corporation ("Imonics"), BSG and BSG Government Solutions, Inc. (formerly Rapid Systems Solutions, Inc.) ("BSG Government") subsidiaries and the Imonics Shutdown (as defined); (iv) managing existing customers' perceptions of the Company's continued viability and refocusing on the high levels of customer service required to develop new customers and retain existing customers; (v) combating employee turnover, particularly in light of declines in the market value of the Company's common stock (the value of which often plays a role in compensation of employees); (vi) reducing costs and increasing efficiencies; and (vii) reevaluating the efficiency of its operations following the Company's 1996 abandonment of its reengineering initiative to develop a unified billing and information hardware and software system across all of its operating platforms, the costs of which were subsequently determined to outweigh the benefits. 15 23 There can be no assurance that the Company will successfully meet these or other operating challenges or that the Company's operating plans ultimately will be successful. Any such failure could have a material adverse effect on the Company's ability to repay the Notes. The Company's success in general, and the successful implementation of its operating plans in particular, is dependent upon, among other things, the continued contributions of the Company's senior management. There can be no assurance that the Company's management will be successful and the loss of services of those members could have a material adverse effect on the Company's businesses. RESTATEMENT OF FINANCIAL STATEMENTS; ACCOUNTING ISSUES In October 1996, the Company restated its financial results for the yearsyear and three months ended December 31, 1995. This restatement related primarily to a side letter relating to a license agreement entered into by Imonics in December 1995, which created a contingency upon license fees payable under the agreement. The contingency occurred, entitling the purchaser to a refund and cancellation of the contract. The license fee revenue payable under the agreement and recognized by the Company during the fourth quarter of 1995, together with previously deemed immaterial amounts, resulted in an aggregate reduction to net income for the quarter and year ended December 31, 1995 of $5.1 million. As a result of a review initiated by senior management and the Audit Committee of the Board of Directors in March 1997 prior to completion of the audit process for the Company's 1996 fiscal year, information was developed indicating that certain revenues and expenses may have been recorded incorrectly between certain quarters during 1996. In addition, Deloitte & Touche LLP ("Deloitte & Touche") provided to senior management of the Company a letter relating to the Company's internal control structure resulting from Deloitte & Touche's audit of the Company's financial statements for the year ended December 31, 1996. This letter reflected Deloitte & Touche's view that inadequate internal controls over the preparation of interim financial information for each fiscal quarter of 1996 constituted a material weakness in internal controls which resulted in certain errors and irregularities in the financial information for such quarters. The Company previously disclosed in its Form 10-K for its fiscal year ended December 31, 1996 that such errors and irregularities in its financial information had occurred for each fiscal quarter of 1996. In connection with the issuance of Deloitte & Touche's audit report dated March 31, 1997 on the Company's financial statements for the year ended December 31, 1996, the Company recorded all adjustments to its interim financial statements deemed appropriate for such errors and irregularities and consequently restated such interim financial statements. All adjustments were for interim period transactions and had no effect on the Company's 1996 annual pro forma net loss. The reports of Deloitte & Touche on the Company's financial statements for the fiscal year ended December 31, 1996, dated March 31, 1997, included an unqualified opinion with an explanatory paragraph that stated Deloitte & Touche's conclusion that uncertainty then existed regarding the ability of the Company to continue as a going concern due to a mandatory commitment reduction in the Company's Existing Credit Facility that was required by July 31, 1997. However, the Company satisfied such commitment reduction on May 28, 1997 by applying the proceeds of the sale of HRI. On June 30, 1997, following a competitive review and request for proposal process in which Deloitte & Touche, the Company's then-present auditors, and a number of other nationally recognized accounting firms participated, the Company notified Deloitte & Touche that it had been dismissed as the Company's principal accountants and that the Company intended to engage new principal accountants. This action was recommended by the Audit Committee of the Company's Board of Directors, and the Board approved such change on June 27, 1997. On July 9, 1997, the Company engaged Price Waterhouse LLP ("Price Waterhouse") as the Company's new principal accountants. During the third quarter of 1997, in connection with a refinancing effort of the Company's then credit agreement, management evaluated certain revenue practices at Health Data Sciences Corporation ("HDS"), a wholly-owned subsidiary of the Company which was acquired by the Company in a merger transaction in June 1996 that was accounted for as a pooling-of-interests. These practices related principally to revenue recognized in fiscal years 1994, 1995 and 1996. As disclosed by the Company in its Form 10-Q for its fiscal 16 24 quarter ending September 30, 1997, management determined that certain revenue of HDS was improperly recognized and, accordingly, determined to restate its financial statements for its 1994, 1995 were combined with Medaphis' operating resultsand 1996 fiscal years and the first two fiscal quarters of its 1997 fiscal year. The effect of such restatements on the Company's net income (loss) for the years ended December 31, 19931994, 1995 and 1996 was ($5.8) million, $(1.1) million and $(7.3) million, respectively. The cumulative reduction in assets caused by such restatement was $20.5 million. As a result of the HDS-related restatement, Deloitte & Touche withdrew its audit opinion dated March 31, 1997 in respect of the Company's 1994, respectively. For1995 and 1996 fiscal years. Consequently, the Company engaged Price Waterhouse to re-audit the Company's 1995 and 1996 fiscal years and audit the Company's nine-month period ending September 30, 1997. As indicated in a Current Report on Form 8-K filed by the Company on January 8, 1998 (the "January 8-K"), the Company determined to further restate the results of such periods to account for the December 1995 acquisition by the Company of Medical Management Sciences, Inc. ("MMS") on a purchase accounting basis (the "MMS Restatement"). Such acquisition had previously been accounted for as a pooling-of-interests. Financial statements for the Company's 1995 and 1996 fiscal years and the nine-month period ended September 30, 1997 reflecting the HDS and MMS-related restatements were filed by the Company as an exhibit to the January 8-K. Such financial statements were audited by Price Waterhouse and accompanied by their audit opinion which was unqualified and was not subject to any modifying paragraphs. While the Company restated its 1994 financial statements, it has not reaudited such financial statements. Consequently, the Company may not be in full compliance with the reporting requirements of applicable securities laws. There can be no assurances that any such failure to be in compliance will not have a material adverse consequence for the Company. In addition, the Company received a subpoena from the Commission in connection with an on going Commission investigation on January 2, 1998. The subpoena seeks information in connection with the November 19 and December 23, 1997 restatements and certain charges taken by the Company in the third quarter of 1997. There can be no assurances that the results of such inquiry will not have a material adverse effect on the Company or that further restatements of the Company's financial statements will not be required. There can be no assurance that there will not be additional adjustments to or reserves taken in the Company's financial statements in respect of the pending or future lawsuits and government investigations. See "-- Litigation and Government Investigations" and "The Business -- Legal Proceedings." EVOLVING INDUSTRY STANDARDS; RAPID TECHNOLOGICAL CHANGES The markets for Medaphis' software products and services are characterized by rapidly changing technology, evolving industry standards and frequent new product introductions. Medaphis' success in its business will depend in part upon its continued ability to enhance its existing products and services, to introduce new products and services quickly and cost-effectively to meet evolving customer needs, to achieve market acceptance for new product and service offerings and to respond to emerging industry standards and other technological changes. There can be no assurance that Medaphis will be able to respond effectively to technological changes or new industry standards. Moreover, there can be no assurance that competitors of Medaphis will not develop competitive products, or that any such competitive products will not have an adverse effect upon Medaphis' operating results. The Company intends further to refine, enhance and develop certain of the Company's existing software and billing systems and to change all of the Company's billing and accounts receivable management services operations over to the Company's most proven software systems and technology to reduce the number of systems and technologies that must be maintained and supported. Moreover, management intends to continue to implement "best practices" and other established process improvements in its operations going forward. There can be no assurance that the Company will be successful in refining, enhancing and developing its software and billing systems going forward, that the costs associated with refining, enhancing and developing such software and systems will not increase significantly in future periods, that the Company will be able 17 25 successfully to migrate the Company's billing and accounts receivable management services operations to the Company's most proven software systems and technology or that the Company's existing software and technology will not become obsolete as a result of ongoing technological developments in the marketplace. CLIENT/SERVER INFORMATION TECHNOLOGY PRODUCTS Medaphis' client/server information technology business involves, among other things, projects designed to reengineer significant customer operations through the strategic use of imaging, client/server and other advanced technologies. Failure to meet expectations with respect to a major project could damage the Company's reputation and standing in the client/server information technology marketplace, affect its ability to attract new client/server information technology business, result in the payment of damages to the customer, jeopardize the Company's ability to collect for services already performed on the project and otherwise adversely affect its results of operations. POTENTIAL "YEAR 2000" PROBLEMS It is possible that the Company's currently installed computer systems, software products or other business systems, or those of the Company's customers, vendors or resellers, working either alone or in conjunction with other software or systems, will not accept input of, store, manipulate and output dates for the years 1999, 2000 or thereafter without error or interruption (commonly known as the "Year 2000" problem). The Company has conducted a review of its business systems, including its computer systems, and is querying its customers, vendors and resellers as to their progress in identifying and addressing problems that their computer systems may face in correctly interrelating and processing date information as the year ended December 31,2000 approaches and is reached. However, there can be no assurance that the Company will identify all such Year 2000 problems in its computer systems or those of its customers, vendors or resellers in advance of their occurrence or that the Company will be able to successfully remedy any problems that are discovered. The expenses of the Company's efforts to identify and address such problems, or the expenses or liabilities to which the Company may become subject as a result of such problems, could have a material adverse effect on the Company's business, financial condition and results of operations. The revenue stream and financial stability of existing customers may be adversely impacted by Year 2000 problems, which could cause fluctuations in the Company's revenues. In addition, failure of the Company to identify and remedy Year 2000 problems could put the Company at a competitive disadvantage relative to companies that have corrected such problems. COMPETITION; INDUSTRY AND MARKET CHANGES The business of providing management services and information technology to physicians and hospitals is highly competitive. Medaphis competes with certain national and regional physician and hospital reimbursement organizations and collection businesses (including local independent operating companies), certain national information and data processing organizations and certain physician groups and hospitals that provide their own business management services. Potential industry and market changes that could adversely affect the billing and collection aspects of Medaphis' business include (i) a significant increase in managed care providers relative to conventional fee-for-service providers, potentially resulting in substantial changes in the medical reimbursement process, or the Company's failure to respond to such changes and (ii) new alliances between healthcare providers and third-party payors in which healthcare providers are employed by such third-party payors. The business of providing application software, information technology and consulting services is also highly competitive and Medaphis faces competition from certain national and regional companies in connection with its technology operations. Certain of Medaphis' competitors have longer operating histories and greater financial, technical and marketing resources than Medaphis. There can be no assurance that competition from current or future competitors will not have a material adverse effect upon Medaphis. The Company's business is affected by, among other things, trends in the U.S. healthcare industry. As healthcare expenditures have grown as a percentage of the U.S. Gross National Product, public and private healthcare cost containment measures have applied pressure to the margins of healthcare providers. Historically, some healthcare payors have paid the prices established by providers while other healthcare 18 26 payors, notably government agencies and managed care companies, have paid less than established prices (in many cases less than the average cost of providing the services). As a consequence, prices charged to healthcare payors willing to pay established prices have increased in order to recover the cost of services purchased by government agencies and others but not paid for by them (i.e., "cost shifting"). The increasing complexity in the reimbursement system and assumption of greater payment responsibility by individuals have caused healthcare providers to experience increased accounts receivable and bad debt levels and higher business office costs. Healthcare providers historically have addressed these pressures on profitability by increasing their prices, by relying on demographic changes to support increases in the volume and intensity of medical procedures and by cost shifting. Notwithstanding the providers' responses to these pressures, management believes that the revenue growth rate experienced by the Company's clients continues to be adversely affected by increased managed care and other industry factors affecting healthcare providers in the United States. At the same time, the process of submitting healthcare claims for reimbursement to third party payors in accordance with applicable industry and regulatory standards continues to grow in complexity and to become more costly. Management believes that these trends have adversely affected and could continue to adversely affect the revenues and profit margins of the Company's operations. GOVERNMENTAL INVESTIGATORY RESOURCES AND HEALTHCARE REFORM The federal government in recent years has placed increased scrutiny on the billing and collection practices of healthcare providers and related entities, and particularly on possibly fraudulent billing practices. This heightened scrutiny has resulted in a number of high profile civil and criminal investigations, lawsuits and settlements. In 1996, Congress enacted the Health Insurance Portability and Accounting Act of 1996, Pub. L. No. 104-191, 1996 U.S.C.C.A.N. (110 Stat. 1936) (codified in scattered titles of the United States Code, including 18, 26, 29 and 42 U.S.C.), which includes an expansion of provisions relating to fraud and abuse, creates additional criminal offenses relating to healthcare benefit programs, provides for forfeitures and asset-freezing orders in connection with such healthcare offenses and contains provisions for instituting greater coordination of federal, state and local enforcement agency resources and actions. In recent years, the focus of healthcare legislation has been on budgetary and related funding mechanism issues. Both the Congress and the Clinton Administration have made proposals to reduce the rate of increase in projected Medicare and Medicaid expenditures and to change funding mechanisms and other aspects of both programs. In late 1995, Congress passed legislation that would substantially reduce projected expenditure increases and would make significant changes in the Medicare and Medicaid programs. The Balanced Budget Act of 1997 instituted substantial reductions in Medicare program expenditures. Medaphis anticipates that future legislation may change aspects of the present methods of paying physicians under such programs and provide incentives for Medicare and Medicaid beneficiaries to enroll in health maintenance organizations and other managed care plans. Medaphis cannot predict the effect of any such legislation, if adopted, on its operations. A number of states in which Medaphis has operations either have adopted or are considering the adoption of healthcare reform proposals at the state level. Medaphis cannot predict the effect of proposed state healthcare reform laws on its operations. Additionally, certain reforms are occurring in the healthcare market, including certain employer initiatives such as creating purchasing cooperatives and contracting for healthcare services for employees through managed care companies (including health maintenance organizations), and certain provider initiatives such as risk-sharing among healthcare providers and managed care companies through capitated contracts and integration among hospitals and physicians into comprehensive delivery systems. Consolidation of management and billing services through integrated delivery systems may result in a decrease in demand for Medaphis billing and collection services for particular physician practices. EXISTING GOVERNMENT REGULATION Existing government regulation can adversely affect Medaphis' 1995business through, among other things, its potential to reduce the amount of reimbursement received by Medaphis' clients for healthcare services. 19 27 Medaphis' medical billing and collection activities are also governed by numerous federal and state civil and criminal laws. In general, these laws provide for various fines, penalties, multiple damages, assessments and sanctions for violations, including possible exclusion from Medicare, Medicaid and certain other federal and state healthcare programs. See "The Business -- Legal Proceedings." Submission of claims for services or procedures that are not provided as claimed, or which otherwise violate the regulations, may lead to civil monetary penalties, criminal fines, imprisonment and/or exclusion from participation in Medicare, Medicaid and other federally funded healthcare programs. Specifically, the Federal False Claims Act allows a private person to bring suit alleging false or fraudulent Medicare or Medicaid claims or other violations of the statute and for such person to share in any amounts paid to the government in damages and civil penalties. Successful plaintiffs can receive up to 25-30% of the total recovery from the defendant. Such qui tam actions or "whistle-blower" lawsuits have increased significantly in recent years and have increased the risk that a company engaged in the healthcare industry, such as Medaphis and many of its customers, may become the subject of a federal or state investigation, may ultimately be required to defend a false claims action, may be subjected to government investigation and possible criminal fines, may be sued by private payors and may be excluded from Medicare, Medicaid and/or other federally funded healthcare programs as a result of such an action. Some state laws also provide for false claims actions, including actions initiated by a qui tam plaintiff. Medaphis is currently the subject of several federal investigations and recently became aware that it was a defendant in a qui tam litigation. There can be no assurance that Medaphis will not be the subject of additional false claims or qui tam proceedings relating to its billing and collection activities or that Medaphis will not be the subject of further government scrutiny or investigations relating to its billing and accounts receivable management services operations. Any such proceeding or investigation could have a material adverse effect upon the Company. See "The Business -- Legal Proceedings." Credit collection practices and activities are regulated by both federal and state law. The Federal Fair Debt Collection Practices Act (the "Federal Fair Debt Act") sets forth various provisions designed to eliminate abusive, deceptive and unfair debt collection practices by debt collectors. Various states have also promulgated laws and regulations that govern credit collection practices. AssetCare, Inc. a subsidiary of the Company, is registered as a debt collector in 26 states; however, there can be no assurance that the Company and its subsidiaries (other than AssetCare), will not be subjected to regulation as a "debt collector" under the Federal Fair Debt Act or as a "collection agency" under certain state collection agency laws and regulations. In the event that the Company or a subsidiary of the Company other than AssetCare is subjected to such regulation, its impact on the Company cannot be predicted. The ownership and operation of hospitals is subject to comprehensive regulation by federal and state governments which may adversely affect hospital reimbursement. Such regulation could have an adverse effect on the operations of hospitals in general, and consequently reduce the amount of the Company's revenue related to its hospital clients. There can be no assurance that current or future government regulations or healthcare reform measures will not have a material adverse effect upon Medaphis' business. RESTRICTIONS IMPOSED BY TERMS OF INDEBTEDNESS The Indenture governing the Notes contains certain covenants directly or indirectly limiting, subject to certain important exceptions, the incurrence of additional indebtedness (in part through fixed charge coverage test measured on a pro forma basis at the time of any proposed incurrence of indebtedness), the payment of dividends, the redemption of capital stock, the making of certain investments, the issuance of capital stock of subsidiaries, the creation of liens, the declaration and payment of dividends and other distributions to equityholders, dividend and other payment restrictions affecting the Company's subsidiaries, the issuance of guarantees, transactions with affiliates, asset sales and certain mergers and consolidations. A breach of any of these covenants could result in a default under the Indenture. In addition, the New Credit Facility and the instruments governing the Company's other indebtedness contain other, more restrictive covenants, including restrictions on the Company's ability to prepay the Notes and will require the Company to satisfy certain 20 28 financial tests. See "New Credit Facility." The Company's ability to comply with such covenants and to satisfy such financial tests may be affected by events beyond its control. A breach of any of these covenants could result in a default under the applicable indebtedness. In the event of a default under the New Credit Facility, the lenders thereunder could elect to declare all amounts borrowed, together with accrued interest, to be immediately due and payable, and could terminate all commitments thereunder. In addition, a default under the New Credit Facility or the instruments governing the Company's other indebtedness could constitute a cross-default under the Indenture and any instruments governing the Company's other indebtedness, and a default under the Indenture could constitute a cross-default under the New Credit Facility and any instrument governing the Company's other indebtedness. The occurrence of a default under any indebtedness of the Company could therefore have a material adverse effect on the Company. See "Description of Notes -- Certain Covenants" and "Description of New Credit Facility." HOLDING COMPANY STRUCTURE; EFFECTS OF LIENS ON ASSETS Substantially all of the Company's consolidated operating results were combined with HDS's 1995 operating results which were restatedincome will be generated by its subsidiaries. As a result, Medaphis will depend on the earnings and cash flow of, and dividends and distributions or advances from, its Restricted Subsidiaries (as defined) to provide the funds necessary to meet its debt service obligations, including the payment of principal of and interest on the Notes. There can be no assurance that the Company's subsidiaries will generate sufficient cash flow to dividend, distribute or advance funds to the Company. Should the Company fail to satisfy any payment obligation under the Notes, the holders thereof would have a direct claim therefor against the Subsidiary Guarantors pursuant to the Subsidiary Guarantees. However, substantially all of the material assets of the Company and the Subsidiary Guarantors are pledged to secure the obligations of the Company and such subsidiaries under the New Credit Facility and other assets of the Company and the Subsidiary Guarantors may secure other secured obligations as well. The Indenture will limit, but not prohibit, the ability of the Company and its Restricted Subsidiaries to incur additional secured indebtedness. In the event of a default under the New Credit Facility (or any other secured indebtedness), the lenders thereunder would be entitled to a calendar year basis. See "Unaudited Pro Forma Combined Financial Information." (7) Historical book value per share information for HDS asclaim on the assets securing such indebtedness which is prior to any claim of the end of each period presented is computed by dividing historical stockholder's equity attributable to holders of HDS Commonthe Notes. Accordingly, there may be insufficient assets remaining after payment of secured claims against the Company and the Subsidiary Guarantors (including claims of lenders under the New Credit Facility) to pay amounts due on the Notes. See "-- Substantial Leverage; Ability to Service Debt." POTENTIAL FAILURE TO MAKE PAYMENT UPON A CHANGE OF CONTROL Upon the occurrence of a Change of Control, the Company must offer to purchase the Notes at a purchase price of 101% of the principal amount of the Notes, together with accrued and unpaid interest and Liquidated Damages, if any, to the date of purchase. In such circumstances, the Company may be required to obtain any requisite consent from its lenders, including under the New Credit Facility, to permit the repurchase of the Notes. If the Company is unable to repay all of such indebtedness or is unable to obtain the necessary consents, the Company may be unable to offer to repurchase the Notes, which would constitute an Event of Default under the Indenture. There can be no assurance that the Company will have sufficient funds available at the time of any Change of Control to make any debt payment (including repurchase of the Notes) as described above or that the Company would be able to refinance its outstanding indebtedness in order to permit it to repurchase the Notes or, if such refinancing were to occur, that such refinancing would be on terms favorable to the Company. See "Description of Notes -- Certain Covenants -- Change of Control." The events that constitute a Change of Control under the Indenture may also be events of default under the New Credit Facility or other secured or unsecured senior indebtedness of the Company. Such events may permit the holders under such debt instruments to refuse to advance additional funds, reduce the borrowing base thereunder or accelerate the maturity of the debt, and, if the debt is not paid, to enforce security interests in, or commence litigation that could ultimately result in a sale of, substantially all the assets of the Company, thereby limiting the Company's ability to raise cash to repurchase the Notes and afford the benefit of the Change of Control provisions to the holder of the Notes. See "-- Holding Company Structure; Effects of Liens on Assets." 21 29 FRAUDULENT CONVEYANCE The obligations of the Company under the Notes, and the application of the net proceeds therefrom, may be subject to review under various laws for the protection of creditors, including federal and state fraudulent conveyance and fraudulent transfer laws, if a bankruptcy case or other lawsuit (including in circumstances where bankruptcy is not involved) is commenced by or on behalf of any creditor of the Company or a representative of any of the Company's creditors. If a court in such case or lawsuit were to find that, at the time the Company issued the Notes or at the time of the closing of the New Credit Facility and related transactions, the Company (i) intended to hinder, delay or defraud any existing or future creditor or (ii) did not receive fair consideration or reasonably equivalent value for issuing the Notes or in connection with related transactions, and the Company either (A) was insolvent or rendered insolvent by reason thereof, (B) was engaged or was about to engage in a business or transaction for which its remaining unencumbered assets constituted unreasonably small capital or (C) intended to or believed that it would incur debts beyond its ability to pay such debts as they matured or became due, such court could void the Company's obligations under the Notes, subordinate the Notes to other indebtedness of the Company, direct that holders of the Notes return any amounts paid thereunder to the Company or to a fund for the benefit of its creditors or take other action detrimental to the holders of the Notes. The measure of insolvency for purposes of the foregoing will vary depending upon the law of the jurisdiction being applied. Generally, however, a company will be considered insolvent at a particular time if the sum of its debts, including contingent liabilities, at that time is greater than the then-fair value of its assets or if the fair saleable value of the assets at that time is less than the amount that would be required to pay its probable liability on its existing debts as they become absolute and mature. There can be no assurance, however, as to what standard a court would apply to evaluate the parties' intent or to determine whether the Company was insolvent at the time of, or rendered insolvent upon consummation of, the issuance of the Notes and the closing under the New Credit Facility or that, regardless of the standard, a court would not determine that the Company was insolvent at the time of, or rendered insolvent upon consummation of, the issuance of the Notes and the closing under the New Credit Facility. The Company's obligations under the Notes are guaranteed by the Subsidiary Guarantors, and the Subsidiary Guarantees also may be subject to review under various laws for the protection of creditors, including federal and state fraudulent conveyance and fraudulent transfer laws, if a bankruptcy case or a lawsuit (including in circumstances where bankruptcy is not involved) is commenced by or on behalf of any creditor of a Subsidiary Guarantor or a representative of any such creditors. In such a case, the analysis set forth above would generally apply, except that the Subsidiary Guarantees could also be subject to the claim that, since the Subsidiary Guarantees were incurred for the benefit of the Company (and only indirectly for the benefit of the Subsidiary Guarantors), the obligations of the Subsidiary Guarantors thereunder were incurred for less than reasonably equivalent value or fair consideration. A court could void a Subsidiary Guarantor's obligation under its Subsidiary Guarantee, subordinate the Subsidiary Guarantee to the other indebtedness of a Subsidiary Guarantor, direct that holders of the Notes return any amounts paid under a Subsidiary Guarantee to the relevant Subsidiary Guarantor or to a fund for the benefit of its creditors, or take other action detrimental to the holders of the Notes. ABSENCE OF PUBLIC MARKET FOR NOTES The Old Notes have not been registered under the Securities Act or any state securities law and, unless so registered, may not be offered or sold except pursuant to an exemption from, or in a transaction not subject to, the registration requirements of the Securities Act and any applicable state securities laws. Although the New Notes may be resold or otherwise by the holders (who are not affiliates of the Company) without compliance with the registration requirements under the Securities Act, they will be new securities for which there is currently no established trading market. The Company does not intend to apply for listing of the New Notes on a national securities exchange or for quotation of the New Notes on an automated dealer quotation system. Although Donaldson, Lufkin & Jenrette Securities Corporation, the initial purchaser in the offering of the Old Notes, has informed the Company that it currently intends to make a 22 30 market in the New Notes, it is not obligated to do so, and any such market-making, if initiated, may be discontinued at any time without notice. The liquidity of any market for the New Notes will depend upon the number of holders of the Notes, the interest of securities dealers in making a market in the New Notes and other factors. Accordingly, there can be no assurance as to the development or liquidity of any market for the New Notes. If an active trading market for the New Notes does not develop, the market price and liquidity of the New Notes may be adversely affected. If the New Notes are traded, they may trade at a discount from their face value, depending upon prevailing interest rates, the market for similar securities, the performance of the Company and certain other factors. The liquidity of, and trading markets for, the New Notes may also be adversely affected by general declines in the market for non-investment grade debt. Such declines may adversely affect the liquidity of, and trading markets for, the New Notes independent of the financial performance of, or prospects for, the Company. Notwithstanding the registration of the New Notes in the Exchange Offer, holders who are "affiliates" (as defined under Rule 405 of the Securities Act) of the Company may publicly offer for sale or resell the New Notes only in compliance with provisions of Rule 144 under the Securities Act. Historically, the market for non-investment grade debt has been subject to disruptions that have caused substantial volatility in the prices of securities similar to the New Notes. There can be no assurance that the market, if any, for the New Notes will not be subject to similar disruptions. Any such disruptions may have an adverse effect on the holders of the New Notes. CONSEQUENCES OF A FAILURE TO EXCHANGE OLD NOTES The Old Notes have not been registered under the Securities Act or any state securities laws and therefore may not be offered, sold or otherwise transferred except in compliance with the registration requirements of the Securities Act and any other applicable securities laws, or pursuant to an exemption therefrom or in a transaction not subject thereto, and in each case in compliance with certain other conditions and restrictions. Old Notes which remain outstanding after consummation of the Exchange Offer will continue to bear a legend reflecting such restrictions on transfer. In addition, upon consummation of the Exchange Offer, holders of Old Notes which remain outstanding will not be entitled to any rights to have such Old Notes registered under the Securities Act or to any similar rights under the Registration Rights Agreement (subject to certain limited exceptions). The Company does not intend to register under the Securities Act any Old Notes which remain outstanding after consummation of the Exchange Offer (subject to such limited exceptions, if applicable). To the extent that Old Notes are tendered and accepted in the Exchange Offer, a holder's ability to sell untendered Old Notes could be adversely affected. The New Notes and any Old Notes which remain outstanding after consummation of the Exchange Offer will vote together as a single class for purposes of determining whether holders of the requisite percentage in outstanding principal amount thereof have taken certain actions or exercised certain rights under the Indenture. EXCHANGE OFFER PROCEDURES Subject to the conditions set forth under "The Exchange Offer -- Conditions to the Exchange Offer," delivery of New Notes in exchange for Old Notes tendered and accepted for exchange pursuant to the Exchange Offer will be made only after timely receipt by the Exchange Agent of (i) certificates for Old Notes or a book-entry confirmation of a book-entry transfer of Old Notes into the Exchange Agent's account at DTC, including an Agent's Message (as defined under "The Exchange Offer -- Acceptance for Exchange and Issuance of New Notes") if the tendering holder does not deliver a Letter of Transmittal, (ii) a completed and signed Letter of Transmittal (or facsimile thereof), with any required signature guarantees or, in the case of a book-entry transfer, an Agent's Message in lieu of the Letter of Transmittal, and (iii) any other documents required by the Letter of Transmittal. Therefore, holders of Old Notes desiring to tender such Old Notes in exchange for New Notes should allow sufficient time to ensure timely delivery. The Company is not under a duty to give notification of defects or irregularities with respect to the tenders of Old Notes for exchange. 23 31 THE EXCHANGE OFFER PURPOSE OF THE EXCHANGE OFFER In connection with the sale of the Old Notes, the Company entered into the Registration Rights Agreement with Donaldson, Lufkin & Jenrette Securities Corporation, pursuant to which the Company agreed to file and to use its commercially reasonable efforts to cause to become effective with the Commission a registration statement with respect to the exchange of the Old Notes for notes with terms identical in all material respects to the terms of the Old Notes. A copy of the Registration Rights Agreement has been filed as an exhibit to the Registration Statement of which this Prospectus is a part. The Exchange Offer is being made to satisfy the contractual obligations of the Company under the Registration Rights Agreement. The form and terms of the New Notes are the same as the form and terms of the Old Notes except that the New Notes have been registered under the Securities Act and will not provide for any increase in the interest rate thereon. In that regard, the Old Notes provide, among other things, that, if a registration statement relating to the Exchange Offer has not been filed by April 21, 1998 and declared effective by June 22, 1998, Liquidated Damages will be payable on the Old Notes. Upon consummation of the Exchange Offer, holders of Old Notes will not be entitled to any Liquidated Damages thereon or any further registration rights under the Registration Rights Agreement, except under limited circumstances. See "Risk Factors -- Consequences of a Failure to Exchange Old Notes" and "Description of Notes." The Exchange Offer is not being made to, nor will the Company accept tenders for exchange from, holders of Old Notes in any jurisdiction in which the Exchange Offer or the acceptance thereof would not be in compliance with the securities or blue sky laws of such jurisdiction. Unless the context requires otherwise, the term "holder" with respect to the Exchange Offer means any person in whose name the Old Notes are registered on the books of the Company or any other person who has obtained a properly completed bond power from the registered holder, or any person whose Old Notes are held of record by The Depository Trust Company ("DTC") who desires to deliver such Old Notes by book-entry transfer at DTC. TERMS OF THE EXCHANGE OFFER The Company hereby offers, upon the terms and subject to the conditions set forth in this Prospectus and in the accompanying Letter of Transmittal, to exchange up to $175,000,000 aggregate principal amount of New Notes for a like aggregate principal amount of Old Notes properly tendered on or prior to the Expiration Date and not properly withdrawn in accordance with the procedures described below. The Company will issue, promptly after the Expiration Date, an aggregate principal amount of up to $175,000,000 of New Notes in exchange for a like principal amount of outstanding Old Notes tendered and accepted in connection with the Exchange Offer. Holders may tender their Old Notes in whole or in part in denominations of $1,000 or any integral multiple thereof. The Exchange Offer is not conditioned upon any minimum principal amount of Old Notes being tendered. As of the date of this Prospectus, $175,000,000 aggregate principal amount of the Old Notes are outstanding. Holders of Old Notes do not have any appraisal or dissenters' rights in connection with the Exchange Offer. Old Notes which are not tendered for or are tendered but not accepted in connection with the Exchange Offer will remain outstanding and be entitled to the benefits of the Indenture, but will not be entitled to any further registration rights under the Registration Rights Agreement, except under limited circumstances. See "Risk Factors -- Consequences of a Failure to Exchange Old Notes." If any tendered Old Notes are not accepted for exchange because of an invalid tender, the occurrence of certain other events set forth herein or otherwise, certificates for any such unaccepted Old Notes will be returned, without expense, to the tendering holder thereof promptly after the Expiration Date. 24 32 Holders who tender Old Notes in connection with the Exchange Offer will not be required to pay brokerage commissions or fees or, subject to the instructions in the Letter of Transmittal, transfer taxes with respect to the exchange of Old Notes in connection with the Exchange Offer. The Company will pay all charges and expenses, other than certain applicable taxes described below, in connection with the Exchange Offer. See "-- Fees and Expenses." NEITHER THE COMPANY NOR THE BOARD OF DIRECTORS OF THE COMPANY MAKES ANY RECOMMENDATION TO HOLDERS OF OLD NOTES AS TO WHETHER TO TENDER OR REFRAIN FROM TENDERING ALL OR ANY PORTION OF THEIR OLD NOTES PURSUANT TO THE EXCHANGE OFFER. IN ADDITION, NO ONE HAS BEEN AUTHORIZED TO MAKE ANY SUCH RECOMMENDATION. HOLDERS OF OLD NOTES MUST MAKE THEIR OWN DECISIONS WHETHER TO TENDER PURSUANT TO THE EXCHANGE OFFER AND, IF SO, THE AGGREGATE AMOUNT OF OLD NOTES TO TENDER BASED ON SUCH HOLDERS OWN FINANCIAL POSITIONS AND REQUIREMENTS. The term "Expiration Date" means 5:00 p.m., New York City time, on , 1998 unless the Exchange Offer is extended by the Company (in which case the term "Expiration Date" shall mean the latest date and time to which the Exchange Offer is extended). The Company expressly reserves the right in its sole and absolute discretion, subject to applicable law, at any time and from time to time, (i) to delay the acceptance of the Old Notes for exchange, (ii) to terminate the Exchange Offer (whether or not any Old Notes have theretofore been accepted for exchange) if the Company determines, in its sole and absolute discretion, that any of the events or conditions referred to under "-- Conditions to the Exchange Offer" have occurred or exist or have not been satisfied, (iii) to extend the Expiration Date of the Exchange Offer and retain all Old Notes tendered pursuant to the Exchange Offer, subject, however, to the right of holders of Old Notes to withdraw their tendered Old Notes as described under "-- Withdrawal Rights," and (iv) to waive any condition or otherwise amend the terms of the Exchange Offer in any respect. If the Exchange Offer is amended in a manner determined by the Company to constitute a material change, or if the Company waives a material condition of the Exchange Offer, the Company will promptly disclose such amendment by means of a prospectus supplement that will be distributed to the holders of the Old Notes, and the Company will extend the Exchange Offer to the extent required by Rule 14e-1 under the Exchange Act. Any such delay in acceptance, extension, termination or amendment will be followed promptly by oral or written notice thereof to the Exchange Agent and by making a public announcement thereof, and such announcement in the case of an extension will be made no later than 9:00 a.m., New York City time, on the next business day after the previously scheduled Expiration Date. Without limiting the manner in which the Company may choose to make any public announcement and subject to applicable law, the Company shall have no obligation to publish, advertise or otherwise communicate any such public announcement other than by issuing a release to an appropriate news agency. ACCEPTANCE FOR EXCHANGE AND ISSUANCE OF NEW NOTES Upon the terms and subject to the conditions of the Exchange Offer, the Company will exchange, and will issue to the Exchange Agent, New Notes for Old Notes validly tendered and not withdrawn (pursuant to the withdrawal rights described under "-- Withdrawal Rights") promptly after the Expiration Date. Subject to the conditions set forth under "-- Conditions to the Exchange Offer," delivery of New Notes in exchange for Old Notes tendered and accepted for exchange pursuant to the Exchange Offer will be made only after timely receipt by the Exchange Agent of (i) certificates for Old Notes or a book-entry confirmation of a book-entry transfer of Old Notes into the Exchange Agent's account at DTC, including an Agent's Message if the tendering holder does not deliver a Letter of Transmittal, (ii) a completed and signed Letter of Transmittal (or facsimile thereof), with any required signature guarantees, or, in the case of a book-entry transfer, an Agent's Message in lieu of the Letter of Transmittal, and (iii) any other documents required by the Letter of Transmittal. Accordingly, the delivery of New Notes might not be made to all tendering holders 25 33 at the same time, and will depend upon when certificates for Old Notes, book-entry confirmations with respect to Old Notes and other required documents are received by the Exchange Agent. The term "book-entry confirmation" means a timely confirmation of a book-entry transfer of Old Notes into the Exchange Agent's account at DTC. See "-- Procedures for Tendering Old Notes -- Book-Entry Transfer." The term "Agent's Message" means a message transmitted by DTC to and received by the Exchange Agent and forming a part of a book-entry confirmation, which states that DTC has received an express acknowledgment from the tendering participant, which acknowledgment states that such participant has received and agrees to be bound by the Letter of Transmittal and that the Company may enforce such Letter of Transmittal against such participant. Subject to the terms and conditions of the Exchange Offer, the Company will be deemed to have accepted for exchange, and thereby exchanged, Old Notes validly tendered and not withdrawn as, if and when the Company gives oral or written notice to the Exchange Agent of the Company's acceptance of such Old Notes for exchange pursuant to the Exchange Offer. The Exchange Agent will act as agent for the Company for the purpose of receiving tenders of Old Notes, Letters of Transmittal and related documents, and as agent for tendering holders for the purpose of receiving Old Notes, Letters of Transmittal and related documents and transmitting New Notes to validly tendering holders. Such exchange will be made promptly after the Expiration Date. If for any reason whatsoever, acceptance for exchange or the exchange of any Old Notes tendered pursuant to the Exchange Offer is delayed (whether before or after the Company's acceptance for exchange of Old Notes) or the Company extends the Exchange Offer or is unable to accept for exchange or exchange Old Notes tendered pursuant to the Exchange Offer, then, without prejudice to the Company's rights set forth herein, the Exchange Agent may, nevertheless, on behalf of the Company and subject to Rule 14e-1(c) under the Exchange Act, retain tendered Old Notes and such Old Notes may not be withdrawn except to the extent tendering holders are entitled to withdrawal rights as described under "-- Withdrawal Rights." Pursuant to the Letter of Transmittal, or the Agent's Message, as the case may be, a holder of Old Notes will warrant and agree in the Letter of Transmittal or pursuant to the Agent's Message that it has full power and authority to tender, exchange, sell, assign and transfer Old Notes, that the Company will acquire good, marketable and unencumbered title to the tendered Old Notes, free and clear of all liens, restrictions, charges and encumbrances, and the Old Notes tendered for exchange are not subject to any adverse claims or proxies. The holder also will warrant and agree that it will, upon request, execute and deliver any additional documents deemed by the Company or the Exchange Agent to be necessary or desirable to complete the exchange, sale, assignment, and transfer of the Old Notes tendered pursuant to the Exchange Offer. PROCEDURES FOR TENDERING OLD NOTES Valid Tender Except as set forth below, in order for Old Notes to be validly tendered by book-entry transfer, an Agent's Message or a completed and signed Letter of Transmittal (or facsimile thereof), with any required signature guarantees and in either case any other documents required by the Letter of Transmittal, must be delivered to the Exchange Agent by mail, facsimile, hand delivery or overnight carrier at one of the Exchange Agent's addresses set forth under "-- Exchange Agent" on or prior to the Expiration Date and either (i) such Old Notes must be tendered pursuant to the procedures for book-entry transfer set forth below or (ii) the guaranteed delivery procedures set forth below must be complied with. Except as set forth below, in order for Old Notes to be validly tendered by a means other than by book-entry transfer, a completed and signed Letter of Transmittal (or facsimile thereof), with any required signature guarantees and any other documents required by the Letter of Transmittal, must be delivered to the Exchange Agent by mail, facsimile, hand delivery or overnight carrier at one of the Exchange Agent's addresses set forth under "-- Exchange Agent" on or prior to the Expiration Date and either (i) such Old Notes must be delivered to the Exchange Agent on or prior to the Expiration Date or (ii) guaranteed delivery procedures set forth below must be complied with. 26 34 If less than all of the Old Notes are tendered, a tendering holder should fill in the amount of Old Notes being tendered in the appropriate box on the Letter of Transmittal. The entire amount of Old Notes delivered to the Exchange Agent will be deemed to have been tendered unless otherwise indicated. THE METHOD OF DELIVERY OF CERTIFICATES, THE LETTER OF TRANSMITTAL AND ALL OTHER REQUIRED DOCUMENTS IS AT THE OPTION AND SOLE RISK OF THE TENDERING HOLDER, AND DELIVERY WILL BE DEEMED MADE ONLY WHEN ACTUALLY RECEIVED BY THE EXCHANGE AGENT. IF DELIVERY IS BY MAIL, REGISTERED MAIL, RETURN RECEIPT REQUESTED, PROPERLY INSURED, OR AN OVERNIGHT DELIVERY SERVICE IS RECOMMENDED. IN ALL CASES, SUFFICIENT TIME SHOULD BE ALLOWED TO ENSURE TIMELY DELIVERY. Book-Entry Transfer The Exchange Agent and DTC have confirmed that any Direct Participant (as defined in "Description of Notes -- Book-Entry, Delivery and Form") in DTC's book-entry transfer facility system may utilize DTC's ATOP procedures to tender Old Notes. The Exchange Agent will establish an account with respect to the Old Notes at DTC for purposes of the Exchange Offer within two business days after the date of this Prospectus. Any Direct Participant may make a book-entry delivery of the Old Notes by causing DTC to transfer such Old Notes into the Exchange Agent's account at DTC in accordance with DTC's ATOP procedures for transfer. However, although delivery of Old Notes may be effected through book-entry transfer into the Exchange Agent's account at DTC, an Agent's Message or a completed and signed Letter of Transmittal (or facsimile thereof), with any required signature guarantees and any other documents required by the Letter of Transmittal must in any case be delivered to and received by the Exchange Agent at one of its addresses set forth under "-- Exchange Agent" on or prior to the Expiration Date, or the guaranteed delivery procedure set forth below must be complied with. DELIVERY OF DOCUMENTS TO DTC IN ACCORDANCE WITH DTC'S PROCEDURES DOES NOT CONSTITUTE DELIVERY TO THE EXCHANGE AGENT. Signature Guarantees Certificates for the Old Notes need not be endorsed and signature guarantees on the Letter of Transmittal are unnecessary unless (a) a certificate for the Old Notes is registered in a name other than that of the person surrendering the certificate or (b) such holder completes the box entitled "Special Issuance Instructions" or "Special Delivery Instructions" in the Letter of Transmittal. In the case of (a) or (b) above, such certificates for Old Notes must be duly endorsed or accompanied by a properly executed bond power, with the endorsement or signature on the bond power and on the Letter of Transmittal guaranteed by a firm or other entity identified in Rule 17Ad-15 under the Exchange Act as an "eligible guarantor institution," including (as such terms are defined therein): (i) a bank; (ii) a broker, dealer, municipal securities broker or dealer or government securities broker or dealer; (iii) a credit union; (iv) a national securities exchange, registered securities association or clearing agency; or (v) a savings association that is a participant in a Securities Transfer Association (an "Eligible Institution"), unless surrendered on behalf of such Eligible Institution. See Instruction 1 to the Letter of Transmittal. Guaranteed Delivery If a holder desires to tender Old Notes pursuant to the Exchange Offer and the certificates for such Old Notes are not immediately available or time will not permit all required documents to reach the Exchange Agent on or prior to the Expiration Date, or the procedure for book-entry transfer cannot be completed on a timely basis, such Old Notes may nevertheless be tendered, provided that all of the following guaranteed delivery procedures are complied with: (a) such tenders are made by or through an Eligible Institution; 27 35 (b) a properly completed and duly executed Notice of Guaranteed Delivery, substantially in the form accompanying the Letter of Transmittal, is received by the Exchange Agent, as provided below, on or prior to the Expiration Date; and (c) the certificates (or a book-entry confirmation) representing all tendered Old Notes, in proper form for transfer, together with a properly completed and duly executed Letter of Transmittal (or facsimile thereof), with any required signature guarantees and any other documents required by the Letter of Transmittal, are received by the Exchange Agent within three New York Stock Exchange trading days after the date of execution of such Notice of Guaranteed Delivery. The Notice of Guaranteed Delivery may be delivered by hand, or transmitted by facsimile or mail to the Exchange Agent and must include a guarantee by an Eligible Institution in the form set forth in such notice. Notwithstanding any other provision hereof, the delivery of New Notes in exchange for Old Notes tendered and accepted for exchange pursuant to the Exchange Offer will in all cases be made only after timely receipt by the Exchange Agent of Old Notes, or of a book-entry confirmation with respect to such Old Notes, and a properly completed and duly executed Letter of Transmittal (or facsimile thereof), together with any required signature guarantees and any other documents required by the Letter of Transmittal. Accordingly, the delivery of New Notes might not be made to all tendering holders at the same time, and will depend upon when Old Notes, book-entry confirmations with respect to Old Notes and other required documents are received by the Exchange Agent. The Company's acceptance for exchange of Old Notes tendered pursuant to any of the procedures described above will constitute a binding agreement between the tendering holder and the Company upon the terms and subject to the conditions of the Exchange Offer. Determination of Validity All questions as to the form of documents, validity, eligibility (including time of receipt) and acceptance for exchange of any tendered Old Notes will be determined by the Company, in its sole discretion, whose determination shall be final and binding on all parties. The Company reserves the absolute right, in its sole and absolute discretion, to reject any and all tenders determined by it not to be in proper form or the acceptance of which, or exchange for, may, in the opinion of counsel to the Company, be unlawful. The Company also reserves the absolute right, subject to applicable law, to waive any of the conditions of the Exchange Offer as set forth under "-- Conditions to the Exchange Offer" or any condition or irregularity in any tender of Old Notes of any particular holder whether or not similar conditions or irregularities are waived in the case of other holders. The interpretation by the Company of the terms and conditions of the Exchange Offer (including the Letter of Transmittal and the instructions thereto) will be final and binding. No tender of Old Notes will be deemed to have been validly made until all irregularities with respect to such tender have been cured or waived. Neither the Company, any affiliates or assigns of the Company, the Exchange Agent nor any other person shall be under any duty to give any notification of any irregularities in tenders or incur any liability for failure to give any such notification. If any Letter of Transmittal, endorsement, bond power, power of attorney, or any other document required by the Letter of Transmittal is signed by a trustee, executor, administrator, guardian, attorney-in-fact, officer of a corporation or other person acting in a fiduciary or representative capacity, such person should so indicate when signing, and unless waived by the Company, proper evidence satisfactory to the Company, in its sole discretion, of such person's authority to so act must be submitted. A beneficial owner of Old Notes that are held by or registered in the name of a broker, dealer, commercial bank, trust company or other nominee or custodian is urged to contact such entity promptly if such beneficial holder wishes to participate in the Exchange Offer. 28 36 RESALES OF NEW NOTES The Company is making the Exchange Offer for the New Notes in reliance on the position of the staff of the Division of Corporation Finance of the Commission as set forth in certain interpretive letters addressed to third parties in other transactions. However, the Company has not sought its own interpretive letter and there can be no assurance that the staff of the Division of Corporation Finance of the Commission would make a similar determination with respect to the Exchange Offer as it has in such interpretive letters to third parties. Based on these interpretations by the staff of the Division of Corporation Finance of the Commission, and subject to the two immediately following sentences, the Company believes that New Notes issued pursuant to this Exchange Offer in exchange for Old Notes may be offered for resale, resold and otherwise transferred by a holder thereof (other than a holder who is a broker-dealer) without further compliance with the registration and prospectus delivery requirements of the Securities Act, provided that such New Notes are acquired in the ordinary course of such holder's business and that such holder is not participating, and has no arrangement or understanding with any person to participate, in a distribution (within the meaning of the Securities Act) of such New Notes. However, any holder of Old Notes who is an "affiliate" of the Company or who intends to participate in the Exchange Offer for the purpose of distributing New Notes, or any broker-dealer who purchased Old Notes from the Company to resell pursuant to Rule 144A or any other available exemption under the Securities Act, (a) will not be able to rely on the interpretations of the staff of the Division of Corporation Finance of the Commission set forth in the above-mentioned interpretive letters, (b) will not be permitted or entitled to tender such Old Notes in the Exchange Offer and (c) must comply with the registration and prospectus delivery requirements of the Securities Act in connection with any sale or other transfer of such Old Notes unless such sale is made pursuant to an exemption from such requirements. In addition, as described below, if any broker-dealer holds Old Notes acquired for its own account as a result of market-making or other trading activities and exchanges such Old Notes for New Notes, then such broker-dealer must deliver a prospectus meeting the requirements of the Securities Act in connection with any resales of such New Notes. Each holder of Old Notes who wishes to exchange Old Notes for New Notes in the Exchange Offer will be required to represent that (i) it is not an "affiliate" of the Company, (ii) any New Notes to be received by it are being acquired in the ordinary course of its business, (iii) it has no arrangement or understanding with any person to participate in a distribution (within the meaning of the Securities Act) of such New Notes, and (iv) if such holder is not a broker-dealer, such holder is not engaged in, and does not intend to engage in, a distribution (within the meaning of the Securities Act) of such New Notes. In addition, the Company may require such holder, as a condition to such holder's eligibility to participate in the Exchange Offer, to furnish to the Company (or an agent thereof) in writing information as to the number of "beneficial owners" (within the meaning of Rule 13d-3 under the Exchange Act) on behalf of whom such holder holds the Notes to be exchanged in the Exchange Offer. Each broker-dealer that receives New Notes for its own account pursuant to the Exchange Offer must acknowledge that it acquired the Old Notes for its own account as the result of market-making activities or other trading activities and must agree that it will deliver a prospectus meeting the requirements of the Securities Act in connection with any resale of such New Notes. The Letter of Transmittal states that by so acknowledging and by delivering a prospectus, a broker-dealer will not be deemed to admit that it is an "underwriter" within the meaning of the Securities Act. Based on the position taken by the staff of the Division of Corporation Finance of the Commission in the interpretive letters referred to above, the Company believes that Participating Broker-Dealers who acquired Old Notes for their own accounts as a result of market-making activities or other trading activities may fulfill their prospectus delivery requirements with respect to the New Notes received upon exchange of such Old Notes (other than Old Notes which represent an unsold allotment from the original sale of the Old Notes) with a prospectus meeting the requirements of the Securities Act, which may be the prospectus prepared for an exchange offer so long as it contains a description of the plan of distribution with respect to the resale of such New Notes. Accordingly, this Prospectus, as it may be amended or supplemented from time to time, may be used by a Participating Broker-Dealer during the period referred to below in connection with resales of New Notes received in exchange for Old Notes where such Old Notes were acquired by such Participating Broker-Dealer for its own account as a result of market-making or other trading activities. Subject to certain provisions set forth in the Registration Rights Agreement, the Company has agreed that this Prospectus, as it may be amended or 29 37 supplemented from time to time, may be used by a Participating Broker-Dealer in connection with resales of such New Notes for a period ending 180 days after the Expiration Date (subject to extension under certain limited circumstances described below) or, if earlier, when all such New Notes have been disposed of by such Participating Broker-Dealer. See "Plan of Distribution." However, a Participating Broker-Dealer who intends to use this Prospectus in connection with the resale of New Notes received in exchange for Old Notes pursuant to the Exchange Offer must notify the Company, or cause the Company to be notified, on or prior to the Expiration Date, that it is a Participating Broker-Dealer. Such notice may be given in the space provided for that purpose in the Letter of Transmittal or may be delivered to the Exchange Agent at one of the addresses set forth herein under "-- Exchange Agent." Any Participating Broker-Dealer who is an "affiliate" of the Company may not rely on such interpretive letters and must comply with the registration and prospectus delivery requirements of the Securities Act in connection with any resale transaction. In that regard, each Participating Broker-Dealer who surrenders Old Notes pursuant to the Exchange Offer will be deemed to have agreed, by execution of the Letter of Transmittal, that, upon receipt of notice from the Company of the occurrence of any event or the discovery of any fact which makes any statement contained or incorporated by reference in this Prospectus untrue in any material respect or which causes this Prospectus to omit to state a material fact necessary in order to make the statements contained or incorporated by reference herein, in light of the circumstances under which they were made, not misleading or of the occurrence of certain other events specified in the Registration Rights Agreement, such Participating Broker-Dealer will suspend the sale of New Notes pursuant to this Prospectus until the Company has amended or supplemented this Prospectus to correct such misstatement or omission and has furnished copies of the amended or supplemented Prospectus to such Participating Broker-Dealer or the Company has given notice that the sale of the New Notes may be resumed, as the case may be. If the Company gives such notice to suspend the sale of the New Notes, it shall extend the 180-day period referred to above during which Participating Broker-Dealers are entitled to use this Prospectus in connection with the resale of New Notes by the number of sharesdays during the period from and including the date of HDS Common Stock outstandingthe giving of such notice to and including the date when Participating Broker-Dealers shall have received copies of the amended or supplemented Prospectus necessary to permit resales of the New Notes or to and including the date on which the Company has given notice that the sale of New Notes may be resumed, as the case may be. WITHDRAWAL RIGHTS Except as otherwise provided herein, tenders of Old Notes may be withdrawn at any time on or prior to the Expiration Date. In order for a withdrawal to be effective a written, telegraphic, telex or facsimile transmission of such notice of withdrawal must be timely received by the Exchange Agent at one of its addresses set forth under "-- Exchange Agent" on or prior to the Expiration Date. Any such notice of withdrawal must specify the name of the person who tendered the Old Notes to be withdrawn, the aggregate principal amount of Old Notes to be withdrawn, and (if certificates for such Old Notes have been tendered) the name of the registered holder of the Old Notes as set forth on the Old Notes, if different from that of the person who tendered such Old Notes. If Old Notes have been delivered or otherwise identified to the Exchange Agent, then prior to the physical release of such Old Notes, the tendering holder must submit the serial numbers shown on the particular Old Notes to be withdrawn and the signature on the notice of withdrawal must be guaranteed by an Eligible Institution, except in the case of Old Notes tendered for the account of an Eligible Institution. If Old Notes have been tendered pursuant to the procedures for book-entry transfer set forth in "-- Procedures for Tendering Old Notes," the notice of withdrawal must specify the name and number of the account at DTC to be credited with the withdrawal of Old Notes, in which case a notice of withdrawal will be effective if delivered to the Exchange Agent by written, telegraphic, telex or facsimile transmission. Withdrawals of tenders of Old Notes may not be rescinded. Old Notes properly withdrawn will not be deemed validly tendered for purposes of the Exchange Offer, but may be retendered at any subsequent time on or prior to the Expiration Date by following any of the procedures described above under "-- Procedures for Tendering Old Notes." 30 38 All questions as to the validity, form and eligibility (including time of receipt) of such withdrawal notices will be determined by the Company, in its sole discretion, whose determination shall be final and binding on all parties. Neither the Company, any affiliate or assign of the Company, the Exchange Agent nor any other person shall be under any duty to give any notification of any irregularities in any notice of withdrawal or incur any liability for failure to give any such notification. Any Old Notes which have been tendered but which are withdrawn will be returned to the holder thereof promptly after withdrawal. INTEREST ON NEW NOTES Holders of Old Notes whose Old Notes are accepted for exchange will not receive interest on such Old Notes and will be deemed to have waived the right to receive any interest on such Old Notes accrued from and after February 20, 1998. Accordingly, such holders of Old Notes as of the record date for the payment of interest on August 15, 1998 will be entitled to receive interest on the New Notes issued in exchange therefor accrued from and after February 20, 1997. CONDITIONS TO THE EXCHANGE OFFER Notwithstanding any other provisions of the Exchange Offer, or any extension of the Exchange Offer, the Company will not be required to accept for exchange, or to exchange, any Old Notes for any New Notes, and, as described below, may terminate the Exchange Offer (whether or not any Old Notes have theretofore been accepted for exchange) or may waive any conditions to or amend the Exchange Offer, if any of the following conditions have occurred or exists or have not been satisfied: (a) there shall occur a change in the current interpretation by the staff of the Commission which permits the New Notes issued pursuant to the Exchange Offer in exchange for Old Notes to be offered for resale, resold and otherwise transferred by holders thereof (other than broker-dealers and any such holder which is an "affiliate" of the Company within the meaning of Rule 405 under the Securities Act) without compliance with the registration and prospectus delivery provisions of the Securities Act provided that such New Notes are acquired in the ordinary course of such holders' business and such holders have no arrangement or understanding with any person to participate in the distribution of such New Notes; or (b) any law, statute, rule or regulation shall have been adopted or enacted which, in the judgment of the Company, would reasonably be expected to impair its ability to proceed with the Exchange Offer; or (c) a stop order shall have been issued by the Commission or any state securities authority suspending the effectiveness of the Registration Statement or proceedings shall have been initiated or, to the knowledge of the Company, threatened for that purpose or any governmental approval has not been obtained, which approval the Company shall, in its sole discretion, deem necessary for the consummation of the Exchange Offer as contemplated hereby. If the Company determines in its sole and absolute discretion that any of the foregoing events or conditions has occurred or exists or has not been satisfied, it may, subject to applicable law, terminate the Exchange Offer (whether or not any Old Notes have theretofore been accepted for exchange) or may waive any such condition or otherwise amend the terms of the Exchange Offer in any respect. If such waiver or amendment constitutes a material change to the Exchange Offer, the Company will promptly disclose such waiver or amendment by means of a prospectus supplement that will be distributed to the registered holders of the Old Notes and will extend the Exchange Offer to the extent required by Rule 14e-1 under the Exchange Act. 31 39 EXCHANGE AGENT State Street Bank and Trust Company has been appointed as Exchange Agent for the Exchange Offer. Delivery of the Letters of Transmittal and any other required documents, questions, requests for assistance, and requests for additional copies of this Prospectus or of the Letter of Transmittal should be directed to the Exchange Agent as follows: By Registered or Certified Mail: By Hand or Overnight Delivery: State Street Bank and Trust Company State Street Bank and Trust Company Corporate Trust Department Corporate Trust Department, 4th Floor P.O. Box 778 Two International Place Boston, MA 02102-0078 Boston, MA 02110
Confirm By Telephone: Sandra Szczsponik (617) 664-5587 Facsimile Transmissions: (Eligible Institutions Only) (617) 664-5395 Delivery to other than the above addresses or facsimile number will not constitute a valid delivery. FEES AND EXPENSES The Company has agreed to pay the Exchange Agent reasonable and customary fees for its services and will reimburse it for its reasonable out-of-pocket expenses in connection therewith. The Company will also pay brokerage houses and other custodians, nominees and fiduciaries the reasonable out-of-pocket expenses incurred by them in forwarding copies of this Prospectus and related documents to the beneficial owners of Old Notes, and in handling or tendering for their customers. Holders who tender their Old Notes for exchange will not be obligated to pay any transfer taxes in connection therewith. If, however, New Notes are to be delivered to, or are to be issued in the name of, any person other than the registered holder of the Old Notes tendered, or if a transfer tax is imposed for any reason other than the exchange of Old Notes in connection with the Exchange Offer, then the amount of any such transfer taxes (whether imposed on the registered holder or any other persons) will be payable by the tendering holder. If satisfactory evidence of payment of such taxes or exemption therefrom is not submitted with the Letter of Transmittal, the amount of such transfer taxes will be billed directly to such tendering holder. The Company will not make any payment to brokers, dealers or other nominees soliciting acceptances of the Exchange Offer. CERTAIN FEDERAL INCOME TAX CONSEQUENCES UNITED STATES FEDERAL INCOME TAX CONSIDERATIONS General The following discussion summarizes certain United States Federal income tax considerations associated with the exchange of Old Notes for New Notes and the ownership and disposition of New Notes. This summary applies only to beneficial owners of Old Notes who acquired such Old Notes at the endinitial offering from Donaldson, Lufkin & Jenrette Securities Corporation for the original offering price therefor and who acquire New Notes pursuant to the Exchange Offer. This summary is based upon existing United States Federal income tax law, which is subject to change, possibly with retroactive effect. This summary does not discuss all aspects of United States Federal income taxation that may be relevant to particular holders in the context of their specific investment circumstances or certain types of holders subject to special treatment 32 40 under such laws (including, for example, financial institutions, insurance companies, broker-dealers, persons having a functional currency other than the United States dollar, United States expatriates, tax-exempt organizations and holders (whether actual or constructive) of 10% or more of the period. (8) Equivalent pro formatotal combined per share informationvoting power of all classes of stock of the Company). In addition, this summary does not discuss any foreign, state or local tax considerations and assumes that holders of the New Notes will hold the New Notes as "capital assets" (generally, property held for HDSinvestment). Prospective holders of New Notes should consult their tax advisors regarding the United States Federal, state, local, and foreign income and other tax considerations of the exchange of Old Notes for New Notes and the ownership and disposition of the New Notes. For purposes of this summary, a "United States holder" is determined by multiplyingan individual who is a citizen or resident of the Medaphis pro forma combined amounts byUnited States, a corporation or partnership created or organized under the Conversion Ratiolaws of the United States or any state or political subdivision thereof, or a person or other entity who is otherwise subject to represent equivalent per share amountsUnited States Federal income taxation on a net income basis in respect of income derived from the New Notes. Exchange Offer The exchange of Old Notes for New Notes pursuant to stockholdersthe Exchange Offer will not be treated as an exchange or other taxable event for United States Federal income tax purposes because, under United States Treasury regulations, the New Notes will not be considered to differ materially in kind or extent from the Old Notes. As a result, the holders of HDS. (9) Medaphis has entered into pooling-of-interests transactionsOld Notes will not recognize taxable gain or loss upon the exchange of such Old Notes for the New Notes, and any such holder will have the same tax basis and holding period in the New Notes as it had in the Old Notes immediately before the exchange. United States Holders Interest payable on the New Notes will be includible in the income of a United States holder at the time accrued or received in accordance with entities that were formerly "S" corporationssuch holder's regular method of accounting for federalUnited States Federal income tax purposes. DistributionsA United States holder will recognize a capital gain or loss upon the sale or other disposition of a New Note in an amount equal to the difference between the amount realized from such disposition (exclusive of any amount paid for accrued interest not previously included in income, which amount will be taxable as ordinary income) and the holder's adjusted tax basis in the New Note. Such capital gain or loss will be long-term capital gain or loss if the holder has held the New Note for more than one year at the time of disposition. In certain circumstances, holders of New Notes that are individuals may be entitled to preferential treatment for net long-term capital gains, including, as a result of recently enacted legislation, in the case of a capital asset held for more than 18 months at the time of the disposition. Non-United States Holders An investment in the New Notes by a non-United States holder generally will not give rise to any United States Federal income tax consequences, unless the interest received or any gain recognized on the sale or other disposition of the New Notes by such holder is treated as effectively connected with the conduct by such holder of trade or business in the United States, or, in the case of gains derived by an individual, such individual is present in the United States for 183 days or more and certain other requirements are met. In order to avoid back-up withholding of 31% on payments of interest and principal made by United States payors, a non-United States holder of the "S" corporationsNew Notes must generally complete, and provide the payor with, an Internal Revenue Service Form W-8 ("Certificate of Foreign Status"), or other documentary evidence, certifying that such holder is an exempt foreign person. 33 41 USE OF PROCEEDS The Company will not receive any cash proceeds from the issuance of the New Notes offered hereby. In consideration for issuing the New Notes in exchange for the Old Notes as described in the Prospectus, the Company will receive Old Notes in like principal amount. The Old Notes surrendered in exchange for the New Notes will be retired and cancelled. The gross proceeds from the offering of the Old Notes ($175.0 million), together with available cash ($16.4 million) and the initial borrowing under the New Credit Facility ($30.0 million), were used to pay the fees and expenses associated therewith ($7.9 million) and to refinance the Company's $210 million outstanding principal amount of Bridge Notes plus $3.5 million of accrued interest. Approximately $157.5 million of the proceeds from the sale of the Bridge Notes was used by the Company on December 23, 1997 to repay and refinance in full the Company's then existing credit facility which was scheduled to mature on June 30, 1998 and which would have required the issuance by the Company to the lenders thereunder of warrants for 1% of the voting common stock of the Company if such credit agreement had not been repaid in full prior to December 31, 1997. In addition, on January 22, 1998, the remaining $25 million of Bridge Notes was purchased and approximately $10 million of the proceeds therefrom was used to purchase certain real property then under lease to the Company. 34 42 CAPITALIZATION The following table sets forth the consolidated capitalization of the Company as of December 31, 1997 and as adjusted to give effect to the offering of the Old Notes, the initial borrowing under the New Credit Facility and the application of the net proceeds therefrom and available cash as if they had occurred on such date. This table should be read in conjunction with "Unaudited Pro Forma Consolidated Financial Statements," "Selected Historical Consolidated Financial Data" and "Management's Discussion and Analysis of Financial Condition and Results of Operations" included elsewhere in this Prospectus and the Consolidated Financial Statements of the Company and the related merger transactionsnotes thereto, which are not includedincorporated herein by reference.
AS OF DECEMBER 31, 1997 ----------------------- ACTUAL AS ADJUSTED -------- ----------- (DOLLARS IN THOUSANDS) Cash and cash equivalents................................... $ 17,794 $ 3,000 LONG-TERM DEBT (INCLUDING CURRENT PORTION): Bridge Notes(1)........................................... $185,000 $ -- Other Debt................................................ 15,941 15,941 New Credit Facility(2).................................... -- 6,456 The Notes offered hereby.................................. -- 175,000 -------- -------- Total long-term debt, including current portion... $200,941 $197,397 ======== ======== STOCKHOLDERS' EQUITY: Preferred stock, no par value, 20,000,000 shares authorized; none outstanding........................... -- -- Common stock, voting, $0.01 par value, 200,000,000 authorized; 73,204,000 issued and outstanding.......... $ 732 $ 732 Common stock, non-voting, $0.01 par value, 600,000 shares authorized; none outstanding........................... -- -- Additional paid-in capital................................ 678,998 678,998 Accumulated deficit....................................... (177,949) (182,825)(3) -------- -------- Total stockholders' equity........................ $501,781 $496,905 -------- -------- TOTAL CAPITALIZATION................................. $702,722 $694,302 ======== ========
- --------------- (1) Represents outstanding principal of the Bridge Notes as of December 31, 1997. At the time of repayment, there was $210 million in Cash Dividends Per Share. 10principal outstanding under the Bridge Notes. (2) The actual amount of the initial borrowing under the New Credit Facility was $30,000,000. (3) The change in accumulated deficit and total stockholders' equity results from the write-off of $4.9 million, net of tax of $3.2 million, of previously deferred financing fees relating to the Company's Bridge Notes. 35 1943 SELECTED HISTORICAL AND PRO FORMACONSOLIDATED FINANCIAL DATA The following tables settable sets forth (i) selected consolidated financial information for Medaphis for and as of each of the five fiscal years in the period ended December 31, 1995,1997. The financial statements of the Company for each of the three monthsfiscal years in the period ended MarchDecember 31, 1995 and 1996 and as of March 31, 1996; (ii)1997 are incorporated herein by reference. The selected consolidated financial information for HDSof Medaphis for and as of each of the three fiscal years in the period ended March 31, 1996, for and as of the six month period ended March 31, 1993 and for and as of the two fiscal years ended September 30, 1992; (iii) selected pro forma combined financial information for the years ended December 31, 1993 and 1994, giving effect to the Merger using the pooling-of-interests method of accounting and certain pro forma adjustments related to the Atwork, MMS, Rapid Systems and BSG Mergers; and (iv) selected pro forma combined financial information for the year ended December 31, 1995, and for and as of the three months ended March 31, 1996, giving effect to the Merger using the pooling-of-interests method of accounting and certain pro forma adjustments related to the Atwork, MMS, Rapid Systems and BSG Mergers and the acquisitions consummated in 1995 that were recorded using the purchase method of accounting. For purposes of preparing the pro forma combined statements of operations for the years ended December 31, 1993 and 1994, HDS's operating results for the years ended March 31, 1994 and 1995 were combined with Medaphis' operating results for the years ended December 31, 1993 and 1994, respectively. The pro forma combined statement of income for the year ended December 31, 1995 was prepared by combining Medaphis' 1995 operating results with HDS's 1995 operating results which were restated to a calendar year basis. Accordingly, HDS's historical operating results for the three months ended March 31, 1995 were included in each of the years ended December 31, 1994 and 1995. HDS's revenues and net income for that three month period were $14,018,000 and $6,314,000, respectively. The selected consolidated financial information of Medaphis for each of the three fiscal years in the period ended December 31, 1995, and as of December 31, 1994 and 1995,1997 has been derived from the audited supplemental consolidated financial statements of Medaphis, which give retroactive effect to the Rapid Systemsmergers with the Automation Atwork Companies ("Atwork"), HRI, BSG Government, BSG and BSG Mergers, bothHDS, all of which have been accounted for as poolings-of-interests.using the pooling-of-interests method of accounting. The selected consolidated financial data of Medaphis for and as of the two fiscal years in the period ended December 31, 1992, as of December 31, 1991, 1992 and 1993, for the three-month periods ended March 31, 1995 and 1996 and as of March 31, 1996, has1994 have been derived from the unaudited supplemental consolidated financial statements of Medaphis, which give retroactive effect to the Rapid Systemsmergers with Atwork, HRI, BSG Government, BSG and BSG Mergers.HDS. Management of Medaphis believes that the unaudited supplemental consolidated financial statements referred to above include all adjustments (consisting only of normal recurring adjustments) that are necessary for a fair presentation of the financial position and results of operations for such periods. The selected consolidated financialfollowing information of HDS for all of the periods presented has been derived from the audited financial statements of HDS. The pro forma information is provided for informational purposes only and is not necessarily indicative of actual results that would have been achieved had the Merger been consummated at the beginning of the periods presented or of future results. The selected pro forma combined financial information is derived from the Unaudited Pro Forma Combined Financial Information appearing elsewhere herein. The information set forth below should be read in conjunction with (i) the supplemental consolidated financial statements of Medaphis and the historical consolidated financial statements of HDS and in each case the notes thereto which are, in the case of Medaphis, incorporated herein by reference and, in the case of HDS, included elsewhere herein; (ii) the Unaudited Pro Forma Combined Financial Information and notes thereto appearing elsewhere herein; and (iii) Management's"Management's Discussion and Analysis of Financial Condition and Results of OperationsOperations" included elsewhere in this Prospectus and the Consolidated Financial Statements of Medaphisthe Company and HDS, which is, in the case of Medaphis,related notes thereto incorporated herein by reference and, in the case of HDS, included elsewhere herein. 11 20 MEDAPHIS -- HISTORICALreference.
