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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549




FORM 10-K



(MARK ONE)

[X] ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the Fiscal Year Ended December 31, 2000

OR

[   ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

FOR THE TRANSITION PERIOD FROM ___________ TO _____________

Commission file number: 000-29377

Landacorp, Inc.
(Exact name of Registrant as Specified in its Charter)

 
Delaware
94-3346710
  (State or Other Jurisdiction of Incorporation or Organization) 
(I.R.S. Employer Identification Number)

4151 Ashford Dunwoody Road, Suite 505
Atlanta, Georgia    30319

(Address of Principal Executive Offices including Zip Code)

(404) 531-9956
(Registrant's Telephone Number, Including Area Code)


Securities registered pursuant to Section 12(b) of the Act: None

Securities registered pursuant to Section 12(g) of the Act:

COMMON STOCK, $0.001 PAR VALUE (Title of Class)

      Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes [X]     No [     ]

      Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of Registrant's knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K, or any amendment to this Form 10-K.    [   ]

      The aggregate market value of the voting stock held by persons other than those who may be deemed affiliates of the Company as of March 28, 2001, was approximately $8,078,000. Shares of Common Stock held by each executive officer and director and by each person who owns 5% or more of the outstanding Common Stock have been excluded in that such persons may under certain circumstances be deemed to be affiliates. This determination of executive officer or affiliate status is not necessarily a conclusive determination for other purposes.

      The number of shares of the Registrant's Common Stock outstanding as of March 28, 2001 was 15,169,007.



Landacorp, Inc.

2000 ANNUAL REPORT ON FORM 10-K

INDEX

Part I.

 

Page

   Item 1.

Description of Business

**

   Item 2.

Item 2. Description of Property

**

   Item 3.

Legal Proceedings

**

   Item 4.

Submission of Matters to a Vote of Security Holders

**

Part II.

 

 

   Item 5.

Market for the Registrant's Common Equity and Related Stockholder Matters

**

   Item 6.

Selected Consolidated Financial Data

**

   Item 7.

Management's Discussion and Analysis of Financial Condition and Results of Operations

**

   Item 7a.

Quantitative and Qualitative Disclosures About Market Risks

**

   Item 8.

Consolidated Financial Statements and Supplementary Data

**

   Item 9.

Changes in and Disagreements with Accountants on Accounting and Financial Disclosures

**

Part III.

 

 

   Item 10.

Directors and Executive Officers of the Registrant

**

   Item 11.

Executive Compensation

**

   Item 12.

Security Ownership of Certain Beneficial Owners and Management

**

   Item 13.

Certain Relationships and Related Transactions

**

Part IV.

 

 

   Item 14.

Exhibits, Consolidated Financial Statement Schedules and Reports on Form 8-K

**

Signatures

  

**

Exhibits Index

  

**








PART I

This report contains certain forward-looking statements (as such term is defined in Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934) and information relating to the Company that are based on the beliefs of the management of the Company as well as assumptions made by and information currently available to the management of the Company. Examples of such forward-looking statements include projections of our future results of operations or of our financial condition; our market opportunity; deployment, capabilities and uses of our products; advantages and advancements that may be enabled by our products; product development and product innovations; developments in the healthcare and healthcare management industries; expansion of our intellectual property portfolio; growth in our research and development, sales, marketing and general administrative expenses; and anticipated trends in our business. Actual results may differ materially from those indicated by these forward-looking statements as a result of various important factors including, but not limited to, Landacorp's dependence on a limited number of products with limited market acceptance and other risk factors that are discussed in this Form 10-K and the Company's other filings with the SEC. Such statements reflect the judgement of the Company as of the date of this annual report on Form 10-K with respect to future events, the outcome of which is subject to certain risks, including the risk factors set forth below, which may have a significant impact on the Company's business, operating results or financial condition. Investors are cautioned that these forward-looking statements are inherently uncertain. Should one or more of these risks or uncertainties materialize, or should underlying assumptions prove incorrect, actual results or outcomes may vary materially from those described herein. Landacorp undertakes no obligation to update forward looking statements.

