EXHIBIT 99.5
PROXY NDCHEALTH CORPORATION
ATLANTA, GEORGIA
SPECIAL MEETING OF STOCKHOLDERS
The undersigned stockholder of NDCHealth Corporation, Atlanta, Georgia,
hereby constitutes and appoints Walter M. Hoff and Randolph L. M. Hutto, or
either one of them, each with full power of substitution, to vote the number of
shares of Common Stock which the undersigned would be entitled to vote if
personally present at the Special Meeting of Stockholders to be held at the
offices of NDCHealth Corporation, NDC Plaza, Atlanta, Georgia 30329, on
, at 4:00 p.m., local time (the "Special Meeting"), and any
postponement or adjournment thereof, on the following matters as indicated below
and such other business as may properly come before the Special Meeting:
1. MERGER AGREEMENT.
The adoption of the Agreement and Plan of Merger, dated as of August 26,
2005, by and among Per-Se Technologies, Inc., Royal Merger Co. and
NDCHealth, and the approval of the merger pursuant to which NDCHealth will
merge with Royal Merger Co., with NDCHealth continuing as the surviving
entity and a wholly owned subsidiary of Per-Se, and each share of NDCHealth
common stock will be converted into the right to receive $13.00 in cash,
plus a number of shares of Per-Se common stock equal to $6.50 divided by the
price per share of Per-Se common stock as determined in accordance with the
terms of the merger agreement, subject to Per-Se's option to increase the
cash portion of the per share merger consideration and correspondingly
decrease the stock portion.
[ ] FOR [ ] AGAINST [ ] ABSTAIN
2. ADJOURNMENT.
In the event that there are not sufficient votes for approval of Proposal 1
at the Special Meeting, the postponement or adjournment of the Special
Meeting to a later date to solicit additional proxies.
[ ] FOR [ ] AGAINST [ ] ABSTAIN
THIS PROXY MUST BE DATED AND SIGNED ON THE REVERSE SIDE
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This Proxy, when properly executed, will be voted in the manner directed
herein by the undersigned stockholder. IF NO DIRECTION IS MADE, THIS PROXY WILL
BE VOTED FOR THE ADOPTION OF THE MERGER AGREEMENT AND FOR THE POSTPONEMENT OR
ADJOURNMENT OF THE SPECIAL MEETING IN THE EVENT THERE ARE NOT SUFFICIENT VOTES
FOR THE ADOPTION OF THE MERGER AGREEMENT. THIS PROXY WILL BE VOTED WITH
DISCRETIONARY AUTHORITY TO THE PROXIES APPOINTED HEREBY ON ALL OTHER MATTERS
THAT MAY PROPERLY COME BEFORE THE SPECIAL MEETING AND ANY ADJOURNMENTS THEREOF.
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Shares Held: ---------------------------------------------
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SIGNATURE OF STOCKHOLDER
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SIGNATURE IF HELD JOINTLY
DATED: -------------------------------------------------
Please be sure to sign and date this proxy. Please sign
exactly as your name appears on your stock certificate.
Where shares are held jointly, each stockholder should sign.
When signing as attorney, executor, administrator, trustee
or guardian, please give full title as such. If a
corporation, please sign in full corporate name by President
or other authorized officer. If a partnership, please sign
in partnership name by authorized person.
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THIS PROXY IS SOLICITED ON BEHALF OF NDCHEALTH CORPORATION'S BOARD OF DIRECTORS
AND MAY BE REVOKED BY THE STOCKHOLDER PRIOR TO ITS EXERCISE
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DETACH CARD YOU MAY VOTE BY TELEPHONE, THE INTERNET, OR U.S. MAIL.
IF YOU ARE VOTING BY TELEPHONE OR THE INTERNET, PLEASE DO NOT MAIL YOUR PROXY.
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VOTE BY TELEPHONE VOTE BY INTERNET VOTE BY MAIL
Call TOLL-FREE using a Touch- Access the WEBSITE and Return your proxy in the
Tone phone cast your vote POSTAGE-PAID envelope
1-800-690-6903 HTTP://WWW.PROXYVOTE.COM provided.
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Vote 24 hours a day, 7 days a week!
Your telephone or Internet vote must be received by 11:59 p.m. eastern time
on [--], to be counted in the final tabulation.
YOUR CONTROL NUMBER IS
VOTE BY TELEPHONE
Have your proxy card available when you call the Toll-Free number 1-800-690-6903
using a Touch-Tone phone. You will be prompted to enter your control number and
then you can follow the simple prompts that will be presented to you to record
your vote.
VOTE BY INTERNET
Have your proxy card available when you access the website
http://www.proxyvote.com. You will be prompted to enter your control number and
then you can follow the simple prompts that will be presented to you to record
your vote.
VOTE BY MAIL
Please mark, sign and date your proxy card and return it in the postage paid
envelope provided or return it to: NDCHealth Corporation, c/o ADP, 51 Mercedes
Way, Edgewood, NY 11717.
TO CHANGE YOUR VOTE
Any subsequent vote by any means will change your prior vote. For example, if
you voted by telephone, a subsequent Internet vote will change your vote. The
last vote received before 11:59 p.m. eastern time, [--], will be the one
counted. You may also revoke your proxy by voting in person at the Special
Meeting.