THREE MONTHS ENDED YEAR ENDED DECEMBER 31, MARCH 31, ----------------------------------------------------- ------------------- 1991 1992------------------------------------------------------- 1993 1994 1995 1995 1996 1997 -------- -------- -------- -------- -------- -------- ----------------- --------- --------- (IN THOUSANDS, EXCEPT PER SHARE DATA) STATEMENTSTATEMENTS OF OPERATIONS DATA: Revenue...............Revenue.......................................... $250,094 $369,483 $ 94,579 $160,252 $259,575 $376,870 $552,132 $130,367 $159,869538,012 $ 596,714 $ 572,625 Salaries and wages.... 60,022 100,607 158,703 221,575 318,014 74,811 88,963wages............................... 151,913 216,950 314,790 398,573 377,363 Other operating expenses........... 29,043 47,246 66,412 90,836 130,714 29,027 38,618 Depreciation.......... 3,140 4,405 6,960 9,269 14,346 3,376 4,917 Amortization.......... 532 2,170 5,317 7,748 14,112 3,522 4,023expenses......................... 65,258 88,655 134,055 163,677 153,372 Depreciation..................................... 6,967 9,065 14,187 28,276 29,355 Amortization..................................... 6,926 10,310 18,048 25,713 24,137 Interest expense, net................ 1,763 966 6,517 5,896 10,417 3,931 2,242net............................ 6,202 5,591 9,761 11,585 23,260 Litigation settlement............................ -- -- -- -- 52,500 Restructuring and other charges......charges.................. -- -- -- 1,905 54,950 31,750 15048,750 180,316 22,640 Income (loss) before extraordinary itemsitem and cumulative effect of accounting change.. (181) 2,288 8,617 26,486 2,676 (7,118) 12,343change......... 5,984 25,682 (2,650) (137,337) (93,229) Net income (loss)..... (181) 5,764 8,617 26,486 2,676 (7,118) 12,343................................ 5,984 25,682 (2,650) (137,337) (19,303)(2) Pro forma net income (loss)(2)...(1)................... $ --6,001 $ 6,383(1)24,251 $ 7,437(4,780) $(136,358) $ 24,669 $ (207) $(10,992) $ 12,697(19,303) Weighted average shares outstanding........ 27,014 41,338 45,505 54,623 53,362 47,704 69,164 PRO FORMAoutstanding.............. 39,179 46,128 52,591 71,225 72,679 PER SHARE DATA(2):DATA:(1) Pro forma basic income (loss) before extraordinary itemsitem and cumulative effect of accounting change.. -- $ 0.07 $ 0.16 $ 0.45 $ (0.00) $ (0.23) $ 0.18 Pro forma net income............. --change.............................. $ 0.15 $ 0.160.53 $ 0.45(0.09) $ (0.00)(1.91) $ (0.23)(1.28) Pro forma basic net income (loss)................ $ 0.180.15 $ 0.53 $ (0.09) $ (1.91) $ (0.26) CASH FLOW DATA: Net cash provided by (used for) operating activities..................................... $ -- $ -- $ 19,852 $ (7,863) $ (10,207) Net cash (used for) provided by investing activities..................................... -- -- (162,158) (107,281) 97,432 Net cash provided by (used for) financing activities..................................... -- -- 144,335 103,796 (77,062) OTHER FINANCIAL DATA: EBITDA(3)........................................ $ -- $ -- $ 89,167 $ 34,464 $ 41,890 Capital expenditures............................. -- -- 51,120 51,135 19,971 Ratio of earnings to fixed charges............... 2.37 4.97 --(4) --(4) --(4)
36 44
AS OF DECEMBER 31, AS OF --------------------------------------------------- MARCH 31, 1991 1992---------------------------------------------------- 1993 1994 1995 1996 -------1997 -------- -------- -------- -------- ----------------- (IN THOUSANDS) BALANCE SHEET DATA: Working capital................... $41,126Capital..................................... $ 27,94048,757 $ 57,17665,549 $ 66,50290,043 $ 79,00956,492 $ 114,01793,497 Intangible assets................. 22,158 109,478 175,368 368,813 448,613 463,278assets................................... 181,000 376,827 611,544 539,151 515,939 Total assets...................... 99,988 205,102 331,833 580,622 746,826 810,035 Long-term debt.................... 22,965 16,059 9,803 148,261 150,566 191,823assets........................................ 334,361 597,487 935,790 936,854 874,027 Total debt.......................................... 76,308 218,374 161,246 271,727 200,941 Convertible subordinated debentures..................... -- 60,000debentures................. 63,375 63,375 63,375 -- -- Stockholders' equity.............. 42,196 70,292 173,296 234,808 381,649 468,230equity................................ $166,706 $236,003 $554,074 $508,525 $501,781
- --------------- (1) Reflects the extraordinary loss of $2.1 million relating to the prepayment of certain indebtedness net of income tax benefit and the cumulative benefit for the change in accounting for income taxes arising from the adoption of Statement of Financial Accounting Standards No. 109 of $5.6 million. (2) In 1995 and 1996, MedaphisCompany acquired Atwork, MMS, Rapid SystemsConsort, IVC, BSG Government and BSG in merger transactions which were recordedaccounted for as poolings-of-interests. Prior to the mergers, Atwork, MMS, Rapid SystemsConsort, IVC, BSG Government and a company acquired by BSG prior to the Company's merger with BSG Merger had elected "S" corporation status under the Code for income tax purposes. As a result of the mergers (or, in the case of the company acquired by BSG, its acquisition by BSG), such entities terminated their "S" corporation elections. Pro forma net income (loss) and pro forma net income (loss) per common share are presented in the consolidated statements of operations as if theeach of these entities had been a "C" corporationscorporation during the years ended December 31, 1992, 1993, 1994periods presented. (2) Reflects extraordinary income of $76.4 million relating to the sale of HRI and 1995a $2.5 million charge for the change in accounting for business process reengineering costs in accordance with EITF 97-13 (as defined). (3) EBITDA is defined as earnings before interest expense, income taxes, depreciation, amortization, litigation settlement, restructuring and other charges, extraordinary item and cumulative effect of an accounting change. See Note 4 to the three months ended March 31, 1995notes to the Consolidated Financial Statements of Medaphis Corporation and 1996. Pro formasubsidiaries. EBITDA is not a measure of performance under GAAP. While EBITDA should not be considered as a substitute for net income, per common sharecash flows from operating activities and other income or cash flow statement data prepared in accordance with GAAP, or as a measure of profitability or liquidity, management understands that EBITDA is customarily used as a measurement in evaluating companies. Moreover, substantially all of the company's financing agreements contain covenants in which EBITDA, as defined therein, is used as a measure of financial performance. The method of calculating EBITDA set forth above may be different from calculations of EBITDA employed by other companies and, accordingly, may not presentedbe directly comparable to such other calculations. See "Management's Discussion and Analysis of Financial Condition and Results of Operations" for a discussion of other measures of performance determined in accordance with GAAP. (4) Earnings did not cover fixed charges by $3.9 million, $215.5 million and $110.0 million in 1995, 1996 and 1997, respectively. 37 45 UNAUDITED PRO FORMA CONSOLIDATED FINANCIAL STATEMENT The Unaudited Pro Forma Consolidated Financial Statement is based on the historical presentation of the consolidated financial statements of Medaphis. The Unaudited Pro Forma Consolidated Statement of Operations for the year ended December 31, 1991. 121997 gives effect to the divestiture of HRI as if it had occurred on January 1, 1997. The unaudited pro forma financial information does not give any effect to the offering of the Old Notes, the initial borrowing under the New Credit Facility or the application of the net proceeds therefrom due to the immaterial difference in the weighted average interest rate. The Unaudited Pro Forma Consolidated Balance Sheet as of December 31, 1997 is not presented since Medaphis' December 31, 1997 balance sheet does not include HRI. The Unaudited Pro Forma Consolidated Statement of Operations includes the historical operating results of Medaphis and HRI from the beginning of the period covered by such statement until the earlier of the date of disposition or the end of the period covered by such statement. The Unaudited Pro Forma Consolidated Financial Statement does not purport to be indicative of the results that actually would have been obtained if the combined operations had been conducted during the period presented and they are not necessarily indicative of operating results to be expected in future periods. The Unaudited Pro Forma Consolidated Financial Statement and notes thereto should be read in conjunction with the Consolidated Financial Statements and the related notes thereto of Medaphis, which are incorporated herein by reference. 38 21 HDS -- HISTORICAL(1)46 UNAUDITED PRO FORMA STATEMENT OF OPERATIONS
YEAR ENDED SIX MONTHS SEPTEMBER 30, ENDEDDECEMBER 31, 1997 ---------------------------------- MEDAPHIS HRI(1) PRO FORMA --------- -------- --------- (DOLLARS IN THOUSANDS) Revenue................................................... $ 572,625 $(14,720) $ 557,905 --------- -------- --------- Salaries and wages........................................ 377,363 (6,738) 370,625 Other operating expenses.................................. 153,372 (3,896) 149,476 Depreciation.............................................. 29,355 (401) 28,954 Amortization.............................................. 24,137 -- 24,137 Interest expense, net..................................... 23,260 (4,438)(2) 18,822 Litigation settlement..................................... 52,500 -- 52,500 Restructuring and other charges........................... 22,640 -- 22,640 --------- -------- --------- Total expenses.................................. 682,627 (15,473) 667,154 Income (loss) before income taxes......................... (110,002) 753 (109,249) Income tax (benefit) expense.............................. (16,773) 115(3) (16,658) --------- -------- --------- Income (loss) before extraordinary item and cumulative effect of accounting change............................. $ (93,229) $ 638 $ (92,591) Basic loss before extraordinary item and cumulative effect of accounting change per common share................... $ (1.28) $ (1.27) ========= ========= Weighted average shares outstanding....................... 72,679 72,679 ========= =========
- --------------- (1) The results of HRI are for the period from January 1, 1997 through May 28, 1997 (date of divesture). (2) Represents the following adjustment to interest expenses assuming the Company had completed the sale of HRI as of January 1, 1997: Proceeds from sale of HRI, net.............................. $117,000 Interest rate............................................... 9.5% -------- Annual interest expense savings............................. $ 11,115 Adjustment for period outstanding........................... .417 -------- $ 4,631 Less HRI interest income, as reported....................... 193 -------- $ 4,438 ========
(3) Reflects tax expense for the above adjustments using the Company's effective tax rate. 39 47 MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS GENERAL The Company suffered several setbacks in recent years, including: (i) government investigations into: (a) the billing and collection practices in two offices of Medaphis Physician Services Corporation ("MPSC"), and (b) the billing procedures and computerized coding system used at Gottlieb's Financial Services ("GFS") to process claims, which may lead to claims of errors in billing; (ii) the failure of prior management's acquisition strategy to integrate businesses acquired; (iii) several restatements of various financial statements of the Company, including restatements of the Company's fiscal 1995, 1996 and interim 1997 financial statements; (iv) the shut down of the operations of one of the companies acquired; (v) the abandonment of an extensive reengineering program that failed to realize the improvement in customer service and reduction of costs that were expected; (vi) a steep drop in the price of its Common Stock; and (vii) the filing of various lawsuits and claims made against the Company, including multiple putative shareholder class action lawsuits alleging violations of the federal securities laws. In response to certain of these setbacks, assembly of a new management team began in the fourth quarter of 1996, headed by David E. McDowell (former President and Chief Operating Officer of McKesson Corporation). The new management team combines healthcare industry talent with information technology expertise from other industries that have already undergone the transition to effective use of information technology. The Company believes that the combined strengths of this team position Medaphis to take advantage of growth opportunities in the healthcare marketplace. In addition, in February 1997, new management announced its 1997 operating plan, refocusing the Company on its core businesses of delivering healthcare information products and business management services, together with enabling technologies in selected industries. The major components of the plan included: (i) exiting non-core businesses; (ii) achieving improved predictability of business results through enhanced management accountability and controls; (iii) reducing costs and increasing efficiencies in its core businesses; (iv) achieving excellence in customer service; and (v) implementing cross-selling initiatives. The Company made significant progress in accomplishing the 1997 operating plan, including the divestiture of HRI, in May 1997 for net proceeds of approximately $117.0 million, the combination of the operations of HIT and BSG under the Per-Se name, the improvement of financial controls, the imposition of cost-containment measures throughout the Company, and the formulation of a new customer-focused strategy centered on a "markets of one" approach to solutions meeting the distinct needs of each customer. The Company also reached a proposed settlement in 1997 with the plaintiffs in one of the major class-action securities lawsuits pending against it and, during the third quarter of 1997, the Company recorded a non-cash charge of $52.5 million related to this settlement. In addition, through the successful completion of a $210.0 million loan facility (the "Bridge Facility"), management stabilized and provided for the near-term financing needs of the Company. 40 48 RESULTS OF OPERATIONS The following table shows certain items reflected in the Company's statements of operations as a percentage of revenue:
YEAR ENDED MARCHDECEMBER 31, ----------------- MARCH 31, --------------------------- 1991 1992 1993 1994-------------------------------------------------------- 1995 1996 ------- ------- ---------- ------- ------- ------- (IN1997 ---------------- ----------------- ----------------- (DOLLARS IN THOUSANDS) STATEMENT OF OPERATIONS DATA(1) Net sales.............................. $20,593 $24,451 $4,646 $26,040 $30,454 $22,727 Cost of sales.......................... 10,953 12,419 739 11,875 13,767 15,185 Gross margin........................... 9,640 12,032 3,907 14,165 16,687 7,542 Expenses: ResearchRevenue......................... $538,012 100.0% $ 596,714 100.0% $ 572,625 100.0% Salaries and development............. 1,145 1,308 903 1,775 1,754 1,793 Sales and marketing.................. 3,044 2,577 1,406 3,028 3,672 4,870 General and administrative........... 2,029 2,873 1,676 3,219 2,194 6,107 Interest............................. 735 8 45 129 232 265 Income from operations............... 2,687 5,266 (123) 6,014 8,835 (5,493)wages.............. 314,790 58.5 398,573 66.8 377,363 65.9 Other operating expenses........ 134,055 24.9 163,677 27.4 153,372 26.8 Depreciation.................... 14,187 2.6 28,276 4.7 29,355 5.1 Amortization.................... 18,048 3.4 25,713 4.3 24,137 4.2 Interest income...................... 86 58 36 73 202 620 Income (loss) before provision for income taxes...................... 2,773 5,324 (87) 6,087 9,037 (4,873) Provision for income taxes...........expense, net........... 9,761 1.8 11,585 2.0 23,260 4.1 Litigation settlement........... -- -- -- -- 3,000 (1,700) Net52,500 9.2 Restructuring and other charges....................... 48,750 9.1 180,316 30.2 22,640 3.9 -------- ----- --------- ----- --------- ----- Loss before income (loss).................... 2,773 5,324 (87) 6,087 6,037 (3,173)
AS OF SEPTEMBER 30, AS OF MARCH 31, ----------------- ---------------------------------------- 1991 1992 1993 1994 1995 1996 ------- ------- ---------- ------- ------- ------- (IN THOUSANDS) BALANCE SHEET DATA(1) Working capital........................ $ 4,931 $ 9,046 $8,630 $14,102 $22,760 $23,689 Intangible assets...................... 4,360 6,226 6,905 7,822 8,014 7,768 Total assets........................... 20,297 26,973 23,203 35,448 46,529 55,043 Convertible subordinated debentures.... 7,000taxes........ (1,579) (0.3) (211,426) (35.4) (110,002) (19.2) Income tax expense (benefit).... 1,071 0.2 (74,089) (12.4) (16,773) (2.9) -------- ----- --------- ----- --------- ----- Loss before extraordinary item and cumulative effect of accounting change............. (2,650) (0.5) (137,337) (23.0) (93,229) (16.3) Extraordinary item: Gain on sale of HRI, net of tax............ -- -- -- -- -- Redeemable preferred stock.............76,391 13.3 Cumulative effect of accounting change, net of tax............ -- -- -- 6,910 6,565 -- Stockholders' equity................... 12,284 17,672 17,584 16,554 22,289 44,781(2,465) (0.4) -------- ----- --------- ----- --------- ----- Net loss...................... (2,650) (0.5) (137,337) (23.0) (19,303) (3.4) Pro forma tax adjustments....... (2,130) (0.4) 979 0.2 -- -- -------- ----- --------- ----- --------- ----- Pro forma net loss.............. $ (4,780) (0.9)% $(136,358) (22.8)% $ (19,303) (3.4)% ======== ===== ========= ===== ========= =====
- --------------- (1) HDS changed its fiscal year-end in 1993 from September 30Fiscal 1997 compared to March 31. 13 22 UNAUDITED PRO FORMA COMBINED FINANCIAL INFORMATIONFiscal 1996 REVENUE. Revenue classified by the Company's reportable segments is as follows:
YEAR ENDED DECEMBER 31, THREE MONTHS ------------------------------ ENDED MARCH 1993 1994 1995 31,------------------- 1996 1997 -------- -------- (IN THOUSANDS) Physician Services.......................................... $294,406 $279,593 Hospital Services........................................... 89,715 98,067 HRI......................................................... 31,419 14,720 Per-Se Product Operations................................... 70,047 90,977 Per-Se Services Operations.................................. 113,988 90,594 Corporate and eliminations.................................. (2,861) (1,326) -------- -------------------- $596,714 $572,625 ======== ========
Physician Services' revenue for the year ended December 31, 1997 declined 5.0% from the prior year principally due to an adjustment to revenue of $12.1 million in the third quarter of 1997 that resulted from a detailed review, performed by the Company, to update the assumptions and methodology underlying the calculation of accounts receivable, unbilled, for Physician Services. In 1997, management's emphasis has been on enhancing client service to its existing clients and not on expanding the client base. Hospital Services' revenue for the year ended December 31, 1997 increased 9.3% as compared to the comparable period in 1996. This increase reflects internally generated volume growth. 41 49 Medaphis acquired HRI on August 28, 1995 in a transaction accounted for as a pooling-of-interests. On May 28, 1997 Medaphis completed the sale of HRI and, as a result, there are only five months of revenue from HRI in 1997 compared with a full year for 1996. Product Operations' revenue increased 29.9% for the year ended December 31, 1997, as compared with the year ended December 31, 1996. This increase is primarily the result of an increase in license fees associated with the ULTICARE(R) and scheduling product lines, offset in part by charges of $4.7 million for unusual revenue adjustments. Services Operations' revenue in 1996 includes the results of the Company's wholly-owned subsidiary, Imonics Corporation ("Imonics"), which was shut down at the end of 1996 (the "Imonics Shutdown"). Imonics generated $12.3 million of revenue during the year ended December 31, 1996. Excluding the revenue generated by Imonics, Services Operations' revenue decreased 10.9% for the year ended December 31, 1997, as compared with the year ended December 31, 1996. Disruptions associated with the restructuring of this division have negatively affected revenue. Also negatively impacting the Services Operations' revenue for 1997 was approximately $1.1 million of unusual revenue adjustments. SALARIES AND WAGES. Salaries and wages for 1997 decreased to $377.4 million (65.9% of revenue) from $398.6 million (66.8% of revenue) in 1996. This decrease is attributable to management's efforts to reduce costs by streamlining processes and reducing the overall head count of the Company. Management further reduced the Company's head count during the fourth quarter of 1997 within Physician Services and Per-Se. OTHER OPERATING EXPENSES. Other operating expenses decreased to $153.4 million (26.8% of revenue) in 1997 from $163.7 million (27.4% of revenue) in 1996. The decrease in other operating expenses as a percentage of revenue reflects the cost management initiatives that were stated in the Company's 1997 business plan. Included in other operating expenses for 1997 are higher than normal professional fees the Company incurred to assist with a variety of financial, operational and organizational projects undertaken by the management of the Company. Management believes that expenditures for professional fees will decrease in 1998. Other operating expenses are primarily comprised of postage, facility and equipment rental, telecommunication, travel, outside consulting services and office supplies. DEPRECIATION. Depreciation expense was $29.4 million in the year ended December 31, 1997 as compared with $28.3 million for the same period of 1996. This increase reflects the Company's normal investment in property and equipment to support growth in its business. AMORTIZATION. Amortization of intangible assets, which are primarily associated with the Company's acquisitions and software products, was $24.1 million for the year ended December 31, 1997 as compared with $25.7 million for the same period of 1996. This decrease is primarily due to the write-offs of goodwill and capitalized software associated with the Imonics Shutdown. INTEREST. Net interest expense was $23.3 million in the year ended December 31, 1997 as compared with $11.6 million in the same period of 1996. The increase in interest expense was due to increased borrowing rates. Management anticipates that interest rate fluctuations and changes in the amount of borrowings under the Existing Facility will impact future interest expense. RESTRUCTURING AND OTHER CHARGES. See Note 4 of Notes to Consolidated Financial Statements for a discussion of restructuring and other charges. INCOME TAXES. Effective income tax rates for the periods presented vary from statutory rates primarily as a result of nondeductible expenses associated with the litigation settlement in 1997 and merger transactions consummated by the Company in 1996 and previous years. Pro forma adjustments for income taxes have been provided for companies that elected to be treated as "S" Corporations under the Internal Revenue Code of 1986, as amended, prior to merging with the Company. EXTRAORDINARY ITEM. On May 28, 1997, Medaphis sold HRI through an initial public offering of 100% of its stock, which generated net proceeds to the Company of approximately $117.0 million. Medaphis had acquired HRI on August 28, 1995 through a business combination accounted for using the pooling-of-interests method of accounting. 42 50 CUMULATIVE EFFECT OF ACCOUNTING CHANGE. In November 1997, the Emerging Issues Task Force ("EITF") issued EITF 97-13 "Accounting for Costs Incurred in Connection with a Consulting Contract or an Internal Project that Combines Business Process Reengineering and Information Technology" ("EITF 97-13"). EITF 97-13 requires process reengineering costs, as defined, which had been previously capitalized as part of an information technology project to be expensed in the quarter which includes November 1997. The Company recorded a charge of $2.5 million, net of tax of $1.6 million, in the fourth quarter of 1997 as a result of EITF 97-13. Fiscal 1996 compared to Fiscal 1995 REVENUE. Revenue classified by the Company's reportable segments is as follows:
YEAR ENDED DECEMBER 31, ------------------------ 1995 1996 --------- --------- (DOLLARS IN THOUSANDS) Physician Services.......................................... $289,968 $294,406 Hospital Services........................................... 69,689 89,715 HRI......................................................... 22,667 31,419 Per-Se Product Operations................................... 58,799 70,047 Per-Se Services Operations.................................. 98,615 113,988 Corporate and eliminations.................................. (1,726) (2,861) -------- -------- $538,012 $596,714 ======== ========
Physician Services' revenue grew only 1.5% in 1996 as compared to 1995. Excluding the growth by acquisitions, Physician Services experienced a decline in revenue, which is attributable to the loss of clients at a higher rate than had historically been experienced by the Company. These client losses were mostly due to the reengineering and consolidation effort undertaken by Physician Services, which diverted management's attention away from client service. Hospital Services' revenue grew by 28.7% in 1996 as compared to 1995. The majority of this growth is attributable to acquisitions made in December 1995 and the first quarter of 1996. HRI's revenue increased by 38.6% in 1996 as compared with 1995. This growth was caused by increased subrogation recoveries. Product Operations' revenue increased 19.1% in 1996 as compared with the same period in 1995. This increase is primarily the result of higher licensing revenue from the ULTICARE product line. Services Operations' 1996 revenues increased 15.6% from 1995. The increases in revenue reflected the demand for Per-Se's services as migration to client server architectures continued to accelerate. This demand for Per-Se's services was negatively affected in 1996 by a decrease in the revenues generated by Imonics. SALARIES AND WAGES. Salaries and wages increased to $398.6 million (66.8% of revenue) in 1996 from $314.8 million (58.5% of revenue) in 1995. This increase was due to a slowdown in the growth of the Company's revenue and an increase in the employment levels across the Company. OTHER OPERATING EXPENSES. Other operating expenses increased to $163.7 million (27.4% of revenue) in 1996 from $134.1 million (24.9% in 1995). The increase in other operating expenses as a percentage of revenue for 1996, as compared with 1995, is due to a slowdown in the growth of the Company's revenue without a corresponding slowdown in the growth of the Company's operating expenses. Other operating expenses are primarily comprised of postage, facility and equipment rental, telecommunications, travel, office supplies and legal, accounting and other outside professional services. DEPRECIATION. Depreciation expense was $28.3 million in 1996 compared to $14.2 million in 1995. This increase reflects the Company's investment in property and equipment, including approximately $42.0 million of new computer and other data processing equipment purchased in connection with the Company's reengineering program and, to support growth in its business, including acquisitions. 43 51 AMORTIZATION. Amortization of intangible assets, which are primarily associated with the Company's acquisitions and software products, was $25.7 million in 1996 versus $18.0 million in 1995. The increases are primarily due to increased amortization of goodwill and client lists resulting from acquisitions. INTEREST. Net interest expense was $11.6 million in 1996, compared to $9.8 million in 1995. The increase in 1996 is primarily due to increased borrowings under the Company's then-current credit facility to finance acquisitions and the Company's investment in its reengineering project. RESTRUCTURING AND OTHER CHARGES. See Note 4 of Notes to Consolidated Financial Statements for a discussion of restructuring and other charges. INCOME TAXES. Effective income tax rates for the periods presented vary from statutory rates primarily as a result of nondeductible expenses associated with merger transactions consummated by the Company in 1996 and previous years. Pro forma adjustments for income taxes have been provided for companies that elected to be treated as "S" Corporations under the Internal Revenue Code of 1986, as amended, prior to merging with the Company. LIQUIDITY AND CAPITAL RESOURCES The Company had working capital of $93.5 million at December 31, 1997 and had unrestricted cash and cash equivalents of $17.8 million. The Company used cash of $10.2 million for operating activities in the year ended December 31, 1997, principally to fund liabilities related to restructuring and other charges. Also during 1997, the Company generated approximately $126.4 million of cash proceeds from the sale of HRI. The net cash proceeds of approximately $117.0 million were used to reduce the Company's borrowings under its then credit facility. On December 23, 1997, Medaphis entered the Bridge Facility with an affiliate of the Donaldson Lufkin & Jenrette Securities Corporation. The proceeds of the Bridge Facility were used in part to repay the Company's previous credit facility. Borrowings under the Bridge Facility accrued interest at Prime plus 250 basis points. The interest rate at December 31, 1997 was 11.0%. The Bridge Facility contained certain quarterly financial covenants related to the Company's performance, was secured by substantially all of the assets of the Company and its subsidiaries, and was guaranteed by substantially all of the Company's subsidiaries. The Bridge Facility contained customary covenants for facilities of this type. The Bridge Facility was prepayable, in whole or in part, at the option of Medaphis, at any time. The Bridge Facility was prepaid in full with the proceeds of the offering of the Old Notes, cash on hand and the initial borrowing under the New Credit Facility. On December 31, 1997, the Company had $185.0 million of outstanding indebtedness under the Bridge Facility. On January 22, 1998, the Company drew down the remaining $25.0 million of the Bridge Facility, with the funds used in part to purchase certain real property then under lease to the Company, with the balance invested in cash equivalents. In connection with the offering of the Old Notes, the Company entered into the New Credit Facility. Borrowings under the New Credit Facility, as well as the incurrence of other Indebtedness of the Company, will be subject to compliance with certain conditions, including the maintenance of certain financial ratios. See "Description of New Credit Facility." The Company believes that its liquidity will be sufficient to meet its current and planned needs, although no assurance can be given in this regard. See "Risk Factors." OTHER MATTERS It is possible that the Company's currently installed computer systems, software products or other business systems, or those of the Company's customers, vendors or resellers, working either alone or in conjunction with other software or systems, will not accept input of, store, manipulate and output dates for the years 1999, 2000 or thereafter without error or interruption (commonly known as the "Year 2000" problem). The Company has conducted a review of its business systems, including its computer systems, and is querying its customers, vendors and resellers as to their progress in identifying and addressing problems that their 44 52 computer systems may face in correctly interrelating and processing date information as the year 2000 approaches and is reached. However, there can be no assurance that the Company will identify all such Year 2000 problems in its computer systems or those of its customers, vendors or resellers in advance of their occurrence or that the Company will be able to successfully remedy any problems that are discovered. The expenses of the Company's efforts to identify and address such problems, or the expenses or liabilities to which the Company may become subject as a result of such problems, could have a material adverse effect on the Company's business, financial condition and results of operations. The revenue stream and financial stability of existing customers may be adversely impacted by Year 2000 problems, which could cause fluctuations in the Company's revenues. In addition, failure of the Company to identify and remedy Year 2000 problems could put the Company at a competitive disadvantage relative to companies that have corrected such problems. During the third quarter of 1997, in connection with a refinancing effort, management evaluated certain revenue recognition practices at HDS, which was acquired in a merger transaction in June 1996 and accounted for as a pooling-of-interests. These practices related principally to revenue recognized in fiscal years 1994, 1995 and 1996. As a result of this evaluation, management determined that the revenue was improperly recognized and, accordingly, restated the Company's financial statements for the years ended December 31, 1994, 1995 and 1996 interim periods of 1997 and (the "HDS Restatement"). As a result of the HDS-related restatement, Deloitte & Touche withdrew its audit opinion dated March 31, 1997 in respect of the Company's 1994, 1995 and 1996 fiscal years. Consequently, the Company engaged Price Waterhouse to re-audit the Company's 1995 and 1996 fiscal years and audit the Company's nine-month period ending September 30, 1997. As indicated in a Current Report on Form 8-K filed by the Company on January 8, 1998 (the "January 8-K"), the Company determined to further restate the results of such periods to account for the December 1995 acquisition by the Company of Medical Management Sciences, Inc. ("MMS") on a purchase accounting basis (the "MMS Restatement"). Such acquisition had previously been accounted for as a pooling-of-interests. The withdrawn audit opinion included an explanatory paragraph expressing substantial doubt about the Company's ability to continue as a going concern due to certain step-down payments required during 1997 under the Company's Senior Credit Facility. As discussed in Note 8 of the Notes to Consolidated Financial Statements, on December 23, 1997, the Company entered into the Bridge Facility, the proceeds of which were used to refinance the Senior Credit Facility, and that increased the Company's borrowing capacity and extended the term into 1999, thereby removing the substantial doubt expressed in the predecessor accountants' audit opinion. Fiscal years 1995 and 1996 have been re-audited by the Company's current independent accountants. The impact of the HDS Restatement and MMS Restatement for the years ended December 31, 1995 and 1996 and as of the years ended December 31, 1994, 1995 and 1996 is presented below:
AS PREVIOUSLY REPORTED AS RESTATED ---------------------- ----------- (IN THOUSANDS, EXCEPT PER SHARE DATA) STATEMENTAS OF OPERATIONS DATA(1): Revenue............................................ $279,338 $398,985 $597,060 $163,612 Salaries and wages................................. 155,684 220,261 331,213 90,527 Other operating expenses........................... 71,569 95,425 147,391 39,378 Depreciation....................................... 7,192 9,383 15,059 4,950 Amortization....................................... 7,878 10,691 17,902 4,909 Interest expense, net.............................. 6,573 5,926 11,987 2,105 Restructuring and other charges.................... -- 1,905 54,200 150 Income before income taxes......................... 30,442 55,394 19,308 21,593 IncomeDECEMBER 31, 1994 Retained Earnings (accumulated deficit)............. $ 4,838 $ (16,059) Total stockholders' equity.......................... $ 257,097 $ 236,004 FOR THE YEAR ENDED DECEMBER 31, 1995 Revenue............................................. $ 559,877 $ 538,012 Pro forma net loss.................................. (8,504) (4,780) Pro forma basic net loss per share...................................share.................. $ 0.36(0.15) $ 0.56(0.09) AS OF DECEMBER 31, 1995 Accumulated deficit................................. $ 0.08(6,052) $ 0.17 ======== ======== ======== ========== Weighted average shares outstanding................ 52,045 61,163 68,060 75,704 ======== ======== ======== ==========(21,284) Total stockholders' equity.......................... $ 421,306 $ 554,074
45 53
AS OF MARCHPREVIOUSLY REPORTED AS RESTATED ---------------------- ----------- (IN THOUSANDS, EXCEPT PER SHARE DATA) FOR THE YEAR ENDED DECEMBER 31, 1996 --------- BALANCE SHEET DATA(2): Working capital...................................................................Revenue............................................. $ 133,956608,313 $ 596,714 Pro forma net loss.................................. (123,642) (136,358) Pro forma basic net loss per share.................. $ (1.74) $ (1.91) AS OF DECEMBER 31, 1996 Current assets...................................... $ 269,385 $ 255,239 Intangible assets................................................................. 471,046assets................................... 389,033 539,151 Total assets...................................................................... 865,078 Long-term debt.................................................................... 191,823 Stockholders' equity.............................................................. 509,261assets........................................ 815,624 936,854 Current liabilities................................. 193,752 198,747 Total liabilities................................... 423,334 428,329 Total stockholders' equity.......................... $ 392,290 $ 508,525
- --------------- (1)46 54 THE BUSINESS Medaphis is a leader in delivering healthcare information products and business management services, together with enabling technologies in selected industries. Medaphis serves approximately 20,700 physicians and 2,700 hospitals predominantly in North America. Medaphis believes it is well-positioned to capitalize on the healthcare industry trends toward consolidation, managed care and cost containment through a broad range of services and products that enable customers to provide quality patient care efficiently and cost effectively. The Unaudited Pro Forma Combined StatementCompany's large client base and national presence further support the Company's competitive position. Medaphis provides its services and products through its Healthcare Services Group and Per-Se Technologies, its Information Technologies Group. The Company reported a net loss of Operations Data for the years ended December 31, 1993, 1994 and 1995, for the three months ended March 31, 1996 gives effect to (i) the Merger as if it had occurred as of January 1, 1993 and (ii) certain pro forma adjustments related to the Atwork, MMS Rapid Systems and BSG Mergers. The Unaudited Pro Forma Combined Statement of Operations Data$19.3 million for the year ended December 31, 1995 also gives effect to the 1995 Acquisition (as hereinafter defined) as if each had occurred as of January 1, 1995. (2) The Unaudited Pro Forma Combined Balance Sheet Data as of March 31, 1996 gives effect to the Merger as if it had occurred as of March 31, 1996. 14 23 RISK FACTORS In addition to the other information in this Proxy Statement/Prospectus, the following factors should be considered carefully in evaluating the proposed Merger. This Proxy Statement/Prospectus contains and incorporates by reference certain forward-looking statements,1997, including but not limited to, statements regarding product development initiatives, the status of Medaphis' physician billing operations, the status and future prospects of Medaphis' re-engineering and consolidation program and the status and scope of the investigation described below. The actual results may differ materially from such forward-looking statements due to risks and uncertainties set forth under this caption and in other reports and registration statements filed by Medaphis under the Securities Act and the Exchange Act. Acquisitions; Future Operating Results; Re-Engineering Project; Margin Pressure. Medaphis' expansion strategy involves both acquisitions and internal growth. Although Medaphis has successfully acquired businesses and effectively integrated their operations in the past, there can be no assurance that Medaphis will be able to continue to make successful acquisitions in the future or that any such acquisitions will be successfully integrated into Medaphis' operations. Furthermore, there can be no assurance that an acquisition will not have an adverse effect upon Medaphis' operating results, particularly in the fiscal quarters immediately following the consummation of such acquisition. There can be no assurance that Medaphis will be able to continue to operate an acquired business in a profitable manner. Although Medaphis has reported net income for each of the past four fiscal years (and would have reported net income in fiscal 1991 but for the restatement of its financial statements as a result of the BSG Merger) and has expanded its operations through acquisitions and internal growth, there can be no assurance that Medaphis will be able to sustain profitability or revenue growth on an annual or quarterly basis in the future, that fluctuations in quarter-to-quarter or year-to-year operating results will not occur or that any such quarter-to-quarter or year-to-year fluctuations will not be material. In addition, Medaphis recorded restructuring and other charges and a litigation settlement. The Company generated revenue during 1997 of $557.9 million and EBITDA of $37.8 million, each determined on a pro forma basis giving effect to the disposition of HRI. Medaphis' services and product offerings assist healthcare providers in minimizing the risks of providing patient care, and in competing for physician and patient loyalty, by enhancing the quality of care delivered. The Healthcare Services Group fosters quality care delivery by enabling physicians and other health practitioners to focus on the patient rather than on business and systems operations management. Per-Se Technologies delivers solutions that use sophisticated business process, data and enterprise workflow models to ensure the right service is delivered in the firstright setting by the right person, using the right processes at the right time. Both groups differentiate their offerings from those of competitors by enabling customers to individually tailor solutions to their unique needs. Medaphis markets its products and services primarily to integrated healthcare delivery networks, hospitals, physician practices, long-term care facilities, home health providers and managed care providers. The Company sells its software solutions and systems integration services internationally, both directly and through distribution agreements, in the United States, Canada, England and Germany. Medaphis Corporation was incorporated in Delaware in 1985, and operates through a number of wholly-owned subsidiaries. Healthcare Services Group The Healthcare Services Group provides a range of business management services to physicians and hospitals, including clinical data collection, data input, medical coding, billing, cash collections and accounts receivable management. These services are designed to assist customers with the business management functions associated with the delivery of healthcare services, allowing physicians and hospital staff to focus on providing quality patient care. These services also assist physicians and hospitals in improving cash flows and reducing administrative costs and burdens. The Healthcare Services Group typically enters into contracts with physician and hospital customers providing for payment to the Company of a contingent management fee that generally is based upon a percentage of net collections and is billable monthly upon collection or, where required, on a fixed fee basis. The Healthcare Services Group consists of two divisions, Physician Services and Hospital Services. Per-Se Technologies Per-Se provides application software and a broad range of information technology and consulting services to healthcare and other service-oriented markets such as energy, communications and financial services. Per-Se is an early entrant in the emerging market for Delivery Chain Management solutions, which enable users to assess each customer's unique needs and cost-effectively deliver products and services individually tailored to meet them. Per-Se develops solutions using a methodology called Deliver to Order(TM) that enables customers to choose among packaged application software, software supplied by other companies and modified by Per-Se, enabling technology services, and outsourcing to balance their needs for flexibility, time to deployment and cost. In the third quarter of 1995 relating1997, Medaphis combined the operations of HIT, its software products operation, with the operations of BSG, its information technology services operation, under the Per-Se Technologies name. This business combination has assisted the Company in its efforts to contain costs and eliminate 47 55 redundancies. Per-Se's management expects to benefit from the synergy of combining HIT's leading information products in the high-growth healthcare information systems market with BSG's ability to provide enabling technology infrastructure and services. Per-Se is organized into Product Operations and Services Operations. THE INDUSTRY The healthcare industry is undergoing major changes, as pressures to cut costs and increase quality and productivity are inspiring healthcare providers to seek ways to manage their practices more effectively. In general, the healthcare industry is in a state similar to that of the financial services industry in the early 1980's. The same type of computerized technology that fueled substantial growth and change in that industry is just beginning to be deployed in the healthcare industry. See "Risk Factors -- Evolving Industry Standards; Rapid Technological Changes" and "Risk Factors -- Competition; Industry and Market Changes." Since 1986, healthcare expenditures have doubled to more than $1.0 trillion, representing approximately 14% of the 1996 U.S. Gross Domestic Product. At the same time, the healthcare delivery system is experiencing a shift from a highly fragmented group of independent healthcare providers to integrated healthcare networks that combine all of the services, products and equipment necessary to address people's healthcare needs. In the face of escalating costs and increasingly complex care delivery systems, healthcare providers are seeking to manage costs, increase productivity and enhance the quality of patient care through improved access to clinical and financial information. This creates an opportunity for companies such as Medaphis that provide comprehensive, cost-effective business management services and information technology. With more than $1 trillion in annual expenditures, the United States spends more on healthcare than on information technology and defense combined, according to industry research firm The Gartner Group. Healthcare in the United States traditionally was a cottage industry, with more than 5,000 hospitals and 600,000 practicing physicians. Since the early 1990s, the formation of complex healthcare delivery systems has been the hallmark of the industry as managed care providers move to control costs and provide higher-quality patient care. According to Modern Healthcare, an estimated 768 hospitals were involved in merger and acquisitions activities in 1996. In the past three years, 40% of U.S. non-federal hospitals have either completed, or agreed to be part of, a merger, acquisition or joint venture. More than one-third of U.S. physicians are now in group practices, and large groups composed of more than 100 physicians represent almost one-third of all physicians in such group practices. This trend toward consolidation has a profound impact on information and business management systems. The need for healthcare providers to manage on a cost-effective basis the complexity of combining information from different business systems, while at the same time competing for patient loyalty, is creating high-growth opportunities for companies such as Medaphis that can deliver integrated technology solutions and can invest in an information technology infrastructure to support sophisticated outsourcing services. Additionally, the federal government's focus on compliance and the demand for technology products and services are creating growth opportunities for the Company. The government's drive to curb healthcare fraud and abuse is compelling healthcare providers to utilize, and providing Medaphis with the opportunity to offer, increasingly sophisticated compliance services; this gives an advantage to companies that can invest in technology infrastructure and databases, and those able to acquire the regulatory expertise necessary to help healthcare providers comply with complex healthcare laws and reimbursement procedures. Further, as healthcare delivery systems move to integrate disparate technology infrastructures, patient databases and information access methods, the demand for new technology products and services is growing. See "Risk Factors -- Evolving Industry Standards; Rapid Technological Changes." According to healthcare industry analyst Sheldon Dorenfest & Associates, Ltd., expenditures on products and services to support automated information systems for healthcare providers reached $11.6 billion in 1996, a 16% increase over the previous year. Industry analysts expect double-digit industry growth to continue in the healthcare information systems expenditures over the next several years, with expenditures reaching $18 billion by the turn of the century. 48 56 Healthcare information systems expenditure increases are virtually industry-wide. In a survey conducted at HIMSS, the leading healthcare industry tradeshow, 68% of respondents indicated planned budget increases. According to Andersen Consulting, information technology expenditures outstrip all other spending priorities for healthcare executives, logging a 77% response rate compared to the next closest priorities, buildings/ facilities and human resource development, at 8% (see Figure 1). See "Risk Factors -- Competition; Industry and Market Changes." FIGURE 1 TOP SPENDING PRIORITIES FOR HEALTHCARE EXECUTIVES [CHART] - --------------- Source: Andersen Consulting, 1996 Estimated compound annual growth rates between 1996 and 2000 for products and services Medaphis provides also indicate promising market opportunity (see Figure 2). FIGURE 2 COMPOUND ANNUAL GROWTH RATE 1996-2000 OF HEALTHCARE INDUSTRY SPENDING
SPENDING AREA RATE - ------------- ---- Systems integration and networking.......................... 15% Interface engines and translation software.................. 38 Data repositories........................................... 50 Internet/Intranet development............................... 58 Decision support systems.................................... 28 Enterprise scheduling software.............................. 50 Managed care and medical management......................... 32 Clinical workstations....................................... 38 Document management and workflow............................ 43 Home care information systems............................... 32
- --------------- Source: Volpe, Welty, 1996 49 57 BUSINESS STRATEGY Medaphis' primary business objective is to expand its leadership position in delivering cost-effective, high-quality healthcare information products and business management services, together with enabling technologies in selected industries, thereby realizing the growth potential of the Company. In 1997, Medaphis hired new management talent, instituted new business processes, invested in new technology, developed new product and service offerings, and formulated a new customer-focused strategy centered on a "markets of one" approach to creating individually delivered solutions to meet the distinct needs of each customer. In 1998, Medaphis plans to capitalize on this progress by continuing to attract talented people, strengthening its infrastructure, streamlining operations for efficiency and investing in product and service development, training, sales, marketing and other programs designed to fuel growth. To reach its objectives, Medaphis intends to execute strategies that include: - CAPITALIZE ON INDUSTRY TRENDS. The healthcare industry is rapidly transitioning to consolidated care delivery systems, capitation and managed care. Many physicians who previously practiced in independently or in small group practices now practice as part of larger groups or Integrated Delivery Networks that unite physicians with different practice specialties to cover a broad range or even the entire spectrum of healthcare needs. The Company's services and products can assist healthcare providers in pricing services and negotiating agreements in a marketplace increasingly moving toward capitation and managed care. Although historically a large portion of Medaphis' Healthcare Services revenue has come from billing and receivables management services, Medaphis intends to respond to the changing nature of the healthcare industry by developing higher value-added services and products that enable customers to operate more effectively in increasingly complex environments. The Company plans to grow revenue derived from offerings such as information management and consulting services for mergers and group formations; activity-based costing systems; capitation management and analysis; outcomes reporting; medical guidelines management; patient eligibility services; and facilities management. - LEAD INDUSTRY IN DELIVERING INTEGRATED SOLUTIONS. Medaphis intends to capitalize on its experience as a software provider and systems integrator to deliver workable integrated solutions that combine new technologies with customers' existing information systems. There are substantial opportunities for the expansion of information technology systems within the healthcare market, which has adopted such technology at a slower rate than have other industries. Management anticipates that current healthcare industry trends will continue and that expenditures for information technology and services will increase as a percentage of total healthcare expenditures. Medaphis has the healthcare information products, personnel, services and systems in place to deliver integrated solutions that capitalize on this growth opportunity. - DIFFERENTIATE FROM COMPETITORS BY BECOMING KNOWN FOR CREATING "INDIVIDUALLY DELIVERED" SOLUTIONS. Medaphis plans to deliver personalized value, attract new customers and strengthen customer loyalty by focusing on a "markets of one" approach to business that enables its customers to combine Medaphis' array of packaged applications, tailored third-party solutions, component frameworks and information technology services to craft solutions suited to their unique needs. - LEAD THE COMPLIANCE INITIATIVE IN THE HEALTHCARE MARKET. The healthcare industry is subject to extensive and complex federal and state government regulations. These regulations, along with the federal government's close monitoring of healthcare costs and stricter regulatory controls over the industry, are driving the demand for better systems to monitor and ensure compliance with healthcare laws and regulations. Management believes the Company's size, customer base and access to payor data enable it to assemble and analyze data and trends more effectively and to invest in compliance initiatives. Through continued investments in technology and training, Medaphis intends to strengthen further its market-leading position in developing and improving compliance systems that enable customers to safely operate in accordance with continually changing healthcare regulations. For 50 58 example, in December of 1997 Physician Services teamed with the Graham Company, a Philadelphia-based insurance broker, to develop an exclusive insurance product in conjunction with an underwriter for Physician Services' customers that will pay for losses (civil fines and penalties and multiple damages) incurred by a physician for any actual or alleged breach of duty, neglect, error, misstatement, misleading statement, omission or act in billing his or her professional services. - EXECUTE PROGRAMS THAT EXPAND EXISTING CUSTOMER RELATIONSHIPS. Medaphis plans to sell products and services from each of its operations to existing customers across all operations. In addition, Medaphis will leverage advanced technology knowledge and capabilities derived from solutions its Per-Se Technologies operation creates for services industries such as communications, energy and financial services that have adopted technology more quickly than healthcare. Medaphis believes cross-development initiatives will enable it to deliver leading-edge, yet proven, technology solutions to the healthcare market. - MAKE STRATEGIC ACQUISITIONS, PARTNERSHIPS AND ALLIANCES. Medaphis intends to drive organic growth by making a limited number of strategic acquisitions, as well as by formulating alliances and partnerships, that extend the skills, processes, capabilities, products, systems or geographic coverage already in place within the Company. HEALTHCARE SERVICES GROUP The Healthcare Services Group consists of Physician Services and Hospital Services. Physician Services Physician Services is a leading provider of business management solutions and claims processing to physicians in the United States, a market currently estimated to be approximately $10 billion annually. Of this market, management estimates that approximately 24% is currently served by outsourcing companies such as Medaphis. With more than 17,250 physician clients throughout 47 states, management estimates the Company has an approximate 12% share of the domestic outsourcing market, based on 1996 revenue, or more than four times the market share of its nearest competitor. Physician Services offers clients both revenue and cost management services. Revenue management services include medical coding, electronic and manual claims submission, automated patient billing, past due and delinquent accounts receivable collection, capitation analysis (i.e., an analysis of the price per member paid to healthcare providers by managed care health programs for a predetermined set of healthcare services and procedures) and contract negotiation with payors, including managed care organizations. Cost management provides comprehensive practice management services including front office administration, employee benefit plan design and administration, cash flow forecasting and budgeting and general consulting services. A key goal of Physician Services is to grow its revenue from the higher-margin consulting services it provides to its announced re-engineeringcustomers. These services include: financial and consolidation project. There canstatistical reporting; alliance, merger and acquisition advice; budgeting and tax planning services; marketing consultation; managed care advisory services; and employee compensation and benefit advice. Physician Services' current systems support approximately 30 different medical and surgical specialties. Although Physician Services is preparing for growth in the academic and office-based markets, the majority of Physician Services' customers are in the hospital-based market. Figure 3 depicts Physician Services' customer base. 51 59 FIGURE 3 BREAKDOWN OF PHYSICIAN SERVICES' CUSTOMER BASE BY MEDICAL SPECIALTY [CHART] Services Offered by Physician Services Physicians have been outsourcing their business management services to Physician Services for nearly 30 years. The solid relationships developed over that time serve as excellent referral sources and strengthen Physician Services' position in the growing outsourcing market. Its proactive approach and ability to guide physicians in the rapidly changing healthcare environment has enabled Physician Services to be no assurancerecognized as a leader in its industry. To meet the business management service needs of hospital-based, faculty practice, and office-based physicians, Physician Services has developed broad service selection. Its core services include accounts receivable management, fee-for-service billing, expense accounting, practice consulting, analysis of practice statistics, and electronic data interchange ("EDI") consulting regarding claims and remittance status. Physician Services also has developed a variety of emerging services in response to the changing business needs of physicians, including: activity-based costing systems; consulting services regarding alliances and mergers and acquisitions; capitation management and analysis; compliance services; consulting regarding EDI for eligibility, referrals and authorizations; outcomes reporting; and medical guidelines management. In order to identify and respond to the needs of its physician customers, Physician Services has a comprehensive understanding of the various complexities and requirements in a managed healthcare environment. To better serve its physician customers, Physician Services has continually expanded its range of services to include information management and consulting services for mergers and group formations, and has created a distinct operating unit whose exclusive mission is to manage specialty networks. Recognizing that this re-engineering and consolidation project will be successful, will achieve any cost or labor efficiencies or will not have an adverse effect upon Medaphis' operations, particularly during the initialdifferent stages of the project. Finally, Medaphishealthcare market evolve at different paces, Physician Services is experiencing margin pressurestrategically positioned to assist physician clients at all stages of the market's evolution. This enables Physician Services to differentiate its services from its competitors' services by tailoring solutions to meet the individualized needs of its physician clients. Physician Services has approximately 5,700 employees in approximately 170 operating locations throughout the United States. Many employees also have market-specific expertise in the areas of reimbursement, contracting, marketing, facility management, systems integration and financial and strategic management. Additionally, Physician Services' emphasis on compliance training will enable the Company to capitalize on the growing demand for companies with a sophisticated understanding of healthcare regulations. Physician Services' ability to leverage such skills of its employee base enables it to provide a broad spectrum of high quality services. 52 60 Hospital Services Hospital Services is a leading provider of business management services to hospitals in the United States, representing over 1,100 hospitals in a highly fragmented industry. Hospital Services offers services primarily related to "late stage" (over 90 days) receivables, including claims submission and automated patient billing. A key goal of Hospital Services is to increase revenue from strategic value-added services such as: (i) eligibility services, in which Hospital Services personnel assist patients in qualifying for reimbursement under appropriate federal, state and local government healthcare programs and (ii) facilities management contracts, in which Hospital Services assumes responsibility for the client's entire business office functions, including patient admissions/registration, medical records and business office activities. Hospital Services' resources and expertise address the functional and professional needs of healthcare providers. Its services are designed to increase client productivity, profitability and cash flow; maximize return on revenue through knowledgeable management skills; reduce administrative costs in a declining reimbursement environment; improve resource utilization and patient satisfaction; and provide extensive information and management reporting through comprehensive databases and decision support systems. Among potential other systems advantages, Hospital Services enjoys the ability to automate much of the workflow associated with account resolution, which enhances communication between the Company and its customers. Customers gain a clearer understanding of the status of their accounts receivable, and can respond instantaneously to improvement opportunities and problem areas. Hospital Services' systems advantages also help its employees improve efficiency. Hospital Services can respond overnight and provide resources to help manage a customer's entire accounts receivable base. This provides a safety-net for customer facilities experiencing accounts receivable problems, as well as for those undergoing changes such as major conversions to different patient accounting systems. Products and Services Offered by Hospital Services. Hospital Services' target market is primarily community hospitals. There are approximately 5,200 of these facilities in the United States yielding a potential market size of $6-$7 billion annually. Hospital Services offers its customers a broad range of services, which can be purchased individually or as a complete package, depending on the customer's needs. This enables Hospital Services to deliver solutions individually designed to meet a specific customer's requirements. The products and services offered by Hospital Services includes: Patient Financial Services Outsourcing. Under its most intensive program, Hospital Services customizes management systems and services to assume responsibility for the customer's entire business office functions, including patient admissions/registration, medical records and business office activities. Customer benefits include improved provider focus on strategic business goals; increased efficiency in overall performance while reducing operating costs; flexibility and control over difficult-to-manage functions; and accelerated benefits of consolidation efforts. Customized Collection Services. Formed in 1914, the collection agency, owned and operated by Medaphis, services some of the largest collections contracts awarded in the healthcare industry. Its regional offices offer (i) a national presence represented through regional headquarters to adequately support performance commitments, (ii) an experienced management team dedicated to delivering customized solutions with customer satisfaction as the ultimate goal and (iii) a healthcare focus. Extended Business Office Services. Through this program, Hospital Services assumes responsibility for managing collection of assigned accounts receivable. This enables clients to move accounts electronically to Hospital Services' regional facilities, where centralized resources are responsible for all billing and accounts receivablefollow-up activities on assigned accounts. Managed Care and Charge Accuracy Services. Hospital Services' "Managed Care Services" are designed to increase profitability by identifying underpaid claims, helping in contract negotiation and administration, and assisting in payment recovery to assure accurate reimbursement. Managed Care Services include: reimbursement analysis of complex contracts; elimination of costly errors in authorization oversights and identification of carve-outs, pass-throughs and stop-losses; modeling of proposed contract terms to assist on blind contract negotiating; reducing cost of contract administration; reducing 53 61 contract risks by supporting proactive contract management; performing account accuracy reviews (pre-billing and post-billing); performing insurance company defense audits, coding and reimbursement validation audits and medicare compliance reviews; and performing coding reviews and optimization, and chargemaster updates. Claims Resolution Services. These services assist customers in favorably resolving disputes with third party payors. By utilizing proprietary techniques developed over several years and employing specialists with legal, provider and payor healthcare claims administration experience, Hospital Services challenges payor denials with substantial success. Entitlement Program Services. Under this program, Hospital Services assists patients in qualifying for reimbursement under appropriate federal, state, and local government healthcare programs. Hospital Services' entitlement program includes medical assistance certification programs, out-of-state Medicaid billing programs, health maintenance organization member retention programs and Medicaid denials billing programs. Consulting Services. Hospital Services provides specialized consulting services, including interim management and supervisory services, business office reviews, evaluations and assessments, management recruitment, and seminars for in-house personnel. Shared Systems. Hospital Services' shared systems enable customers to license and operate Hospital Services' software, on a 'turnkey' basis. These sophisticated automated collection and managed care systems are fully interfaced with the provider's internal systems, and all hardware and system functionality are guaranteed under time-share agreements. PER-SE TECHNOLOGIES Per-Se provides application software and a broad range of information technology and consulting services to healthcare and other service-oriented markets such as energy, communications and financial services. Per-Se is an early entrant in the emerging market for Delivery Chain Management solutions, which enable users to assess each customer's unique needs and cost-effectively deliver products and services individually tailored to meet them. Per-Se develops solutions using a methodology called Deliver to Order(TM) that enables customers to choose among packaged application software, software supplied by other companies and modified by Per-Se, enabling technology services, and outsourcing to balance their needs for flexibility, time to deployment and cost. In the third quarter of 1997 Medaphis combined the operations of MedaphisHIT, its software products operation ("Product Operations"), with the operations of BSG, its information technology services operation ("Services Operations"), under the Per-Se name. This business combination has enabled the Company to contain costs and eliminate redundancies. Per-Se management expects to benefit from the synergy of combining HIT's leading information products in the high-growth healthcare information systems market with BSG's ability to provide enabling technology infrastructure and services. Per-Se is organized into Product Operations and Services Operations. Product Operations Per-Se provides application software and systems integration services to over 1,800 hospitals and 3,450 physicians. Per-Se offers the following product lines: (i) an integrated enterprise-wide patient-centered information system that coordinates quality integrated care at nearly 200 acute-care and extended-care facilities representing more than 30,000 beds, and for thousands of ambulatory clinics and home-care providers; (ii) an advanced radiology information management system for both single and multi-site hospitals and imaging center networks; and (iii) a suite of rules-based staff productivity, patient scheduling and resource management software installed at over 1,900 global locations. These products address both the business and the clinical management needs of Per-Se's healthcare provider customers and can function in either a stand-alone provider setting or across an entire healthcare delivery network. Per-Se also provides a variety of interfaces to ensure that its products are compatible with other software products used by healthcare 54 62 providers. Per-Se Product Operations' revenue is derived from software licenses, resale of hardware, installation and implementation services, and continuing customer support and software maintenance activities. Customer support and software maintenance fees generally renew annually to provide a recurring base of revenue. Per-Se Product Operations is comprised of Automation Atwork ("Atwork"), the provider of the rules-based staff productivity, patient scheduling and resource management software referred to above; Consort Technologies, Inc. ("Consort"), the provider of advanced radiology information management systems for single and multi-site hospitals and imaging center networks, and HDS which distributes patient-centered clinically-based information systems. Services Operations Through its Services Operation, Per-Se provides full-service systems integration, information technology consulting and tailored software development to more than 100 customers, primarily in service-oriented markets such as healthcare, energy, communications and financial services. Per-Se provides its expertise in information technology and business services to organizations seeking to create competitive advantages through the strategic use of advanced technologies. These technologies enable customers to streamline business processes and improve access to information within their organizations, as well as to create strategic advantages by extending business processes and information to customers, suppliers and other organizations through networked systems. Products Offered by Per-Se The Company's array of products and services offered through Per-Se includes the following: ATWORK. This company is a worldwide leader in rules-based staff productivity, patient scheduling and resource management software, currently with over 1,900 installations worldwide. Atwork's systems enable healthcare facilities to manage all resources and the flow of all patients throughout the healthcare delivery process. In 1996, Atwork served 77% of the nurse scheduling and 42.5% of the patient scheduling markets. The integration of Atwork's staff and patient management systems achieves an enterprise-wide balance between healthcare supply (staff and other resources) and demand (patient flow). One-Staff(R). One-Staff provides enterprise-wide staff scheduling and productivity management. One-Staff's expert, rules-based system manages positions and schedules for all facility staff, regardless of department, discipline or location. Comprehensive personnel information can be accessed and stored on a central database. Staff productivity and competency-based staff sharing are managed on an enterprise-wide basis. One-Call(R). One-Call provides enterprise-wide patient scheduling and resource management. One-Call's expert, rules-based, scheduling system coordinates enterprise-wide patient flow in conjunction with all human and physical resources, and all clinical, business and other necessities. With One-Call, all patients entering the delivery system are scheduled for every needed procedure, test or office visit, regardless of the location or discipline, with one telephone call. ANSOS(TM). ANSOS delivers complete nurse scheduling, productivity and management for single facilities and multi-facilities. With 77% market share, ANSOS is a leading nurse scheduling product. ORSOS(TM). ORSOS provides for single-facility and multi-facility surgical patient scheduling and resource management. ORSOS is an integrated surgical solution for all healthcare facilities, from stand-alone surgical centers to components of integrated delivery systems. It automatically schedules and manages all surgical procedures, staff, equipment, inventory and other resources across all surgical locations. 55 63 Credentialing Manager(TM). Credentialing Manager delivers enterprise-wide automated credentialing of physicians and allied health personnel. When combined with ORSOS or One-Staff, it creates an integrated credentialing and operating room resource management system. HDS. HDS develops and distributes ULTICARE(R), an integrated, enterprise-wide, patient-centered information system. ULTICARE enables hospitals, integrated delivery networks, managed-care organizations, multi-specialty medical groups and a myriad of other healthcare organizations to optimize provider productivity and patient care, creating and maintaining a computer-based patient record that enables users to coordinate outcome-oriented, protocol-based, wellness-focused, acute, ambulatory, long-term and home healthcare for patients, members and clients. ULTICARE is currently being used to orchestrate quality integrated care at nearly 200 acute and extended-care facilities, and for thousands of ambulatory clinics and home-care providers, representing more than 30,000 beds. CONSORT. This company is a leading provider of advanced radiology information management systems for both single and multi-site hospitals and imaging center networks. By integrating and tracking all radiology information associated with patient visits from pre-registration to follow-up letters, Consort's proven software and services help improve communication between departments and facilities, increase departmental efficiency and productivity, reduce errors and operating costs and enhance physician and patient satisfaction. Consort has 20 hospital-based and 15 clinic-based clients. ProgRIS(TM). This system is a next-generation Radiology Information System that can be configured to meet the specific operational requirements of both hospital and imaging center networks. Consort's solution incorporates industry standards and open architecture tools, such as the UNIX operating system, relational database management and graphical Windows user interface. This solution delivers flexibility in data access and management with a range of expansion options for both system hardware and software. An Integrated Mammography Information Reporting and Tracking Module is fully integrated with the base ProgRIS system. RESEARCH AND DEVELOPMENT The Company intends to maintain a leadership position by continuing to invest in developing industry-leading products and services. Most research and development investments will occur at Per-Se, which is the technology product and service development business unit of Medaphis. From a healthcare application perspective, the Company plans to introduce more than 30 new products or product enhancements in 1998. Additional product or service investments will be made in: (i) integrating Per-Se's product offerings into a unified suite; (ii) creating interfaces among Per-Se applications and those supplied by other vendors; and (iii) data warehousing, data mart, Internet/Intranet, customer asset management and call center applications that capitalize on the Services Operations' subject matter expertise in industries other than healthcare. The expertise gained through these initiatives will be leveraged to bring leading-edge, yet proven, solutions to the healthcare market, which has been slower to adopt new information technology solutions than have less risk-adverse services industries. Per-Se plans to spend approximately 15% of projected revenues in 1998 on research and development. EMPLOYEES The Company currently employs approximately 9,800 full-time and part-time employees. The Company's workforce is not unionized and management believes relations with its employees are satisfactory. PROPERTIES The Company's principal executive offices are leased and are located in Atlanta, Georgia. The lease expires in February 2000. 56 64 Healthcare Services Group Physician Services' principal office is leased and is located in Atlanta, Georgia. The lease expires in February 2000. In addition to its principal office, Physician Services, Corporation ("MPSC"). MPSC did not significantly contribute to Medaphis' overall results of operations duringthrough its various operating subsidiaries, operates approximately 174 business offices throughout the second half of 1995. During the first quarter of 1996, Medaphis' Services Division contributed positively to the operating results of Medaphis. However, MPSC adversely affected the results of operationsUnited States. Two of the Services Division for the quarter ended March 31, 1996. Management does not expect this trend to improve materially until further progress is made with, among other things, Medaphis' re-engineeringfacilities are owned and consolidation project and overall operationsunencumbered. All of the business. To date, Medaphis has been ableremaining facilities are leased with expiration dates ranging from April 1998 to offset margin pressureApril 2005. Hospital Services' principal office is leased and is located in MPSC's operationsNorcross, Georgia. The lease expires in May 2002. In addition to its principal office, Hospital Services, through growthits various operating subsidiaries, operates approximately 41 business offices throughout the United States. These facilities are leased with expiration dates ranging from April 1998 to September 2002. Per-Se Technologies Per-Se's principal office is leased and is located in Atlanta, Georgia. The lease expires in September 1999. In addition to its technology operations, but there can be no assurance that Medaphis will be able to continue such trendprincipal office, Per-Se, through its various operating subsidiaries, operates approximately 36 offices in the future. Pending Federal Investigation; Putative Class Action Lawsuits. The United States, Attorney's Office for the Central District of California is conducting an investigation (the "Federal Investigation") of Medaphis' billingAustralia, Canada and collection practices in its offices located in Calabasas and Cypress, California (the "Designated Offices"). Medaphis first became aware of the Federal Investigation when it received search warrants and grand jury subpoenas on June 13, 1995. Although the precise scope of the Federal Investigation is not known at this time, Medaphis believes that the U.S. Attorney's Office is investigating allegations of billing fraud and that the inquiry is focused upon Medaphis' billing and collection practices in the Designated Offices.Europe. These facilities are leased with expiration dates ranging from April 1998 to April 2004. LEGAL PROCEEDINGS Numerous federal and state civil and criminal laws govern medical billing and collection activities. In general, these laws provide for various fines, penalties, multiple damages, assessments and sanctions for violations, including possible exclusion from Medicare, Medicaid and certain other federal and state healthcare programs. AlthoughSee "Risk Factors -- Litigation and Government Investigations" and "Management's Discussion and Analysis of Financial Condition and Results of Operations -- Other Matters." The United States Attorney's Office for the Central District of California is conducting an investigation of the billing and collection practices in two offices of the Company's wholly owned subsidiary, MPSC, which offices are located in Calabasas and Cypress, California (the "Designated Offices") (the "California Investigation"). Medaphis first became aware of the California Investigation on June 13, 1995 when search warrants were executed on the Designated Offices represent lessand it and MPSC received grand jury subpoenas. Medaphis received an additional grand jury subpoena on August 22, 1997, with which it is complying. The subpoena requires, among other things, records of any audit or investigative reports relating to the billing of payors globally for radiological services during the period January 1, 1991 to date and any refunds owed to or issued to payors with respect to such global billing reports in the Company's various offices, including the Designated Offices. Investigations such as the California Investigation can be initiated following the commencement of qui tam litigation which is commenced under applicable state and federal statutes and is maintained under court seal without disclosure to the defendant. Under the applicable statutes, the United States and the State of California may elect to intervene fully or partially in qui tam litigation, and proceed with the action. The United States typically will provide a defendant with the opportunity to enter into settlement negotiations prior to the intervention on the United States in the matter. An application by the United States to partially lift the seal in qui tam litigation in order to make disclosure of the complaint available to the defendant often precedes such settlement discussions. On February 6, 1998, on application of the United States, the United States District Court for the Central District of California issued an order partially lifting the seal on the qui tam suit entitled United States of America and State of California, ex rel. Relator I and Relator II v. Compmed Corporation, Medaphis Corporation, Does 1 to 200, Inclusive. Civil Action No. 94-8158 LGB (kx). On February 11, 1998, the United States provided Medaphis with a copy of the Complaint, Substitution of Attorney, and Order which prohibited the Company from making any use of the Complaint, including any public disclosure, other than 2%for the purposes of Medaphis' annual revenue,settlement negotiations, without further order of the Court. On February 12, 1998, upon the joint application of Medaphis and the United States, the Court issued an order modifying its February 6, 1998 order 57 65 to allow Medaphis to make public disclosures concerning the Complaint and its contents to the extent that Medaphis determined such disclosures were required by applicable securities laws, provided that such disclosure did not reveal the Relators' identities. According to the Complaint, filed December 20, 1995 by the Relators and which contains allegations raised by them, the action is to recover civil penalties on behalf of the United States and the State of California arising out of alleged false claims presented by the defendants on behalf of their clients for payment under various state and federal insurance programs. No charges or claims by the government have been made. The Complaint includes causes of action under the federal False Claims Act, 31 U.S.C. sec 3729 et seq., and the California False Claims Act, Cal. Gov't Code sec. 12650 et seq. The Complaint also includes causes of action relating to Medaphis's termination of Relator II, including a count under the state and federal whistleblower protection statutes. The Complaint alleges overpayments of approximately $20,500,000 together with treble damages and additional penalties based on statutory civil penalties. The Complaint alleges that at least 50,000 separate false claims were filed under federal programs and at least 8,000 separate false claims were filed under state programs. The Complaint also alleges unspecified compensatory, general and punitive damages on behalf of Relator II on his or her employment claims. The allegations in the Complaint are limited to the office of CompMed (acquired by Medaphis) in Culver City, California. Medaphis believes that this Complaint relates to and concerns the California Investigation. Medaphis is engaged in discussions with the United States, and intends to pursue settlement discussions with the United States, the State of California, and the Relators. Although the Company continues to believe that the principal focus of the California Investigation remains on the billing and collection practices in the Designated Offices, there can be no assurance that the FederalCalifornia Investigation will not expand to other offices, that the California Investigation or the qui tam suit will be resolved promptly, that additional subpoenas or search warrants will not be received by Medaphis or MPSC or that the FederalCalifornia Investigation or the qui tam suit will not have a material adverse effect upon Medaphis. Medaphis reported a chargeon the Company. The Company recorded charges of $12 million in the third quarter of 1995, $2 million in the fourth quarter of 1996 and a credit of $2.8 million in the third quarter of 1997, solely for thelegal and administrative fees, costs and expenses it anticipates incurring in connection with the FederalCalifornia Investigation and the putative class 15 24 action lawsuits described below.below which were filed in 1995 following the Company's announcement of the California Investigation. The charge ischarges are intended to cover only the anticipated administrative expenses of the FederalCalifornia Investigation and the related lawsuits and doesdo not include any provision for fines, penalties, damages, assessments, judgments or sanctions that may arise out of such matters. MPSC has become aware of apparently inadvertent computer software errors affecting some of its electronic billing to carriers in the State of California. The error relates to global billing (i.e., billing for the professional and technical components of a service) for certain radiological services under circumstances where the radiologist is only entitled to bill for the professional component of such services. The Company believes such inadvertent errors may have caused overpayments on certain claims submitted on behalf of clients in the State of California. The full extent of overpayments by carriers and beneficiaries has not been determined, but as notifications to the affected clients and carriers occur, and refunds or offsets are sought, the Company may be required to return to clients its portion of fees previously collected, and may receive claims for alleged damages as a result of the error. Following the announcement of the Federal Investigation,investigation by the United States Attorney's Office for the Central District of California, Medaphis, and various of its current and former officers and directors and the lead underwriters associated with Medaphis' public offering of Common Stock in April 1995, were named as defendants in putative stockholdershareholder class action lawsuits filed in federal district courtthe United States District Court for the Northern District of Georgia. In general, these lawsuits allegealleged violations of the federal securities laws in connection with Medaphis' public statements and filings under the federal securities acts, including the registration statement filed in connection with Medaphis' public offering of Common Stock in April 1995. On October 13, 1995, the named plaintiffs in these lawsuits filed a consolidated class action complaint (the "Consolidated Complaint"). On January 3, 1996, the court denied defendants' motion to dismiss the Consolidated Complaint, which argued that the Consolidated Complaint failed to state a claim upon which relief may be granted. On April 11, 1996, certain of the named plaintiffs to the Consolidated Complaint 58 66 voluntarily dismissed with prejudice all of their claims. As a result of these dismissals, the Consolidated Complaint no longer containscontained any claims based on the Securities Act and Medaphis'the Company's underwriters and outside directors arewere no longer named as defendants. On June 26, 1996, the court denied plaintiffs' motion to certify plaintiffs' class. The plaintiffs and the defendants agreed to settle this action on a class-wide basis for $4.75 million, subject to court approval (the "1995 Class Action Settlement"). The 1995 Class Action Settlement included the related putative class action lawsuit filed in the Superior Court of Cobb County, Georgia, described more fully below. On October 28, 1997 the court certified a class for settlement purposes, approved the settlement and entered final judgment dismissing the action with prejudice. One of Medaphis' directors' and officers' liability insurance carriers has paid $3.7 million of the 1995 Class Action Settlement. The Company accrued approximately $1.2 million in the quarter ended December 31, 1996 for the anticipated balance of the 1995 Class Action Settlement and to pay certain fees incident thereto. On November 6, 1997, the Company paid the remaining $1.05 million balance of the settlement. On November 5, 1996, Medaphis, Randolph G. Brown, a former officer and director, and Michael R. Cote and James S. Douglass, former officers, were named as defendants in a putative shareholder class action lawsuit filed in Superior Court of Cobb County, State of Georgia. This lawsuit was brought on behalf of a putative class of purchasers of Medaphis Common Stock during the period from March 29, 1995 through June 15, 1995. Plaintiffs sought compensatory damages and costs. Pursuant to the 1995 Class Action Settlement, the claims in this state action were settled and were dismissed without prejudice. The Company learned in March 1997 that the government is investigating allegations concerning the Company's wholly owned subsidiary, Gottlieb's Financial Services, Inc. ("GFS") (the "GFS Investigation"). In 1993, Medaphis acquired GFS, an emergency room physician billing company located in Jacksonville, Florida, which had developed a computerized coding system. In 1994, Medaphis acquired and merged into GFS another emergency room physician billing company, Physician Billing, Inc., located in Grand Rapids, Michigan. For the year ended December 31, 1996, GFS represented approximately 7% of Medaphis' revenue. During that year, GFS processed approximately 5.6 million claims, approximately 2 million of which were made to government programs. The government has requested that GFS voluntarily produce records, and GFS is complying with that request. Although the precise scope and subject matter of the GFS Investigation are not known to the Company, Medaphis believes that the GFS Investigation, which is being participated in by federal law enforcement agencies having both civil and criminal authority, involves GFS's billing procedures and the computerized coding system used in Jacksonville and Grand Rapids to process claims and may lead to claims of errors in billing. There can be no assurance that the GFS Investigation will be resolved promptly or that the GFS Investigation will not have a material adverse effect upon Medaphis. No charges or claims by the government have been made. Currently, the Company has recorded charges of $2 million and $1 million in the second and third quarters of 1997, respectively, solely for legal and administrative fees, costs and expenses in connection with the GFS Investigation, which charges do not include any provision for fines, penalties, damages, assessments, judgments or sanctions that may arise out of this matter. The Company and its clients from time to time have received, and the Company anticipates that they will receive in the future, official inquiries (including subpoenas, search warrants, as well as informal requests) concerning particular billing and collection practices related to certain subsidiaries of the Company and its many clients. Following the Company's August 14, 1996 announcement regarding earnings expectations and certain charges, Medaphis and certain of its then current and former officers, one of whom was also a director, were named as defendants in nineteen putative shareholder class action lawsuits filed in the United States District Court for the Northern District of Georgia. On November 22, 1996, the plaintiffs in these lawsuits filed a Consolidated Amended Class Action Complaint. On February 3, 1997, the plaintiffs filed a Consolidated Second Amended Complaint (the "Consolidated Second Amended Complaint"). In general, the Consolidated Second Amended Complaint alleges violations of the federal securities laws in connection with Medaphis' filings under the federal securities acts and public disclosures. The Consolidated Second Amended Complaint is brought on behalf of a class of persons who purchased or otherwise acquired Medaphis Common Stock between February 6, 1996 and October 21, 1996. The Consolidated Second Amended Complaint also asserts claims on behalf of a sub-class of all persons who acquired Medaphis Common Stock pursuant to the 59 67 merger between Medaphis and HDS. The Consolidated Second Amended Complaint seeks compensatory and rescissory damages, as well as fees, interest and other costs. On February 14, 1997, the defendants moved to dismiss the Consolidated Second Amended Complaint in its entirety. On May 27, 1997, the court denied defendants' motion to dismiss. As a result of the Company's restatement of its fiscal 1995 financial statements, the Company may not be able to sustain a defense to strict liability on certain claims under the Securities Act, but the Company believes that it has substantial defenses to the alleged damages relating to such Securities Act claims. See "Risk Factors -- Restatement of Financial Statements; Accounting Issues" and "Management's Discussion and Analysis of Financial Condition and Results of Operations -- Other Matters." The parties entered into a Stipulation and Agreement of Settlement dated December 15, 1997 (the "Stipulation") to settle the 1996 putative shareholder class action litigation which is the subject of the Consolidated Second Amended Complaint on a class-wide basis for $20 million in cash (to be paid by the Company's directors' and officers' liability insurance carriers), 3,955,556 shares of Medaphis Common Stock, and warrants to purchase 5,309,523 shares of Medaphis Common Stock at $12 per share for a five-year period which were valued at $22.3 million using an option pricing model. The Stipulation also includes, among other things: (i) a complete release of claims against the Company, the individual defendants and certain related persons and entities; and (ii) certain anti-dilution rights in favor of plaintiffs with respect to certain future issuances of shares of Medaphis Common Stock or warrants or rights to acquire Medaphis Common Stock to settle existing civil litigation and claims pending or asserted against the Company, subject to a 5.0 million share basket below which there will be no dilution adjustments. The Stipulation also contains other conditions including, but not limited to, consent and approval of the Company's insurance carriers and the insurance carriers' payment of the cash portion of the settlement, and the final approval of the settlement by the court. On December 15, 1997, the court granted preliminary approval to the settlement and conditionally certified the classes for settlement purposes only. The Company recorded a $52.5 million charge in the quarter ended September 30, 1997 for this settlement. Such amount has been reflected as a non-current liability as the Company does not anticipate satisfying the obligation with current assets. On November 1, 1996, Thomas W. Brown, Administrator, Thomas W. Brown Profit Sharing Plan filed a shareholder derivative lawsuit in the United States District Court for the Northern District of Georgia alleging that certain of Medaphis' current and former directors breached their fiduciary duties, were grossly negligent, and breached various contractual obligations to Medaphis by allegedly failing to implement and maintain an adequate system of internal accounting controls, allowing Medaphis to commit securities law violations and damaging Medaphis' reputation. The plaintiff seeks compensatory damages and costs on behalf of the Company. On January 28, 1997, Medaphis and certain individual defendants filed a motion to dismiss the complaint. On February 11, 1997, the plaintiff filed an amended complaint adding as defendants, additional current and former directors and officers of Medaphis. On April 23, 1997, Medaphis and all other defendants filed a motion to dismiss the amended complaint. On November 7, 1996, Health Systems International, Inc. filed suit in the Superior Court for the State of California, County of Los Angeles against Medaphis, Randolph G. Brown and "Does 1-50," who are alleged to be unnamed Medaphis directors, officers and employees. Generally, this lawsuit alleges that the defendants violated federal and California securities laws and common law by, among other things, making material misstatements and omissions in public and private disclosures in connection with the acquisition of HDS. Plaintiff seeks rescissory, compensatory and punitive damages, rescission, injunctive relief and costs. On January 10, 1997, the defendants filed a demurrer to the complaint. On February 5, 1997 the Court overruled defendants' demurrer. On March 18, 1997, the court denied the plaintiff's motion for a preliminary injunction. On July 16, 1997, plaintiff filed an amended complaint adding several new parties, including current and former directors and former and current officers of Medaphis. All of the newly added defendants have responded to the amended complaint. As a result of the Company's restatement of its fiscal 1995 financial statements, the Company may not be able to sustain a defense to strict liability on certain claims under the Securities Act, but the Company believes that it has substantial defenses to the alleged damages relating to such Securities Act claims. A putative class action complaint was filed by Ernest Hecht and Stephen D. Strandberger against Steven G. Papermaster, Robert E. Pickering, Jr., David S. Lundeen, Norman Smith, Raymond J. Noorda, Gregory 60 68 A. Grosh, Medaphis and Randolph G. Brown on November 12, 1996 in the Superior Court, Law Division, Essex County, State of New Jersey. The alleged class consists of persons and entities whose options to purchase BSG Corporation ("BSG") common stock were converted to Medaphis stock options in connection with Medaphis' acquisition of BSG. The plaintiffs allege failure to perform diligence, breaches of fiduciary duties of candor, loyalty and fair dealing and negligence against the BSG defendants (Papermaster, Pickering, Lundeen, Smith, Noorda and Grosh) and fraud and deceit against the Medaphis defendants (Medaphis and Brown). Plaintiffs seek compensatory and punitive damages, as well as fees, interest and other costs. On April 18, 1997, the Medaphis defendants and BSG defendants filed motions to dismiss the complaint. On or about July 3, 1997, in lieu of responding to these motions, the plaintiffs filed an amended complaint, adding new claims under the Securities Act and common law and new parties, including former officers of Medaphis, Medaphis' former outside auditors and BSG. On or about October 29, 1997 all defendants filed motions to dismiss the amended complaint. On February 28, 1997, Steven G. Papermaster, Raymond J. Noorda and two entities they control made a demand for indemnification under an indemnification agreement executed by Medaphis in connection with its acquisition of BSG in May 1996. The indemnification demand claims damages of $35 million (the maximum damages payable by Medaphis under the indemnification agreement) for the alleged breach by Medaphis of its representations and warranties made in the merger agreement between Medaphis and BSG. On December 31, 1996, Medaphis entered into a standstill and tolling agreement with Mr. Noorda, Mr. Papermaster and other former BSG shareholders, which, as extended, runs through June 30, 1998. On April 21, 1997, James F. Thacker, Alyson T. Stinson, Carol T. Shumaker, Lori T. Caudill, William J. Dezonia, the James F. Thacker Retained Annuity Trust and the Paulanne H. Thacker Retained Annuity Trust filed a complaint against the Company and Randolph G. Brown in the United States District Court for the Southern District of New York arising out of Medaphis' acquisition of MMS in December of 1995. The complaint is brought on behalf of all former shareholders of MMS who exchanged their MMS holdings for unregistered shares of Medaphis Common Stock. In general, the complaint alleges both common law fraud and violations of the federal securities laws in connection with the merger. In addition, the complaint alleges breaches of contract relating to the merger agreement and a registration rights agreement, as well as tortious interference with economic advantage. The plaintiffs seek rescission of the merger agreement and the return of all MMS shares, as well as damages in excess of $100 million. Additionally, plaintiffs seek to void various non-compete covenants and contract provisions between Medaphis and plaintiffs. Defendants have filed a motion to dismiss the complaint. Discovery has been stayed pending resolution of the motion to dismiss. On August 12, 1997, George D. Stickel filed a putative class action complaint against Medaphis, Randolph W. Brown, Michael R. Cote and James S. Douglass in the United States District Court for the Northern District of Georgia. The complaint asserts claims under the Exchange Act on behalf of all persons who purchased or otherwise acquired Medaphis Common Stock between February 6, 1996 and October 21, 1996. The complaint also asserts claims under the Securities Act on behalf of a subclass consisting of all persons and entities who, in connection with the merger of the Company and HDS, acquired options to purchase shares of Medaphis Common Stock between February 6, 1996 and October 21, 1996. The complaint seeks rescission, rescissory and compensatory damages, and interest, fees and other costs. Defendants have not yet responded to the complaint. The Company also has received other written demands from various stockholders, including stockholders of recently acquired companies. To date, these other stockholders have not filed lawsuits. On January 8, 1997, the Commission notified the Company that it was conducting a formal, non-public investigation into, among other things, certain trading and other issues related to Medaphis' August 14, 1996 and October 22, 1996 announcements of the Company's loss for the quarter ending September 30, 1996 and its restated consolidated financial statements for the three months and year ending December 31, 1995 and its restated unaudited balance sheets as of March 31, 1996, and June 30, 1996. In addition, the Company believes 61 69 that the Commission is investigating the Company's restatement of its interim financial statements for each quarter of 1996. The Company intends to cooperate fully with the Commission in its investigation. Although the Company believes that it has meritorious defenses to thisthe claims of liability or for damages in the actions against and written demands placed upon the Company, there can be no assurance that additional lawsuits will not be filed against the Company. Further, there can be no assurance that the lawsuits, the written demands and the pending governmental investigations will not have a disruptive effect upon the operations of the business, that the written demands, the defense of the lawsuits and the pending investigations will not consume the time and attention of the senior management of the Company, or that the resolution of the lawsuits, the written demands and the pending governmental investigations will not have a material adverse effect upon the Company. THE REIMBURSEMENT PROCESS Healthcare providers receive payment for medical services from their patients, third-party payors, or a combination of both. Third-party payors include insurance companies, governments or their intermediaries, health maintenance organizations, preferred provider organizations, third-party administrators for self-insured companies and other "managed care" companies. Although patients generally retain primary responsibility for payment for all medical services, hospitals and hospital-affiliated physicians usually agree to process claims with third-party payors. Most hospital-affiliated physicians and certain hospitals bill the third-party payor before requesting payment from the patient for any deductible, co-payment or other amount due on account of uncovered services (collectively the "Patient Obligations"). Most hospitals and certain hospital-affiliated physicians bill the patient in full or for the estimated Patient Obligations at the same time they bill the third-party payer. Obtaining reimbursement from third-party payors is becoming increasingly difficult because of changes in reimbursement formula, pre-admission certification and utilization review and administrative procedures generated by third-party payors in an effort to control costs. In addition, healthcare providers are increasingly unable to collect charges or deposits of estimated net balances directly from their patients at the time medical services are rendered. Consequently, healthcare providers often assume the responsibility for obtaining reimbursement from third-party payors. To be successful in obtaining reimbursement from third-party payors, healthcare providers need regulatory and technical skills to manage complex billing and collection requirements. Even then, accounts receivable management efforts, if successful, generally result in the loss of a portion of established charges to patient bad debts, the incurrence of collection costs and the deferral of cash receipts. Accounts receivable management performance varies widely depending on patient demographics and the type of service provided. Many third-party payors administer reimbursement claims through locally established operating divisions or through local independent contractors. In many cases, locally established third-party processing centers establish independent methods and procedures for handling reimbursement claims. The Medicare program is administered by the Health Care Financing Administration ("HCFA"), a division of the U.S. Department of Health and Human Services. HCFA has established guidelines pursuant to which claims for physician services are reimbursed in accordance with a resource-based relative value guide, the values in which vary by geographic location. HCFA currently contracts with numerous insurance carriers to process regional reimbursement claims. Although HCFA has established the regulatory framework for Medicare claims administration, Medicare intermediaries have authority to independently develop procedures for administering the claims reimbursement process. The Medicaid program is subject to federal regulation but is administered by state governments. State governments provide for Medicaid claims reimbursement either through the establishment of state-owned and operated processing centers or through contractual arrangements with third-party administrators. The requirements and procedures for reimbursement implemented by local Medicaid program administrators differ from state to state. 62 70 Similar to the claims administration process of Medicare and Medicaid, several national health insurance companies administer reimbursement claims through local or regional offices. Consequently, because guidelines for reimbursement of claims are generally established by third-party payors at local or regional levels, reimbursement managers for healthcare providers must become familiar with the local methods and procedures of third-party payors. When physicians and hospitals provide services to patients covered by certain government programs and when healthcare providers enter into participation arrangements with Medicare or certain commercial insurers such as Blue Cross/Blue Shield and most health maintenance organizations, such healthcare providers are required to accept reimbursement amounts which may be less than the healthcare providers' established charges. In such cases, healthcare providers calculate and write off the difference between their established charges and the charges allowed. In cases in which healthcare providers enter into participation arrangements, such write-offs, referred to as contractual allowances, may not be charged to patients. Nearly all health insurance contracts, self-insured employers, health maintenance organizations, preferred provider organizations and Medicare require patients to pay a portion of medical fees in the form of deductibles and co-payments for services received. Hospital-affiliated physicians generally are unable to determine the amount of patients' deductibles and co-payments at the time services are rendered. Consequently, such physicians do not collect such amounts until an explanation of insurance benefits has been provided by a third-party payor when the third-party payor remits cash to the physician in response to a claim, often 60 days or more after the time healthcare services are rendered. Hospitals generally will require a patient to make an advance payment or deposit at the time healthcare services are rendered in situations where the amount of the patient's deductible or co-pay is considered significant. Third-party payors reimburse their insurance program beneficiaries, or their assignees, only for services covered under the terms of the policy. Typically, but not always, medical services provided for illness and injuries are covered, whereas routine checkups, physicals, certain injections and other types of preventive medical services are not. When patients and healthcare providers are uncertain whether a payor's coverage limitations are applicable to a particular medical treatment or service, they must either contact the payor's client service representative or submit a claim and wait for a determination of whether the claim will be paid or denied. Third-party payors also make reimbursement contingent on the coordination of covered services with the benefits available pursuant to any other insurance policy covering the same beneficiary. A substantial number of patients are covered by multiple insurance policies. Common examples of such patients include families with two wage earners as well as Medicare beneficiaries who have insurance policies which provide reimbursement for certain amounts not funded by Medicare, usually deductible and co-payments amounts. Whether an insurance policy's coverage is primary or secondary in payment priority to another policy is often difficult to determine. Furthermore, regular health insurance coverage often has subrogation rights with respect to worker's compensation and automobile insurance coverage for injuries suffered in the workplace or in an automobile accident and require special handling. Claims submitted to third-party payors for reimbursement may be denied or returned for many reasons, including ineligible beneficiary status as a result of employment changes or other reasons, noncovered services, secondary payer liability, the failure to submit required information and the submission of incorrect billing information. The great quantity of informational variables relating to the administration of claims, including numerous possible diagnoses, treatment procedures and responsible third-party payors, result in multiple errors which make time-consuming corrections a costly component of the reimbursement process. Additionally, commercial payors and the governmental reimbursement programs engage in various types of utilization review of claims filed for reimbursement. The purpose of utilization review programs is to verify that medical services provided to patients are medically necessary and are eligible for coverage. The utilization review process further complicates and results in delays in the reimbursement process. 63 71 GOVERNMENT REGULATION Under Medicare law, physicians and hospitals are only permitted to assign Medicare claims to a billing and collection service in certain limited circumstances. The Medicare statutes that restrict the assignment of Medicare claims are supplemented by Medicare regulations and provisions in the Manual. The Medicare regulations and the Manual provide that a billing service that prepares and sends bills for the provider or physician and does not receive and negotiate the checks made payable to the provider or physician does not violate the restrictions on assignment of Medicare claims. Management believes that its practices do not violate the restrictions on assignment of Medicare claims because, among other things, it bills only in the name of the medical provider, checks and payments for Medicare services are made payable to the medical provider and the Company lacks any power, authority or ability to negotiate checks made payable to the medical provider. Medaphis, medical billing and collection activities are also governed by numerous federal and state civil and criminal laws. In general, these laws provide for various fines, penalties, multiple damages, assessments and sanctions for violations, including possible exclusion from Medicare, Medicaid and certain other federal and state healthcare programs. See "-- Legal Proceedings." Submission of claims for services or procedures that are not provided as claimed may lead to civil monetary penalties, criminal fines, imprisonment and/or exclusion from participation in Medicare, Medicaid and other federally funded healthcare programs. Specifically, the Federal False Claims Act allows a private person to bring suit alleging false or fraudulent Medicare or Medicaid claims or other violations of the statute and for such person to share in any amounts paid to the government in damages and civil penalties. Successful plaintiffs can receive up to 25-30% of the total recovery from the defendant. Such qui tam actions or "whistle-blower" lawsuits have increased significantly in recent years and have increased the risk that a company engaged in the healthcare industry, such as Medaphis and many of its clients, may become the subject of a federal or state investigation or may ultimately be required to defend a false claims action, may be subjected to government investigation and intendspossible criminal fines, may be sued by private payors and may be excluded from Medicare, Medicaid and/or other federally funded healthcare programs as a result of such an action. The government on its own may also institute a Civil False Claims Act case, either in conjunction with a criminal prosecution or as a stand alone civil case. Whether instituted by a qui tam plaintiff or by the government, the government can recover triple its damages together with civil penalties of $5,000-$10,000 per false claim. Under applicable case law, a party successfully sued under the Federal False Claims Act may be jointly and severally liable for damages and penalties. Some state laws also provide for false claims actions, including actions initiated by a qui tam plaintiff. The Company recently became aware that it was a defendant in a qui tam litigation. There can be no assurance that Medaphis will not be the subject of additional false claims or qui tam proceedings relating to assert them vigorously. Governmental Budgetary Constraintsits billing and collection activities or that Medaphis will not be the subject of further government scrutiny or investigations relating to its billing and accounts receivable management services operations. See "-- Legal Proceedings" and "Risk Factors -- Existing Government Regulation." Any such proceeding or investigation could have a material adverse effect upon the Company. Credit collection practices and activities are regulated by both federal and state law. The Federal Fair Debt Act sets forth various provisions designed to eliminate abusive, deceptive and unfair debt collection practices by debt collectors. The Federal Fair Debt Act also provides for, among other things, a civil right of action against any debt collector who fails to comply with the provisions thereof. Various states have also promulgated laws and regulations that govern credit collection practices. In general, these laws and regulations prohibit certain fraudulent and oppressive credit collection practices and also may impose license or registration requirements upon collection agencies. In addition, state credit collection laws and regulations generally provide for criminal fines, civil penalties and injunctions for failure to comply with such laws and regulations. Although most of the Company's billing and accounts receivable management services the Company provides to its clients are not considered debt collection services, the Company may be subjected to regulation as a "debt collector" under the Federal Fair Debt Act and as a "collection agency" under certain state collection agency laws and regulations. Management believes that the Company operates in accordance with the Federal Fair Debt Act and complies in all material respects with the applicable collection agency laws and regulations governing collection practices in the states in which it conducts its business or is exempt from such laws and regulations. 64 72 The ownership and operation of hospitals is subject to comprehensive regulation by federal and state governments which may adversely affect hospital reimbursement. Hospitals are paid a predetermined amount for operating expenses relating to each Medicare patient admission based on the patient's diagnosis. Additional changes in the reimbursement provisions of the Medicare and Medicaid programs may continue to reduce the rate of increase of federal expenditures for hospital inpatient costs and charges. Such changes could have an adverse effect on the operations of hospitals in general, and consequently reduce the amount of the Company's revenue related to its hospital clients. GOVERNMENTAL BUDGETARY CONSTRAINTS AND HEALTHCARE REFORM The federal government in recent years has placed increased scrutiny on the billing and collection practices of healthcare providers and related entities. This scrutiny has been directed at, among other things, fraudulent billing practices. The Department of Health and Human Services in recent years has increased the resources of its Office of the Inspector General ("OIG") specifically to pursue both false claims and fraud and abuse violations under the Medicare program. This heightened examination has resulted in a number of high profile investigations, lawsuits and settlements. See "Risk Factors -- Government Investigatory Resources and Healthcare Reform." In 1996, Congress enacted the 1995 sessionHealth Insurance Portability and Accounting Act of 1996, Pub. L. No. 104-191, 1996 U.S.C.C.A.N. (110 Stat. 1936) (codified in scattered titles of the United States Congress,Code, including 18, 26, 29 and 42 U.S.C.) (the "Health Insurance Act"), which includes an expansion of certain fraud and abuse provisions, such as expanding the application of Medicare and Medicaid fraud penalties to other federal healthcare programs, and creating additional criminal offenses relating to healthcare benefit programs, which are defined to include both public and private payor programs. The Health Insurance Act also provides for forfeitures and asset freezing orders in connection with such healthcare offenses. Civil monetary penalties and program exclusion authority available to the OIG also have been expanded. The Health Insurance Act contains provisions for instituting greater coordination of federal, state and local enforcement agency resources and actions through the OIG. There also have been several recent healthcare reform proposals which have included an expansion of the anti-kickback laws to include referrals of any patients regardless of payor source. In recent years, the focus of healthcare legislation washas been on budgetary and related funding mechanism issues. A number of reports, including the 1995 Annual Report of the Board of Trustees of the Federal Hospital Insurance Program, (Medicare) have projected that the Medicare "trust fund"trust fund is likely to become insolvent by the year 2002 if the current growth rate of approximately 10% per annum in Medicare expenditures continues. Similarly, federal and state expenditures under the Medicaid program are projected to increase significantly during the same seven-year period. In response to these projected expenditure increases, and as part of an effort to balance the federal budget, both the Congress and the Clinton Administration have made proposals to reduce the rate of increase in projected Medicare and Medicaid expenditures and to change funding mechanisms and other aspects of both programs. In late 1995, Congress has passed legislation that would substantially reduce projected expenditure increases substantially and would make significant changes in the Medicare and the Medicaid programs. The Clinton Administration has proposed alternate measures to reduce, to a lesser extent, projected increasesBalanced Budget Act of 1997 instituted substantial reductions in Medicare and Medicaidprogram expenditures. AsMedaphis anticipates that future legislation may change aspects of the datepresent methods of this Proxy Statement/Prospectus, neither proposal has become law. The Medicare legislation that has been adopted by Congress would reduce projected expenditure increases by a variety of means, including limitations on payments to providers, increased beneficiary premiums for physicianpaying physicians under such programs and certain other services, and limitedprovide incentives for Medicare and Medicaid beneficiaries to enroll in health maintenance organizations and other managed care plans or to accept Medicare coverage with a substantially increased deductible, with the savings being available to the beneficiaries to pay non-covered expenses. Medaphis cannot predict the effect on it if such Medicare legislation is adopted into law. The proposed changes in physician payments alter the formula for determining aggregate Medicare funds available for physician payments and are designed to ensure that such payments do not decline in the 1996-2002 federal fiscal years, but Medaphis cannot determine whether the physician payment changes would in future years have an adverse effect on its revenues or earnings. If the incentives for Medicare beneficiaries to enroll in health maintenance organizations and other managed care plans result in an increase in physician payments made by health maintenance organizations and other managed care plans, fees paid to Medaphis by physicians for billing and collection services provided by Medaphis could be adversely affected. Changes in the Medicaid program would reduce the number and extent of federal mandates concerning how state Medicaid programs operate (including levels of benefits provided and levels of payments to providers) and would change the funding mechanism from a sharing formula between the federal government and a state to "block grant" funding.plans. Medaphis cannot predict the effect of any such legislation, if adopted, on its operations. Although Congress, in 1995, did not consider healthcare reform proposals, Medaphis anticipates that numerous healthcare reform proposals will continue to be introduced in future sessions of Congress. Medaphis cannot predict whether any such proposal will be adopted or the effect on Medaphis of any proposal that does become law. 16 25 A number of states in which Medaphis has operations either have adopted or are considering the adoption of healthcare reform proposals at the state level. These state reform laws have, in many cases, not been fully implemented. Medaphis cannot predict the effect of proposed state healthcare reform laws on its operations. Additionally, certain reforms are occurring in the healthcare market which may continue regardless of whether comprehensive federal or state healthcare reform legislation is adopted and implemented. These marketmedical reforms include certain employer initiatives such as creating purchasing cooperatives and contracting for healthcare services for employees through managed care companies (including health maintenance organizations), and certain provider initiatives such as risk-sharing among healthcare providers and managed care companies through capitated contracts and integration among 65 73 hospitals and physicians into comprehensive delivery systems. Consolidation of management and billing services by integrated delivery systems may result in a decrease in demand for Medaphis' billing and collection services for particular physician practices, but this decrease may be offset by an increase in demand for Medaphis' consulting and comprehensive business management services (including billing and collection services) for the new provider systems. Existing Government Regulation. Existing governmental regulation can adversely affect Medaphis' business66 74 MANAGEMENT DIRECTORS AND OFFICERS The directors and executive officers of the Company are as follows:
NAME AGE POSITION - ---- --- -------- David E. McDowell.................................. 55 Chairman and Chief Executive Officer and Director C. James Schaper................................... 46 Executive Vice President and Chief Operating Officer Allen W. Ritchie................................... 40 Executive Vice President and Chief Financial Officer Randolph L. M. Hutto............................... 49 Executive Vice President and General Counsel Harvey Herscovitch................................. 60 Senior Vice President -- Strategy and Organization Robert C. Bellas, Jr. ............................. 55 Director David R. Holbrooke, M.D. .......................... 57 Director John C. Pope....................................... 48 Director Dennis A. Pryor.................................... 55 Director C. Christopher Trower.............................. 49 Director
DAVID E. MCDOWELL joined Medaphis in October 1996 as Chairman and Chief Executive Officer. Mr. McDowell was appointed to the Medaphis Board of Directors in May 1996. From 1992 to 1996, Mr. McDowell was President and Chief Operating Officer and a director of McKesson Corporation. McKesson Corporation is the world's largest distributor of pharmaceutical and healthcare products through among other things, its potential to reduce the amount of reimbursement received by Medaphis' clients for healthcare services. A significant portion of Medaphis' revenue is derived from management fees which are based upon a percentage of net collections of healthcare receivables. During the past decade, federal and state governments have implemented legislation designed to stimulate a reductionMcKesson Drug Company in the increaseUnited States and Medis Health and Pharmaceutical Services, Inc. in Canada. Prior to 1992, Mr. McDowell served for over 25 years as a senior executive at IBM, including as a Vice President and President of the National Services Division. C. JAMES SCHAPER joined Medaphis in March 1997 as President of Medaphis Healthcare Information Technology Company and Executive Vice President of Medaphis. In January, 1998, he was appointed Chief Operating Officer of Medaphis. From 1994 to 1997, Mr. Schaper held numerous positions with Dun & Bradstreet Software, including President, Chief Executive Officer, Chief Operating Officer, Executive Vice President, and Senior Vice President, Field Operations and Marketing. From 1989 to 1994, Mr. Schaper held several positions with Banyan Systems, Inc., including Senior Vice President, Worldwide Sales and Marketing, Vice President, North America Field Operations and Regional Vice President. ALLEN W. RITCHIE joined Medaphis in January 1998 as Executive Vice President and Chief Financial Officer. From October 1997 to January 1998, Mr. Ritchie served as President and Chief Executive Officer of Royal Precision, Inc. From July 1996 until January 1997 he served as President, Finance and Administration of AGCO Corporation and President from January 1996 to July 1996. From September 1991 until July 1994, he was AGCO's Chief Financial Officer, and after July 1994 also served as Executive Vice President. RANDOLPH L. M. HUTTO joined Medaphis in August 1997 as Executive Vice President and General Counsel. From 1992 to 1996, Mr. Hutto was employed by First Data Corporation (formerly known as First Financial Management Corporation) where he served in a variety of executive positions, including Senior Executive Vice President -- General Counsel and, most recently, Senior Vice President -- Planning and Development. Prior to that, Mr. Hutto was a partner in the law firm of Sutherland, Asbill & Brennan. HARVEY HERSCOVITCH joined Medaphis in February 1997 and serves as Senior Vice President -- Strategy & Organization. From 1993 to December 1996, Mr. Herscovitch served as an independent consultant in the pharmaceutical benefits management and wholesale pharmaceutical distribution industries. Prior to 1993, Mr. Herscovitch was employed by IBM Corporation in a variety of executive positions dealing with the services side of the business. 67 75 ROBERT C. BELLAS, JR. became a director of the Company in 1987. He has been a general partner of Morgenthaler Ventures, a private equity investment firm based in Cleveland, Ohio, since 1984, where he is responsible for the firm's investments in healthcare costsservices, medical devices and itbiomedical ventures. Mr. Bellas is anticipated that such legislative initiatives will continue. Medaphis also is subject to applicable federal and state billing and credit collection agency laws and regulations. There can be no assurance that current or future government regulations or healthcare reform measures will not have a material adverse effect upon Medaphis' business. Competition; Industry and Market Changes. The management services business to physicians and hospitals is highly competitive. Medaphis competes with certain national and regional physician and hospital reimbursement organizations and collection businesses, certain national information and data processing organizations and certain physician groups and hospitals which provide their own business management services. Potential industry and market changes that could adversely affect the billing and collection aspectsmember of Medaphis' business include (i) a significant increase in managed care providers relative to conventional fee-for-service providers, potentially resulting in substantial changes in the medical reimbursement process, and (ii) new alliances between healthcare providers and third-party payors in which healthcare providers are employed by such third-party payors. Evolving Industry Standards; Rapid Technological Changes. The markets for Medaphis' software products are characterized by rapidly changing technology, evolving industry standards and frequent new products and product enhancements. Medaphis' success in its business will depend upon its continued ability to enhance its existing products, to introduce new products on a timely and cost effective basis to meet evolving customer requirements, to achieve market acceptance for new product offerings and to respond to emerging industry standards and other technological changes. There can be no assurance that Medaphis will be able to respond effectively to technological changes or new industry standards. Moreover, there can be no assurance that competitors of Medaphis will not develop competitive products, or that any such competitive products will not have an adverse effect upon Medaphis' operating results. Systems Integration Projects. Medaphis' systems integration operations typically have large projects which involve re-engineering various client operations through the use of imaging, client/server and other advanced technologies. Medaphis' systems integration contracts typically include significant initial license fees. Failure to meet expectations with respect to a major project could damage Medaphis' reputation as a systems integrator, affect its ability to attract new systems integration business, result in the payment of liquidated or other damages to the client and jeopardize Medaphis' ability to collect for systems integration services already performed on the project. Moreover, given the size and complexity of the large-scale systems integration contracts entered into by Medaphis and the license fees associated therewith, the results of operations for Medaphis' Technology Systems Division could be subject to significant quarterly fluctuations based upon the timing of receipt of large-scale re-engineering contracts. However, management of Medaphis anticipates that the episodic nature of its existing systems integrations operations should be partially offset over 17 26 time by the results of operations of BSG and Rapid Systems, which historically have had a larger number of smaller systems integration projects that have not included initial license fees. Possible Volatility of Stock Price. Medaphis believes factors such as announcements with respect to healthcare reform measures, the Federal Investigation, acquisitions and quarter-to-quarter and year-to-year variations in financial results could cause the market price of Medaphis Common Stock to fluctuate substantially. Any adverse announcement with respect to healthcare reform measures, the Federal Investigation, acquisitions or any shortfall in revenue or earnings from levels expected by securities analysts could have an immediate and significant adverse effect on the trading price of Medaphis Common Stock in any given period. As a result, the market for Medaphis Common Stock may experience material adverse price and volume fluctuations. Dependence on Senior Management. Medaphis' success depends upon the continued contributions of its senior management. Medaphis enters into confidentiality and non-solicitation agreements with its executive officers and key employees. In general, these agreements contain certain covenants on the part of the executive or key employee concerning confidential and proprietary information of Medaphis, respectively, and preclude the executive or key employee from soliciting customers or employees of Medaphis, respectively, during the twelve-month period following termination of employment. The loss of services of certain of Medaphis' executive officers could have a material adverse effect upon the respective businesses of Medaphis. GENERAL INFORMATION This Proxy Statement/Prospectus is being furnished to stockholders of HDS in connection with the solicitation of proxies by the Board of Directors of HDS from holdersCardioThoracic Systems, Inc., Vical, Inc., and several privately held healthcare companies. DAVID R. HOLBROOKE, M.D. became a director of outstanding sharesthe Company in 1994. Dr. Holbrooke has been the President and Chief Executive Officer of HDS Capital Stock for use at the Special Meeting. At the Special Meeting, the stockholdersAdvocates Rx, Inc., a medical management and healthcare venture development company, since 1995. From 1983 to 1995, Dr. Holbrooke served as President and Chief Executive Officer of HDS will be asked to considerHolbrooke & Associates. Dr. Holbrooke has a 25 year history of entrepreneurship, management, medical practice, and vote upon a proposal to approve the Merger Agreement. If the Merger is consummated, each outstanding share of HDS Capital Stock (other than treasury shares and shares held by stockholders of HDS who perfect their appraisal rights under Delaware law) will be converted into the right to receive .7750 of a share of Medaphis Common Stock, plus cash for any fractional shares of Medaphis Common Stock after such conversion. This Proxy Statement/Prospectus also constitutes the Prospectus of Medaphis with respect to the shares of Medaphis Common Stock to be issuednew business development experience in the Merger. Informationhealthcare services industry. He currently is active as a board member and investor in this Proxy Statement/Prospectus with respect to Medaphisseveral privately held healthcare companies. JOHN C. POPE became a director of the Company in 1997. He has been supplied by Medaphis and the information with respect to HDS has been supplied by HDS. THE HDS SPECIAL MEETING TIME, DATE, PLACE AND PURPOSE The Special Meeting will be held on , 1996, at [10:00] a.m. local time, at the Mission Inn, 3649 Seventh Street, Riverside, California. At the Special Meeting, holders of HDS Common Stock and HDS Preferred Stock, voting together as a single class, and holders of Series F Preferred Stock, voting as a separate class, will be asked to consider and vote upon a proposal to approve the Merger Agreement. RECORD DATE AND SHARES ENTITLED TO VOTE Only holders of record of shares of HDS Common Stock, HDS Series B Preferred Stock, HDS Series C Preferred Stock, and HDS Series F Preferred Stock at the close of business on , 1996 (the "Record Date"), are entitled to notice of and to vote at the Special Meeting. As of such date, there were 4,081,990 shares of HDS Common Stock issued and outstanding held by 157 holders of record, 742,000 shares of HDS Series B Preferred Stock issued and outstanding held by 147 holders of record, 1,312,500 shares of HDS Series C Preferred Stock held by 49 holders of record, and 1,605,353 shares of HDS Series F Preferred Stock issued and outstanding held by 12 holders of record. Holders of record of HDS Common Stock and HDS Preferred Stock on the Record Date for the Special Meeting are entitled to one vote per share on any matter that may properly come before the Special Meeting. 18 27 VOTE REQUIRED; SECURITY OWNERSHIP OF MANAGEMENT The presence in person or by proxy of the holders of a majority of the shares of HDS Common Stock and HDS Preferred Stock outstanding as of the Record Date is necessary to constitute a quorum at the Special Meeting. The affirmative vote of (i) the holders of a majority of the total outstanding shares of HDS Common Stock and HDS Preferred Stock, voting together as a single class, and (ii) the holders of at least 85% of the total outstanding shares of HDS Series F Preferred Stock, voting as a separate class, in each case present (in person or by proxy) and entitled to vote at the Special Meeting, is necessary to approve the Merger Agreement. Abstentions will be counted as shares that are present and entitled to vote for purposes of determining the presence of a quorum at the Special Meeting. Abstentions and broker nonvotes with respect to the proposal to approve the Merger Agreement will have the effect of a vote against such proposal at the Special Meeting. As of the Record Date, the executive officers and directors of HDS beneficially owned an aggregate of 1,954,023 shares of HDS Common Stock and HDS Preferred Stock (not including any shares which might be deemed to be beneficially owned on account of outstanding options), or approximately 25.24% of the shares of HDS Common Stock and HDS Preferred Stock then outstanding, and 2,040 shares of HDS Series F Preferred Stock, or less than 1% of the shares of HDS Series F Preferred Stock outstanding. SOLICITATION AND REVOCATION OF PROXIES HDS has prepared a form of proxy card for the HDS Common Stock, the HDS Series B Preferred Stock and the HDS Series C Preferred Stock and a separate form of proxy card for the HDS Series F Preferred Stock. HDS has enclosed the applicable proxy card or cards with this Proxy Statement/Prospectus. Holders of HDS Common Stock, HDS Series B Preferred Stock or HDS Series C Preferred Stock are requested to sign and return the proxy marked "HDS Common and Series B and C Preferred Stock." Holders of HDS Series F Preferred Stock are requested to sign and return the proxy marked "HDS Series F Preferred Stock." Holders of HDS Series F Preferred Stock who are also holders of any other class of HDS Capital Stock are requested to sign and return both proxy cards enclosed. All shares of HDS Common Stock and HDS Preferred Stock represented by properly executed proxies, unless such proxies have been previously revoked, will be voted in accordance with the instructions indicated on such proxies. If no instructions are indicated, such shares will be voted for approval of the Merger Agreement and, in the discretion of the proxy holder, as to any other matter which may properly come before the Special Meeting. Any HDS stockholder who has previously delivered a properly executed proxy may revoke such proxy at any time before its exercise. A proxy may be revoked either by (i) filing with the Secretary of HDS prior to the Special Meeting, at HDS's principal executive offices, either a written revocation of such proxy or a duly executed proxy bearing a later date or (ii) attending the Special Meeting and voting in person, regardless of whether a proxy has previously been given. Presence at the Special Meeting will not revoke a stockholder's proxy unless such stockholder votes in person. 19 28 THE MERGER BACKGROUND OF THE MERGER Beginning in early May, 1996, Medaphis and HDS engaged in substantive discussions regarding a possible acquisition transaction. A definitive merger agreement was executed on May 23, 1996. Prior to the execution of the Merger Agreement, there was no material relationship between Medaphis and HDS. REASONS FOR THE MERGER HDS. The Board of Directors of HDS formed a Special Committee consisting of the three non-employee membersChairman of the Board of MotivePower Industries, Inc., a manufacturer of locomotives and locomotive components, since December 1995. From January 1988 to consider the proposed termsJuly 1994, Mr. Pope held various positions with UAL Corporation and its subsidiary, United Airlines, Inc., most recently as President, Chief Operating Officer and Director. Mr. Pope is also a member of the Merger. In approving and adopting the Merger Agreement and formulating its recommendation that the stockholders of HDS approve and adopt the Merger Agreement and consummate the Merger, the HDS Board of Directors considered a number of factors, including, without limitation, the following: (i) the recommendation of the Special Committee that the Board of Directors approve and adopt the Merger Agreement; (ii) the current privately-held status of HDS; (iii) the quality of, and risks associated with, Medaphis Common Stock to be received by HDS stockholders in the Merger; (iv) the terms of the Merger Agreement; (v) the expectation that the Merger will be treated as a tax-free reorganization for federal income tax purposes so that generally no gain or loss will be recognized by HDS stockholders in connection with the exchange of HDS Common Stock and HDS Preferred Stock for Medaphis Common Stock in the Merger; (vi) the opinion rendered to the HDS Board of Directors by Hambrecht & Quist that the consideration to be received by the holders of HDS Common Stock and HDS Preferred Stock in the Merger is fair, from a financial point of view, to such stockholders, the full text of which opinion is set forth as Annex C to this Proxy Statement/Prospectus (See "-- Opinion of Financial Advisor to HDS"); and (vii) certain strategic and business reasons for the Merger as set forth below as Medaphis' reasons for pursuing the Merger. THE BOARD OF DIRECTORS OF HDS HAS DETERMINED THAT THE MERGER IS IN THE BEST INTERESTS OF HDS AND ITS STOCKHOLDERS, HAS APPROVED THE MERGER, HAS APPROVED AND ADOPTED THE MERGER AGREEMENT AND RECOMMENDS THAT THE HDS STOCKHOLDERS VOTE FOR THE PROPOSAL TO APPROVE THE MERGER AGREEMENT. MEDAPHIS. First, the Merger provides Medaphis with an advanced clinical information management system which organizes data and processes around a patient-centered model and facilitates the delivery of protocol-based care on a real-time basis. ULTICARE, HDS's lead system, represents an integrated information management system which addresses a healthcare enterprise's information needs through the integrated monitoring, scheduling, documentation and control of all patient care activities. As the evolving healthcare environment continues to promote consolidation among healthcare providers and the growth of managed care, Medaphis believes that the demand for clinical information management systems designed to reduce costs within a healthcare enterprise and improve the quality of care across the enterprise should increase. The Merger provides Medaphis with established and deliverable products and expertise to take immediate advantage of this market opportunity. Moreover, management of Medaphis believes that ULTICARE will complement Medaphis' existing product and service offerings. Second, Medaphis believes that the Merger will present opportunities for Medaphis to cross sell systems and services among the consolidated Medaphis/HDS customer base. Through its recent acquisitions of BSG and Rapid Systems, Medaphis has become one of the leading client/server systems integration and work flow engineering companies in the United States. Management of Medaphis believes that Medaphis' systems integration and work flow engineering resources and expertise should prove helpful in connection with the sale and installation of HDS's clinical information systems, particularly in Integrated Healthcare Delivery Systems ("IHDS") and other large healthcare enterprises which have an ever increasing need for integration of clinical, financial, operational, administrative and analytical systems and data across the enterprise. Similarly, management of Medaphis believes that opportunities exist for Medaphis to provide business management outsourcing services and information management systems to the HDS client base, and to offer HDS's clinical information systems to Medaphis' existing base of healthcare providers and payers clients. Medaphis currently 20 29 provides business management services and systems to approximately 19,700 physicians and over 2,200 hospitals in all 50 states and subrogation and recovery services to 45 payors covering in excess of 24 million lives. Third, Medaphis believes that the Merger will enhance Medaphis ability to pursue its mission of seeking to achieve an unequaled level of measurable quality and productivity in the delivery of information technology systems and business services which respond to the wants, needs and values of its customers. Management believes that HDS's clinical information systems and expertise together with Medaphis' existing product development expertise should assist Medaphis in developing a proprietary data model for its clients which captures and organizes data relating to the delivery of healthcare services and utilizes such data in real-time to reduce costs, increase efficiency and improve the quality of care provided. It has been estimated that the healthcare industry spends in excess of $40 billion per year and employs in excess of 1 million people to capture data on healthcare services provided and then to price, bill and collect for such services. Management of Medaphis believes that the Merger will provide Medaphis with a necessary component to address the cost and management problems currently confronting the healthcare industry. TERMS OF THE MERGER AGREEMENT General. The Merger Agreement provides that, following approval of the Merger Agreement by the stockholders of HDS and the satisfaction or waiver of the other conditions to the consummation of the Merger, Newco will be merged with and into HDS at the Effective Time in accordance with the DGCL. HDS will be the surviving corporation in the Merger. As a result of the Merger, the separate corporate existence of Newco will cease, and HDS will become a wholly owned subsidiary of Medaphis. Conversion Ratio. Each share of HDS Common Stock and HDS Preferred Stock issued and outstanding at the time of the Merger (other than treasury shares and shares held by HDS stockholders who perfect their appraisal rights under the DGCL) will be converted into the right to receive .7911 of a share of Medaphis Common Stock (the "Conversion Ratio"). Cash will be paid in lieu of issuing fractional shares of Medaphis Common Stock in an amount equal to the Average Closing Price of Medaphis Common Stock multiplied by the fraction of a share which the holder of HDS Capital Stock would otherwise be entitled to receive. Issuance of Additional Options. In connection with the Merger, Medaphis has agreed to issue additional options covering 100,000 shares of Medaphis Common Stock to certain employees of HDS. The exercise price for such options will be the fair market value of Medaphis Common Stock at the time of grant and the options shall vest over five years. Conditions to the Merger. The obligations of both Medaphis and HDS to consummate the Merger are subject to the satisfaction of certain conditions, including, among others: (i) the approval of the Merger Agreement by the stockholders of HDS; (ii) the absence of any injunction, writ or preliminary restraining order or any order of any nature issued by a court or governmental agency of competent jurisdiction to the effect that the Merger may not be consummated as provided in the Merger Agreement and the absence of any lawsuit or proceeding (actual or as to which written notice has been received) by any governmental or regulatory agency for the purpose of obtaining any such injunction, writ or preliminary restraining order; (iii) the receipt by Medaphis and HDS of a written opinion of King & Spalding concerning certain federal income tax consequences of the Merger; (iv) the receipt by Medaphis and HDS of a written opinion from Deloitte & Touche LLP that, in accordance with generally accepted accounting principles, the Merger qualifies to be treated as a pooling of interests for accounting purposes; (v) the effectiveness of the Registration Statement under the Securities Act and the absence of (a) any stop order suspending the effectiveness of the Registration Statement or any proceedings by the Commission (actual or threatened) for such purpose and (b) the absence of any stop order suspending the effectiveness of any qualification or registration of the Medaphis Common Stock under the state securities laws or any proceeding by authorities of any such state (actual or threatened) for such purpose; (vi) the shares of Medaphis Common Stock to be issued pursuant to the Merger Agreement shall have been listed on The Nasdaq Stock Market; and (vii) the applicable waiting periods shall have terminated under the HSR Act. 21 30 The obligation of Medaphis to consummate the Merger is subject to certain additional conditions, including, among other things, that: (i) HDS's representations and warranties contained in the Merger Agreement shall be true and correct as of the date of the Merger Agreement and as of the Effective Time; (ii) HDS shall have performed in all material respects all covenants and agreements required to be performed by it under the Merger Agreement; (iii) Medaphis shall have received legal opinions and accountants' letters with respect to various matters; (iv) all corporate action necessary by HDS to authorize the execution, delivery and performance of the Merger Agreement and the consummation of the transactions contemplated thereby shall have been duly and validly taken; (v) all consents, authorizations, orders and approvals of (or filings or registrations with) any governmental commission, board or other regulatory body required in connection with the execution, delivery and performance of the Merger Agreement shall have been made (with certain limited exceptions); (vi) Medaphis shall have received consents to assignment of certain material contracts of HDS or written waivers of the provisions under any such contracts requiring the consents of third parties; (vii) HDS shall have received letters from each stockholder of HDS who is an affiliate of HDS regarding certain restrictions on the transfer of the Medaphis Common Stock received pursuant to the Merger for a specified period of time; (viii) Medaphis shall have received certificates from certain officers of HDS as to compliance with certain conditions of the Merger Agreement; (ix) holders of not more than 10% of the outstanding shares of HDS Capital Stock shall have elected to exercise appraisal rights pursuant to the DGCL; (x) 70% of the holders of HDS Options shall have executed and delivered to Medaphis Option Assumption Agreements; (xi) during the course of its due diligence review following the execution of the Merger Agreement, Medaphis shall not have discovered prior to the close of business on June 20, 1996, specified types of information that would have a material adverse effect on the assets, liabilities, results of operations, financial condition or business of HDS; and (xii) each of the directors of HDS shall have tendered resignation letters to Medaphis. The obligation of HDS to consummate the Merger also is subject to certain additional conditions, including, among others, that: (i) Medaphis' representations and warranties contained in the Merger Agreement shall be true and correct as of the date of the Merger Agreement and as of the Effective Time; (ii) Medaphis shall have performed in all material respects all covenants and agreements required to be performed by it under the Merger Agreement; (iii) HDS shall have received legal opinions and accountants' letters with respect to various matters; (iv) all corporate action necessary by Medaphis to authorize the execution, delivery and performance of the Merger Agreement and the consummation of the transactions contemplated thereby shall have been duly and validly taken; (v) all consents, authorizations, orders and approvals of (or filings or registrations with) any governmental commission, board or other regulatory body required in connection with the execution, delivery and performance of the Merger Agreement shall have been obtained (with certain limited exceptions); (vi) the Board of Directors of HDS shall have received a written opinion of Hambrecht & Quist toFederal-Mogul Corporation and Wallace Computer Services, Inc. DENNIS A. PRYOR joined the effect that the Merger is fair to HDS and its stockholders from a financial point of view; and (vii) Medaphis shall have furnished HDS with a certificate of certain officers of Medaphis as to compliance with certain conditions of the Merger Agreement. Amendment. The Merger Agreement may be amended by the mutual agreement of the parties thereto. Any amendment to the Merger Agreement must beCompany in writing and signed by the parties to the Merger Agreement. Termination. The Merger Agreement may be terminated (i) by mutual agreement of the Boards of Directors of HDS and Medaphis; (ii) by HDS or Medaphis, if the conditions to such parties' obligations to consummate the Merger have not been complied with or performed and such noncompliance or nonperformance has not been cured or eliminated on or before August 15, 1996; (iii) by Medaphis or HDS, if the Merger Agreement has not been approved by the holders of a majority of the outstanding shares of HDS Common Stock and HDS Preferred Stock, voting together as a single class, and the holders of at least 85% of the outstanding shares of HDS Series F Preferred Stock, voting as a separate class; and (iv) by HDS if the Average Closing Price is less than $37. Fees and Expenses. Medaphis will pay its own fees, costs and expenses incurredJanuary 1993 in connection with the Merger Agreementacquisition of CompMed, Inc. and the transactions contemplated thereby. HDS will pay its own fees, costs and expenses incurred in connection with the Merger Agreement and the transactions contemplated thereby but such fees, 22 31 costs and expenses shall not exceed certain specified amounts and the reasonable fees and expenses of accountants and counsel for HDS. In addition, HDS has agreed that, if (i) the Merger Agreement is terminated solely assubsequently became a resultdirector of the failureCompany. In 1993, Mr. Pryor also served as Chief Executive Officer of HDS's stockholders to approveCompMed. From 1976 through 1992, Mr. Pryor was the Merger Agreement, (ii) on or prior to the date scheduled for the Special Meeting, HDS receives a proposal or offer from another entity concerning an Acquisition Transaction, (iii) HDS engages in negotiations or enters into a letter of intent, agreement in principle or definitive agreement with another entity concerning an Acquisition Transaction within 182 days after the date of such termination of the Merger Agreementprincipal owner and (iv) such Acquisition Transaction is consummated during or after such 182-day period, then HDS shall pay Medaphis $7,500,000 to reimburse and compensate Medaphis for its expense, time and effort in connection with the matters contemplated by the Merger Agreement. Exchange of HDS Stock Certificates. Prior to the Effective Time, instructions and a letter of transmittal will be furnished to all stockholders of HDS for use in exchanging their stock certificates for certificates evidencing the shares of Medaphis Common Stock they will be entitled to receive as a result of the Merger. STOCKHOLDERS OF HDS SHOULD NOT SUBMIT THEIR STOCK CERTIFICATES FOR EXCHANGE UNTIL INSTRUCTIONS AND THE LETTER OF TRANSMITTAL ARE RECEIVED. No Solicitation. The Merger Agreement provides that until the Effective Time or until the Merger Agreement is terminated in accordance with its terms, HDS will not directly or indirectly solicit or initiate (including by way of furnishing information) discussions with any third party (other than Medaphis or its authorized representatives pursuant to the Merger Agreement) concerning an Acquisition Transaction involving HDS. HDS has agreed to notify Medaphis promptly in writing if HDS receives any inquiries or proposals with respect to an Acquisition Transaction and shall provide Medaphis with copies of any such written proposals or inquiries actually received. EFFECTIVE TIME OF THE MERGER The Merger will become effective upon the filing of a certificate of merger relating thereto with the Secretary of State of the State of Delaware. The Merger Agreement provides that the parties thereto will cause such certificate of merger to be filed after each of the conditions to consummation of the Merger has been satisfied or waived. The Merger cannot become effective until the HDS stockholders have approved the Merger Agreement. Thus, there can be no assurance as to whether or when the Merger will become effective. RECOMMENDATION OF THE HDS BOARD OF DIRECTORS THE BOARD OF DIRECTORS OF HDS HAS DETERMINED THAT THE MERGER IS IN THE BEST INTERESTS OF HDS AND ITS STOCKHOLDERS, HAS APPROVED THE MERGER, HAS APPROVED AND ADOPTED THE MERGER AGREEMENT AND RECOMMENDS THAT THE HDS STOCKHOLDERS VOTE FOR THE PROPOSAL TO APPROVE THE MERGER AGREEMENT. OPINION OF FINANCIAL ADVISOR TO HDS HDS engaged Hambrecht & Quist to act as its financial advisor in connection with the Merger and to render an opinion as to the fairness from a financial point of view to the holders of the outstanding shares of HDS Common Stock and HDS Preferred Stock of the consideration to be received in the Merger. Hambrecht & Quist undertook a presentation to the Board of Directors of HDS on May 20, 1996 and to a special committee of the Board of Directors on May 22, 1996 and rendered its oral opinion (subsequently confirmed in writing) that, as of such date, the consideration to be received in the Merger is fair to the holders of the HDS Common Stock and the HDS Preferred Stock from a financial point of view. A COPY OF HAMBRECHT & QUIST'S OPINION DATED MAY 22, 1996, WHICH SETS FORTH THE ASSUMPTIONS MADE, MATTERS CONSIDERED, THE SCOPE AND LIMITATIONS OF THE REVIEW UNDERTAKEN AND THE PROCEDURES FOLLOWED BY HAMBRECHT & QUIST, IS ATTACHED AS ANNEX C TO THIS PROXY STATEMENT/PROSPECTUS. HDS SHAREHOLDERS ARE ADVISED TO READ THE OPINION IN ITS ENTIRETY. No limitations were placed on Hambrecht & Quist by the Board of Directors of HDS with respect to the investigation made or the procedures followed in preparing and rendering its opinion. 23 32 In its review of the Merger, and in arriving at its opinion, Hambrecht & Quist, among other things, (i) reviewed the publicly available consolidated financial statements of Medaphis for recent years and interim periods to date and certain other relevant financial and operating data of Medaphis made available to Hambrecht & Quist from published sources and from the internal records of Medaphis; (ii) discussed with certain members of the management of Medaphis the business, financial condition and prospects of Medaphis; (iii) reviewed certain financial and operating information, including certain projections of Medaphis, relating to Medaphis and discussed such projections with certain members of the management of Medaphis; (iv) reviewed the consolidated financial statements of HDS for recent years and interim periods to date and certain other relevant financial and operating data of HDS made available to Hambrecht & Quist from the internal records of HDS; (v) reviewed certain internal financial and operating information, including certain projections, relating to HDS prepared by the senior management of HDS; (vi) discussed the business, financial condition and prospects of HDS with certain members of its senior management; (vii) compared certain financial information of HDS and Medaphis with certain financial information and the recent reported common stock prices and trading activity of companies engaged in businesses Hambrecht & Quist considered comparable to that of HDS and Medaphis; (viii) reviewed the financial terms, to the extent publicly available, of certain comparable merger and acquisition transactions; (ix) reviewed the Merger Agreement and certain ancillary agreements; and (x) performed such other analyses and examinations and considered such other information, financial studies, analyses and investigations and financial, economic and market data as Hambrecht & Quist deemed relevant. In rendering their opinion, Hambrecht & Quist assumed and relied upon the accuracy and completeness of all of the information concerning Medaphis or HDS considered in connection with their review of the Merger, and Hambrecht & Quist did not assume any responsibility for independent verification of such information. Hambrecht & Quist did not prepare any independent valuation or appraisal of any of the assets or liabilities of Medaphis or HDS, nor did they conduct a physical inspection of the properties and facilities of either company. With respect to the financial forecasts and projections made available to Hambrecht & Quist and used in their analysis, Hambrecht & Quist assumed that they reflect the best currently available estimates and judgments of the expected future financial performance of Medaphis and HDS, respectively. For purposes of their opinion, Hambrecht & Quist assumed that neither Medaphis nor HDS was a party to any pending transactions, including external financings, recapitalizations or material merger discussions, other than the Merger and those activities undertaken in the ordinary course of conducting their respective businesses. Hambrecht & Quist's opinion is necessarily based upon market, economic, financial and other conditions as they exist and can be evaluated as of the date of their opinion and any change in such conditions would require a reevaluation of such opinion. Hambrecht & Quist expressed no opinion as to the price at which Medaphis common stock will trade subsequent to the Effective Time (as defined in the Merger Agreement). Hambrecht & Quist was not requested to, and did not, solicit indications of interest from any other parties in connection with a possible acquisition of, or business combination with, HDS. The preparation of a fairness opinion involves various determinations as to the most appropriate and relevant quantitative methods of financial analyses and the application of those methods to the particular circumstances and, therefore, such an opinion is not readily susceptible to summary description. Accordingly, in arriving at its opinion, Hambrecht & Quist did not attribute any particular weight to any analysis or factor considered by it, but rather made qualitative judgments as to the significance and relevance of each analysis and factor. No company or transaction used in Hambrecht & Quist's analyses is identical to Medaphis, HDS or the Merger. Accordingly, the analyses performed by Hambrecht & Quist were not purely mathematical; rather they involved complex considerations and judgments concerning differences in financial and operating characteristics of the companies and other factors that could affect the public trading values of the companies or company to which they are compared. Accordingly, Hambrecht & Quist believes that its analyses and the summary set forth below must be considered as a whole and that selecting portions of its analyses, without considering all analyses, or of the summary, without considering all factors and analyses, could create an incomplete view of the processes underlying the analyses set forth in the Hambrecht & Quist presentation to the HDS Board and its opinion. In performing its analyses, Hambrecht & Quist made numerous assumptions with respect to industry performance, general business and economic conditions and other matters, many of which are beyond the control of HDS and Medaphis. The analyses performed by Hambrecht & Quist (and 24 33 summarized below) are not necessarily indicative of actual values or actual future results, which may be significantly more or less favorable than suggested by such analyses. Additionally, analyses relating to the values of businesses do not purport to be appraisals or to reflect the prices at which businesses actually may be sold. Comparable Public Company Analyses. Hambrecht & Quist compared selected historical and projected financials, operating and stock market performance data of HDS to the corresponding data of certain publicly traded healthcare information services companies that Hambrecht & Quist considered comparable based on market value and strategic focus. Comparisons were analyzed for the following companies in the healthcare information services business: Cerner Corp., Citation Computer Systems, Inc., Enterprise Systems, Inc., HBO & Co., Medicus Systems Corp., Oacis Healthcare Systems, Inc., Pace Health Management Systems, Inc., Phamis, Inc., and Shared Medical Systems Corp. For each of the foregoing companies, Hambrecht & Quist analyzed the equity market value of each company as a multiple of 1995 net income, 1996 estimated net income, and 1997 forecasted net income, and Hambrecht & Quist analyzed the enterprise value of each company (calculated as market equity value plus preferred stock and long-term debt minus cash) as a multiple of each company's last twelve months' revenue and last twelve months' EBIT. All multiples were based on closing stock prices on May 21, 1996. All forecasted data for such comparable companies were based on publicly-available independent estimates by selected investment banking firms. With respect to the financial forecasts for HDS, Hambrecht & Quist analyzed three distinct cases: a management case (the "Management Case"), a base case (the "Base Case"), and a more conservative case (the "Conservative Case"). Relative to the Management Case, the Base Case included a 25% reduction in the revenue forecasts for 1996 and 1997, a 20% reduction in operating expenses in 1996 and 1997, and a 40% reduction in pre-tax income for 1996 and 1997. Relative to the Management Case, the Conservative Case included a 25% reduction in the revenue forecasts for 1996 and 1997, a 14% reduction in operating expenses in 1996 and 1997, and a 45% reduction in pre-tax income for 1996 and 1997. Specifically, the average 1995 net income multiple for the comparable companies implied an equity value for HDS of $406 million; the average 1996 net income multiple for the comparable companies implied an equity value for HDS of $776 million in the case of the Management Case, $459 million in the Base Case, and $438 million for the Conservative Case; and the average 1997 net income multiple for the comparable companies implied an equity value for HDS of $884 million in the Management Case, $523 million in the Base Case, and $499 million for the Conservative Case. The average last twelve months' net revenue multiple implied an equity value for HDS of $337 million, and the average last twelve months' EBIT multiple implied an equity value of $293 million. In its discussion with the Board of Directors of HDS regarding the range of potential valuation, Hambrecht & Quist placed somewhat greater reliance on the historic multiples, rather than the multiples of projected operating performance. Hambrecht & Quist also observed that the creation of the implied public market values for HDS was not meant to suggest that HDS could undertake an initial public offering in the then-current environment, and that financing in the private equity market would typically be undertaken at a 40% discount to public market valuations. The foregoing implied values were compared with a valuation of HDS of approximately $245 million as implied by the Merger. Selected Acquisitions Analysis. Using publicly-available information, Hambrecht & Quist analyzed the purchase prices and transaction values (as equity value multiples of net income, tangible book value, cash flow from operations, and as enterprise value multiples of revenue, EBIT, EBITDA, and net operating assets) in the following selected completed and pending merger and acquisition transactions in the healthcare information services industry in 1995 and 1996: CyCare Systems, Inc./HBO & Co., BSG Corp./Medaphis Corp., Rapid Systems Solutions, Inc./Medaphis Corp., Pyxis Corp./Cardinal Health, Inc., Medical Management Sciences, Inc./Medaphis Corp., Consort Technologies, Inc./Medaphis Corp., Clinicom, Inc./HBO & Co., Healthcare Recoveries, Inc./Medaphis Corp., Medical Consultants, Inc./Medaphis Corp., Health Systems Group, Inc./HBO & Co., MMC Healthcare - Software Systems/Medicus Systems Corp., and Automation Atwork/Medaphis Corp. Specifically, the average last twelve months' net income multiple for the comparable transactions implied an equity value for HDS of approximately $225 million; the average tangible book value multiple for the comparable transactions implied an equity value for HDS of approximately $857 million; the average operating cash flow multiple for the comparable transactions implied a negative equity value for HDS. The average 1996 forecasted net income multiple for comparable transactions implied 25 34 an equity value for HDS of $548 million in the Management Case, $324 million in the Base Case, and $310 million in the Conservative Case. The average last twelve months' revenue multiple for comparable transactions implied an equity value for HDS of $199 million; the average last twelve months' EBIT multiple for comparable transactions implied an equity value for HDS of $288 million; the average net operating asset multiple for comparable transactions implied an equity value for HDS of $799 million. The average 1996 forecasted revenue multiple for comparable transactions implied an equity value for HDS of $214 million in the Management Case, $166 million in the Base Case, and $164 million in the Conservative Case. Stock Trading History Analysis. Hambrecht & Quist examined the history of the trading prices and volume of the shares of the common stock of Medaphis, and the relationship between movement in the prices of such shares and movements in the NASDAQ Composite Index and an index derived from the comparable companies (the "Inpatient Systems Companies") during the period from May 20, 1995 to May 20, 1996. Such data was used to analyze the historical public market valuation of Medaphis as compared with the historic public market valuation of the companies comprising the Inpatient Systems Companies. At any given point in the period, such data indicated whether the Medaphis share value was higher or lower relative to such blended indices. For such period, Medaphis common stock under-performed on a relative basis the public stocks comprising the Inpatient Systems Companies and performed approximately comparably with the NASDAQ composite index. Contribution Analysis. Hambrecht & Quist reviewed certain historical and estimated future operating and financial information (including revenues, operating income and pretax income) for HDS, Medaphis and the pro forma combined entity resulting from the Merger based on Medaphis management estimates and the Management Case, Base Case and Conservative Case. Hambrecht & Quist observed that HDS shareholders would own approximately 8.2% (or 8.6% including the assumption of HDS options) of the post-Merger entity. Hambrecht & Quist further observed that HDS accounted for approximately 5.5% of the revenues, 6.8% of the operating income, and 11.0% of the pretax income of the combined company in 1995. With respect to 1996 and 1997 and relying on the Management Case, Hambrecht & Quist noted that HDS would account for approximately 7.2% of 1996 combined revenues, 15.3% of 1996 combined operating income, 19.4% of 1996 combined pretax income, 7.5% of 1997 combined revenues, 13.2% of 1997 combined operating income, and 19.5% of 1997 combined operating income. Relying on the Base Case, Hambrecht & Quist noted that HDS would account for approximately 5.6% of 1996 combined revenues, 11.5% of 1996 combined operating income, 12.7% of 1996 combined pretax income, 5.8% of 1997 combined revenues, 9.8% of 1997 combined operating income, and 12.7% of 1997 combined operating income. Relying on the Conservative Case, Hambrecht & Quist noted that HDS would account for approximately 5.5% of 1996 combined revenues, 9.1% of 1996 combined operating income, 12.0% of 1996 combined pretax income, 5.7% of 1997 combined revenues, 7.8% of 1997 combined operating income, and 12.0% of 1997 combined operating income. The foregoing description of Hambrecht & Quist's opinion is qualified in its entirety by reference to the full text of such opinion which is attached at Annex C to this Proxy Statement/Prospectus. Hambrecht & Quist, as part of its investment banking services, is regularly engaged in the valuation of businesses and their securities in connection with mergers and acquisitions, strategic transactions, corporate restructurings, negotiated underwritings, secondary distributions of listed and unlisted securities, private placements and valuations for corporate and other purposes. Hambrecht & Quist, together with its affiliates, owns approximately 0.5% of the outstanding HDS Common Stock (on an as-converted basis). Hambrecht & Quist was familiar with Medaphis and provided investment banking and other financial advisory services to Medaphis in the past, and they have received fees for rendering these services. Specifically, Hambrecht & Quist acted as financial advisor to Medaphis in 1995 in connection with its acquisition of Healthcare Recoveries, Inc. In the ordinary course of business, Hambrecht & Quist acts as a market maker and broker in the publicly traded securities of Medaphis and receives customary compensation in connection therewith, and also provides research coverage for Medaphis. In the ordinary course of business, Hambrecht & Quist actively trades in the equity securities of Medaphis for its own account and for the accounts of its customers and, accordingly, may at any time hold a long or short position in such securities. Hambrecht & Quist may in the future provide additional investment banking or other financial advisory services to Medaphis. 26 35 Pursuant to an engagement letter dated May 12, 1996, HDS has agreed to pay Hambrecht & Quist a customary fee upon the delivery of a fairness opinion and the consummation of the Merger. HDS has agreed to reimburse Hambrecht & Quist for its reasonable out of pocket expenses, and to indemnify Hambrecht & Quist against certain liabilities, including liabilities under the federal securities laws or relating to or arising out of Hambrecht & Quist's engagement as financial advisor. See "HDS Options" for a discussion of a prior opinion concerning valuation of the HDS Capital Stock. INTERESTS OF CERTAIN PERSONS IN THE MERGER In considering the Merger, holders of HDS Common Stock and HDS Preferred Stock should be aware that certain executive officers and directors of HDS have certain interests that may present them with potential conflicts of interest with respect to the Merger. Ownership of HDS Capital Stock. As of the date of this Proxy Statement/Prospectus, executive officers and directors of HDS beneficially owned an aggregate of 1,954,023 shares of HDS Capital Stock (not including any shares which might be deemed to be beneficially owned on account of outstanding options). If the Special Meeting had been held on the Last Trading Date, the executive officers and directors of HDS would have been entitled to receive in the Merger an aggregate of 1,545,828 shares of Medaphis Common Stock having an aggregate market value of approximately $60.9 million based on the closing price per share of Medaphis Common Stock reported on The Nasdaq Stock Market on the Last Trading Date. See "Ownership of HDS Capital Common Stock." Employment Agreements. In connection with the Merger, each Key Employee will enter into an Employment Agreement, pursuant to which Medaphis will agree to employ each of them for a term of two years. It is also contemplated that certain other employees of HDS will enter into Employment Agreements providing for a one-year term. Each person entering into an Employment Agreement will be paid an annual salary and will also be entitled to receive certain incentive compensation payments. The Employment Agreements will contain certain non-competition and non-solicitation covenants and will be in form and substance mutually satisfactory to each party. Each Key Employee and certain other stockholders of HDS will also enter into a Non-Compete Agreement with Medaphis that will be in form and substance mutually satisfactory to each party. CERTAIN AGREEMENTS IN CONNECTION WITH THE MERGER Certain additional agreements will be entered into in connection with the consummation of the Merger. Employment Agreements. In connection with the Merger, each Key Employee will enter into an Employment Agreement. See "-- Interests of Certain Persons in the Merger -- Employment Agreements." These Employment Agreements generally will provide for a term of employment of two years and will contain certain non-competition and non-solicitation covenants. It is also contemplated that certain other employees of HDS will enter into Employment Agreements. Non-competition, Non-solicitation and Confidentiality Agreements. In connection with the Merger, the Key Employees will enter into Non-Compete Agreements with Medaphis. The Non-Compete Agreements will be in form and substance mutually satisfactory to each party. HDS OPTIONS Pursuant to the Merger, Medaphis shall assume all of HDS's rights and obligations with respect to outstanding and unexercised HDS Options. Prior to the Effective Time, Medaphis will request that each holder of an HDS Option enter into an Option Assumption Agreement with Medaphis. Upon receipt of an Option Assumption Agreement from a holder of an HDS Option following the Effective Time, Medaphis will issue to such holder a Non-Qualified Option to be granted under the Medaphis Stock Option Plan. Each Non-Qualified Option issued to a holder of an HDS Option will be subject to vesting as follows: the Option shall vest as to 25% of the shares of Medaphis Common Stock for which it may be exercised for each year that the Optionholder has been employed by HDS. 27 36 Pursuant to the Merger Agreement, Medaphis is not entitled or required to substitute a Non-Qualified Option for an HDS Option until it has received from the holder of an HDS Option a properly completed and executed Option Assumption Agreement with respect to the HDS Option. Each Non-Qualified Option issued in substitution for an HDS Option will evidence the right to purchase the number of shares of Medaphis Common Stock equal to the product of the number of shares of HDS Common Stock covered by the HDS Option immediately prior to the Effective Time multiplied by the Conversion Ratio. The exercise price for each such Non-Qualified Option will be equal to the quotient obtained by dividing the exercise price of the HDS Option immediately prior to the Effective Time by the Conversion Ratio. In addition, Medaphis has agreed to issue new options to certain employees of HDS. See "-- Terms of the Merger Agreement -- Issuance of Additional Options." HDS has granted to employees options to purchase shares of HDS Common Stock having exercise prices of not less than 100% of the fair market value of the shares at the time such options are granted. In connection therewith, HDS received in February 1996 an opinion from an investment banking firm relating to options covering 181,750 shares of HDS Common Stock having an exercise price of $2.50 per share granted from November 1, 1990 through June 1, 1992, and options covering 387,400 shares of HDS Common Stock having an exercise price of $3.00 per share granted from January 1, 1995 through January 15, 1996. Among other things, such opinion noted the 1995 private sale of HDS Series F Preferred Stock for $16.50 per share. The opinion states that "[a]s is the case with [HDS], the Common Stock usually has a value much less than the Preferred Stock. The opinion concludes that the exercise prices of the HDS Options "represent a fair and reasonable value for such stock." See "Opinion of Financial Advisor to HDS" for a discussion of a more recent opinion concerning valuation of HDS Capital Stock. ACCOUNTING TREATMENT The Merger is expected to qualify to be treated as a pooling of interests for financial accounting purposes. The obligations of Medaphis and HDS to consummate the Merger are conditioned upon the receipt of an opinion of Deloitte & Touche LLP, Medaphis' independent auditors, to the effect that, in accordance with generally accepted accounting principles, the Merger will qualify to be treated as a pooling of interests for accounting purposes. Accordingly, the Merger will be treated as a continuation of the existing businesses of Medaphis and HDS accounted for by combining the historical balances and results of Medaphis and HDS. The assets and liabilities of Medaphis and HDS will be carried forward at their recorded amounts. Income of Medaphis after the Merger will include the income of Medaphis and HDS for the entire fiscal period in which the Merger occurs. The reported income of Medaphis and HDS for prior periods will be combined and restated as income of the combined company. See "Unaudited Pro Forma Combined Financial Information." CERTAIN FEDERAL INCOME TAX CONSEQUENCES General. The following summary has been included in reliance upon the opinion of King & Spalding, counsel to Medaphis, as to the material federal income tax consequences of the Merger to the stockholders of HDS. The summary is based on the provisions of the Code, the Treasury Regulations promulgated thereunder, and administrative and judicial interpretations thereof, all as in effect as of the date hereof. Such laws or interpretations may differ at the Effective Time, and relevant facts also may differ. Tax Consequences to Stockholders of HDS. HDS and Medaphis expect that the Merger will be treated as a tax-free reorganization for federal income tax purposes so that no gain or loss will be recognized by stockholders of HDS, except in respect of cash received in lieu of fractional shares of Medaphis Common Stock or payments received by stockholders exercising appraisal rights. The obligations of Medaphis and of HDS to consummate the Merger are conditioned upon the receipt of an opinion of King & Spalding to the effect that the Merger will qualify as a tax-free reorganization for federal income tax purposes under the Code. The opinion of King & Spalding, however, will not be binding upon the Internal Revenue Service or the courts, and will be subject to a number of assumptions, qualifications and limitations. If the Merger is consummated, and it is later determined that the Merger did not qualify as a tax-free reorganization under the 28 37 Code, stockholders of HDS would recognize taxable gain or loss upon the receipt of Medaphis Common Stock in the Merger. Cash received in the Merger by a stockholder of HDS in lieu of a fractional share of Medaphis Common Stock will be treated under Section 302 of the Code as having been received by such stockholder in exchange for such fractional share, and such stockholder generally will recognize capital gain or loss in such exchange equal to the difference between the cash received and such stockholder's tax basis allocable to the fractional share. Any gain or loss recognized will be capital gain or loss if such HDS or Medaphis fractional share interest was a capital asset in the hands of the stockholder of HDS, and will be long-term capital gain or loss if such HDS fractional share interest was held by such stockholder for more than one year. In general, the federal income tax rates applicable to long-term capital gains and ordinary income (including short-term capital gains) of taxpayers who are individuals may differ, while for corporations capital gains and ordinary income are generally taxed at the same rate. The deductibility of capital losses is subject to limitations for both individuals and corporations. Tax Consequences of Converting HDS Options. Holders of HDS Options will not be required to recognize taxable income on receipt of Non-Qualified Options granted by Medaphis. However, the Non-Qualified Options will not qualify as incentive stock options under Section 422 of the Code, and a holder of a Non-Qualified Option will recognize ordinary compensation income upon the exercise of such option in an amount equal to the excess of the fair market value of the Medaphis Common Stock at the time of exercise over the amount such holder pays for such stock. Additionally, Medaphis will be required to treat the amount of ordinary compensation income attributable to an employee's exercise of a Non-Qualified Option as wages subject to employment taxes and income tax withholding. Medaphis will be allowed compensation expense deductions for federal income tax purposes equal to the compensation income recognized by the holders upon exercise of the Non-Qualified Options. THE DISCUSSION SET FORTH ABOVE DOES NOT ADDRESS THE STATE, LOCAL OR FOREIGN TAX ASPECTS OF THE MERGER. THE DISCUSSION IS BASED ON CURRENTLY EXISTING PROVISIONS OF THE CODE, EXISTING AND PROPOSED TREASURY REGULATIONS THEREUNDER AND CURRENT ADMINISTRATIVE RULINGS AND COURT DECISIONS. ALL OF THE FOREGOING ARE SUBJECT TO CHANGE AND ANY SUCH CHANGE COULD AFFECT THE CONTINUING VALIDITY OF THIS DISCUSSION. EACH STOCKHOLDER AND OPTION HOLDER OF HDS SHOULD CONSULT HIS OR HER OWN TAX ADVISOR WITH RESPECT TO THE SPECIFIC TAX CONSEQUENCES OF THE MERGER TO HIM OR HER, INCLUDING THE APPLICATION AND EFFECT OF STATE, LOCAL AND FOREIGN TAX LAWS. RESALE OF MEDAPHIS COMMON STOCK Shares of Medaphis Common Stock to be issued to stockholders of HDS in connection with the Merger will be freely transferrable under the Securities Act, except for (i) shares issued to any person or entity who, at the time of the Special Meeting, may be deemed an "affiliate" of HDS within the meaning of Rule 145 under the Securities Act and (ii) shares subject to the transfer restrictions described in the following paragraph. In general, affiliates of HDS include its executive officers and directors and any other person or entity who controls, is controlled by or is under common control with HDS. Rule 145, among other things, imposes certain restrictions upon the resale of securities received by affiliates in connection with certain reclassifications, mergers, consolidations or asset transfers. These restrictions will consist of volume and manner of sale restrictions on the resale of shares of Medaphis Common Stock issued to such person and entities. It is a condition to Medaphis' obligation to consummate the Merger that HDS shall cause each stockholder of HDS who is identified by HDS as an affiliate of HDS to deliver to Medaphis on or prior to the Effective Time a written statement to the effect that such person will not sell any shares of Medaphis Common Stock received in the Merger in any transaction, private or public, or in any other way reduce such affiliate's risk, except in accordance with applicable accounting provisions of the Securities Act and the rules and regulations of the Commission, including the Commission's accounting rules for pooling of interests transactions. Medaphis may 29 38 place legends on certificates representing shares of Medaphis Common Stock that are issued to stockholders of HDS in the Merger to restrict such transfers. COMPARISON OF RIGHTS OF HOLDERS OF MEDAPHIS COMMON STOCK AND HDS COMMON STOCK AND HDS PREFERRED STOCK The following is a summary of material differences between the rights of holders of Medaphis Common Stock and the rights of holders of HDS Common Stock and HDS Preferred Stock, which votes as a class with and is convertible into HDS Common Stock, other than the rights of holders of HDS Preferred Stock described below under "Comparison of Rights of Holders of Medaphis Common Stock and HDS Preferred Stock" and the rights of certain holders of HDS Common Stock and certain holders of HDS Preferred Stock described below under "HDS Preferred Stock Purchase Agreements" and "Certain Repurchase Rights and Transfer Restrictions." As each of Medaphis and HDS is organized under the laws of Delaware, these differences arise from various provisions of the Amended and Restated Certificate of Incorporation of Medaphis (the "Medaphis Charter") and the Amended and Restated Bylaws of Medaphis (the "Medaphis Bylaws") and the Certificate of Incorporation, as amended (the "HDS Charter") and the Restated Bylaws of HDS (the "HDS Bylaws"). HDS stockholders' rights are currently governed by the HDS Charter and the HDS Bylaws. Upon consummation of the Merger and to the extent they receive shares of Medaphis Common Stock, HDS stockholders will become stockholders of Medaphis and their rights thereafter will be governed by the Medaphis Charter and the Medaphis Bylaws. The following summary does not purport to be a complete statement of the rights of the stockholders of Medaphis and HDS. This summary is qualified in its entirety by reference to the full text of the Medaphis Charter, the Medaphis Bylaws, the DGCL, the HDS Charter and the HDS Bylaws. Authorized Shares. Under the Medaphis Charter, Medaphis is authorized to issue 200 million shares of Medaphis Common Stock and 600,000 shares of Nonvoting Common Stock, par value $.01 per share ("Medaphis Nonvoting Common Stock"). The powers, preferences and rights of the Medaphis Common Stock and the Medaphis Nonvoting Common Stock are identical except that (i) the Medaphis Common Stock has one vote per share on all matters submitted to a vote of stockholders and the Medaphis Nonvoting Common Stock has no right to vote on any such matters except as provided by law, and (ii) the Medaphis Nonvoting Common Stock may be converted at any time into shares of Medaphis Common Stock on a share-for-share basis and the Medaphis Common Stock has no such conversion rights. Under the HDS Charter, HDS is authorized to issue 10 million shares of HDS Common Stock, par value $.10 per share, and 5 million shares of Preferred Stock, par value $.10 per share, the terms of which shall be fixed by HDS's Board of Directors at the time of issuance. Special Meeting of Stockholders. Under the Medaphis Bylaws, a special meeting of the stockholders of Medaphis may be called by the Chairman of the Board of Directors, the President, by orderCompMed. C. CHRISTOPHER TROWER became a director of the BoardCompany in 1997, and is engaged in the private practice of Directors, or, upon the written requestlaw in Atlanta, Georgia. Mr. Trower is a former partner of the holders of at least 50% of the outstanding shares of Medaphis Common Stock entitled to vote at such meeting, by the President or Secretary of Medaphis. Under the HDS Bylaws, special meetings of the stockholders of HDS may be called by the Chief Executive Officer, the Board of Directors, or the holders of shares entitled to cast not less than 25% of the votes at the meeting. Stockholder Nominations. Under the Medaphis Bylaws, only persons nominatedAtlanta law firm, Sutherland, Asbill & Brennan. Mr. Trower has wide-ranging experience with both public and private companies in accordance with the procedures set forth therein will be eligible for election as directors. Stockholders who are entitled to vote for the election of directors are entitled to nominate persons for election to the Board of Directors of Medaphis only if a timely notice in writing is sent to the Secretary of Medaphis. To be timely, a stockholder's notice must be received at the principal executive offices of Medaphis not less than 60 days nor more than 90 days prior to the date of the meeting at which directors are to be elected (subject to limited exceptions). Such notice must set forth certain information,corporate, partnership, and tax matters, including among other things, (i) with respect to each person whom the stockholder proposes to nominate for election as a director, (a) the name, age, business addressacquisitions/divestitures, securities offerings, and residence address of such person, (b) the principal occupation or employment of such person, (c) the number of shares of Medaphis Common Stock beneficially owned by such persontax planning and (d) other information that would be required to be disclosed in connection with the solicitation of proxies for the election of directors pursuant to Regulation 14A under the Exchange Act, and (ii) with respect to such stockholder giving such 30 39 notice, (x) the name and address of such stockholder and (y) the number of shares of Medaphis Common Stock beneficially owned by such stockholder. The HDS Charter and HDS Bylaws do not contain provisions prescribing requirements relating to nomination of directors by stockholders. Stockholder Proposals. Under the Medaphis Bylaws, at an annual meeting of stockholders, only business properly brought before the meeting may be conducted. For business to be properly brought before an annual meeting by a stockholder, the stockholder must have given timely notice thereof in writing to the Secretary of Medaphis. To be timely, a stockholder's notice must be received at the principal executive offices of Medaphis not less than 60 days nor more than 90 days prior to the annual meeting (with limited exceptions). Such notice must set forth as to each matter the stockholder proposes to bring before the annual meeting (i) a brief description of the business to be brought and the reasons for conducting such business; (ii) the name and address of such stockholder; (iii) the number of shares of Medaphis Common Stock beneficially owned by such stockholder; and (iv) any material interests of the stockholder in such proposed business. The HDS Charter and HDS Bylaws do not contain provisions prescribing requirements relating to stockholder proposals. Action without a Meeting. Under the Medaphis Bylaws, any action required to be taken at any annual or special meeting of stockholders or any action which may be taken at any annual or special meeting of stockholders may be taken without a meeting, without prior notice and without a vote, if a consent in writing setting forth the actions so taken shall be signed by the holders of outstanding stock having not less than the minimum number of votes that would be necessary to authorize or take such action at a meeting at which all shares entitled to vote thereon were present and voted. Prompt notice of the taking of the corporate action without a meeting by less than unanimous written consent shall be given to those stockholders who have not consented in writing. Under the HDS Bylaws, any action which may be taken at any meeting of stockholders may be taken without a meeting and without prior notice if written consents setting forth the actions so taken are signed by the holders of the outstanding shares having not less than the minimum number of votes that would be necessary to authorize or take such action at a meeting at which all shares entitled to vote thereon were present and voted. If the unanimous written consent of all such stockholders shall not have been received, prompt notice of any corporate action approved by the stockholders without a meeting shall be given to those stockholders entitled to vote on such matters that have not consented thereto in writing. Board of Directors. Under the Medaphis Bylaws, the Board of Directors of Medaphis consists of such number of directors as determined from time to time by the Board of Directors, which cannot in any case be less than three nor more than 10. The Board of Directors of Medaphis currently consists of five members, all of whom are elected at each annual meeting of stockholders. Under the HDS Bylaws, the HDS Board of Directors consists of such number of directors as is determined by resolution of the HDS Board of Directors or by the HDS stockholders at the annual meeting; provided, however, that such number of directors cannot in any case be less than five nor more than eight. The HDS Board of Directors currently consists of five members. Quorum. Under the Medaphis Bylaws, the presence of 50% of the total number of directors currently comprising the Board of Directors is necessary to constitute a quorum. Under the HDS Bylaws, the presence of a majority of the directors is necessary to constitute a quorum. Indemnification of Directors and Officers. Under the Medaphis Bylaws, Medaphis is required to indemnify, to the fullest extent permitted by the DGCL, any person who is involved in any action, suit or proceeding by reason of the fact that the person is or was a director, officer, employee or agent of Medaphis, provided that if such person initiated the action, suit or proceeding, such person will be entitled to indemnification only if the proceeding was authorized by the Board of Directors of Medaphis. Medaphis is also required to advance expenses to any such director, officer, employee or agent of Medaphis provided that, in the case of a director or officer of Medaphis, he or she delivers the undertaking required by the DGCL. Under the HDS Bylaws, HDS is required to indemnify its officers, directors, employees and agents to the extent permitted by the DGCL. 31 40 COMPARISON OF RIGHTS OF HOLDERS OF MEDAPHIStax disputes. MANAGEMENT COMMON STOCK AND HDS PREFERRED STOCK The following is a summary of material differences between the rights of holders of Medaphis Common Stock and the rights of holders of HDS Preferred Stock, other than the rights of holders of HDS Preferred Stock described above under "Comparison of Rights of Holders of Medaphis Common Stock and HDS Common Stock and HDS Preferred Stock" and described below under "HDS Preferred Stock Purchase Agreements." These differences arise primarily from various provisions of the Medaphis Charter and the Medaphis Bylaws and the HDS Charter and the HDS Bylaws. The following summary does not purport to be a complete statement of the rights of the stockholders of Medaphis and the holders of HDS Preferred Stock. This summary is qualified in its entirety by reference to the text of the Medaphis Charter, the Medaphis Bylaws, the DGCL, the HDS Charter and the HDS Bylaws. Voting Rights. The Medaphis Charter provides that each holder of Medaphis Common Stock shall have one vote for each share of stock held by such holder. The HDS Charter provides that holders of HDS Preferred Stock are entitled to vote with HDS Common Stock as a single class on all matters on which holders of HDS Common Stock are entitled to vote. In any such vote, each holder of shares of HDS Preferred Stock is entitled to such number of votes as shall be equal to the whole number of shares of HDS Common Stock into which such holder's aggregate number of shares of HDS Preferred Stock are convertible. In addition, so long as any shares of HDS Series B Preferred Stock or HDS Series C Preferred Stock remain outstanding, the vote or consent of at least a majority of the outstanding shares of either such series is required to: (i) amend the HDS Charter or HDS Bylaws in a manner which would alter the rights of the holders of either such series; (ii) reclassify any HDS Common Stock into shares with priority over the shares of either such series or (iii) pay a dividend upon or redeem any shares of HDS Common Stock (with certain limited exceptions). So long as any shares of HDS Series F Preferred Stock remain outstanding, the vote or consent of at least 85% of the outstanding shares of such series is required to: (i) amend the HDS Charter or HDS Bylaws in a manner which would alter the rights of the HDS Series F Preferred Stock; (ii) pay a dividend on any shares of junior stock; (iii) increase the authorized number of shares of HDS Series F Preferred Stock; (iv) redeem any shares of junior stock (with certain limited exceptions); or (v) reclassify any junior stock into shares with priority over the shares of HDS Series F Preferred Stock. Additionally, in connection with any merger, consolidation or sale of all or substantially all of HDS's assets (including without limitation the Merger), at least 85% of the shares of the HDS Series F Preferred Stock outstanding must vote in favor of or consent to the consideration to be received by such holders in such transaction. Dividend Preference. Holders of Medaphis Common Stock are not entitled to any dividend preference. Holders of HDS Series B Preferred Stock and HDS Series C Preferred Stock are entitled to receive non-cumulative dividends, when and if declared by the HDS Board of Directors, at the rate of $.40 and $.56, respectively per share per annum, before any dividend is paid on HDS Common Stock; provided, however, that such dividends may not exceed 25% of HDS's pre-tax income for any quarter. Holders of HDS Series F Preferred Stock are entitled to receive dividends at the rate of $1.15 per share per annum, payable in preference to any dividends on any shares of junior stock. Dividends on HDS Series F Preferred Stock shall only accrue and be cumulative if HDS declares a cash dividend on any shares of capital stock; in such case, unpaid dividends shall bear interest at the rate of 10% per annum. Liquidation Preference. In the event of any liquidation of Medaphis, the holders of Medaphis Common Stock and the holders of Medaphis Non-Voting Common Stock are entitled to share pro rata in all assets of Medaphis available for distribution to its stockholders. Upon any liquidation, dissolution or winding up of HDS, before any distribution or payment shall be made to the holders of HDS Common Stock, the holders of HDS Series B Preferred Stock, HDS Series C Preferred Stock and HDS Series F Preferred Stock are concurrently entitled to be paid out of the assets of HDS an amount per share equal to $5.63, $8.00 and $16.50, plus any unpaid dividends, respectively. If the assets and funds thus distributed among the holders of the HDS Preferred Stock shall be insufficient to permit the payment to such holders of the full preferential amount, then the entire assets of HDS legally available for distribution shall be distributed ratably among the holders of the HDS Preferred Stock in proportion to the preferential amount each such holder would have been entitled to receive. 32 41 Conversion. Each share of HDS Preferred Stock may be converted into shares of HDS Common Stock. The number of shares of HDS Common Stock to which a holder of HDS Preferred Stock is entitled upon conversion is equal to the product obtained by multiplying the number of shares of HDS Preferred Stock being converted by the conversion rate. The current conversion rate for each of the HDS Series B Preferred Stock, HDS Series C Preferred Stock and HDS Series F Preferred Stock is one-to-one. Medaphis Common Stock is not convertible. HDS PREFERRED STOCK PURCHASE AGREEMENTS Certain holders of HDS Common Stock (consisting of those holders of HDS Common Stock who originally purchased HDS Series A Preferred Convertible Stock, par value $0.10 per share ("HDS Series A Preferred Stock"), which was subsequently converted into HDS Common Stock ("HDS Converted Common Stock")) and the holders of HDS Preferred Stock have certain additional rights, and their shares are subject to certain additional restrictions, under the terms of the respective HDS Preferred Stock Purchase Agreements ("HDS Preferred Stock Purchase Agreements") pursuant to which such shares of HDS Series A Preferred Stock and HDS Preferred Stock were originally issued. These rights and restrictions include, among others, the following: Rights of First Refusal. Holders of HDS Converted Common Stock and HDS Preferred Stock have rights of first refusal to purchase, subject to certain exceptions, on a pro rata basis with all other holders holding such rights of first refusal, all or any portion of "New Securities" which HDS may, from time to time, propose to sell and issue. "New Securities" means any capital stock of HDS, including HDS Common Stock or HDS Preferred Stock whether now authorized or not, and rights, options or warrants to purchase HDS Capital Stock, and securities of any type whatsoever that are, or may become, convertible into HDS Capital Stock, subject to certain exceptions. These rights, as they relate to the HDS Converted Common Stock, HDS Series B Preferred Stock and HDS Series C Preferred Stock, will expire at the Effective Time. These rights, as they relate to the holders of the HDS Series F Preferred Stock, will continue following the Effective Time. It is a condition to Medaphis' obligation to consummate the Merger that it shall have obtained a waiver of such rights from the holder of the HDS Series F Preferred Stock that may be deemed at the time of the Special Meeting to be an "affiliate" of HDS within the meaning of Rule 145 under the Securities Act. Registration Rights. Holders of HDS Converted Common Stock and HDS Preferred Stock have demand registration rights pursuant to which they may cause HDS to register their shares of HDS Converted Common Stock and the shares of HDS Common Stock into which the shares of HDS Preferred Stock are convertible (collectively, "HDS Registerable Securities"), subject to certain limitations. Additionally, holders of HDS Registerable Securities have certain piggyback registration rights which they may exercise in the event of a registration of HDS Common Stock initiated by HDS, subject to certain limitations. To date, no holders of HDS Registerable Securities have exercised any of their demand registration rights or piggyback registration rights. HDS is required to pay the expenses arising from a registration of HDS Common Stock as to which holders of HDS Registerable Securities exercise their piggyback registration rights, subject to certain exceptions. With respect to a registration undertaken in response to an exercise by holders of HDS Registerable Securities of their demand registration rights, expenses incurred in connection therewith are payable in certain instances and to a certain extent by HDS and in other instances and to another extent by the holders of HDS Registerable Securities. These rights will expire at the Effective Time. Restrictions on Transferability. The HDS Converted Common Stock, the HDS Preferred Stock and shares of HDS Common Stock that would be issued upon conversion of the HDS Preferred Stock are subject to certain restrictions on transfer, and a holder of any of such shares must cause any proposed transferee thereof to agree to take and hold those shares subject to the provisions and upon the conditions specified in the respective HDS Preferred Stock Purchase Agreement pursuant to which the shares in question were issued. Subject to certain exceptions, such shares are not transferable to any person who directly or indirectly is a competitor of HDS, or who is an officer, director, employee, consultant, 33 42 substantial creditor or stockholder of any such competitor. These restrictions will expire at the Effective Time. Holders of HDS Converted Common Stock and HDS Preferred Stock should refer to the HDS Preferred Stock Purchase Agreements pursuant to which the HDS Converted Common Stock and HDS Preferred Stock were issued for a complete description of the rights and restrictions relating to HDS and holders of HDS Converted Common Stock and HDS Preferred Stock thereunder. The foregoing summary is qualified in its entirety by reference to the HDS Preferred Stock Purchase Agreements. CERTAIN REPURCHASE RIGHTS AND TRANSFER RESTRICTIONS Certain shares of HDS Common Stock owned by employees of HDS are subject to Revised Buy-Out Agreements with HDS (the "Buyout Agreements"). Pursuant to the Buyout Agreements, until the later of (i) four years from the start of such employee's employment by HDS, or (ii) the date of an initial public offering of HDS as specified therein, such shares of Common Stock are subject to (a) restriction upon transfer, including the right of HDS to purchase such shares of Common Stock from the holder at the price and upon the terms of the proposed transfer, or at the option of HDS at the cost of such shares of Common Stock, and (b) the right of HDS to purchase such shares in the event of termination of the employment of the holder by HDS. These provisions will expire as of the Effective Time. APPRAISAL RIGHTS Holders of HDS Common Stock and HDS Preferred Stock are entitled to appraisal rights under Section 262 of the DGCL. A person having a beneficial interest in shares of HDS Common Stock or HDS Preferred Stock held of record in the name of another person, such as a broker or nominee, must act promptly to cause the record holder to follow the steps summarized below properly and in a timely manner to perfect whatever appraisal rights the beneficial owner may have. The following discussion is not a complete statement of the law pertaining to appraisal rights under the DGCL and is qualified in its entirety by the full text of Section 262, which is reprinted in its entirety as Annex B to this Proxy Statement/Prospectus. All references in Section 262 and in this summary to a "stockholder" are to the record holder of the shares of HDS Common Stock or HDS Preferred Stock as to which appraisal rights are asserted. Under the DGCL, holders of shares of HDS Common Stock and HDS Preferred Stock who follow the procedures set forth in Section 262 will be entitled to have their shares of HDS Common Stock or HDS Preferred Stock or both, as the case may be, appraised by the Delaware Court of Chancery and to receive payment of the "fair value" of such shares, exclusive of any element of value arising from the accomplishment or expectation of the Merger, together with a fair rate of interest, if any, as determined by such court. Under Section 262, where a merger is to be submitted for approval at a meeting of stockholders, as in the case of the Special Meeting, the corporation, not less than 20 days prior to the meeting, must notify each of its stockholders who was a stockholder on the record date of the meeting with respect to shares for which appraisal rights are available that such appraisal rights are available and include in such notice a copy of Section 262. This Proxy Statement/Prospectus shall constitute such notice to the holders of shares of HDS Common Stock and HDS Preferred Stock and the applicable statutory provisions of the DGCL are attached to this Proxy Statement/Prospectus as Annex B. Any stockholder who wishes to exercise such appraisal rights or who wishes to preserve his or her right to do so should review the following discussion and Annex B carefully because failure to timely and properly comply with the procedures specified will result in the loss of appraisal rights under the DGCL. A holder of shares of HDS Common Stock or HDS Preferred Stock or both, as the case may be, wishing to exercise his or her appraisal rights must deliver to HDS, before the vote on the Merger Agreement at the Special Meeting, a written demand for appraisal of his or her shares of HDS Common Stock or HDS Preferred Stock or both, as the case may be, and must not vote in favor of adoption of the Merger Agreement. Because a proxy which does not contain voting instructions will, unless revoked, be voted for adoption of the 34 43 Merger Agreement, a holder of shares of HDS Common Stock or HDS Preferred Stock or both, as the case may be, who votes by proxy and who wishes to exercise his or her appraisal rights must (i) vote against adoption of the Merger Agreement or (ii) abstain from voting on adoption of the Merger Agreement. A vote against adoption of the Merger Agreement, in person or by proxy, will not in and of itself constitute a written demand for appraisal satisfying the requirements of Section 262. In addition, a holder of shares of HDS Common Stock or HDS Preferred Stock or both, as the case may be, wishing to exercise his or her appraisal rights must hold of record such shares on the date the written demand for appraisal is made and must continue to hold such shares until the Effective Time. Only a holder of record of shares of HDS Common Stock or HDS Preferred Stock is entitled to assert appraisal rights for the shares of HDS Common Stock or HDS Preferred Stock registered in that holder's name. A demand for appraisal should be executed by or on behalf of the holder of record, fully and correctly, as his or her name appears on his or her stock certificates. If the shares of HDS Common Stock or HDS Preferred Stock are owned of record in a fiduciary capacity, such as by a trustee, guardian or custodian, execution of the demand should be made in that capacity, and if the shares of HDS Common Stock or HDS Preferred Stock are owned of record by more than one person, as in a joint tenancy or tenancy in common, the demand should be executed by or on behalf of all joint owners. An authorized agent, including one or more joint owners, may execute a demand for appraisal on behalf of a holder of record; however, the agent must identify the record owner or owners and expressly disclose the fact that, in executing the demand, the agent is agent for such owner or owners. A record holder such as a broker who holds shares of HDS Common Stock or HDS Preferred Stock as nominee for several beneficial owners may exercise appraisal rights with respect to the shares of HDS Common Stock or HDS Preferred Stock held for one or more beneficial owners while not exercising such rights with respect to the shares of HDS Common Stock or HDS Preferred Stock held for other beneficial owners; in such case, the written demand should set forth the number of shares of HDS Common Stock or HDS Preferred Stock as to which appraisal is sought, and where no number of shares of HDS Common Stock or HDS Preferred Stock is expressly mentioned, the demand will be presumed to cover all shares of HDS Common Stock or HDS Preferred Stock held in the name of the record owner. Stockholders who hold their shares of HDS Common Stock or HDS Preferred Stock in brokerage accounts or other nominee forms and who wish to exercise appraisal rights are urged to consult with their brokers to determine the appropriate procedures for the making of a demand for appraisal by such a nominee. All written demands for appraisal should be sent or delivered to HDS at 268 West Hospitality Lane #300, San Bernardino, California 92408 Attention: Secretary. Within ten days after the Effective Time, HDS, as the surviving corporation in the Merger, must send a notice as to the effectiveness of the Merger to each person who has satisfied the appropriate provisions of Section 262 and did not vote for approval and adoption of the Merger Agreement. Within 120 days after the Effective Time, but not thereafter, HDS or any stockholder entitled to appraisal rights under Section 262 may file a petition in the Delaware Court of Chancery demanding a determination of the fair value of the shares of HDS Common Stock or HDS Preferred Stock, or both, as the case may be. HDS is under no obligation to, and has no present intention to file a petition with respect to, the appraisal of the fair value of the shares of HDS Common Stock or HDS Preferred Stock. Accordingly, it is the obligation of the stockholders to initiate all necessary action to perfect their appraisal rights within the time prescribed in Section 262. Within 120 days after the Effective Time, any stockholder who has complied with the requirements for exercise of appraisal rights will be entitled, upon written request, to receive from HDS a statement setting forth the aggregate number of shares of HDS Common Stock and HDS Preferred Stock not voted in favor of adoption of the Merger Agreement and with respect to which demands for appraisal have been received and the aggregate number of holders of such shares. Such statements must be mailed within ten days after a written request therefor has been received by HDS. If a petition for an appraisal is timely filed, after a hearing on such petition, the Delaware Court of Chancery will determine which stockholders are entitled to appraisal rights and thereafter will appraise the shares of HDS Common Stock or HDS Preferred Stock, or both, as the case may be, owned by such stockholders, determining the fair value of such shares of HDS Common Stock or HDS Preferred Stock, or 35 44 both, as the case may be, exclusive of any element of value arising from the accomplishment or expectation of the Merger, together with a fair rate of interest to be paid, if any, upon the amount determined to be the fair value. In determining fair value, the Delaware Court of Chancery is to take into account all relevant factors. In Weinberger v. UOP Inc., et. al., the Delaware Supreme Court discussed factors that could be considered in determining fair value in an appraisal proceeding, stating that "proof of value by any techniques or methods which are generally considered acceptable in the financial community and otherwise admissible in court" should be considered and that "[f]air price obviously requires consideration of all relevant factors involving the value of a company." The Delaware Supreme Court stated that in making this determination of fair value the court must consider "market value, asset value, dividends, earnings prospects, the nature of the enterprise and any other facts which were known or which could be ascertained as of the date of merger which throw any light on future prospects of the merged corporation." The Delaware Supreme Court has construed Section 262 to mean that "elements of future value, including the nature of the enterprise, which are known or susceptible of proof as of the date of the merger and not the product of speculation, may be considered." However, the court noted that Section 262 provides that fair value is to be determined "exclusive of any element of value arising from the accomplishment or expectation of the merger." HDS stockholders considering seeking appraisal rights should be aware that the fair value of their shares of HDS Common Stock or HDS Preferred Stock, or both, as the case may be, determined under Section 262 could be more than, the same as, or less than the value of the merger consideration they will be entitled to receive pursuant to the Merger Agreement if they do not seek appraisal of their shares of HDS Common Stock or HDS Preferred Stock, and that opinions of investment banking firms as to fairness from a financial point of view are not necessarily opinions as to fair value under Section 262. The cost of the appraisal proceeding may be determined by the Delaware Court of Chancery and taxed upon the parties as the Delaware Court of Chancery deems equitable in the circumstances. Upon application of a dissenting stockholder, the Delaware Court of Chancery may order that all or a portion of the expenses incurred by any dissenting stockholder in connection with the appraisal proceeding, including, without limitation, reasonable attorneys' fees and the fees and expenses of experts, be charged pro rata against the value of all shares of HDS Common Stock and HDS Preferred Stock entitled to appraisal. In the absence of such a determination or assessment, each party bears its own expenses. Any holder of HDS Common Stock or HDS Preferred Stock, or both, as the case may be, who has duly demanded an appraisal in compliance with Section 262 will not, after the Effective Time, be entitled to vote the shares of HDS Common Stock or HDS Preferred Stock, or both, as the case may be, subject to such demand for any purpose or be entitled to the payment of dividends or other distributions on those shares (except dividends or other distributions payable to holders of record of shares of HDS Common Stock or HDS Preferred Stock as of a date prior to the Effective Time). If any stockholder who demands appraisal of his or her shares of HDS Common Stock or HDS Preferred Stock, or both, as the case may be, under Section 262 fails to perfect, or effectively withdraws or loses, his or her right to appraisal, as provided in the DGCL, the shares of HDS Common Stock or HDS Preferred Stock, or both, as the case may be, of such stockholder will be converted into the right to receive the merger consideration. A stockholder will fail to perfect, or effectively lose or withdraw, his or her right to appraisal if no petition for appraisal is filed within 120 days after the Effective Time, or if the stockholder delivers to HDS a written withdrawal of his or her demand for appraisal and acceptance of the Merger, except that any such attempt to withdraw made more than 60 days after the Effective Time will require the written approval of HDS as the surviving corporation. Failure to follow any of the steps required by Section 262 of the DGCL for perfecting appraisal rights may result in the loss of such rights (in which event a stockholder will be entitled to receive the merger consideration). In view of the complexity of these provisions of Delaware law, stockholders who are considering dissenting from the approval and adoption of the Merger Agreement and exercising their rights under Section 262 should consult their legal advisors. 