ITEM 1. DESCRIPTION OF BUSINESS

OVERVIEW

Landacorp provides strategic healthcare management solutions to healthcare delivery and payer organizations. Our core Internet- and Windows-based medical management software is integrated with extensive predictive and preventive population health management programs and interactive media services to deliver comprehensive solutions that help manage and avoid cost, and enhance the quality of healthcare. Our medical management solutions automate and streamline administrative and business processes and facilitate interaction among various healthcare participants. These solutions help our clients deliver consistent and appropriate medical care utilizing clinical guidelines and business process rules specified by them, while minimizing inefficient paper-, fax- and phone-based communications. Our population health management solutions help our clients to deliver consistent and appropriate educational information to members of plans who have chronic or potentially high predicted expenditure outcomes associated with their illness. These member focused solutions assist our clients in intervening with these members to attempt to avoid costly procedures or expensive acute care episodes, they also support our clients' branding and marketing efforts by helping them build stronger, more binding relationships with their members through the communication tools and methodologies used to deliver the educational information. Our interactive media group provides web and interactive media development, design and services to the healthcare industry. These capabilities are integral not only to the marketing and branding efforts of our clients through the delivery of and access to their products and services via the Internet, but also to the development of Landacorp's products and services as they migrate to the Internet. Together, our medical management and population health management products and services, and our interactive media capabilities provide a comprehensive, end-to-end healthcare management solution: from the healthcare delivery organization and health plans, straight through to the consumer/member. We incorporated on April 27, 1982 as Landa Management Systems Corporation, a California corporation. We reincorporated as Landacorp, Inc., a Delaware corporation, on December 3, 1999. All product names included in this document are trademarks or Registered trademarks of either Landacorp or other third parties.

We currently offer five products to healthcare payers: maxMC, e-maxMC, DSManager, DSBuilder and Managing for Tomorrow. As of December 31, 2000, 26 payer organizations that claim to have a combined membership of 33 million participants were using our products, all of which are operational and in use among our client base.

Maxsys II is our product for healthcare providers. As of December 31, 2000, approximately 160 hospitals were using Maxsys II or its predecessor, Maxsys I, which we no longer market, but continue to support with a maintenance program.

Our solutions utilize an n-tiered system architecture that enables them to complement existing information systems, as well as other Internet-based products, with a rich set of medical management functions. An n-tiered system architecture is one that accommodates the concurrent operation of multiple servers and applications. Our solutions are flexible and secure, and we can deploy them across a broad range of computing environments. They are also scalable, which means customers can use them on a small scale for a limited number of users or on a large scale for multiple users without affecting product performance. As a result, our customers can configure and adapt our solutions to fit their specific administrative and business processes, clinical guidelines, existing information systems and business models.

We believe that the lack of functionality offered by existing internet-based and other electronic medical management products provides a significant market opportunity for Landacorp.

Our solutions benefit payers by:

Our solutions benefit providers by:

Members benefit from:

PRODUCTS

We currently market our solutions to healthcare payers and providers. The flexible and open design of our software solutions enables us to configure them to address our customers' evolving needs and specific clinical, administrative and business requirements. Our solutions feature:

maxMC. Our core medical management solution for payers is maxMC. maxMC integrates a payer's internal medical management guidelines and clinical, administrative and business processes with specific information about a payer's members. Key functions of this product include:

e-maxMC. Our Internet-based medical management solution for payers, e-maxMC, introduces providers and members into payers' internal medical management systems by combining the immediate and broad-based connectivity of the Internet with the medical management functions provided by our maxMC solution. This solution enables providers and members to access a payer's secure medical management information and proprietary business processes, giving them the ability to engage in real-time, Internet-based transactions such as clinically-based authorizations, referrals and health risk assessments. We have successfully deployed e-maxMC in one of our payer customers during 2000.

e-maxMC enables the following Web-based interactions between payers and providers:

e-maxMC enables the following Web-based interactions between payers and their members:

We utilize e-maxMC's applications to assist payers with the development of their healthcare Web sites and other Internet healthcare initiatives. We seek to provide payer organizations with, among other Internet services, healthcare content, and disease management tools. We believe that this strategy enables us to forge strong relationships with payers and could potentially generate sponsorship, advertising and e-commerce revenues.

DSBuilder. DSBuilder is our payer data warehouse and targeting product that we acquired in connection with our acquisition of PatientCentrix, Inc. on November 2, 2000. This software enables claims, pharmacy and other data of our payer clients to be gathered, cleaned and aggregated. The application applies proprietary algorithms to the data and targets the members of a plan who it identifies are at the highest risk of an expensive episode of care within the next six to twelve months. This information store may be managed at the payer's own facility or by us.

DSManager. DSManager is a payer disease-state intervention and management software product that we also acquired in connection with our acquisition of PatientCentrix, Inc. on November 2, 2000. Utilizing information obtained from the DSBuilder application, DSManager targets highest risk members so that nursing case managers can use this program's software and workflow rules to attempt to intervene with these members. The goal is to avoid costly episodes of care by helping members make better decisions about their own care and health practices.