36 45 BUSINESS OF MEDAPHIS GENERAL Medaphis is a leading provider of business management services and systems to the healthcare industry. Medaphis' business management services are designed to assist its hospital and physician clients with the business management functions associated with the delivery of healthcare services, thereby permitting such clients to focus on providing quality medical services to their patients. Medaphis also provides subrogation and related recovery services to healthcare payors and a multi-specialty physician group. These services assist healthcare payors in recovering the related benefits provided to insureds who are injured in accidents or under other circumstances where a third-party is ultimately responsible for such benefits. Medaphis currently provides business management services to approximately 19,700 physicians and over 875 hospitals and subrogation and recovery services to healthcare plans covering in excess of 24 million people throughout the United States. Medaphis also is a leading provider of information management systems and systems integration and workflow engineering systems and services to various participants in the healthcare and other industries. Medaphis currently provides scheduling and information management systems to hospitals, emerging integrated healthcare delivery systems ("IHDS") and certain specialty departments or staffs within a hospital or IHDS. Medaphis' scheduling and information management systems are designed to enable healthcare providers to control costs and improve efficiency by automating certain scheduling and related management functions within a facility, department or staff group. Medaphis systems integration and workflow engineering systems and services are designed to increase flexibility, improve end-user access to information and increase decision making through the strategic use and development of client/server, imaging and other advanced technologies. Medaphis currently provides systems integration and workflow engineering systems and services to participants in the healthcare and other industries. Medaphis' business strategy is to develop a national organization which provides high quality business management services and systems to the healthcare industry. In addition, Medaphis intends to continue to develop and exploit its core competencies in the systems integration and workflow engineering fields in various industries outside of healthcare which are experiencing similar demands for more effective and open client/server IT systems. Management anticipates that the demand for systems integration and workflow engineering systems and services within and outside the healthcare industry will continue to grow as companies increasingly face rapidly changing competitive landscapes and enhanced demands for improved customer service, greater employee satisfaction and increased profitability. Medaphis intends to pursue its business strategy through both internal growth and acquisitions. Since 1988, Medaphis has acquired 42 businesses which provide business management services and systems primarily to physicians and hospitals involving aggregate consideration of approximately $1.3 billion. Medaphis is incorporated under the laws of the State of Delaware. Medaphis Common Stock is traded on The Nasdaq Stock Market under the symbol "MEDA." Unless the context otherwise requires, reference to Medaphis includes Medaphis Corporation and its subsidiaries. Medaphis' principal executive offices are located at 2700 Cumberland Parkway, Suite 300, Atlanta, Georgia 30339, and its telephone number is (770) 319-3300. MEDAPHIS RE-ENGINEERING PROJECT In order to increase efficiency and position Medaphis to take advantage of the opportunities being created by ongoing changes in the healthcare industry, Medaphis has commenced a re-engineering project which will involve, among other things, the consolidation of the billing and accounts receivable processing function of its billing and accounts receivable management business, which is currently operated out of approximately 300 local business offices around the country, into approximately 10 remote processing centers. In addition to the consolidation of processing operations, the re-engineering project will involve the establishment of advanced client/server computing at the local sales and service offices and at remote processing centers. This computing infrastructure will be designed to significantly reduce paper handling and greatly increase the speed 37 46 of record recovery while permitting communication over a wide-area network and across geographic markets and linking together all of Medaphis' operating divisions. The local sales and service offices and remote processing centers will operate in a client/server environment in which client work stations and graphical user interfaces connect with distributed file, database, transaction and groupware servers. Concurrent with the consolidation of processing operations and the establishment of an advanced client/server environment, Medaphis will continue to assess the processing practices of each office, as well as the practices of successful transaction processors in other industries. The purpose of this assessment is to identify the best practices for each core process, and then adopt these best practices as standards and engineer the workflow and new technology to achieve or exceed each of the identified standards. Medaphis believes the re-engineering project will provide its customers and employees with the full information processing and communications power of an advanced distributed computing system. The re-engineering project is designed to enable Medaphis to continue to grow and achieve economies of scale in several areas, including training, client service, patient and payor relations, transaction processing operations and electronic data interchange capabilities. The project is expected to be substantially completed during 1997. Although the re-engineering project will involve consolidation of the processing functions of its billing and accounts receivable management services, Medaphis intends to continue to maintain and place increased emphasis on the sales and customer service functions of this Business on a local basis. RECENTLY COMPLETED AND FUTURE ACQUISITIONS Medaphis has recently completed three major acquisitions and four other insignificant acquisitions and intends to continue to pursue additional acquisitions in the future. A general summary of the major acquisitions is set forth below. COMPLETED ACQUISITIONS BSG Corporation. As of May 6, 1996, Medaphis acquired BSG Corporation ("BSG") in a merger transaction for approximately 7,500,000 shares of Medaphis Common Stock. In addition, Medaphis assumed BSG stock options representing approximately 2,300,000 additional shares of Medaphis Common Stock. BSG provides information technology and change management services to organizations seeking to transform their operations through the strategic use of client/server and other advanced technologies. BSG focuses on customers and industries where technology-enabled change and re-engineering can have a significant competitive impact. BSG seeks to establish long-term alliances with its customers, enabling them to increase revenue, raise productivity and improve product quality. Management believes that the acquisition of BSG, when combined with Rapid Systems and Medaphis' existing systems integration and workflow engineering operations, will position Medaphis as one of the leading client/server systems integration and workflow engineering companies in the United States. Rapid System Solutions, Inc. As of April 3, 1996, the Medaphis acquired Rapid Systems in a merger transaction for approximately 1.1 million shares of Medaphis Common Stock. Rapid Systems is a client server/systems integration company whose core competencies include: network design integration and management; database design and development; graphical user interface application design, development and implementation; and strategic systems engineering and computer security. During 1995, Rapid Systems had revenue of $14.7 million. As a result of the pooling-of-interests accounting treatment for the Rapid Systems merger, Medaphis expects to record a charge of approximately $900,000 in the second quarter of 1996 related to fees, costs and expenses incurred in connection with the Rapid Systems Merger. Medical Management Sciences, Inc. As of December 29, 1995, Medaphis acquired MMS in a merger transaction for approximately 4,000,000 shares of Medaphis Common Stock. MMS is a provider of practice management and billing and accounts receivable management services to radiologists and radiation oncologists. Through a network of nine service centers, MMS currently provides its services in 12 states to approximately 100 radiology and radiation oncology practices consisting of approximately 1,700 radiologists and radiation oncologists. MMS' practice management and billing and accounts receivable management services assist physicians in improving their cash flow through better management of their billing and accounts receivable and through reducing the administrative costs associated with the delivery of healthcare services. 38 47 MMS also operates a management service organization located in Maryland, which specializes in providing network formation and administration, marketing, contracting, management and information systems services to physicians and physician networks in connection with managed care, capitation and alternative reimbursement systems. MMS currently provides these services to approximately 220 primary and specialty network physicians serving more than 200,000 covered lives. PENDING AND FUTURE ACQUISITIONS An important component of Medaphis' business strategy involves growth through acquisitions. In connection therewith, Medaphis evaluates various acquisition candidates on an ongoing basis. In general, these acquisition candidates include companies which provide business management systems or services to healthcare providers or system integration services. Management of Medaphis currently anticipates that Medaphis will place increased emphasis over the next several quarters on expanding Medaphis' technology business, including its systems integration operations. As of the date of this Proxy Statement/Prospectus, Medaphis has no definitive agreement to acquire any other specific business whose operations would be material or significant to Medaphis. However, Medaphis may, prior to the consummation of the Merger, acquire certain additional businesses whose operations are not material or significant to Medaphis. Moreover, Medaphis currently anticipates that it will continue to make acquisitions of businesses which provide business management systems or services to healthcare providers and/or systems integration services. The consummation of future acquisitions will be subject to, among other things, favorable market conditions, the availability of financing on terms and conditions satisfactory to Medaphis and suitable acquisition candidates. RESULTS OF OPERATIONS Medaphis expects to record charges of approximately $900,000 and $6.5 million in the quarter ended June 30, 1996 associated with the acquisitions of Rapid Systems and BSG, respectively, which are being accounted for as poolings-of-interests. The charges relate to transaction fees, costs and expenses incurred in connection with the mergers. Medaphis also expects to incur an additional charge of $3.8 million for similar fees, costs and expenses in connection with the Merger. The charge is expected to be recorded in the period in which the Merger is consummated. OTHER EVENTS For a discussion of the Federal Investigation and certain putative stockholder class action lawsuits, see "Risk Factors -- Pending Federal Investigation; Putative Class Action Lawsuits." 39 48 UNAUDITED PRO FORMA COMBINED FINANCIAL INFORMATION The Unaudited Pro Forma Combined Financial Statements are based on the historical presentation of the consolidated financial statements of Medaphis and the historical presentation of the consolidated financial statements of HDS. The Unaudited Pro Forma Combined Statements of Operations for the years ended December 31, 1993, 1994 and 1995 and the three months ended March 31, 1996 give effect to (i) the Merger as if it had occurred on January 1, 1993 and (ii) certain pro forma adjustments related to the Atwork, MMS, Rapid Systems and BSG Mergers. The Unaudited Pro Forma Combined Statements of Operations for the year ended December 31, 1995 and the three months ended March 31, 1996 also give effect to the 1995 acquisitions, which include the acquisition of Medical Management, Inc., Medical Billing Service, Computers Diversified, Inc. and the Receivables Management Division of MedQuist Inc. (the "1995 Acquisitions") as if each had occurred as of January 1, 1995. The Unaudited Pro Forma Combined Balance Sheet as of March 31, 1996 gives effect to the Merger as if it had occurred on March 31, 1996. The Unaudited Pro Forma Combined Financial Statements do not include the effects of the Decisions Support Group, Medical Office Consultants, Inc., Consort, Billing and Professional Services, Inc., The Halley Exchange, Inc., Medical Management Computer Sciences, Inc., CBT Financial Services, Inc., Intelligent Visual Computing, Inc. and The MEDICO Group, Ltd. acquisitions, as they are not considered significant individually or in the aggregate. The Merger is expected to be accounted for under the pooling-of-interests method of accounting. Each of the 1995 Acquisitions has been accounted for under the purchase method of accounting. The total purchase price for each of these acquisitions has been allocated to tangible and identifiable intangible assets and liabilities based upon management's estimate of their respective fair market values with the excess of cost over net assets acquired allocated to goodwill. The allocation of the purchase price for certain of the 1995 Acquisitions is subject to revision when additional information concerning asset and liability valuation is obtained. Management believes the asset and liability valuations utilized for these acquisitions will not be materially different from the pro forma information presented herein. For purposes of preparing the Unaudited Pro Forma Combined Statements of Income for the years ended December 31, 1993 and 1994, HDS's operating results for the years ended March 31, 1994 and 1995 were combined with Medaphis' operating results for the years ended December 31, 1993 and 1994, respectively. The Unaudited Pro Forma Combined Statement of Income for the year ended December 31, 1995 was prepared by combining Medaphis' 1995 operating results with HDS's 1995 operating results, which were restated to a calendar year basis. Accordingly, HDS's operating results for the three months ended March 31, 1995 were duplicated in each of the years ended December 31, 1994 and 1995. HDS's revenues and net income for that three month period were $14,018,000 and $6,314,000, respectively. Each of the Unaudited Pro Forma Combined Statements of Operations includes the historical operating results of each of the acquired companies included therein from the beginning of the period covered by such statement until the earlier of the date of acquisition or the end of the period covered by such statement. The Unaudited Pro Forma Combined Financial Statements do not purport to be indicative of the results that actually would have been obtained if the combined operations had been conducted during the periods presented and they are not necessarily indicative of operating results to be expected in future periods. The Unaudited Pro Forma Combined Financial Statements and notes thereto should be read in conjunction with the historical financial statements and notes thereto of Medaphis, which are incorporated herein by reference and the historical financial statements and notes thereto of HDS which are included elsewhere herein, and of certain of the 1995 Acquisitions, contained in certain documents incorporated herein by reference. 40 49
YEAR ENDED DECEMBER 31, 1993 ------------------------------------------------------------------------ MEDAPHIS HDS PRO FORMA PRO FORMA PRO FORMA PRO FORMA MEDAPHIS ADJUSTMENTS COMBINED HDS(9) ADJUSTMENTS COMBINED -------- ----------- --------- ------- ----------- --------- (IN THOUSANDS, EXCEPT PER SHARE DATA) Revenue............................... $259,575 $ -- $259,575 $19,763 $-- $279,338 Salaries and wages.................... 158,703 (8,689)(1) 150,014 5,670 -- 155,684 Other operating expenses.............. 66,412 -- 66,412 5,157 -- 71,569 Depreciation.......................... 6,960 -- 6,960 232 -- 7,192 Amortization.......................... 5,317 -- 5,317 2,561 -- 7,878 Interest expense, net................. 6,517 -- 6,517 56 -- 6,573 Restructuring and other charges....... -- -- -- -- -- -- -------- ----------- --------- ------- --- --------- Total expenses............... 243,909 (8,689) 235,220 13,676 -- 248,896 Income (loss) before taxes............ 15,666 8,689 24,355 6,087 -- 30,442 Income taxes.......................... 7,049 4,655(5) 11,704 -- -- 11,704 -------- ----------- --------- ------- --- --------- Net income (loss)..................... $ 8,617 $ 4,034 $ 12,651 $6,087 -- 18,738 ========= =========== ========== ======== =========== ========== Net income per common share........... $ 0.19 $ 0.28 0.36 ========= ========== ========== Weighted average shares outstanding... 45,505 45,505 6,540 52,045 ========= ========== ======== ==========
YEAR ENDED DECEMBER 31, 1994 ---------------------------------------------------------------------- MEDAPHIS HDS PRO FORMA PRO FORMA PRO FORMA PRO FORMA MEDAPHIS ADJUSTMENTS COMBINED HDS(9) ADJUSTMENTS COMBINED -------- ----------- --------- ------- ----------- --------- (IN THOUSANDS, EXCEPT PER SHARE DATA) Revenue................................. $376,870 $ -- $376,870 $22,115 $-- $398,985 Salaries and wages...................... 221,575 (6,716)(1) 214,859 5,402 -- 220,261 Other operating expenses................ 90,836 -- 90,836 4,589 -- 95,425 Depreciation............................ 9,269 -- 9,269 114 -- 9,383 Amortization............................ 7,748 -- 7,748 2,943 -- 10,691 Interest expense, net................... 5,896 -- 5,896 30 -- 5,926 Restructuring and other charges......... 1,905 -- 1,905 -- -- 1,905 -------- ----------- --------- ------- --- --------- Total expenses................. 337,229 (6,716) 330,513 13,078 -- 343,591 Income (loss) before taxes.............. 39,641 6,716 46,357 9,037 -- 55,394 Income taxes............................ 13,155 5,147(5) 18,302 3,000 -- 21,302 -------- ----------- --------- ------- --- --------- Net income (loss)....................... $ 26,486 $ 1,569 $ 28,055 $6,037 $-- $ 34,092 ========= =========== ========== ======== =========== ========== Net income per common share............. $ 0.48 $ 0.51 $ 0.56 ========= ========== ========== Weighted average shares outstanding..... 54,623 54,623 6,540 61,163 ========= ========== ======== ==========
41 50
YEAR ENDED DECEMBER 31, 1995 ---------------------------------------------------------------------------------------- MEDAPHIS HDS PRIOR PRO FORMA PRO FORMA PRO FORMA PRO FORMA MEDAPHIS ACQUISITIONS ADJUSTMENTS COMBINED HDS(9) ADJUSTMENTS COMBINED -------- ------------ ----------- --------- ------- ----------- --------- (IN THOUSANDS, EXCEPT PER SHARE DATA) Revenue................. $552,132 $ 22,679 $ -- $ 574,811 $22,249 $ -- $ 597,060 Salaries and wages...... 318,014 10,794 (2,925)(1) 325,883 5,330 -- 331,213 Other operating expenses.............. 130,714 6,586 -- 137,300 10,091 -- 147,391 Depreciation............ 14,346 628 -- 14,974 85 -- 15,059 Amortization............ 14,112 580 75(2) 14,767 3,135 -- 17,902 Interest expense, net... 10,417 (16) 1,787(3) 12,188 (201) -- 11,987 Restructuring and other charges............... 54,950 -- (750)(4) 54,200 -- -- 54,200 -------- ------------ ----------- --------- ------- ----------- --------- Total expenses.... 542,553 18,572 (1,813) 559,312 18,440 -- 577,752 Income (loss) before taxes................. 9,579 4,107 1,813 15,499 3,809 -- 19,308 Income taxes............ 6,903 -- 5,648(5) 12,551 1,524 14,075 -------- ------------ ----------- --------- ------- ----------- --------- Net income (loss)....... $ 2,676 $ 4,107 $(3,835) $ 2,948 $ 2,285 $ -- $ 5,233 ======== ========= ========= ======== ======= ========= ======== Net income per common share................. $ 0.04 $ 0.05 $ 0.08 ======== ======== ======== Weighted average shares outstanding........... 61,520 61,520 6,540 68,060(6) ======== ======== ======= ========
THREE MONTHS ENDED MARCH 31, 1996 ------------------------------------------------------------------------ MEDAPHIS HDS PRO FORMA PRO FORMA PRO FORMA PRO FORMA MEDAPHIS ADJUSTMENTS COMBINED HDS(9) ADJUSTMENTS COMBINED -------- ----------- --------- ------ ----------- --------- (IN THOUSANDS, EXCEPT PER SHARE DATA) Revenue......................... $159,869 $ -- $ 159,869 $3,743 $ $ 163,612 Salaries and wages.............. 88,963 -- 88,963 1,564 90,527 Other operating expenses........ 38,618 -- 38,618 760 39,378 Depreciation.................... 4,917 -- 4,917 33 4,950 Amortization.................... 4,023 -- 4,023 886 4,909 Interest expense, net........... 2,242 -- 2,242 (137 ) 2,105 Restructuring and other charges....................... 150 -- 150 -- 150 -------- ----------- --------- ------ ----------- --------- Total expenses........ 138,913 -- 138,913 3,106 -- 142,019 Income (loss) before taxes...... 20,956 -- 20,956 637 -- 21,593 Income taxes.................... 8,613 (354)(5) 8,259 255 8,514 -------- ----------- --------- ------ ----------- --------- Net income (loss)............... $ 12,343 $ 354 $ 12,697 $ 382 $ -- 13,079 ======== ========= ======== ====== ========= ======== Net income per common share..... $ 0.18 $ 0.18 $ 0.17 ======== ======== ======== Weighted average shares outstanding................... 69,164 69,164 6,540 75,704 ======== ======== ====== ========
42 51 PRO FORMA BALANCE SHEET AS OF MARCH 31, 1996
MARCH 31, 1996 ----------------------------------------------- HDS PRO FORMA PRO FORMA MEDAPHIS HDS(9) ADJUSTMENTS COMBINED -------- -------- ----------- --------- (IN THOUSANDS) ASSETS Current Assets: Cash and cash equivalents........................ $ 3,308 $ 14,167 $ -- $ 17,475 Restricted cash.................................. 16,473 -- -- 16,473 Accounts receivable, billed...................... 98,811 7,544 -- 106,355 Accounts receivable, unbilled.................... 85,100 10,834 -- 95,934 Other............................................ 18,523 106 -- 18,629 -------- -------- ----------- --------- 222,215 32,651 -- 254,866 Property and equipment............................. 120,202 687 -- 120,889 Intangible assets.................................. 463,278 7,768 -- 471,046 Other.............................................. 4,340 13,937 -- 18,277 -------- -------- ----------- --------- $810,035 $ 55,043 $ -- $ 865,078 ======== ======== ========= ======== LIABILITIES AND STOCKHOLDER'S EQUITY Current Liabilities: Accounts payable................................. $ 9,431 $ 7,430 $ -- $ 16,861 Accrued compensation............................. 29,711 992 -- 30,703 Accrued expenses................................. 58,405 540 3,750(7) 62,695 Current portion of long-term debt................ 10,651 -- -- 10,651 -------- -------- ----------- --------- Total current liabilities................ 108,198 8,962 3,750 120,910 Long-term debt..................................... 191,823 -- -- 191,823 Other obligations.................................. 17,710 -- -- 17,710 Deferred income taxes.............................. 24,074 1,300 -- 25,374 Convertible subordinated debentures................ -- -- -- -- -------- -------- ----------- --------- Total liabilities........................ 341,805 10,262 3,750 355,817 Stockholders' Equity: Preferred Stock.................................. 16 366 (366)(8) 16 Common stock..................................... 609 274 (213)(8) 670 Paid-in capital.................................. 454,387 42,134 579(8) 497,100 Retained earnings (accumulated deficit).......... 13,218 2,007 (3,750)(7) (11,475) -------- -------- ----------- --------- Total stockholders' equity............... 468,230 44,781 (3,750) 509,261 $810,035 $ 55,043 $ -- $ 865,078 ======== ======== ========= ========
43 52 NOTES TO UNAUDITED PRO FORMA COMBINED FINANCIAL STATEMENTS (1) The pro forma adjustment to salaries and wages represents the elimination of distributions that are non-recurring net of the compensation expected to be paid to the former shareholders of Atwork and shareholders and executive officers of MMS and the companies acquired in certain of the 1995 Acquisitions pursuant to employment contracts with Medaphis. (2) The pro forma adjustment to amortization expense represents the change in amortization expense recorded in conjunction with the 1995 Acquisitions, which results from the adjustments to intangible assets recorded as part of the purchase price allocations and conforming the historical amortization policies to those of Medaphis, whereby goodwill is amortized using the straight-line method generally over 25-40 years, client lists are amortized over their estimated useful lives of 7-20 years and capitalized software is amortized over its estimated useful life of 4-7 years. (3) The pro forma adjustment to interest expense represents the interest expense on indebtedness incurred by Medaphis (which accrued at an annual rate of approximately 7.75% in 1995) in connection with the 1995 Acquisitions, net of reductions in interest expense for obligations not assumed by Medaphis or for obligations that Medaphis assumed and refinanced under the Medaphis Senior Credit Facility to obtain lower interest rates. (4) The pro forma adjustment to restructuring and other charges represents the elimination of distributions that are non-recurring net of the compensation to be paid to the former shareholders of Atwork pursuant to employment contracts with Medaphis. (5) The pro forma adjustment to income taxes represents (i) the imputed tax expense on the operating results of Atwork, MMS, Consort, Rapid Systems and BSG, at statutory rates in effect during the periods presented (as Atwork, MMS, Consort, Rapid Systems and BSG were "S" corporations for income tax purposes and therefore did not provide for federal income taxes), (ii) the tax impact of applying Medaphis' pro forma effective tax rate to the income of certain of the 1995 Acquisitions (which were not "S" corporations for income tax purposes) as well as the pro forma adjustments and (iii) the reversal of the adjustment recorded to historical income taxes for the change in the tax status of Atwork, MMS and Consort in 1995. (6) The pro forma weighted average shares outstanding give effect to (i) the additional shares of Medaphis Common Stock to be issued and (ii) common stock equivalents assumed in connection with the Merger. (7) The pro forma adjustment to accrued expenses and retained earnings represents the estimated costs associated with the Merger. (8) The pro forma adjustments to preferred stock, common stock and paid-in capital represent the adjustments necessary to give effect to the issuance of Medaphis common stock to effect the Merger. (9) Certain HDS amounts have been reclassified in order to conform to Medaphis' presentation. 44 53 SELECTED CONSOLIDATED FINANCIAL INFORMATION OF HDS
YEAR ENDED SIX MONTHS SEPTEMBER 30, ENDED YEAR ENDED MARCH 31, ----------------- MARCH 31, --------------------------- 1991 1992 1993 1994 1995 1996 ------- ------- ---------- ------- ------- ------- STATEMENT OF OPERATIONS DATA(1) Net sales.............................. $20,593 $24,451 $4,646 $26,040 $30,454 $22,727 Cost of sales.......................... 10,953 12,419 739 11,875 13,767 15,185 Gross margin........................... 9,640 12,032 3,907 14,165 16,687 7,542 Expenses: Research and development............. 1,145 1,308 903 1,775 1,754 1,793 Sales and marketing.................. 3,044 2,577 1,406 3,028 3,672 4,870 General and administrative........... 2,029 2,873 1,676 3,219 2,194 6,107 Interest............................. 735 8 45 129 232 265 Income from operations............... 2,687 5,266 (123) 6,014 8,835 (5,493) Interest income...................... 86 58 36 73 202 620 Income before provision for income taxes............................. 2,773 5,324 (87) 6,087 9,037 (4,873) Provision for income taxes........... 1,130 1,810 -- -- 3,000 1,700 Income before extraordinary item..... 1,643 3,514 (87) 6,087 6,037 (3,173) Extraordinary credit from NOL utilization....................... 1,130 1,810 -- -- -- -- Net income........................... 2,773 5,324 (87) 6,087 6,037 (3,173)
AS OF SEPTEMBER 30, AS OF MARCH 31, ----------------- ---------------------------------------- 1991 1992 1993 1994 1995 1996 ------- ------- ---------- ------- ------- ------- BALANCE SHEET DATA(1) Working capital........................ $ 4,931 $ 9,046 $8,630 $14,102 $22,760 $23,689 Intangible assets...................... 4,360 6,226 6,905 7,822 8,014 7,768 Total assets........................... 20,297 26,973 23,203 35,448 46,529 55,043 Convertible subordinated debentures.... 7,000 -- -- -- -- -- Redeemable preferred stock............. -- -- -- 6,910 6,565 -- Stockholders' equity................... 12,284 17,672 17,584 16,554 22,289 44,781
- --------------- (1) HDS changed its fiscal year-end in 1993 from September 30 to March 31. 45 54 MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS OF HDS OVERVIEW HDS provides information technology services and products to healthcare organizations through the strategic use of standards-based approaches, such as client/server and UNIX, that support HDS's proprietary applications products, such as HDS's integrated patient care system known as ULTICARE(R). HDS has experienced substantial growth since its inception in 1983, deriving most of its revenue from software sales, consulting services, hardware sales, software maintenance and support, training services, and ongoing upgrade and implementation services. HDS typically provides its products under fixed fee arrangements, and provides its services under both fixed fee and time and materials arrangements. Software revenue is recognized when software is delivered and there are no further significant vendor obligations. Hardware revenues are recognized upon shipment. Maintenance and service revenues are recognized as services are delivered. Some large integrated projects are recognized on a percentage-of-completion basis whereby revenue is recorded over the term of a contract based upon the percentage of work performed to date. All projects in which revenue is being recognized over time are monitored monthly. HDS's strategy has been to increase staffing in anticipation of revenue increases. At times, this strategy has had the effect of adversely affecting net income. A significant portion of HDS's revenues has been, and will continue to be, derived from substantial contracts signed with large customers. The timing of such contracts and their fulfillment can cause material fluctuations in operating results, particularly on a quarterly basis. HDS manages this situation by closely monitoring the sales process and staffing levels and requirements, adjusting staffing levels as necessary. In fiscal 1996, HDS realigned operations in order to devote greater resources to its core service and product offerings and to expand its customer relationships and capabilities. The realignment included, among other things, the reduction of headcount, streamlining of processes and contracts, settlement of longstanding vendor/term issues, and more effective utilization management. HDS believes the realignment will reduce its annual operating expenses, enhance its long-term growth strategy and support higher levels of earnings. RESULTS OF OPERATIONS The following table sets forth certain items from HDS's consolidated statement of operations as a percentage of revenue for the periods indicated:
YEAR ENDED MARCH 31, ---------------------- 1994 1995 1996 ---- ---- ---- Net sales....................................................... 100 % 100 % 100 % Cost of sales................................................... 46 45 67 Gross margin.................................................... 54 55 33 Expenses: Research and development...................................... 7 6 8 Sales and marketing........................................... 11 12 21 General and administrative.................................... 12 7 27 Interest...................................................... 1 1 1 Income (loss) from operations................................... 23 29 (24 ) Interest income................................................. -- 1 3 Income before provision for income taxes........................ 23 30 (21 ) Provision for income taxes...................................... -- 10 (7 ) ---- ---- ---- Net income...................................................... 23 20 (14 ) ==== ==== ====
Net Sales. Net sales in fiscal 1996 decreased 25% to $22.7 million from $30.5 million in fiscal 1995. Timing issues associated with software and service delivery delayed the recognition of significant revenue into 46 55 fiscal 1997. HDS's estimated backlog as of March 31, 1996 was $184.3 million; such backlog is for services/products to be delivered in future periods. Cost of Sales. Cost of sales consists primarily of compensation and benefits paid to professionals providing services to customers, cost of hardware and hardware maintenance. Cost of sales increased by 10% to $15.2 million (67% of revenue) from $13.8 million (45% of revenue) in 1995. The higher cost of sales percentage of revenue was due primarily to the impact of hiring professional staff in anticipation of future project needs and change in product mix that resulted in an increase in the hardware component for fiscal 1996. Research and Development Expenses. Research and development expenses remained constant at $1.8 million from 1995 to 1996. HDS is the recipient of a grant from the Department of Commerce to fund product development. Amounts received under this grant are recorded as a reduction of incurred research and development expenses. Incurred research and development expenditures increased in 1996 from 1995 but were offset by grant funding of $912,000. Sales and Marketing Expenses. Sales and marketing expenses increased 33% to $4.9 million from $3.7 million in 1995. This increase was due primarily to increased provisions for doubtful accounts. General and Administrative Expenses. General and administrative expenses increased 178% to $6.1 million in 1996 from $2.2 million in 1995. This increase was due primarily to the settlement of a dispute regarding pricing and contractual issues with a vendor, the outcome of which was a renegotiated, extended contract with terms beneficial to HDS, which resulted in a $2.7 million charge in fiscal 1996. Legal fees increased approximately $372,000. Loss from Operations. The loss from operations was $5.5 million in fiscal 1996 compared to income from operations of $8.8 million in fiscal 1995. The decline was due primarily to timing differences in several large contracts in which software delivery was delayed. In addition, in fiscal 1996 HDS realigned operations in order to devote greater resources to its core service and product offerings and to expand its customer relationships and capabilities. Management believes these actions, together with the passage of time which will allow products and services to be delivered from backlog, as well as higher demand for HDS products and services, will support higher levels of earnings in future periods. FISCAL YEAR ENDED MARCH 31, 1995 COMPARED TO FISCAL YEAR ENDED MARCH 31, 1994 Net Sales. Net sales increased 17% to $30.5 million from $26.0 million in fiscal 1994 as demand for HDS's products and services increased and as an increasing number of customers commenced system operations. At fiscal year end, HDS committed to enter into the eldercare and health maintenance organization marketplaces, acquiring as customers some of the largest providers in each industry. Cost of Sales. Cost of sales increased by 16% to $13.8 million from $11.9 million in fiscal 1994. The higher cost of sales was primarily due to the increased costs of professional staff and hardware to support the growth in sales. Research and Development Expenses. Research and development expenses remained constant at $1.8 million in 1995 when compared to 1994. Sales and Marketing Expenses. Sales and marketing expenses increased 21% in 1995 to $3.7 million from $3.0 million in 1994. This was due to increases in advertising, commissions and growth in sales related personnel costs, recruiting and related expenses. General and Administrative Expenses. General and administrative expenses decreased 32% in 1995 to $2.2 million from $3.2 million in 1994. This was due primarily to a decrease in legal fees and a reduction in exchange loss from Canadian activity when compared to the prior period. Income from Operations. Income from operations was $8.8 million in 1995 compared to $6.0 million in 1994. This improvement was due primarily to the increase in revenue and the improved operating performance of the organization. 47 56 LIQUIDITY AND CAPITAL RESOURCES Working capital as of March 31, 1996 was $23.7 million compared to $22.8 million as of the prior year end. The increase resulted from the proceeds from the sale of Series F Preferred Stock which were used to retire the Series E Preferred Stock, pay down bank loans and accounts payable, and increase cash and cash equivalents by $10.4 million over the prior year. HDS has a $3 million unsecured revolving line of credit with Riverside National Bank due October 1, 1997, bearing interest at prime. As of March 31, 1996, HDS had no borrowings under its line of credit. The credit line contains certain financial covenants and requires maintenance of certain financial ratios. At March 31, 1996, HDS was not in compliance with one of these covenants and has obtained a waiver of default from the bank. Capital expenditures in the year ended March 31, 1996 of $493,000 consisted principally of computer equipment and office equipment expenditures to support HDS's operations. HDS also incurred software development costs of $3,052,000 which were capitalized during the year ended March 31, 1996. As of March 31, 1996, HDS had no material or unusual purchase commitments outstanding. HDS believes that existing cash balances and cash flow from operations will be sufficient to support HDS's working capital requirements for at least the next 12 months. Thereafter, if cash generated from operations is insufficient to satisfy HDS's working capital requirements and if the Merger is not consummated, HDS may be required to raise additional funds. No assurance can be given that additional financing will be available or that, if available, such financing will be obtainable on terms favorable to HDS. To the extent HDS raises additional capital by issuing equity or convertible debt securities, ownership dilution to HDS's stockholders will result. In the event that adequate funds are not available, HDS's business may be adversely affected. 48 57 BUSINESS OF HDS HDS is a developer and supplier of healthcare information systems to institutions, payers, healthcare networks, and providers. HDS offers a product line generally known as ULTICARE(R), an integrated information system which addresses a healthcare enterprise's information needs through the integrated monitoring, scheduling, documentation, and control of patient care activities. To accomplish this, patient care workstations are situated throughout the enterprise: at patient bedsides, at nursing stations, in ancillaries (laboratory, radiology, pharmacy, etc.), in physician offices and with mobile health workers such as home care staff. HDS forms relationships throughout the organization, especially with senior management of integrated delivery systems (whether payer, provider, or practitioner based). HDS has extensive experience in most phases of patient care automation: nursing, physicians, laboratory, radiology, pharmacy, case management, and quality assurance, among others. HDS customers include hospitals, integrated healthcare enterprises, health maintenance organizations, municipal healthcare systems, and elder care organizations. INDUSTRY BACKGROUND Changes in the healthcare industry over the past ten years have significantly altered the information needs of healthcare providers. Historically, healthcare information systems were developed primarily to serve the needs of financial departments. Because providers and practitioners were reimbursed by payers on a fee-for-service basis, the focus was on billing, procedure, and revenue maximization rather than cost controls, operational efficiency, and patient outcomes. The costs associated with inefficient data management and information systems were passed on to payers as part of overhead and the organization's overall cost structure. Changes in the payment system, from fee-for-service to capitated arrangements (whether called capitation, case management, managed care, or by other terms), have shifted risk to providers. Providers must now focus on cost controls, operational efficiency, and patient outcomes. DEMAND FOR INFORMATION TECHNOLOGY Competition and experience have forced modern managed care organizations to realize that a key to effective cost control and quality management is the compilation and analysis of comprehensive medical information regarding provider utilization, pricing, and outcomes. While many computer systems have been developed to ensure that the right person was billed for the correct amount in a timely fashion after a procedure was performed, few systems are available that enable the user to decide whether the procedure was necessary in the first place. It has been estimated by some that as much as one-half of the time spent by patients in hospitals is medically unnecessary, while 24% of all hospital stays and 15% of all office visits are unwarranted. Wide variations in the practice of medicine exist throughout the United States, even within small geographic areas. These variations include discrepancies in the number of procedures performed, the way they are performed, where they are performed, and how much they cost. Significant savings can be achieved by the elimination of unnecessary care; however, it is only with accurate information systems that payers can begin to distinguish between care which is necessary and care which is not. THE HDS APPROACH HDS provides a comprehensive and integrated set of products and services to the healthcare industry. Utilizing client/server, UNIX, and other advanced technologies, HDS systems and services allow customers, whether providers, payers, or practitioners, to better respond to new healthcare requirements. HDS has pioneered the concept of patient-centered, point-of-care based, fully integrated approaches. Because HDS systems are important to continued organizational progress, HDS's relationships with its customers generally extend for several years. Under its customer support program, HDS upgrades customers regularly to its most current product release, providing them with new features and functions. This kind of service differentiates HDS from many of its competitors. 49 58 THE ULTICARE SYSTEM ULTICARE is a UNIX-based software system which collects and reviews patient information on a patient-centered basis. This means that physician activities, nursing activities, and ancillary activities are merged into a single, operations-based, patient-centered approach. Because system integration is the cornerstone of the ULTICARE System, nurses, doctors, and even housekeepers can immediately retrieve necessary information from any location where access is available, including bedsides, mobile units, and providers' homes. The ULTICARE System has been designed to operate unattended most of the time. As a result, the System requires minimal intervention and support from computer personnel and ULTICARE software specialists. The functional applications are designed to be supported by applications-oriented users in hospital departments. ULTICARE offers functional modules to meet the specific information needs of each customer. They may be purchased together as a package or separately, by module. ULTICARE Modular, a four-module package, is an affordable and flexible way to obtain patient information throughout an enterprise without having to purchase the entire system at once. It combines HDS's patient-centered Registration/ADT, order communications, nursing, and results reporting modules to provide a highly functional core clinical information system. A wide selection of additional modules are also available for integration. The following show some of the currently available ULTICARE modules: - Patient Registration/ADT - Point-of-Care Nursing Support - Physician Support - Health Maintenance Record - Case Management/Critical Pathways - Order Communication/Charge Capture - Result Reporting - Quality Assurance/Utilization Review - Laboratory Departmental Processing - Medical Records Departmental Processing - Pharmacy Departmental Processing - Radiology Department Processing - Other Ancillary Department Processing - Patient Scheduling and Control - Call Center Management - Physician/Professional Staff Registry - Cost Finding and Analysis - Outpatient Appointment and Encounter Processing - Report Writer/Query Processor - Criteria Evaluation Processor - Electronic Mail Utilizing a common patient database, a single application support environment, and a unified hardware environment, data entered anywhere in the System, or in a legacy system connected to the ULTICARE Integration Engine, is immediately available to all authorized users. Not only does this improve communications throughout the enterprise, it reduces the duplicate entry of data. SECURITY AND PRIVACY ASSURANCE Access to the ULTICARE System is controlled by means of a magnetically-encoded key (an "ULTIKEY(TM)") or a magnetic striped card (an "ULTICARD(TM)") and a keyboard sign-on password 50 59 corresponding to the inserted key or card. Both the ULTIKEY/ULTICARD and the appropriate sign-on password for that key or card for that time period must be present to obtain system access. In addition, functionality is restricted so that users can only view on a menu selection display and have access to those functions for which they are authorized. Extensive audit trails are provided throughout the System. Data-generating transactions and accesses to the patient medical record are logged with the date, time, and the identification code of the person signed onto the terminal at the time the transaction is recorded. The System allows for automatic supervisor intervention in those cases in which a problem should be referred to higher levels. The addition, changing, and deletion of security parameters are under the control of the healthcare enterprise. Audit and control data are available for review by administration. OTHER PRODUCTS HDS supports several other products as adjuncts to its core ULTICARE System. These include: ULTI-DATA(TM). This is a near-real-time copy of transaction data modified for optimal access by standard query tools, designed for data queries, searches, and analyses. ULTI-Data is designed to allow extensive data manipulation and analysis without compromising the power, throughput and responsiveness of the on-line environment. ULTI-NET(TM). ULTI-Net provides connection to the Internet for the operation of ULTICARE from remote sites and locations. Using the Netscape browser, it supports secure operations from remote sites with transparent connection to the ULTICARE host. ULTI-LINK(TM). HDS was the development partner with AT&T cellular communications for the use of CDPD digital cellular in healthcare. The ULTI-Link product fully supports real-time cellular access to all authorized ULTICARE functionality. SERVICES In addition to providing the various core and adjunctive ULTICARE products, HDS provides service support to its customers. Such services include: Implementation Consulting. ULTICARE systems are typically large and complex, and proper configuration and System building are key to achieving anticipated economies and operational enhancements. HDS provides implementation services covering hardware, networking, and software. Reengineering Consulting. HDS's products may be differentiated from those of its competitors by the existence of a comprehensive model of healthcare delivery processes, together with an integral model of healthcare data. The process model allows work within the enterprise to be reengineered, and HDS provides services to support and optimize this process. System Support. HDS Systems typically have hundreds or thousands of access points impacting thousands or tens of thousands of users. The requirement for the System to be operational and capable of servicing the enterprise's needs at all times is critical to most organization's operations. Support services ensure that questions are answered, problems are addressed, and that uptime is maximized. Interface/Integration Consulting. ULTICARE is often connected to a large number of disparate legacy systems. HDS often provides integration services, using its integration engine, to ensure effective incorporation of such legacy systems into the ULTICARE environment. Database Consulting. Although users' databases are customizable by them, many users procure additional services from HDS to assist in such database building and maintenance. MARKET AND CUSTOMERS HDS focuses on providing services to organizations in the healthcare delivery system, including integrated delivery systems, payers, elder-care providers, acute care hospitals, physicians and others. 51 60 Since its inception in 1983, HDS has provided services to organizations representing bedded institutions with over 30,000 beds, and well over 100,000 providers. Thousands of physicians offices are also using the ULTICARE system. SALES AND MARKETING HDS markets its services to prospective customers through its three regional managers and its five person direct sales force operating regionally out of offices in Dallas, Chicago, Orlando, Phoenix, Boston, Washington, DC, and in Canada. Because healthcare enterprises are increasingly making decisions about their information technology and systems at the highest executive levels, HDS's sales and marketing staff generally focus their customer communications on the appropriate decision makers, often the chief executive officer, chief operating officer, or chief information officer. HDS is often represented in these discussions by members of its senior staff. HDS believes this approach provides customers with the full breadth of HDS's expertise while also providing local contact and support. Marketing to existing customers is also an increasingly important part of HDS's sales and marketing strategy. HDS professionals working with customers invest significant time in understanding customer's issues and future business and information technology needs. HDS uses that understanding to develop new products and to market such products or other projects to its customers. HDS's sales efforts are supplemented by HDS's marketing professionals. These marketing professionals support HDS's sales efforts through organizing seminars and other support activities, addressing RFPs, and coordinating HDS's participation in trade shows. In addition, collaterals and newsletters are prepared by this group. BUSINESS RELATIONSHIPS HDS has developed a number of formal and informal relationships with various manufacturers of computer hardware and software and serves as a reseller of hardware and software products on a commission basis. These relationships also support HDS's services offerings to its customers. From many of its vendors, HDS receives the latest information concerning the vendor's product and strategic plans, the performance features and weaknesses of specific products, access to technical support, and depending on the customer's volume requirements and HDS's vendor relationship, favorable pricing with respect to the vendor's products. HDS is a party to several agreements with vendors of hardware and software products; these agreements, among other things, enable HDS to receive discounts from the vendor's list prices for certain hardware and software products. Under these agreements, HDS serves as an intermediary between the vendor and its customer and does not maintain inventory of products. The percentage of revenue attributable to customer sales under these agreements has generally decreased over the last few years, and is expected to continue to do so. HDS also conducts product evaluation, including beta testing, and contributes to product development activities with certain hardware and software manufacturers. As a result of these activities, HDS receives free or discounted licenses for software products, semi-permanent loans of hardware, and access to product support and information concerning future plans for new products and product enhancements. HDS EMPLOYEES As of March 31, 1996, HDS employed 179 people, including 51 in research and development; 68 in installation, consulting, and support; 24 in sales, marketing and publications; and 36 in finance and administration, including all clerical support for the organization. HDS's business depends to a significant degree upon the continuing contributions of its key management, research and development, installation and support, and sales and marketing staff, including Ralph A. Korpman, M.D., HDS's Chief Executive Officer; Peter Gladkin, HDS's Chief Operating Officer; and Janice E. Ticich, Jere E. Chrispens and John A. Lauer, all vice-presidents, as well as others. Any loss of such key people could have a material adverse effect on HDS. HDS believes that its business will continue to depend 52 61 upon its ability to attract and retain additional high-skilled managerial, professional, development, and sales and marketing staff. Competition for such staff is intense, and there can be no assurance that HDS will be successful in attracting and retaining such people. The failure to attract and retain key people could have a material adverse effect on HDS's business, operating results, and financial condition. None of HDS's employees is represented by a collective bargaining agreement, nor has HDS experienced any work stoppages. HDS believes that its relations with its employees are good. COMPETITION The healthcare information systems industry is highly fragmented and characterized by rapid change and intense competition. The healthcare marketplace includes competitors from a variety of service areas, including financial systems, ancillary systems, analytical systems, and consulting. In addition, the software and product development units of major computer equipment manufacturers also sometimes compete in this area. Many of HDS's competitors have long operating histories, substantially greater financial, technical and marketing resources, and generate greater revenues than HDS. The introduction of lower priced competition or significant product development coupled with significant price reductions by HDS's current or potential competitors, or such competitors' ability to respond more quickly than HDS to new or emerging changes in customer requirements or technology trends could have a material adverse effect on HDS's business, financial condition, and results of operations. HDS believes that the principal competitive factors in the healthcare information systems industry are product strength, customer responsiveness, technical expertise and service, ability to analyze and address healthcare business systems needs, ability to reengineer critical healthcare processes, price, rapid development of product functionality to respond to marketplace changes, ability to transfer knowledge of products to customer personnel, and ability to effectively and efficiently implement systems. There can be no assurance that competition from current or potential competitors will not have a material adverse effect on HDS's business, financial condition, or results of operations. PROPRIETARY TECHNOLOGY HDS has proprietary rights in products developed by it, either alone or with customer partners. HDS relies on a combination of trade secret, copyright and trademark laws, nondisclosure agreements, and other contractual arrangements and technical measures to protect its proprietary rights. To the extent possible, HDS seeks to protect its software, as well as documentation and other written materials relating to its business, under trade secret and copyright laws, which provide only limited protection. HDS does not currently hold any patents, nor does HDS have any applications pending with respect to any patentable technology. HDS generally enters into confidentiality agreements with its employees and consultants, customers, and business partners and limits access to and dissemination of its proprietary information. There can be no assurance, however, that the steps taken by HDS to protect its proprietary technology will be adequate to deter misappropriation of such technology or that HDS will be able to detect unauthorized use and take sufficient measures to enforce its rights. HDS believes that its trademarks and proprietary technology do not infringe upon the proprietary rights of third parties, although there can be no assurance that competitors or other parties will not develop technology and software with features similar to that of HDS's proprietary technology and software. Furthermore, there can be no assurance that third parties will not assert infringement claims against HDS in the future or that such claims will not require HDS to enter into royalty arrangements or result in costly litigation, any of which could have a material adverse effect on HDS's business, financial condition, and results of operations. FACILITIES HDS currently maintains an office in San Bernardino, California which accounts for approximately 50,000 square feet of leased space. The lease for this facility expires in 2004. Employees in other cities work from their homes or from small offices on leases of one year or less. 53 62 HDS believes that its current facilities are adequate for its current level of business. HDS anticipates that additional space will be needed as its business expands in various geographic regions and as new customer alliances are established which require regional space to be leased. HDS believes that it will be able to obtain suitable space as required to meet such needs. BACKLOG HDS's backlog as of March 31, 1996 was approximately $184 million. Backlog consists of unperformed services under agreements which HDS is obligated and/or scheduled to perform. Variations in customer requirements, as well as the rescheduling or cancellation of contracts, may result in substantial fluctuation of backlog from period to period. HDS therefore believes that its backlog cannot be considered a meaningful indicator of future financial results. LEGAL PROCEEDINGS HDS is currently not a party to any material litigation and is currently not aware of any pending or threatened litigation that could have a materially adverse effect on HDS's business, financial condition, or operating results. OWNERSHIP OF HDS CAPITAL STOCK The following table sets forth certain information regarding the beneficial ownership of HDSthe Common Stock and HDS Preferred Stock, as of ,December 31, 1997, by (i) each person who is known by HDS to own beneficially more than five percent of HDS's Common Stock, the HDS Series B Preferred Stock,Company's directors, (ii) the HDS Series C Preferred Stock or the HDS Series F Preferred Stock; (ii) each of HDS'sCompany's named executive officers (as defined) and (iii) such directors and executive officers; and (iii) all executive officers and directors of HDS as a group.
SHARES OF COMMON STOCK BENEFICIALLY PERCENT OF NAME OWNED(1) CLASS - ---- ------------------ ---------- David E. McDowell........................................... 120,000(2) * Randolph L. M. Hutto........................................ 1,000 * C. James Schaper............................................ 83,334(3) * Allen W. Ritchie............................................ -- -- Jerome H. Baglien........................................... 83,334(3) * Harvey Herscovitch.......................................... 20,334(4) * Robert C. Bellas, Jr. ...................................... 12,915(5) * David R. Holbrooke, M.D. ................................... 38,700(6) * John C. Pope................................................ -- -- Dennis A. Pryor............................................. 104,000(7) * C. Christopher Trower....................................... 700 * All executive officers and directors as a group (11 persons).................................................. 380,983 *
- --------------- * Beneficial ownership represents less than 1% of the outstanding Common Stock. (1) Under the rules of the Commission, a person is deemed to be a "beneficial owner" of a security if that person has or shares "voting power," which includes the power to vote or to direct the voting of such 68 76 security, or "investment power," which includes the power to dispose of or to direct the disposition of such security. A person is also deemed to be a beneficial owner of any securities which that person has the right to acquire within sixty (60) days. Under these rules, more than one person may be deemed to be a beneficial owner of the same securities and a person may be deemed to be a beneficial owner of securities as to which he has no economic or pecuniary interest. Except as indicatedset forth in the footnotes to the table,below, the persons named in the tablebelow have sole voting and investment power with respect to all shares of HDS Common Stock, HDS Series B Preferred Stock, HDS Series C Preferred Stock or HDS Series F Preferred Stock shown as being beneficially owned by them,them. (2) Includes 120,000 shares that are not currently outstanding, but that may be acquired upon the exercise of stock options granted under the Company's stock option plans; does not include 210,000 shares that may be acquired upon the exercise of stock options granted under the Company's stock option plans which are subject to community property laws where applicable.an accelerated vesting schedule based on appreciation in the market value of the Common Stock as described elsewhere in this Proxy Statement. (3) Includes 83,334 shares that are not currently outstanding, but that may be acquired upon the exercise of stock options granted under the Company's stock option plans. (4) Includes 13,334 shares that are not currently outstanding, but that may be acquired upon the exercise of stock options granted under the Company's stock option plans. (5) Includes 1,143 shares that are held by the Bellas Family Partnership. Also includes 7,200 shares that are not currently outstanding, but that may be acquired under the Non-Employee Director Stock Option Plan (the "Director Plan"). (6) Includes 1,500 shares held in a bank account for the benefit of Dr. Holbrooke's son, a minor. Also includes 7,200 shares that are not currently outstanding, but may be acquired under the Director Plan. (7) Includes 104,000 shares that are not currently outstanding, but that may be acquired upon the exercise of stock options granted under the Company's stock option plans. 69 77 MANAGEMENT COMPENSATION Executive Compensation The following table provides certain summary information concerning compensation paid or accrued by the Company to or on behalf of (i) the Company's Chief Executive Officer, (ii) the four other most highly compensated executive officers of the Company (determined as of December 31, 1997) and (iii) one additional individual who would have been among the Company's four most highly compensated executive officers, but for the fact that he was not serving as an executive officer of the Company at December 31, 1997 (referred to herein as the "named executive officers") for 1996 and 1997. SUMMARY COMPENSATION TABLE
COMMON STOCK (1) SERIES B(2) SERIES C(2) SERIES F(2) --------------------- ---------------- -----------------LONG-TERM COMPENSATION AWARDS ------------ ANNUAL COMPENSATION SECURITIES ------------------- NUMBER PERCENT NUMBER PERCENT NUMBER PERCENT NUMBER PERCENT OF OF OF OF OF OF OF OF BENEFICIAL OWNER SHARES CLASS SHARES CLASS SHARES CLASS SHARES CLASSOTHER ANNUAL UNDERLYING ALL OTHER NAME AND PRINCIPAL POSITION YEAR SALARY BONUS COMPENSATION(1) OPTIONS COMPENSATION(2) - -------------------------------- --------- ------- ------ ------- ------- ------- --------- ---------------------------------- ---- -------- -------- --------------- ------------ --------------- Ralph A. Korpman, M.D........... 843,640(3) 20.59 11,750(3) 1.58 1,350(3) * 1,440 * 268 W. Hospitality Lane San Bernardino, CA 92408 JereDavid E. Chrispens............... 543,000(4) 13.27 10,000(4) 1.35 1,000(4) *McDowell............ 1997 $300,000 $150,000 $119,812 810,000* $ 4,661 Chief Executive Officer 1996 42,692 -- -- 268 W. Hospitality Lane San Bernardino, CA 92408 Charles S. Grobe................ 276,001(5) 6.74810,000 519,770(3) (11/96 - Present) Randolph L. M. Hutto......... 1997 102,612 $100,000(4) -- 250,000 101,909(5) Executive Vice President 1996 -- -- -- -- -- and General Counsel (7/97 - Present) C. James Schaper............. 1997 182,692 187,500(6) -- 501 N. Cliffwood Avenue Los Angeles, CA 90049 Brian S. Bull................... 294,796(6) 7.16500,000* 104,071(7) Executive Vice President 1996 -- -- -- -- -- -- 24489 Barton Road Loma Linda, CA 92354 Janice E. Ticich................ 179,350 4.38 5,500 * 3,000 * 600 * 268 W. Hospitality Lane San Bernardino, CA 92408 Kingsbury Capital............... 375,000 8.41(2/97 - Present) and Chief Operating Officer (1/98 - Present) Jerome H. Baglien............ 1997 219,538 187,500(6) 34,308 500,000* 4,296 Senior Vice President and 1996 -- -- 375,000 28.57 -- -- c/o Kingsbury Associates 3655 Nobel Drive Suite 490 San Diego, CA 92122 William Beaumont Hospital....... 250,000 5.77-- Chief Financial Officer (1/97 - 1/98) Harvey Herscovitch........... 1997 120,616 155,000(6)(8) 36,147 130,000* 340 Senior Vice President, 1996 -- -- 250,000 19.05 -- -- 3601 W. Thirteen Mile Rd. Royal Oak, MI 48073-6769-- Strategy and Organization (4/97 - Present)
54- --------------- * Reflects the repricing, exchange and reissuance of certain stock options outstanding as of April 25, 1997. See "Management Compensation -- Stock Option Grants." (1) Includes amounts reimbursed for certain personal expenses, including housing and travel expenses. (2) Includes amounts paid by the Company on behalf of each named executive officer for matching 401(k) plan contributions, matching non-qualified deferred compensation plan contributions, and life, medical and dental insurance premiums. (3) Includes $500,000 signing incentive received by Mr. McDowell in connection with his entering into a five-year employment agreement with the Company on November 19, 1996, and $19,000 prepaid rent and security deposit paid by the Company on behalf of Mr. McDowell for housing in Atlanta, Georgia. (4) Reflects incentive compensation for 1997 guaranteed under Mr. Hutto's employment agreement. (5) Includes $100,000 loan by the Company to Mr. Hutto in connection with his entering into a three-year employment agreement with the Company on July 28, 1997. This loan will be forgiven in whole by the Company in the event Mr. Hutto remains employed with the Company through and until July 28, 1998. In the event Mr. Hutto terminates his employment with the Company prior to July 28, 1998, Mr. Hutto must repay a pro-rata portion of the loan to the Company in accordance with the employment agreement. 70 6378 (6) Reflects the amount earned by this executive in 1997 pursuant to a letter agreement in which the Company agreed that if this executive remained employed by the Company on December 31, 1997, then the Company would pay this amount to him as a special one time bonus. (7) Includes $100,000 signing incentive received by Mr. Schaper in connection with his entering into a three-year employment agreement with the Company on February 25, 1997. (8) Reflects $50,000 incentive compensation for 1997. Stock Option Grants The following table sets forth information with respect to options granted under the Company's Amended and Restated Non-Qualified Stock Option Plan, as amended (the "Stock Option Plan"), to each of the named executive officers during 1997. OPTION GRANTS IN LAST FISCAL YEAR
COMMON STOCK (1) SERIES B(2) SERIES C(2) SERIES F(2) --------------------- ---------------- ----------------- ------------------- NUMBER PERCENT NUMBER PERCENT NUMBER PERCENT NUMBERINDIVIDUAL GRANTS ----------------------------- POTENTIAL REALIZABLE VALUE PERCENT OF AT ASSUMED ANNUAL RATES NUMBER OF TOTAL OF OF OF OF OF OF BENEFICIAL OWNER SHARES CLASS SHARES CLASS SHARES CLASS SHARES CLASSSTOCK PRICE SECURITIES OPTIONS APPRECIATION FOR UNDERLYING GRANTED TO OPTION TERM(2) OPTIONS EMPLOYEES IN EXERCISE PRICE EXPIRATION ----------------------------- NAME GRANTED 1997 (PER SHARE)(1) DATE 5% 10% - -------------------------------- --------- ------- ------ ------- ------- ------- --------- ----------- ---------- ------------ -------------- ---------- ------------- ------------- Helix (PEI) Inc................. -- -- -- -- 125,000 9.52 -- -- c/o Helix Investments (Canada) Inc. 70 York Street Suite 1700 Toronto, Ontario M5J 1S9 US West Master Trust............ -- -- -- -- 85,602 6.52 -- -- c/o Boston Safe Deposit and Trust Co. One Boston Place Boston, MA 02106 Pitt & Co....................... -- -- -- -- 75,912 5.78 -- -- c/o Bankers Trust Company P.O. Box 2444 Church Street Station New York, NY 10008 RCS III......................... -- -- 95,948 12.93 88,847 6.77 -- -- c/o Robertson, Stephens & Co. Bank of America Building 555 California Street Suite 2600 San Francisco, CA 94104 Pioneer Associates.............. -- -- 84,369.44 11.37 -- -- -- -- c/o Asen & Co., Inc. 224 East 49th Street First Floor New York, NY 10017 Pioneer III..................... -- -- 65,472.08 8.82 -- -- -- -- c/o Asen & Co., Inc. 224 East 49th Street First Floor New York, NY 10017 GeoCapital Ventures............. -- -- 43,028.45 5.80 -- -- -- -- One Bridge Plaza Fort Lee, NJ 07024 RCS Ltd......................... -- -- 39,964 5.39 -- -- -- -- c/o Robertson, Stephens & Co. Bank of America Building 555 California Street Suite 2600 San Francisco, CA 94104 Health Systems.................. 1,234,544 23.22 -- -- -- -- 1,234,544 76.90 International, Inc. 225 North Main Street Pueblo, CO 81003 Genesis Holdings, Inc........... 303,030 6.91 -- -- -- -- 303,030 18.88 c/o Genesis Health Ventures 148 West State Street Kennett Square, PA 19348 Herbert J. Richman.............. 283,759(7) 6.50 23,231 3.13 -- -- -- -- 268 W. Hospitality Lane San Bernardino, CA 92408 Peter Gladkin................... 228,000(8) 5.29 -- -- -- -- -- -- 268 W. Hospitality Lane San Bernardino, CA 92408
55 64
COMMON STOCK (1) SERIES B(2) SERIES C(2) SERIES F(2) --------------------- ---------------- ----------------- ------------------- NUMBER PERCENT NUMBER PERCENT NUMBER PERCENT NUMBER PERCENT OF OF OF OF OF OF OF OF BENEFICIAL OWNER SHARES CLASS SHARES CLASS SHARES CLASS SHARES CLASS - -------------------------------- --------- ------- ------ ------- ------- ------- --------- ------- Peter P. Tong................... 170,800(9) 4.09 6,750 David E. McDowell........... 600,000* 5.36% $ 5.38 11/19/07 $2,176,292.64 $5,606,708.59 210,000(3)* 350 * -- -- 268 W. Hospitality Lane San Bernardino, CA 924081.88% 5.38 11/19/07 $ 761,702.42 $1,962,348.01 Randolph L. M. Hutto........ 250,000 2.23% 9.06 7/28/07 $1,424,839.39 $3,610,822.76 C. James J. Harrison............... 64,474(10) 1.42 1,332 * -- -- -- -- 268 W. Hospitality Lane San Bernardino, CA 92408 All Executive Officers and Directors of HDS as a group.................... 2,313,023(11) 51.30 58,563 7.89 5,700 * 2,040 *Schaper............ 250,000 2.23% 10.25 2/25/08 $1,820,244.61 $4,748,611.56 250,000* 2.23% 5.38 2/25/08 $ 936,464.21 $2,431,512.39 Jerome H. Baglien........... 250,000 2.23% 11.38 2/07/08 $2,020,027.55 $5,269,800.63 250,000* 2.23% 5.38 2/07/08 $ 930,984.40 $2,413,809.43 Harvey Herscovitch.......... 40,000 .36% 10.50 2/11/08 $ 298,342.53 $ 778,309.02 40,000* .36% 5.38 2/11/08 $ 149,152.16 $ 386,837.80 50,000 .45% 5.38 4/25/08 $ 190,903.70 $ 498,025.11
- --------------- * LessReflects the repricing, exchange and reissuance of certain stock options outstanding as of April 25, 1997 and having an exercise price of $5.50 and above, including certain options outstanding under the Stock Option Plan. (1) All options were granted at an exercise price equal to the fair market value of the Common Stock on the date of grant. Such options may not be exercised later than one percent (1%). (1) The number11 years, or earlier than six months, after the original date of sharesgrant. (2) These amounts represent certain assumed rates of HDSappreciation only. Actual gains, if any, on stock option exercises are dependent on the future performance of the Common Stock and overall market conditions. The amounts reflected in this table may not necessarily be achieved. (3) These options are subject to an accelerated vesting schedule based upon the percent for each beneficial owner reflectappreciation in the conversionmarket value of all sharesthe Company's common stock. The vesting schedule is as follows: (i) 1/3 based on 100% appreciation in the market price of HDS Preferred Stock owned by such beneficial owner into shares of HDS Common Stock. (2) Each share of HDS Series B, C and F Preferred Stock is convertible into one share of HDSthe Company's Common Stock subject to adjustmentabove the closing price of the Company's Common Stock on the Nasdaq National Market on November 19, 1996; (ii) 1/3 based on 200% appreciation in certain events. (3) These shares are heldthe market price of record by Ralph A. Korpman, M.D., as Trustee under declarationthe Company's Common Stock above the closing price of trust. (4) These shares are heldthe Company's Common Stock on the Nasdaq National Market on November 19, 1996; and (iii) 1/3 based on 300% appreciation in the market price of record by Jere and Marian Chrispens, as Trustees under declarationthe Company's Common Stock above the closing price of trust. Mrs. Chrispens shares voting and investment power to such shares with Mr. Chrispens. (5) These shares are heldthe Company's Common Stock on the Nasdaq National Market on November 19, 1996. In any event, the options will vest on November 19, 2001 or upon a change in control event. 71 79 Stock Option Exercises None of record by Charles S. Grobe and Ila S. Grobe, as Trustees under declaration of trust. Mrs. Grobe shares voting and investment power to such shares with Mr. Grobe. (6) These shares are held of record by Brian S. Bull and Maureen H. Bull, as Trustees under declaration of trust. Mrs. Bull shares voting and investment power to such shares with Mr. Bull. (7) Includes 100,000 shares subject tothe named executive officers exercised any stock options exercisable within 60 days of . (8) Includes 228,000 shares subject to options exercisable within 60 days of . (9) These shares are held of record by Peter P. Tong and Janet L. Tong, as Trustees under declaration of trust. Mrs. Tong shares voting and investment power to such shares with Mr. Tong. (10) Includes 100 shares held of record by Brian Harrison, 100 shares held of record by Timothy Harrison and 31,000 shares subject to options exercisable within 60 days of . (11)during 1997. The table below shows the number of shares of Common Stock covered by both exercisable and the percent reflect the conversion of all shares of Preferred Stock ownedunexercisable stock options held by the named executive officers and directors of the Corporation and include 353,000 shares subject to options exercisable within 60 days of . EXPERTS The supplemental consolidated financial statements of Medaphis as of December 31, 19941997. The table also reflects the values for in-the-money options based on the positive spread between the exercise price of such options and 1995,the last reported sale price of the Common Stock on December 31, 1997, the last trading date in 1997 for the Common Stock. AGGREGATED OPTION EXERCISES IN 1997 AND YEAR-END OPTION VALUES
NUMBER OF SECURITIES UNDERLYING UNEXERCISED VALUE OF UNEXERCISED OPTIONS AT IN-THE-MONEY OPTIONS AT DECEMBER 31, 1997 DECEMBER 31, 1997 --------------------------- --------------------------- NAME EXERCISABLE UNEXERCISABLE EXERCISABLE UNEXERCISABLE - ---- ----------- ------------- ----------- ------------- David E. McDowell................................ 120,000 690,000 $135,000 $776,250 Randolph L. M. Hutto............................. -- 250,000 -- -- C. James Schaper................................. -- 250,000 -- $281,250 Jerome H. Baglien................................ -- 250,000 -- $281,250 Harvey Herscovitch............................... -- 90,000 -- $101,250
Compensation of Directors In July 1997, the Company adopted a non-employee director compensation plan. The intent of this plan is to compensate non-employee members of the Board fairly for their talents and time spent on behalf of the Company. The plan provides both cash and equity compensation. The cash compensation consists of an annual retainer in the amount of $16,000 and a fee in the amount of $1,000 for each Board meeting attended. Each Board committee chairman receives an annual retainer in the amount of $2,000 and a fee in the amount of $750 for each committee meeting attended, and each Board committee member other than a committee chairman receives a fee in the amount of $650 for each committee meeting attended. Equity compensation under the plan consists of an initial grant of 10,000 stock options (upon first election or appointment to the Board) and an annual grant of 2,000 stock options for each year of service thereafter. The stock option plan under which these options are granted is the Company's Non-Employee Director Stock Option Plan. Non-employee directors may elect to defer receipt and taxation of the cash compensation under this plan by participating in the Company's Non-Employee Director Deferred Stock Credit Plan (the "Deferred Stock Credit Plan"). Deferral of taxation is accomplished under the Deferred Stock Credit Plan using a cash-based feature similar in substance to a restricted stock program (i.e., the prospective economic benefit to each participant reflects the full market price per share of the Common Stock, and varies with fluctuations in that price). The pay element is paid to the participant upon retirement from the Board. The Company reimburses each director for out-of-pocket expenses associated with each Board or committee meeting attended and for each other business meeting at which the Company has requested the director's presence. Employment Agreements In November 1996, the Company and David E. McDowell, the Company's Chairman and Chief Executive Officer, entered into a five-year employment agreement which contains certain non-competition, non-solicitation and change in control provisions. Pursuant to that agreement, Mr. McDowell received a signing incentive of $500,000 and is to receive a base salary of at least $300,000 per year. Mr. McDowell is entitled to reimbursement of certain expenses, including housing and travel expenses, and is also entitled to receive an amount equal to any federal and state income taxes payable by him as a result of such expense reimbursement. Upon early termination of the agreement by the Company other than for cause or by Mr. McDowell for "good reason" or by either party for any reason following certain change in control events, 72 80 the Company is obligated to pay Mr. McDowell his annual salary, to provide for the continued vesting of stock option awards described in the agreement and to provide for certain health insurance benefits to Mr. McDowell through November 19, 2001. Upon certain change in control events and a termination of the agreement by Mr. McDowell, the Company will pay to Mr. McDowell (in lieu of its obligation to make the foregoing payments of salary and to provide the foregoing benefits), a termination payment in periodic installments or a lump sum (at Mr. McDowell's option) equal to the salary that would have been payable to Mr. McDowell pursuant to the agreement from the date of termination until November 18, 2001, and an additional amount sufficient to make Mr. McDowell whole with respect to any tax which may be imposed by Section 4999 of the Internal Revenue Code of 1986, as amended (the "Code"). A "change in control event" is generally defined in the agreement as the adoption of a plan of liquidation or approval of the dissolution of the Company, certain mergers and consolidations of the Company, the sale or transfer of substantially all of the Company's assets, certain changes in the composition of the Company's Board of Directors, or the acquisition of more than 30% of Common Stock by any individual, entity, group or other person. Mr. McDowell also received options to purchase up to 810,000 shares of Common Stock. In January 1997, the Company and Jerome H. Baglien, the Company's former Senior Vice President and Chief Financial Officer, entered into a three-year employment agreement which contains certain non-competition and nonsolicitation provisions. Pursuant to that agreement, Mr. Baglien is to receive a base salary of $250,000 per year (subject to adjustments by any increases given in the normal course of business), and is entitled to an incentive compensation payment equal to 80% of his base salary, subject to achievement of certain performance objectives set by the Board. Mr. Baglien is entitled to reimbursement of certain expenses, including relocation expenses, and is also entitled to receive an amount equal to any federal and state income taxes payable by him as a result of such expense reimbursement. Upon early termination of Mr. Baglien's employment by the Company other than for cause or by Mr. Baglien for "good reason," the Company is obligated to continue to pay Mr. Baglien his annual salary and to cover him under certain welfare plans as if his employment had not been terminated. Mr. Baglien also received options to purchase up to 250,000 shares of Common Stock. In June 1997, the Company and Mr. Baglien entered into a letter agreement in which the Company agreed that if Mr. Baglien remained employed by the Company on December 31, 1997, then the Company would pay him a special one time bonus for 1997 in the amount of $187,500. Mr. Baglien resigned from his position with the Company in January 1998. See also "Certain Transactions." In February 1997, the Company and C. James Schaper, an Executive Vice President of the Company, entered into a three-year employment agreement which contains certain non-competition, non-solicitation and change in control provisions. Pursuant to that agreement, Mr. Schaper received a signing bonus of $100,000, and is to receive a base salary of $250,000 per year (subject to adjustments by any increases given in the normal course of business), and is entitled to an incentive compensation payment equal to 80% of his base salary, payable at the discretion of the Board. At the end of the first year of the agreement, Mr. Schaper is eligible to receive an additional payment of $100,000. In the event Mr. Schaper's employment is terminated by the Company without cause, the Company will remain subject to its obligations under the agreement as if Mr. Schaper remained employed for the balance of the agreement's three-year term. In the event that Mr. Schaper elects to resign from the Company following a change in control of the Company, he is entitled to receive a severance payment equal to the greater of one year of salary continuation at his then current base salary or the amount of the payments due and owing to him through the remaining term of the agreement. A "change in control" is generally defined in the agreement as any consolidation, merger, reorganization or other transaction in which the Company is not the surviving entity or the sale of a substantial portion of the Company's assets. Mr. Schaper also received options to purchase up to 250,000 shares of Common Stock. In June 1997, the Company and Mr. Schaper entered into a letter agreement in which the Company agreed that if Mr. Schaper remained employed by the Company on December 31, 1997, then the Company would pay him a special one time bonus for 1997 in the amount of $187,500. In January, 1998, Mr. Schaper was appointed the Chief Operating Officer of the Company. See also "Certain Transactions." In April 1997, the Company and Harvey Herscovitch, the Senior Vice President, Strategy and Organization of the Company, entered into a two-year employment agreement which contains certain non-competition, non-solicitation and change in control provisions. Pursuant to that agreement, Mr. Herscovitch is 73 81 to receive a base salary of $140,000 per year (subject to adjustments by any increases given in the normal course of business), and is entitled to an incentive compensation payment equal to 40% of his base salary, payable at the discretion of the Board. Mr. Herscovitch is also entitled to a housing allowance and to reimbursement of certain commuting expenses. In the event Mr. Herscovitch's employment is terminated by the Company without cause, the Company will remain subject to its obligations under the agreement as if Mr. Herscovitch remained employed for the balance of the agreement's two-year term. In the event that Mr. Herscovitch elects to resign from the Company following a change in control of the Company, he is entitled to receive a severance payment equal to the greater of one year of salary continuation at his then current base salary or the amount of the payments due and owing to him through the remaining term of the agreement. A "change in control" is generally defined in the agreement as any consolidation, merger, reorganization or other transaction in which the Company is not the surviving entity or the sale of a substantial portion of the Company's assets. Mr. Herscovitch also received options to purchase up to 40,000 shares of Common Stock. In June 1997, the Company and Mr. Herscovitch entered into a letter agreement in which the Company agreed that if Mr. Herscovitch remained employed by the Company on December 31, 1997, then the Company would pay him a special one time bonus for 1997 in the amount of $105,000. See also "Certain Transactions." In July 1997, the Company and Randolph L. M. Hutto, the Executive Vice President, General Counsel and Secretary of the Company, entered into a three-year employment agreement which contains certain non-competition, non-solicitation and change in control provisions. Pursuant to that agreement, Mr. Hutto received a signing bonus of $100,000 (structured as a loan to be forgiven in the event Mr. Hutto remains employed by the Company on the first anniversary of the agreement), and is to receive a base salary of $250,000 per year (subject to adjustments by any increases given in the normal course of business). Mr. Hutto also is entitled to an incentive compensation payment equal to 80% of his base salary, payable at the discretion of the Board; provided, however, that the payment of such incentive compensation for 1997 is guaranteed, and is to be pro-rated based upon the number of months that Mr. Hutto is employed by the Company during 1997. Upon early termination of Mr. Hutto's employment by the Company other than for cause or by Mr. Hutto for "good reason," Mr. Hutto is entitled to elect a severance payment equal to two years of salary and benefit continuation, or his then current monthly salary multiplied by the number of months remaining in the initial term of the agreement, in each case excluding any incentive bonus payments. In the event Mr. Hutto's employment by the Company is terminated in connection with a change in control of the Company, he is entitled to receive a severance payment equal to two years of salary and benefits, including incentive bonus payments. A "change in control" is generally defined in the agreement as any consolidation, merger, reorganization or other transaction in which the Company is not the surviving entity or certain changes in the composition of the Company's Board of Directors. Mr. Hutto also received options to purchase up to 250,000 shares of Common Stock. See also "Certain Transactions." In January 1998, the Company and Allen W. Ritchie, the Executive Vice President and Chief Financial Officer of the Company, entered into a three-year employment agreement which contains certain non-competition, non-solicitation and change in control provisions. Pursuant to that agreement, Mr. Ritchie is to receive a base salary of $300,000 per year, subject to adjustments in the normal course of business, and he is entitled to an incentive compensation payment of up to 80% of his base salary, payable at the discretion of the Board. Upon early termination of Mr. Ritchie's employment by the Company other than for cause or by Mr. Ritchie for "good reason," Mr. Ritchie is entitled to elect a severance payment equal to two years of salary and benefit continuation, or his then current monthly salary multiplied by the number of months remaining in the initial term of the agreement, in each case excluding any incentive bonus payments. In the event Mr. Ritchie's employment by the Company is terminated in connection with a change in control of the Company, he is entitled to receive a severance payment equal to two years of salary and benefits, including incentive bonus payments. A "change in control" is generally defined in the agreement as any consolidation, merger, reorganization or other transaction in which the Company is not the surviving entity or certain changes in the composition of the Company's Board of Directors. Mr. Ritchie is also to receive options to purchase up to 300,000 shares of Common Stock. See also "Certain Transactions." 74 82 Compensation Committee Interlocks and Insider Participation The Company has a Compensation Committee composed of Robert C. Bellas, Jr., (Chairman), David R. Holbrooke, M.D., and John C. Pope. Each member of the Compensation Committee is a "non-employee director" as defined in Rule 16b-3 of the Exchange Act and is an "outside director" as provided for in Section 162 (m) of the Code. CERTAIN TRANSACTIONS Leases. MPSC leased certain offices in Chattanooga, Tennessee from Financial Enterprises, III ("FE III"), a limited liability company in which Dennis A. Pryor (a member of the Board of Directors) owns a 50% interest. MPSC made payments on behalf of a client pursuant to a separate lease of offices in Raleigh, North Carolina owned by FE III. MPSC paid FE III approximately $57,300 pursuant to such leases during 1997. Acquisition Transactions. Effective May 6, 1996, the Company acquired all of the outstanding stock of BSG in a merger transaction (the "BSG Merger") pursuant to the terms of a Merger Agreement (the "BSG Merger Agreement") dated as of March 15, 1996, among the Company, BSG and BSGSub, Inc., a Delaware corporation and a wholly owned subsidiary of the Company ("BSGSub"). In the BSG Merger, BSGSub merged with and into BSG with BSG surviving such merger as a wholly owned subsidiary of the Company. As a result of the BSG Merger, all of the issued and outstanding stock of BSG converted into the right to receive a total of 7,539,179 shares of Common Stock. The amount of Common Stock issued in connection with the BSG Merger was determined by arm's-length negotiations between the Company and BSG and included, among other factors, consideration of BSG's historical and projected earnings and valuations of and purchase prices paid for comparable companies. Less than one percent of the outstanding capital stock of BSG was owned by Steven G. Papermaster, and Mr. Papermaster received 1,150 shares of Common Stock in connection with the BSG Merger. NP Ventures, Ltd., an affiliate of Mr. Papermaster's, owned approximately 29.5% of the outstanding capital stock of BSG and received 2,224,100 shares of Common Stock in connection with the BSG Merger. On May 6, 1996, the Common Stock received by Mr. Papermaster and NP Ventures, Ltd. had market values of $50,600 and $97,860,400, respectively, as calculated based upon $44.00, the closing price of the Common Stock on the Nasdaq Stock Market on May 6, 1996. Mr. Papermaster entered into an employment agreement with BSG (now owned by the Company) with a two-year term which contains certain non-competition and non-solicitation provisions and a separate non-competition and non-solicitation agreement with a four-year term which also contains certain non-competition and non-solicitation provisions. Pursuant to the employment agreement, Mr. Papermaster is entitled to receive a base salary of $225,000 per year and is also entitled to participate in the Company's incentive compensation plan. NFT Ventures, Inc. owned 58.84% of the outstanding capital stock of BSG and received 4,436,205 shares of Common Stock in connection with the BSG Merger. Such shares of Common Stock had a market value of $195,193,020 on May 6, 1996, as calculated based upon $44.00, the closing price of the Common Stock on the Nasdaq Stock Market on May 6, 1996. On February 28, 1997, Steven G. Papermaster, Raymond J. Noorda and two entities they control made a demand for indemnification under an indemnification agreement executed by the Company in connection with the BSG Merger. On the date of the demand, Mr. Papermaster was an executive officer and a director of the Company. Mr. Papermaster resigned such positions on March 21, 1997, and he resigned from all offices with subsidiaries of the Company on October 14, 1997. The indemnification demand claims damages of $35 million (the maximum damages payable by the Company under the indemnification agreement) for the alleged breach by the Company of its representations and warranties made in the BSG Merger Agreement. On December 31, 1996, the Company entered into a standstill and tolling agreement with Mr. Papermaster, Mr. Noorda and other former BSG shareholders, which, as extended, runs through September 30, 1998. Employment Agreements and Other Matters. As part of the Company's purchase of CompMed, Inc., effective December 31, 1992, Dennis A. Pryor and the Company entered into an employment agreement with a two-year term, which contains certain non-competition and non-solicitation provisions. That agreement was 75 83 subsequently amended in 1994 extending the term for an additional four years. Pursuant to the amended agreement, during 1997, Mr. Pryor received a base salary of $50,000 together with certain employee benefits. As part of the Company's acquisition of HRI, effective August 28, 1995, Patrick B. McGinnis and HRI entered into an employment agreement with a three-year term, which contains certain non-competition, non-solicitation, severance and other provisions concerning Mr. McGinnis' responsibilities. Pursuant to that agreement, during 1997, Mr. McGinnis received salary and bonus compensation of $77,637, together with certain employee benefits. The Company agreed with Mr. McGinnis that, upon a sale by the Company of all the outstanding common stock of HRI in a public offering, the Company would cause HRI to issue to Mr. McGinnis a number of shares of HRI common stock equal to 0.8% of the number of shares outstanding immediately prior to the offering. Pursuant to that agreement, in connection with the HRI public offering in May 1997, Mr. McGinnis received 80,000 shares of HRI common stock. Based on the public offering price for HRI's common stock as reflected in HRI's final prospectus dated May 21, 1997, the shares issued to Mr. McGinnis had a value of approximately $1,120,000. In June 1996, Michael L. Douglas, the Company's former Chief Operating Officer and a former director of the Company, and the Company entered into an employment agreement with a two-year term which contained certain non-competition, non-solicitation, severance and other provisions concerning Mr. Douglas' responsibilities. Pursuant to that agreement, Mr. Douglas received a base salary of $225,000 per year, reimbursement of certain relocation expenses, an incentive compensation payment and was also entitled to participate in the Company's incentive compensation plan. Mr. Douglas also received 50,000 restricted shares of Common Stock and options to purchase up to 100,000 shares of Common Stock. That agreement contained a provision which entitled Mr. Douglas to a severance payment in the amount of 75% of his base salary upon (i) termination of Mr. Douglas' employment with the Company or (ii) forfeiture of the restricted shares of Common Stock. Effective January 31, 1997, Mr. Douglas and the Company entered into an agreement which contains a mutual general release and certain confidentiality, non-competition and non-solicitation provisions. Pursuant to the agreement, Mr. Douglas is entitled to receive a severance payment equal to $168,500, to be paid out in the form of nine months of salary continuation at Mr. Douglas' regular base rate of pay of $225,000, and, at the end of the salary continuation period, a lump sum payment equal to four weeks of accrued vacation. The agreement contains an acknowledgment of the termination of the foregoing employment agreement and of the forfeiture of all of the stock options and restricted shares of Common Stock previously granted to him. Effective February 21, 1997, Michael R. Cote, the Company's former Chief Financial Officer, and the Company entered into an agreement which contains a general release of the Company and certain confidentiality and non-solicitation provisions. Pursuant to that agreement, Mr. Cote is entitled to receive a severance payment of $131,250, which is equal to nine months of salary continuation at Mr. Cote's regular base rate of pay of $175,000. Mr. Cote's restricted stock award dated August 12, 1994 will continue to vest in accordance with the four-year vesting schedule set forth in the Company's Restricted Stock Plan. William R. Spalding, a former Executive Vice President of the Company, received an advance from the Company in the amount of $300,000. In connection with this advance, Mr. Spalding issued to the Company a Deferred Bonus Note, dated January 1, 1996, in the principal amount of $300,000 (the "Deferred Bonus Note"). No interest accrued or was payable with respect to the outstanding principal balance of the Deferred Bonus Note. Under the terms of the Deferred Bonus Note, the principal amount of the note was to be forgiven in three equal installments in 1997, 1998 and 1999, provided that Mr. Spalding remained an employee of the Company on the date that an installment of principal was due. Upon a change in control followed by Mr. Spalding's termination of employment for any reason within twelve months of such change in control or Mr. Spalding's death or disability, the outstanding principal amount of the Deferred Bonus Note was to be canceled. A change in control event is generally defined for purposes of the Deferred Bonus Note to include the adoption of a plan of liquidation or approval of the dissolution of the Company, certain mergers and consolidations of the Company, the sale or transfer of substantially all of the Company's assets, the sale or transfer of all of the assets or stock of an operating subsidiary of the Company, other than as security for obligations of the Company, or the sale or transfer of substantially all of the assets of an operating division of the Company or its subsidiaries, other than as security for obligations of the Company. On February 26, 1997, 76 84 the Company transferred to a third party the assets of the Decision Support Division of Medaphis Healthcare Information Technology Company, a wholly owned subsidiary of the Company. On April 11, 1997, Mr. Spalding resigned as Executive Vice President of the Company. As a result of the change in control of the Decision Support Division and Mr. Spalding's subsequent termination of employment, the outstanding principal balance of the Deferred Bonus Note was canceled and no amount remains payable thereunder. Mr. Spalding incurred approximately $137,000 in additional income tax liability as a result of the cancellation of the Deferred Bonus Note, all of which was reimbursed by the Company. In January 1997, the Company and Jerome H. Baglien, the Company's former Senior Vice President and Chief Financial Officer, entered into a three-year employment agreement which contains certain non-competition and nonsolicitation provisions. Pursuant to that agreement, Mr. Baglien is to receive a base salary of $250,000 per year (subject to adjustments by any increases given in the normal course of business), and is entitled to an incentive compensation payment equal to 80% of his base salary, subject to achievement of certain performance objectives set by the Board. Mr. Baglien is entitled to reimbursement of certain expenses, including relocation expenses, and is also entitled to receive an amount equal to any federal and state income taxes payable by him as a result of such expense reimbursement. Upon early termination of Mr. Baglien's employment by the Company other than for cause or by Mr. Baglien for "good reason," the Company is obligated to continue to pay Mr. Baglien his annual salary and to cover him under certain welfare plans as if his employment had not been terminated. Mr. Baglien also received options to purchase up to 250,000 shares of Common Stock. In June 1997, the Company and Mr. Baglien entered into a letter agreement in which the Company agreed that if Mr. Baglien remained employed by the Company on December 31, 1997, then the Company would pay him a special one time bonus for 1997 in the amount of $187,500. Mr. Baglien resigned from his position with the Company in January 1998. See also "Management Compensation -- Employment Agreements." In February 1997, the Company and Daniel S. Connors, Jr., the Company's former Senior Vice President, Personnel and Administration, entered into a two-year employment agreement which contains certain non-competition and non-solicitation provisions. Pursuant to that agreement, the Company agreed to pay Mr. Connors a base salary of $150,000 per year (subject to adjustments by any increases given in the normal course of business), and an incentive compensation payment under the Company's incentive compensation plan of up to 40% of his base salary. The Company also agreed to reimburse Mr. Connors for certain expenses, including relocation expenses, and also to reimburse him an amount equal to any federal and state income taxes payable by him as a result of such expense reimbursement. The Company loaned Mr. Connors $75,000 for the purpose of obtaining a Georgia residence, the amount of which was to be forgiven on a pro-rata basis over a five-year period, provided that Mr. Connors remained employed by the Company. The agreement provides that in the event Mr. Connor's employment is terminated by the Company without cause, the Company will remain subject to its obligations under the agreement as if Mr. Connors remained employed for the balance of the agreement's two-year term. Mr. Connors also received options to purchase up to 50,000 shares of Common Stock. In June 1997, the Company and Mr. Connors entered into a letter agreement in which the Company agreed that if Mr. Connors remained employed by the Company on December 31, 1997, then the Company would pay him a special one time bonus for 1997 in the amount of $112,500. Mr. Connors resigned from his position with the Company in September 1997. In February 1997, the Company and C. James Schaper, an Executive Vice President of the Company, entered into a three-year employment agreement which contains certain non-competition, non-solicitation and change in control provisions. Pursuant to that agreement, Mr. Schaper received a signing bonus of $100,000, and is to receive a base salary of $250,000 per year (subject to adjustments by any increases given in the normal course of business), and is entitled to an incentive compensation payment equal to 80% of his base salary, payable at the discretion of the Board. At the end of the first year of the agreement, Mr. Schaper is eligible to receive an additional payment of $100,000. In the event Mr. Schaper's employment is terminated by the Company without cause, the Company will remain subject to its obligations under the agreement as if Mr. Schaper remained employed for the balance of the agreement's three-year term. In the event that Mr. Schaper elects to resign from the Company following a change in control of the Company, he is entitled to receive a severance payment equal to the greater of one year of salary continuation at his then current base 77 85 salary or the amount of the payments due and owing to him through the remaining term of the agreement. A "change in control" is generally defined in the agreement as any consolidation, merger, reorganization or other transaction in which the Company is not the surviving entity or the sale of a substantial portion of the Company's assets. Mr. Schaper also received options to purchase up to 250,000 shares of Common Stock. In June 1997, the Company and Mr. Schaper entered into a letter agreement in which the Company agreed that if Mr. Schaper remained employed by the Company on December 31, 1997, then the Company would pay him a special one time bonus for 1997 in the amount of $187,500. See also "Management Compensation -- Employment Agreements." In April 1997, the Company and Harvey Herscovitch, the Senior Vice President, Strategy and Organization of the Company, entered into a two-year employment agreement which contains certain non-competition, non-solicitation and change in control provisions. Pursuant to that agreement, Mr. Herscovitch is to receive a base salary of $140,000 per year (subject to adjustments by any increases given in the normal course of business), and is entitled to an incentive compensation payment equal to 40% of his base salary, payable at the discretion of the Board. Mr. Herscovitch is also entitled to a housing allowance and to reimbursement of certain commuting expenses. In the event Mr. Herscovitch's employment is terminated by the Company without cause, the Company will remain subject to its obligations under the agreement as if Mr. Herscovitch remained employed for the balance of the agreement's two-year term. In the event that Mr. Herscovitch elects to resign from the Company following a change in control of the Company, he is entitled to receive a severance payment equal to the greater of one year of salary continuation at his then current base salary or the amount of the payments due and owing to him through the remaining term of the agreement. A "change in control" is generally defined in the agreement as any consolidation, merger, reorganization or other transaction in which the Company is not the surviving entity or the sale of a substantial portion of the Company's assets. Mr. Herscovitch also received options to purchase up to 40,000 shares of Common Stock. In June 1997, the Company and Mr. Herscovitch entered into a letter agreement in which the Company agreed that if Mr. Herscovitch remained employed by the Company on December 31, 1997, then the Company would pay him a special one time bonus for 1997 in the amount of $105,000. See also "Management Compensation -- Employment Agreements." In July 1997, the Company and Randolph L. M. Hutto, the Executive Vice President, General Counsel and Secretary of the Company, entered into a three-year employment agreement which contains certain non-competition, non-solicitation and change in control provisions. Pursuant to that agreement, Mr. Hutto received a signing bonus of $100,000 (structured as a loan to be forgiven in the event Mr. Hutto remains employed by the Company on the first anniversary of the agreement), and is to receive a base salary of $250,000 per year (subject to adjustments by any increases given in the normal course of business). Mr. Hutto also is entitled to an incentive compensation payment equal to 80% of his base salary, payable at the discretion of the Board; provided, however, that the payment of such incentive compensation for 1997 is guaranteed, and is to be pro-rated based upon the number of months that Mr. Hutto is employed by the Company during 1997. Upon early termination of Mr. Hutto's employment by the Company other than for cause or by Mr. Hutto for "good reason," Mr. Hutto is entitled to elect a severance payment equal to two years of salary and benefit continuation, or his then current monthly salary multiplied by the number of months remaining in the initial term of the agreement, in each case excluding any incentive bonus payments. In the event Mr. Hutto's employment by the Company is terminated in connection with a change in control of the Company, he is entitled to receive a severance payment equal to two years of salary and benefits, including incentive bonus payments. A "change in control" is generally defined in the agreement as any consolidation, merger, reorganization or other transaction in which the Company is not the surviving entity or certain changes in the composition of the Company's Board of Directors. Mr. Hutto also received options to purchase up to 250,000 shares of Common Stock. See also "Management Compensation -- Employment Agreements." In January 1998, the Company and Allen W. Ritchie, the Executive Vice President and Chief Financial Officer of the Company, entered into a three-year employment agreement which contains certain non-competition, non-solicitation and change in control provisions. Pursuant to that agreement, Mr. Ritchie is to receive a base salary of $300,000 per year, subject to adjustments in the normal course of business, and he is entitled to an incentive compensation payment of up to 80% of his base salary, payable at the discretion of the 78 86 Board. Upon early termination of Mr. Ritchie's employment by the Company other than for cause or by Mr. Ritchie for "good reason," Mr. Ritchie is entitled to elect a severance payment equal to two years of salary and benefit continuation, or his then current monthly salary multiplied by the number of months remaining in the initial term of the agreement, in each case excluding any incentive bonus payments. In the event Mr. Ritchie's employment by the Company is terminated in connection with a change in control of the Company, he is entitled to receive a severance payment equal to two years of salary and benefits, including incentive bonus payments. A "change in control" is generally defined in the agreement as any consolidation, merger, reorganization or other transaction in which the Company is not the surviving entity or certain changes in the composition of the Company's Board of Directors. Mr. Ritchie is also to receive options to purchase up to 300,000 shares of Common Stock. See also "Management Compensation -- Employment Agreements." PRINCIPAL STOCKHOLDERS The table below sets forth certain information as of December 31, 1997, concerning each person known to the Board to be a "beneficial owner," as such term is defined by the rules of the Securities and Exchange Commission, of more than 5% of the outstanding shares of the Common Stock.
SHARES OF COMMON PERCENT STOCK BENEFICIALLY OF NAME AND ADDRESS OWNED(1) CLASS ---------------- ------------------ ------- Ardsley Advisory Partners and Philip J. Hempleman(2)........ 7,590,000 10.36% 646 Steamboat Road, Greenwich, Connecticut 06830 NFT Ventures, Inc.(3)....................................... 4,436,205 6.06% 899 W. Center Street, Orem, Utah 84057
- --------------- (1) See Note (1) under "Management Common Stock Ownership." (2) The information regarding Ardsley Advisory Partners and Philip J. Hempleman is given in reliance upon a Schedule 13G filed by such stockholders on or about February 5, 1998 with the Commission. (3) Includes 4,436,205 shares as to which NFT Ventures, Inc. ("NFT") has shared voting and shared investment power. The information regarding NFT is given in reliance upon a Schedule 13D filed by such stockholder on or about May 17, 1996 with the Commission. See "Certain Transactions." 79 87 DESCRIPTION OF NEW CREDIT FACILITY Concurrently with the closing of the offering of the Old Notes, the Company entered into the New Credit Facility with certain financial institutions as lenders (the "Lenders"), DLJ Capital Funding, Inc. as syndication agent and Wachovia Bank, N.A. as administrative agent. Donaldson, Lufkin & Jenrette Securities Corporation acted as arranger (the "Arranger"). All existing and future material domestic subsidiaries of the Company have guaranteed and will guarantee the indebtedness under the New Credit Facility. The following is a summary of the material terms and conditions of the New Credit Facility and is subject to the provisions of the New Credit Facility. GENERAL The New Credit Facility consists of a three-year $100 million revolving credit facility (the "Revolver"). Amounts outstanding under the Revolver will be due and payable in full on February 20, 2001. Subfacilities for letters of credit ($10 million) and for swingline (same day) loans ($7.5 million) are also available under the Revolver. The Revolver is available in multiple drawings from time to time, subject to certain limitations, including the limitation of a borrowing base based on the Company's eligible billed and unbilled receivables. Advances under the Revolver may be used to finance working capital and other general corporate purposes of the Company and its subsidiaries, including acquisitions agreed to by the Lenders. INTEREST RATES; FEES Amounts outstanding under the Revolver will bear interest, at the Company's option, at either LIBOR (adjusted for any reserves) plus a specified margin (2.5% at closing) ranging from 1.0% to 2.75% (based on the ratio of the Company's debt to its EBITDA (as such term will be defined in the New Credit Facility (the "Leverage Ratio")) for interest periods of 1, 2, 3 or 6 months, or the Base Rate, which will be determined by reference to, among other things, the administrative agent's reference rate, again, plus a specified margin (1.5% at closing) ranging from 0% to 1.75% based on the Leverage Ratio. Interest on the amounts outstanding under the Revolver bearing interest at the Base Rate will be payable quarterly in arrears. Interest on amounts outstanding under the Revolver bearing interest based on LIBOR will be payable in arrears at the end of the applicable interest period and every three months, where the applicable interest period exceeds three months. The Company will pay a commitment fee on the unused portion of the Revolver which will be payable quarterly in arrears. The amount of the commitment fee will be determined based on the Leverage Ratio and will range from 0.25% to 0.5% per annum (0.5% at closing). The New Credit Facility also provides for payment of fees with respect to letters of credit issued thereunder, plus additional up-front or funding fees, as well as an additional commitment fee of 0.25% on up to a certain amount of the unused portion of the Revolver. MANDATORY PREPAYMENTS The Revolver is subject to customary mandatory prepayments, including the following: (i) 100% of the net cash proceeds of certain permitted asset sales; (ii) 100% of the net cash proceeds from certain types of permitted debt offerings and (iii) 50% of the net cash proceeds from certain types of permitted equity offerings. Such mandatory prepayments do not require corresponding commitment reductions. In addition, the Revolver is subject to mandatory prepayments to the extent outstanding extensions of credit thereunder exceed the borrowing base at any time. COLLATERAL All amounts owing under the New Credit Facility are secured by a security interest in substantially all of the material assets of the Company and its domestic subsidiaries (including, without limitation, a pledge of the capital stock of such subsidiaries). 80 88 COVENANTS The obligations of the Lenders under the New Credit Facility are subject to the satisfaction of certain conditions precedent, including, without limitation, the absence of a material adverse change in the business or affairs of the Company. The Company and each of its existing and future subsidiaries are subject to certain affirmative and negative covenants contained in the New Credit Facility, including without limitation, covenants that restrict, subject to certain specified exceptions: (i) the incurrence of additional indebtedness and other obligations and the granting of additional liens; (ii) mergers, acquisitions, investments and acquisitions and dispositions of assets; (iii) the incurrence of capitalized lease obligations; (iv) dividends and other equity payments; (v) prepayments or repurchase of other indebtedness and amendments to certain agreements governing indebtedness, including the Indenture and the Notes; (vi) engaging in transactions with affiliates and formation of subsidiaries; (vii) the use of proceeds; and (viii) changes of lines of business. There are also covenants relating to compliance with ERISA and environmental and other laws, payment of taxes, maintenance of corporate existence and rights, maintenance of insurance and financial reporting, as well as other customary covenants for this type of financing. Certain of these covenants may be more restrictive than those set forth in the Indenture. In addition, the New Credit Facility requires the Company to maintain compliance with certain specified financial covenants, including covenants relating to maximum Leverage Ratio, minimum interest coverage ratio, minimum net worth, and minimum EBITDA. The New Credit Facility restricts the refinancing, prepayment or defeasance of the Notes. EVENTS OF DEFAULT The New Credit Facility includes customary events of default, including without limitation, bankruptcy, a change of control (as defined in the New Credit Facility) of the Company, the invalidity of guarantees or security documents under the New Credit Facility, and cross-default to other indebtedness of the Company and its subsidiaries. The occurrence of any of such events of default could result in acceleration of the Company's obligations under the New Credit Facility and foreclosure on the collateral securing such obligations, which could have a material adverse effect on holders of the Notes. 81 89 DESCRIPTION OF NOTES GENERAL The Old Notes were, and the New Notes will be, issued under an Indenture (the "Indenture") between the Company and State Street Bank and Trust Company, as trustee (the "Trustee"), dated February 20, 1998. The terms of the New Notes are identical in all material respects to the respective terms of the Old Notes, except that (i) the New Notes have been registered under the Securities Act of 1933, as amended (the "Securities Act"), and therefore will not be subject to certain restrictions on transfer applicable to the Old Securities and (ii) holders of the New Notes will generally not be entitled to certain rights, including the payment of Liquidated Damages (as defined), pursuant to the Registration Rights Agreement. The terms of the Notes include those stated in the Indenture and those made part of the Indenture by reference to the Trust Indenture Act of 1939 (the "Trust Indenture Act"). The Notes are subject to all such terms, and Holders of Notes are referred to the Indenture and the Trust Indenture Act for a statement thereof. In the event that the Exchange Offer is consummated, any Old Notes which remain outstanding after consummation of the Exchange Offer and the New Notes issued in the Exchange Offer will vote together as a single class for purposes of determining whether holders of the requisite percentage in outstanding principal amount thereof have taken certain actions or exercised certain rights under the Indenture. The following summary of the material provisions of the Indenture and the Registration Rights Agreement does not purport to be complete and is qualified in its entirety by reference to the Indenture and the Registration Rights Agreement, including the definitions therein of certain terms used below. Copies of the Indenture and Registration Rights Agreement are available as set forth below under "-- Additional Information". The definitions of certain terms used in the following summary are set forth below under "-- Certain Definitions." For purposes of this summary, the term "Company" refers only to Medaphis Corporation and not to any of its Subsidiaries. The Old Notes are and the New Notes will be general unsecured obligations of the Company and rank and will rank pari passu in right of payment with all current and future unsecured senior indebtedness of the Company. The Old Notes are and the New Notes will be guaranteed by the Subsidiary Guarantors, which consist of all of the Company's present and future Restricted Subsidiaries, other than Foreign Subsidiaries. See "-- Subsidiary Guarantees." The Subsidiary Guarantees are general unsecured obligations of the Subsidiary Guarantors and rank pari passu in right of payment with all current and future unsecured senior indebtedness of the Subsidiary Guarantors. However, the Notes and the Subsidiary Guarantees will be effectively subordinated to secured indebtedness of the Company and the Subsidiary Guarantors, including borrowings under the New Credit Facility, which is secured by a first priority lien on substantially all of the material assets of the Company and the Subsidiary Guarantors. As of February 27, 1998, the Company and the Subsidiary Guarantors had approximately $44 million of secured indebtedness outstanding and had approximately $45 million of additional borrowing ability under the New Credit Facility. As of the date of the Indenture, all of the Company's Subsidiaries will be Restricted Subsidiaries. However, under certain circumstances, the Company will be able to designate current or future Subsidiaries as Unrestricted Subsidiaries. Unrestricted Subsidiaries will not be subject to many of the restrictive covenants set forth in the Indenture, and the Subsidiary Guarantee of any Subsidiary Guarantor that is designated as an Unrestricted Subsidiary will be released in accordance with the provisions of the Indenture. PRINCIPAL, MATURITY AND INTEREST The Notes are limited in aggregate principal amount to $175.0 million and will mature on February 15, 2005. Interest on the Notes will accrue at the rate of 9 1/2% per annum and will be payable semi-annually in arrears on February 15 and August 15, commencing on August 15, 1998, to Holders of record on the immediately preceding February 1 and August 1. Interest on the Notes will accrue from the most recent date to which interest has been paid or, if no interest has been paid, from the date of original issuance. Interest will be computed on the basis of a 360-day year comprised of twelve 30-day months. Principal of, premium, if any, interest and Liquidated Damages, if any, on the Notes will be payable at the office or agency of the Company maintained for such purpose within the City and State of New York or, at the option of the Company, payment of interest and Liquidated Damages, if any, may be made by check mailed to the Holders of the 82 90 Notes at their respective addresses set forth in the register of Holders of Notes; provided that all payments of principal, premium, if any, interest and Liquidated Damages, if any, with respect to Notes the Holders of which have given wire transfer instructions to the Company will be required to be made by wire transfer of immediately available funds to the accounts specified by the Holders thereof. Until otherwise designated by the Company, the Company's office or agency in New York will be the office of the Trustee maintained for such purpose. The Notes will be issued in registered form, in denominations of $1,000 and integral multiples thereof. SUBSIDIARY GUARANTEES The Company's payment obligations under the Notes are jointly and severally guaranteed (the "Subsidiary Guarantees") by the Subsidiary Guarantors. The Subsidiary Guarantees are general unsecured obligations of the Subsidiary Guarantors and will rank pari passu in right of payment with all current and future unsecured senior indebtedness of the Subsidiary Guarantors. However, the Subsidiary Guarantees will be effectively subordinated to secured indebtedness of the Subsidiary Guarantors, including guarantees of borrowings under the New Credit Facility which will be secured by a first priority lien on substantially all of the material assets of the Subsidiary Guarantors. The obligations of each Subsidiary Guarantor under its Subsidiary Guarantee will be limited in a manner intended to avoid it being deemed to constitute a fraudulent conveyance under applicable law. See, however, "Risk Factors -- Fraudulent Conveyance." Except for a merger or consolidation in which a Subsidiary Guarantor is sold and its Subsidiary Guarantee is released in compliance with the provisions of the next paragraph, the Indenture provides that no Subsidiary Guarantor may consolidate with or merge with or into, another corporation, Person or entity, whether or not affiliated with such Subsidiary Guarantor, unless (i) the Person formed by or surviving any such consolidation or merger (if other than such Subsidiary Guarantor) assumes all the obligations of such Subsidiary Guarantor under its Subsidiary Guarantee and the Indenture pursuant to a supplemental indenture in form and substance reasonably satisfactory to the Trustee; (ii) immediately after giving effect to such transaction, no Default or Event of Default exists; and (iii) unless such merger or consolidation involves only Restricted Subsidiaries and the surviving Person is a Subsidiary Guarantor, the Company would be permitted by virtue of the Company's pro forma Fixed Charge Coverage Ratio, immediately after giving effect to such transaction, to incur at least $1.00 of additional Indebtedness pursuant to the Fixed Charge Coverage Ratio test set forth in the covenant described below under the caption "-- Certain Covenants -- Incurrence of Indebtedness and Issuance of Disqualified Stock." The Indenture provides that in the event of a sale or other disposition of all of the assets of any Subsidiary Guarantor, by way of merger, consolidation or otherwise, or a sale or other disposition of all of the capital stock of any Subsidiary Guarantor, or the designation of a Subsidiary Guarantor as an Unrestricted Subsidiary, then such Subsidiary Guarantor (in the event of a sale or other disposition, by way of such a merger, consolidation or otherwise, of all of the capital stock of such Subsidiary Guarantor, or designation of a Subsidiary Guarantor as an Unrestricted Subsidiary) or the corporation acquiring the property (in the event of a sale or other disposition of all of the assets of such Subsidiary Guarantor) will be released and relieved of any obligations under its Subsidiary Guarantee; provided that the Net Proceeds of such sale or other disposition are applied in accordance with the applicable provisions of the Indenture. See "-- Certain Covenants -- Asset Sales." The Company conducts certain of its foreign operations through Foreign Subsidiaries, which do not guarantee the Notes. The Company's ability to meet its cash obligations may in part depend upon the ability of such Foreign Subsidiaries and any future Foreign Subsidiaries to make cash distributions to the Company. Furthermore, any right of the Company to receive the assets of any such Foreign Subsidiary upon such Foreign Subsidiary's liquidation or reorganization (and the consequent right of the Holders of the Notes to participate in the distribution of the proceeds of those assets) effectively will be subordinated by operation of law to the claims of such Foreign Subsidiary's creditors (including trade creditors) and holders of its preferred stock, except to the extent that the Company or its Restricted Subsidiaries are recognized as creditors or preferred stockholders of such Foreign Subsidiary, in which case the claims of the Company or its Restricted Subsidiaries would still be subordinate to any indebtedness or preferred stock of such Foreign Subsidiaries senior in right of payment to that held by the Company or its Restricted Subsidiaries. 83 91 The financial statements of the Subsidiary Guarantors have not been presented as all subsidiaries, except for certain inconsequential foreign subsidiaries, have provided guarantees and the Parent does not have any significant operations or assets, separate from its investment in its subsidiaries. OPTIONAL REDEMPTION Except as set forth below, the Notes will not be redeemable at the Company's option prior to February 15, 2002. Thereafter, the Notes will be subject to redemption at any time at the option of the Company, in whole or in part, upon not less than 30 or more than 60 days' notice, at the redemption prices (expressed as percentages of principal amount) set forth below plus accrued and unpaid interest and Liquidated Damages, if any, thereon to the applicable redemption date, if redeemed during the twelve-month period beginning on of the years indicated below:
YEAR PERCENTAGE ---- ---------- 2002........................................................ 104.750% 2003........................................................ 102.375 2004 and thereafter......................................... 100.000
Notwithstanding the foregoing, at any time or from time to time on or prior to February 15, 2001, the Company may redeem up to 35% of the aggregate principal amount of Notes originally issued under the Indenture at a redemption price of 109.5% of the principal amount thereof, plus accrued and unpaid interest and Liquidated Damages thereon, if any, to the redemption date, with net cash proceeds of one or more Equity Offerings; provided that at least $100.0 million in aggregate principal amount of Notes remain outstanding immediately after the occurrence of such redemption; and provided, further, that such redemption shall occur within 90 days of the date of the closing of such Equity Offering. SELECTION AND NOTICE If less than all of the Notes are to be redeemed at any time, selection of Notes for redemption will be made by the Trustee on a pro rata basis, by lot or by such method as the Trustee shall deem fair and appropriate; provided that no Notes of $1,000 or less shall be redeemed in part. Notices of redemption shall be mailed by first class mail at least 30 but not more than 60 days before the redemption date to each Holder of Notes to be redeemed at its address set forth in the register of Holders of Notes. Notices of redemption may not be conditional. If any Note is to be redeemed in part only, the notice of redemption that relates to such Note shall state the portion of the principal amount thereof to be redeemed. A new Note in principal amount equal to the unredeemed portion thereof will be issued in the name of the Holder thereof upon cancellation of the original Note. Notes called for redemption become due on the date fixed for redemption. On and after the redemption date, interest and Liquidated Damages, if any, cease to accrue on Notes or portions of them called for redemption. MANDATORY REDEMPTION The Company is not required to make mandatory redemption or sinking fund payments with respect to the Notes. However, in certain circumstances the Company may be required to offer to purchase Notes as set forth under "-- Certain Covenants -- Change of Control" and "-- Certain Covenants -- Asset Sales." CERTAIN COVENANTS Change of Control Upon the occurrence of a Change of Control, each Holder of Notes will have the right to require the Company to repurchase all or any part (equal to $1,000 or an integral multiple thereof) of such Holder's Notes pursuant to the offer described below (the "Change of Control Offer") at an offer price in cash equal to 101% of the aggregate principal amount thereof plus accrued and unpaid interest and Liquidated Damages, if any, thereon to the date of purchase (the "Change of Control Payment"). Within 15 Business Days following any Change of Control, the Company will mail a notice to each Holder describing the transaction or 84 92 transactions that constitute the Change of Control and offering to repurchase Notes on the date specified in such notice, which date shall be no earlier than 30 days and no later than 60 days from the date such notice is mailed (the "Change of Control Payment Date"), pursuant to the procedures required by the Indenture and described in such notice. The Company will comply with the requirements of Rule 14e-1 under the Exchange Act and any other securities laws and regulations thereunder to the extent such laws and regulations are applicable in connection with the repurchase of the Notes as a result of a Change of Control. To the extent that any applicable securities laws or regulations conflict with the terms hereof, the Company shall comply with such laws or regulations and shall not be deemed to have breached its obligations under the Indenture or Notes by virtue thereof. On or before the Change of Control Payment Date, the Company will, to the extent lawful, (1) accept for payment all Notes or portions thereof properly tendered pursuant to the Change of Control Offer, (2) deposit with the paying agent an amount equal to the Change of Control Payment in respect of all Notes or portions thereof so tendered and (3) deliver or cause to be delivered to the Trustee the Notes so accepted together with an Officers' Certificate stating the aggregate principal amount of Notes or portions thereof being purchased by the Company. The paying agent will promptly mail to each Holder of Notes so tendered the Change of Control Payment for such Notes, and the Trustee will promptly authenticate and mail (or cause to be transferred by book entry) to each Holder a new Note equal in principal amount to any unpurchased portion of the Notes surrendered, if any; provided that each such new Note will be in a principal amount of $1,000 or an integral multiple thereof. The Company will publicly announce the results of the Change of Control Offer on or as soon as practicable after the Change of Control Payment Date. The Change of Control provisions described above will be applicable whether or not any other provisions of the Indenture are applicable. Except as described above with respect to a Change of Control, the Indenture does not contain provisions that permit the Holders of the Notes to require that the Company repurchase or redeem the Notes in the event of a takeover, recapitalization or similar transaction. The Company will not be required to make a Change of Control Offer upon a Change of Control if a third party makes the Change of Control Offer in the manner, at the times and otherwise in compliance with the requirements set forth in the Indenture applicable to a Change of Control Offer made by the Company and purchases all Notes validly tendered and not withdrawn under such Change of Control Offer. If a Change of Control occurs, there can be no assurance that the Company will have sufficient funds to, or otherwise be able to, make the Change of Control Payment. See "Risk Factors -- Potential Failure to Make Payment Upon a Change of Control." The Company's obligation to make a Change of Control Offer may deter a third party from seeking to acquire the Company in a transaction that could constitute a Change of Control. The definition of Change of Control includes a phrase relating to the sale, lease, transfer, conveyance or other disposition of "all or substantially all" of the assets of the Company and its Subsidiaries taken as a whole. Although there is a developing body of case law interpreting the phrase "substantially all," there is no precise established definition of the phrase under applicable law. Accordingly, the ability of a Holder of Notes to require the Company to repurchase such Notes as a result of a sale, lease, transfer, conveyance or other disposition of less than all of the assets of the Company and its Subsidiaries taken as a whole to another Person or group may be uncertain. Asset Sales The Indenture provides that the Company will not, and will not permit any of its Restricted Subsidiaries to, consummate an Asset Sale unless (i) the Company (or the Restricted Subsidiary, as the case may be) receives consideration at the time of such Asset Sale at least equal to the fair market value (evidenced by a resolution of the Board of Directors set forth in an Officers' Certificate delivered to the Trustee in the case of any Asset Sale for which the Company or any of its Restricted Subsidiaries receives consideration in excess of $15.0 million) of the assets or Equity Interests issued or sold or otherwise disposed of and (ii) at least 80% of the consideration therefor received by the Company or such Restricted Subsidiary is in the form of cash or 85 93 Cash Equivalents; provided that the amount of (x) any liabilities (as shown on the Company's or such Restricted Subsidiary's most recent balance sheet), of the Company or any Restricted Subsidiary (other than contingent liabilities and liabilities that are by their terms subordinated to the Notes or any guarantee thereof) that are assumed by the transferee of any such assets pursuant to a customary novation or other agreement that releases the Company or such Restricted Subsidiary from further liability and (y) any securities, notes or other obligations received by the Company or any such Restricted Subsidiary from such transferee that are converted by the Company or such Restricted Subsidiary within 90 days following the closing of the Asset Sale into cash (to the extent of the cash received), shall be deemed to be cash for purposes of this provision. Within 360 days of the receipt of any Net Proceeds from an Asset Sale, the Company and its Restricted Subsidiaries may apply such Net Proceeds, at their option, (a) to repay secured Indebtedness (and, in the case of any such Indebtedness that was borrowed under a revolving credit line, to correspondingly reduce commitments with respect thereto), or (b) to the acquisition of a controlling interest in another business, the making of a capital expenditure or the acquisition of other long-term assets, in each case, in the same or a related or complementary line of business as the Company or any of its Restricted Subsidiaries was engaged in on the date of the Indenture (as determined in good faith by the Company). Pending the final application of any such Net Proceeds, the Company may temporarily reduce the revolving credit lines under the New Credit Facility (without any corresponding commitment reduction) or otherwise invest such Net Proceeds in any manner that is not prohibited by the Indenture. Any Net Proceeds from Asset Sales that are not applied or invested as provided in the first sentence of this paragraph will be deemed to constitute "Excess Proceeds." Not later than 30 days after any date (an "Asset Sale Offer Trigger Date") that the aggregate amount of Excess Proceeds exceeds $10.0 million, the Company shall mail to each holder of Notes at such holder's registered address a notice stating: (i) that an Asset Sale Offer Trigger Date has occurred and that the Company is offering to purchase the maximum principal amount of Notes that may be purchased out of the Excess Proceeds, at an offer price in cash equal to 100% of the principal amount thereof, plus accrued and unpaid interest and Liquidated Damages, if any, thereon to the date of purchase (the "Asset Sale Offer Purchase Date"), which shall be a business day, specified in such notice, that is not earlier than 30 days or later than 60 days from the date such notice is mailed; (ii) the amount of accrued and unpaid interest and Liquidated Damages, if any, thereon as of the Asset Sale Offer Purchase Date; (iii) that any Note not tendered will continue to accrue interest and Liquidated Damages, if any; (iv) that, unless the Company defaults in the payment of the purchase price for the Notes payable pursuant to the Asset Sale Offer, any Notes accepted for payment pursuant to the Asset Sale Offer shall cease to accrue interest and Liquidated Damages, if any, after the Asset Sale Offer Purchase Date; (v) the procedures, consistent with the Indenture, to be followed by a holder of Notes in order to accept an Asset Sale Offer or to withdraw such acceptance; and (vi) such other information as may be required by the Indenture and applicable laws and regulations. On the Asset Sale Offer Purchase Date, the Company will: (i) accept for payment the maximum principal amount of Notes or portions thereof tendered pursuant to the Asset Sale Offer that can be purchased out of Excess Proceeds from such Asset Sale; (ii) deposit with the paying agent the aggregate purchase price of all Notes or portions thereof accepted for payment and any accrued and unpaid interest and Liquidated Damages, if any, on such Notes as of the Asset Sale Offer Purchase Date; and (iii) deliver or cause to be delivered to the Trustee all Notes tendered pursuant to the Asset Sale Offer. The paying agent will promptly mail to each holder of Notes or portions thereof accepted for payment an amount equal to the purchase price for such Note plus any accrued and unpaid interest and Liquidated Damages, if any, thereon, and the Trustee will promptly authenticate and mail to such holder of Notes accepted for payment in part a new Note equal in principal amount to any unpurchased portion of the Notes, and any Note not accepted for payment in whole or in part will be promptly returned to the holder of such Note. On and after an Asset Sale Offer Purchase Date, interest and Liquidated Damages, if any, will cease to accrue on the Notes or portions thereof accepted for payment, unless the Company defaults in the payment of the purchase price therefor. The Company will announce the results of the Asset Sale Offer to holders of the Notes on or as soon as practicable after the Asset Sale Offer Purchase Date. To the extent that the aggregate amount of Notes tendered pursuant to an Asset Sale Offer is less than the Excess Proceeds, the Company may use any remaining Excess Proceeds for general corporate purposes. If the Aggregate principal amount of Notes surrendered by Holders thereof 86 94 exceeds the amount of Excess Proceeds, the Trustee will select the Notes to be purchased on a pro rata basis. Upon completion of such Asset Sale Offer, the amount of Excess Proceeds shall be reset at zero. The Company will comply with the applicable tender offer rules, including the requirements of Rule 14e-1 under the Exchange Act, and all other applicable securities laws and regulations in connection with any Asset Sale Offer. To the extent that any applicable securities laws or regulations conflict with the terms hereof, the Company shall comply with such laws or regulations and shall not be deemed to have breached its obligations under the Indenture or Notes by virtue thereof. Restricted Payments The Indenture provides that the Company will not, and will not permit any of its Restricted Subsidiaries to, directly or indirectly: (i) declare or pay any dividend or make any other payment or distribution on account of the Company's or any of its Restricted Subsidiaries' Equity Interests (including, without limitation, any payment in connection with any merger or consolidation involving the Company or in connection with any settlement or resolution of any claims against or litigation involving the Company, but not including Qualified Insurance Payments) or to the direct or indirect holders of the Company's or any of its Restricted Subsidiaries' Equity Interests in their capacity as such (other than dividends or distributions or other payments payable in Equity Interests (other than Disqualified Stock) of the Company or any successor under the Indenture); (ii) purchase, redeem or otherwise acquire or retire for value (including without limitation, in connection with any merger or consolidation involving the Company) any Equity Interests of the Company; (iii) purchase, redeem, defease or otherwise acquire or retire for value any Subordinated Indebtedness prior to its Stated Maturity; or (iv) make any Restricted Investment (all such payments and other actions set forth in, and not otherwise permitted by, clauses (i) through (iv) above being collectively referred to as "Restricted Payments"), unless, at the time of and after giving effect to such Restricted Payment: (a) no Default or Event of Default shall have occurred and be continuing or would occur as a consequence thereof; and (b) the Company would, at the time of such Restricted Payment and after giving pro forma effect thereto as if such Restricted Payment had been made at the beginning of the applicable four-quarter period, have been permitted to incur at least $1.00 of additional Indebtedness pursuant to the provisions of the first paragraph of the covenant described below under the caption "-- Incurrence of Indebtedness and Issuance of Disqualified Stock"; and (c) such Restricted Payment, together with the aggregate amount of all other Restricted Payments made by the Company and its Restricted Subsidiaries after the date of the Indenture (excluding Restricted Payments permitted by clauses (ii), (iii), (iv), (v) (but only to the extent of the dividends paid to the Company or its Wholly Owned Restricted Subsidiaries pursuant to such clause (v)) and (vii) of the next succeeding paragraph), is less than the sum of (1) 50% of the Consolidated Net Income of the Company for the period (taken as one accounting period) from the beginning of the first fiscal quarter commencing after the date of the Indenture to the end of the Company's most recently ended fiscal quarter for which internal financial statements are available at the time of such Restricted Payment (or, if such Consolidated Net Income for such period is a deficit, less 100% of such deficit), plus (2) 100% of the aggregate net cash proceeds received by the Company from the issue or sale since the date of the Indenture of Equity Interests of the Company (other than Disqualified Stock) or of Disqualified Stock or debt securities of the Company that have been converted into such Equity Interests (other than Equity Interests (or Disqualified Stock or convertible debt securities) sold to a Subsidiary of the Company and other than Disqualified Stock or convertible debt securities that have been converted into Disqualified Stock), plus (3) to the extent that any Restricted Investment that was made after the date of the Indenture is sold for cash or otherwise liquidated or repaid for cash, the lesser of (A) the cash return of capital with respect to such Restricted Investment (less the cost of disposition, if any) and (B) the initial amount of such Restricted Investment, plus (4) 50% of any cash dividends received by the Company or a Wholly Owned Restricted Subsidiary or a Subsidiary Guarantor after the date of the Indenture from an Unrestricted Subsidiary of the Company, to the extent that such dividends were not otherwise included in 87 95 Consolidated Net Income of the Company for such period, plus (5) to the extent that any Unrestricted Subsidiary is redesignated as a Restricted Subsidiary after the date of the Indenture, the lesser of (A) the fair market value of the Company's and its Restricted Subsidiaries' Investment in such Subsidiary as of the date of such redesignation or (B) the fair market value of the Company's and its Restricted Subsidiaries' Investment in such Subsidiary as of the date on which such Subsidiary was originally designated as an Unrestricted Subsidiary. The foregoing provisions will not prohibit: (i) the payment of any dividend within 60 days after the date of declaration thereof, if at said date of declaration such payment would have complied with the provisions of the Indenture; (ii) the redemption, repurchase, retirement, defeasance or other acquisition of any Subordinated Indebtedness or Equity Interests of the Company or any Restricted Subsidiary in exchange for, or, so long as no Default or Event of Default shall have occurred and be continuing, out of the net cash proceeds of the substantially concurrent sale (other than to a Subsidiary of the Company) of, other Equity Interests of the Company (other than any Disqualified Stock); provided that the amount of any such net cash proceeds that are utilized for any such redemption, repurchase, retirement, defeasance or other acquisition shall be excluded from clause (c)(ii) of the preceding paragraph; (iii) so long as no Default or Event of Default shall have occurred and be continuing, the defeasance, redemption, repurchase or other acquisition of Subordinated Indebtedness with the net cash proceeds from an incurrence of Permitted Refinancing Indebtedness; (iv) so long as no Default or Event of Default shall have occurred and be continuing, the retirement, repurchase or redemption of any shares of Disqualified Stock or any Subordinated Indebtedness by conversion into, or by exchange for, shares of Disqualified Stock, or out of the net cash proceeds of the substantially concurrent sale (other than to a Subsidiary of the Company) of other shares of Disqualified Stock; provided that (a) such newly issued Disqualified Stock is not subject to mandatory redemption earlier than the Stated Maturity of the Disqualified Stock or Subordinated Indebtedness being retired, repurchased or redeemed, (b) such Disqualified Stock is in an aggregate liquidation preference that is equal to or less than the sum of (x) the aggregate liquidation preference of the Disqualified Stock being retired or the aggregate principal amount of the Subordinated Indebtedness being repurchased or redeemed, (y) the amount of accrued and unpaid dividends or interest, if any, and premiums owed, if any, on the Disqualified Stock or Subordinated Indebtedness being retired, repurchased or redeemed and (z) the amount of customary fees, expenses and costs related to the incurrence of such Disqualified Stock and (c) such newly issued Disqualified Stock is incurred by the same Person that initially incurred the Disqualified Stock or Subordinated Indebtedness being retired, repurchased or redeemed, except that the Company may incur Disqualified Stock to refund or refinance Disqualified Stock of any Wholly Owned Subsidiary of the Company or any Subsidiary Guarantor; (v) the payment of any dividend or other distribution by a Restricted Subsidiary of the Company to the holders of any class of its Equity Interests on a pro rata basis; (vi) so long as no Default or Event of Default shall have occurred and be continuing, the repurchase, redemption or other acquisition or retirement for value of any Equity Interests of the Company or any Restricted Subsidiary of the Company held by any director, officer or employee (or any of its Restricted Subsidiaries') pursuant to any director, officer or employee equity subscription agreement, stock option agreement, employment agreement or employee benefit plan or similar plan or arrangement; provided that the aggregate price paid for all such repurchased, redeemed, acquired or retired Equity Interests shall not exceed $1.0 million in any one fiscal year; (vii) repurchases of Equity Interests deemed to occur upon the exercise of stock options or warrants upon the surrender of Equity Interests to pay the exercise price and any applicable taxes with respect to such stock options or warrants; and 88 96 (viii) so long as no Default or Event of Default shall have occurred and be continuing, Restricted Payments not otherwise permitted hereby in an aggregate amount not to exceed $10.0 million since the date of the Indenture. The Board of Directors may designate any Restricted Subsidiary to be an Unrestricted Subsidiary if such designation would not cause a Default; provided that in no event shall the business currently operated by the Subsidiary Guarantors be transferred to any Subsidiary other than a Restricted Subsidiary. For purposes of making such determination, all Investments made by the Company and its Restricted Subsidiaries (except to the extent repaid in cash) in the Subsidiary so designated will be deemed to be Restricted Payments at the time of such designation and will reduce the amount available for Restricted Payments under the first paragraph of this covenant. All such outstanding Investments will be deemed to constitute Investments in an amount equal to the greatest of (x) the net book value of such Investments at the time of such designation and (y) the fair market value of such Investments at the time of such designation (as determined in good faith by the Company's Board of Directors). Such designation will only be permitted if such Restricted Payment would be permitted at such time and if such Restricted Subsidiary otherwise meets the definition of an Unrestricted Subsidiary. The amount of all Restricted Payments (other than cash) shall be the fair market value on the date of the Restricted Payment of the assets or securities proposed to be transferred or issued by the Company or such Subsidiary, as the case may be, pursuant to the Restricted Payment. The fair market value of any non-cash Restricted Payment with a fair market value in excess of $1.0 million shall be determined by the Board of Directors whose resolution with respect thereto shall be delivered to the Trustee, such determination to be based upon an opinion or appraisal issued by an accounting, appraisal or investment banking firm of national standing if such fair market value exceeds $10.0 million. Not later than the date of making any Restricted Payment, the Company shall deliver to the Trustee an Officers' Certificate stating that such Restricted Payment is permitted and setting forth the basis upon which the calculations required by the covenant "Restricted Payments" were computed, together with a copy of any fairness opinion or appraisal required by the Indenture. Incurrence of Indebtedness and Issuance of Disqualified Stock The Indenture provides that the Company will not, and will not permit any of its Subsidiaries to, directly or indirectly, create, incur, issue, assume, guarantee or otherwise become directly or indirectly liable, contingently or otherwise, with respect to (collectively, "incur") any Indebtedness (including Acquired Indebtedness) and that the Company will not, and will not permit any of its Subsidiaries to, issue any Disqualified Stock; provided, however, that the Company and the Subsidiary Guarantors may incur Indebtedness (including Acquired Indebtedness) and the Company and the Subsidiary Guarantors may issue shares of Disqualified Stock if (A) the Fixed Charge Coverage Ratio for the Company's most recently ended four full fiscal quarters for which internal financial statements are available immediately preceding the date on which such additional Indebtedness is incurred or such Disqualified Stock is issued would have been at least 2.5 to 1, determined on a pro forma basis (including a pro forma application of the net proceeds therefrom and the acquisitions in connection therewith), as if the additional Indebtedness had been incurred, or the Disqualified Stock had been issued, as the case may be, at the beginning of such four-quarter period, and (B) no Default or Event of Default shall have occurred and be continuing at the time or as a consequence of the incurrence of such Indebtedness or the issuance of such Disqualified Stock. The provisions of the first paragraph of this covenant will not apply to the incurrence of any of the following items of Indebtedness (collectively, "Permitted Debt"): (i) the incurrence by the Company and Subsidiary Guarantors of Indebtedness under the New Credit Facility and the issuance and creation of letters of credit and banker's acceptances thereunder and any related reimbursement obligation (with letters of credit being deemed to have a principal amount equal to the maximum potential liability of the Company and its Restricted Subsidiaries thereunder) in an aggregate amount not to exceed $100.0 million outstanding at any one time under this subsection (i), less the lesser of $50.0 million and the aggregate amount of all Net Proceeds of Asset Sales that have 89 97 been applied since the date of the Indenture to reduce permanently the commitments with respect to such Indebtedness pursuant to the covenant described under the caption "-- Asset Sales;" (ii) the incurrence by the Company and its Subsidiaries of the Existing Indebtedness; (iii) the incurrence by the Company of Indebtedness represented by the Notes and the incurrence by the Subsidiary Guarantors of the Subsidiary Guarantees in an aggregate principal amount not to exceed $175.0 million; (iv) the incurrence by the Company or any of its Restricted Subsidiaries of Permitted Refinancing Indebtedness in exchange for, or the net proceeds of which are used to refund, refinance or replace Indebtedness of the Company or such Restricted Subsidiary that was permitted by the Indenture to be incurred at the time it was incurred; (v) the incurrence by the Company, any of the Subsidiary Guarantors or any Restricted Subsidiary of intercompany Indebtedness between or among the Company, any of the Subsidiary Guarantors or any Restricted Subsidiary; provided, however, that (i) if the Company or a Subsidiary Guarantor is the obligor on such Indebtedness, such Indebtedness is unsecured and subordinated to the prior payment in full in cash of all Obligations with respect to the Notes and the Subsidiary Guarantees, as the case may be, and (ii)(A) any subsequent issuance or transfer of Equity Interests that results in any such Indebtedness being held by a Person other than the Company, a Subsidiary Guarantor or a Restricted Subsidiary and (B) any sale or other transfer of any such Indebtedness to a Person that is not either the Company, a Subsidiary Guarantor or a Restricted Subsidiary shall be deemed, in each case, to constitute an incurrence of such Indebtedness by the Company, such Subsidiary Guarantor or such Restricted Subsidiary, as the case may be, that was not permitted by this clause (v); (vi) the incurrence by the Company or any of its Restricted Subsidiaries of Hedging Obligations that are incurred for the purpose of fixing or hedging interest rate risk with respect to any floating rate Indebtedness that was permitted by the terms of the Indenture to be incurred at the time it was incurred; provided, that the notional principal amount of such Hedging Obligations at the time such Hedging Obligations were incurred do not exceed the principal amount of Indebtedness to which such Hedging Obligations relate; (vii) the guarantee by the Company or any of the Subsidiary Guarantors of Indebtedness of the Company or a Restricted Subsidiary of the Company that was permitted to be incurred at the time it was incurred by another provision of this covenant; (viii) the incurrence by the Company's Unrestricted Subsidiaries of Non-Recourse Debt; provided, however, that if any such Indebtedness ceases to be Non-Recourse Debt of an Unrestricted Subsidiary, such event shall be deemed to constitute the incurrence of Indebtedness (and Liens, if any, securing such Indebtedness) by a Restricted Subsidiary of the Company; or (ix) the incurrence by the Company or any of the Subsidiary Guarantors of Indebtedness represented by Capital Lease Obligations, mortgage financings or purchase money obligations, in each case incurred for the purpose of financing all or any part of the purchase price or cost of construction or improvement of property, plant or equipment used in the business of the Company or such Subsidiary, in an aggregate principal amount not to exceed $20.0 million at any time outstanding; or (x) the incurrence by the Company or any of its Restricted Subsidiaries of additional Indebtedness in an aggregate principal amount (or accreted value, as applicable) at any time outstanding, including all Permitted Refinancing Indebtedness incurred to refund, refinance or replace any other Indebtedness incurred pursuant to this clause (x), not to exceed $10.0 million. For purposes of determining compliance with this covenant, in the event that an item of Indebtedness meets the criteria of more than one of the categories of Permitted Debt described above or is entitled to be incurred pursuant to the first paragraph of this covenant, the Company shall, in its sole discretion, classify such item of Indebtedness in any manner that complies with this covenant and such item of Indebtedness will be treated as having been incurred pursuant to only one of such clauses or pursuant to the first paragraph hereof. 90 98 Accrual of interest, the accretion of accreted value and the payment of interest in the form of additional Indebtedness will not be deemed to be an incurrence of Indebtedness for purposes of this covenant. Liens The Indenture provides that the Company will not, and will not permit any of its Restricted Subsidiaries to, directly or indirectly, create, incur, assume or suffer to exist any Liens of any kind (other than Permitted Liens) upon any property or assets of the Company or any such Restricted Subsidiary or any shares of stock or debt of any such Restricted Subsidiary unless (i) if such Lien secures Indebtedness which is pari passu with the Notes, then the Notes are secured on an equal and ratable basis with the obligations so secured until such time as such obligation is no longer secured by a Lien or (ii) if such Lien secures Subordinated Indebtedness, any such Lien will be subordinated to a Lien granted to the holders of the Notes in the same collateral as that securing such Lien to the same extent as such Subordinated Indebtedness is subordinated to the Notes. Dividend and Other Payment Restrictions Affecting Subsidiaries The Indenture provides that the Company will not, and will not permit any of its Restricted Subsidiaries to, directly or indirectly, create or otherwise cause or suffer to exist or become effective any consensual encumbrance or consensual restriction on the ability of any Restricted Subsidiary to (i) pay dividends or make any other distributions to the Company or any of its Restricted Subsidiaries on its Capital Stock or with respect to any other interest or participation in, or measured by, its profits, or pay any indebtedness owed to the Company or any of its Restricted Subsidiaries, (ii) make loans or advances to the Company or any of its Restricted Subsidiaries, (iii) guarantee any Indebtedness of the Company or any other Restricted Subsidiary or the Company or (iv) transfer any of its properties or assets to the Company or any of its Restricted Subsidiaries. However, the foregoing restrictions will not apply to encumbrances or restrictions existing under or by reason of (a) Existing Indebtedness as in effect on the date of the Indenture, (b) the New Credit Facility as in effect as of the date of the Indenture, and any amendments, modifications, restatements, renewals, increases, supplements, refundings, replacements or refinancings thereof, provided that such amendments, modifications, restatements, renewals, increases, supplements, refundings, replacement or refinancings are not materially more restrictive with respect to such dividend and other payment restrictions than those contained in the New Credit Facility as in effect on the date of the Indenture, (c) the Indenture, the Notes and the Subsidiary Guarantees, (d) applicable law, (e) any instrument governing Indebtedness or Capital Stock of a Person acquired by the Company or any of its Restricted Subsidiaries as in effect at the time of such acquisition (except to the extent such Indebtedness was incurred in connection with or in contemplation of such acquisition), which encumbrance or restriction is not applicable to any Person, or the properties or assets of any Person, other than the Person or its Subsidiaries, or the property or assets of the Person or its Subsidiaries, so acquired, provided that, in the case of Indebtedness, such Indebtedness was permitted by the terms of the Indenture to be incurred at the time it was incurred, (f) customary non-assignment provisions in leases and other agreements entered into in the ordinary course of business, including licenses of intellectual property, (g) purchase money obligations for property acquired in the ordinary course of business, (h) Permitted Refinancing Indebtedness, provided that the restrictions contained in the agreements governing such Permitted Refinancing Indebtedness are not materially more restrictive than those contained in the agreements governing the Indebtedness being refinanced, (i) any agreement for the sale of a Restricted Subsidiary that restricts distributions by that Restricted Subsidiary pending its sale or (j) any Permitted Liens. Merger, Consolidation, or Sale of Assets The Indenture provides that the Company may not consolidate or merge with or into, or sell, assign, transfer, lease, convey or otherwise dispose of all or substantially all of its properties or assets in one or more related transactions, to another corporation, Person or entity unless (i) the Company is the surviving corporation or the entity or the Person formed by or surviving any such consolidation or merger (if other than the Company) or to which such sale, assignment, transfer, lease, conveyance or other disposition shall have been made is a corporation organized or existing under the laws of the United States, any state thereof or the 91 99 District of Columbia; (ii) the entity or Person formed by or surviving any such consolidation or merger (if other than the Company) or the entity or Person to which such sale, assignment, transfer, lease, conveyance or other disposition shall have been made assumes all the obligations of the Company under all outstanding Notes and the Indenture pursuant to a supplemental indenture in a form reasonably satisfactory to the Trustee; (iii) immediately after such transaction no Default or Event of Default exists; and (iv) except in the case of a merger of the Company with or into a Wholly Owned Restricted Subsidiary of the Company, the Company or the entity or Person formed by or surviving any such consolidation or merger (if other than the Company), or to which such sale, assignment, transfer, lease, conveyance or other disposition shall have been made will, at the time of such transaction and after giving pro forma effect thereto as if such transaction had occurred at the beginning of the applicable four-quarter period, be permitted to incur at least $1.00 of additional Indebtedness pursuant to the Fixed Charge Coverage Ratio test set forth in the first paragraph of the covenant described above under the caption "-- Incurrence of Indebtedness and Issuance of Disqualified Stock." Transactions with Affiliates The Indenture provides that the Company will not, and will not permit any of its Restricted Subsidiaries to, make any payment to, or sell, lease, transfer or otherwise dispose of any of its properties or assets to, or purchase any property or assets from, or enter into or make or amend any transaction, contract, agreement, understanding, loan, advance or guarantee with, or for the benefit of, any Affiliate (each of the foregoing, an "Affiliate Transaction"), unless (i) such Affiliate Transaction is on terms that are no less favorable in any material respect to the Company or the relevant Restricted Subsidiary than those that would have been obtained in a comparable transaction by the Company or such Restricted Subsidiary with an unrelated Person and (ii) the Company delivers to the Trustee (a) with respect to any Affiliate Transaction or series of related Affiliate Transactions involving aggregate consideration in excess of $1.0 million, a resolution of the Board of Directors set forth in an Officers' Certificate certifying that such Affiliate Transaction complies with clause (i) above and that such Affiliate Transaction has been approved by a majority of the disinterested members of the Board of Directors and (b) with respect to any Affiliate Transaction or series of related Affiliate Transactions involving aggregate consideration in excess of $5.0 million, an opinion as to the fairness to the Company or such Restricted Subsidiary of such Affiliate Transaction from a financial point of view issued by an accounting, appraisal or investment banking firm of national standing; provided that the following shall not be deemed to be Affiliate Transactions: (1) transactions pursuant to the New Credit Facility; (2) any employment agreement or other employee benefit plan or arrangement entered into by the Company or any of its Restricted Subsidiaries in the ordinary course of business, (3) transactions between or among the Company and/or its Restricted Subsidiaries and (4) Restricted Payments and Permitted Investments that are permitted by the provisions of the Indenture described above under the caption "-- Restricted Payments." Sale and Leaseback Transactions The Indenture provides that the Company will not, and will not permit any of its Restricted Subsidiaries to, enter into any sale and leaseback transaction (other than a sale and leaseback transaction with respect to any of the Excluded Properties); provided that the Company or such Restricted Subsidiary may enter into a sale and leaseback transaction if (i) the Company or such Restricted Subsidiary could have (a) incurred Indebtedness in an amount equal to the Attributable Debt relating to such sale and leaseback transaction pursuant to the Fixed Charge Coverage Ratio test set forth in the first paragraph of the covenant described above under the caption "-- Incurrence of Additional Indebtedness and Issuance of Disqualified Stock" and (b) incurred a Lien to secure such Indebtedness pursuant to the covenant described above under the caption "-- Liens," (ii) the gross cash proceeds of such sale and leaseback transaction are at least equal to the fair market value (as determined in good faith by the Board of Directors and set forth in an Officers' Certificate delivered to the Trustee if such proceeds exceed $15.0 million) of the property that is the subject of such sale and leaseback transaction and (iii) the transfer of assets in such sale and leaseback transaction is permitted by, and the Company applies the proceeds of such transaction in compliance with, the covenant described above under the caption "-- Asset Sales." 92 100 Additional Subsidiary Guarantees The Indenture provides that if the Company or any of its Restricted Subsidiaries shall acquire or create another Restricted Subsidiary after the date of the Indenture (other than a Foreign Subsidiary, unless the Company elects to have a Foreign Subsidiary which is a Restricted Subsidiary guarantee the Notes), then such newly acquired or created Restricted Subsidiary shall execute a Subsidiary Guarantee and deliver an opinion of counsel, in accordance with the terms of the Indenture. Reports The Indenture provides that, whether or not required by the rules and regulations of the Securities and Exchange Commission (the "Commission"), so long as any Notes are outstanding, the Company will furnish to the Holders of Notes (i) copies of all quarterly and annual financial information that would be required to be contained in a filing with the Commission on Forms 10-Q and 10-K if the Company were required to file such Forms, including a "Management's Discussion and Analysis of Financial Condition and Results of Operations" and, with respect to the annual information only, a report thereon by the Company's certified independent accountants and (ii) copies of all current reports that would be required to be filed with the Commission on Form 8-K if the Company were required to file such reports. In addition, whether or not required by the rules and regulations of the Commission, the Company will file a copy of all such information and reports with the Commission for public availability (unless the Commission will not accept such a filing) and make such information available to securities analysts and prospective investors upon request. In addition, the Company and the Subsidiary Guarantors have agreed that, for so long as any Old Notes remain outstanding, they will furnish to the Holders and to securities analysts and prospective investors, upon their request, the information required to be delivered pursuant to Rule 144A(d)(4) under the Securities Act. EVENTS OF DEFAULT AND REMEDIES The Indenture provides that each of the following constitutes an Event of Default: (i) default for 30 days in the payment when due of interest on, or Liquidated Damages with respect to, the Notes; (ii) default in payment when due of the principal of or premium, if any, on the Notes; (iii) failure by the Company or any of its Restricted Subsidiaries to comply with the provisions described under the captions "Certain Covenants -- Change of Control," "Certain Covenants -- Asset Sales," "Certain Covenants -- Restricted Payments" or "Certain Covenants -- Incurrence of Indebtedness and Issuance of Disqualified Stock"; (iv) failure by the Company or any of its Subsidiaries for 60 days after receipt of notice to comply given by the Trustee or the holders of at least 25% in principal amount of Notes then outstanding to comply with any of its other agreements in the Indenture or the Notes; (v) default under any mortgage, indenture or instrument under which there is issued or by which there is be secured or evidenced any Indebtedness for money borrowed by the Company or any of its Restricted Subsidiaries (or the payment of which is guaranteed by the Company or any of its Restricted Subsidiaries, other than Indebtedness owed to the Company or a Restricted Subsidiary) whether such Indebtedness or guarantee now exists, or is created after the date of the Indenture, which default (a) is caused by a failure to pay principal of or premium, if any, on such Indebtedness after the expiration of the grace period provided in such Indebtedness on the date of such default (a "Payment Default") or (b) results in the acceleration of such Indebtedness prior to its express maturity and, in each case, the principal amount of any such Indebtedness, together with the principal amount of any other such Indebtedness under which there has been a Payment Default or the maturity of which has been so accelerated, aggregates $10.0 million or more, and such default has not been cured, waived or postponed pursuant to an agreement with the holders of such Indebtedness within 30 days after written notice as provided in the Indenture, or such acceleration shall not be rescinded or annulled within 10 days after written notice as provided in the Indenture; 93 101 (vi) failure by the Company or any of its Restricted Subsidiaries to pay final judgments aggregating in excess of $10.0 million to the extent that such judgments are not covered by insurance, which judgments remain unpaid, undischarged or unstayed for a period of 60 days; (vii) certain events of bankruptcy or insolvency with respect to the Company or any of its Significant Subsidiaries; and (viii) except as permitted by the Indenture, any Subsidiary Guarantee shall be held in any judicial proceeding to be unenforceable or invalid or shall cease for any reason to be in full force and effect in any material respect or any Subsidiary Guarantor, or any Person acting on behalf of any Subsidiary Guarantor, shall deny or disaffirm its obligations under its Subsidiary Guarantee. If any Event of Default occurs and is continuing, the Trustee or the Holders of at least 25% in principal amount of the then outstanding Notes may declare all the Notes to be due and payable immediately. Notwithstanding the foregoing, in the case of an Event of Default arising from certain events of bankruptcy or insolvency, with respect to the Company or any Significant Subsidiary, all outstanding Notes will become due and payable without further action or notice. Holders of the Notes may not enforce the Indenture or the Notes except as provided in the Indenture. Subject to certain limitations, Holders of a majority in principal amount of the then outstanding Notes may direct the Trustee in its exercise of any trust or power. The Trustee may withhold from Holders of the Notes notice of any continuing Default or Event of Default (except a Default or an Event of Default relating to the payment of principal or interest) if it determines that withholding notice is in their interest. The Holders of a majority in aggregate principal amount of the Notes then outstanding by notice to the Trustee may on behalf of the Holders of all of the Notes waive any existing Default or Event of Default or rescind an acceleration and its consequences under the Indenture, except a continuing Default or Event of Default in the payment of interest on, or the principal of, the Notes or an acceleration based thereon. The Company is required to deliver to the Trustee annually a statement regarding compliance with the Indenture, and the Company is required, within five Business Days upon becoming aware of any Default or Event of Default, to deliver to the Trustee a statement specifying such Default or Event of Default. NO PERSONAL LIABILITY OF DIRECTORS, OFFICERS, EMPLOYEES AND STOCKHOLDERS No director, officer, employee, incorporator or stockholder of the Company or the Subsidiary Guarantors, as such, shall have any liability for any obligations of the Company or the Subsidiary Guarantors under the Notes, any Subsidiary Guarantee or the Indenture, as applicable, or for any claim based on, in respect of, or by reason of, such obligations or their creation. Each Holder of Notes by accepting a Note waives and releases all such liability. The waiver and release are part of the consideration for issuance of the Notes and the Subsidiary Guarantees. Such waiver may not be effective to waive liabilities under the federal securities laws and it is the view of the Commission that such a waiver is against public policy. LEGAL DEFEASANCE AND COVENANT DEFEASANCE The Company may, at its option and at any time, elect to have all of its obligations and the obligations of the Subsidiary Guarantors discharged with respect to the outstanding Notes and the Subsidiary Guarantees ("Legal Defeasance") except for (i) the rights of Holders of outstanding Notes to receive payments in respect of the principal of, premium, if any, and interest and Liquidated Damages, if any, on such Notes when such payments are due solely from the trust referred to below, (ii) the Company's obligations with respect to the Notes concerning issuing temporary Notes, registration of Notes, mutilated, destroyed, lost or stolen Notes and the maintenance of an office or agency for payment and money for security payments held in trust, (iii) the rights, powers, trusts, duties and immunities of the Trustee, and the Company's and the Subsidiary Guarantors' obligations in connection therewith and (iv) the Legal Defeasance provisions of the Indenture. In addition, the Company may, at its option and at any time, elect to have the obligations of the Company and the Subsidiary Guarantors released with respect to certain covenants that are described in the Indenture ("Covenant Defeasance") and thereafter any omission to comply with such obligations shall not constitute a 94 102 Default or an Event of Default with respect to the Notes. In the event Covenant Defeasance occurs, certain events (not including non-payment, bankruptcy, receivership, rehabilitation and other insolvency events) described under "Events of Default" will no longer constitute an Event of Default with respect to the Notes. In order to exercise either Legal Defeasance or Covenant Defeasance, (i) the Company must irrevocably deposit with the Trustee, in trust, for the benefit of the Holders of the Government Securities, or a combination thereof, in such amounts as will be sufficient, in the opinion of a nationally recognized firm of independent public accountants, to pay the principal of, premium, if any, and interest and Liquidated Damages, if any, on the outstanding Notes on the stated maturity or on the applicable redemption date, as the case may be, and the Company must specify whether the Notes are being defeased to maturity or to a particular redemption date; (ii) in the case of Legal Defeasance, the Company shall have delivered to the Trustee an opinion of counsel in the United States reasonably acceptable to the Trustee confirming that (A) the Company has received from, or there has been published by, the Internal Revenue Service a ruling or (B) since the date of the Indenture, there has been a change in the applicable federal income tax law, in either case to the effect that, and based thereon such opinion of counsel shall confirm that, the Holders of the outstanding Notes will not recognize income, gain or loss for federal income tax purposes as a result of such Legal Defeasance and will be subject to federal income tax on the same amounts, in the same manner and at the same times as would have been the case if such Legal Defeasance had not occurred; (iii) in the case of Covenant Defeasance, the Company shall have delivered to the Trustee an opinion of counsel in the United States reasonably acceptable to the Trustee confirming that the Holders of the outstanding Notes will not recognize income, gain or loss for federal income tax purposes as a result of such Covenant Defeasance and will be subject to federal income tax on the same amounts, in the same manner and at the same times as would have been the case if such Covenant Defeasance had not occurred; (iv) no Default or an Event of Default shall have occurred and be continuing on the date of such deposit (other than a Default or Event of Default resulting from the borrowing of funds to be applied to such deposit) or insofar as Events of Default from bankruptcy or insolvency events are concerned, at any time in the period ending on the 91st day after the date of deposit; (v) such Legal Defeasance or Covenant Defeasance will not result in a breach or violation of, or constitute a default under any material agreement or instrument (other than the Indenture) to which the Company or any of its Subsidiaries is a party or by which the Company or any of its Subsidiaries is bound; (vi) the Company must deliver to the Trustee an Officers' Certificate stating that the deposit was not made by the Company with the intent of preferring the Holders of Notes over the other creditors of the Company with the intent of defeating, hindering, delaying or defrauding creditors of the Company or others; and (vii) the Company must deliver to the Trustee an Officers' Certificate and an opinion of counsel, in the case of Officer's Certificate, stating that all conditions precedent provided for in clauses (i)-(vi) have been complied with, and, in the case of the opinion of counsel, that the conditions precedent provided for in clauses (ii), (iii) and (v) have been complied with. TRANSFER AND EXCHANGE A Holder may transfer or exchange Notes in accordance with the Indenture. The Registrar and the Trustee may require a Holder, among other things, to furnish appropriate endorsements and transfer documents and the Company may require a Holder to pay any taxes and fees required by law or permitted by the Indenture. The Company is not required to transfer or exchange any Note selected for redemption. Also, the Company is not required to transfer or exchange any Note for a period of 15 days before a selection of Notes to be redeemed. The registered Holder of a Note will be treated as the owner of it for all purposes. AMENDMENT, SUPPLEMENT AND WAIVER Except as provided in the next two succeeding paragraphs, the Indenture, the Notes and the Subsidiary Guarantees may be amended or supplemented with the consent of the Holders of at least a majority in principal amount of the Notes then outstanding (including, without limitation, consents obtained in connection with a purchase of, or tender offer or exchange offer for, Notes), and any existing default or compliance with any provision of the Indenture, the Notes or the Subsidiary Guarantees may be waived with 95 103 the consent of the Holders of a majority in principal amount of the then outstanding Notes (including, without limitation, consents obtained in connection with a purchase or, or tender offer or exchange offer for Notes). Without the consent of each Holder affected, an amendment or waiver may not (with respect to any Notes held by a non-consenting Holder): (i) reduce the principal amount of Notes whose Holders must consent to an amendment, supplement or waiver, (ii) reduce the principal of or change the fixed maturity of any Note or alter or waive the provisions with respect to the redemption of the Notes (other than provisions relating to the covenants described above under the captions "Certain Covenants -- Change of Control" and "Certain Covenants -- Asset Sales," which may be amended with the consent of the Holders of at least a majority in principal amount of Notes then outstanding), (iii) reduce the rate of or change the time for payment of interest on any Note, (iv) waive a Default or an Event of Default in the payment of principal of or premium, if any, or interest on the Notes (except a rescission of acceleration of the Notes by the Holders of at least a majority in aggregate principal amount of the Notes and a waiver of the payment default that resulted from such acceleration), (v) make any Note payable in money other than that stated in the Notes, (vi) make any change in the provisions of the Indenture relating to waivers of past Defaults or the rights of Holders of Notes to receive payments of principal of or premium, if any, or interest on the Notes, (vii) waive a redemption payment with respect to any Note (other than a payment required by one of the covenants described above under the captions "Certain Covenants -- Change of Control" and "Certain Covenants -- Asset Sales,") or (viii) make any change in the foregoing amendment and waiver provisions. Notwithstanding the foregoing, without the consent of any Holder of Notes, the Company and the Trustee together may amend or supplement the Indenture, the Notes or a Subsidiary Guarantee to cure any ambiguity, defect or inconsistency, to provide for uncertificated Notes in addition to or in place of certificated Notes, to provide for the assumption of the Company's obligations to Holders of Notes in the case of a merger or consolidation, or sale of all or substantially all of the Company's assets, to provide for a release or assumption of a Subsidiary Guarantee in compliance with the provisions of the Indenture, to make any change that would provide any additional rights or benefits to the Holders of Notes or that does not adversely affect the legal rights under the Indenture of any such Holder, or to comply with requirements of the Commission in order to effect or maintain the qualification of the Indenture under the Trust Indenture Act. CONCERNING THE TRUSTEE The Indenture contains certain limitations on the rights of the Trustee, should it become a creditor of the Company, to obtain payment of claims in certain cases, or to realize on certain property received in respect of any such claim as security or otherwise. The Trustee will be permitted to engage in other transactions; however, if it acquires any conflicting interest it must eliminate such conflict within 90 days, apply to the Commission for permission to continue or resign. The Holders of a majority in principal amount of the then outstanding Notes will have the right to direct the time, method and place of conducting any proceeding for exercising any remedy available to the Trustee, subject to certain exceptions. The Indenture will provide that in case an Event of Default shall occur (which shall not be cured), the Trustee will be required, in the exercise of its power, to use the degree of care of a prudent man in the conduct of his own affairs. Subject to such provisions, the Trustee will be under no obligation to exercise any of its rights or powers under the Indenture at the request of any Holder of Notes, unless such Holder shall have offered to the Trustee security and indemnity satisfactory to it against any loss, liability or expense. ADDITIONAL INFORMATION Anyone who receives this Prospectus may obtain a copy of the Indenture and Registration Rights Agreement without charge by writing to Medaphis Corporation, 2700 Cumberland Parkway, Suite 300, Atlanta, Georgia 30339, Attention: Treasurer. 96 104 BOOK-ENTRY, DELIVERY AND FORM The Old Notes sold to Qualified Institutional Buyers initially were in the form of one or more registered global notes without interest coupons (collectively, the "U.S. Global Notes"). Upon issuance, the U.S. Global Notes were deposited with the Trustee, as custodian for The Depository Trust Company ("DTC"), and registered in the name of DTC or its nominee for credit to the accounts of DTC's Direct and Indirect Participants (as defined below). The Old Notes sold in offshore transactions in reliance on Regulation S, initially were in the form of one or more temporary registered, global book-entry notes without interest coupons (the "Regulation S Temporary Global Notes"). The Regulation S Temporary Global Notes were deposited with the Trustee, as custodian for DTC, in New York, New York and registered in the name of a nominee of DTC for credit to the accounts of Indirect Participants participating in DTC through the Euroclear System ("Euroclear") and Cedel Bank, societe anonyme ("CEDEL"). During the 40-day period commencing on the day after the original date on which the Old Notes were issued (the "40-Day Restricted Period"), beneficial interests in the Regulation S Temporary Global Note may be held only through Euroclear or CEDEL, and, pursuant to DTC's procedures Indirect Participants that hold a beneficial interest in the Regulation S Temporary Global Note will not be able to transfer such interest to a person that takes delivery thereof in the form of an interest in the U.S. Global Notes. Within a reasonable time after the expiration of the 40-Day Restricted Period, the Regulation S Temporary Global Notes will be exchanged for one or more permanent global notes (the "Regulation S Permanent Global Notes"; collectively with the Regulation S Temporary Global Notes, the "Regulation S Global Notes") upon delivery to DTC of certification of compliance with the transfer restrictions applicable to the Notes and pursuant to Regulation S as provided in the Indenture. After the 40-Day Restricted Period, (i) beneficial interests in the Regulation S Temporary Global Notes may be transferred to a person that takes delivery in the form of an interest in the U.S. Global Notes and (ii) beneficial interests in the U.S. Global Notes may be transferred to a person that takes delivery in the form of an interest in the Regulation S Permanent Global Notes. Upon consummation of the Exchange Offer, the New Notes will be in the form of one or more registered global notes without coupons (collectively, the "New Global Notes"). Upon issuance, the New Global Notes will be deposited with the Trustee, as custodian for DTC, and registered in the name of DTC or its nominee for credit to the account of DTC's Direct and Indirect Participants. All registered global notes are referred to herein collectively as "Global Notes." Transfer of beneficial interests in any Global Notes will be subject to the applicable rules and procedures of DTC and its Direct or Indirect Participants (including, if applicable, those of Euroclear and CEDEL), which may change from time to time. In addition, beneficial interests in the Regulation S Global Notes and the U.S. Global Notes are subject to restrictions on transfer. The Global Notes may be transferred, in whole and not in part, only to another nominee of DTC or to a successor of DTC or its nominee in certain limited circumstances. Beneficial interests in the Global Notes may be exchanged for Notes in certificated form in certain limited circumstances. See "-- Transfers of Interests in Global Notes for Certificated Notes." Initially, the Trustee will act as Paying Agent and Registrar. The Notes may be presented for registration of transfer and exchange at the offices of the Registrar. Depositary Procedures DTC has advised the Company that DTC is a limited-purpose trust company created to hold securities for its participating organizations (collectively, the "Direct Participants") and to facilitate the clearance and settlement of transactions in those securities between Direct Participants through electronic book-entry changes in accounts of Participants. The Direct Participants include securities brokers and dealers, banks, trust companies, clearing corporations and certain other organizations, including Euroclear and Cedel. Access to DTC's system is also available to other entities that clear through or maintain a direct or indirect, custodial relationship with a Direct Participant (collectively, the "Indirect Participants"). DTC has advised the Company that, pursuant to DTC's procedures, DTC will maintain records of the ownership interests of Direct Participants in the Global Notes and the transfer of ownership interests by and 97 105 between Direct Participants. DTC will not maintain records of the ownership interests of, or the transfer of ownership interests by and between, Indirect Participants or other owners of beneficial interests in the Global Notes. Direct Participants and Indirect Participants must maintain their own records of the ownership interests of, and the transfer of ownership interests by and between, Indirect Participants and other owners of beneficial interests in the Global Notes. The laws of some states in the United States require that certain persons take physical delivery in definitive, certificated form, of securities that they own. This may limit or curtail the ability to transfer beneficial interests in a Global Note to such persons. Because DTC can act only on behalf of Direct Participants, which in turn act on behalf of Indirect Participants and others, the ability of a person having a beneficial interest in a Global Note to pledge such interest to persons or entities that are not Direct Participants in DTC, or to otherwise take actions in respect of such interests, may be affected by the lack of physical certificates evidencing such interests. For certain other restrictions on the transferability of the Notes, see "-- Transfers of Interests in Global Notes for Certificated Notes." EXCEPT AS DESCRIBED IN "-- TRANSFERS OF INTERESTS IN GLOBAL NOTES FOR CERTIFICATED NOTES", OWNERS OF BENEFICIAL INTERESTS IN THE GLOBAL NOTES WILL NOT HAVE NOTES REGISTERED IN THEIR NAMES, WILL NOT RECEIVE PHYSICAL DELIVERY OF NOTES IN CERTIFICATED FORM AND WILL NOT BE CONSIDERED THE REGISTERED OWNERS OR HOLDERS THEREOF UNDER THE INDENTURE FOR ANY PURPOSE. Under the terms of the Indenture, the Company, the Subsidiary Guarantors and the Trustee will treat the persons in whose names the Notes are registered (including Notes represented by Global Notes) as the owners thereof for the purpose of receiving payments and for any and all other purposes whatsoever. Payments in respect of the principal, premium, if any, Liquidated Damages, if any, and interest on Global Notes registered in the name of DTC or its nominee will be payable by the Trustee to DTC or its nominee as the registered holder under the Indenture. Consequently, neither the Company, the Trustee nor any agent of the Company or the Trustee has or will have any responsibility or liability for (i) any aspect of DTC's records or any Direct Participant's or Indirect Participant's records relating to or payments made on account of beneficial ownership interests in the Global Notes or for maintaining, supervising or reviewing any of DTC's records or any Direct Participant's or Indirect Participant's records relating to the beneficial ownership interests in any Global Note or (ii) any other matter relating to the actions and practices of DTC or any of its Direct Participants or Indirect Participants. DTC has advised the Company that its current payment practice (for payments of principal, interest and the like) with respect to securities such as the Notes is to credit the accounts of the relevant Direct Participants with such payment on the payment date in amounts proportionate to such Direct Participant's respective ownership interests in the Global Notes as shown on DTC's records. Payments by Direct Participants and Indirect Participants to the beneficial owners of the Notes will be governed by standing instructions and customary practices between them and will not be the responsibility of DTC, the Trustee, the Company or the Subsidiary Guarantors. Neither the Company, the Subsidiary Guarantors nor the Trustee will be liable for any delay by DTC or its Direct Participants or Indirect Participants in identifying the beneficial owners of the Notes, and the Company and the Trustee may conclusively rely on and will be protected in relying on instructions from DTC or its nominee as the registered owner of the Notes for all purposes. The Global Notes trade in DTC's Same-Day Funds Settlement System and, therefore, transfers between Direct Participants in DTC will be effected in accordance with DTC's procedures, and will be settled in immediately available funds. Transfers between Indirect Participants who hold an interest through a Direct Participant will be effected in accordance with the procedures of such Direct Participant but generally will settle in immediately available funds. DTC has advised the Company that it will take any action permitted to be taken by a holder of Notes only at the direction of one or more Direct Participants to whose account interests in the Global Notes are credited and only in respect of such portion of the aggregate principal amount of the Notes to which such Direct Participant or Direct Participants has or have given direction. However, if there is an Event of Default 98 106 under the Notes, DTC reserves the right to exchange Global Notes (without the direction of one or more of its Direct Participants) for legended Notes in certificated form, and to distribute such certificated forms of Notes to its Direct Participants. See "-- Transfers of Interests in Global Notes for Certificated Notes." Although DTC has agreed to the foregoing procedures to facilitate transfers of interests in the Global Notes among Direct Participants, they are under no obligation to perform or to continue to perform such procedures, and such procedures may be discontinued at any time. None of the Company, the Subsidiary Guarantors, or the Trustee shall have any responsibility for the performance by DTC or its respective Direct and Indirect Participants of their respective obligations under the rules and procedures governing any of their operations. The information in this section concerning DTC and its book-entry system has been obtained from sources that the Company believes to be reliable, but the Company takes no responsibility for the accuracy thereof. Transfers of Interests in Global Notes for Certificated Notes An entire Global Note may be exchanged for definitive Notes in registered, certificated form without interest coupons ("Certificated Notes") if, with respect to Regulation S Global Notes, the 40-Day Restricted Period has expired and (i) DTC (x) notifies the Company that it is unwilling or unable to continue as depositary for the Global Notes and the Company thereupon fails to appoint a successor depositary within 90 days or (y) has ceased to be a clearing agency registered under the Exchange Act, (ii) the Company, at its option, notifies the Trustee in writing that it elects to cause the issuance of Certificated Notes or (iii) there shall have occurred and be continuing a Default or an Event of Default with respect to the Notes. In any such case, the Company will notify the Trustee in writing that, upon surrender by the Direct and Indirect Participants of their interest in such Global Note, Certificated Notes will be issued to each person that such Direct and Indirect Participants and the DTC identify as being the beneficial owner of the related Notes. Beneficial interests in Global Notes held by any Direct or Indirect Participant may be exchanged for Certificated Notes upon request to DTC, by such Direct Participant (for itself or on behalf of an Indirect Participant), to the Trustee in accordance with customary DTC procedures. Certificated Notes delivered in exchange for any beneficial interest in any Global Note will be registered in the names, and issued in any approved denominations, requested by DTC on behalf of such Direct or Indirect Participants (in accordance with DTC's customary procedures). In all cases described herein, such Certificated Notes will bear restrictive legends unless the Certificated Note represents a beneficial interest in the New Global Notes or the Company determines otherwise in compliance with applicable law. Neither the Company, the Subsidiary Guarantors nor the Trustee will be liable for any delay by the holder of any Global Note or DTC in identifying the beneficial owners of Notes, and the Company and the Trustee may conclusively rely on, and will be protected in relying on, instructions from the holder of the Global Note or DTC for all purposes. Same Day Settlement and Payment The Indenture will require that payments in respect of the Notes represented by the Global Notes (including principal, premium, if any, interest and Liquidated Damages, if any) be made by wire transfer of immediately available same day funds to the accounts specified by the holder of interests in such Global Note. With respect to Certificated Notes, the Company will make all payments of principal, premium, if any, interest and Liquidated Damages, if any, by wire transfer of immediately available same day funds to the accounts specified by the holders thereof or, if no such account is specified, by mailing a check to each such holder's registered address. The Company expects that secondary trading in the Certificated Notes will also be settled in immediately available funds. 99 107 REGISTRATION RIGHTS; LIQUIDATED DAMAGES The Company, the Subsidiary Guarantors and Donaldson, Lufkin & Jenrette Securities Corporation, as initial purchaser in the offering of the Old Notes, entered into the Registration Rights Agreement, pursuant to which the Company and the Subsidiary Guarantors agreed to file with the Commission a registration statement with respect to the New Notes, of which this Prospectus forms a part (the "Exchange Offer Registration Statement"). If (i) the Company and the Subsidiary Guarantors are not permitted to consummate the Exchange Offer because the Exchange Offer is not permitted by applicable law or Commission policy or (ii) any Holder of Transfer Restricted Securities notifies the Company prior to the 20th day following consummation of the Exchange Offer that (a) it is prohibited by law or Commission policy from participating in the Exchange Offer or (b) that it may not resell the New Notes acquired by it in the Exchange Offer to the public without delivering a prospectus and this Prospectus is not appropriate or available for such resales or (c) that it is a broker-dealer and owns Old Notes acquired directly from the Company or an affiliate of the Company, the Company and the Subsidiary Guarantors will, subject to certain conditions, file with the Commission a Shelf Registration Statement to cover resales of the Notes by the Holders thereof who satisfy certain conditions relating to the provision of information in connection with the Shelf Registration Statement. For purposes of the foregoing, "Transfer Restricted Securities" means each Note until (i) the date on which such Note has been exchanged by a person other than a broker-dealer for a New Note in the Exchange Offer, (ii) following the exchange by a broker-dealer in the Exchange Offer of an Old Note for a New Note, the date on which such New Note is sold to a purchaser who receives from such broker-dealer on or prior to the date of such sale a copy of this Prospectus, (iii) the date on which such Note has been effectively registered under the Securities Act and disposed of in accordance with the Shelf Registration Statement or (iv) the date on which such Note is distributed to the public pursuant to Rule 144 under the Act or may be sold under Rule 144(k) under the Act. The Registration Rights Agreement provides that (i) the Company and the Subsidiary Guarantors will file the Exchange Offer Registration Statement with the Commission on or prior to 60 days after the Closing Date, (ii) the Company and the Subsidiary Guarantors will use their reasonable commercial efforts to have the Exchange Offer Registration Statement declared effective by the Commission on or prior to 120 days after the Closing Date, (iii) unless the Exchange Offer would not be permitted by applicable law or Commission policy, the Company will commence the Exchange Offer and use its reasonable commercial efforts to issue, on or prior to 30 Business Days after the date on which the Exchange Offer Registration Statement was declared effective by the Commission, Exchange Notes in exchange for all Notes tendered prior thereto in the Exchange Offer and (iv) if obligated to file the Shelf Registration Statement, the Company and the Subsidiary Guarantors will use their reasonable commercial efforts to file the Shelf Registration Statement with the Commission on or prior to 30 days after such filing obligation arises and to cause the Shelf Registration to be declared effective by the Commission on or prior to 120 days after such obligation arises. If (a) any such Registration Statement is not filed with the Commission on or prior to the date specified for such filing, (b) any of such Registration Statements is not declared effective by the Commission on or prior to the date specified for such effectiveness (the "Effectiveness Target Date"), (c) the Company fails to consummate the Exchange Offer within 30 Business Days of the Effectiveness Target Date with respect to the Exchange Offer Registration Statement or (d) the Shelf Registration Statement or the Exchange Offer Registration Statement is declared effective but thereafter ceases to be effective or usable in connection with resales of Transfer Restricted Securities during the periods specified in the Registration Rights Agreement (each such event referred to in clauses (a) through (d) above a "Registration Default"), then the Company and the Subsidiary Guarantors will pay Liquidated Damages to each Holder of Notes, with respect to the first 90-day period immediately following the occurrence of the first Registration Default, in an amount equal to $.05 per week per $1,000 principal amount of Notes held by such Holder. Liquidated Damages will be payable in the same manner and on the same dates as to which interest on the Notes is payable to holders of record as of the previous record dates for the payment of interest. The amount of the Liquidated Damages will increase by an additional $.05 per week per $1,000 principal amount of Notes with respect to each subsequent 90-day period until all Registration Defaults have been cured, up to a maximum amount of Liquidated Damages of $.50 per week per $1,000 principal amount of Notes. All accrued Liquidated Damages will be paid by the Company to the Global Note Holder by wire transfer of immediately available funds and to Holders of Certificated 100 108 Securities by wire transfer to the accounts specified by them or by mailing checks to their registered addresses if no such accounts have been specified. Following the cure of all Registration Defaults, the accrual of Liquidated Damages will cease. CERTAIN DEFINITIONS Set forth below are certain defined terms used in the Indenture. Reference is made to the Indenture for a full disclosure of all such terms, as well as any other capitalized terms used herein for which no definition is provided. "Acquired Indebtedness" means, with respect to any specified Person, (i) Indebtedness of any other Person existing at the time such other Person is merged with or into or became a Subsidiary of such specified Person, including, without limitation, Indebtedness incurred in connection with, or in contemplation of, such other Person merging with or into or becoming a Subsidiary of such specified Person, and (ii) Indebtedness secured by a Lien encumbering any asset acquired by such specified Person. "Affiliate" of any specified Person means any other Person directly or indirectly controlling or controlled by or under direct or indirect common control with such specified Person. For purposes of this definition, "control" (including, with correlative meanings, the terms "controlling," "controlled by" and "under common control with"), as used with respect to any Person, shall mean the possession, directly or indirectly, of the power to direct or cause the direction of the management or policies of such Person, whether through the ownership of voting securities, by agreement or otherwise. "Asset Sale" means (i) the sale, lease, conveyance or other disposition of any assets or rights (including, without limitation, by way of a sale and leaseback, but excluding by way of granting or, or foreclosure upon, a Lien) (provided that the sale, lease, conveyance or other disposition of all or substantially all of the assets of the Company and its Subsidiaries, taken as a whole, will be governed by the provisions of the Indenture described above under the caption "Certain Covenants -- Change of Control" and/or the provisions described above under the caption "Certain Covenants -- Merger, Consolidation or Sale of Assets" and not by the provisions of the covenant described under the caption "Certain Covenants -- Asset Sales"), whether in a single transaction or a series of related transactions (a) that have a fair market value in excess of $1,000,000 or (b) for Net Proceeds in excess of $1,000,000 and (ii) the issue or sale by the Company or any of its Restricted Subsidiaries of Equity Interests of any of the Company's Subsidiaries. Notwithstanding the foregoing, the following items shall not be deemed to be Asset Sales: (i) a transfer of assets by the Company to a Subsidiary Guarantor or by a Restricted Subsidiary to the Company or to a Subsidiary Guarantor or by a Restricted Subsidiary that is not a Subsidiary Guarantor to another Restricted Subsidiary, (ii) an issuance of Equity Interests by a Restricted Subsidiary to the Company or to a Subsidiary Guarantor or an issuance of Equity Interests by a Restricted Subsidiary pro rata to all of its holders of one or more classes of Equity Interests in a manner that does not dilute the Equity Interests of the Company or such Subsidiary Guarantor, as the case may be, (iii) a Restricted Payment that is permitted by the covenant described above under the caption "-- Restricted Payments" or a Permitted Investment, (iv) sales or exchanges of inventory in the ordinary course of business, (v) sales or exchanges of obsolete, surplus or outdated equipment or abandoned reengineering assets no longer used or useful in the business of the Company and its Restricted Subsidiaries, (vi) leases and subleases (and licenses and sublicenses) of assets that are not treated as Capital Leases on the books and records of the Company and its Restricted Subsidiaries, (vii) the issuance of Equity Interests of a Restricted Subsidiary to officers, employees or directors pursuant to any employee stock purchase plan or similar employee benefit plan or arrangement in the ordinary course of business and (viii) sales of accounts receivable and related assets of the type specified in the definition of "Qualified Receivables Transaction" to a Receivables Subsidiary for the fair market value thereof, including cash in an amount at least equal to 75% of the book value thereof as determined in accordance with GAAP. "Attributable Debt" means in respect of a sale and leaseback transaction, at the time of determination, the present value (discounted at the rate of interest implicit in such transaction, determined in accordance with GAAP) of the obligation of the lessee for net base rental payments during the remaining term of the 101 109 lease included in such sale and leaseback transaction (including any period for which such lease has been extended or may, at the option of the lessor, be extended). "Capital Lease Obligation" means, at the time any determination thereof is to be made, the amount of the liability in respect of a capital lease that would at such time be required to be capitalized on a balance sheet of the lessee in accordance with GAAP. "Capital Stock" means (i) in the case of a corporation, corporate stock, (ii) in the case of an association or business entity, any and all shares, interests, participations, rights or other equivalents (however designated) of corporate stock, (iii) in the case of a partnership or limited liability company, partnership or membership interests (whether general or limited) and (iv) any other interest or participation that confers on a Person the right to receive a share of the profits and losses of, or distributions of assets of, the issuing Person. "Cash Equivalents" means (i) Government Securities, (ii) certificates of deposit and eurodollar time deposits with maturities of six months or less from the date of acquisition, bankers' acceptances with maturities not exceeding six months and overnight bank deposits, in each case with any lender party to the New Credit Facility or with any domestic commercial or investment bank having capital and surplus in excess of $500 million, (iii) repurchase obligations with a term of not more than 30 days for underlying securities of the types described in clauses (i) and (ii) above entered into with any financial institution meeting the qualifications specified in clause (ii) above, (iv) commercial paper having a rating of at least P-1 or A-1 from Moody's Investors Service, Inc. or Standard & Poor's Corporation, respectively, and in each case maturing within six months after the date of acquisition and (v) money market funds at least 95% of the assets of which constitute Cash Equivalents of the kinds described in (i)-(iv) of this definition. "Change of Control" means the occurrence of any of the following: (i) the sale, lease, transfer, conveyance or other disposition (other than by way of merger or consolidation), in one or a series of related transactions, of all or substantially all of the assets of the Company and its Subsidiaries, taken as a whole, to any "person" (as such term is used in Section 13(d)(3) of the Exchange Act), (ii) the consummation of any transaction (including, without limitation, any merger or consolidation) the result of which is that any "person" (as defined above), becomes the "beneficial owner" (as such term is defined in Rule 13d-3 and Rule 13d-5 under the Exchange Act, except that a person shall be deemed to have "beneficial ownership" of all securities that such person has the right to acquire, whether such right is currently exercisable or is exercisable only upon the occurrence of a subsequent condition), directly or indirectly, of more than 50% of the Voting Stock of the Company (measured by voting power rather than number of shares), or (iii) the first day on which a majority of the members of the entire Board of Directors are not Continuing Directors. For purposes of this definition, any transfer of an equity interest of an entity that was formed for the purpose of acquiring Voting Stock of the Company will be deemed to be a transfer of such portion of such Voting Stock as corresponds to the portion of the equity of such entity that has been so transferred. "Consolidated Cash Flow" means, with respect to any Person for any period, the Consolidated Net Income of such Person for such period plus (i) an amount equal to any extraordinary loss plus any net loss realized in connection with an Asset Sale (to the extent such losses were deducted in computing such Consolidated Net Income), plus (ii) provision for taxes based on income or profits of such Person and its Restricted Subsidiaries for such period, to the extent that such provision for taxes was included in computing such Consolidated Net Income, plus (iii) consolidated interest expense of such Person and its Restricted Subsidiaries for such period, whether paid or accrued and whether or not capitalized (including, without limitation, amortization of debt issuance costs and original issue discount, non-cash interest payments, the interest component of any deferred payment obligations, the interest component of all payments associated with Capital Lease Obligations, imputed interest with respect to Attributable Debt, commissions, discounts and other fees and charges incurred in respect of letter of credit or bankers' acceptance financings, and net payments (if any) pursuant to Hedging Obligations), to the extent that any such expense was deducted in computing such Consolidated Net Income, plus (iv) depreciation, amortization (including amortization of goodwill and other intangibles but excluding amortization of prepaid cash expenses that were paid in a prior period) and other non-cash expenses or charges (excluding any such non-cash expense to the extent that it represents an accrual of or reserve for cash expenses in any future period or amortization of a prepaid cash 102 110 expense that was paid in a prior period) of such Person and its Subsidiaries for such period to the extent that such depreciation, amortization and other non-cash expenses were deducted in computing such Consolidated Net Income, minus (v) non-cash items (excluding any such non-cash item to the extent that it represents a reversal of an accrual of or reserve for cash expenses in any future period or amortization of a prepaid cash expense) increasing such Consolidated Net Income for such period, in each case, on a consolidated basis and determined in accordance with GAAP, plus (vi) without duplication, restructuring and other extraordinary and unusual charges in an amount not greater than $93.1 million incurred during the year ended December 31, 19951997, plus (vii) without duplication, any deferred financing charges that will be taken in 1998 as a result of the offering of the Old Notes. Notwithstanding the foregoing, the provision for taxes on the income or profits of, and the depreciation and amortization and other non-cash charges of, a Subsidiary of the referent Person shall be added to Consolidated Net Income to compute Consolidated Cash Flow only to the extent that a corresponding amount would be permitted at the date of determination to be dividended to the Company by such Subsidiary without prior governmental approval (unless such approval has been obtained), and without direct or indirect restriction pursuant to the terms of its charter and all agreements, instruments, judgments, decrees, orders, statutes, rules and governmental regulations applicable to that Subsidiary or its stockholders. "Consolidated Net Income" means, with respect to any Person for any period, the aggregate of the Net Income of such Person and its Restricted Subsidiaries for such period, on a consolidated basis, determined in accordance with GAAP; provided that (i) the Net Income (but not loss) of any Person that is not a Subsidiary or that is accounted for by the equity method of accounting shall be included only to the extent of the amount of dividends or distributions paid in Medaphis' Current Reportcash to the referent Person or to a Wholly Owned Subsidiary thereof or to a Subsidiary Guarantor, (ii) the Net Income of any Restricted Subsidiary shall be excluded to the extent that the declaration or payment of dividends or similar distributions by that Restricted Subsidiary of that Net Income is not at the date of determination permitted without any prior governmental approval (unless such approval has been obtained) or, directly or indirectly, by operation of the terms of its charter or any agreement, instrument, judgment, decree, order, statute, rule or governmental regulation applicable to that Subsidiary or its stockholders, (iii) the Net Income of any Person acquired in a pooling of interests transaction for any period prior to the date of such acquisition shall be excluded, (iv) the cumulative effect of a change in accounting principles shall be excluded and (v) the Net Income of any Unrestricted Subsidiary shall be excluded, except without duplication to the extent distributed to the Company or one of its Subsidiaries. "Continuing Directors" means, as of any date of determination, any member of the Board of Directors of the Company who (i) was a member of such Board of Directors on the date of the Indenture or (ii) was nominated for election or elected to such Board of Directors with the approval of a majority of the Continuing Directors who were members of such Board at the time of such nomination or election. "Default" means any event that is or with the passage of time or the giving of notice or both would be an Event of Default. "Disqualified Stock" means any Capital Stock that, by its terms (or by the terms of any security into which it is convertible or for which it is exchangeable, at the option of the holder thereof), or upon the happening of any event, matures or is mandatorily redeemable for cash, pursuant to a sinking fund obligation or otherwise, or redeemable at the option of the Holder thereof for cash, in whole or in part, on or prior to the date that is 91 days after the date on which the Notes mature; provided, however, that any Capital Stock that would constitute Disqualified Stock solely because the holders thereof have the right to require the Company to repurchase such Capital Stock upon the occurrence of a Change of Control or an Asset Sale shall not constitute Disqualified Stock if the terms of such Capital Stock provide that the Company may not repurchase or redeem any such Capital Stock pursuant to such provisions unless such repurchase or redemption complies with the covenant described above under the caption "-- Certain Covenants -- Restricted Payments." "Equity Interests" means Capital Stock and all warrants, options or other rights to acquire Capital Stock (but excluding any debt security that is convertible into, or exchangeable for, Capital Stock). "Equity Offering" means any issuance of common stock by the Company (excluding Disqualified Stock) that is registered pursuant to the Securities Act, other than issuances on Form 8-KS-8 and issuances registered on Form S-4. 