Managing for Tomorrow. Managing for Tomorrow is a member- driven health management intervention program product for our payer customers that deals with multiple disease groups of members of the plan. We acquired this product on October 27, 2000 in connection with our acquisition of the assets and liabilities from PMX Holdings, Inc. Our customers provide us with the names of the individual members who fall into a number of disease management groups (for example: diabetes, cardiovascular disease, asthma and high-risk pregnancy). We then contact these members to enroll them in programs designed to encourage the member to ask for the right care in the right way. Enrollment is achieved via Internet web portal, interactive voice recognition programs, or by scanning a paper form. Depending on the information provided, members are placed into a segmented risk category and information targeted to their specific conditions is sent to them, along with an appropriate disease management kit and materials to help them control their disease states.

Maxsys II. Maxsys II, our medical management solution for healthcare delivery organizations, enables them to improve communications and apply more efficient workflow tools to the healthcare delivery process. Maxsys II is the successor to our Maxsys I product, which we no longer market but continue to support with a maintenance program. Key functions of our Maxsys II solution include:

Interactive Media Group. Our interactive media group provides comprehensive interactive and multimedia services and products to the healthcare industry in addition to providing web development and design support to Landacorp's own products and services. Among the services we provide are Internet strategy development and education; consumer-oriented Web sites; secure stakeholder extranets (members, providers, stockholders, etc.); back-end system linkage for online "self-service" transactions; turnkey Web site design and hosting; and Web site modules. These modules include:

SERVICES

We offer our payer and provider customers comprehensive implementation services such as:

We also offer a broad range of Internet-related services, such as:

CUSTOMERS

We target payers with membership ranging from several million to 50,000 covered lives. We currently serve 26 payer organizations that claim to have a combined membership of more than 33 million participants. Our top payer customers are Highmark (Blue Cross Blue Shield of Western Pennsylvania), Blue Cross Blue Shield of North Carolina, Health Risk Management, Inc., United Health of Illinois, Intergroup of Arizona, One Health Plan (part of Great West Life Assurance Company) and Renal Management Systems (a subsidiary of Baxter International Inc.). Highmark, Blue Cross Blue Shield of North Carolina, Health Risk Management, Inc. and Renal Management Systems are currently using our maxMC solution. Renal Management utilizes maxMC's disease management functionality, which they have implemented using a central database and twenty-two remote satellite operations throughout the United States. Blue Cross Blue Shield of North Carolina is also using our e-maxMC solution. United Health of Illinois and Intergroup of Arizona utilize our DSBuilder and DSManger solutions and One Health Plan utilizes our Managing for Tomorrow Program. During 2000 Blue Cross Blue Shield of North Carolina contributed more than ten percent of our total revenue for the year.

We target hospital providers with licensed beds ranging from several thousand to as few as 250. We currently serve approximately 160 providers. Our top three provider customers by total contract value are New York and Presbyterian Health Network, All Children's Hospital of St. Petersburg and the Baptist Healthcare Systems, Inc. New York and Presbyterian Health Network is currently implementing Maxsys II at nine of its thirteen facilities. All Children's Hospital has recently completed implementation of Maxsys II. Baptist Healthcare Systems has completed implementation of Maxsys II across its five hospital system. Many of our hospital provider customers continue to use Maxsys I, the predecessor of Maxsys II, which we no longer market, but continue to support with a maintenance program.

TECHNOLOGY

We believe that our proprietary technology platform provides us with a competitive advantage. Our products utilize n-tiered and Web architecture systems derived from our proprietary object oriented software foundation.

Through the application of middleware platforms or service oriented applications that include business rules and service functions, our technology supports our medical management solutions by ensuring high availability and scalability. We currently employ Oracle database management systems to support the data storage requirements of our solutions.

We have developed an open architecture standard, allowing separate functional components to run on several different hardware platforms. Maxsys II and maxMC, based upon the leading fourth generation language of PowerBuilder, run on standard Intel-compatible personal computers. DSManager and DSBuilder utilize Vbasic and SQL server databases. Our Managing for Tomorrow Program utilizes Oracle Databases, IVR and Web based front ends and PLSQL to script out the health risk assessment rules. Our common object request broker architecture, or CORBA, based rules engine runs on Microsoft NT and Sun Solaris systems. emaxMC, which utilizes Java, Java Servelets and XML for its functionality and either Microsoft's Internet Explorer or Netscape's Netscape Communicator browsers for the provider interface, makes use of any Internet capable system with the application itself being served by a Microsoft NT or Sun Solaris platform. Our data interface engine operates on the leading UNIX or Microsoft NT platforms. Additional servers may be placed in the system, such as report servers, fax servers or additional application servers, in order to ensure scalability without performance loss. The interaction of all these services and middleware makes the system truly n-tiered, rather than two-tiered (client/server) or three-tiered (client/application/server).