103 111 "Excluded Properties" means the properties of the Company and its Restricted Subsidiaries in the following locations: (i) Lawrenceville, Georgia, (ii) Jacksonville, Florida, (iii) Grand Rapids, Michigan and (iv) Greenville, Texas. "Existing Indebtedness" means up to $20.0 million in aggregate principal amount of Indebtedness of the Company and its Subsidiaries (other than Indebtedness under the New Credit Facility and the Notes) in existence on the date of the Indenture, until such amounts are repaid. "Fixed Charges" means, with respect to any Person for any period, the sum, without duplication, of (i) the consolidated interest expense of such Person and its Restricted Subsidiaries for such period, whether paid or accrued (including, without limitation, amortization of debt issuance costs and original issue discount, non-cash interest payments, the interest component of any deferred payment obligations, the interest component of all payments associated with Capital Lease Obligations, imputed interest with respect to Attributable Debt, commissions, discounts and other fees and charges incurred in respect of letter of credit or bankers' acceptance financings, and net payments (if any) pursuant to Hedging Obligations); provided, that interest expense counted as a Fixed Charge in one period because it was accrued in such period shall not be counted in a second period because it was paid in such second period, and (ii) the consolidated interest expense of such Person and its Restricted Subsidiaries that was capitalized during such period, and (iii) any interest expense on Indebtedness of another Person that is Guaranteed by such Person or one of its Restricted Subsidiaries or secured by a Lien on assets of such Person or one of its Subsidiaries (whether or not such Guarantee or Lien is called upon) and (iv) the product of (a) all dividend payments, whether or not in cash, on any series of preferred stock of such Person or any of its Restricted Subsidiaries, other than dividend payments on Equity Interests payable solely in Equity Interests of the Company (other than Disqualified Stock) or payable to the Company or a Restricted Subsidiary of the Company, times (b) a fraction, the numerator of which is one and the denominator of which is one minus the then current combined federal, state and local statutory tax rate of such Person, expressed as a decimal; in each of the foregoing cases, on a consolidated basis and in accordance with GAAP. "Fixed Charge Coverage Ratio" means with respect to any Person for any period, the ratio of the Consolidated Cash Flow of such Person for such period to the Fixed Charges of such Person for such period. In the event that the referrent Person or any of its Restricted Subsidiaries incurs, assumes, Guarantees or redeems any Indebtedness (other than revolving credit borrowings) or issues or redeems preferred stock subsequent to the commencement of the period for which the Fixed Charge Coverage Ratio is being calculated but prior to the date on which the event for which the calculation of the Fixed Charge Coverage Ratio is made (the "Calculation Date"), then the Fixed Charge Coverage Ratio shall be calculated giving pro forma effect to such incurrence, assumption, Guarantee or redemption of Indebtedness, or such issuance or redemption of preferred stock, and the application of the proceeds thereof, as if the same had occurred at the beginning of the applicable four-quarter reference period. In addition, for purposes of making the computation referred to above, (i) acquisitions that have been made by the Company or any of its Restricted Subsidiaries, including through mergers or consolidations and including any related financing transactions, during the four-quarter reference period or subsequent to such reference period and on or prior to the Calculation Date shall be deemed to have occurred on the first day of the four-quarter reference period and Consolidated Cash Flow for such reference period shall be calculated without giving effect to clause (iii) of the proviso set forth in the definition of Consolidated Net Income, and (ii) the Consolidated Cash Flow attributable to discontinued operations, as determined in accordance with GAAP, and operations or businesses disposed of prior to the Calculation Date, shall be excluded, and (iii) the Fixed Charges attributable to discontinued operations, as determined in accordance with GAAP, and operations or businesses disposed of prior to the Calculation Date, shall be excluded. "Foreign Subsidiary" means: (a) the following Wholly Owned Restricted Subsidiary of Imonics Corporation, a Georgia corporation: Imonics GmbH, a corporation formed in Germany; (b) the following 50%-Owned Restricted Subsidiary of Imonics Corporation, a Georgia corporation: Bertelsmann Imonics GmbH & Co. Kg, a corporation formed in Germany; (c) the following Wholly Owned Restricted Subsidiary of BSG Alliance/IT, Inc., a Delaware corporation: SageComm International Limited, a corporation formed in the U.K.; (d) the following wholly owned Restricted Subsidiary of Health Data Science Corporation: Health 104 112 Data Sciences, Ltd., a corporation organized under the laws of Canada; and (e) every future Restricted Subsidiary of the Company or a Restricted Subsidiary of the Company that is incorporated in a jurisdiction outside of the United States. "GAAP" means generally accepted accounting principles set forth in the opinions and pronouncements of the Accounting Principles Board of the American Institute of Certified Public Accountants and statements and pronouncements of the Financial Accounting Standards Board or in such other statements by such other entity as have been approved by a significant segment of the accounting profession, which are in effect from time to time. "Government Securities" means direct obligations of, or obligations guaranteed by, the United States of America for the payment of which guarantee or obligations the full faith and credit of the United States is pledged. "Guarantee" means, with respect to any Person, a guarantee (other than by endorsement of negotiable instruments for collection in the ordinary course of business), direct or indirect, in any manner (including, without limitation, by way of a pledge of assets or through letters of credit and reimbursement agreements in respect thereof), of all or any part of any Indebtedness of any other Person. "Hedging Obligations" means, with respect to any Person, the obligations of such Person under (i) interest rate swap agreements, interest rate cap agreements and interest rate collar agreements and (ii) other agreements or arrangements designed to protect such Person against fluctuations in interest rates. "Indebtedness" means, with respect to any Person, without duplication, any indebtedness of such Person, whether or not contingent, for borrowed money or evidenced by bonds, notes, debentures or similar instruments or letters of credit (or reimbursement agreements in respect thereof) or bankers' acceptances or representing Capital Lease Obligations or the balance deferred and unpaid of the purchase price of any property or representing any Hedging Obligations, except any such balance that constitutes an accrued expense or trade payable, if and to the extent any of the foregoing indebtedness (other than letters of credit and Hedging Obligations) would appear as a liability upon a balance sheet of such Person prepared in accordance with GAAP, and, to the extent not otherwise included, all Indebtedness of others secured by a Lien on any asset of such Person (whether or not such Indebtedness is assumed by such Person) and, to the extent not otherwise included, the Guarantee by such Person of any Indebtedness of any other Person if such obligation would be a contingent obligation that is required to be described in the footnotes to the financial statements of such Person prepared in accordance with GAAP. The amount of any Indebtedness outstanding as of any date shall be (i) the accreted value thereof, in the case of any Indebtedness issued with original issue discount, and (ii) the principal amount thereof, together with any interest thereon that is more than 30 days past due, in the case of any other Indebtedness. "Investments" means, with respect to any Person, all investments by such Person in other Persons (including Affiliates) in the forms of direct or indirect loans (including guarantees of Indebtedness or other obligations), advances or capital contributions (excluding commission, travel, relocation and similar advances to officers and employees made in the ordinary course of business), purchases or other acquisitions for consideration of Indebtedness, Equity Interests or other securities of another Person, together with all items that are or would be classified as investments on a consolidated balance sheet prepared in accordance with GAAP. If the Company or any Restricted Subsidiary of the Company sells or otherwise disposes of any Equity Interests of any direct or indirect Restricted Subsidiary of the Company such that, after giving effect to any such sale or disposition, such Person is no longer a Subsidiary of the Company, the Company shall be deemed to have made an Investment on the date of any such sale or disposition equal to the fair market value of the Equity Interests of such Subsidiary not sold or disposed of in an amount determined as provided in the final paragraph of the covenant described above under the caption "-- Restricted Payments." Investments will exclude accounts receivable in the ordinary course of business, extensions of trade credit on commercially reasonable terms in accordance with normal trade practices and endorsements of negotiable instruments. "Lien" means, with respect to any asset, any mortgage, lien, pledge, charge, security interest or encumbrance of any kind in respect of such asset, whether or not filed, recorded or otherwise perfected under 105 113 applicable law (including any conditional sale or other title retention agreement, any lease in the nature thereof, and any other agreement to give a security interest in any asset). "Net Income" means, with respect to any Person, the net income (loss) of such Person, determined in accordance with GAAP and before any reduction in respect of preferred stock dividends, excluding, however, (i) any gain (but not loss), together with any related provision for taxes on May 23, 1996such gain (but not loss), realized in connection with any Asset Sale (including, without limitation, dispositions pursuant to sale and leaseback transactions) and (ii) any extraordinary or nonrecurring gain or loss, together with any related provision for taxes on such extraordinary gain or loss. "Net Proceeds" means the aggregate cash proceeds received by the Company or any of its Restricted Subsidiaries in respect of any sale or other disposition of assets (including, without limitation, any cash received upon the sale or other disposition of any non-cash consideration received in any sale or other disposition of assets) or the issuance of Equity Interests of Subsidiaries or the Company, net of the direct costs relating to such Asset Sale or issuance of Equity Interests (including, without limitation, legal, accounting and investment banking fees, and sales commissions) and any relocation expenses incurred as a result thereof, estimated taxes paid or payable as a result thereof, amounts required to be applied to the repayment of Indebtedness secured by a Lien on the asset or assets that were the subject of such Asset Sale and any reserve for adjustment in respect of the sale price of such asset or assets established in accordance with GAAP. "New Credit Facility" means that certain Credit Agreement, dated February 13, 1998, by and among the Company, the lenders and agents party thereto and DLJ Capital Funding, Inc., as syndication agent, including any related notes, guarantees, collateral documents, instruments and agreements from time to time executed in connection therewith, and in each case as amended, amended and restated, modified, renewed, refunded, replaced or refinanced from time to time in whole or in part (including with the same or different agents, lenders or borrowers). "Non-Recourse Debt" means Indebtedness or Disqualified Stock (i) as to which neither the Company nor any of its Restricted Subsidiaries (a) provides credit support of any kind (including any undertaking, agreement or instrument that would constitute Indebtedness), or (b) is directly or indirectly liable (as a guarantor or otherwise); and (ii) as to which the lenders or their respective representatives have been notified in writing that they will not have any recourse to the stock or assets of the Company or any of its Restricted Subsidiaries. "Obligations" means any principal, interest, penalties, fees, indemnifications, reimbursements, damages and other liabilities payable under the documentation governing any Indebtedness. "Permitted Investments" means (a) any Investments in the Company or in any Subsidiary Guarantor or Wholly Owned Restricted Subsidiary that is engaged in the same or a related or complementary line of business as the Company and its Subsidiaries were engaged in on the date of the Indenture (as determined in good faith by the Company); (b) any Investments in Cash Equivalents; (c) any Investments by the Company or any Restricted Subsidiary of the Company in a Person, if as a result of such Investments (i) such Person becomes a Wholly Owned Restricted Subsidiary of the Company or a Subsidiary Guarantor that is engaged in the same or a related or complementary line of business as the Company and its Restricted Subsidiaries were engaged in on the date of the Indenture (as determined in good faith by the Company) or (ii) such Person is merged, consolidated or amalgamated with or into, or transfers or conveys substantially all of its assets to, or is liquidated into, the Company or a Wholly Owned Restricted Subsidiary of the Company or a Subsidiary Guarantor and that is engaged in the same or a related or complementary line of business as the Company and its Subsidiaries were engaged in on the date of the Indenture (as determined in good faith by the Company); (d) any Investment made as a result of the receipt of non-cash consideration from an Asset Sale that was made pursuant to and in compliance with the covenant described above under the caption "Certain Covenants -- Asset Sales"; (e) any acquisition of assets solely in exchange for the issuance of Equity Interests (other than Disqualified Stock) of the Company; (f) Hedging Obligations and Guarantees permitted to be incurred under the covenant described under the caption "-- Certain Covenants -- Limitation on Incurrence of Indebtedness and Issuance of Disqualified Stock"; (g) Investments resulting from advances made to customers in the ordinary course of business, or acquired in satisfaction of such advances or otherwise as a 106 114 result of a customer's bankruptcy; (h) aggregate Investments not to exceed $10.0 million by the Company or a Subsidiary Guarantor in (1) any joint venture that is engaged in the same or a related or complementary line of business as the Company and its Subsidiaries were engaged in on the date of the Indenture (as determined in good faith by the Company) or (2) a Receivables Subsidiary; provided, that the foregoing Investment in a Receivables Subsidiary is in the form of a note that the Receivables Subsidiary is required to repay as soon as practicable from available cash collections less amounts required to be established as reserves pursuant to contractual agreements with entities that are not Affiliates of the Company entered into as part of a Qualified Receivables Transaction; (i) loans or advances, to the extent made with cash in an aggregate principal amount not to exceed $5.0 million at any one time outstanding, to employees of the Company or Restricted Subsidiaries to permit such employees to purchase stock or stock options pursuant to employee benefit plans or similar plans or agreements; and (j) other Investments in any Person having an aggregate fair market value (measured on the date each such Investment was made and without giving effect to subsequent changes in value), when taken together with all other Investments made pursuant to this clause (j) that are at the time outstanding, not to exceed $10.0 million. "Permitted Liens" means (i) Liens on assets of the Company securing Indebtedness under the New Credit Facility that was permitted by the terms of the Indenture to be incurred and Liens on assets of Restricted Subsidiaries securing Guarantees of Indebtedness under the New Credit Facility permitted by the Indenture to be incurred; (ii) Liens in favor of the Company or any Wholly Owned Restricted Subsidiary or any Subsidiary Guarantor; (iii) Liens on property of a Person existing at the time such Person is merged into or consolidated with, the Company or any Restricted Subsidiary of the Company or becomes a Restricted Subsidiary as the result of the acquisition of Equity Interests of such Person; provided that such Liens were not incurred in contemplation of such acquisition, merger or consolidation and do not extend to any assets other than those of the Person acquired, merged into or consolidated with the Company or a Restricted Subsidiary; (iv) Liens on property existing at the time of acquisition thereof by the Company or any Restricted Subsidiary of the Company, provided that such Liens were not incurred in contemplation of such acquisition; (v) Liens to secure the performance of statutory obligations, surety or appeal bonds, performance bonds, leases, contracts (other than contracts in respect of borrowed money and other Indebtedness), reimbursement obligations in respect of letters of credit or bankers acceptances or other obligations of a like nature, in each case incurred in the ordinary course of business; (vi) Liens to secure Indebtedness represented by Capital Lease Obligations, mortgage financings or purchase money obligations incurred pursuant to subsection (ix) of the second paragraph of the covenant entitled "Incurrence of Indebtedness and Issuance of Disqualified Stock"; provided that (a) any such Lien attached to the property concurrently with or within 90 days after the acquisition thereof or the execution of the Capital Lease with respect thereto, (b) such Lien attaches solely to the property so acquired in such transaction or to property subject to such Capital Lease, and (c) the principal amount of the Indebtedness secured thereby does not exceed 100% of the cost of such property; (vii) Liens existing on the date of the Indenture; (viii) Liens for taxes, assessments or governmental charges or claims that are not yet delinquent or that are being contested in good faith by appropriate proceedings diligently pursued, provided that any reserve or other appropriate provision as shall be required in conformity with GAAP shall have been made therefor; (ix) Liens on assets of a Receivables Subsidiary incurred in connection with a Qualified Receivables Transaction; (x) Liens arising out of transactions permitted under the covenant entitled "-- Sale and Leaseback Transactions"; provided that such Lien attaches only to to the property subject to lease entered in connection with such transaction; (xi) Liens securing Permitted Refinancing Indebtedness; provided, that such Lien attaches only to the assets that secured the Indebtedness being refinanced; and (xii) Liens with respect to obligations that do not exceed $10.0 million at any one time outstanding. "Permitted Refinancing Indebtedness" means any Indebtedness of the Company or any of its Subsidiaries issued in exchange for, or the net proceeds of which are used to extend, refinance, renew, replace, defease or refund other Indebtedness of the Company or any of its Subsidiaries (other than intercompany Indebtedness); provided that: (i) the principal amount (or accreted value, if applicable) of such Permitted Refinancing Indebtedness does not exceed the principal amount of (or accreted value, if applicable), plus accrued interest on, the Indebtedness so extended, refinanced, renewed, replaced, defeased or refunded (plus the amount of premiums, if any, paid and reasonable expenses incurred in connection therewith); (ii) such Permitted 107 115 Refinancing Indebtedness has a final maturity date later than the final maturity date of, and has a Weighted Average Life to Maturity equal to or greater than the Weighted Average Life to Maturity of, the Indebtedness being extended, refinanced, renewed, replaced, defeased or refunded; (iii) if the Indebtedness being extended, refinanced, renewed, replaced, defeased or refunded is subordinated in right of payment to the Notes, such Permitted Refinancing Indebtedness has a final maturity date later than the final maturity date of, and is subordinated in right of payment to, the Notes on terms at least as favorable in all material respects to the Holders of Notes as those contained in the documentation governing the Indebtedness being extended, refinanced, renewed, replaced, defeased or refunded; and (iv) such Indebtedness is incurred either by the Company or by a Restricted Subsidiary who is an obligor on the Indebtedness being extended, refinanced, renewed, replaced, defeased or refunded, except that the Company may incur Permitted Refinancing Indebtedness to extend, refinance, renew, replace, defease or refund, Indebtedness of any Wholly Owned Restricted Subsidiary of the Company or any Subsidiary Guarantor. "Person" means any individual, corporation, partnership, limited liability company, joint venture, association, joint-stock company, trust, unincorporated organization, government or any agency or political subdivision thereof or any other entity. "preferred stock" means any Equity Interests with preferential right of payment of dividends or upon liquidation, dissolution, or winding up. "Qualified Insurance Payments" means payments made by a third party insurance company pursuant to an insurance policy entered into by the Company or any of its Restricted Subsidiaries in the ordinary course of business, directly to, or for the benefit of, holders of Equity Interests of the Company or its Restricted Subsidiaries, less any reimbursement payments or additional contributions required from the Company or its Restricted Subsidiaries in connection with such payments (other than ordinary premiums). "Qualified Receivables Transaction" means any transaction or series of transactions pursuant to which the Company or any of its Subsidiary Guarantors, or any of their respective customers, may sell, convey or otherwise transfer to a Receivables Subsidiary, or may grant a security interest in, any accounts receivable (whether now existing or arising in the future) of the Company or any of its Subsidiary Guarantors, and any assets related thereto including, without limitation, all collateral securing such accounts receivable, all contracts and all guarantees or other obligations in respect of such accounts receivable, proceeds of such accounts receivable and other assets which are customarily transferred or in respect of which security interests are customarily granted in connection with asset securitization transactions involving accounts receivable. "Receivables Subsidiary" means an Unrestricted Subsidiary of the Company which engages in no activities other than in connection with a Qualified Receivables Transaction and which is designated by the Board of Directors of the Company (as provided below) as a Receivables Subsidiary and with which neither the Company nor any Restricted Subsidiary of the Company has any material contract, agreement, arrangement or understanding other than on terms no less favorable to the Company or such Restricted Subsidiary than those that might be obtained at the time from persons who are not Affiliates of the Company, other than fees payable in the ordinary course of business in connection with servicing accounts receivable and with which neither the Company nor any Subsidiary of the Company has any obligation to maintain or preserve such Subsidiary's financial condition or cause such Subsidiary to achieve certain levels of operating results. Any such designation by the Board of Directors of the Company shall be evidenced to the Trustee by filing with the Trustee a certified copy of the resolution of the Board of Directors of the Company giving effect to such designation and an Officers' Certificate certifying that such designation complied with the foregoing conditions. "Restricted Investment" means an Investment other than a Permitted Investment. "Restricted Subsidiary" of a Person means any Subsidiary of the referent Person that is not then an Unrestricted Subsidiary. "Significant Subsidiary" means any Subsidiary that would be a "significant subsidiary" as defined in Article 1, Rule 1-02 of Regulation S-X, promulgated pursuant to the Act, as such Regulation is in effect on the date hereof. 108 116 "Stated Maturity" means, with respect to any installment of interest or principal on any series of Indebtedness, the date on which such payment of interest or principal was scheduled to be paid in the original documentation governing such Indebtedness, and shall not include any contingent obligations to repay, redeem or repurchase any such interest or principal prior to the date originally scheduled for the payment thereof. "Subordinated Indebtedness" means (a) with respect to the Notes, any Indebtedness of the Company which is by its terms expressly subordinated in right of payment to the Notes and (b) with respect to any Subsidiary Guarantee, any Indebtedness of the applicable Subsidiary Guarantor which by its term is subordinated in right of payment to such Subsidiary Guarantee. "Subsidiary" means, with respect to any Person, (i) any corporation, association or other business entity of which more than 50% of the total voting power of shares of Capital Stock entitled (without regard to the occurrence of any contingency) to vote in the election of directors, managers or trustees thereof is at the time owned or controlled, directly or indirectly, by such Person or one or more of the other Subsidiaries of that Person (or a combination thereof) and (ii) any partnership (a) the sole general partner or the managing general partner of which is such Person or a Subsidiary of such Person or (b) the only general partners of which are such Person or of one or more Subsidiaries of such Person (or any combination thereof). A Subsidiary of the Company shall, at any time, be either a Restricted Subsidiary or an Unrestricted Subsidiary, but not both. "Subsidiary Guarantors" means, so long as the same are Subsidiaries of the Company, (a) each of the following Restricted Subsidiaries of the Company: Medaphis Physician Services Corporation, a Georgia corporation; Gottlieb's Financial Services, Inc., a Georgia corporation; Medical Management Sciences, Inc., a Maryland corporation; Medaphis Services Corporation, a Georgia corporation; Medaphis Healthcare Information Technology Company, a Georgia corporation; Automation Atwork, a California corporation; Consort Technologies, Inc., a Georgia corporation; Health Data Sciences Corporation, a Delaware corporation; BSG Corporation, a Delaware corporation; (b) the following Restricted Subsidiaries of Medaphis Services Corporation, a Georgia corporation: AssetCare, Inc., a Georgia corporation; National Healthcare Technologies, Inc., an Indiana corporation; (c) the following Restricted Subsidiaries of BSG Corporation, a Delaware corporation: BSG Alliance/IT, Inc., a Delaware corporation; and BSG Government Solutions, Inc., a Maryland corporation; and (d) any other Subsidiary that executes a Subsidiary Guarantee in accordance with the provisions of the Indenture, and their respective successors and assigns until released. "Unrestricted Subsidiary" means (i) any Subsidiary (other than the Subsidiary Guarantors as of the date of the Indenture or any successor to any of them) that is designated by the Board of Directors as an Unrestricted Subsidiary pursuant to a Board Resolution; but only to the extent that such Subsidiary: (a) has no Indebtedness other than Non-Recourse Debt; (b) is not party to any agreement, contract, arrangement or understanding with the Company or any Restricted Subsidiary of the Company unless the terms of any such agreement, contract, arrangement or understanding are no less favorable in any material respect to the Company or such Restricted Subsidiary than those that would have been obtained in a comparable transaction by the Company or such Restricted Subsidiary with Persons who are not Affiliates of the Company; (c) is a Person with respect to which neither the Company nor any of its Restricted Subsidiaries has any direct or indirect obligation (x) to subscribe for additional Equity Interests or (y) to maintain or preserve such Person's financial condition or to cause such Person to achieve any specified levels of operating results; and (d) has not guaranteed or otherwise directly or indirectly provided credit support for any Indebtedness of the Company or any of its Restricted Subsidiaries (other than as a result of a Permitted Lien on outstanding Equity Interests of such Person). Any such designation by the Board of Directors shall be evidenced to the Trustee by filing with the Trustee a certified copy of the Board Resolution giving effect to such designation and an Officers' Certificate certifying that such designation complied with the foregoing conditions and was permitted by the covenant described above under the caption "Certain Covenants -- Restricted Payments." If, at any time, any Unrestricted Subsidiary would fail to meet the foregoing requirements as an Unrestricted Subsidiary, it shall thereafter cease to be an Unrestricted Subsidiary for purposes of the Indenture and any Indebtedness of such Subsidiary shall be deemed to be incurred by a Restricted Subsidiary of the Company as of such date (and, if such Indebtedness is not permitted to be incurred as of such date under the covenant described under the 109 117 caption "Incurrence of Indebtedness and Issuance of Disqualified Stock," the Company shall be in default of such covenant). The Board of Directors of the Company may at any time designate any Unrestricted Subsidiary to be a Restricted Subsidiary; provided that such designation shall be deemed to be an incurrence of Indebtedness by a Restricted Subsidiary of the Company of any outstanding Indebtedness of such Unrestricted Subsidiary and such designation shall only be permitted if (i) such Indebtedness is permitted under the covenant described under the caption "Certain Covenants -- Incurrence of Indebtedness and Issuance of Disqualified Stock," calculated on a pro forma basis as if such designation had occurred at the beginning of the four-quarter reference period, and (ii) no Default or Event of Default would be in existence following such designation. "Voting Stock" of any Person as of any date means the outstanding Capital Stock of such Person that is at the time entitled to vote in the election of the Board of Directors of such Person. "Weighted Average Life to Maturity" means, when applied to any Indebtedness at any date, the number of years obtained by dividing (i) the sum of the products obtained by multiplying (a) the amount of each then remaining installment, sinking fund, serial maturity or other required payments of principal, including payment at final maturity, in respect thereof, by (b) the number of years (calculated to the nearest one-twelfth) that will elapse between such date and the making of such payment, by (ii) the then outstanding principal amount of such Indebtedness. "Wholly Owned Restricted Subsidiary" of any Person means a Restricted Subsidiary of such Person all of the outstanding Capital Stock or other ownership interests of which (other than directors' qualifying shares) shall at the time be owned by such Person or by one or more Wholly Owned Restricted Subsidiaries of such Person and one or more Wholly Owned Restricted Subsidiaries of such Person. PLAN OF DISTRIBUTION Each broker-dealer that receives New Notes for its own account in connection with the Exchange Offer must acknowledge that it will deliver a prospectus in connection with any resale of such New Notes. This Prospectus, as it may be amended or supplemented from time to time, may be used by Participating Broker-Dealers during the period referred to below in connection with resales of New Notes received in exchange for Old Notes if such Old Notes were acquired by such Participating Broker-Dealers for their own accounts as a result of market-making activities or other trading activities. The Company has agreed that this Prospectus, as it may be amended or supplemented from time to time, may be used by a Participating Broker-Dealer in connection with resales of such New Notes for a period ending 180 days after the Expiration Date (subject to extension under certain limited circumstances described herein) or, if earlier, when all such New Notes have been disposed of by such Participating Broker-Dealer. However, a Participating Broker-Dealer who intends to use this Prospectus in connection with the resale of New Notes received in exchange for Old Notes pursuant to the Exchange Offer must notify the Company, or cause the Company to be notified, on or prior to the Expiration Date, that it is a Participating Broker-Dealer. Such notice may be given in the space provided for that purpose in the Letter of Transmittal or may be delivered to the Exchange Agent at one of the addresses set forth herein under "The Exchange Offer -- Exchange Agent." See "The Exchange Offer -- Resales of New Notes." The Company will not receive any cash proceeds from the issuance of the New Notes offered hereby. New Notes received by broker-dealers for their own accounts in connection with the Exchange Offer may be sold from time to time in one or more transactions in the over-the-counter market, in negotiated transactions, through the writing of options on the New Notes or a combination of such methods of resale, at market prices prevailing at the time of resale, at prices related to such prevailing market prices or at negotiated prices. Any such resale may be made directly to purchasers or to or through brokers or dealers who may receive compensation in the form of commissions or concessions from any such broker-dealer and/or the purchasers of any such New Notes. Any broker-dealer that resells New Notes that were received by it for its own account in connection with the Exchange Offer and any broker or dealer that participates in a distribution of such New Notes may be 110 118 deemed to be an "underwriter" within the meaning of the Securities Act, and any profit on any such resale of New Notes and any commissions or concessions received by any such persons may be deemed to be underwriting compensation under the Securities Act. The Letter of Transmittal states that by acknowledging that it will deliver and by delivering a prospectus, a broker-dealer will not be deemed to admit that it is an "underwriter" within the meaning of the Securities Act. LEGAL MATTERS The validity of the Notes offered hereby will be passed upon on behalf of the Company by Randolph L.M. Hutto, Executive Vice President and General Counsel of the Company, and by Skadden, Arps, Slate, Meagher & Flom LLP. EXPERTS The consolidated financial statements incorporated in this Prospectus by reference herein andto the financial statement schedule of Medaphis included in Medaphis' Current Report on Form 8-K filed on May 23, 1996 and incorporated by reference herein and the financial statement schedule of Medaphis included in Medaphis'Company's Annual Report on Form 10-K for the year ended December 31, 1995 and incorporated herein by reference1997, have been audited by Deloitte & Toucheso incorporated in reliance on the reports of Price Waterhouse LLP, independent auditors as stated in their reports thereon included in Medaphis' Current Reportaccountants, given on Form 8-K filed on May 23, 1996 and in Medaphis' Annual Report on Form 10-K for the year ended December 31, 1995 and incorporated herein by reference. Such supplemental consolidated financial statements and financial statement schedule have been incorporated herein in reliance upon such reports given upon the authority of that firm as experts in accounting and auditing. The combined financial statements of MMS as of December 31, 1993 and 1994 and for each of the three years in the period ended December 31, 1994 included in Medaphis' Current Report on Form 8-K filed on January 19, 1996 have been audited by Deloitte & Touche LLP, independent auditors, as stated in their report appearing in Medaphis' Current Report on Form 8-K filed on January 19, 1996 and incorporated herein by 56 65 reference. Such combined financial statements have been incorporated herein by reference in reliance upon such report given upon the authority of that firm as experts in accounting and auditing. The financial statements of The Receivables Management Division of MedQuist Inc. as of and for the year ended December 31, 1994 included in Medaphis' Current Report on Form 8-K filed on January 19, 1996 incorporated by reference in this Form S-4 have been audited by Arthur Andersen LLP, independent public accountants, as stated in their report with respect thereto, and are incorporated herein by reference in reliance upon the authority of said firm as experts in giving said reports.auditing and accounting. AVAILABLE INFORMATION The balance sheets of Healthcare Recoveries, Inc. as of June 30, 1993 and 1994 andCompany is subject to the statements of operations, changes in stockholders' (deficit) and cash flows for eachinformational requirements of the three yearsExchange Act and, in accordance therewith, files reports, proxy statements and other information with the period ended June 30, 1994 included in Medaphis' Current ReportCommission. The reports, proxy statements and other information filed by the Company with the Commission can be inspected and copied at the public reference facilities maintained by the Commission at Room 1024, 450 Fifth Street, N.W., Washington, D.C. 20549, and should be available at the Commission's Regional Offices at 7 World Trade Center, 13th Floor, New York, New York 10048 and 500 West Madison Street, Suite 1400, Chicago, Illinois 60621. Copies of such material can also be obtained from the Public Reference Section of the Commission at 450 Fifth Street, N.W., Washington, D.C. 20549, at prescribed rates. In addition, the Commission maintains a Web site (www.sec.gov) that contains reports, proxy and information statements and other information regarding registrants that file electronically with the Commission. The Company's Common Stock is traded on Form 8-K filed on October 13, 1995the NASDAQ National Market under the symbol "MEDA." Reports, proxy statements and other information concerning the Company may be inspected at the offices of the NASDAQ National Market. INCORPORATION OF CERTAIN DOCUMENTS BY REFERENCE The following documents are incorporated herein by this reference have been incorporated herein in reliance on the report, which includes an explanatory paragraph regarding a change in the method of accounting for income taxes, of Coopers & Lybrand L.L.P., independent accountants, given on the authority of that firm as experts in accounting and auditing.reference: (i) The consolidated financial statements of BSG as of December 31, 1994 and 1995 and for each of the three years in the period ended December 31, 1995 included in Medaphis' Current Report on Form 8-K filed on April 3, 1996 have been audited by Price Waterhouse LLP, independent accountants, as stated in their report appearing in Medaphis' Current Report on Form 8-K filed on April 3, 1996 and incorporated herein by reference. Such consolidated financial statements have been incorporated herein by reference in reliance upon such report given upon the authority of that firm as experts in accounting and auditing. The combined financial statements of the Atwork Companies as of and for the years ended December 31, 1993 and 1994 included in Medaphis' Current Report on Form 8-K filed on April 3, 1995 have been audited by Deloitte & Touche LLP, independent auditors, as stated in their report appearing in Medaphis' Current Report on Form 8-K filed on April 3, 1995 and incorporated herein by reference. Such combined financial statements have been incorporated herein by reference in reliance upon such report given upon the authority of that firm as experts in accounting and auditing. The consolidated financial statements of HDS as of March 31, 1995 and 1996 and for each of the three years in the period ended March 31, 1996 included in this Proxy Statement/Prospectus have been audited by Deloitte & Touche LLP, independent auditors, as stated in their report appearing in this Proxy Statement/ Prospectus, and have been so included in reliance upon the report of such firm given upon their authority as experts in accounting and auditing. LEGAL MATTERS The legality of the shares of Medaphis Common Stock being registered under the Registration Statement of which this Proxy Statement/Prospectus forms a part will be passed upon for Medaphis by King & Spalding, Atlanta, Georgia. Certain legal matters in connection with the Merger will be passed upon for HDS by Seyfarth, Shaw, Fairweather & Geraldson, Los Angeles, California. A partner in the firm of Seyfarth, Shaw, Fairweather & Geraldson is the beneficial owner of 4,768 shares of HDS Preferred Stock. STOCKHOLDER PROPOSALS In order to be eligible for inclusion in Medaphis' proxy solicitation materials for its 1997 annual meeting of stockholders, any stockholder proposal to be considered at such meeting must be received by Medaphis on or before December 1, 1996. Any such proposal will be subject to the requirements contained in the Medaphis Bylaws relating to stockholder proposals and the proxy rules under the Exchange Act. See "The Merger--Comparison of Rights of Holders of HDS Common Stock and Medaphis Common Stock." 57 66 HDS, INC. INDEX TO CONSOLIDATED FINANCIAL STATEMENTS [TO BE PROVIDED] 58 67 ANNEX A MERGER AGREEMENT BY AND AMONG MEDAPHIS CORPORATION, RAKSUB, INC. AND HEALTH DATA SCIENCES CORPORATION AS OF MAY 23, 1996 A-1 68
PAGE ---- ARTICLE 1 THE MERGER...................................................................... A-8 Section 1.1. Surviving Corporation................................................... A-8 Section 1.2. Certificate of Incorporation............................................ A-8 Section 1.3. Bylaws.................................................................. A-8 Section 1.4. Directors............................................................... A-8 Section 1.5. Officers................................................................ A-8 Section 1.6. Effective Time.......................................................... A-8 Section 1.7. Tax-Free Reorganization................................................. A-8 ARTICLE 2 CONVERSION OF SHARES; TREATMENT OF OPTIONS...................................... A-9 Section 2.1. HDS Common Stock and Preferred Stock.................................... A-9 Section 2.2. Fractional Shares....................................................... A-9 Section 2.3. Dissenting Shares....................................................... A-9 Section 2.4. Treatment of HDS Employee Stock Options................................. A-10 Section 2.5. Exchange of HDS Capital Stock........................................... A-10 Section 2.6. Conversion Ratio, and Adjustment Event.................................. A-11 ARTICLE 3 REPRESENTATIONS AND WARRANTIES OF HDS........................................... A-11 Section 3.1. Organization............................................................ A-11 Section 3.2. Authorization........................................................... A-12 Section 3.3. Absence of Restrictions and Conflicts................................... A-12 Section 3.4. Capitalization.......................................................... A-12 Section 3.5. Financial Statements.................................................... A-13 Section 3.6. Absence of Certain Changes.............................................. A-13 Section 3.7. Legal Proceedings....................................................... A-14 Section 3.8. Compliance with Law..................................................... A-14 Section 3.9. Material Contracts...................................................... A-14 Section 3.10. HDS Client Contracts.................................................... A-15 Section 3.11. Tax Returns; Taxes...................................................... A-15 Section 3.12. Officers, Directors and Employees....................................... A-16 Section 3.13. Employee Benefit Plans.................................................. A-16 Section 3.14. Labor Relations......................................................... A-18 Section 3.15. Insurance............................................................... A-18 Section 3.16. Title to Properties and Related Matters................................. A-18 Section 3.17. Environmental Matters................................................... A-19 Section 3.18. Patents, Trademarks, Trade Names........................................ A-19 Section 3.19. HDS Computer Software and Hardware...................................... A-20 Section 3.20. Proxy Statement and Registration Statement.............................. A-21 Section 3.21. Transactions with Affiliates............................................ A-21 Section 3.22. Brokers, Finders and Investment Bankers................................. A-21 Section 3.23. Disclosure.............................................................. A-22 ARTICLE 4 REPRESENTATIONS AND WARRANTIES OF MEDAPHIS...................................... A-22 Section 4.1. Organization............................................................ A-22 Section 4.2. Authorization........................................................... A-22 Section 4.3. Absence of Restrictions and Conflicts................................... A-22 Section 4.4. Capitalization of Medaphis.............................................. A-23 Section 4.5. Capital Stock of Medaphis Subsidiaries.................................. A-23 Section 4.6. Medaphis Commission Reports............................................. A-23 Section 4.7. Financial Statements.................................................... A-23 Section 4.8. Absence of Certain Changes.............................................. A-24 Section 4.9. Legal Proceedings....................................................... A-24 Section 4.10. Compliance with Law..................................................... A-25 Section 4.11. Proxy Statement and Registration Statement.............................. A-25
A-2 69
PAGE ---- Section 4.12. Tax Returns; Taxes...................................................... A-25 Section 4.13. Billing and Collection Practices........................................ A-25 Section 4.14. Medaphis Employee Benefit Plans......................................... A-25 Section 4.15. Labor Relations......................................................... A-27 Section 4.16. Medaphis Computer Software and Hardware................................. A-27 Section 4.17. Title to Properties and Related Matters................................. A-28 Section 4.18. Environmental Matters................................................... A-29 Section 4.19. Brokers, Finders and Investment Bankers................................. A-29 Section 4.20. Disclosure.............................................................. A-29 ARTICLE 5 CERTAIN COVENANTS AND AGREEMENTS................................................ A-29 Section 5.1. Conduct of Business by HDS.............................................. A-29 Section 5.2. Conduct of Business by Medaphis......................................... A-30 Section 5.3. Inspection and Access to Information.................................... A-31 Section 5.4. Registration Statement.................................................. A-31 Section 5.5. HDS Stockholder Matters................................................. A-32 Section 5.6. The Nasdaq National Market Additional Shares Notification............... A-32 Section 5.7. HDS Affiliates.......................................................... A-32 Section 5.8. No Solicitation; Acquisition Proposals.................................. A-32 Section 5.9. Reasonable Efforts; Further Assurances; Cooperation..................... A-33 Section 5.10. Public Announcements.................................................... A-34 Section 5.11. Financial Statements and Commission Reports............................. A-34 Section 5.12. Supplements to Disclosure Letters....................................... A-34 Section 5.13. Pooling of Interests Accounting......................................... A-35 Section 5.14. Accountant's Review Report.............................................. A-35 Section 5.15. Special Indemnification by Medaphis..................................... A-35 Section 5.16 Employees............................................................... A-35 Section 5.17 Certain Other Benefits.................................................. A-36 ARTICLE 6 CONDITIONS...................................................................... A-36 Section 6.1. Conditions to Each Party's Obligations.................................. A-36 Section 6.2. Conditions to Obligations of Medaphis................................... A-37 Section 6.3. Conditions to Obligations of HDS........................................ A-38 ARTICLE 7 CLOSING......................................................................... A-39 ARTICLE 8 TERMINATION..................................................................... A-39 Section 8.1. Termination............................................................. A-39 Section 8.2. Specific Performance and Other Remedies................................. A-39 Section 8.3. Effect of Termination................................................... A-39 Section 8.4. Termination Fee......................................................... A-39 ARTICLE 9 MISCELLANEOUS PROVISIONS........................................................ A-40 Section 9.1. Notices................................................................. A-40 Section 9.2. Disclosure Letters and Exhibits......................................... A-41 Section 9.3. Assignment; Successors in Interest...................................... A-41 Section 9.4. Representations and Warranties.......................................... A-41 Section 9.5. Number; Gender.......................................................... A-41 Section 9.6. Captions................................................................ A-41 Section 9.7. Controlling Law; Integration; Amendment................................. A-41 Section 9.8. HDS and Medaphis Knowledge.............................................. A-41
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PAGE ---- Section 9.9. Severability............................................................ A-41 Section 9.10. Counterparts............................................................ A-42 Section 9.11. Enforcement of Certain Rights........................................... A-42 Section 9.12. Waiver.................................................................. A-42 Section 9.13. Fees and Expenses....................................................... A-42
A-4 71 DEFINED TERMS
TERM SECTION - ---------------------------------------------------------------------------------- --------- Acquisition Transaction........................................................... 5.8 Agreement......................................................................... Page Average Closing Price............................................................. 2.2 Certificate and Certificates...................................................... 2.5(a) Closing........................................................................... Page Closing Date...................................................................... Page Code.............................................................................. 1.7 Commission........................................................................ 2.4(c) Conversion Ratio.................................................................. 2.6(a) Delaware Certificate of Merger.................................................... Page DGCL.............................................................................. Page Deloitte & Touche................................................................. 3.5(a) Deloitte & Touche Review Report................................................... 5.14 Dissenting Shares................................................................. 2.3 EEOC.............................................................................. 3.14 Effective Time.................................................................... 1.6 Employee Benefit Plan............................................................. 3.13(a)(ii) ERISA............................................................................. 3.13(a)(ii) Excess Parachute Payment.......................................................... 3.13(k) Exchange Act...................................................................... 3.3 HDS............................................................................... Page HDS Benefit Plan.................................................................. 3.13(a) HDS Capital Stock................................................................. 2.1(a) HDS Client Contracts.............................................................. 3.10 HDS Common Stock.................................................................. 2.1(a) HDS Detrimental Information....................................................... 6.2(l) HDS Disclosure Letter............................................................. Article 3 HDS ERISA Affiliate............................................................... 3.13(b) HDS Executives.................................................................... 9.8 HDS Financial Statements.......................................................... 3.5(a) HDS Hardware...................................................................... 3.19(a) HDS License Agreements............................................................ 3.19(b) HDS Licensed Software............................................................. 3.19(a) HDS Material Adverse Effect....................................................... 3.1 HDS Material Contracts............................................................ 3.9 HDS Preferred Stock............................................................... 2.1(a) HDS Proprietary Software.......................................................... 3.19(a) HDS Qualified Plans............................................................... 3.13(g) HDS Series B Stock................................................................ 2.1(a) HDS Series C Stock................................................................ 2.1(a) HDS Series F Stock................................................................ 2.1(a) HDS Software...................................................................... 3.19(a) HDS Stockholder................................................................... 2.2 HSR Act........................................................................... 3.3 Intellectual Property............................................................. 3.18 IRS............................................................................... 3.13(f) Licensed Intellectual Property.................................................... 3.18 Medaphis.......................................................................... Page Medaphis Balance Sheet............................................................ 4.7
A-5 72
TERM SECTION - ---------------------------------------------------------------------------------- --------- Medaphis Benefit Plan............................................................. 4.14(a) Medaphis Commission Reports....................................................... 4.6 Medaphis Common Stock............................................................. 2.1(a) Medaphis Disclosure Letter........................................................ Article 4 Medaphis Due Diligence Review..................................................... 5.3(a) Medaphis ERISA Affiliate.......................................................... 4.14(b) Medaphis Executives............................................................... 9.8 Medaphis Financial Statements..................................................... 4.7 Medaphis Hardware................................................................. 4.16(a) Medaphis License Agreements....................................................... 4.16(b) Medaphis Licensed Software........................................................ 4.16(b) Medaphis Material Adverse Effect.................................................. 4.1 Medaphis Premises................................................................. 4.18 Medaphis Proprietary Software..................................................... 4.16(a) Medaphis Qualified Plans.......................................................... 4.14(e) Medaphis Software................................................................. 4.16(b) Medaphis Subsidiaries............................................................. 4.5 Merger............................................................................ Page NLRB.............................................................................. 3.14 Non-Qualified Options............................................................. 2.4(a) Option Assumption Agreement....................................................... 2.4(b) Options........................................................................... 2.4(a) PBGC.............................................................................. 3.13(f) Pension Benefit Plan.............................................................. 3.13(n) Premises.......................................................................... 3.17 Proprietary Intellectual Property................................................. 3.18 Proxy Statement................................................................... 3.20 Qualified Beneficiaries........................................................... 5.16(b) RAKSub............................................................................ Page Registration Statement............................................................ 3.20 SO Plans.......................................................................... 2.4(a) Scheduled Leases.................................................................. 3.16(b) Securities Act.................................................................... 3.3 Special Indemnified Parties....................................................... 5.15(a) Specified Employees............................................................... 5.1(m) Specified Stockholders............................................................ 5.1(m) Subsidiary........................................................................ 3.1 Successor Plans................................................................... 5.16(b) Surviving Corporation............................................................. 1.1 The knowledge of the HDS Executives............................................... 9.8 The knowledge of the Medaphis Executives.......................................... 9.8 Total HDS Shares.................................................................. 2.7(a) 1996 Balance Sheet................................................................ 3.5(a)
A-6 73 EXHIBITS
EXHIBIT NUMBER - -------------------------------------------------------------------------------- ---------- Delaware Certificate of Merger.................................................. 1.1 Option Assumption Agreement..................................................... 2.4 Noncompetition and Nonsolicitation Agreement.................................... 5.1(m)(A) Employment Agreements........................................................... 5.1(m)(B) Tax Opinion of King & Spalding.................................................. 6.1(c) Opinion of Seyfarth, Shaw, Fairweather & Geraldson.............................. 6.2(c) Opinion of King & Spalding...................................................... 6.3(c)
A-7 74 MERGER AGREEMENT THIS MERGER AGREEMENT, dated as of May 23, 1996 (the "Agreement"), by and among MEDAPHIS CORPORATION, a Delaware corporation ("Medaphis"), RAKSUB, INC., a Delaware corporation and a wholly-owned subsidiary of Medaphis ("RAKSub"), and HEALTH DATA SCIENCES CORPORATION, a Delaware corporation ("HDS"). WHEREAS, the respective Boards of Directors of Medaphis, RAKSub and HDS each have approved this Agreement and the merger (the "Merger"), pursuant to this Agreement and a certificate of merger in the form attached as Exhibit 1.1 proposed to be filed in the State of Delaware (the "Delaware Certificate of Merger"), of RAKSub with and into HDS on the terms and conditions contained in this Agreement and in accordance with the Delaware General Corporation Law (the "DGCL"); WHEREAS, Medaphis, as the sole stockholder of RAKSub, has approved this Agreement, the Merger and the transactions contemplated by this Agreement pursuant to action taken by unanimous written consent in accordance with the requirements of the DGCL and the Certificate of Incorporation and the Bylaws of RAKSub; WHEREAS, the parties to this Agreement intend that the Merger qualify as a "reorganization" within the meaning of Section 368 of the Internal Revenue Code of 1986, as amended; and NOW, THEREFORE, in consideration of the mutual covenants and agreements set forth in this Agreement, the parties agree as follows: ARTICLE 1. THE MERGER Section 1.1. Surviving Corporation. Subject to the provisions of this Agreement and the DGCL, at the Effective Time, RAKSub shall be merged with and into HDS, and the separate corporate existence of RAKSub shall cease. HDS shall be the surviving corporation in the Merger (sometimes called the "Surviving Corporation") and shall continue its corporate existence under the laws of the State of Delaware. The Merger shall have the effects set forth in Section 259 of the DGCL. Section 1.2. Certificate of Incorporation. The Certificate of Incorporation of HDS shall be the Certificate of Incorporation of the Surviving Corporation until amended after the Effective Time. Section 1.3. Bylaws. The Bylaws of HDS shall be the Bylaws of the Surviving Corporation until amended after the Effective Time. Section 1.4. Directors. The directors of the Surviving Corporation shall consist of the directors of HDSSub immediately prior to the Effective Time, such directors to hold office from the Effective Time until their respective successors are elected and qualify. Section 1.5. Officers. The officers of the Surviving Corporation shall consist of the officers of HDSSub immediately prior to the Effective Time, such officers to hold office from the Effective Time until their respective successors are elected and qualify. Section 1.6. Effective Time. If all of the conditions set forth in Article 6 have been fulfilled or waived in accordance with the terms of this Agreement and this Agreement has not been terminated in accordance with Article 8, the parties shall cause the Delaware Certificate of Merger to be properly executed and filed on the Closing Date with the Secretary of State of the State of Delaware. The Merger shall become effective as of the time of filing of a properly executed Delaware Certificate of Merger. The date and time when the Merger becomes effective is referred to in this Agreement as the Effective Time. Section 1.7. Tax-Free Reorganization. The Merger is intended to be a reorganization within the meaning of Section 368 of the Internal Revenue Code of 1986, as amended (the "Code"), and this A-8 75 Agreement is intended to be a "plan of reorganization" within the meaning of the regulations promulgated under Section 368 of the Code. ARTICLE 2. CONVERSION OF SHARES; TREATMENT OF OPTIONS Section 2.1. HDS Common and Preferred Stock. As of the Effective Time, by virtue of the Merger and without any action on the part of any HDS Stockholder: (a) Subject to Section 2.2, (i) each share of common stock, par value $0.10 per share, of HDS ("HDS Common Stock"), (ii) each share of Series B Convertible Preferred Stock, par value $0.10 per share, of HDS ("HDS Series B Stock"), (iii) each share of Series C Convertible Preferred Stock, par value $0.10 per share of HDS ("HDS Series C Stock"), and (iv) each share of Series F Convertible Preferred Stock, par value $0.10 per share of HDS ("HDS Series F Stock"), issued and outstanding immediately prior to the Effective Time (except for Dissenting Shares and treasury shares) shall be converted, without any further action, into the right to receive such number of shares of voting common stock, par value $.01 per share, of Medaphis ("Medaphis Common Stock") as is equal to the Conversion Ratio. The HDS Series B Stock, HDS Series C Stock and HDS Series F Stock are together referred to as the "HDS Preferred Stock"; and the HDS Common Stock and HDS Preferred Stock are together referred to as the "HDS Capital Stock." (b) Each share of HDS Capital Stock issued immediately prior to the Effective Time that is then held in HDS's treasury shall be canceled and retired and all rights in respect of such HDS Capital Stock shall cease to exist, without any conversion thereof or payment of any consideration therefor. (c) Each share of common stock, par value $0.01 per share, of HDSSub that is issued and outstanding immediately prior to the Effective Time shall be converted into one share of common stock, par value $0.10 per share, of the Surviving Corporation. Section 2.2. Fractional Shares. No scrip or fractional shares of Medaphis Common Stock shall be issued in the Merger. All fractional shares of Medaphis Common Stock to which a holder of HDS Capital Stock (each an "HDS Stockholder") immediately prior to the Effective Time would otherwise be entitled at the Effective Time shall be aggregated. If a fractional share results from such aggregation, a HDS Stockholder shall be entitled, after the later of (a) the Effective Time or (b) the surrender of such HDS Stockholder's Certificate(s) that represent such shares of HDS Capital Stock, to receive from Medaphis an amount in cash in lieu of such fractional share, based on the Average Closing Price. For purposes of this Agreement, the "Average Closing Price" shall be the arithmetic average of the closing price per share of Medaphis Common Stock, as reported on the Nasdaq National Market, for each of the ten consecutive trading days ending on the trading day immediately prior to the date of the annual or special meeting of HDS Stockholders at which the Merger and this Agreement will be voted on by HDS Stockholders entitled so to vote. Section 2.3. Dissenting Shares. To the extent that appraisal rights are available under Section 262 of the DGCL, shares of HDS Capital Stock that are issued and outstanding immediately prior to the Effective Time and that have not been voted for adoption of the Merger and with respect to which appraisal rights have been properly demanded in accordance with Section 262 of the DGCL ("Dissenting Shares") shall not be converted into the right to receive the consideration provided for in Sections 2.1 and 2.2 at or after the Effective Time unless and until the holder of such shares becomes ineligible for such appraisal. If a holder of Dissenting Shares becomes ineligible for appraisal, then, as of the Effective Time or the occurrence of such event, whichever later occurs, such holder's Dissenting Shares shall cease to be Dissenting Shares and shall be converted into and represent the right to receive the consideration provided for in Sections 2.1 and 2.2. If any HDS Stockholder asserts the right to be paid for the fair value of such HDS Capital Stock as described above, HDS shall give Medaphis notice of such assertion and Medaphis shall have the right to participate in all negotiations and proceedings with respect to any such demands. HDS shall not, except with the prior written consent of Medaphis, voluntarily make any payment with respect to, or settle or offer to settle, any such demand for payment. Payment for Dissenting Shares shall be made as required by the DGCL. A-9 76 Section 2.4. Treatment of HDS Employee Stock Options. (a) At the Effective Time, Medaphis shall assume all of HDS's rights and obligations with respect to the outstanding stock options held by certain employees, officers and directors of HDS pursuant to the HDS stock option plans (the "SO Plans"), as such SO Plans and such options are set forth in the HDS Disclosure Letter, which are outstanding and unexercised at the Effective Time (together, the "Options"), whether or not the Options are then exercisable. Promptly following such assumption, Medaphis shall, subject to Section 2.4(b), substitute for the Options non-qualified options to be granted under the Medaphis Non-Qualified Stock Option Plan for Employees of Acquired Companies (the "Non-Qualified Options"). The Non-Qualified Options shall have the vesting and other terms and conditions described in the Option Assumption Agreement (as defined in Section 2.4(b)) and shall, in addition, have a term or terms mutually agreed upon by Medaphis and HDS that will result in any Option that had been an "incentive stock option" (as defined in the Code) being disqualified from its status as an "incentive stock option." At and after the Effective Time, each Non-Qualified Option and each Option for which a Non-Qualified Option is not issued in substitution shall thereafter evidence the right to purchase the number of shares of Medaphis Common Stock equal to the product (rounded up or down to the nearest whole share) of (i) the number of shares of HDS Common Stock covered by such option immediately prior to the Effective Time, multiplied by (ii) the Conversion Ratio. The exercise price of such Non-Qualified Options for each share of Medaphis Common Stock subject to such options shall be equal to the quotient (rounded up or down to the nearest whole cent) obtained by dividing (i) the per-share exercise price for shares of HDS Common Stock subject to such option immediately prior to the Effective Time, by (ii) the Conversion Ratio. (b) At least ten days prior to the Effective Time, Medaphis shall deliver to each holder of an Option an Option Notice and Assumption Agreement in the form attached as Exhibit 2.4 (the "Option Assumption Agreement") setting forth Medaphis' assumption of the Option and substitution of the Non-Qualified Option in accordance with the terms of Section 2.4(a). Medaphis shall not be entitled to or required to substitute a Non-Qualified Option for an Option in accordance with Section 2.4(a) until it has received from the holder of an Option a properly executed and completed Option Assumption Agreement with respect to the Option. HDS shall not grant any options to purchase shares of HDS Capital Stock under any SO Plan or otherwise after the date of this Agreement. (c) Medaphis agrees to cause the shares of Medaphis Common Stock issuable upon exercise of the Non-Qualified Options (and, to the extent Non-Qualified Options were not issued in substitution therefor, the Options) and all other Options assumed by Medaphis or issued by Medaphis in replacement of the Options to be registered with the Securities and Exchange Commission (the "Commission") on a Form S-8 Registration Statement within thirty days following the Effective Time. Medaphis further agrees to cause the shares of Medaphis Common Stock issuable upon exercise of the Non-Qualified Options (and, to the extent Non- Qualified Options were not issued in substitution therefor, the Options) to be registered or exempt from the registration requirements of all applicable state securities laws, rules and regulations. (d) Approval by the HDS Stockholders of this Agreement shall constitute authorization and approval of any and all of the actions described in this Section 2.4. Section 2.5. Exchange of HDS Capital Stock. (a) On or prior to the Closing Date, Medaphis shall make available to each record holder who, as of the Effective Time, was a holder of an outstanding certificate or certificates which immediately prior to the Effective Time represented shares of HDS Capital Stock (the "Certificate" or "Certificates"), a form of letter of transmittal and instructions for use in effecting the surrender of the Certificates for conversion into Medaphis Common Stock and payment for fractional shares. Delivery shall be effected, and risk of loss and title to the Certificates shall pass, only upon proper delivery of the Certificates to Medaphis; and the form of letter of transmittal shall so reflect. Upon surrender to Medaphis of a Certificate, together with a properly completed and executed letter of transmittal, the holder of such Certificate is entitled to receive in exchange (i) one or more certificates as requested by the holder (properly issued, executed and countersigned, as appropriate) representing that number of whole fully paid and nonassessable shares of Medaphis Common Stock to which such HDS Stockholder shall have become entitled pursuant to the provisions of Section 2.1(a) and (ii) as to any fractional share of Medaphis Common Stock, a check representing the cash consideration to which such holder shall have become entitled pursuant to Section 2.2. The Certificate so surrendered shall forthwith be canceled. No interest will be paid or accrued A-10 77 on any cash payable upon the surrender of the Certificates. From the Effective Time until surrender in accordance with the provisions of this Section 2.4, each Certificate shall represent for all purposes only the right to receive the consideration provided in Sections 2.1 and 2.2. All payments of respective shares of Medaphis Common Stock and cash for fractional shares that are made upon surrender of Certificates in accordance with the terms of this Agreement shall be deemed to have been made in full satisfaction of rights pertaining to the shares of HDS Common Stock evidenced by such Certificates. (b) In the case of any lost, mislaid, stolen or destroyed Certificate, the holder of such Certificate may be required, as a condition precedent to delivery to such holder of the consideration described in Sections 2.1 and 2.2, to deliver to Medaphis a bond in such reasonable sum or a reasonably satisfactory indemnity agreement as Medaphis may direct as indemnity against any claim that may be made against Medaphis or the Surviving Corporation with respect to the Certificate alleged to have been lost, mislaid, stolen or destroyed. (c) After the Effective Time, there shall be no transfers on the stock transfer books of the Surviving Corporation of the shares of HDS Capital Stock that were outstanding immediately prior to the Effective Time. If, after the Effective Time, Certificates are presented to the Surviving Corporation for transfer, they shall be canceled and exchanged for the consideration described in Sections 2.1 and 2.2. (d) Any shares of Medaphis Common Stock or cash due former HDS Stockholders pursuant to Sections 2.1 and 2.2 that remains unclaimed by such former HDS Stockholder for six months after the Effective Time shall be held by Medaphis; and any former HDS Stockholder who has not prior to that date complied with Section 2.5(a) can thereafter look only to Medaphis for issuance of the number of shares of Medaphis Common Stock and other consideration to which such holder has become entitled pursuant to the provisions of Sections 2.1 and 2.2, except that neither Medaphis nor any other party to this Agreement shall be liable to a former HDS Stockholder for any amount required to be paid to a public official pursuant to any applicable abandoned property, escheat or similar law. Section 2.6. Conversion Ratio and Adjustment Event. (a) The Conversion Ratio is 6,125,000 divided by Total HDS Shares. Total HDS Shares is 7,741,843, which represents the sum of the number of shares of HDS Preferred Stock and HDS Common Stock that are issued and outstanding on the date of this Agreement. (b) The Conversion Ratio shall be calculated to the nearest 1/10,000th of a whole number. (c) If, after the date of this Agreement and prior to the Effective Time, Medaphis shall have declared a stock split (including a reverse split) or combination of Medaphis Common Stock or a dividend payable in Medaphis Common Stock, or any other distribution of Medaphis Common Stock to holders of Medaphis Common Stock with respect to their Medaphis Common Stock (including such a distribution or dividend made in connection with a recapitalization, reclassification, merger, consolidation, reorganization or similar transaction), or otherwise have changed the Medaphis Common Stock into any other securities, then the Conversion Ratio shall be appropriately adjusted to reflect such stock split, combination or dividend or other distribution or change of securities. ARTICLE 3. REPRESENTATIONS AND WARRANTIES OF HDS With such exceptions as are set forth in a letter (the "HDS Disclosure Letter") delivered by HDS to Medaphis prior to the date of this Agreement, HDS represents and warrants to Medaphis as follows: Section 3.1. Organization. HDS is a corporation duly organized, validly existing and in good standing under the laws of the State of Delaware and the subsidiary of HDS listed as such in the HDS Disclosure Letter (the "Subsidiary") is a corporation existing under the laws of the Province of Ontario, and HDS and Subsidiary have all requisite corporate power and authority to own, lease and operate their respective properties and to carry on their respective businesses as now being conducted. HDS and Subsidiary are each qualified to transact business, and are in good standing, as a foreign corporation in each jurisdiction where the character of their activities requires such qualification, except where the failure to so qualify would not have a A-11 78 material adverse effect on the assets, liabilities, results of operations, financial condition or business of HDS and Subsidiary taken as a whole (such an effect, a "HDS Material Adverse Effect"). HDS has made available to Medaphis accurate and complete copies of the Certificate of Incorporation (including all certificates of designation relating to the HDS Preferred Stock) and Bylaws, as currently in effect, of HDS, the minute books and stock records of HDS and the corresponding documents of Subsidiary. The HDS Disclosure Letter contains a true and correct list of the jurisdictions in which HDS or Subsidiary is qualified to do business as a foreign corporation. Section 3.2. Authorization. HDS has full corporate power and authority to execute and deliver this Agreement and to perform its obligations under this Agreement and to consummate the Merger and the other transactions contemplated by this Agreement. Other than the stockholder approval contemplated in Section 6.1(a), the execution and delivery of this Agreement by HDS and the performance by HDS of its obligations under this Agreement and the consummation of the Merger and the other transactions provided for by this Agreement have been duly and validly authorized by all necessary corporate action on the part of HDS. The Board of Directors of HDS has approved the execution, delivery and performance of this Agreement and the consummation of the Merger and the other transactions provided for in this Agreement. This Agreement has been duly executed and delivered by HDS and constitutes the valid and binding agreement of HDS, enforceable against it in accordance with its terms, subject to applicable bankruptcy, insolvency and other similar laws affecting the enforceability of creditors' rights generally, general equitable principles and the discretion of courts in granting equitable remedies. Section 3.3. Absence of Restrictions and Conflicts. Subject to the stockholder approval contemplated in Section 6.1(a), the execution, delivery and performance of this Agreement, the consummation of the Merger and the other transactions contemplated by this Agreement and the fulfillment of and compliance with the terms and conditions of this Agreement do not and will not, with the passing of time or the giving of notice or both, violate, constitute a breach of or default under, result in the loss of any material benefit under the terms or provisions of, or permit the acceleration of any obligation under, (i) any term or provision of the charter or bylaws of HDS or Subsidiary, (ii) any HDS Material Contract, (iii) any judgment, decree or order of any court or governmental authority or agency to which HDS or Subsidiary is a party or by which HDS or Subsidiary or any of their respective properties is bound, or (iv) any statute, law, regulation or rule applicable to HDS or Subsidiary, so as to have, in the case of subsections (ii) through (iv) above, a HDS Material Adverse Effect. Except for compliance with the applicable requirements of the Hart-Scott-Rodino Antitrust Improvements Act of 1976, as amended (the "HSR Act"), the Securities Act of 1933, as amended (the "Securities Act"), the Securities Exchange Act of 1934, as amended (the "Exchange Act"), applicable state securities laws and the filing and recordation of the Certificate of Merger as required by the DGCL, no consent, approval, order or authorization of, or registration, declaration or filing with, any governmental agency or public or regulatory unit, agency, body or authority with respect to HDS or Subsidiary is required in connection with the execution, delivery or performance of this Agreement by HDS or the consummation of the transactions contemplated by this Agreement by HDS, the failure to obtain which would have a HDS Material Adverse Effect. Section 3.4. Capitalization. The authorized capital stock of HDS consists of 10,000,000 shares of common stock, $0.10 par value per share, and 5,000,000 shares of serial preferred stock, of which 742,000 shares of HDS Series B Stock, 1,687,500 shares of HDS Series C Stock, 830,000 shares of HDS Series E Stock and 1,818,181 shares of HDS Series F Stock have been authorized. As of the date of this Agreement, there were 4,081,990 shares of HDS Common Stock, 742,000 shares of HDS Series B Stock, 1,312,500 shares of HDS Series C Stock and 1,605,353 shares of HDS Series F stock issued and outstanding. Shares of the HDS Series B, HDS Series C and HDS Series F Stock are convertible into shares of HDS Common Stock on a one-for-one basis. Each share of HDS Capital Stock outstanding as of the date of this Agreement is duly authorized, validly issued, fully paid and nonassessable and free of pre-emptive rights. There are no subscriptions, options, convertible securities, calls, puts, rights, warrants or other agreements, claims or commitments of any nature whatsoever obligating HDS to purchase, redeem, issue, transfer, deliver or sell, or cause to be purchased, redeemed, issued, transferred, delivered or sold, additional shares of the capital stock or other securities of HDS or obligating HDS to grant, extend or enter into any such agreement A-12 79 or commitment. HDS does not own an equity interest in any corporation, partnership or other entity, except that HDS owns beneficially and of record all the issued and outstanding stock of the Subsidiary. Each share of capital stock of the Subsidiary outstanding as of the date of this Agreement is duly authorized, validly issued, fully paid and non-assessable and free of pre-emptive rights. No prior offer, issue, redemption, call, purchase, sale, transfer or other transaction of any nature with respect to the capital stock or equity interests of HDS, or any corporation or organization which has been merged into HDS, has given or may give rise to any valid claim or action by any person which is enforceable against HDS, the Surviving Corporation or any of their respective affiliates and, to the knowledge of the HDS Executives (as hereinafter defined), no fact or circumstance exists which could give rise to any such right, claim or action on behalf of any person. Section 3.5. Financial Statements. (a) HDS has made available to MED the audited balance sheets of HDS as of March 31, 1995 and March 31, 1996, and the related audited statements of income, changes in stockholders' equity and cash flows for the respective fiscal years then ended including the notes to such financial statements, examined by and accompanied by the report of Deloitte & Touche LLP ("Deloitte & Touche"), independent public accountants (the balance sheet as of March 31, 1996 is referred to herein as the "1996 Balance Sheet"). All of the foregoing financial statements are collectively referred to as the "HDS Financial Statements." The HDS Financial Statements (i) have been prepared from, and are in accordance with, the books and records of HDS and (ii), as applicable, present fairly the financial position, results of operations, changes in stockholders' equity and cash flows of HDS as of the dates and for the periods indicated, in each case in conformity with generally accepted accounting principles, consistently applied. The HDS Disclosure Letter sets forth a true and complete list of all loss contingencies (within the meaning of Statement of Financial Accounting Standards No. 5) of HDS existing as of March 31, 1996 exceeding $50,000 in the case of any single loss contingency or $100,000 in the case of all loss contingencies. (b) On the Closing Date, HDS and Subsidiary will not have any obligation or liability (including but not limited to indebtedness for borrowed money and capitalized lease obligations) that under generally accepted accounting principles is required to be recorded on a balance sheet as a long-term liability. Section 3.6. Absence of Certain Changes. (a) Since March 31, 1996, there has not been (i) any material adverse change in the assets, liabilities, results of operations, financial condition or business of HDS and Subsidiary taken as a whole, (ii) any material damage, destruction, loss or casualty to property or assets of HDS, whether or not covered by insurance, which property or assets are material to the operations or business of HDS and Subsidiary taken as a whole, (iii) any declaration, setting aside or payment of any dividend or distribution (whether in cash, stock or property) in respect of the capital stock of HDS, any redemption or other acquisition by HDS of any of the capital stock of HDS or any split, combination or reclassification of shares of capital stock declared or made by HDS or (iv) any agreement to do any of the foregoing. (b) Since March 31, 1996, there have not been (i) any extraordinary losses suffered, which, in the aggregate, have had an HDS Material Adverse Effect, (ii) any material assets mortgaged, pledged or made subject to any material lien, charge or other encumbrance, (iii) any material liability or obligation (absolute, accrued or contingent) incurred or any material bad debt, contingency or other reserve increase suffered, except, in each such case, in the ordinary course of business and consistent with past practice, (iv) any material claims, liabilities or obligations (absolute, accrued or contingent) paid, discharged or satisfied, other than the payment, discharge or satisfaction, in the ordinary course of business and consistent with past practice, of claims, liabilities and obligations reflected or reserved against in the HDS Financial Statements or incurred in the ordinary course of business and consistent with past practice, (v) any material guaranteed checks, notes or accounts receivable written off as uncollectible, except write-offs in the ordinary course of business and consistent with past practice, (vi) any write down (under Statement of Financial Accounting Standards No. 121 ("SFAS No. 121") or otherwise) of the value of any material asset or investment on HDS's books or records, except for depreciation and amortization taken in the ordinary course of business and consistent with past practice, (vii) any cancellation of any material debts or waiver of any material claims or rights of substantial value, or sale, transfer or other disposition of any material properties or assets (real, personal or mixed, tangible or intangible) of substantial value, except, in each such case, in transactions in the ordinary course of business and consistent with past practice, (viii) any capital expenditure that would cause all capital expenditures since December 31, 1995, to exceed $500,000, (ix) any change in accounting practice A-13 80 relating to capitalized research and development, (x) any material transactions entered into other than in the ordinary course of business, (xi) any agreements to do any of the foregoing, or (xii) any other events, developments or conditions of any character that have had or are reasonably likely to have a HDS Material Adverse Effect other than events affecting businesses similar to HDS and Subsidiary generally. Section 3.7. Legal Proceedings. There are no suits, actions, claims, proceedings or investigations pending, or, to the knowledge of the HDS Executives, threatened against HDS or Subsidiary (or any of their officers or directors) before any court, arbitrator or administrative or governmental body, which, if finally determined adversely, are reasonably likely, individually or in the aggregate, to have a HDS Material Adverse Effect. All pending suits, actions, claims, proceedings or investigations of HDS or Subsidiary (or any of their officers or directors) before any court, arbitrator or administrative or governmental body are adequately provided for in the 1996 Balance Sheet if and to the extent such a provision is required by generally accepted accounting principles consistently applied. Neither HDS nor Subsidiary is subject to any judgment, decree, injunction, rule or order of any court, and, to the knowledge of the HDS Executives, neither HDS nor Subsidiary is subject to any governmental restriction applicable to HDS, which is reasonably likely (i) to have a HDS Material Adverse Effect or (ii) to cause a material limitation on MED's ability to operate the business of HDS and Subsidiary taken as a whole after the Closing. Section 3.8. Compliance with Law. HDS and Subsidiary each has all material authorizations, approvals, licenses and orders of and from all governmental and regulatory officers and bodies necessary to carry on its business as it is currently being conducted, to own or hold under lease the properties and assets it owns or holds under lease and to perform all of its obligations under the agreements to which it is a party, and each has been and is in compliance with all applicable laws, regulations and administrative orders of any country, state or municipality or of any subdivision of any thereof to which its business or its employment of labor or its use or occupancy of properties or any part thereof are subject, the failure to obtain or the violation of which would have an HDS Material Adverse Effect. Section 3.9. Material Contracts. The HDS Disclosure Letter contains a correct and complete list of the following (other than accounts payable incurred in the ordinary course of business) (the "HDS Material Contracts"): (a) all bonds, debentures, notes, loans, mortgages, indentures or guarantees to which HDS or Subsidiary is a party or by which any one of its properties or assets (real, personal or mixed, tangible or intangible) is bound, in any case involving an amount in excess of $10,000 individually; (b) all leases to which HDS or Subsidiary is a party or by which any of its properties or assets (real, personal or mixed, tangible or intangible) is bound involving an annual rental payment in excess of $75,000 individually; (c) all credit or loan commitments in excess of $100,000 to HDS or Subsidiary which are outstanding, together with a brief description of such commitments and the name of each financial institution granting the same; (d) all contracts or agreements which limit or restrict in a substantial manner HDS, Subsidiary or any of the HDS Executives from engaging in any business in any jurisdiction and all contracts or agreements that limit or restrict others from competing with HDS or Subsidiary in any jurisdiction, other than contracts between HDS or Subsidiary and current or former employees of HDS or Subsidiary; (e) all contracts or agreements requiring HDS or Subsidiary to register its capital stock or securities under federal or state securities law; and (f) all existing contracts and commitments (other than those described in subparagraphs (a), (b), (c), (d) or (e) of this Section 3.9, the HDS Client Contracts and other agreements between HDS or Subsidiary and their clients that are not HDS Client Contracts, and the HDS Benefit Plans) to which HDS or Subsidiary is a party or by which its properties or assets may be bound involving an annual commitment or annual payment by any party to such contract or commitment of more than $75,000 individually. A-14 81 True and complete copies of all HDS Material Contracts, including all amendments, have been made available to MED. The HDS Material Contracts are valid and enforceable in accordance with their respective terms with respect to HDS and, to the knowledge of the HDS Executives, valid and enforceable in accordance with their respective terms with respect to any other party to a HDS Material Contract, in each case to the extent material to the business and operations of HDS and subject to applicable bankruptcy, insolvency and other similar laws affecting the enforceability of creditors' rights generally, general equitable principles and the discretion of courts in granting equitable remedies. Except for events or occurrences, the consequences of which, individually or in the aggregate, would not have a HDS Material Adverse Effect, there is not under any of the HDS Material Contracts any existing breach, default or event of default by HDS or Subsidiary or event that with notice or lapse of time or both would constitute a breach, default or event of default by HDS or Subsidiary, nor do the HDS Executives know of, and HDS has not received notice of, or made a claim with respect to, any breach or default by any other party to an HDS Material Contract. Section 3.10. HDS Client Contracts. The HDS Disclosure Letter sets forth a true and complete list of all agreements, contracts or commitments pursuant to which HDS or Subsidiary provides goods or services to its clients which (i) produced annual payments to HDS or Subsidiary in excess of $100,000 in the year ending March 31, 1996, or (ii) which HDS reasonably expects to produce annual payments to HDS or Subsidiary in excess of $1,000,000 in the year ending March 31, 1997 (the "HDS Client Contracts"). The HDS Disclosure Letter contains an accurate description of (a) the terms and conditions of each oral HDS Client Contract; (b) any and all disagreements, complaints, disputes or defaults known to the HDS Executives arising under or with respect to the HDS Client Contracts which could reasonably be expected to result in a client's termination of its HDS Client Contract or claim for damages against HDS or Subsidiary in excess of $300,000; and (c) all loans or advances made by HDS or Subsidiary to or on behalf of its clients, which description includes the dates of such loans or advances and the principal balance outstanding as of the date of the HDS Disclosure Letter under each such loan or advance. Except for provisions in HDS Client Contracts granting unilateral termination rights to clients of HDS upon notice to HDS, the execution, delivery and performance of this Agreement by HDS and the consummation of the transactions contemplated by this Agreement will not, with the passing of time or the giving of notice or both, violate, constitute a default under, result in the loss of any material benefit under the terms or provisions of, or give rise to a termination right under, any HDS Client Contract. True and complete copies of all written HDS Client Contracts, including all amendments, have been made available to MED. The HDS Client Contracts are valid and enforceable in accordance with their respective terms with respect to HDS or Subsidiary, and, to the knowledge of the HDS Executives, are valid and enforceable in accordance with their respective terms with respect to any other party to an HDS Client Contract, in each case except as would not have an HDS Material Adverse Effect, and subject to applicable bankruptcy, insolvency and other similar laws affecting the enforceability of creditors' rights generally, general equitable principles and the discretion of courts in granting equitable remedies. Except as would not have a HDS Material Adverse Effect, there is not under HDS Client Contracts any existing breach, default or event of default by HDS or Subsidiary, or event that with notice or lapse of time or both would constitute a breach, default or event of default by HDS or Subsidiary, nor do the HDS Executives know of, and HDS has not received notice of, or made a claim with respect to, any breach or default by any other party. Section 3.11. Tax Returns; Taxes. Each of HDS and Subsidiary has duly filed all federal, state, local and foreign tax returns required to be filed by it and has duly paid or made adequate provision for the payment of all taxes which are due and payable pursuant to such returns or pursuant to any assessment which is due and payable with respect to taxes in such jurisdictions, whether or not in connection with such returns. The liability for taxes reflected in the 1996 Balance Sheet is sufficient for the payment of all unpaid taxes, whether or not disputed, that are accrued or applicable for the period ended March 31, 1996 and for all years and periods ended prior to that date or that are attributable to differences in the time for recognition of income, deductions and other items for financial reporting and tax purposes. All deficiencies asserted as a result of any examinations by the Internal Revenue Service or any other taxing authority have been paid and fully settled. There are no pending claims asserted for taxes of HDS or Subsidiary or outstanding agreements or waivers extending the statutory period of limitation applicable to any tax return of HDS or Subsidiary for any period. Each of HDS and Subsidiary has made all estimated income tax deposits and all other required tax payments A-15 82 or deposits and has complied for all prior periods in all material respects with the tax withholding provisions of all applicable federal, state, local, foreign and other laws. HDS has made available to Medaphis true, complete and correct copies of its federal income tax returns for the last three taxable years and made available all other tax returns requested by Medaphis. Section 3.12. Officers, Directors and Employees. The HDS Disclosure Letter contains a true and complete list of all of the officers and directors of HDS, specifying their office and annual rate of compensation, and a true and complete copy of the form of written employment agreement to which each full-time employee of HDS or Subsidiary is a party and a list of the employees of HDS or Subsidiary as of the date of this Agreement to whom HDS or Subsidiary has made oral commitments involving material terms which are binding on HDS or Subsidiary and that involve an amount in excess of $35,000. Section 3.13. Employee Benefit Plans. (a) Definition of Benefit Plans. For purposes of this Section 3.13, the term "HDS Benefit Plan" means any plan, program, arrangement, fund, policy, practice or contract which, through which or under which HDS or any HDS ERISA Affiliate currently provides or, with respect to any multi-employer plans (as defined in ERISA section 4001(a)(3)) and pension benefit plans (as defined in ERISA section 3(3)) subject to Code section 412, at any time provided, benefits or compensation to or on behalf of employees or former employees of HDS or any HDS ERISA Affiliate, whether formal or informal, whether or not written, including but not limited to the following: (i) Arrangements -- any bonus, incentive compensation, stock option, deferred compensation, commission, severance pay, golden parachute or other compensation plan or rabbi trust; (ii) ERISA Plans -- any "employee benefit plan" (as defined in Section 3(3) of the Employee Retirement Income Security Act of 1974, as amended ("ERISA")), including, but not limited to, any multiemployer plan (as defined in Section 3(37) and Section 4001(a) (3) of ERISA), defined benefit plan, profit sharing plan, money purchase pension plan, 401(k) plan, savings or thrift plan, or any plan, fund, program, arrangement or practice providing for medical (including post-retirement medical), hospitalization, accident, sickness, disability, or life insurance benefits; and (iii) Other Employee Fringe Benefits -- any stock purchase, vacation, scholarship, sick days, day care, prepaid legal services, dependent care or other fringe benefits plans, programs, arrangements, contracts or practices. (b) HDS ERISA Affiliate. For purposes of this Section 3.13, the term "HDS ERISA Affiliate" means each trade or business (whether or not incorporated) which together with HDS is treated as a single employer under Section 414(b), (c), (m) or (o) of the Code. (c) Identification of Benefits Plans. All of the HDS Benefit Plans are listed in the HDS Disclosure Letter. (d) Compliance With All Statutes, Orders and Rules. Each HDS Benefit Plan maintained by HDS and each HDS ERISA Affiliate is in compliance in all material respects with the requirements prescribed by and all statutes, orders and governmental rules and regulations applicable to HDS Benefit Plans. All reports and disclosures relating to HDS Benefit Plans required to be filed with or furnished to any governmental entity, participants or beneficiaries prior to the Closing Date have been or will be filed or furnished in a timely manner and in accordance with applicable laws except as would not have a HDS Material Adverse Effect. (e) MEPPA Liability/Post-Retirement Medical Benefits. Neither HDS nor any HDS ERISA Affiliate maintains, or has at anytime established or maintained, or has at any time been obligated to make, or made, contributions to or under any multiemployer plan (as defined in Section 3(37) and Section 4001(a)(3) of ERISA). HDS does not maintain, nor has HDS at any time established or maintained, nor has HDS at any time been obligated to make, or made, contributions to or under any plan which provides post-retirement medical or health benefits with respect to employees of HDS. There is no lien upon any property of HDS or any HDS ERISA Affiliate outstanding pursuant to Section 412(n) of the Code in favor of any HDS Benefit Plan. No assets of HDS or any HDS ERISA Affiliate have been provided as security for any HDS Benefit Plan pursuant to Section 401(a) (29) of the Code. A-16 83 (f) Documentation. HDS has made available to Medaphis a true and complete copy of the following documents, if applicable, with respect to each HDS Benefit Plan identified in the HDS Disclosure Letter: (1) all documents, including any insurance contracts and trust agreements, setting forth the terms of each HDS Benefit Plan, or if there are no such documents evidencing a HDS Benefit Plan, a full description of such HDS Benefit Plan, (2) the ERISA summary plan description and any other summary of plan provisions provided to participants or beneficiaries for each such HDS Benefit Plan, (3) the annual reports filed for the most recent three plan years and most recent financial statements or periodic accounting of related plan assets with respect to each HDS Benefit Plan, (4) the most recent favorable determination letter, opinion or ruling from the Internal Revenue Service ("IRS") for each HDS Benefit Plan, the assets of which are held in trust, to the effect that such trust is exempt from federal income tax, and any outstanding request for a determination letter and (5) each opinion or ruling from the Department of Labor or the Pension Benefit Guaranty Corporation ("PBGC") with respect to any such HDS Benefit Plan. (g) Qualified Status. Each HDS Benefit Plan that is funded through a trust or insurance contract has at all times satisfied in all material respects, by its terms and in its operation, all applicable requirements for an exemption from federal income taxation under Section 501(a) of the Code. Except for the HDS Profit Sharing 401(k) Plan and the HDS Money Purchase Pension Plan (the "HDS Qualified Plans"), no HDS Benefit Plan meets or was intended to meet the requirements of Section 401(a) of the Code. Any determination letter issued by the IRS to the effect that the HDS Qualified Plans qualify under Section 401(a) of the Code and that the related trusts are exempt from taxation under Section 501(a) of the Code remains in effect and has not been revoked. The HDS Qualified Plans currently comply in form in all material respects with the requirements under Section 401(a) of the Code, other than changes required by statutes, regulations and rulings for which amendments are not yet required. The HDS Qualified Plans have been administered according to their terms (except for those terms which are inconsistent with the changes in operations of a HDS Qualified Plan required by statutes, regulations, and rulings for which changes in plan terms are not yet required to be made, in which case the HDS Qualified Plans have been operated in accordance with the provisions of those statutes, regulations and rulings) and in accordance with the requirements of Section 401(a) of the Code. The HDS Profit Sharing 401(k) Plan has been tested for compliance with, and in all material respects has satisfied the requirements of, Section 401(k)(3) and 401(m)(2) of the Code for each plan year ending prior to the Closing Date. (h) Legal Actions. To the knowledge of the HDS Executives, there are no actions, audits, suits or claims which are pending or threatened against any HDS Benefit Plan, any fiduciary of any of the HDS Benefit Plans with respect to the HDS Benefit Plans or against the assets of any of the HDS Benefit Plans, except claims for benefits made in the ordinary course of the operation of such plans. (i) Funding. HDS and each HDS ERISA Affiliate has made full and timely payment of all amounts required to be contributed under the terms of each HDS Benefit Plan and applicable law or required to be paid as expenses under such HDS Benefit Plan and no excise taxes in an aggregate amount in excess of $50,000 are assessable as a result of any nondeductible or other contributions made or not made to a HDS Benefit Plan. The assets of all HDS Benefit Plans which are required under applicable laws to be held in trust are in fact held in trust, and the assets of each such HDS Benefit Plan equal or exceed the liabilities of each such plan. The liabilities of each other HDS Benefit Plan are properly and accurately reported on the financial statements and records of HDS to the extent required by law or accounting principles except as would not have a HDS Material Adverse Effect. The assets of each HDS Benefit Plan are reported at their then current fair market value on the books and records of each HDS Benefit Plan. (j) Liabilities. Neither HDS nor any HDS ERISA Affiliate is subject to any material liability, tax or penalty whatsoever to any person whomsoever as a result of HDS's or any HDS ERISA Affiliate's engaging in a prohibited transaction under ERISA or the Code, and the HDS Executives have no knowledge of any circumstances which reasonably might result in any such material liability, tax or penalty as a result of a breach of fiduciary duty under ERISA. A-17 84 (k) Excess Parachute Payments. No payment required to be made to any employee associated with HDS as a result of the transactions contemplated hereby under any contract or otherwise will, if made, constitute an "excess parachute payment" within the meaning of Section 280G of the Code. (l) COBRA. HDS and each HDS ERISA Affiliate have complied with the continuation coverage requirements of Section 4980B of the Code. (m) No Acceleration of Liability Under Benefit Plans. The consummation of the transactions contemplated hereby will not accelerate or increase any liability under any HDS Benefit Plan because of an acceleration or increase of any of the rights or benefits to which employees of HDS or any HDS ERISA Affiliate may be entitled thereunder. (n) Leased Employees. To the knowledge of the HDS Executives, HDS has made no representations or warranties (whether written or oral, express or implied) contractually or otherwise to any client or customer of HDS that HDS employees rendering services to such client or customer are not "leased employees" (within the meaning of Section 414(n) of the Code) or that such employees would not be required to participate under any pension benefit plan (within the meaning of Section 3(2) of ERISA) (a "Pension Benefit Plan") of such client or customer of HDS relating either to (a) providing benefits to employees of HDS under a Pension Benefit Plan of HDS or (b) making contributions to or reimbursing such client or customer for any contributions made to a Pension Benefit Plan of such client or customer on behalf of employees of HDS. (o) Defined Benefit Plans/Money Purchase Plans. No HDS Benefit Plan has suffered any accumulated funding deficiency within the meaning of Section 302 of ERISA and Section 412 of the Code. Neither HDS nor any HDS ERISA Affiliate has any outstanding liability under Section 4971 of the Code. No HDS Benefit Plan is subject to Title IV of ERISA. Section 3.14. Labor Relations. To the knowledge of the HDS Executives, each of HDS and Subsidiary is in compliance with all federal and state laws respecting employment and employment practices, terms and conditions of employment, wages and hours, and is not engaged in any unfair labor or unlawful employment practice. Except as would not result in a HDS Material Adverse Effect, there is no unlawful employment practice discrimination charge involving HDS or Subsidiary pending before the Equal Employment Opportunity Commission ("EEOC"), EEOC recognized state "referral agency" or any other governmental agency. There is no unfair labor practice or similar charge or complaint against HDS or Subsidiary pending before the National Labor Relations Board ("NLRB") or any comparable Canadian governmental agency. There is no labor strike, slowdown or stoppage actually pending or, to the knowledge of the HDS Executives, threatened against or involving or affecting HDS or Subsidiary and no labor union representation question exists under the National Labor Relations Act or any comparable Canadian law respecting any employees of HDS or Subsidiary. To the knowledge of the HDS Executives, no grievance or arbitration proceeding is pending against HDS or Subsidiary and no written claim therefor exists. There is no collective bargaining agreement that is binding on HDS or Subsidiary. Section 3.15. Insurance. HDS has provided to Medaphis a true and complete list of its current insurance coverages for HDS and Subsidiary, including names of carriers, amounts of coverage and premiums therefor. Each of HDS and Subsidiary believes that such corporation has been and is insured with respect to its properties and the conduct of its business in such amounts and against such risks as are reasonable in relation to its business and will use its reasonable efforts to maintain such insurance at least through the Effective Time. HDS has made available to Medaphis true and complete copies of all insurance policies covering HDS or Subsidiary, their properties, assets, employees or operations. Section 3.16. Title to Properties and Related Matters. (a) Each of HDS and Subsidiary has good and valid title to or valid leasehold interests in its properties reflected in the 1996 Balance Sheet or acquired after March 31, 1996 (other than properties sold or otherwise disposed of in the ordinary course of business), and all of such properties are held free and clear of all title defects, liens, encumbrances and restrictions, except, with respect to all such properties, (a) mortgages and liens securing debt reflected as liabilities on the 1996 Balance Sheet and (b) (i) liens for current taxes and assessments not in default, (ii) mechanics', carriers', A-18 85 workmen's, repairmen's, statutory or common law liens either not delinquent or being contested in good faith, and (iii) liens, mortgages, encumbrances, covenants, rights-of-way, building or use restrictions, easements, exceptions, variances, reservations and other matters or limitations of any kind, if any, which either individually or in the aggregate do not have a material adverse effect on HDS's or Subsidiary's use of the property affected. Notwithstanding the preceding sentence, HDS makes no representation or warranty in this Section 3.16 or otherwise regarding the validity of lessor's title to any such properties in which HDS or Subsidiary has a leasehold interest as lessee. Neither HDS nor Subsidiary has granted any security interests or other liens upon or factored the accounts receivable of HDS or Subsidiary. (b) The HDS Disclosure Letter sets forth a true and complete list of all leases and agreements of HDS or Subsidiary granting possession of or rights to real or personal property which provide for payments in excess of $75,000 annually (the "Scheduled Leases"). All such Scheduled Leases are in full force and effect and constitute the valid, binding and enforceable obligations of HDS or Subsidiary, and, to the knowledge of the HDS Executives, are valid, binding and enforceable in accordance with their respective terms with respect to each other party to a Scheduled Lease, subject in each case to applicable bankruptcy, insolvency and other similar laws affecting the enforcement of creditors' rights generally, general equitable principles and the discretion of courts in granting equitable remedies and except as would not result in a HDS Material Adverse Effect. HDS or Subsidiary has physical possession of all real property, equipment and other assets which are covered by Scheduled Leases. Except as would not result in a HDS Material Adverse Effect, there are no existing defaults of HDS or Subsidiary with respect to such Scheduled Leases or, to the knowledge of the HDS Executives, of any of the other parties to such Scheduled Leases (or, to the knowledge of the HDS Executives, any events or conditions which, with notice or lapse of time, or both, would constitute a default). Section 3.17. Environmental Matters. To the actual knowledge of the HDS Executives, HDS is in compliance in all material respects with all statutes, regulations and ordinances relating to the protection of human health and the environment including, without limitation, the Clean Water Act, 33 U.S.C. sec. 1251 et seq., the Resource Conservation and Recovery Act, 42 U.S.C. sec. 6901 et seq., the Clean Air Act, 42 U.S.C. sec. 7401 et seq., the Toxic Substances Control Act, 15 U.S.C. sec. 2601 et seq., the Emergency Planning and Community Right-to-Know Act, 42 U.S.C. sec. 11001 et seq., the regulations developed pursuant to these statutes and the corresponding state and local statutes, ordinances and regulations. There has been no release by HDS, Subsidiary or, to the actual knowledge of the HDS Executives, by any other person of a hazardous substance as that term is defined in the Comprehensive Environmental Response, Compensation and Liability Act of 1980, 42 U.S.C. sec. 9601(14), into the environment at any property owned or leased by HDS or Subsidiary (the "Premises") including, without limitation, any such release in the soil or groundwater underlying the Premises. To the actual knowledge of the HDS Executives, there is no asbestos, polychlorinated biphenyls or underground storage tanks located on the Premises and there have been no releases of asbestos, polychlorinated biphenyls or materials stored in underground storage tanks, including, without limitation, petroleum or petroleum-based materials. To the knowledge of the HDS Executives, neither HDS nor Subsidiary has received notice of any violation of any environmental statute or regulation by HDS or Subsidiary nor has it been advised of any claim or liability pursuant to any environmental statute or regulation brought by any governmental agency or private party against HDS or Subsidiary. Section 3.18. Patents, Trademarks, Trade Names. The HDS Disclosure Letter sets forth a true and complete list of (i) all patents, registered trademarks, registered trade names (including all federal and state registration pertaining thereto) and registered copyrights owned by HDS or Subsidiary and unregistered trademarks and trade names which are material to the business of HDS and Subsidiary taken as a whole (collectively, the "Proprietary Intellectual Property") and (ii) all patents, trademarks, trade names, copyrights, technology and processes used by HDS or Subsidiary in its business which are material to its business and are used pursuant to a license or other right granted by a third party (collectively, the "Licensed Intellectual Property", and together with the Proprietary Intellectual Property referred to as "Intellectual Property"), other than commercially available "shrink-wrap" software sold through retail channels. A true and complete list of all such licenses with respect to Licensed Intellectual Property is set forth in the HDS Disclosure Letter. To the knowledge of the HDS Executives, each of the federal and state registrations pertaining to the Proprietary Intellectual Property is valid and in full force and effect and all required filings in A-19 86 association with such registrations have been properly made and all required fees have been paid. Each of HDS and Subsidiary owns, or has the right to use pursuant to valid and effective agreements, in accordance with their respective terms (subject to applicable bankruptcy, insolvency and other similar laws affecting the enforceability of creditors' rights generally, general equitable principles and the discretion of courts in granting equitable remedies), all Intellectual Property, and the consummation of the transactions contemplated by this Agreement will not violate, constitute a breach of or a default under, or result in the loss of any material benefit under, the terms or provisions of any such agreement. To the knowledge of the HDS Executives, no written claims are pending against HDS or Subsidiary by any person with respect to the use of any Intellectual Property or challenging or questioning the validity or effectiveness of any license or agreement relating to the same, and to the knowledge of the HDS Executives the current use by HDS and Subsidiary of the Intellectual Property does not infringe on the rights of any third party. The HDS Disclosure Letter sets forth a list of all jurisdictions in which HDS or Subsidiary is operating under a trade name, and each jurisdiction in which any such trade name is registered. Section 3.19. HDS Computer Software. (a) The HDS Disclosure Letter sets forth (i) a description of all software owned by each of HDS and Subsidiary and used or licensed to customers in connection with the business of HDS and Subsidiary (the "HDS Proprietary Software"); and (ii) a list of all software (other than the HDS Proprietary Software) used in connection with the business of HDS and Subsidiary (the "HDS Licensed Software" and together with the HDS Proprietary Software, the "HDS Software"), except that such list does not include HDS Licensed Software that is commercially available "shrink-wrap" software sold through retail channels. The HDS Software consists of: (i) source and object code embodied in magnetic media; and (ii) all development and procedural tools necessary to maintain the HDS Proprietary Software, including licenses to use compilers, assemblers, libraries and other such aids. To the knowledge of the HDS Executives, HDS employs individuals who are familiar with the business of such corporation and who are qualified to maintain the HDS Software and to use the computer hardware used by such corporation in its operations (the "HDS Hardware"). (b) HDS has all right, title and interest in and to all patent, trade secret and copyright rights in the HDS Proprietary Software. HDS has developed the HDS Proprietary Software entirely through its own efforts for its own account. The HDS Proprietary Software is free and clear of all liens, claims and encumbrances, except for liens, claims and encumbrances involving an aggregate of not more than $100,000. The use of the HDS Licensed Software and the use and distribution of the HDS Proprietary Software does not breach any terms of any contract between HDS and Subsidiary and any third party, except for breaches of such contracts involving not more than $100,000 in the aggregate. The HDS Disclosure Letter sets forth a true and complete list of all license agreements in favor of HDS or Subsidiary relating to the HDS Licensed Software that is listed in the HDS Disclosure Letter pursuant to Section 3.19(a)(ii) (the "HDS License Agreements"). To the knowledge of the HDS Executives, HDS has been granted and has under the HDS License Agreements valid license rights with respect to the HDS Licensed Software. HDS is in compliance in all material respects with each of the material terms and conditions of each of the HDS License Agreements. In the case of any commercially available "shrink-wrap" software sold through retail channels (such as Lotus 1-2-3), to the knowledge of the HDS Executives (i) HDS has not made and is not using any unauthorized copies of any such software programs and (ii) none of the employees, agents or representatives of any of HDS or Subsidiary have made or are using any such unauthorized copies. (c) Except for infringements that involve in the aggregate not more than $500,000 or that do not have or would not have a HDS Material Adverse Effect, the HDS Proprietary Software does not and, to the actual knowledge of the HDS Executives, the HDS Licensed Software does not infringe any United States patent, copyright, or trade secret or any other intellectual property right of any third party. HDS has taken commercially reasonable actions to maintain in confidence the source code for the HDS Proprietary Software. The HDS Disclosure Letter sets forth a true and complete list of all source code escrow arrangements under which a third party may have a right to obtain source code for the HDS Proprietary Software. Source code for the HDS Proprietary Software has never been furnished to a third party, except that source code has been deposited with the escrow agent under the source code escrow agreements identified on the HDS Disclosure Letter. A-20 87 (d) To the knowledge of the HDS Executives, the HDS Proprietary Software was: (i) developed by HDS's employees working within the scope of their employment at the time of such development; (ii) developed by agents, consultants, contractors or others who have executed appropriate instruments of assignment in favor of HDS as assignee that have conveyed to HDS ownership of all of their intellectual property rights in the HDS Proprietary Software; or (iii) acquired by HDS in connection with acquisitions in which HDS obtained appropriate representations and warranties from the transferring party relating to the title to such HDS Proprietary Software. To the knowledge of the HDS Executives, neither HDS nor Subsidiary has received notice from any third party claiming any right, title or interest in the HDS Proprietary Software. (e) There are no agreements or arrangements in effect with respect to the marketing, distribution, licensing or promotion of the HDS Proprietary Software by any independent sales person, distributor, sublicensee or other remarketer or sales organization. (f) Neither HDS nor Subsidiary has granted rights in the HDS Proprietary Software or HDS Licensed Software that is listed pursuant to Section 3.19(a)(ii) to any third party, except for rights granted to customers pursuant to contracts with customers which grants of rights are disclosed in the HDS Disclosure Letter. (g) To the knowledge of the HDS Executives, the HDS Software and the HDS Hardware are adequate in all material respects, when taken together with the other assets, resources and personnel of HDS and Subsidiary, to run the business of HDS and Subsidiary on the date of this Agreement in substantially the same manner as such business has operated since June 30, 1995. The HDS Disclosure Letter contains a summary description of any problems experienced by HDS or Subsidiary in the past twelve months with respect to the HDS Software or HDS Hardware and the provision of services to HDS clients which have arisen outside the ordinary course of business and resulted, or reasonably could be expected to result, in a material disruption of the provision of services by HDS or Subsidiary to such clients. Section 3.20. Proxy Statement and Registration Statement. The information with respect to HDS, its officers, directors and affiliates in the definitive proxy statement to be furnished to the stockholders of HDS (the "Proxy Statement") that will form a part of the Registration Statement on Form S-4 relating to the shares of Medaphis Common Stock to be issued in the Merger (the "Registration Statement") or in the Registration Statement will not, in the case of the Proxy Statement, on the date the Proxy Statement is first mailed to stockholders of HDS or on the date of the stockholders' meeting referred to in Section 5.5, or, in the case of the Registration Statement, at the time it becomes effective and at the Effective Time, as such Proxy Statement or Registration Statement is then amended or supplemented, contain any untrue statement of a material fact, or omit to state any material fact required to be stated therein or necessary in order to make the statements therein, in light of the circumstances under which they were made, not misleading. Section 3.21. Transactions with Affiliates. No holder of five percent or more of the issued and outstanding shares of HDS Capital Stock, officer or director of HDS or Subsidiary, or any immediate family member of any such stockholder, officer or director or any entity in which any such person, owns any beneficial interest (other than a publicly held corporation whose stock is traded on a national securities exchange or in the over-the-counter market and less than 1% of the stock of which is beneficially owned by all such persons) has any beneficial interest in: (i) any contract, arrangement or understanding involving aggregate consideration of $100,000 or more with, or relating to, the business or operations of HDS or Subsidiary; (ii) any loan, arrangement, understanding, agreement or contract for or relating to indebtedness of HDS or Subsidiary in the amount of $100,000 or more; or (iii) any property (real, personal or mixed), tangible or intangible, with a value of $100,000 or more used or currently intended to be used in the business or operations of HDS or Subsidiary. Section 3.22. Brokers, Finders and Investment Bankers. Neither HDS nor any of its officers, directors or employees has employed any broker, finder or investment banker or incurred any liability for any investment banking fees, financial advisory fees, brokerage fees or finders' fees in connection with the transactions contemplated by this Agreement. A-21 88 Section 3.23. Disclosure. No representation, warranty or covenant made by HDS in this Agreement, the HDS Disclosure Letter or the Exhibits attached to this Agreement contains an untrue statement of a material fact or omits to state a material fact required to be stated herein or therein or necessary to make the statements contained herein or therein not misleading. ARTICLE 4. REPRESENTATIONS AND WARRANTIES OF MEDAPHIS With such exceptions as are set forth in a letter (the "Medaphis Disclosure Letter") delivered by Medaphis to HDS prior to the date of this Agreement, Medaphis represents and warrants to HDS as follows: Section 4.1. Organization. Each of Medaphis and its subsidiaries is a corporation duly organized, validly existing and in good standing under the laws of the jurisdiction of its incorporation and has all requisite corporate power and authority to own, lease and operate its properties and to carry on its business as now being conducted. Medaphis and each of its subsidiaries is duly qualified to transact business, and is in good standing, as a foreign corporation in each jurisdiction where the character of its activities requires such qualification, except where the failure to so qualify would not have a material adverse effect on the assets, liabilities, results of operations, financial condition or business of Medaphis and its subsidiaries taken as a whole (such an effect, a "Medaphis Material Adverse Effect"). Medaphis has delivered to HDS accurate and complete copies of the Articles or Certificate of Incorporation and Bylaws, as currently in effect, of Medaphis and each of its subsidiaries, and has made available to HDS the minute books and stock records of Medaphis and each subsidiary. The Medaphis Disclosure Letter contains a true and correct list of all of the jurisdictions in which Medaphis or any of its subsidiaries is qualified to do business as a foreign corporation. Section 4.2. Authorization. Each of Medaphis and RAKSub has full corporate power and authority to execute and deliver this Agreement and to perform its obligations under this Agreement and to consummate the Merger and the other transactions contemplated by this Agreement. The execution and delivery of this Agreement by Medaphis and RAKSub, the performance by each of Medaphis and RAKSub of its respective obligations under this Agreement and the consummation of the Merger and the other transactions provided for in this Agreement have been duly and validly authorized by all necessary corporate action on the part of Medaphis and RAKSub. The Boards of Directors of Medaphis and RAKSub have approved the execution, delivery and performance of this Agreement and the consummation of the Merger and the other transactions provided for in this Agreement. This Agreement has been duly executed and delivered by each of Medaphis and RAKSub and constitutes the valid and binding agreement of each of Medaphis and RAKSub, enforceable against each of Medaphis and RAKSub in accordance with its terms, subject to applicable bankruptcy, insolvency and other similar laws affecting the enforceability of creditors' rights generally, general equitable principles and the discretion of courts in granting equitable remedies. Section 4.3. Absence of Restrictions and Conflicts. The execution, delivery and performance of this Agreement, the consummation of the Merger and the other transactions contemplated by this Agreement, and the fulfillment of and compliance with the terms and conditions of this Agreement do not and will not, with the passing of time or the giving of notice or both, violate or conflict with, constitute a breach of or default under, result in the loss of any material benefit under, or permit the acceleration of any obligation under the terms or provisions of, (i) any term or provision of the Articles or Certificate of Incorporation or Bylaws of Medaphis or any of its subsidiaries, (ii) any material contract, agreement, bond, note, mortgage or indenture to which Medaphis or any of its subsidiaries is a party or by which Medaphis, any of its subsidiaries or any of their respective properties is bound (A "Medaplus Material Contract"), (iii) any judgment, decree or order of any court or governmental authority or agency to which Medaphis or any of its subsidiaries is a party or by which Medaphis, any of its subsidiaries or any of their respective properties is bound, or (iv) any statute, law, regulation or rule applicable to Medaphis, or any of its subsidiaries, so as to have, in the case of subsections (ii) through (iv) above, a Medaphis Material Adverse Effect. Except for compliance with the applicable requirements of the HSR Act, the Securities Act, the Exchange Act, applicable state securities laws and the filing and recordation of the Certificate of Merger as required by the DGCL, no consent, approval, order or authorization of, or registration, declaration or filing with, any government agency or public or regulatory unit, A-22 89 agency, body or authority with respect to Medaphis or any of its subsidiaries is required in connection with the execution, delivery or performance of this Agreement by Medaphis or HDSSub or the consummation of the transactions contemplated by this Agreement by Medaphis or HDSSub , the failure to obtain which would have a Medaphis Material Adverse Effect. Section 4.4. Capitalization of Medaphis. The authorized capital stock of Medaphis consists of 200,600,000 shares of capital stock consisting of 200,000,000 shares of voting common stock, $.01 par value and 600,000 shares of non-voting common stock, $.01 par value. At May 13, 1996, there were 64,953,205 shares of Medaphis Common Stock issued and outstanding and no shares of non-voting common stock were issued or outstanding. All shares of Medaphis Common Stock outstanding as of the date hereof are duly authorized, validly issued, fully paid, nonassessable and free of pre-emptive rights. The shares of Medaphis Common Stock to be issued in the Merger will be validly issued, fully paid, nonassessable and free of pre-emptive rights. The shares of Medaphis Common Stock issuable upon exercise of the Non-Qualified Options (and, to the extent Non-Qualified Options were not issued in substitution therefor, the Options) have been duly authorized and, when issued against payment therefor, will be validly issued, fully paid for and nonassessable and free of pre-emptive rights. Except as set forth in this Section 4.4, there are no shares of capital stock of Medaphis outstanding, and there are no subscriptions, options, convertible securities, calls, puts, rights, warrants or other agreements, claims or commitments of any nature whatsoever obligating Medaphis or any of its subsidiaries to purchase, redeem, issue, transfer, deliver or sell, or cause to be purchased, redeemed, issued, transferred, delivered or sold, additional shares of the capital stock or other securities of Medaphis or obligating Medaphis or any of its subsidiaries to grant, extend or enter into any such agreement or commitment. Section 4.5. Capital Stock of Medaphis Subsidiaries. The Medaphis Disclosure Letter sets forth a true and complete list of all corporations, partnerships and other entities in which Medaphis owns an equity interest (such corporations, partnerships and other entities being hereinafter referred to as the "Medaphis Subsidiaries"), the jurisdiction in which each Medaphis Subsidiary is incorporated or organized, and all shares of capital stock or other ownership interests authorized, issued and outstanding of each Medaphis Subsidiary. The outstanding shares of capital stock or other equity interests of each Medaphis Subsidiary have been duly authorized and are validly issued, fully paid and nonassessable. All shares of capital stock or other equity interests of each Medaphis Subsidiary owned by Medaphis or any of its subsidiaries are set forth in the Medaphis Disclosure Letter and are owned by Medaphis, either directly or indirectly, free and clear of all liens, encumbrances, equities or claims. Section 4.6. Medaphis Commission Reports. Medaphis has made available to HDS (i) Medaphis'Company's Annual Report on Form 10-K for the fiscal year ended December 31, 1995, including all exhibits1997, filed with the Commission on February 2, 1998; and items incorporated by reference, (ii) Medaphis' Quarterly Report on Form 10-Q for the quarter ended March 31, 1996, including all exhibits and items incorporated by reference, (iii) the proxy statement relating to Medaphis's Annual Meeting of Stockholders held on May 1, 1996 and (iv) allThe Company's Current Reports on Form 8-K filed on January 8, 1998, January 28, 1998, February 13, 1998, February 18, 1998 and March 2, 1998. All documents filed by Medaphisthe Company with the Commission since March 31, 1996, including all exhibits and items incorporated by reference (items (i) through (iv) in this sentence being referred to collectively as the "Medaphis Commission Reports"). As of their respective dates, the Medaphis Commission Reports did not contain any untrue statement of a material fact or omit to state any material fact required to be stated therein or necessary to make the statements therein, in light of the circumstances under which they were made, not misleading. Since December 31, 1994, Medaphis has filed all forms, reports and documents with the Commission required to be filed by it pursuant to the Securities Act andSections 13(a), 13(c), 14 or 15(d) of the Exchange Act and the rules and regulations promulgated under such acts, each of which complied as to form, at the time such form, document or report was filed, in all material respects with the applicable requirements of the Securities Act and the Exchange Act and the applicable rules and regulations promulgated under such acts. Section 4.7. Financial Statements. Medaphis has delivered to HDS (i) the audited consolidated balance sheets of Medaphis and its subsidiaries as of December 31, 1995 and its audited consolidated statements of operations, changes in stockholders' equity and cash flows for the fiscal years then ended, including the notes thereto, examined by and accompanied by the report of Deloitte & Touche, independent public accountants; and (ii) the unaudited consolidated balance sheet of Medaphis and its subsidiaries as of A-23 90 March 31, 1996, (the "Medaphis Balance Sheet") and its unaudited consolidated statements of operations, stockholders' equity and cash flows for the three-month period then ended (all of the financial statements referred to in this Section 4.7 are collectively referred to as the "Medaphis Financial Statements"). The Medaphis Financial Statements have been prepared from, and are in accordance with, the books and records of Medaphis and its consolidated subsidiaries and, as applicable, present fairly the consolidated financial position, consolidated results of operations, changes in stockholders' equity and consolidated cash flows of Medaphis and its consolidated subsidiaries as of the dates and for the periods indicated, in each case in conformity with generally accepted accounting principles, consistently applied. The Medaphis Disclosure Letter sets forth a true and complete list of all loss contingencies (within the meaning of Statement of Financial Accounting Standards No. 5) of Medaphis existing as of December 31, 1995, exceeding $250,000 in the case of any single loss contingency or $1,000,000 in the case of all loss contingencies. Section 4.8. Absence of Certain Changes. (a) Since December 31, 1995, there has not been (i) any change in the assets, liabilities, results of operations, financial condition or business of Medaphis and its subsidiaries taken as a whole that has resulted in a Medaphis Material Adverse Effect, (ii) any damage, destruction, loss or casualty to property or assets of Medaphis or any of its subsidiaries, whether or not covered by insurance, which property or assets are material to the operations or business of Medaphis and its subsidiaries taken as a whole, (iii) any declaration, setting aside or payment of any dividend or distribution (whether in cash, stock or property) in respect of the capital stock of Medaphis or any redemption or other acquisition by Medaphis of any of the capital stock of Medaphis or any of its subsidiaries (except for the acquisition of Medaphis Common Stock in payment of the purchase price and related taxes upon the exercise of stock options) or any split, combination or reclassification of shares of capital stock declared or made by Medaphis, or (iv) any agreement to do any of the foregoing. (b) Since December 31, 1995, there have not been (i) any extraordinary losses suffered which, in the aggregate, have had a Medaphis Material Adverse Effect, (ii) any material assets mortgaged, pledged or made subject to any lien, charge or other encumbrance, (iii) any material liability or obligation (absolute, accrued or contingent) incurred or any material bad debt, contingency or other reserve increase suffered, except, in each such case, in the ordinary course of business and consistent with past practice, (iv) any material claims, liabilities or obligations (absolute, accrued or contingent) paid, discharged or satisfied, other than the payment, discharge or satisfaction, in the ordinary course of business and consistent with past practice, of claims, liabilities and obligations reflected or reserved against in the Medaphis Financial Statements or incurred in the ordinary course of business and consistent with past practice, (v) any material guaranteed checks, notes or accounts receivable written off as uncollectible, except write-offs in the ordinary course of business and consistent with past practice, (vi) any write down (under SFAS No. 121 or otherwise) of the value of any material asset or investment on Medaphis' books or records, except for depreciation and amortization taken in the ordinary course of business and consistent with past practice, (vii) any cancellation of any material debts or waiver of any material claims or rights of substantial value, or sale, transfer or other disposition of any properties or assets (real, personal or mixed, tangible or intangible) of substantial value, except, in each such case, in transactions in the ordinary course of business and consistent with past practice and which in any event do not exceed $250,000 in the aggregate, (viii) any single capital expenditure or commitment in excess of $1,000,000 for additions to property or equipment, or aggregate capital expenditures and commitments in excess of $30,000,000 (on a consolidated basis) for additions to property or equipment, (ix) any transactions entered into other than in the ordinary course of business, (x) any agreements to do any of the foregoing, or (xi) any other events, developments or conditions of any character that have had or are reasonably likely to have a Medaphis Material Adverse Effect other than events affecting businesses similar to Medaphis and its subsidiaries generally. Section 4.9. Legal Proceedings. There are no suits, actions, claims, proceedings or investigations pending, or, to the knowledge of the Medaphis Executives, threatened against, relating to or involving Medaphis or any of its subsidiaries (or any of their officers or directors) before any court, arbitrator or administrative or governmental body, which, if finally determined adversely, are reasonably likely, individually or in the aggregate, to have a Medaphis Material Adverse Effect. All pending suits, actions, claims, proceedings or investigations relating to or involving Medaphis or any of its subsidiaries (or any of their A-24 91 officers or directors) before any court, arbitrator or administrative or governmental body are adequately provided for in the Medaphis Balance Sheet if and to the extent such a provision is required by generally accepted accounting principles. Neither Medaphis nor any of its subsidiaries is subject to any judgment, decree, injunction, rule or order of any court, and, to the knowledge of the Medaphis Executives, neither Medaphis nor any of its subsidiaries is subject to any governmental restriction applicable to Medaphis or any such subsidiary, which is reasonably likely (i) to have a Medaphis Material Adverse Effect or (ii) to cause a material limitation on Medaphis' and its subsidiaries' ability to operate the business of Medaphis and its subsidiaries after the Closing. Section 4.10. Compliance with Law. Each of Medaphis and its subsidiaries has all material authorizations, approvals, licenses and orders of and from all governmental and regulatory officers and bodies necessary to carry on its business as it is currently being conducted, to own or hold under lease the properties and assets it owns or holds under lease and to perform all of its obligations under the agreements to which it is a party, and each of Medaphis and its subsidiaries has been and is in compliance with all applicable laws, regulations and administrative orders of any country, state, or municipality or any subdivision of any thereof to which its business or its employment of labor or its use or occupancy of properties or any part thereof are subject, the failure to obtain or the violation of which would have a Medaphis Material Adverse Effect. Section 4.11. Proxy Statement and Registration Statement. The information with respect to Medaphis and its subsidiaries and each of their respective officers, directors and affiliates in the Proxy Statement or in the Registration Statement, will not, in the case of the Proxy Statement, on the date the Proxy Statement is first mailed to stockholders of HDS or on the date of the stockholders' meeting referred to in Section 5.5, or, in the case of the Registration Statement, at the time it becomes effective and at the Effective Time, as such Proxy Statement or Registration Statement is then amended or supplemented, contain any untrue statement of a material fact, or omit to state any material fact required to be stated therein or necessary in order to make the statements therein, in light of the circumstances under which they were made, not misleading. The Registration Statement and the Proxy Statement will comply as to form with the applicable provisions of the Securities Act and the Exchange Act. Section 4.12. Tax Returns; Taxes. Each of Medaphis and its subsidiaries has duly filed all federal, state, local and foreign tax returns required to be filed by it and has duly paid or made adequate provision for the payment of all taxes which are due and payable pursuant to such returns or pursuant to any assessment which is due and payable with respect to taxes in such jurisdictions, whether or not in connection with such returns. The liability for taxes reflected on the Medaphis Balance Sheet is sufficient for the payment of all unpaid taxes, whether or not disputed, that are accrued or applicable for the period ended December 31, 1995 and for all years and periods ended prior to December 31, 1995 or are attributable to differences in the time for recognition of income, deductions and other items for financial reporting and tax purposes. All deficiencies asserted as a result of any examinations by the Internal Revenue Service or any other taxing authority have been paid and fully settled. There are no pending claims asserted for taxes of Medaphis or any of its subsidiaries or outstanding agreements or waivers extending the statutory period of limitation applicable to any tax return of Medaphis or any of its subsidiaries for any period. Medaphis and each of its subsidiaries have made all estimated income tax deposits and all other required tax payments or deposits and have complied for all prior periods in all material respects with the tax withholding provisions of all applicable federal, state, local and other laws. Section 4.13. Billing and Collection Practices. (a) The current practices and procedures of Medaphis and its subsidiaries with respect to (i) billing on behalf of clients, (ii) receiving and processing Medicare and Medicaid payments due to clients, (iii) holding and transfer of such payments and (iv) method of determining and collecting the fees received by Medaphis and its subsidiaries for services provided by providers and physicians participating in the Medicare or Medicaid programs are not in violation of the restriction on assignment as set forth in 42 U.S.C. sec. 1395g(c), 42 U.S.C. sec. 1395u(b)(6) and 42 U.S.C. sec. 1396(a)(32), and the regulations promulgated thereunder, or similar provisions of any state Medicaid program, except for such violations which in the aggregate would not have a Medaphis Material Adverse Effect. A-25 92 (b) Neither Medaphis nor any of its subsidiaries is engaged in any activity, whether alone or in concert with one of its clients, which would constitute a violation of any federal laws or the law of any state (including but not limited to (i) federal antifraud and abuse or similar laws pertaining to the Medicare, Medicaid, or any other federal health or insurance program; (ii) state law pertaining to Medicaid or any other state health or insurance program; (iii) state or federal laws pertaining to billings to insurance companies, health maintenance organizations, and other managed care plans or to insurance fraud; and (iv) Federal and state laws relating to collection agencies and the performance of collection services) prohibiting fraudulent or abusive or unlawful practices connected in any way with the provision of health care services, the billing for such services provided to a beneficiary of any state, federal or private health or insurance program or credit collection services, except for such violations which in the aggregate would not have a Medaphis Material Adverse Effect. Without limiting the generality of the foregoing, neither Medaphis nor any subsidiary has, directly or indirectly, paid, offered to pay or agreed to pay, or solicited or received, any fee, commission, sum of money, property or other remuneration to or from any person which the Medaphis Executives know or have reason to believe to have been illegal under (i) 42 U.S.C. sec. 1320a-7b(b) or (ii) any similar state law. (c) Medaphis and its subsidiaries are in compliance in all material respects with the applicable trust accounting statutes, rules and regulations of the various states and each has sufficient funds deposited in such trust accounts to cover all trust liabilities to clients of Medaphis and its subsidiaries. Section 4.14. Medaphis Employee Benefit Plans. Except as to matters of which HDS is aware, (a) Definition of Benefit Plans. For purposes of this Section 4.14, the term "Medaphis Benefit Plan" means any plan, program, arrangement, fund, policy, practice or contract which, through which or under which Medaphis or a Medaphis ERISA Affiliate currently provides, or with respect to any multi-employer plans (as defined in ERISA Section 4001(a)(3)) and pension benefit plans (as defined in ERISA Section 3(3)) subject to Code Section 412, at any time provided, benefits or compensation to or on behalf of employees or former employees of Medaphis or a Medaphis ERISA Affiliate, whether formal or informal, whether or not written, including but not limited to the following: (1) Arrangements -- any bonus, incentive compensation, stock option, deferred compensation, commission, severance pay, golden parachute or other compensation plan or rabbi trust; (2) ERISA Plans -- any "employee benefit plan" (as defined in Section 3(3) of ERISA, including, but not limited to, any multi-employer plan (as defined in Section 3(37) and Section 4001(a)(3) of ERISA), defined benefit plan, profit sharing plan, money purchase pension plan, 401(k) plan, savings or thrift plan, stock bonus plan, employee stock ownership plan, or any plan, fund, program, arrangement or practice providing for medical (including post-retirement medical), hospitalization, accident, sickness, disability, or life insurance benefits; and (3) Other Employee Fringe Benefits -- any stock purchase, vacation, scholarship, day care, prepaid legal services, dependent care or other fringe benefit plans, programs, arrangements, contracts or practices. (b) Medaphis ERISA Affiliate. For purposes of this Section 4.14, the term "Medaphis ERISA Affiliate" means each trade or business (whether or not incorporated) which together with Medaphis is treated as a single employer under Section 414(b), (c), (m) or (o) of the Code. (c) Identification of Benefit Plans. Except for Medaphis Benefit Plans which have been terminated and with respect to which neither Medaphis nor any Medaphis ERISA Affiliate has any financial, administrative or other liability, obligation or responsibility, Medaphis does not maintain, nor has at any time established or maintained, nor has at any time been obligated to make, or otherwise made, contributions to or under or otherwise participated in any Medaphis Benefit Plan. (d) MEPPA Liability/Post-Retirement Medical Benefits. Neither Medaphis nor any Medaphis ERISA Affiliate maintains, nor has at any time established or maintained, nor has at any time been obligated to make, or made, contributions to or under any multi-employer plan. Medaphis does not maintain, nor has at any time established or maintained, nor has at any time been obligated to make, or A-26 93 made, contributions to or under (i) any plan which provides post-retirement medical or health benefits with respect to employees of Medaphis; (ii) any organization described in Sections 501(c)(9) or 501(c)(20) of the Code; (iii) any defined benefit pension plan or money purchase pension plan subject to Title IV of ERISA; or (iv) any plan which provides retirement benefits in excess of the limitations in Sections 401(a)(17), 401(k), 401(m), 402(g) or 415 of the Code. There is no lien upon any property of Medaphis or any Medaphis ERISA Affiliate outstanding pursuant to Section 412(n) of the Code in favor of any Medaphis Benefit Plan. No assets of Medaphis or any Medaphis ERISA Affiliate have been provided as security for any Medaphis Benefit Plan pursuant to Section 401(a)(29) of the Code. (e) Qualified Status. Each Medaphis Benefit Plan that is funded through a trust or insurance contract has at all times satisfied in all material respects, by its terms and in its operation, all applicable requirements for an exemption from federal income taxation under Section 501(a) of the Code. Except for the plans identified as Qualified Plans in the Medaphis Disclosure Letter (the "Medaphis Qualified Plans"), no Medaphis Benefit Plan meets or was intended to meet the requirements of Section 401(a) of the Code. Any determination letter issued by the IRS to the effect that any of the Medaphis Qualified Plans qualifies under Section 401(a) of the Code and that the related trust is exempt from taxation under Section 501(a) of the Code remains in effect and has not been revoked. Each of the Medaphis Qualified Plans currently complies in form in all material respects with the requirements under Section 401(a) of the Code, other than changes required by statutes, regulations and rulings for which amendments are not yet required. Each of the Medaphis Qualified Plans has been administered according to its terms (except for those terms which are inconsistent with the changes in operations of a Medaphis Qualified Plan required by statutes, regulations and rulings for which changes in plan terms are not yet required to be made, in which case such Medaphis Qualified Plan has been operated in accordance with the provisions of those statutes, regulations and rulings) and in accordance with the requirements of Section 401(a) of the Code. Each of the Medaphis Qualified Plans has been tested for compliance with, and in all material respects has satisfied the requirements of, Sections 401(k)(3) and 401(m)(2) of the Code for each plan year ending prior to the Effective Time. (f) Legal Actions. There are no actions, audits, suits or claims known to Medaphis which are pending or, to the knowledge of the Medaphis Executives, threatened against any Medaphis Benefit Plan, any fiduciary of any Medaphis Benefit Plans with respect to the Medaphis Benefit Plans or against the assets of any of the Medaphis Benefit Plans, except claims for benefits made in the ordinary course of the operation of such plans. (g) Funding. Medaphis and each Medaphis ERISA Affiliate has made full and timely payment of all amounts required to be contributed under the terms of each Medaphis Benefit Plan and applicable law or required to be paid as expenses under such Medaphis Benefit Plan, and no excise taxes in an aggregate amount in excess of $50,000 are assessable as a result of any nondeductible or other contributions made or not made to a Medaphis Benefit Plan. (h) Liabilities. Neither Medaphis nor any Medaphis ERISA Affiliate is subject to any material liability, tax or penalty whatsoever to any person whomsoever as a result of Medaphis' or any Medaphis ERISA Affiliate's engaging in a prohibited transaction under ERISA or the Code, and Medaphis has no knowledge of any circumstances which reasonably might result in any such material liability, tax or penalty as a result of a breach of fiduciary duty under ERISA. Section 4.15. Labor Relations. Each of Medaphis and its subsidiaries is in compliance in all material respects with all federal and state laws respecting employment and employment practices, terms and conditions of employment, wages and hours, and is not engaged in any unfair labor or unlawful employment practice. Except as would not result in a Medaphis Material Adverse Effect, there is no unlawful employment practice discrimination charge involving Medaphis or any of its subsidiaries pending before the EEOC, EEOC recognized state "referral agency" or any other governmental agency. There is no unfair labor practice charge or complaint against Medaphis or any of its subsidiaries pending before the NLRB. There is no labor strike, dispute, slowdown or stoppage actually pending or, to the knowledge of the Medaphis Executives, threatened against or involving or affecting Medaphis or any of its subsidiaries and no NLRB representation question A-27 94 exists respecting any of their respective employees. To the knowledge of the Medaphis Executives, no grievance or arbitration proceeding is pending against Medaphis or any of its subsidiaries and no written claim for such a proceeding exists. There is no collective bargaining agreement that is binding on Medaphis or any of its subsidiaries. Section 4.16. Medaphis Computer Software and Hardware. (a) The software owned by Medaphis and its subsidiaries for license to or use in connection with the business of Medaphis and its subsidiaries (the "Medaphis Proprietary Software") consists of: (i) source and object code embodied in magnetic media; and (ii) all development and procedural tools necessary to maintain the Medaphis Proprietary Software, including licenses to use compilers, assemblers, libraries and other aids. To the knowledge of the Medaphis Executives, Medaphis and its subsidiaries employ individuals who are familiar with the business of Medaphis and its subsidiaries and who are qualified to maintain the Medaphis Proprietary Software and the related computer hardware used by Medaphis and its subsidiaries in their operations (the "Medaphis Hardware"). (b) Medaphis and its subsidiaries have all right, title and interest in and to all patent, trade secret and copyright rights in the Medaphis Proprietary Software. Medaphis and its subsidiaries have developed the Medaphis Proprietary Software entirely through their own efforts for their own accounts and the Medaphis Proprietary Software is free and clear of all liens, claims and encumbrances, except for liens, claims and encumbrances involving an aggregate of not more than $100,000. The use of the software (other than the Medaphis Proprietary Software) used by Medaphis and its subsidiaries in connection with the business of Medaphis and its subsidiaries (the "Medaphis Licensed Software" and together with the Medaphis Proprietary Software, the "Medaphis Software") and the use and distribution of the Medaphis Proprietary Software does not breach any terms of any contract between Medaphis or any of its subsidiaries and any third party, except for breaches of such contracts involving not more than $100,000 in the aggregate. To the knowledge of the Medaphis Executives, Medaphis and its subsidiaries has been granted under the license agreements relating to the Medaphis Licensed Software (the "Medaphis License Agreements") valid and subsisting license rights with respect to all software comprising the Medaphis Licensed Software. Medaphis is in compliance in all respects with each of the material terms and conditions of each of the Medaphis License Agreements. In the case of any commercially available "shrink-wrap" software programs (such as Lotus 1-2-3), Medaphis and its subsidiaries have not made and are not using any unauthorized copies of any such software programs and, to the knowledge of the Medaphis Executives, none of the employees, agents or representatives of Medaphis or any of its subsidiaries have made or are using any such unauthorized copies. (c) Except for infringements that involve in the aggregate not more than $500,000 or that do not or would not have a Medaphis Material Adverse Effect, the Medaphis Proprietary Software and, to the knowledge of the Medaphis Executives, the Medaphis Licensed Software does not infringe any United States patent, copyright, or trade secret or any other intellectual property right of any third party. The source code for the Medaphis Proprietary Software has been maintained in confidence. (d) Neither Medaphis nor any of its subsidiaries has granted rights in the Medaphis Software to any third party. (e) To the knowledge of the Medaphis Executives, the Medaphis Software and the Medaphis Hardware are adequate in all material respects with the other assets of Medaphis to run the business of Medaphis and its subsidiaries in substantially the same manner as such business has operated since December 31, 1994. The Medaphis Disclosure Letter contains a summary description of any problems experienced by Medaphis and its subsidiaries in the past twelve months with respect to the Medaphis Software or Medaphis Hardware and the provision of services to Medaphis' and its subsidiaries clients which have arisen outside the ordinary course of business and resulted, or reasonably could be expected to result, in any disruption of the provision of services by Medaphis and its subsidiaries to such clients. Section 4.17. Title to Properties and Related Matters. Each of Medaphis and its subsidiaries has good and valid title to or valid leasehold interest in its properties reflected in the Medaphis Balance Sheet or acquired after the date thereof (other than property sold or otherwise disposed of in the ordinary course of business), and all of such properties are held free and clear of all title defects, liens, encumbrances and restrictions, except, with respect to all such properties, (a) mortgages and liens securing debt reflected as A-28 95 liabilities on the Medaphis Balance Sheet and (b)(i) liens for current taxes and assessments not in default, (ii) mechanics', carriers', workmen's, materialmen's, repairmen's, statutory or common law liens either not delinquent or being contested in good faith, and (iii) liens, mortgages, encumbrances, covenants, rights of way, building or use restrictions, easements, exceptions, variances, reservations and other similar matters or limitations of any kind, if any, which either individually or in the aggregate do not have a material adverse effect on the use of the property affected by Medaphis or its subsidiaries, as applicable. Notwithstanding the preceding sentence, Medaphis and its subsidiaries make no representation or warranty in this Section 4.17 or otherwise regarding the validity of lessor's title to any such properties in which Medaphis or its subsidiaries have only a leasehold interest as lessee. Section 4.18. Environmental Matters. There has been no release of a hazardous substance, as that term is defined in the Comprehensive Environmental Response, Compensation and Liability Act of 1980, 42 U.S.C. sec. 9601(14), by Medaphis or any of its subsidiaries into the environment at any property owned, leased or used by Medaphis or any of its subsidiaries (the "Medaphis Premises") including, without limitation, any release in the soil or ground water underlying such Medaphis Premises, and, to the actual knowledge of the Medaphis Executives, there has been no such release by any other party at any of the Medaphis Premises. Neither Medaphis nor any of its subsidiaries has received notice of any violation of any environmental statute or regulation, nor has any such corporation been advised of any claim or liability pursuant to any environmental statute or regulation brought by any domestic or foreign governmental agency or private party, except such violations, claims and liabilities which in the aggregate would not have a Medaphis Material Adverse Effect. Section 4.19. Brokers, Finders and Investment Bankers. Neither Medaphis nor any subsidiary of Medaphis, or any of their respective officers, directors or employees, has employed any broker, finder or investment banker or incurred any liability for any investment banking fees, financial advisory fees, brokerage fees or finders' fees in connection with the transactions contemplated by this Agreement. Section 4.20. Disclosure. No representation, warranty or covenant made by Medaphis in this Agreement, the Medaphis Disclosure Letter or the Exhibits hereto contains any untrue statement of a material fact or omits to state a material fact required to be stated herein or therein or necessary to make the statements contained herein or therein not misleading. ARTICLE 5. CERTAIN COVENANTS AND AGREEMENTS Section 5.1. Conduct of Business by HDS. From the date of this Agreement to the Effective Time or the termination of this Agreement, HDS will and will cause Subsidiary to, except as required in connection with the Merger and the other transactions contemplated by this Agreement and except as otherwise disclosed in the HDS Disclosure Letter or consented to in writing by Medaphis: (a) Carry on its businesses in the ordinary course in substantially the same manner as previously conducted and not engage in any new line of business or enter into any agreement, transaction or activity or make any commitment except those in the ordinary course of business and not otherwise prohibited under this Section 5.1, subject to the provisions of the proviso to the first sentence of Section 5.8; (b) Neither change nor amend its Certificate of Incorporation or Bylaws; (c) Not issue, sell or grant options, warrants or rights to purchase or subscribe to, or enter into any arrangement or contract with respect to the issuance or sale of any of the capital stock of HDS or Subsidiary or rights or obligations convertible into or exchangeable for any shares of the capital stock of HDS or Subsidiary and not make any changes (by split-up, stock dividend, combination, reorganization or otherwise) in the capital structure of HDS or Subsidiary; except that HDS shall be permitted to issue shares of HDS Common Stock upon exercise of Options outstanding on the date of this Agreement that are exercised in accordance with their terms as the same exist on the date of this Agreement; (d) Not declare, pay or set aside for payment any dividend or other distribution in respect of the capital stock or other equity securities of HDS and not redeem, purchase or otherwise acquire any shares A-29 96 of the capital stock or other securities of HDS or rights or obligations convertible into or exchangeable for any shares of the capital stock or other securities of HDS or obligations convertible into such, or any options, warrants or other rights to purchase or subscribe to any of the foregoing; (e) Not acquire or enter into an agreement to acquire, by merger, consolidation or purchase of stock or assets, any business or entity; (f) Use its reasonable efforts to preserve intact the corporate existence, goodwill and business organization of HDS and Subsidiary, to keep the officers and employees of HDS and Subsidiary available to Medaphis and to preserve the relationships of HDS and Subsidiary with customers, suppliers and others having business relations with HDS or Subsidiary; (g) Not (i) create, incur or assume any short-term debt for borrowed money, except in the ordinary course of business under existing lines of credit, (ii) assume, guarantee, endorse or otherwise become liable or responsible (whether directly, contingently or otherwise) for the obligations of any other person, except in the ordinary course of business and consistent with past practice, (iii) make any loans or advances to any other person, except in the ordinary course of business and consistent with past practice, (iv) make any capital contributions to, or investments in, any person, except in the ordinary course of business and consistent with past practices with respect to investments, or (v) make any capital expenditure that would cause all capital expenditures since December 31, 1995, to exceed $500,000; (h) Not enter into, modify or extend in any manner the terms of any employment, severance or similar agreements with officers and directors or grant any increase in the compensation of officers, directors or employees, whether now or in the future payable, including any increase pursuant to any option, bonus, stock purchase, pension, profit-sharing, deferred compensation, retirement or other plan, arrangement, contract or commitment, other than raises or bonuses granted in the ordinary course of business or pursuant to written agreements in existence on the date of this Agreement; (i) Perform in all material respects all of its obligations under all HDS Client Contracts (except those being contested in good faith), and not amend any existing contract of HDS in a way that would result in the loss to HDS of a material benefit thereunder. (j) Use its reasonable efforts to maintain in full force and effect and in the same amounts policies of insurance comparable in amount and scope of coverage to that now maintained by HDS; (k) Use its reasonable efforts to continue to collect its accounts receivable and pay its accounts payable in the ordinary course of business and consistent with past practices; (l) Prepare and file all federal, state, local and foreign returns for taxes and other tax reports, filings and amendments thereto required to be filed by it, and allow Medaphis, at its request, to review all such returns, reports, filings and amendments at HDS's offices prior to the filing thereof, which review shall not interfere with the timely filing of such returns; (m) Obtain on or prior to the Closing Date, Noncompetition and Nonsolicitation Agreements (in the form of Exhibit 5.1(m)(A)) with the stockholders specified in the HDS Disclosure Letter (the "Specified Stockholders") and Employment Agreements (in the form of Exhibit 5.1(m)(B)) with the employees of HDS specified in the HDS Disclosure Letter (the "Specified Employees"); and (n) Not take any action the effect of which would be to cause the Merger to be treated as a taxable transaction. In connection with the continued operation of the business of HDS and Subsidiary between the date of this Agreement and the Effective Time, HDS shall confer in good faith on a regular and frequent basis with one or more representatives of Medaphis designated in writing to report operational matters of materiality and the general status of ongoing operations. HDS acknowledges that Medaphis does not and will not waive any rights it may have under this Agreement as a result of such consultations. Section 5.2. Conduct of Business by Medaphis. From the date of this Agreement to the Effective Time, Medaphis will, and will cause each of its subsidiaries to, except as required in connection with the Merger and A-30 97 the other transactions contemplated by this Agreement and except as otherwise disclosed in the Medaphis Disclosure Letter or consented to in writing by HDS: (a) Carry on its businesses in the ordinary course in substantially the same manner as previously conducted; (b) Neither change nor amend its Articles or Certificate of Incorporation or Bylaws; (c) Other than pursuant to the exercise of employee stock options outstanding on the date of this Agreement, not issue, sell or grant options, warrants or rights to purchase or subscribe to, or enter into any arrangement or contract with respect to the issuance or sale of any of the capital stock of Medaphis or any of its subsidiaries or rights or obligations convertible into or exchangeable for any shares of the capital stock of Medaphis or any of its subsidiaries and not alter the terms of any presently outstanding options or make any changes (by split-up, combination, reorganization or otherwise) in the capital structure of Medaphis or any of its subsidiaries; provided, however, that Medaphis shall have the right to issue capital stock or securities convertible into capital stock in transactions approved by the Board of Directors of Medaphis; (d) Not take any action the effect of which would be to cause the Merger to be treated as a taxable transaction; and (e) Use its reasonable efforts to preserve intact the corporate existence, goodwill and business organization of Medaphis and to preserve the relationships of Medaphis with customers, suppliers and others having business relations with Medaphis. Section 5.3. Inspection and Access to Information. (a) Between the date of this Agreement and the Effective Time, each party to this Agreement will provide each other party and its accountants, counsel and other authorized representatives full access, during reasonable business hours and under reasonable circumstances, to any and all of its premises, properties, contracts, commitments, books, records and other information (including tax returns filed and those in preparation) and will cause their respective officers to furnish to the other party and its authorized representatives any and all financial, technical and operating data and other information pertaining to its business, as each other party shall from time to time reasonably request. HDS further acknowledges and agrees that, during the period beginning on the date of this Agreement and ending on June 20, 1996, Medaphis will be continuing its financial, legal and business due diligence review of HDS and Subsidiary as provided pursuant to this Section 5.3(a) (the "Medaphis Due Diligence Review"). In the event that any HDS Detrimental Information (as defined in Section 6.2(l)) shall become known to the Medaphis Executives during the Medaphis Due Diligence Review, Medaphis agrees to provide HDS with a brief written description of such information within five business days of the date of the obtaining of such knowledge, but in any event no later than the close of business on June 20, 1996. (b) All non-public information obtained by Medaphis or HDS or any of their representatives pursuant to this Agreement or in connection with the matters contemplated by this Agreement concerning the business, operations or affairs of the other will be kept confidential and will not be used for any purpose other than the consummation of the transactions contemplated by this Agreement, or be disclosed to any other person or entity, except for disclosure to its employees, agents and representatives who have a need to know the same, who have been advised of the confidential nature of such information and who agree to abide by the terms of this Section 5.3(b) and except for such disclosure as may be required by applicable law, court order or governmental agency request. If this Agreement is terminated, any non-public information furnished by any party to any other party to this Agreement will be promptly returned. Section 5.4. Registration Statement. (a) Medaphis shall prepare and file with the Commission as soon as is reasonably practicable the Registration Statement and shall use all reasonable efforts to have the Registration Statement declared effective by the Commission as promptly as practicable. Medaphis also shall take any action required to be taken under state blue sky or securities laws in connection with the issuance of the Medaphis Common Stock pursuant to the Merger. Medaphis and HDS will furnish each other with all information concerning themselves, their subsidiaries, directors, officers and stockholders or shareholders and such other matters as may be necessary or advisable for the Registration Statement, the Proxy Statement, A-31 98 filings under the Blue Sky laws, and any other statement or application made by or on behalf of Medaphis or HDS to any governmental body in connection with the Merger and the other transactions contemplated by this Agreement. (b) Medaphis will indemnify and hold harmless each of HDS's directors, officers and other persons, if any, who control HDS (within the meaning of the Securities Act) from and against any losses, claims, damages, liabilities or judgments, joint or several, to which they or any of them may become subject, insofar as such losses, claims, damages, liabilities, or judgments (or actions in respect thereof) arise out of or are based upon any untrue statement or alleged untrue statement of a material fact contained in the Proxy Statement or Registration Statement, or in any amendment or supplement thereto, or in any state application for qualification, permit, exemption or registration, or in any amendment or supplement thereto, or arise out of or are based upon the omission or alleged omission to state therein a material fact required to be stated therein or necessary to make the statements therein not misleading, and will reimburse each such person for any legal or other expenses reasonably incurred by such person in connection with investigating or defending any such action or claim; provided, however, that Medaphis shall not be liable, in any such case, to the extent that any such loss, claim, damage, liability, or judgment (or action in respect thereof) arises out of or is based upon any untrue statement or alleged untrue statement or omission or alleged omission made in the Proxy Statement or Registration Statement, or in any such amendment or supplement thereto, or in any such state application, or in any amendment or supplement thereto, in reliance upon and in conformity with written information furnished to Medaphis by or on behalf of HDS, or any officer, director or affiliate of HDS, for use therein. Section 5.5. HDS Stockholder Matters. HDS shall call a meeting of its stockholders to be held as soon as practicable after the date of this Agreement for the purpose of voting upon matters relating to this Agreement and the transactions contemplated by this Agreement. HDS will use its reasonable efforts to hold its stockholders' meeting as promptly as practicable and will, through its Board of Directors, recommend (subject to the provisions of the proviso to the first sentence of Section 5.8) to its stockholders approval of this Agreement and the transactions contemplated by this Agreement. Section 5.6. The Nasdaq National Market Additional Shares Notification. Medaphis will file an additional shares notification with The Nasdaq National Market to approve for listing, subject to official notice of its issuance, the shares of Medaphis Common Stock to be issued in connection with the Merger and upon the exercise of the Non-Qualified Options (and, to the extent Non-Qualified Options were not issued in substitution therefor, the Options). Medaphis shall exercise reasonable good faith efforts to cause the shares of Medaphis Common Stock to be issued in the Merger to be approved for listing on The Nasdaq National Market, subject to official notice of issuance, prior to the Effective Time. Section 5.7. HDS Affiliates. (a) HDS shall deliver to Medaphis a letter identifying all persons who are, at the time the Merger is submitted to a vote to the shareholders of HDS, "affiliates" of HDS for purposes of Rule 145 under the Securities Act. HDS shall cause each person who is identified as an "affiliate" in such letter to deliver to Medaphis on or prior to the Effective Time a written statement, in form satisfactory to Medaphis and HDS, that such person will not offer to sell, transfer or otherwise dispose of any of the shares of Medaphis Common Stock issued to such person pursuant to the Merger, except (i) in accordance with the applicable provisions of the Securities Act and the rules and regulations under the Securities Act and (ii) until such time as financial results covering at least thirty days of combined operations of Medaphis and HDS have been published within the meaning of Section 201.01 of the Commission's Codification of Financial Reporting Policies; except that each affiliate shall be permitted to make sales to the extent permitted by applicable accounting rules and regulations promulgated by the Commission. Medaphis shall be entitled to place legends on any certificates of Medaphis Common Stock issued to such affiliates to restrict transfer of such shares as set forth above. (b) Medaphis shall take such action with respect to affiliates of Medaphis as is reasonably appropriate under applicable accounting rules and regulations promulgated by the Commission for the Merger to qualify as a "pooling of interests" for accounting purposes. Section 5.8. No Solicitation; Acquisition Proposals. From the date of this Agreement until the Effective Time or until this Agreement is terminated as provided in Article 8, HDS will not directly or A-32 99 indirectly (i) solicit or initiate (including by way of furnishing any information) discussions with or (ii) enter into negotiations or agreements with, or furnish any information to, any corporation, partnership, person or other entity or group (other than Medaphis, an affiliate of Medaphis or their authorized representatives pursuant to Section 5.3) concerning any proposal for a merger, sale of substantial assets, sale of shares of stock or securities or other takeover or business combination transaction (an "Acquisition Transaction") involving HDS; and HDS will instruct its officers, directors, advisors and other financial and legal representatives and consultants not to take any action contrary to the foregoing provisions of this sentence; provided, however, that the actions prohibited by the foregoing clauses (i) and (ii) shall be subject to any action taken by the Board of Directors of HDS in the exercise of its good faith judgment as to its fiduciary duties to the stockholders of HDS, which judgment is based upon the advice of independent counsel that a failure of the Board of Directors to take such action would be likely to constitute a breach of its fiduciary duties to the stockholders of HDS. HDS will notify Medaphis promptly in writing if HDS becomes aware that any inquiries or proposals are received by, any information is requested from, or any negotiations or discussions are sought to be initiated with HDS with respect to an Acquisition Transaction and will immediately after receipt provide to Medaphis a copy of any letter, proposal or other document in which any proposal for an Acquisition Transaction is made or expressed. HDS will immediately cease any existing activities, discussions or negotiations with any third parties which may have been conducted on or priorsubsequent to the date hereof with respect to an Acquisition Transaction and shall direct and use reasonable efforts to cause its officers, advisors and representatives not to engage in any such activities, discussions or negotiations. Section 5.9. Reasonable Efforts; Further Assurances; Cooperation. Subject to the other provisions of this Agreement, the parties hereto shall each use their reasonable, good faith efforts to perform their obligations herein and to take, or cause to be taken or do, or cause to be done, all things necessary, proper or advisable under applicable law to obtain all regulatory approvals and satisfy all conditions to the obligations of the parties under this Agreement and to cause the Merger and the other transactions contemplated by this Agreement to be effected on or prior to June 30, 1996 in accordance with the terms of this Agreement and shall cooperate fully with each other and their respective officers, directors, employees, agents, counsel, accountants and other designees in connection with any steps required to be taken as a part of their respective obligations under this Agreement, including without limitation: (a) Subject to the provisions of Section 5.9(e), HDS and Medaphis shall promptly make their respective filings and submissions and shall take, or cause to be taken, all actions and do, or cause to be done, all things necessary, proper or advisable under applicable laws and regulations to obtain any required approval of any other federal, state or local governmental agency or regulatory body with jurisdiction over the transactions contemplated by this Agreement. (b) Subject to the provisions of Section 5.9(e), if any claim, action, suit, investigation or other proceeding by any governmental body or other person is commenced which questions the validity or legality of the Merger or any of the other transactions contemplated by this Agreement or seeks damages in connection with this Agreement, the parties agree to cooperate and use all reasonable efforts to defend against such claim, action, suit, investigation or other proceeding and, if an injunction or other order is issued in any such action, suit or other proceeding, to use all reasonable efforts to have such injunction or other order lifted, and to cooperate reasonably regarding any other impediment to the consummation of the transactions contemplatedExchange Offer shall be deemed to be incorporated by this Agreement. (c) Each party shall give prompt written notice to the other of (i) the occurrence, or failure to occur, of any event which occurrence or failure would be likely to cause any representation or warranty of HDS or Medaphis, as the case may be, containedreference in this AgreementProspectus and to be untrue or inaccurate in any material respect at any timea part of this Prospectus from the date of this Agreement to the Effective Time or that will or may result in the failure to satisfy any of the conditions specified in Article 6 and (ii) any failure of HDS or Medaphis, as the case may be, to comply with or satisfy any covenant, condition or agreement to be complied with or satisfied by it under this Agreement. A-33 100 (d) Without the prior written consent of Medaphis, HDS will not terminate any employee if such termination would result in the payment of any amounts pursuant to "change in control" provisions of any employment agreement or arrangement. (e) With respect to filings under the HSR Act, Medaphis will coordinate on behalf of all parties and, except as may be required by law, shall determine in its sole judgment and discretion the timing of and, except with respect to matters relating specifically to HDS, the substance of all communications and filings made by the parties with any governmental antitrust authority regarding the transactions contemplated by this Agreement, including without limitation: (i) the timing of the HSR filings by any party; (ii) the extent to which it may be necessary to resolve or settle any concerns on the part of any governmental antitrust authority regarding the legality under any antitrust law of the Merger by entering into negotiations, providing information, making proposals, entering into and performing agreements or submitting to judicial or administrative orders; (iii) contesting the entry in a judicial or administrative proceeding brought under any antitrust law by any governmental antitrust authority or any other party of any permanent or preliminary injunction or other order that would make consummation of the Merger unlawful or would prevent or delay it; (iv) if such an injunction or other has been issued in such a proceeding, taking any and all steps, including, without limitation, appeal, or the posting of bond, necessary to vacate, modify or suspend such injunction or order so as to permit the consummation of the Merger on the schedule contemplated by this Agreement; (v) responding to and complying with any request for additional information by any governmental antitrust authority; and (vi) determining any other appropriate response or initiative to avoid or eliminate impediments under any antitrust law that may be asserted by and governmental antitrust authority or any other party to the consummation of the transactions contemplated by this Agreement. Section 5.10. Public Announcements. The timing and content of all announcements regarding any aspect of this Agreement or the Merger to the financial community, government agencies (except as otherwise provided by Section 5.9(e)), employees or the general public shall be mutually agreed upon in advance (unless Medaphis or HDS is advised by counsel that any such announcement or other disclosure not mutually agreed upon in advance is required to be made by law or applicable rule of The Nasdaq National Market and then only after making a reasonable attempt to comply with the provisions of this Section 5.10). Section 5.11. Financial Statements and Commission Reports. Prior to the Effective Time, each party to this Agreement shall deliver to the other, as soon as available but in no event later than 45 days after the end of each fiscal quarter, a consolidated balance sheet as of the last day of such fiscal period and the consolidated statements of income, stockholders' equity and cash flows of such party and its subsidiaries for the fiscal period then ended prepared in accordance with generally accepted accounting principles with such exceptions as are noted on such financial statements, and in the case of Medaphis, in accordance with the requirements of Form 10-Q (or Form 10-K as the case may be) under the Exchange Act. Prior to the Effective Time, Medaphis shall deliver to HDS as soon as available a copy of each form, report and other document filed by Medaphis with the Commission after the date of this Agreement and shall otherwise keep HDS apprised of any material developments with respect to the business or financial condition of Medaphis. Section 5.12. Supplements to Disclosure Letters. From time to time prior to the Effective Time, HDS and Medaphis will each promptly supplement or amend the respective disclosure letters which they have delivered pursuant to this Agreement with respect to any matter arising after the date of this Agreement which, if existing or occurring at the date of this Agreement, would have been required to be set forth or described in any such disclosure letter or which is necessary to correct any information in any such disclosure letter which has been rendered inaccurate by such matter. No supplement or amendment to any such A-34 101 disclosure letter shall have any effect for the purpose of determining satisfaction of the conditions set forth in Sections 6.2(a) or 6.3(a). Section 5.13. Pooling of Interests Accounting. From and after the date of this Agreement and until the Effective Time, neither Medaphis nor HDS nor any of their respective subsidiaries or other affiliates shall knowingly take, or knowingly fail to take, any action (other than actions expressly contemplated by this Agreement) that would jeopardize the treatment of Medaphis' acquisition of HDS as a "pooling of interests" for accounting purposes. Following the Effective Time, Medaphis shall use its reasonable, best efforts to conduct the business of Medaphis in a manner that would not jeopardize the characterization of the Merger as a "pooling of interests" for accounting purposes. Section 5.14. Accountant's Review Report. HDS agrees to exercise reasonable efforts to cause Deloitte & Touche to deliver to Medaphis prior to the filing of the Registration Statement a limited review report covering any unaudited financial statements of HDS included in the Registration Statement in form and substance reasonably acceptable to Medaphis (the " Deloitte & Touche Review Report"). Section 5.15. Special Indemnification by Medaphis. (a) Subsequent to the Closing, Medaphis shall to the fullest extent permitted under Delaware corporate law, indemnify and hold harmless each present and former director, officer, employee and agent of HDS (collectively, the "Special Indemnified Parties") against all losses, claims, damages, liabilities or judgments, joint or several, in connection with any claim, action, suit, proceeding or investigation, whether civil, criminal, administrative or investigative, arising out of or pertaining to any action or omission in their capacity as an officer, director, employee or agent of HDS before the Closing, whether asserted or claimed prior to, at or after the Closing Date, for a period of six years after the Closing Date, in each case to the fullest extent permitted under Delaware corporate law (and shall pay any expenses in advance of the final disposition of such action or proceeding to each Special Indemnified Party to the fullest extent permitted under Delaware corporate law, upon receipt from the Special Indemnified Party to whom expenses are advanced of an undertaking to repay such advances as required under Delaware corporate law). In the event of any such claim, action, suit, proceeding or investigation, Medaphis, at its expense, shall have the right to defend such claim, action, suit, proceeding or investigation, unless there is, as determined by counsel to Medaphis, a conflict or reasonable likelihood of a conflict such that the representation of one or more of the Special Indemnified Parties would be impermissible under applicable standards of professional conduct, in which case,document. Any statement contained herein or in the case that Medaphis elects nota document incorporated or deemed to defend such claim, action, suit, proceeding or investigation, Medaphis shall pay the reasonable fees and expenses of counsel selectedbe incorporated by the Special Indemnified Parties, which counselreference herein shall be reasonably satisfactory to Medaphis, promptly after statements therefor are received, and Medaphis shall cooperate in the defense of any such matter; provided, however, that, in the event that any claim for indemnification is asserted or made within such six-year period, all rights to indemnification in respect of such claim shall continue until the disposition of such claim. (b) For a period of six years after the Closing Date, Medaphis agrees that it will not take any action to amend the Certificate of Incorporation or Bylaws of the Surviving Corporation to limit the indemnification available to the Special Indemnified Parties as described by Section 5.15(a). (c) Medaphis shall maintain, or cause the Surviving Corporation to maintain, directors' and officers' liability insurance for acts or omissions occurring through the Closing Date with respect to the Special Indemnified Parties having terms at least as advantageous to the Special Indemnified Parties as the directors' and officers' liability insurance policies of HDS currently in place, for a period of three years after the Closing Date. (d) In the event Medaphis or any of its respective successors or assigns (i) consolidates with or merges into any other person or entity and shall not be the continuing or surviving corporation or entity of such consolidation or merger or (ii) transfers all or substantially all of its properties and assets to any person or entity, then, and in each such case, proper provision shall be made so that the successors and assigns of Medaphis shall assume the obligations set forth in this Section 5.15. Section 5.16. Employees. (a) HDS 401(k) Plan. Medaphis will maintain the HDS 401(k) Plan in effect for employees of HDS for a period commencing on the Closing Date and ending September 30, 1997. A-35 102 Medaphis shall allow employees of HDS and each HDS ERISA Affiliate to participate in the HDS 401(k) Plan under the terms in effect under the HDS 401(k) Plan as of the Closing Date except for any changes to such plan that are required by law. At the end of such period, Medaphis shall cause employees of HDS or any HDS ERISA Affiliatedeemed to be eligible to participate in either the Medaphis 401(k) Planmodified or other similar plan providing benefits at a level at least as generous as the Medaphis 401(k) Plan (the "Replacement Plan") Medaphis covenants that the servicesuperseded for purposes of each employee of HDS and each HDS ERISA Affiliate prior to the Closing Date shall be credited as service under the Replacement Plan for all purposes (including, without limitation, eligibility and vesting) for those employees of HDS and each HDS ERISA Affiliate who were participants in any 401(k) plan maintained by HDS or a HDS ERISA Affiliate as of the Closing Date. In addition,this Prospectus to the extent that the Replacement Plan provides for a level of employer matching andstatement contained herein or in any other employer contributions (not including elective contributions and other employee contributions)subsequently filed document which are less than that provided under the HDS 401(k) Plan prior to the Closing Date, each employee of HDS and each HDS ERISA Affiliate as of the Closing Date shall be entitled to a bonus as of the date of their eligibility under the Replacement Plan, such bonusalso is or is deemed to be paid onincorporated by reference herein modifies or before December 31, 1997, equal to 75% of the difference between (A) and (B), where (A) is the employer matching contribution made to the HDS 401(k) Plan for the employee for the plan year ending September 30, 1997 and (B) is the employer matching and other employer contributions that would be made under the Replacement Plan ifsupersedes such employee contributed the same percentage of hisstatement. Any such statement so modified or her compensation to the Replacement Plan during a plan year. (b) HDS Health Plan. For a period of two years after the Closing Date, in addition to any other Medaphis group health plan offered to all Medaphis employees (the "Successor Plans"), Medaphis shall provide all employees of HDS and each HDS ERISA Affiliate with the opportunity to elect coverage for themselves and their dependents under the health maintenance organization sponsored by Blue Cross, the dental program sponsored by Prudential and the vision care program sponsored by Blue Cross in which HDS participates as of the Closing Date. Any Successor Plan shall meet the following requirements: (i) service with HDS and each HDS ERISA Affiliate prior to the Closing Date shall be credited against all eligibility and waiting period requirements under the Successor Plans for those employees of HDS and each HDS ERISA Affiliate (and their eligible dependents) who were eligible for coverage from HDS or a HDS ERISA Affiliate as of the Closing Date; (ii) the Successor Plans shall not provide for any pre-existing condition exclusion for those employees of HDS and each HDS ERISA Affiliate (and their dependents) and all qualified beneficiaries (as defined in Section 4980B(g)(i) of the Code) entitled to continuation coverage under COBRA (the "Qualified Beneficiaries") who were entitled to coverage from HDS or a HDS ERISA Affiliate as of the Closing Date; and (iii) the deductibles in effect under the Successor Plans for the plan year in which the Closing Date occurs shall be reduced by any amounts applied toward the deductibles under the HDS Benefit Plans for the plan year in which the Closing Date occurs provided such individuals submit evidence to Medaphis sufficient to demonstrate the amount so applied against any applicable deductibles in effect under any HDS Benefit Plan. (c) Other Benefits. For a period of two years after the Closing Date, Medaphis will provide all HDS employees with substantially similar benefits, other than those benefits described in Sections 5.16(a) and (b) above, as provided by HDS to employees of HDS and each HDS ERISA Affiliate as of the Closing Date or will pay such employees the economic equivalent of such benefits; provided, however, that Medaphissuperseded shall not be requireddeemed, except as so modified or superseded, to maintain any insurance benefit programs to the extent that such programs are unavailable from the insurance carrier or are only available on commercially unreasonable terms. Section 5.17. Certain Other Benefits. After the Effective Time, Medaphis will grant to employeesconstitute a part of HDS and Subsidiary certain other benefits in the manner and to the extent provided in the Medaphis Disclosure Letter. A-36this Prospectus. 111 103 ARTICLE 6. CONDITIONS Section 6.1. Conditions to Each Party's Obligations. The respective obligations of each party to effect the Merger shall be subject to the fulfillment at or prior to the Closing of each119 Copies of the following conditions: (a) HDS Stockholder Approval. The Merger, this Agreement and the transactions contemplated by this Agreement shall have been approved at the meeting of HDS Stockholders duly called and held in accordance with the DGCL by the holders of not less than eighty-five percent of the outstanding shares of Series F Stock having the rightabove documents (excluding exhibits to vote on such matters and holders of a majority of the outstanding shares of HDS Capital Stock (voting together as a class) having the right to vote ondocuments, unless such matters. (b) Injunction. At the Effective Time there shall be no effective injunction, writ or preliminary restraining order or any order of any nature issued by a court or governmental agency of competent jurisdiction to the effect that the Merger may not be consummated as provided in this Agreement, no proceeding or lawsuit shall have been commenced by any governmental or regulatory agency for the purpose of obtaining any such injunction, writ or preliminary restraining order and no written notice shall have been received from any such agency indicating an intent to restrain, prevent, materially delay or restructure the transactions contemplated by this Agreement. (c) Tax Opinion. HDS and Medaphis shall each have received a written opinion of King & Spalding concerning certain federal income tax consequences of the Merger, substantially in the form attached as Exhibit 6.1(c). (d) Registration Statement. The Registration Statement shall be effective under the Securities Act and no stop order suspending the effectiveness of the Registration Statement shall be in effect and no proceedings for such purpose, or under the proxy rules of the Commission pursuant to the Exchange Act and with respect to the transactions contemplated by this Agreement, shall be pending before or threatened by the Commission. All applicable state securities laws shall have been complied with in connection with the issuance of Medaphis Common Stock to be issued pursuant to the Merger, and no stop order suspending the effectiveness of any qualification or registration of such Medaphis Common Stock under such state securities laws shall have been issued and pending or threatened by the authorities of any such state. The prospectus that comprises part of the Registration Statement shall have been mailed or sent to HDS Stockholders not less than twenty business days prior to the meeting described in Section 6.1(a), as the term "business days" is defined for purposes of Form S-4 under the Securities Act. (e) Pooling. HDS and Medaphis shall have been advised in writing, as of the Effective Time, by Deloitte & Touche that, in accordance with generally accepted accounting principles, the Merger qualifies to be treated as a "pooling of interests" for accounting purposes. (f) The Nasdaq National Market Additional Shares Notification. The Medaphis Common Stock to be issued pursuant to this Agreement shall have been approved for listing on The Nasdaq National Market, subject only to official notice of issuance by Medaphis. (g) HSR Act. The applicable waiting periods shall have expired or been terminated early under the HSR Act. Section 6.2. Conditions to Obligations of Medaphis. The obligation of Medaphis to effect the Merger shall be subject to the fulfillment at or prior to the Closing of each of the following additional conditions: (a) Representations and Warranties. The representations and warranties of HDS set forth in Article 3 of this Agreement shall be true and correct as of the date of this Agreement and as of the Effective Time as though made on and as of the Effective Time. (b) Performance of Obligations of HDS. HDS shall have performed in all material respects all covenants and agreements required to be performed by it under this Agreement. A-37 104 (c) Opinion of HDS Counsel. Medaphis shall have received an opinion of Seyfarth, Shaw, Fairweather & Geraldson dated the Closing Date, substantially in the form attached as Exhibit 6.2(c). (d) Authorization of Merger. All corporate action necessary by HDS to authorize the execution, delivery and performance of this Agreement and the consummation of the transactions contemplated by this Agreement shall have been duly and validly taken. (e) Consents. All consents, authorizations, orders and approvals of (or filings or registrations with) any governmental commission, board or other regulatory body required in connection with the execution, delivery and performance of this Agreement shall have been obtained or made, except for filing of the Delaware Certificate of Merger and any other documents required to be filed after the Effective Time and except where the failure to have obtained or made any such consent, authorization, order, approval, filing or registration would not have a material adverse effect on the business of Medaphis and HDS following the Effective Time. (f) Certificates. HDS shall have furnished Medaphis with a certificate of its appropriate officers as to compliance with the conditions set forth in Sections 6.2(a), (b) and (d). (g) Accountant's Review Report and Letter. Medaphis shall have received: (i) the Deloitte & Touche Review Report in accordance with Section 5.14; and (ii) a letter from Deloitte & Touche dated the effective date of the Registration Statement under the Securities Act, with respect to certain financial and statistical information concerning HDS included in the Registration Statement in form and substance customary in transactions of the nature of the Merger. (h) Material Contracts. Medaphis shall have received consents to assignment of all HDS Material Contracts or written waivers of the provisions of any HDS Material Contracts requiring the consents of third parties as set forth in the HDS Disclosure Letter. (i) Resignation Letters. Each of the directors of HDS shall have tendered to Medaphis resignation letters in form and substance reasonably acceptable to Medaphis on or prior to the Closing Date, such resignations to be effective immediately following the Closing Date. (j) Dissenters' Rights. Holders of less than 10% of the outstanding HDS Capital Stock shall have exercised appraisal rights pursuant to the DGCL. (k) Options. At least 70% of the holders of Options shall have executed and delivered to Medaphis an Option Assumption Agreement with respect to each Option held by such holder on the Closing Date. (l) Due Diligence. During the course of the Medaphis Due Diligence Review, Medaphis shall not have discovered any HDS Detrimental Information. The term "HDS Detrimental Information" means any information concerning the assets, liabilities, results of operations, financial condition or business of HDS or Subsidiary, that (i) would have a HDS Material Adverse Effect, (ii) although it existed on the date of execution of this Agreement, it was not previously delivered by, or on behalf of, HDS to Medaphis and was notexhibits are specifically set forth in or contemplated by the HDS Disclosure Letter as delivered on the date of this Agreement, (iii) is specific to HDS or Subsidiary (as opposed to general information concerning the industry or industries in which HDS or Subsidiary operate or the economy generally) and (iv) does not relate to prospective agreements of HDS or any projections or other similar forward-looking information relating to HDS. Section 6.3. Conditions to Obligations of HDS. The obligation of HDS to effect the Merger shall be subject to the fulfillment at or prior to the Closing of each of the following additional conditions: (a) Representations and Warranties. The representations and warranties of Medaphis set forth in Article 4 of this Agreement shall be true and correct as of the date of this Agreement and as of the Effective Time as though made on and as of the Effective Time. (b) Performance of Obligations by Medaphis. Medaphis shall have performed in all material respects all covenants and agreements required to be performed by it under this Agreement. A-38 105 (c) Opinion of Medaphis Counsel. HDS shall have received an opinion, dated the Closing Date, of King & Spalding, counsel to Medaphis, substantially in the form of Exhibit 6.3(c). (d) Authorization of Merger. All corporate action necessary by Medaphis to authorize the execution, delivery and performance of this Agreement and the consummation of the transactions contemplated by this Agreement shall have been duly and validly taken. (e) Consents. All consents, authorizations, orders and approvals of (or filings or registrations with) any governmental commission, board or other regulatory body required in connection with the execution, delivery and performance of this Agreement shall have been obtained or made, except for filing of the Delaware Certificate of Merger and any other documents required to be filed after the Effective Time and except where the failure to have obtained or made any such consent, authorization, order, approval, filing or registration would not have a material adverse effect on the business of Medaphis and HDS following the Effective Time. (f) Certificates. Medaphis shall have furnished HDS with a certificate of its appropriate officers as to compliance with the conditions set forth in Sections 6.3(a), (b) and (d). (g) Accountant's Report. HDS shall have received a letter from Deloitte & Touche dated the effective date of the Registration Statement under the Securities Act, with respect to certain financial and statistical information concerning Medaphis and its subsidiaries included or incorporated by reference in the Registration Statement, in form and substance customary in transactions of the nature of the Merger. (h) Fairness Opinion. The Board of Directors of HDS shall have received a written opinion of Hambrecht & Quist, dated on or before the Closing Date, to the effect that the Merger is fair to HDS and its stockholders from a financial point of view. ARTICLE 7. CLOSING The consummation of the transactions contemplated by this Agreement is referred to as the "Closing." The "Closing Date" is the date on which the Closing occurs. The Closing shall occur as soon following the HDS Stockholders' meeting described in Section 5.5 as is reasonably practicable and in any event within three business days of the satisfaction or waiver of the other conditions set forth in Article 6; except that under no circumstance shall the Closing take place on or after August 15, 1996. The Closing shall take place at the offices of King & Spalding, 191 Peachtree Street, Atlanta, Georgia, or at such other place as HDS and Medaphis may agree. ARTICLE 8. TERMINATION Section 8.1. Termination. This Agreementtherein) may be terminatedobtained without charge upon written or oral request by each person to whom this Prospectus is delivered from the Company at any time prior to the Closing Date, whether before or after approval by the stockholders of HDS: (a) by mutual agreement of the Boards of Directors of HDS and Medaphis; (b) by HDS, if any one or more of the conditions set forth in Sections 6.1 and 6.3 are not complied with or performed and such noncompliance or nonperformance has not been cured or eliminated (or by its nature cannot be cured or eliminated) by Medaphis on or before August 15, 1996; (c) by Medaphis, if any one or more of the conditions set forth in Sections 6.1 and 6.2 are not complied with or performed and such noncompliance or nonperformance has not been cured or eliminated (or by its nature cannot be cured or eliminated) by HDS on or before August 15, 1996; A-39 106 (d) if, after the meeting of the HDS Stockholders contemplated by Section 5.5 has been held (after giving effect to any adjournments), the condition set forth in Section 6.1(a) has not been fulfilled, by HDS or Medaphis; and (e) by HDS if the Average Closing Price is less than $37. Section 8.2. Specific Performance and Other Remedies. The parties each acknowledge that the rights of each party to consummate the transactions contemplated by this Agreement are special, unique and of extraordinary character, and that, if any party violates or fails or refuses to perform any covenant or agreement made by it in this Agreement, the non-breaching party may be without adequate remedies at law. The parties each agree, therefore, that if either party violates or fails or refuses to perform any covenant or agreement made by such party in this Agreement, the non-breaching party or parties may, subject to the terms of this Agreement and in addition to any remedies at law for damages or other relief, institute and prosecute an action in any court of competent jurisdiction to enforce specific performance of such covenant or agreement or seek any other equitable relief. If HDS fails to perform any of the covenants contained in Section 5.1(m) or Section 5.7(a), Medaphis's sole remedy is to terminate this Agreement pursuant to Section 8.1(c), because the condition set forth in Section 6.2(b) has not been satisfied. Section 8.3. Effect of Termination. In the event of termination of this Agreement pursuant to this Article 8, this Agreement shall forthwith become void and there shall be no liability on the part of any party or its respective officers, directors or stockholders, except for obligations under Section 5.3(b), Section 5.10, Section 8.4, Section 9.13 and this Section, all of which shall survive the termination. Notwithstanding the foregoing, nothing contained in this Section 8.3 shall relieve any party from liability for any breach of any covenant or agreement in this Agreement. Section 8.4. Termination Fee. If (A)(i) Medaphis terminates this Agreement pursuant to Section 8.1(c) as the result of the failure to satisfy the closing condition in Section 6.1(a), (ii) HDS terminates this Agreement pursuant to Section 8.1(b) as a result of the failure to satisfy the closing condition in Section 6.1(a), (iii) Medaphis terminates this Agreement pursuant to Section 8.1(d), or (iv) HDS terminates this Agreement pursuant to Section 8.1(d); and (B) on or prior to the date scheduled for the meeting of HDS Stockholders specified in Section 5.5, any corporation, partnership, limited liability company, other type of entity, group or person makes a proposal or offer concerning an Acquisition Transaction involving HDS; and (C) prior to the expiration of 182 days after the date of a termination of this Agreement of the type described in (A), HDS engages in negotiations with or enters into a letter of intent, agreement in principle or definitive agreement with any corporation, partnership, limited liability company, other type of entity, group or person (except for Medaphis or its authorized representatives) concerning an Acquisition Transaction; and (D) such Acquisition Transaction is consummated during or after such 182-day period, then HDS shall within five business days after such consummation pay Medaphis a fee of $7,500,000 to reimburse and compensate Medaphis for its expense, time and effort in connection with the transactions contemplated by this Agreement. Except as provided in Section 9.4, in the event of a payment pursuant to this Section 8.4, such payment shall be in full satisfaction of all obligations and liabilities of the paying party to the other, arising out of the termination of this Agreement. A-40 107 ARTICLE 9. MISCELLANEOUS PROVISIONS Section 9.1. Notices. Each notice, communication and delivery under this Agreement must be made in writing signed by the party making the same, must specify the Section pursuant to which it is given or being made, and must be delivered personally or by telecopy transmission (provided that any notice sent by telecopy transmission must also be sent by registered or certified mail) or sent by registered or certified mail or by any express mail service (with postage and other fees prepaid) as follows: To Medaphis: Medaphis 2700 Cumberland Parkway, Suite 300, Atlanta, Georgia 30339, Attn.: William R. Spalding Telecopy No.:Attention: Caryn Dickerson, Vice President and Treasurer (telephone number (770) 431-1667 with a copy to: King & Spalding 191 Peachtree Street Atlanta, Georgia 30303 Attn: Robert W. Miller, Esq. Telecopy No.: (404) 572-5146 To HDS: HDS 268 West Hospitality Lane #300 San Bernardino, California 92408 Attn: Ralph A. Korpman, M.D. Telecopy No.: (909) 885-0124 with a copy to: Seyfarth, Shaw, Fairweather & Geraldson 2029 Century Park East Los Angeles, California 90067-3063 Attn: Edward J. Pierce Telecopy No.: (310) 201-5219 or to such other representative or at such other address of a party as such party may furnish to the other parties in writing. Section 9.2. Disclosure Letters and Exhibits. The HDS Disclosure Letter and the Medaphis Disclosure Letter and all Exhibits are incorporated into this Agreement and are made a part of this Agreement as if set out in full in this Agreement. Section 9.3. Assignment; Successors in Interest. No assignment or transfer by Medaphis, RAKSub or HDS of their respective rights and obligations under this Agreement prior to the Closing shall be made except with the prior written consent of the other parties. This Agreement shall be binding upon and shall inure to the benefit of the parties and their permitted successors and assigns, and any reference to a party shall also be a reference to a permitted successor or assign. Section 9.4. Representations and Warranties. The representations and warranties set forth in this Agreement shall not survive the Closing. Notwithstanding anything to the contrary set forth in this Section 9.4, this Section shall not limit or restrict HDS's or Medaphis' remedies against the other or any other person for fraud, willful misconduct, or bad faith. The covenants and agreements of each of Medaphis, A-41444-5300). 112 108 RAKSub and HDS set forth in this Agreement shall survive the Closing and shall remain in full force and effect until performed or satisfied by the applicable party responsible for the same in this Agreement. Section 9.5. Number; Gender. Whenever this Agreement so requires, the singular number shall include the plural and the plural shall include the singular, and the gender of any pronoun shall include the other genders. Section 9.6. Captions. The titles, captions and table of contents contained in this Agreement are inserted only as a matter of convenience and for reference and in no way define, limit, extend or describe the scope of this Agreement or the intent of any provision of this Agreement. Unless otherwise specified to the contrary, all references to Articles and Sections are references to Articles and Sections of this Agreement and all references to Exhibits are references to Exhibits to this Agreement and the HDS Disclosure Letter and the Medaphis Disclosure Letter. Section 9.7. Controlling Law; Integration; Amendment. (a) This Agreement shall be governed by and construed and enforced in accordance with the internal laws of the State of Delaware without reference to Delaware's choice of law rules and the parties agree that any legal proceeding instituted with respect to this Agreement shall be brought in Delaware and the parties submit to personal jurisdiction therein and agree that venue properly lies in Delaware. This Agreement supersedes all negotiations, agreements and understandings among the parties with respect to the subject matter of this Agreement and constitutes the entire agreement among the parties. (b) This Agreement may not be amended, modified or supplemented except by written agreement of the parties. Section 9.8. HDS and Medaphis Knowledge. As used in this Agreement, the terms "the knowledge of the HDS Executives," "known to the HDS Executives" or words of similar import used in this Agreement with respect to HDS shall mean the actual knowledge of any HDS Executive, together with the knowledge a reasonable business person would have obtained after making reasonable inquiry and after exercising reasonable diligence with respect to the matters at hand. The "HDS Executives" shall consist of Ralph A. Korpman, M.D., Mr. Peter Gladkin and Ms. Janice E. Ticich. As used in this Agreement, the terms "the knowledge of the Medaphis Executives," "known to the Medaphis Executives" or words of similar import used in this Agreement with respect to Medaphis shall mean the actual knowledge of any Medaphis Executive, together with the knowledge a reasonable business person would have obtained after making reasonable inquiry and after exercising reasonable diligence with respect to the matters at hand. The "Medaphis Executives" shall consist of Messrs. Randolph G. Brown, Timothy J. Kilgallon, Michael R. Cote and William R. Spalding. Section 9.9. Severability. Any provision of this Agreement which is prohibited or unenforceable in any jurisdiction will, as to such jurisdiction, be ineffective to the extent of such prohibition or unenforceability without invalidating the remaining provisions of this Agreement, and any such prohibition or unenforceability in any jurisdiction will not invalidate or render unenforceable such provision in any other jurisdiction. To the extent permitted by law, the parties waive any provision of law which renders any such provision prohibited or unenforceable in any respect. Section 9.10. Counterparts. This Agreement may be executed in two or more counterparts, each of which shall be deemed an original, and it shall not be necessary in making proof of this Agreement or the terms hereof to produce or account for more than one of such counterparts. Section 9.11. Enforcement of Certain Rights. Nothing expressed or implied in this Agreement is intended, or shall be construed, to confer upon or give any person, firm or corporation other than the parties, and their permitted successors or assigns, any rights, remedies, obligations or liabilities under or by reason of this Agreement, or result in such person, firm or corporation being deemed a third party beneficiary of this Agreement, other than Section 5.4 and Section 5.15 which provide for certain benefits to the persons described in such sections. A-42 109 Section 9.12. Waiver. At any time prior to the Effective Time, the parties, by or pursuant to action taken by their respective Boards of Directors, may, to the extent legally permitted: (i) extend the time for the performance of any of the obligations or other acts of any other party; (ii) waive any inaccuracies in the representations or warranties of any other party contained in this Agreement or in any document or certificate delivered pursuant to this Agreement; (iii) waive compliance or performance by any other party with any of the covenants, agreements or obligations of such party contained in this Agreement; and (iv) waive the satisfaction of any condition that is precedent to the performance by the party so waiving of any of its obligations under this Agreement. Any agreement on the part of a party to any such extension or waiver shall be valid only if set forth in an instrument in writing signed on behalf of such party.120 ====================================================== NO DEALER, SALESPERSON, OR OTHER PERSON HAS BEEN AUTHORIZED TO GIVE ANY INFORMATION OR TO MAKE ANY REPRESENTATIONS OTHER THAN THOSE CONTAINED IN THIS PROSPECTUS AND, IF GIVE OR MADE, SUCH INFORMATION OR REPRESENTATION MUST NOT BE RELIED UPON AS HAVING BEEN AUTHORIZED BY THE COMPANY. THIS PROSPECTUS DOES NOT CONSTITUTE AN OFFER TO SELL OR A waiver by one party of the performance of any covenant, agreement, obligation, condition, representation or warranty shall not be construed as a waiver of any other covenant, agreement, obligation, condition, representation or warranty. A waiver by any party of the performance of any act shall not constitute a waiver of the performance of any other act or an identical act required to be performed at a later time. Section 9.13. Fees and Expenses. Medaphis shall pay its own fees, costs and expenses incurred in connection with this Agreement and the transactions contemplated by this Agreement, including, but not limited to, the fees, costs and expenses of its financial advisors, accountants and counsel. HDS shall pay its own fees, costs and expenses incurred in connection with this Agreement and the transactions contemplated by this Agreement, but such fees, costs and expenses shall not exceed in the aggregate the sum of the amounts of fees specified in the HDS Disclosure Letter and the reasonable fees, costs and expenses of the accountants and counsel for HDS. A-43 110SOLICITATION OF AN OFFER TO BUY ANY SECURITIES OTHER THAN THE SECURITIES TO WHICH IT RELATES, NOR DOES IT CONSTITUTE AN OFFER TO SELL OR THE SOLICITATION OF AN OFFER TO BUY SUCH SECURITIES IN WITNESS WHEREOF, the parties have caused this Agreement to be duly executed, as of the date first above written. MEDAPHIS CORPORATION [Corporate Seal] Attest: By: -------------------------------------------- Title: ------------------------------------------ By: - -------------------------------------------- Title: - -------------------------------------------- RAKSUB, INC. [Corporate Seal] Attest: By: -------------------------------------------- Title: ------------------------------------------ By: - -------------------------------------------- Title: - -------------------------------------------- HEALTH DATA SCIENCES CORPORATION [Corporate Seal] Attest: By: -------------------------------------------- Title: ------------------------------------------ By: - -------------------------------------------- Title: - --------------------------------------------