COMPETITION

The market for our solutions is highly competitive and is characterized by rapidly changing technology, evolving user needs and the frequent introduction of new products. The principal companies we compete against in the payer market include HPR (a subsidiary of McKesson HBOC), MedDecision, PhyCom, Confer, American Healthways, CorSolutions and others. In the hospital provider market, we compete against MIDS (a division of Affiliated Computer Systems, Inc.), SoftMed Systems and others.

We expect that competition will continue to increase as a result of consolidation in the Internet, information technology and healthcare industries. We believe that the principal factors affecting competition in our markets include, product functionality, performance, flexibility and features, use of open standards technology, quality of service and support, company reputation, price and overall cost of ownership.

INTELLECTUAL PROPERTY AND PROPRIETARY RIGHTS

We depend upon our proprietary information and technology. We rely primarily on a combination of copyright, trademark and trade secret laws and license agreements to establish and protect our rights in our software products and other proprietary technology. We require employees and third-party consultants and contractors to enter into nondisclosure agreements to limit use of, access to, and distribution of, our proprietary information. Nevertheless, our means of protecting our proprietary rights may not be adequate to prevent misappropriation. The laws of some foreign countries may not protect our proprietary rights as fully or in the same manner as do the laws of the United States. Also, despite the steps taken by us to protect our proprietary rights, unauthorized third parties may be able to copy aspects of our products, reverse engineer our products or otherwise obtain and use information that we regard as proprietary. Furthermore, others may independently develop technologies similar or superior to our technology, or design around the proprietary rights that we own.

GOVERNMENT REGULATION

Participants in the healthcare industry, such as our payer and provider customers, are subject to extensive and frequently changing laws and regulations, including laws and regulations relating to the confidential treatment and secure transmission of healthcare information such as patient medical records. Legislators at both the state and federal levels have proposed additional legislation relating to the use and disclosure of medical information, and the federal government is likely to enact new federal laws or regulations in the near future. Pursuant to the Health Insurance Portability and Accountability Act of 1996, HIPAA, the Department of Health and Human Services, DHHS, has proposed regulations setting forth security and privacy standards for all health plans, clearinghouses and providers to follow with respect to an individual's healthcare information that is electronically transmitted, processed, or stored. In addition, Congress is currently considering various legislative proposals regarding health information privacy.

While we do not believe that the security and privacy provisions of HIPAA apply to Landacorp directly, our provider customers and our payer customers must comply with HIPAA, its associated regulations and all other applicable healthcare laws and regulations. Accordingly, in order for our medical management solutions to be marketable, they must contain features and functionality that allow our customers to comply with these laws and regulations. We believe our products currently allow our customers to comply with existing laws and regulations. However, because new regulations are yet to come and because the proposed regulations may be modified prior to becoming final, our products may require modification in the future. Any such modification could be expensive, could divert resources away from other product development efforts or could delay future releases or product enhancements. If we fail to offer solutions that permit our customers to comply with applicable laws and regulations our business will suffer.

In addition, laws governing healthcare payers and providers are often not uniform among states. This could require us to undertake the expense and difficulty of tailoring our products in order for our customers to be in compliance with applicable state and local laws and regulations.

The Internet and its associated technologies are also subject to government regulation. Many existing laws and regulations, when enacted, did not anticipate the methods of Internet-based medical management solutions we offer. We believe, however, that these laws and regulations may nonetheless be applied to us. Current laws and regulations which may affect our Internet-based business relate to the following:

We expect to conduct our Internet-based medical management business in substantial compliance with all material federal, state and local laws and regulations governing our operations. However, the impact of regulatory developments in the healthcare industry is complex and difficult to predict, and our business could be adversely affected by existing or new healthcare regulatory requirements or interpretations. These requirements or interpretations could also limit the use of the Internet for our medical management solutions or even prohibit the sale of a particular product or service.