A-44 111 ANNEX B SECTION 262ANY JURISDICTION IN WHICH SUCH OFFER OR SOLICITATION IS NOT AUTHORIZED, OR IN WHICH THE PERSON MAKING SUCH OFFER OR SOLICITATION IS NOT QUALIFIED TO DO SO, OR TO ANY PERSON TO WHOM IT IS UNLAWFUL TO MAKE SUCH AN OFFER OR SOLICITATION. NEITHER THE DELIVERY OF THIS PROSPECTUS NOR ANY SALE MADE HEREUNDER SHALL, UNDER ANY CIRCUMSTANCES, CREATE ANY IMPLICATION THAT THERE HAS BEEN NO CHANGE IN THE AFFAIRS OF THE DELAWARE GENERAL CORPORATION LAW SEC.262. APPRAISAL RIGHTS (a) Any stockholder of a corporation of this State who holds shares of stock on the date of the making of a demand pursuant to the provisions of subsection (d) of this section with respect to such shares, who continuously holds such shares through the effective date of the merger or consolidation, who has otherwise complied with the provisions of subsection (d) of this Section and who has neither voted in favor of the merger or consolidation nor consented thereto in writing pursuant to sec.228 of this Chapter shall be entitled to an appraisal by the Court of Chancery of the fair value of his shares of stock under the circumstances described in subsections (b) and (c) of this Section. As used in this Section, the word "stockholder" means a holder of record of stock in a stock corporation and also a member of record of a non-stock corporation; the words "stock" and "share" mean and include what is ordinarily meant by those words and also membership or membership interest of a member of a non-stock corporation and the words "depository receipt" mean a receipt or other instrument issued by a depository representing an interest in one or more shares, or fractions thereof, solely of stock of a corporation, which stock is deposited with the depository. (b) Appraisal rights shall be available for the shares of any class or series of stock of a constituent corporation in a merger or consolidation to be effected pursuant to Sections 251, 252, 254, 257, 258, 263 or 264 of this Chapter; (1) provided, however, that no appraisal rights under this Section shall be available for the shares of any class or series of stock, which stock, or depository receipts in respect thereof, at the record date fixed to determine the stockholders entitled to receive notice of and to vote at the meeting of stockholders to act upon the agreement of merger or consolidation, were either (i) listed on a national securities exchange or designated as a national market system security on an interdealer quotation system by the National Association of Securities Dealers, Inc. or (ii) held of record by more than 2,000 holders; and further provided that no appraisal rights shall be available for any shares of stock of the constituent corporation surviving a merger if the merger did not require for its approval the vote of the stockholders of the surviving corporation as provided in subsection (f) of Section 251 of this Chapter. (2) Notwithstanding the provisions of subsection (b)(1) of this Section, appraisal rights under this section shall be available for the shares of any class or series of stock of a constituent corporation if the holders thereof are required by the terms of an agreement of merger or consolidation pursuant to Sections 251, 252, 254, 257, 258, 263 and 264 of this Chapter to accept for such stock anything except (i) shares of stock of the corporation surviving or resulting from such merger or consolidation, or depository receipts in respect thereof; (ii) shares of stock of any other corporation or depository receipts in respect thereof, which shares of stock or depository receipts at the effective date of the merger or consolidation will be either listed on a national securities exchange or designated as a national market system security or an interdealer quotation system by the National Association of Securities Dealers, Inc. or held of record by more than 2,000 holders; (iii) cash in lieu of fractional shares or fractional depositary receipts described in the foregoing clauses (i) and (ii); or (iv) any combination of the shares of stock, depository receipts and cash in lieu of fractional shares or fractional depository receipts described in the foregoing clauses (i), (ii) and (iii) of this subsection. (3) In the event all of the stock of a subsidiary Delaware corporation party to a merger effected under Section 253 of this Chapter is not owned by the parent corporation immediately prior to the merger, appraisal rights shall be available for the shares of the subsidiary Delaware corporation. (c) Any corporation may provide in its certificate of incorporation that appraisal rights under this section shall be available for the shares of any class or series of its stock as a result of an amendment to its certificate of incorporation, any merger or consolidation in which the corporation is a constituent corporation or the sale of all or substantially all of the assets of the corporation. If the certificate of incorporation contains such a B-1 112 provision, the procedures of this Section, including those set forth in subsections (d) and (e), shall apply as nearly as is practicable. (d) Appraisal rights shall be perfected as follows: (1) If a proposed merger or consolidation for which appraisal rights are provided under this Section is to be submitted for approval at a meeting of stockholders, the corporation, not less than 20 days prior to the meeting, shall notify each of its stockholders who was such on the record date for such meeting with respect to shares for which appraisal rights are available pursuant to subsections (b) or (c) hereof that appraisal rights are available for any or all of the shares of the constituent corporations, and shall include in such notice a copy of this Section. Each stockholder electing to demand the appraisal of his shares shall deliver to the corporation, before the taking of the vote on the merger or consolidation, a written demand for appraisal of his shares. Such demand will be sufficient if it reasonably informs the corporation of the identity of the stockholder and that the stockholder intends thereby to demand the appraisal of his shares. A proxy or vote against the merger or consolidation shall not constitute such a demand. A stockholder electing to take such action must do so by a separate written demand as herein provided. Within 10 days after the effective date of such merger or consolidation, the surviving or resulting corporation shall notify each stockholder of each constituent corporation who has complied with the provisions of this subsection and has not voted in favor of or consented to the merger or consolidation of the date that the merger or consolidation has become effective; or (2) If the merger or consolidation was approved pursuant to Section 228 or Section 253 of this Chapter, the surviving or resulting corporation, either before the effective date of the merger or consolidation or within 10 days thereafter, shall notify each of the stockholders entitled to appraisal rights of the effective date of the merger or consolidation and that appraisal rights are available for any or all of the shares of the constituent corporation, and shall include in such notice a copy of this Section. The notice shall be sent by certified or registered mail, return receipt requested, addressed to the stockholder at his address as it appears on the records of the corporation. Any stockholder entitled to appraisal rights may, within 20 days after the date of mailing of the notice, demand in writing from the surviving or resulting corporation the appraisal of his shares. Such demand will be sufficient if it reasonably informs the corporation of the identity of the stockholder and that the stockholder intends thereby to demand the appraisal of his shares. (e) Within 120 days after the effective date of the merger or consolidation, the surviving or resulting corporation or any stockholder who has complied with the provisions of subsections (a) and (d) hereof and who is otherwise entitled to appraisal rights, may file a petition in the Court of Chancery demanding a determination of the value of the stock of all such stockholders. Notwithstanding the foregoing, at any time within 60 days after the effective date of the merger or consolidation, any stockholder shall have the right to withdraw his demand for appraisal and to accept the terms offered upon the merger or consolidation. Within 120 days after the effective date of the merger or consolidation, any stockholder who has complied with the requirements of subsections (a) and (d) hereof, upon written request, shall be entitled to receive from the corporation surviving the merger or resulting from the consolidation a statement setting forth the aggregate number of shares not voted in favor of the merger or consolidation and with respect to which demands for appraisal have been received and the aggregate number of holders of such shares. Such written statement shall be mailed to the stockholder within 10 days after his written request for such a statement is received by the surviving or resulting corporation or within 10 days after expiration of the period for delivery of demands for appraisal under subsection (d) hereof, whichever is later. (f) Upon the filing of any such petition by a stockholder, service of a copy thereof shall be made upon the surviving or resulting corporation, which shall within 20 days after such service file in the office of the Registrar in Chancery in which the petition was filed a duly verified list containing the names and addresses of all stockholders who have demanded payment for their shares and with whom agreements as to the value of their shares have not been reached by the surviving or resulting corporation. If the petition shall be filed by the B-2 113 surviving or resulting corporation, the petition shall be accompanied by such a duly verified list. The Register in Chancery, if so ordered by the Court, shall give notice of the time and place fixed for the hearing of such petition by registered or certified mail to the surviving or resulting corporation and to the stockholders shown on the list at the addresses therein stated. Such notice shall also be given by one or more publications at least one week before the day of the hearing, in a newspaper of general circulation published in the City of Wilmington, Delaware or such publications as the Court deems advisable. The forms of the notices by mail and by publication shall be approved by the Court, and the costs thereof shall be borne by the surviving or resulting corporation. (g) At the hearing on such petition, the Court shall determine the stockholders who have complied with the provisions of this Section and who have become entitled to appraisal rights. The Court may require the stockholders who have demanded an appraisal for their shares and who hold stock represented by certificates to submit their certificates of stock to the Register in Chancery for notation thereon of the pendency of the appraisal proceedings; and if any stockholder fails to comply with such direction, the Court may dismiss the proceedings as to such stockholder. (h) After determining the stockholders entitled to an appraisal, the Court shall appraise the shares, determining their fair value exclusive of any element of value arising from the accomplishment or expectation of the merger or consolidation, together with a fair rate of interest, if any, to be paid upon the amount determined to be the fair value. In determining such fair value, the Court shall take into account all relevant factors. In determining the fair rate of interest, the Court may consider all relevant factors, including the rate of interest which the surviving or resulting corporation would have had to pay to borrow money during the pendency of the proceeding. Upon application by the surviving or resulting corporation or by any stockholder entitled to participate in the appraisal proceeding, the Court may, in its discretion, permit discovery or other pretrial proceedings and may proceed to trial upon the appraisal prior to the final determination of the stockholder entitled to an appraisal. Any stockholder whose name appears on the list filed by the surviving or resulting corporation pursuant to subsection (f) of this Section and who has submitted his certificates of stock to the Register in Chancery, if such is required, may participate fully in all proceedings until it is finally determined that he is not entitled to appraisal rights under this Section. (i) The Court shall direct the payment of the fair value of the shares, together with interest, if any, by the surviving or resulting corporation to the stockholders entitled thereto. Interest may be simple or compound, as the Court may direct. Payment shall be so made to each such stockholder, in the case of holders of uncertificated stock forthwith, and in the case of holders of shares represented by certificates upon the surrender to the corporation of the certificates representing such stock. The Court's decree may be enforced as other decrees in the Court of Chancery may be enforced, whether such surviving or resulting corporation be a corporation of this State or of any other state. (j) The costs of the proceeding may be determined by the Court and taxed upon the parties as the Court deems equitable in the circumstances. Upon application of a stockholder, the Court may order all or a portion of the expenses incurred by any stockholder in connection with the appraisal proceeding, including, without limitation, reasonable attorney's fees and the fees and expenses of experts, to be charged pro rata against the value of all of the shares entitled to an appraisal. (k) From and after the effective date of the merger or consolidation, no stockholder who has demanded his appraisal rights as provided in subsection (d) of this Section shall be entitled to vote such stock for any purpose or to receive payment of dividends or other distributions on the stock (except dividends or other distributions payable to stockholders of record at a date which is prior to the effective date of the merger or consolidation); provided, however, that if no petition for an appraisal shall be filed within the time provided in subsection (e) of this Section, or if such stockholder shall deliver to the surviving or resulting corporation a written withdrawal of his demand for an appraisal and an acceptance of the merger or consolidation, either written 60 days after the effective date of the merger or consolidation as provided in subsection (e) of this Section or thereafter with the written approval of the corporation, then the right of such stockholder to an B-3 114 appraisal shall cease. Notwithstanding the foregoing, no appraisal proceeding in the Court of Chancery shall be dismissed as to any stockholder without the approval of the Court, and such approval may be conditioned upon such terms as the Court deems just. (l) The shares of the surviving or resulting corporation into which the shares of such objecting stockholders would have been converted had they assented to the merger or consolidation shall have the status of authorized and unissued shares of the surviving or resulting corporation. B-4 115 ANNEX C [LETTERHEADCOMPANY SINCE THE DATE HEREOF OR THAT THE INFORMATION CONTAINED HEREIN IS CORRECT AS OF HAMBRECHT & QUIST LLC] May , 1996 Confidential The Board of Directors Health Data Sciences Corporation 268 West Hospitality Lane Suite 300 San Bernardino, California 92408 Gentlemen: You have requested our opinion as to the fairness from a financial point of view to the holders of the outstanding shares of common stock (the "Common Stock") and the outstanding shares of preferred stock (the "Preferred Stock") of Health Data Sciences Corporation ("HDS" or the "Company") of the consideration to be received by such shareholders in connection with the proposed merger of Raksub Corporation ("Raksub"), a wholly-owned subsidiary of Medaphis Corporation ("Medaphis"), with and into HDS (the "Proposed Transaction") pursuant to the Merger Agreement to be dated as of May , 1996, among Medaphis, Raksub, and HDS (the "Agreement"). We understand that the terms of the Agreement provide, among other things, that Medaphis will issue an aggregate of shares of Medaphis common stock for all of the outstanding shares of Common Stock and Preferred Stock, as more fully set forth in the Agreement. We also understand that the Agreement provides that each unexpired and unexercised option to purchase common stock of HDS outstanding immediately prior to the Effective Time (as defined in the Agreement) shall be assumed by Medaphis. For purposes of this opinion, we have assumed that the Proposed Transaction will qualify as a tax-free reorganization under the United States Internal Revenue Code for the shareholders of the Company and that the Proposed Transaction will be accounted for as a pooling of interests. Hambrecht & Quist LLC ("Hambrecht & Quist"), as part of its investment banking services, is regularly engaged in the valuation of businesses and their securities in connection with mergers and acquisitions, strategic transactions, corporate restructurings, negotiated underwritings, secondary distributions of listed and unlisted securities, private placements and valuations for corporate and other purposes. We have acted as a financial advisor to the Board of Directors of HDS in connection with the Proposed Transaction, and we will receive a fee for our services, which include the rendering of this opinion. In addition, Hambrecht & Quist, together with its affiliates, owns approximately 0.5% of the outstanding HDS Common Stock (on an as-converted basis). We are familiar with Medaphis and have provided investment banking and other financial advisory services to Medaphis in the past, and we have received fees for rendering these services. Specifically, we acted as financial advisor to Medaphis in 1995 in connection with its acquisition of Healthcare Recoveries, Inc. In the ordinary course of business, Hambrecht & Quist acts as a market maker and broker in the publicly traded C-1 116 securities of Medaphis and receives customary compensation in connection therewith, and also provides research coverage for Medaphis. In the ordinary course of business, Hambrecht & Quist actively trades in the equity securities of Medaphis for its own account and for the accounts of its customers and, accordingly, may at any time hold a long or short position in such securities. Hambrecht & Quist may in the future provide additional investment banking or other financial advisory services to Medaphis. In connection with our review of the Proposed Transaction, and in arriving at our opinion, we have, among other things: (i) reviewed the publicly available consolidated financial statements of Medaphis for recent years and interim periods to date and certain other relevant financial and operating data of Medaphis made available to us from published sources and from the internal records of Medaphis; (ii) discussed with certain members of the management of Medaphis the business, financial condition and prospects of Medaphis; (iii) reviewed certain financial and operating information, including certain projects of Medaphis, relating to Medaphis and discussed such projections with certain members of the management of Medaphis; (iv) reviewed the consolidated financial statements of HDS for recent years and interim periods to date and certain other relevant financial and operating data of HDS made available to us from the internal records of HDS; (v) reviewed certain internal financial and operating information, including certain projections, relating to HDS prepared by the senior management of HDS; (vi) discussed the business, financial condition and prospectus of HDS with certain members of its senior management; (vii) compared certain financial information of HDS and Medaphis with certain financial information and the recent reported common stock prices and trading activity of companies engaged in businesses we consider comparable to that of HDS and Medaphis; (viii) reviewed the financial terms, to the extent publicly available, of certain comparable merger and acquisition transactions; (ix) reviewed the Agreement and certain ancillary agreements; and (x) performed such other analyses and examinations and considered such other information, financial studies, analyses and investigations and financial, economic and market data as we deemed relevant. In rendering our opinion, we have assumed and relied upon the accuracy and completeness of all of the information concerning Medaphis or HDS considered in connection with our review of the Proposed Transaction, and we have not assumed any responsibility for independent verification of such information. We have not prepared any independent valuation or appraisal of any of the assets or liabilities of Medaphis or HDS, nor have we conducted a physical inspection of the properties and facilities of either company. With respect to the financial forecasts and projections made available to us and used in our analysis, we have assumed they reflect the best currently available estimates and judgments of the expected future financial performance of Medaphis and HDS, respectively. For purposes of this opinion, we have assumed that neither Medaphis nor HDS is a party to any pending transactions, including external financings, recapitalizations or material merger discussions, other than the Proposed Transaction and those activities undertaken in the ordinary course of conducting their respective businesses. Our opinion is necessarily based upon market, economic, financial and other conditions as they exist and can be evaluated as of the date of this letter and any change in such conditions would require a reevaluation of this opinion. We express no opinion as to the price at which Medaphis common stock will trade subsequent to the Effective Time (as defined in the Agreement). We were not requested to, and did not, solicit indications of interest from any other parties in connection with a possible acquisition of, or business combination with, HDS. C-2 117 It is understood that his letter is for the information of the Board of Directors only and may not be used for any purpose without our prior written consent; provided, however, that this letter may be reproduced in full in any filing made by HDS or Medaphis with the Securities and Exchange Commission with respect to the Proposed Transaction. This letter does not constitute a recommendation to any stockholder as to how such stockholder should vote on the Proposed Transaction. Based upon and subject to the foregoing and after considering such other matters as we deem relevant, we are of the opinion that as of the date hereof the consideration to be received by the holders of the Common Stock and the holders of the Preferred Stock in the Proposed Transaction is fair to such holders from a financial point of view. We express no opinion, however, as to the adequacy of any consideration received in the Proposed Transaction by Medaphis or any of its affiliates. Very truly yours, HAMBRECHT & QUIST LLC By: /s/ DAVID G. GOLDEN ------------------------------------ David G. Golden Managing Director C-3 118 INDEXANY TIME SUBSEQUENT TO FINANCIAL STATEMENTS HEALTH DATA SCIENCES CORPORATION AND SUBSIDIARYITS DATE. --------------------- TABLE OF CONTENTS
PAGE NUMBER ---------- Financial Statements: Independent Auditors' Report...................................................... F-2 Consolidated Balance Sheets asDisclosure Regarding Forward-Looking Statements.......................... iii Summary............................... 1 Risk Factors.......................... 14 The Exchange Offer.................... 24 Certain Federal Income Tax Consequences........................ 32 Use of March 31, 1996 and 1995......................... F-3 Consolidated Statements of Operations for the Years Ended March 31, 1996, 1995 and 1994........................................................................... F-4 Consolidated Statements of Stockholders' Equity for the Years Ended March 31, 1996, 1995 and 1994............................................................ F-5 Consolidated Statements of Cash Flows for the Years Ended March 31, 1996, 1995 and 1994........................................................................... F-6 Notes toProceeds....................... 34 Capitalization........................ 35 Selected Historical Consolidated Financial Statements........................................ F-7Data...................... 36 Unaudited Pro Forma Consolidated Financial Statement................. 38 Management's Discussion and Analysis of Financial Condition and Results of Operations....................... 40 The Business.......................... 47 Management............................ 67 Certain Transactions.................. 75 Principal Stockholders................ 79 Description of New Credit Facility.... 80 Description of Notes.................. 82 Plan of Distribution.................. 110 Legal Matters......................... 111 Experts............................... 111 Available Information................. 111 Incorporation of Certain Documents by Reference........................... 111
F-1====================================================== ====================================================== $175,000,000 [LOGO] MEDAPHIS CORPORATION SERIES B 9 1/2% SENIOR NOTES DUE 2005 -------------------- PROSPECTUS -------------------- , 1998 ====================================================== 119 INDEPENDENT AUDITORS' REPORT To the Board of Directors Health Data Science Corporation San Bernardino, California: We have audited the accompanying consolidated balance sheets of Health Data Sciences Corporation and subsidiary (the "Company") as of March 31, 1996 and 1995, and the related consolidated statements of operations, stockholders' equity, and cash flows for each of the years in the three-year period ended March 31, 1996. These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on these financial statements based on our audits. We conducted our audits in accordance with generally accepted auditing standards. Those standards require that we plan and perform the audits to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, such consolidated financial statements present fairly, in all material respects, the financial position of the Company at March 31, 1996 and 1995, and the results of their operations and their cash flows for each of the years in the three-year period ended March 31, 1996, in conformity with generally accepted accounting principles. DELOITTE & TOUCHE LLP Los Angeles, California May 23, 1996 F-2 120 HEALTH DATA SCIENCES CORPORATION AND SUBSIDIARY CONSOLIDATED BALANCE SHEETS MARCH 31, 1996 AND 1995
1996 1995 ----------- ----------- ASSETS CURRENT ASSETS Cash and cash equivalents (Note 1)................................ $14,167,000 $ 3,724,000 Accounts receivable, net of allowance for doubtful accounts of $475,000 (1996) and $75,000 (1995) (Notes 4 and 12)............ 10,377,000 6,109,000 Contractual accounts receivable (Note 1).......................... 8,001,000 26,871,000 Prepaid expenses and other current assets......................... 106,000 731,000 ----------- ----------- Total current assets...................................... 32,651,000 37,435,000 SOFTWARE DEVELOPMENT COSTS, Net (Notes 1 and 12).................... 7,768,000 8,014,000 EQUIPMENT AND LEASEHOLD IMPROVEMENTS, Net (Notes 1 and 3)............................................... 687,000 330,000 ACCOUNTS RECEIVABLE, Long-term (Note 4)............................. 423,000 750,000 CONTRACTUAL ACCOUNTS RECEIVABLE -- LONG-TERM (Note 1)............... 13,514,000 ----------- ----------- TOTAL..................................................... $55,043,000 $46,529,000 ========== ========== LIABILITIES AND STOCKHOLDERS' EQUITY CURRENT LIABILITIES: Bank line of credit (Note 6)...................................... $ $ 3,000,000 Accounts payable and accrued expenses............................. 7,430,000 10,609,000 Accrued salaries, payroll taxes and pension (Note 10)............. 992,000 654,000 Deferred revenue (Note 1)......................................... 540,000 412,000 ----------- ----------- Total current liabilities................................. 8,962,000 14,675,000 ----------- ----------- DEFERRED INCOME TAXES (Notes 1 and 9)............................... 1,300,000 3,000,000 ----------- ----------- COMMITMENTS AND CONTINGENCIES (Notes 8, 10, 12 and 13) VOLUNTARILY/MANDATORILY REDEEMABLE PREFERRED STOCK (Note 7) Series E, 830,000 shares authorized; 735,567 shares issued and outstanding................................................ 6,565,000 STOCKHOLDERS' EQUITY (Notes 6, 7 and 8) Convertible preferred stock, $.10 par value, authorized, 5,000,000 shares: Series B, issued and outstanding, 742,000 shares............... 74,000 74,000 Series C, issued and outstanding, 1,312,500 shares............. 131,000 131,000 Series F, issued and outstanding, 1,605,000 shares............. 161,000 Common stock, authorized, 10,000,000 shares, issued and outstanding, 4,081,990 shares (1996) and 4,079,990 shares (1995), stated at.............................................. 274,000 274,000 Additional paid-in capital........................................ 42,314,000 15,985,000 Notes receivable from directors (Note 12)......................... (180,000) (180,000) Retained earnings................................................. 2,132,000 6,095,000 Cumulative translation adjustment (Note 1)........................ (125,000) (90,000) ----------- ----------- Total stockholders' equity................................ 44,781,000 22,289,000 ----------- ----------- TOTAL..................................................... $55,043,000 $46,529,000 ========== ==========
See notes to consolidated financial statements. F-3 121 HEALTH DATA SCIENCES CORPORATION AND SUBSIDIARY CONSOLIDATED STATEMENTS OF OPERATIONS YEARS ENDED MARCH 31, 1996, 1995 AND 1994
1996 1995 1994 ----------- ----------- ----------- NET SALES (Notes 1 and 12).............................. $22,727,000 $30,454,000 $26,040,000 COST OF SALES (Note 2).................................. 15,185,000 13,767,000 11,875,000 ----------- ----------- ----------- GROSS MARGIN............................................ 7,542,000 16,687,000 14,165,000 ----------- ----------- ----------- EXPENSES: Research and development.............................. 1,793,000 1,754,000 1,775,000 Sales and marketing (Note 12)......................... 4,870,000 3,672,000 3,028,000 General and administrative (Note 11).................. 6,107,000 2,194,000 3,219,000 Interest.............................................. 265,000 232,000 129,000 ----------- ----------- ----------- Total expenses................................ 13,035,000 7,852,000 8,151,000 ----------- ----------- ----------- (LOSS) INCOME FROM OPERATIONS........................... (5,493,000) 8,835,000 6,014,000 INTEREST INCOME......................................... 620,000 202,000 73,000 ----------- ----------- ----------- (LOSS) INCOME BEFORE PROVISION FOR INCOME TAXES......... (4,873,000) 9,037,000 6,087,000 (BENEFIT) PROVISION FOR INCOME TAXES (Notes 1 and 9).... (1,700,000) 3,000,000 ----------- ----------- ----------- NET (LOSS) INCOME....................................... $(3,173,000) $ 6,037,000 $ 6,087,000 ========== ========== ==========
See notes to consolidated financial statements. F-4 122 HEALTH DATA SCIENCES AND SUBSIDIARY CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY YEARS ENDED MARCH 31, 1996, 1995 AND 1994
PREFERRED PREFERRED PREFERRED PREFERRED COMMON SERIES B STOCK SERIES C STOCK SERIES D STOCK SERIES F STOCK STOCK ---------------- ------------------- ------------------ ------------------- --------- SHARES AMOUNT SHARES AMOUNT SHARES AMOUNT SHARES AMOUNT SHARES ------- ------- --------- -------- -------- -------- --------- -------- --------- BALANCE, APRIL 1, 1993.................. 742,000 $74,000 1,312,500 $131,000 583,333 $ 58,000 4,033,190 Conversion of preferred Series D to preferred Series E stock............. (583,333) (58,000) Accretion of redemption value.......... Common stock repurchased............... (11,600) Common stock options exercised......... 400 Common stock issued.................... 50,000 Translation adjustment................. Net income............................. ------- ------- --------- -------- -------- -------- --------- -------- --------- BALANCE, MARCH 31, 1994................. 742,000 74,000 1,312,300 131,000 4,071,990 Accretion of redemption value.......... Common stock repurchased............... (17,000) Common stock issued.................... 25,000 Translation adjustment................. Net income............................. ------- ------- --------- -------- -------- -------- --------- -------- --------- BALANCE, MARCH 31, 1995................. 742,000 $74,000 1,312,500 $131,000 -- $ -- 4,079,990 ======== ======== ========== ========= ========= ========= ========== ========= ========== Accretion of redemption (Note 7)............................. Preferred stock issued................. 1,605,000 $161,000 Common stock issued.................... 2,000 Translation adjustments................ Net income (loss)...................... ------- ------- --------- -------- -------- -------- --------- -------- --------- BALANCE, MARCH 31, 1996................. 742,000 $74,000 1,312,500 $131,000 -- -- 1,605,000 $161,000 4,081,990 ======== ======== ========== ========= ========= ========= ========== ========= ========== NOTES RETAINED ADDITIONAL RECEIVABLE EARNINGS CUMULATIVE TOTAL PAID-IN FROM (ACCUMULATED TRANSLATION SHAREHOLDERS AMOUNT CAPITAL DIRECTORS DEFICIT) ADJUSTMENT EQUITY ----------- ----------- ---------- ------------ ---------- ----------- BALANCE, APRIL 1, 1993.................. $ 270,000 $22,737,000 $(5,519,000 ) $(167,000 ) $17,584,000 Conversion of preferred Series D to preferred Series E stock............. (6,942,000) (7,000,000) Accretion of redemption value.......... (204,000 ) (204,000) Common stock repurchased............... (1,000) (6,000) (7,000) Common stock options exercised......... 1,000 1,000 Common stock issued.................... 5,000 145,000 $ (120,000) 30,000 Translation adjustment................. 63,000 63,000 Net income............................. 6,087,000 6,087,000 ----------- ----------- ---------- ------------ ---------- ----------- BALANCE, MARCH 31, 1994................. 274,000 15,935,000 (120,000) 364,000 (104,000 ) $16,554,000 Accretion of redemption value.......... (306,000 ) (306,000) Common stock repurchased............... (2,000) (22,000) (24,000) Common stock issued.................... 2,000 72,000 (60,000) 14,000 Translation adjustment................. 14,000 14,000 Net income............................. 6,037,000 6,037,000 ----------- ----------- ---------- ------------ ---------- ----------- BALANCE, MARCH 31, 1995................. $ 274,000 $15,985,000 $ (180,000) $ 6,095,000 $ (90,000 ) $22,289,000 ============ ============ ========== ============= =========== ============ Accretion of redemption (Note 7)............................. (790,000 ) (790,000) Preferred stock issued................. 26,327,000 26,488,000 Common stock issued.................... 2,000 2,000 Translation adjustments................ (35,000 ) (35,000) Net income (loss)...................... (3,173,000 ) (3,173,000) ----------- ----------- ---------- ------------ ---------- ----------- BALANCE, MARCH 31, 1996................. $ 274,000 $42,314,000 $ (180,000) $ 2,132,000 $(125,000 ) $44,781,000 ============ ============ ========== ============= =========== ============
See notes to consolidated financial statements. F-5 123 HEALTH DATA SCIENCES CORPORATION AND SUBSIDIARY CONSOLIDATED STATEMENTS OF CASH FLOWS YEARS ENDED MARCH 31, 1996, 1995 AND 1994
1996 1995 1994 ------------ ------------ ------------ CASH FLOWS FROM OPERATING ACTIVITIES: Net income (loss)............................................ $ (3,173,000) $ 6,037,000 $ 6,087,000 Adjustments to reconcile net income (loss) to net cash (used in) provided by operating activities: Depreciation and amortization.............................. 3,436,000 3,104,000 2,886,000 Deferred income taxes...................................... (1,700,000) 3,000,000 Provision of doubtful accounts............................. 1,237,000 51,000 12,000 Changes in operating assets and liabilities: Accounts receivable and contractual accounts receivable............................................ (149,000) (11,031,000) (11,402,000) Prepaid expenses and other assets........................ 625,000 (73,000) (438,000) Accounts payable and accrued expenses.................... (3,448,000) 2,709,000 5,061,000 Accrued salaries, payroll taxes and pension.............. 338,000 (14,000) (127,000) Deferred revenue......................................... 128,000 (4,000) (69,000) ------------ ------------ ------------ Net cash (used in) provided by operating activities... (2,706,000) 3,779,000 2,010,000 ------------ ------------ ------------ CASH FLOWS FROM INVESTING ACTIVITIES: Increase in software development costs....................... (3,052,000) (3,135,000) (3,478,000) Long-term customer (financing) payments, net................. 327,000 130,000 258,000 Purchase of equipment and leasehold improvements............. (226,000) (38,000) (74,000) ------------ ------------ ------------ Net cash used in investing activities................. (2,951,000) (3,043,000) (3,294,000) ------------ ------------ ------------ CASH FLOWS FROM FINANCING ACTIVITIES: Bank borrowings (repayments)................................. (3,000,000) 1,500,000 Common stock issued and repurchased, net..................... (9,000) 23,000 Repurchase of Series E preferred stock....................... (7,355,000) (651,000) (294,000) Issuance of Series F preferred stock......................... 26,488,000 Exercise of stock options.................................... 2,000 1,000 ------------ ------------ ------------ Net cash provided by (used in) financing activities... 16,135,000 (660,000) 1,230,000 ------------ ------------ ------------ EFFECT OF EXCHANGE RATE CHANGES ON CASH........................ (35,000) 14,000 63,000 ------------ ------------ ------------ INCREASE IN CASH AND CASH EQUIVALENTS.......................... 10,443,000 90,000 9,000 CASH AND CASH EQUIVALENTS, BEGINNING OF YEAR................... 3,724,000 3,634,000 3,625,000 ------------ ------------ ------------ CASH AND CASH EQUIVALENTS, END OF YEAR......................... $ 14,167,000 $ 3,724,000 $ 3,634,000 ============= ============= ============= SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION Cash paid during the year for interest....................... $ 288,000 $ 185,000 $ 118,000 ============= ============= =============
SUPPLEMENTAL DISCLOSURE OF NONCASH FINANCING ACTIVITY: During 1995, the Company issued 25,000 common shares to one director in exchange for $60,000 in the form of a note and $15,000 in cash. During 1994, the Company issued 50,000 common shares to two directors in exchange for $120,000 in notes and $30,000 in cash. During 1994, the Company exchanged Series E preferred stock for Series D preferred stock. During the years ended March 31, 1996, 1995 and 1994, $790,000, $306,000 and $204,000, respectively, of the excess of the redemption amount over the stated value were recorded as a charge to retained earnings. During 1996, the Company acquired $269,000 of computer equipment under capital lease arrangements. See notes to consolidated financial statements. F-6 124 HEALTH DATA SCIENCES CORPORATION AND SUBSIDIARY NOTES TO CONSOLIDATED FINANCIAL STATEMENTS YEARS ENDED MARCH 31, 1996, 1995 AND 1994 1. SIGNIFICANT ACCOUNTING POLICIES Nature of Business -- Health Data Sciences Corporation and its wholly-owned subsidiary, Health Data Sciences, Ltd. (collectively, the "Company"), are engaged in the development, marketing, installation and maintenance of a computerized health care information system. Health Data Sciences, Ltd. was formed for the purpose of developing and marketing the health care information system in Canada. Due to the specialized nature of the Company's product, a significant amount of sales in any given year is attributable to a small number of major customers in the health care industry. During the years ended March 31, 1996, 1995 and 1994, four, three and one customers accounted for approximately 60%, 52% and 44%, respectively, of the Company's revenues. Customers representing 10% or more of the Company's revenues were Candler Hospital, Inc., Graduate Health Systems, New York City Health and Hospital Corporation (NYCHHC) And Toronto Hospital Corporation (1996); Genesis Health Ventures, Health Systems International and NYCHHC (1995) and NYCHHC (1994). Principles of Consolidation -- The consolidated financial statements include the accounts of Health Data Sciences Corporation and Health Data Sciences, Ltd. All intercompany transactions and balances have been eliminated. Foreign Currency Translation -- Assets and liabilities of the foreign subsidiary are translated into U.S. dollars at the exchange rate in effect at the close of the period. Revenues and expenses of the subsidiary are translated at the weighted average exchange rate in effect during the year. The aggregate effect of translating the financial statements of the foreign subsidiary is included in a separate component of stockholders' equity. Use of Estimates in the Preparation of Financial Statements -- The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. Concentration of Credit Risk -- Financial instruments that potentially subject the Company to concentrations of credit risk consist primarily of cash and cash equivalents, accounts receivable and contractual accounts receivable. The Company performs ongoing credit evaluations of its customers and maintains an allowance for potential losses. Cash and cash Equivalents -- Cash and cash equivalents include cash and commercial paper with maturities of 90 days or less. Software Development Costs -- The Company capitalizes certain software development costs that are expenditures incurred on continued enhancements to the product. The amortization of software development costs is computed on the straight-line method based on the estimated useful life of the software and enhancements to software over approximately five years. Equipment and Leasehold Improvements -- Equipment and leasehold improvements are recorded at cost. Depreciation and amortization are computed using the straight-line method based on the estimated useful lives of the related assets, ranging from five to ten years. Revenue Recognition -- The Company recognizes software license revenues when the software is delivered and there are no further significant vendor obligations. The Company accrues an estimate of the costs of completing any remaining insignificant obligations. Software maintenance revenues are recognized ratably over the term of the maintenance agreement. Hardware sales are recognized on shipment of the hardware. F-7 125 HEALTH DATA SCIENCES CORPORATION AND SUBSIDIARY NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) Deferred revenue arises from advance payments received from customers. The Company recognizes revenue on one contract in progress as the work is performed using the percentage of completion method. The Company has applied the percentage of completion method to appropriately match revenues and costs over an extended installation period. The basis for the percentage of completion measurement is time incurred on the installation compared to estimated time to complete. The majority of the revenues recognized under the contract are included in contractual accounts receivable, which are unbilled and net of payments received. Income Taxes. -- Deferred income taxes are determined based on the temporary differences between the financial statement carrying amounts and income tax bases of assets and liabilities using enacted tax rates in effect in the years in which the differences are expected to reverse. Research and Development -- In June 1995, the Company was awarded a $7.5 million cooperative agreement by the Department of Commerce to fund product development for a five-year period. Funding under this agreement began during the year ended March 31, 1996 and amounted to $912,000, which is reflected in the accompanying statement of operations as a reduction in research and development expenses. Receipt of additional funding is dependent upon satisfactory performance under the agreement. New Accounting Pronouncements -- In March 1995, the Financial Accounting Standards Board ("FASB") released Statement of Financial Accounting Standards ("SFAS") No. 121, "Accounting for the Impairment of Long-Lived Assets and for Long-Lived Assets to Be Disposed of." This statement, effective for fiscal years beginning after December 15, 1995, requires that long-lived assets and certain identifiable intangibles to be held and used by an entity be reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. The Company is currently in the process of determining the impact of adopting this statement. In October 1995, the FASB issued SFAS No. 123, "Accounting for Stock-Based Compensation," effective for transactions entered into in fiscal years beginning after December 15, 1995. The Company plans to elect to continue to account for stock-based compensation under Accounting Principles Board Opinion No. 25, "Accounting for Stock Issued to Employees," and related interpretations, and to provide appropriate disclosures as permitted by SFAS No. 123. 2. SOFTWARE DEVELOPMENT COSTS Software development costs capitalized for the years ended March 31, 1996 and 1995 were $3,052,000 and $3,135,000, respectively. Amortization of deferred software development costs for 1996, 1995 and 1994 was $3,296,000, $2,943,000 and $2,561,000, respectively. The amortization is included in cost of sales. F-8 126 HEALTH DATA SCIENCES CORPORATION AND SUBSIDIARY NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) 3. EQUIPMENT AND LEASEHOLD IMPROVEMENTS Equipment and leasehold improvements consist of the following:
ESTIMATED MARCH 31 USEFUL ----------------------- LIVES 1996 1995 --------- ---------- ---------- Computer equipment................................. 5 years $2,901,000 $2,424,000 Furniture and equipment............................ 5 years 1,368,000 1,368,000 Office equipment................................... 5 years 499,000 483,000 Leasehold improvements............................. 10 years 368,000 368,000 ---------- ---------- 5,136,000 4,643,000 Less accumulated depreciation and amortization..... 4,449,000 4,313,000 ---------- ---------- $ 687,000 $ 330,000 ========= =========
4. ACCOUNTS RECEIVABLE LONG-TERM During 1991, the Company financed the sale of a software license to one customer. Payments under this arrangement are to be made over an eight-year period. As of March 31, 1996 and 1995, accounts receivable -- current include $657,000 and $600,000, respectively, due from this sale. Accounts receivable, long-term of $423,000 and $750,000 at March 31, 1996 and 1995, respectively, represent the present value of the payments due monthly through 2002, discounted at the rate of 7.75%. 5. DISCLOSURES ABOUT FAIR VALUE OF FINANCIAL INSTRUMENTS The carrying values of cash and cash equivalents, accounts receivable, bank line of credit, accounts payable and deferred revenue approximate fair value due to the short maturities of such instruments. The fair value of long-term accounts receivable is estimated by discounting the future cash flows using the Company's incremental borrowing rate. The carrying and fair values of the long-term accounts receivable were $1,080,000 and $1,016,000, respectively, at March 31, 1996. It was not practicable to estimate the fair value of contractual accounts receivable, as the timing of the future cash flows from this receivable is not determinable. No interest applies to this receivable, which has a carrying amount of $21,515,000 in the consolidated balance sheet at March 31, 1996. 6. BANK LINE OF CREDIT Health Data Sciences Corporation has an unsecured line of credit of $3,000,000. Outstanding borrowings under the line at March 31, 1996 and 1995 were $0 and $3,000,000, respectively. Interest is payable on the outstanding balance at a rate of 8.25% and 9% at March 31, 1996 and 1995, respectively. The line of credit agreement contains, among other restrictions, covenants for various financial ratios, as well as provisions limiting the issuance of additional debt and the payment of dividends. At March 31, 1996, the Company was not in compliance with certain covenants and has obtained a waiver of default from the lender. The line expires on October 1, 1997. 7. PREFERRED STOCK Convertible preferred Series B, C and F stock are convertible to common shares at the option of the stockholder on a one-for-one basis. A total of 3,659,853 shares are subject to conversion. The Series B, C and F preferred shares carry no guaranteed dividend features and have no mandatory redemption features. The Series B, C and F preferred shares have equal preference rights over common stock to the proceeds, if any, F-9 127 HEALTH DATA SCIENCES CORPORATION AND SUBSIDIARY NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) from a voluntary or involuntary liquidation; however, such proceeds are limited to the amount invested. On August 5, 1993, the Company exchanged Series D preferred stock for Series E preferred stock as part of a settlement of a lawsuit. Series E preferred stock consists of 830,000 shares redeemable at $10 per share. 65,083 and 29,350 shares were redeemed on November 1, 1994 and 1993, respectively. The excess of the redemption amount of Series E over the stated value of Series D was $1.3 million and is being accreted through equal annual charges to retained earnings over the mandatory redemption period. During the years ended March 31, 1996 and 1995 $790,000 and $306,000, respectively, of the excess was recorded as a charge to retained earnings. On June 30, 1995, the Company redeemed all of the remaining shares outstanding (735,567) at $10 per share. On June 30, 1995, the Company issued 1,212,121 shares of Series F convertible preferred stock at $16.50 per share. There are certain defaults on the part of the Company with respect to the delivery by the Company of its financial statements and other information to the other parties thereto. The agreements do not contain any provisions with respect to such parties' remedies upon such defaults. 8. STOCK OPTIONS The Company has a stock option plan for the benefit of key employees. The plan is administered by the Board of Directors. The aggregate number of shares for which options may be granted is 725,000, of which 187,950 and 397,050 were available for grant at March 31, 1996 and 1995, respectively. The exercise price is determined by the Board of Directors but may not be less than the estimated fair market value of the shares at the date of grant. The options must be exercised within ten years of the date of grant. A summary of changes in stock options is as follows:
NUMBER OF PRICE SHARES RANGE --------- --------- Exercisable at March 31, 1994.................................. 205,450 .80-3.00 Options canceled............................................... (15,100) 2.00-3.00 Exercisable at March 31, 1995.................................. 190,350 .80-3.00 Options granted................................................ 387,400 3.00 Options canceled............................................... 40,700 .80-3.00 Options exercised.............................................. 2,000 .80-3.00 --------- Exercisable at March 31, 1996.................................. 535,050 =======
In 1988, the Company offered to sell 80,000 shares of the Company's common stock to various employees at an exercise price that represented the then-current fair market price as determined by the Board of Directors at the time. At March 31, 1996, certain employees, representing 40,250 shares, have as of March 31, 1996 not accepted the Company's offer. 9. INCOME TAXES The income tax benefit for the year ended March 31, 1996 was $1,700,000, primarily attributable to the net taxable loss for the current year. The provision for income taxes for the year ended March 31, 1995 was $3,000,000 due to the exhaustion of the net operating loss carryforwards for financial reporting purposes in 1995. There was no provision for income taxes for the year ended March 31, 1994 due to the income tax benefit arising from the utilization of the net operating loss carryforwards of approximately $2,105,000. At March 31, 1996 and 1995, the Company had deferred income tax liabilities of $15,426,000 and $13,466,000, respectively, and deferred income tax assets of $12,362,000 and $10,466,000, respectively. F-10 128 HEALTH DATA SCIENCES CORPORATION AND SUBSIDIARY NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) The components of the provision for income taxes are:
MARCH 31, ------------------------ 1996 1995 ----------- ---------- Deferred: Federal.................................................... $(1,445,000) $2,550,000 State...................................................... (255,000) 450,000 ----------- ---------- Total.............................................. $(1,700,000) $3,000,000 ========== =========
The components of deferred income taxes are as follows:
MARCH 31, ------------------------- 1996 1995 ----------- ----------- Capitalized software development costs...................... $(8,321,000) $(7,007,000) Capitalized software amortization........................... 5,119,000 3,801,000 Unbilled revenues........................................... (6,999,000) (6,469,000) Net operating loss carryforward............................. 7,361,000 5,597,000 Research and development credit............................. 1,078,000 1,078,000 Other....................................................... 462,000 ----------- ----------- Net deferred tax liability.................................. $(1,300,000) $(3,000,000) ========== ==========
The following are the Company's net operating loss and tax credit carryforwards as of March 31, 1996 for income tax purposes:
RESEARCH AND YEAR U.S. CANADA DEVELOPMENT EXPIRATION TAX TAX CREDITS --------------------------------------------------- ----------- -------- ----------- 1998............................................. $ 21,000 1999............................................. $ 76,000 77,000 2000............................................. 2,517,000 108,000 2001............................................. 3,137,000 195,000 2002............................................. 5,305,000 210,000 2003............................................. 1,147,000 273,000 2004............................................. 1,368,000 $405,000 194,000 2005............................................. 2,000 2006............................................. 2007............................................. 4,488,000 2008............................................. 1,934,000 ----------- -------- ----------- $19,974,000 $405,000 $ 1,078,000 ========== ======== =========
10. PENSION AND PROFIT-SHARING PLAN The Company has a profit-sharing/401(k) plan covering substantially all employees who meet certain length-of-service requirements. Participants begin vesting after their third year of service. Pension costs, net of capitalized portion (see Note 2) for the years ended March 31, 1996, 1995 and 1994, were approximately $138,000, $139,000 and $190,000, respectively. F-11 129 HEALTH DATA SCIENCES CORPORATION AND SUBSIDIARY NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) 11. FOREIGN CURRENCY TRANSACTIONS During the years ended March 31, 1996, 1995 and 1994, the Company experienced foreign currency transaction losses of approximately $35,000, $63,000 and $494,000, respectively. Such losses result from the effects of currency fluctuations on the intercompany balances between Health Data Sciences Corporation and Health Data Sciences, Ltd. and on payables not denominated in the subsidiary's functional currency. The amounts are included in general and administrative expenses. 12. RELATED PARTIES During the year ended March 31, 1995, the Company sold 25,000 common shares to a director in exchange for $15,000 in cash and $60,000 in notes receivable. During the year March, 31, 1994, the Company sold 50,000 common shares to directors in exchange for $30,000 in cash and $120,000 in notes receivable. The sale of these shares were in accordance with the terms of agreements dated August 24, 1993. The notes receivable are due on August 24, 1996. Interest at 9%, subject to certain adjustments as defined, is payable yearly. The notes are secured by the related common stock. In connection with the preferred stock issuance that occurred on June 30, 1995 (see Note 7), two of the Company's customers became preferred shareholders of the Company. A Series C preferred shareholder is also a customer of the Company. Sales to these affiliates were $2,277,000, $12,698,000 and $2,000,000 for the years ended March 31, 1996, 1995 and 1994, respectively. Accounts receivable from these affiliates were $6,124,000 and $8,762,000 at March 31, 1996 and 1995, respectively. During 1994 the Company executed a consulting agreement for strategic planning with a nonemployee stockholder of the Company. The agreement required annual payments of $696,000 due on November 1 through 1997 and a down payment of $232,000. On June 30, 1995, the Company terminated this agreement. During 1996, 1995 and 1994, $324,000, $754,000 and $314,000, respectively, were expensed and are included in sales and marketing expenses in the accompanying consolidated statements of income. 13. COMMITMENTS The Company leases certain facilities and equipment under noncancelable operating leases. Rent expense, net of capitalized portion (see Note 2) for 1996, 1995 and 1994, was $643,000, $539,000 and $623,000, respectively. Future minimum rental payments are as follows:
EQUIPMENT YEAR ENDING MARCH 31, BUILDINGS AND OTHER TOTAL ---------------------------------------------------- ---------- --------- ---------- 1997......................................... $ 779,000 $32,000 $ 811,000 1998......................................... 798,000 24,000 822,000 1999......................................... 821,000 22,000 843,000 2000......................................... 846,000 10,000 856,000 2001......................................... 872,000 4,000 876,000 Thereafter................................... 3,505,000 3,505,000 ---------- --------- ---------- Total................................... $7,621,000 $92,000 $7,713,000 ========= ======== =========
14. SUBSEQUENT EVENTS Beginning in January 1996, the Company and a major provider of business management services and systems to the health care industry engaged in substantive discussions regarding a possible business combination. As currently proposed, at the consummation of the merger, the Company would become a wholly owned subsidiary of the acquirer. F-12 130 PART II INFORMATION NOT REQUIRED IN PROSPECTUS ITEM 20. INDEMNIFICATION OF DIRECTORS AND OFFICERS. The following summary is qualified in its entirety by reference to the complete text of the statute, Certificate of Incorporation Bylaws and agreementBylaws referred to below. The Registrant's Bylaws provide that each person who was or is made a party to, is threatened to be made a party to or is otherwise involved in any action, suit or proceeding, whether civil, criminal, administrative or investigative, by reason of the fact that he is or was a director, officer, employee or agent of the Registrant (or is or was serving at the request of the Registrant as a director, officer, employee or agent of another entity), will be indemnified and held harmless by the Registrant to the fullest extent permitted by the Delaware General Corporation Law as it currently exists or is later amended. Under Section 145 of the Delaware General Corporation Law, a corporation may indemnify a director, officer, employee or agent of the corporation (or other entity if such person is serving in such capacity at the corporation's request) against expenses (including attorneys' fees), judgments, fines and amounts paid in settlement actually and reasonably incurred by him if he acted in good faith and in a manner he reasonably believed to be in, or not opposed to, the best interests of the corporation and, with respect to any criminal action or proceeding, had no reasonable cause to believe his conduct was unlawful. In the case of an action brought by or in the right of a corporation, the corporation may indemnify a director, officer, employee or agent of the corporation (or other entity if such person is serving in such capacity at the corporation's request) against expenses (including attorneys' fees) actually and reasonably incurred by him if he acted in good faith and in a manner he reasonably believed to be in, or not opposed to, the best interests of the corporation, except that no indemnification shall be made in respect of any claim, issue or matter as to which such person shall have been adjudged to be liable to the corporation unless a court determines that, despite the adjudication of liability but in view of all the circumstances of the case, such person is fairly and reasonably entitled to indemnification for such expensesexpense as the court shall deem proper. Expenses (including attorneys' fees) incurred by an officer or director in defending any civil, criminal, administrative or investigative action, suit or proceeding may be paid by the corporation in advance of the final disposition of such action, suit or proceeding upon receipt of an undertaking by or on behalf of such director or officer to repay such amount if it shall ultimately be determined that he is not entitled to be indemnified by the corporation. The Registrant's Certificate of Incorporation provides that a director of the Registrant shall not be personally liable to the Registrant or its stockholders for monetary damages for breach of fiduciary duty as a director, except for liability (i) for any breach of the director's duty of loyalty to the Registrant or its stockholders, (ii) for any acts or omissions not in good faith or which involve intentional misconduct or knowing violation of law, (iii) under Section 174 of the Delaware General Corporation Law or (iv) for any transaction in which the director derived an improper personal benefit. In addition, the Registrant and Randolph G. Brown are parties to an agreement pursuant to which the Registrant has agreed to indemnify and hold harmless Mr. Brown to the fullest extent permitted by the Delaware General Corporation Law as it presently exists or to such greater extent as such law may hereafter be amended. The Registrant maintains directors and officers liability insurance coverage. Such policies have a deductible of $350,000,$150,000, and an annual per occurrence and aggregate cap on coverage of $25$50 million. II-1 131122 ITEM 21. EXHIBITS AND FINANCIAL STATEMENT SCHEDULESSCHEDULES. a. Exhibits
EXHIBIT DESCRIPTIONNO. DOCUMENT - ------- -------------------------------------------------------------------------------------------- 2.13.1 -- Merger agreement dated asAmended and Restated Certificate of May 23, 1996, by and amongIncorporation of Registrant RAKSub, Inc. and HDS, Inc. (attached as Annex A to the Proxy Statement/Prospectus forming a part of the Registration Statement). The Registrant agrees to furnish supplementally a copy of any omitted schedule to the Commission upon request. 2.2 -- Merger Agreement dated as of March 15, 1996, by and among Registrant, BSGSub, Inc. and BSG Corporation. (incorporated by reference to Exhibit 2.13.1 to the Registrant's Registration Statement on Form S-4;S-1, File No. 333-2506)33-42216). 2.33.2 -- Merger Agreement dated asCertificate of March 12, 1996, by and amongAmendment of Certificate of Incorporation of Registrant Rapid Systems Solutions, Inc. and RipSub, Inc. (incorporated by reference to Exhibit 2.193 to Registrant's AnnualQuarterly Report on Form 10-K10-Q for the yearquarterly period ended DecemberMarch 31, 1995)1993). 2.43.3 -- Merger Agreement dated asCertificate of December 29, 1995, by and amongAmendment of Certificate of Incorporation of Registrant CarSub Inc., and Medical Management Sciences, Inc. (incorporated by reference to Exhibit 2.13.3 to Registrant's Current ReportRegistration Statement on Form 8-K8-A/A, filed on January 19, 1996)March 28, 1995). 2.53.4 -- Merger Agreement dated asCertificate of October 13, 1995 byAmendment of Amended and amongRestated Certificate of Incorporation of Registrant NukSub, Inc. and Consort Technologies, Inc. (incorporated by reference to Exhibit 2.14.4 to Registrant's Current ReportRegistration Statement on Form 8-K filed on December 5, 1995)S-8, Registration No. 333-03213). 2.63.5 -- Merger Agreement dated asCertificate of January 29, 1995 byAmendment of Amended and amongRestated Certificate of Incorporation of Registrant BullSub, Inc., AUTOMATION ATWORK, ATWORK AUSTRALIA, ATWORK CANADA CORP., ATWORK-EUROPE AND ATWORK, U.K. (incorporated by reference to Exhibit 2.13.5 to Registrant's Registration StatementQuarterly Report on Form S-4, File No. 33-88910)10-Q for the quarterly period ended June 30, 1997). 4.03.6 -- Indenture byAmended and betweenRestated By-laws of Registrant and Trust Company Bank, as Trustee, dated December 30, 1992 (incorporated by reference to Exhibit 43.6 to Registrant's CurrentQuarterly Report on Form 8-K filed on January 11, 1993)10-Q for the quarterly period ended June 30, 1997). 3.7 -- Articles of Incorporation of Medaphis Physician Services Corporation.* 3.8 -- By-laws of Medaphis Physician Services Corporation.* 3.9 -- Articles of Incorporation of Gottlieb's Financial Services, Inc.* 3.10 -- By-laws of Gottlieb's Financial Services, Inc.* 3.11 -- Articles of Incorporation of Medical Management Sciences, Inc.* 3.12 -- By-laws of Medical Management Sciences, Inc.* 3.13 -- Articles of Incorporation of Medaphis Services Corporation.* 3.14 -- By-laws of Medaphis Services Corporation.* 3.15 -- Articles of Incorporation of Medaphis Healthcare Information Technology Company.* 3.16 -- By-laws of Medaphis Healthcare Information Technology Company.* 3.17 -- Articles of Incorporation of Automation Atwork.* 3.18 -- By-laws of Automation Atwork.* 3.19 -- Articles of Incorporation of Consort Technologies, Inc.* 3.20 -- By-laws of Consort Technologies, Inc.* 3.21 -- Certificate of Incorporation of Health Data Sciences Corporation.* 3.22 -- By-laws of Health Data Sciences Corporation.* 3.23 -- Certificate of Incorporation of BSG Corporation.* 3.24 -- By-laws of BSG Corporation.* 3.25 -- Articles of Incorporation of AssetCare, Inc.* 3.26 -- By-laws of AssetCare, Inc.* 3.27 -- Articles of Incorporation of National Healthcare Technologies, Inc.* 3.28 -- By-laws of National Healthcare Technologies, Inc.* 3.29 -- Certificate of Incorporation of BSG Alliance/IT, Inc.* 3.30 -- By-laws of BSG Alliance/IT, Inc.*
II-2 123
EXHIBIT NO. DOCUMENT - ------- -------- 3.31 -- Articles of Incorporation of BSG Government Solutions, Inc.* 3.32 -- By-laws of BSG Government Solutions, Inc.* 4.1 -- Specimen Common Stock Certificate (incorporated by reference to Exhibit 4.1 to Registrant's Annual Report on Form 10-K for the year ended December 31, 1995)1995, File No. 000-19480 (the "1995 Form 10-K"). 4.2 -- Form of Option CertificateAgreement relating to Registrant's Stock Option Plan (incorporated by reference to Exhibit 4.2 to Registration Statement on Form S-1, File No. 33-42216). 4.3 -- Form of Option CertificateAgreement relating to Registrant's Executive Performance Plan (incorporated by reference to Exhibit 4.3 to Registration Statement on Form S-1, File No. 33-42216). 4.4 -- Form of Option CertificateAgreement relating to Registrant's Stock Option Plan for Employees of Acquired Companies (incorporated by reference to Exhibit 4.4 to Registration Statement on Form S-3, File No. 33-71552). 4.5 -- Form of Option CertificateAgreement relating to Registrant's Restricted Stock Plan (incorporated by reference to Exhibit 4.5 to Registrant's Annual Report onthe 1995 Form 10-K for the year ended December 31, 1995)10-K). 4.6 -- Form of Option CertificateAgreement relating to Registrant's Non-Employee Director Stock Option Plan (incorporated by reference to Exhibit 4.6 to Registrant's Annual Report onthe 1995 Form 10-K for the year ended December 31, 1995)10-K).
II-2 132
EXHIBIT DESCRIPTION - ------- ------------------------------------------------------------------------------------ 4.7 -- Registration Rights Agreement, dated November 15, 1989, among Registrant, Prudential Venture Partners II and Rhode Island Securities Corporation (incorporated by reference to Exhibit 4.13 to Registration Statement on Form S-1, File No. 33-42216). 4.8 -- Amendment No. 1 to Registration Rights Agreement, dated as of December 1, 1989, among Registrant and the several persons named therein (incorporated by reference to Exhibit 4.14 to Registration Statement on Form S-1, File No. 33-42216). 4.9 -- Amended and Restated Registration Rights Agreement, effective as of December 1, 1989, among Registrant and the several persons named therein (incorporated by reference to Exhibit 4.15 to Registration Statement on Form S-1, File No. 33-42216). 4.10 -- Registration Rights Agreement, dated as of March 17, 1995, by and among Registrant, David Michael Warner and John P. Holton (incorporated by reference to Exhibit 4.10 to Registrant's Annual Report on Form 10-K for the year ended December 31, 1994)1994, File No. 000-19480 (the "1994 Form 10-K")). 4.114.8 -- Form of Common Stock Purchase Warrant issued to FredericaFredrica Morf and Ursula Nelson (incorporated by reference to Exhibit 4.19 to Registrant's Annual Report onthe 1994 Form 10-K for the year ended December 31, 1994)10-K). 4.12 -- Form of Warrant Agreement between AdvaCare and certain litigants, entered into in settlement of litigation, dated June 30, 1994 (incorporated by reference to Exhibit 4.22 to Registrant's Annual Report on Form 10-K for the year ended December 31, 1994). 4.13 -- Form of Amendment to Warrant Agreement between AdvaCare and certain litigants, entered into in settlement of litigation, dated November 30, 1994 (incorporated by reference to Exhibit 4.23 to Registrant's Annual Report on Form 10-K for the year ended December 31, 1994). 4.144.9 -- Form of Warrant issued to certain litigants in settlementone or more lenders pursuant to Registrant's Second Amended and Restated Credit Agreement, dated as of litigationFebruary 4, 1997 (incorporated by reference to Exhibit 4.244.1 to Registrant's AnnualCurrent Report on Form 10-K for the year ended December 31, 1994)8-K filed on February 18, 1997). 4.15 -- Form of Registration Rights Agreement among Registrant, Bryan Dieter and The Decision Support Group, Inc. (incorporated by reference to Exhibit 4.26 to Registrant's Annual Report on Form 10-K for the year ended December 31, 1994). 4.16 -- Form of Registration Rights Agreement among Registrant, Humana Inc. and Warburg, Pincus Capital Company, L.P. (incorporated by reference to Exhibit 4.15 to Registration Statement on Form S-4, File No. 33-96996). 4.174.10 -- Form of Registration Rights Agreement among Registrant, Mahmoud R. Ghavi, Barry G. Wahlig, William L. McCready, and Kimberly D. Elkins (incorporated by reference to Exhibit 4.1 to Registrant's Current Report on Form 8-K filed on December 5, 1995). 4.184.11 -- Form of Registration Rights Agreement among Registrant, William J. DeZonia, Lori T. Caudill, Carol T. Shumaker, Alyson T. Stinson, James F. Thacker, James F. Thacker Retained Annuity Trust and Paulanne H. Thacker Retained Annuity Trust (incorporated by reference to Exhibit 4.1 to Registrant's Current Report on Form 8-K filed on January 19, 1996). 4.194.12 -- Form of Registration Rights Agreement among Registrant, NFT Ventures, Inc.Raymond J. Noorda and NP Ventures, Ltd.Steven G. Papermaster (incorporated by reference to Exhibit 4.17 to the Registrant's Registration Statement on Form S-4, File No. 333-2506)33-2506). 4.204.13 -- Form of Registration Rights Agreement among Registrant, Michael Clark, Andrei Mitran, and Steven ThiedkeTheidke (incorporated by reference to Exhibit 4.18 to the Registrant's Registration Statement on Form S-4, File No. 333-2506.) 5.133-2506). 4.14 -- OpinionNotice of King & Spalding. 8.1 -- Opinion of King & Spalding asRedemption for 6.5% Convertible Subordinated Debentures Due 2000 (incorporated by reference to tax matters.Exhibit 4.21 to the 1995 Form 10-K).
II-3 133124
EXHIBIT DESCRIPTIONNO. DOCUMENT - ------- -------------------------------------------------------------------------------------------- 10.14.15 -- Medaphis Corporation Re-engineering, ConsolidationRegistration Rights Agreement dated as of February 20, 1998 among the Registrant, the Subsidiary Guarantors, and Business Improvement Cash Incentive Plan,Donaldson Lufkin & Jenrette Securities Corporation. 4.16 -- Credit Agreement dated as of February 21, 199613, 1998 among the Registrant, as the Borrower, Various Financial Institutions From Time to Time Parties Thereto, as the Lenders, DLJ Capital Funding, Inc. as Syndication Agent for the Lenders, and Wachovia Bank N.A. as Administrative Agent for the Lenders, (incorporated by reference to Exhibit 10.1 to the Registrant's Registration StatementCurrent Report on Form S-4,8-K filed on March 2, 1998) (including form of note). 4.17 -- Subsidiary Guaranty dated February 20, 1998, among the domestic subsidiaries of the Registrant and Wachovia Bank, N.A., as Administrative Agent (incorporated by reference to Exhibit 10.2 to Current Report on Form 8-K filed on March 2, 1998). 4.18 -- Indenture dated as of February 20, 1998 among the Registrant as Issuer, the Subsidiary Guarantors named in the Indenture and State Street Bank and Trust Company, as trustee (incorporated by reference to Exhibit 10.3 to Current Report on Form 8-K Filed on March 2, 1998) (including form of note). 4.19 -- Form of Option Agreement relating to Registrant's Non-Qualified Stock Option Plan for Non-Executive Employees (incorporated by reference to Exhibit 4.17 to Annual Report on Form 10-K for the fiscal year ended December 31, 1996, File No. 333-2506)000-19480). 5.1 -- Opinion of Randolph L. M. Hutto.* 5.2 -- Opinion of Skadden, Arps, Slate, Meagher & Flom LLP.* 12.1 -- Statement re: Computation of Ratios. 23.1 -- Consent of Deloitte & Touche LLP.Price Waterhouse. 23.2 -- Consent of CoopersSkadden, Arps, Slate, Meagher & Lybrand L.L.P. 23.3Flom LLP.* 24.1 -- ConsentPowers of Arthur Andersen LLP. 23.4 -- Consent of Price Waterhouse LLP. 23.5 -- Consent of Hambrecht & Quist LLP. 23.6 -- Consent of King & SpaldingAttorney (included in Exhibit 5.1)signature page to registration statement). 24.125.1 -- PowerStatement of attorneyEligibility of the officers and directors of Registrant signing this Registration Statement (appears at page II-7).Trustee on Form T-1. 99.1 -- Form of Proxy for HDS Common Stock, HDS Series B Preferred Stock and HDS Series C Preferred Stock.Letter of Transmittal. 99.2 -- Form of Proxy for HDS Series F Preferred Stock.Notice of Guaranteed Delivery. 99.3 -- Form of Tender Instruction.
b. Financial Statement Schedules. None.- --------------- * To be filed by amendment ITEM 22. UNDERTAKINGS. The undersigned registrant hereby undertakes that, for purposes of determining any liability under the Securities Act of 1933, each filing of the registrant's annual report pursuant to Section 13(a) or Section 15(d) of the Securities Exchange Act of 1934 (and, where applicable, each filing of an employee benefit plan's annual report pursuant to Section 15(d) of the Securities Exchange Act of 1934) that is incorporated by reference in the registration statement shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof. II-4 125 The undersigned registrant hereby undertakes as follows: that prior to any public reoffering of the securities registered hereunder through use of a prospectus which is a part of this registration statement, by any person or party who is deemed to be an underwriter within the meaning of Rule 145(c), the issuer undertakes that such reoffering prospectus will contain the information called for by the applicable registration form with respect to reofferings by persons who may be deemed underwriters, in addition to the information called for by the other items of the applicable form. The registrant undertakes that every prospectus (i) that is filed pursuant to the immediately preceding paragraph, or (ii) that purports to meet the requirements of section 10(a)(3) of the Act and is used in connection with an offering of securities subject to Rule 415, will be filed as a part of an amendment to the registration statement and will not be used until such amendment is effective, and that, for purposes of determining any liability under the Securities Act of 1933, each such post-effective amendment shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof. Insofar as indemnification for liabilities arising under the Securities Act of 1933 may be permitted to directors, officers and controlling persons of the registrant pursuant to the foregoing provisions, or otherwise, the registrant has been advised that in the opinion of the Securities and Exchange Commission such indemnification is against public policy as expressed in the Act and is, therefore, unenforceable. In the event that a claim for indemnification against such liabilities (other than the payment by the registrant of expenses incurred or paid by a director, officer or controlling person of the registrant in the successful defense of any action, suit or proceeding) is asserted by such director, officer or controlling person in connection with the securities being registered, the registrant will, unless in the opinion of its counsel the matter has been settled II-4 134 by controlling precedent, submit to a court of appropriate jurisdiction the question whether such indemnification by it is against public policy as expressed in the Act and will be governed by the final adjudication of such issue. The undersigned registrant hereby undertakes to respond to requests for information that is incorporated by reference into the prospectus pursuant to Items 4, 10(b), 11 or 13 of this Form,form, within one business day of receipt of such request, and to send the incorporated documents by first class mail or other equally prompt means. This includes information contained in documents filed subsequent to the effective date of the registration statement through the date of responding to the request. The undersigned registrant hereby undertakes to supply by means of a post-effective amendment all information concerning a transaction, and the company being acquired involved therein, that was not the subject of and included in the registration statement when it became effective. II-5 135126 SIGNATURES Pursuant to the requirements of the Securities Act of 1933, the registrant has duly caused this Registration Statementregistration statement to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Atlanta, State of Georgia, on May 23, 1996.March 3, 1998. MEDAPHIS CORPORATION By: /s/ RANDOLPH G. BROWN ----------------------------------- Randolph G. BrownDAVID E. MCDOWELL ------------------------------------ David E. McDowell Chairman and Chief Executive Officer MEDAPHIS PHYSICIAN SERVICES CORPORATION By: /s/ DAVID E. MCDOWELL ------------------------------------ David E. McDowell Chairman and PresidentChief Executive Officer GOTTLIEB'S FINANCIAL SERVICES, INC. By: /s/ DAVID E. MCDOWELL ------------------------------------ David E. McDowell Chairman and Chief Executive Officer MEDICAL MANAGEMENT SCIENCES, INC. By: /s/ DAVID E. MCDOWELL ------------------------------------ David E. McDowell Chairman and Chief Executive Officer MEDAPHIS SERVICES CORPORATION By: /s/ DAVID E. MCDOWELL ------------------------------------ David E. McDowell Chairman and Chief Executive Officer MEDAPHIS HEALTHCARE INFORMATION TECHNOLOGY COMPANY By: /s/ DAVID E. MCDOWELL ------------------------------------ David E. McDowell Chairman and Chief Executive Officer AUTOMATION ATWORK By: /s/ DAVID E. MCDOWELL ------------------------------------ David E. McDowell Chairman II-6 136127 CONSORT TECHNOLOGIES, INC. By: /s/ DAVID E. MCDOWELL ---------------------------------- David E. McDowell Chairman HEALTH DATA SCIENCES CORPORATION By: /s/ DAVID E. MCDOWELL ------------------------------------ David E. McDowell Chairman BSG CORPORATION By: /s/ DAVID E. MCDOWELL ------------------------------------ David E. McDowell Chairman and Chief Executive Officer ASSETCARE, INC. By: /s/ DAVID E. MCDOWELL ------------------------------------ David E. McDowell Chairman and Chief Executive Officer NATIONAL HEALTHCARE TECHNOLOGIES, INC. By: /s/ DAVID E. MCDOWELL ------------------------------------ David E. McDowell Chairman and Chief Executive Officer BSG ALLIANCE/IT, INC. By: /s/ DAVID E. MCDOWELL ------------------------------------ David E. McDowell Chairman and Chief Executive Officer BSG GOVERNMENT SOLUTIONS, INC. By: /s/ DAVID E. MCDOWELL ------------------------------------ David E. McDowell President II-7 128 KNOW ALL MEN BY THESE PRESENTS, that each person whose signature appears below constitutes and appoints Randolph G. Brown and Michael R. Cote and each of them,David E. McDowell, his true and lawful attorneys-in-factattorney-in-fact and agents,agent, with full power of substitution and resubstitution, for him and in his name, place and stead, in any and all capacities, to sign any and all amendments to this Registration Statement, and to file the same, with all exhibits thereto, and other documents in connection therewith, with the Securities and Exchange Commission, granting unto said attorneys-in-factattorney-in-fact and agentsagent full power and authority to do and perform each and every act and thing requisite and necessary to be done in and about the premises, as fully to all intents and purposes as he might or could do in person, hereby ratifying and confirming all that said attorneys-in-factattorney-in-fact and agents,agent, or theirhis substitute or substitutes, may lawfully do or cause to be done by virtue hereof. Pursuant to the requirements of the Securities Act of 1933, this Registration Statement has been signed by the following persons in the capacities indicated below on May 23, 1996.March 3, 1998. MEDAPHIS CORPORATION
SIGNATURE TITLE - --------------------------------------------- ----------------------------------------------DATE --------- ----- ---- /s/ RANDOLPH G. BROWNDAVID E. MCDOWELL Chairman, Chief Executive Officer, PresidentMarch 3, 1998 - -------------------------------------------------------------------------------------------------- Officer and Director Randolph G. BrownDavid E. McDowell /s/ MICHAEL R. COTE SeniorALLEN W. RITCHIE Executive Vice President -- Finance and ChiefMarch 3, 1998 - -------------------------------------------------------------------------------------------------- Chief Financial Officer Michael R. CoteAllen W. Ritchie /s/ JAMES S. DOUGLASSMARK P. COLONNESE Vice President, Corporate March 3, 1998 - ----------------------------------------------------- Controller and Chief - ---------------------------------------------Principal Mark P. Colonnese Accounting Officer (Principal Accounting James S. Douglass Officer) /s/ ROBERT C. BELLAS, JR. Director March 3, 1998 - -------------------------------------------------------------------------------------------------- Robert C. Bellas, Jr. /s/ JOHN C. POPE Director March 3, 1998 - ----------------------------------------------------- John C. Pope /s/ DAVID R. HOLBROOKE, M.D. Director March 3, 1998 - -------------------------------------------------------------------------------------------------- David R. Holbrooke, M.D. /s/ DENNIS A. PRYOR Director March 3, 1998 - ----------------------------------------------------- Dennis A. Pryor /s/ C. CHRISTOPHER TROWER Director March 3, 1998 - ----------------------------------------------------- C. Christopher Trower
MEDAPHIS PHYSICIAN SERVICES CORPORATION
SIGNATURE TITLE DATE --------- ----- ---- /s/ DAVID E. McDOWELLMCDOWELL Chairman, Chief Executive March 3, 1998 - ----------------------------------------------------- Officer and Director - --------------------------------------------- David E. McDowell /s/ DENNIS A. PRYORALLEN W. RITCHIE Executive Vice President, March 3, 1998 - ----------------------------------------------------- Chief Financial Officer and Allen W. Ritchie Principal Accounting Officer /s/ RANDOLPH L. M. HUTTO Director March 3, 1998 - --------------------------------------------- Dennis A. Pryor /s/ STEVEN G. PAPERMASTER Director - --------------------------------------------- Steven G. Papermaster----------------------------------------------------- Randolph L. M. Hutto
II-7II-8 137 INDEX TO EXHIBITS129 GOTTLIEB'S FINANCIAL SERVICES, INC.
SEQUENTIALLY NUMBERED EXHIBIT DESCRIPTION PAGE - ------- ----------------------------------------------------------------------- ------------ SIGNATURE TITLE DATE --------- ----- ---- 2.1 -- Merger agreement dated as of May 23, 1996, by/s/ DAVID E. MCDOWELL Chairman, Chief Executive March 2, 1998 - ----------------------------------------------------- Officer and among Registrant, RAKSub, Inc.Director David E. McDowell /s/ ALLEN W. RITCHIE Executive Vice President, March 2, 1998 - ----------------------------------------------------- Chief Financial Officer and HDS, Inc. (attached as Annex A to the Proxy Statement/Prospectus forming a part of the Registration Statement). The Registrant agrees to furnish supplementally a copy of any omitted schedule to the Commission upon request................................ 2.2 -- Merger Agreement dated as ofAllen W. Ritchie Principal Accounting Officer /s/ RANDOLPH L. M. HUTTO Director March 15, 1996, by and among Registrant, BSGSub, Inc. and BSG Corporation. (incorporated by reference to Exhibit 2.1 to the Registrant's Registration Statement on Form S-4; File No. 333-2506).............................................................. 2.3 -- Merger Agreement dated as of March 12, 1996, by and among Registrant, Rapid Systems Solutions, Inc. and RipSub, Inc. (incorporated by reference to Exhibit 2.19 to Registrant's Annual Report on Form 10-K for the year ended December 31, 1995).................................. 2.4 -- Merger Agreement dated as of December 29, 1995, by and among Registrant, CarSub Inc., and Medical Management Sciences, Inc. (incorporated by reference to Exhibit 2.1 to Registrant's Current Report on Form 8-K filed on January 19, 1996).......................... 2.5 -- Merger Agreement dated as of October 13, 1995 by and among Registrant, NukSub, Inc. and Consort Technologies, Inc. (incorporated by reference to Exhibit 2.1 to Registrant's Current Report on Form 8-K filed on December 5, 1995)...................................................... 2.6 -- Merger Agreement dated as of January 29, 1995 by and among Registrant, BullSub, Inc., AUTOMATION ATWORK, ATWORK AUSTRALIA, ATWORK CANADA CORP., ATWORK-EUROPE AND ATWORK, U.K. (incorporated by reference to Exhibit 2.1 to Registrant's Registration Statement on Form S-4, File No. 33-88910).......................................................... 4.0 -- Indenture by and between Registrant and Trust Company Bank, as Trustee, dated December 30, 1992 (incorporated by reference to Exhibit 4 to Registrant's Current Report on Form 8-K filed on January 11, 1993)..... 4.1 -- Specimen Common Stock Certificate (incorporated by reference to Exhibit 4.1 to Registrant's Annual Report on Form 10-K for the year ended December 31, 1995).................................................................. 4.2 -- Form of Option Certificate relating to Stock Option Plan (incorporated by reference to Exhibit 4.2 to Registration Statement on Form S-1, File No. 33-42216).......................................................... 4.3 -- Form of Option Certificate relating to Registrant's Executive Performance Plan (incorporated by reference to Exhibit 4.3 to Registration Statement on Form S-1, File No. 33-42216)................. 4.4 -- Form of Option Certificate relating to Registrant's Stock Option Plan for Employees of Acquired Companies (incorporated by reference to Exhibit 4.4 to Registration Statement on Form S-3, File No. 33-71552).............................................................. 4.5 -- Form of Option Certificate relating to Registrant's Restricted Stock Plan (incorporated by reference to Exhibit 4.5 to Registrant's Annual Report on Form 10-K for the year ended December 31, 1995).............. 4.6 -- Form of Option Certificate relating to Registrant's Non-Employee Director Stock Option Plan (incorporated by reference to Exhibit 4.6 to Registrant's Annual Report on Form 10-K for the year ended December 31, 1995)..................................................................2, 1998 - ----------------------------------------------------- Randolph L. M. Hutto
II-8 138MEDICAL MANAGEMENT SCIENCES, INC.
SEQUENTIALLY NUMBERED EXHIBIT DESCRIPTION PAGE - ------- ----------------------------------------------------------------------- ------------ SIGNATURE TITLE DATE --------- ----- ---- 4.7 -- Registration Rights Agreement, dated November 15, 1989, among Registrant, Prudential Venture Partners II/s/ DAVID E. MCDOWELL Chairman, Chief Executive March 2, 1998 - ----------------------------------------------------- Officer and Rhode Island Securities Corporation (incorporated by reference to Exhibit 4.13 to Registration Statement on Form S-1, File No. 33-42216).............................. 4.8 -- Amendment No. 1 to Registration Rights Agreement, dated as of December 1, 1989, among RegistrantDirector David E. McDowell /s/ ALLEN W. RITCHIE Executive Vice President, March 2, 1998 - ----------------------------------------------------- Chief Financial Officer and the several persons named therein (incorporated by reference to Exhibit 4.14 to Registration Statement on Form S-1, File No. 33-42216)........................................... 4.9 -- AmendedAllen W. Ritchie Principal Accounting Officer /s/ RANDOLPH L. M. HUTTO Director March 2, 1998 - ----------------------------------------------------- Randolph L. M. Hutto
MEDAPHIS SERVICES CORPORATION
SIGNATURE TITLE DATE --------- ----- ---- /s/ DAVID E. MCDOWELL Chairman, Chief Executive March 2, 1998 - ----------------------------------------------------- Officer and Restated Registration Rights Agreement, effective as of December 1, 1989, among RegistrantDirector David E. McDowell /s/ ALLEN W. RITCHIE Executive Vice President, March 2, 1998 - ----------------------------------------------------- Chief Financial Officer and the several persons named therein (incorporated by reference to Exhibit 4.15 to Registration Statement on Form S-1, File No. 33-42216).............................. 4.10 -- Registration Rights Agreement, dated as ofAllen W. Ritchie Principal Accounting Officer /s/ RANDOLPH L. M. HUTTO Director March 17, 1995, by2, 1998 - ----------------------------------------------------- Randolph L. M. Hutto
MEDAPHIS HEALTHCARE INFORMATION TECHNOLOGY COMPANY
SIGNATURE TITLE DATE --------- ----- ---- /s/ DAVID E. MCDOWELL Chairman, Chief Executive March 2, 1998 - ----------------------------------------------------- Officer and among Registrant,Director David Michael Warner and John P. Holton (incorporated by reference to Exhibit 4.10 to Registrant's Annual Report on Form 10-K for the year ended December 31, 1994).................................. 4.11 -- Form of Common Stock Purchase Warrant issued to Frederica Morf and Ursula Nelson (incorporated by reference to Exhibit 4.19 to Registrant's Annual Report on Form 10-K for the year ended December 31, 1994).................................................................. 4.12 -- Form of Warrant Agreement between AdvaCare and certain litigants, entered into in settlement of litigation, dated June 30, 1994 (incorporated by reference to Exhibit 4.22 to Registrant's Annual Report on Form 10-K for the year ended December 31, 1994).............. 4.13 -- Form of Amendment to Warrant Agreement between AdvaCare and certain litigants, entered into in settlement of litigation, dated November 30, 1994 (incorporated by reference to Exhibit 4.23 to Registrant's Annual Report on Form 10-K for the year ended December 31, 1994).............. 4.14 -- Form of Warrant issued to certain litigants in settlement of litigation (incorporated by reference to Exhibit 4.24 to Registrant's Annual Report on Form 10-K for the year ended December 31, 1994).............. 4.15 -- Form of Registration Rights Agreement among Registrant, Bryan Dieter and The Decision Support Group, Inc. (incorporated by reference to Exhibit 4.26 to Registrant's Annual Report on Form 10-K for the year ended December 31, 1994).................................................................. 4.16 -- Form of Registration Rights Agreement among Registrant, Humana Inc. and Warburg, Pincus Capital Company, L.P. (incorporated by reference to Exhibit 4.15 to Registration Statement on Form S-4, File No. 33-96996).............................................................. 4.17 -- Form of Registration Rights Agreement among Registrant, Mahmoud R. Ghavi, Barry G. Wahlig, WilliamE. McDowell /s/ CARL D. BLANDINO Chief Financial Officer March 2, 1998 - ----------------------------------------------------- Carl D. Blandino /s/ ALLEN W. RITCHIE Principal Accounting Officer March 2, 1998 - ----------------------------------------------------- Allen W. Ritchie /s/ RANDOLPH L. McCready and Kimberly D. Elkins (incorporated by reference to Exhibit 4.1 to Registrant's Current Report on Form 8-K filed on December 5, 1995).......................... 4.18 -- Form of Registration Rights Agreement among Registrant, William J. DeZonia, Lori T. Caudill, Carol T. Shumaker, Alyson T. Stinson, James F. Thacker, James F. Thacker Retained Annuity Trust and Paulanne H. Thacker Retained Annuity Trust (incorporated by reference to Exhibit 4.1 to Registrant's Current Report on Form 8-K filed on January 19, 1996)..................................................................M. HUTTO Director March 2, 1998 - ----------------------------------------------------- Randolph L. M. Hutto
II-9 139130 AUTOMATION ATWORK
SEQUENTIALLY NUMBERED EXHIBIT DESCRIPTION PAGE - ------- ----------------------------------------------------------------------- ------------ SIGNATURE TITLE DATE --------- ----- ---- 4.19 -- Form of Registration Rights Agreement among Registrant, NFT Ventures, Inc./s/ DAVID E. MCDOWELL Chairman, Chief Executive March 3, 1998 - ----------------------------------------------------- Officer and NP Ventures, Ltd. (incorporated by reference to Exhibit 4.17 to the Registrant's Registration Statement on Form S-4, File No. 333-2506).............................................................. 4.20 -- Form of Registration Rights Agreement among Registrant, Michael Clark, Andrei Mitran,Director David E. McDowell /s/ CARL D. BLANDINO Chief Financial Officer March 3, 1998 - ----------------------------------------------------- Carl D. Blandino /s/ ALLEN W. RITCHIE Principal Accounting Officer March 3, 1998 - ----------------------------------------------------- Allen W. Ritchie /s/ RANDOLPH L. M. HUTTO Director March 3, 1998 - ----------------------------------------------------- Randolph L. M. Hutto
CONSORT TECHNOLOGIES, INC.
SIGNATURE TITLE DATE --------- ----- ---- /s/ DAVID E. MCDOWELL Chairman, Chief Executive - ----------------------------------------------------- David E. McDowell /s/ CARL D. BLANDINO Chief Financial Officer March 3, 1998 - ----------------------------------------------------- Carl D. Blandino /s/ ALLEN W. RITCHIE Principal Accounting Officer March 3, 1998 - ----------------------------------------------------- Allen W. Ritchie /s/ RANDOLPH L. M. HUTTO Director March 3, 1998 - ----------------------------------------------------- Randolph L. M. Hutto
HEALTH DATA SCIENCES CORPORATION
SIGNATURE TITLE DATE --------- ----- ---- /s/ DAVID E. MCDOWELL Chairman, Chief Executive March 3, 1998 - ----------------------------------------------------- Officer and Steven Thiedke (incorporated by reference to Exhibit 4.18 to the Registrant's Registration Statement on Form S-4, File No. 333-2506).............................................................. 5.1 -- Opinion of King & Spalding............................................. 8.1 -- Opinion of King & Spalding as to tax matters........................... 10.1 -- Medaphis Corporation Re-engineering, ConsolidationDirector David E. McDowell /s/ KAREN C. MILLER Chief Financial Officer March 3, 1998 - ----------------------------------------------------- Karen C. Miller /s/ ALLEN W. RITCHIE Principal Accounting Officer March 3, 1998 - ----------------------------------------------------- Allen W. Ritchie /s/ RANDOLPH L. M. HUTTO Director March 3, 1998 - ----------------------------------------------------- Randolph L. M. Hutto
II-10 131 BSG CORPORATION
SIGNATURE TITLE DATE --------- ----- ---- /s/ DAVID E. MCDOWELL Chairman, Chief Executive March 2, 1998 - ----------------------------------------------------- Officer and Business Improvement Cash Incentive Plan, dated February 21, 1996 (incorporated by reference to Exhibit 10.1 to the Registrant's Registration Statement on Form S-4, File No. 333-2506)........................................ 23.1 -- Consent of Deloitte & Touche LLP....................................... 23.2 -- Consent of Coopers & Lybrand L.L.P. ................................... 23.3 -- Consent of Arthur Andersen LLP. ....................................... 23.4 -- Consent of Price Waterhouse LLP. ...................................... 23.5 -- Consent of Hambrecht & Quist LLP. ..................................... 23.6 -- Consent of King & Spalding (included in Exhibit 5.1)................... 24.1 -- Power of attorney of the officersDirector David E. McDowell /s/ CARL D. BLANDINO Chief Financial Officer March 2, 1998 - ----------------------------------------------------- Carl D. Blandino /s/ ALLEN W. RITCHIE Principal Accounting Officer March 2, 1998 - ----------------------------------------------------- Allen W. Ritchie /s/ RANDOLPH L. M. HUTTO Director March 2, 1998 - ----------------------------------------------------- Randolph L. M. Hutto
ASSETCARE, INC.
SIGNATURE TITLE DATE --------- ----- ---- /s/ DAVID E. MCDOWELL Chairman, Chief Executive March 2, 1998 - ----------------------------------------------------- Officer and directors of Registrant signing this Registration Statement (appears at page II-7)..................... 99.1 -- Form of Proxy for HDS Common Stock, HDS Series B Preferred StockDirector David E. McDowell /s/ ALLEN W. RITCHIE Executive Vice President, Chief March 2, 1998 - ----------------------------------------------------- Financial Officer and HDS Series C Preferred Stock........................................... 99.2 -- Form of Proxy for HDS Series F Preferred Stock.........................Allen W. Ritchie Principal Accounting Officer /s/ RANDOLPH L. M. HUTTO Director March 2, 1998 - ----------------------------------------------------- Randolph L. M. Hutto
II-10NATIONAL HEALTHCARE TECHNOLOGIES, INC.
SIGNATURE TITLE DATE --------- ----- ---- /s/ DAVID E. MCDOWELL Chairman, Chief Executive March 2, 1998 - ----------------------------------------------------- Officer and Director David E. McDowell /s/ ALLEN W. RITCHIE Executive Vice President, Chief March 2, 1998 - ----------------------------------------------------- Financial Officer and Allen W. Ritchie Principal Accounting Officer /s/ RANDOLPH L. M. HUTTO Director March 2, 1998 - ----------------------------------------------------- Randolph L. M. Hutto
II-11 132 BSG ALLIANCE/IT, INC.
SIGNATURE TITLE DATE --------- ----- ---- /s/ DAVID E. MCDOWELL Chairman, Chief Executive March 2, 1998 - ----------------------------------------------------- Officer and Director David E. McDowell /s/ ALLEN W. RITCHIE Executive Vice President, Chief March 2, 1998 - ----------------------------------------------------- Financial Officer and Allen W. Ritchie Principal Accounting Officer /s/ RANDOLPH L. M. HUTTO Director March 2, 1998 - ----------------------------------------------------- Randolph L. M. Hutto
BSG GOVERNMENT SOLUTIONS, INC.
SIGNATURE TITLE DATE --------- ----- ---- /s/ DAVID E. MCDOWELL Chairman and Chief Executive March 2, 1998 - ----------------------------------------------------- Officer David E. McDowell /s/ CARL D. BLANDINO Chief Financial Officer March 2, 1998 - ----------------------------------------------------- Carl D. Blandino /s/ ALLEN W. RITCHIE Principal Accounting Officer March 2, 1998 - ----------------------------------------------------- Allen W. Ritchie /s/ LEWIS E. LARSON Director March 2, 1998 - ----------------------------------------------------- Lewis E. Larson /s/ JAMES A. LONG Director March 2, 1998 - ----------------------------------------------------- James A. Long
II-12