Because of the Internet's popularity and increasing use, new laws and regulations with respect to the Internet are becoming more prevalent. Such laws and regulations have covered, or may cover in the future, issues such as:

Moreover, the applicability to the Internet of existing laws in various jurisdictions governing issues such as property ownership, sales and other taxes, libel and personal privacy is uncertain and may take years to resolve. Demand for our Internet-based applications and services may be affected by additional regulation of the Internet. Any new legislation or regulation regarding the Internet, or the application of existing law and regulations to the Internet, could adversely affect our business. Additionally, while we do not currently operate outside of the United States, the international regulatory environment relating to the Internet market could have an adverse effect on our business, especially if we expand internationally.

The growth of the Internet, coupled with publicity regarding Internet fraud, may also lead to the enactment of more stringent consumer protection laws. These laws may impose additional burdens on our business. The enactment of any additional laws or regulations in this area may impede the growth of the Internet, which could decrease our potential revenues or otherwise cause our business to suffer.

EMPLOYEES

As of December 31, 2000, we employed 242 employees, including 79 employees in research and development, 112 employees in client services (including implementation and support services), 26 employees in sales and marketing and 25 employees in finance and administration.

Our success depends on our continued ability to attract and retain highly skilled and qualified personnel. Competition for such personnel is intense in the information technology industry, particularly for talented software developers, service consultants, and sales and marketing personnel. We may not be able to attract and retain qualified personnel in the future.

Our employees are not members of any labor union. We consider our relations with our employees to be good.

Executive Officers

Our executive officers and certain information about them as of December 31, 2000 are as follows:

Name

Age

Position(s)

Eugene Santa Cattarina

53

President, Chief Executive Officer and Director

Stephen Kay

39

Chief Operating Officer and Chief Financial Officer

Bryan Lang

42

Chief Technology Officer and Director

David Brown

45

Senior Vice President, Sales

Marlene McCurdy

47

Senior Vice President, Client Services

Michael Miele

36

Senior Vice President, Population Health Management and Director

Eugene Santa Cattarina, President and Chief Executive Officer and Director, came to Landacorp in July 1998, after serving since 1996 as President and Chief Executive Officer of Medicode, Inc., a leading healthcare information technology company that was recently acquired by United Healthcare Corporation. From 1986 to 1993, Mr. Santa Cattarina served in a number of leadership positions with TDS Healthcare Systems Corporation, a healthcare software systems company, including President and Chief Operating Officer. Following the acquisition of TDS Healthcare Systems Corporation by ALLTEL Corporation in 1993, Mr. Santa Cattarina continued as President and Chief Operating Officer of TDS Healthcare Systems Corporation until 1994, and as Executive Vice President of ALLTEL Information Services-Healthcare Division from 1994 to 1995. From 1967 to 1986, he held various positions with Technicon Corporation, a clinical laboratory automation company, including President, Domestic Division.

Stephen Kay, Chief Operating Officer and Chief Financial Officer, has been involved with Landacorp since 1992, initially as the Director of Finance of Landacorp UK Ltd. In early 1995, Mr. Kay was promoted to Chief Operating Officer of Landacorp. He is currently Chief Operating Officer and Chief Financial Officer of Landacorp and is responsible for overseeing finance and operations. He has worked in a consultative capacity in the structuring of contracts, implementation, and deployment plans of healthcare information systems for hospitals, integrated delivery networks, managed care organizations, and insurance companies, as well as for the United Kingdom's National Health Service. Mr. Kay is a member of The Institute of Chartered Accountants in England and Wales. He received his training at Touche Ross (now Deloitte Touche) in London, England.

Bryan Lang, Chief Technology Officer and Director, is the founder of Landacorp. Mr. Lang served as Chief Executive Officer of Landacorp from 1993 to 1998 and has served as Chief Technology Officer since 1998. Mr. Lang has been a consultant and automated systems designer for fifteen years during which time he has worked extensively with healthcare industry projects in the United States, the United Kingdom, Canada, Saudi Arabia and Australia. As a specialist in healthcare process optimization, information systems and resource management, his efforts include work with hundreds of hospitals, health maintenance organizations, ambulatory care services, private physician practices and the U.S. and Saudi armed forces.

David Brown, Senior Vice President, Sales, joined Landacorp in July 1998. From 1997 to 1998, he was Vice President-Sales for HBO & Company's (now McKesson/HBOC) provider and payer solutions. From 1985 to 1997, Mr. Brown served in a number of sales and sales executive positions including Regional Sales Director/Vice President-Sales for Eclipsys Corporation (formerly ALLTEL Information Services-Healthcare Division, TDS Healthcare Systems Corporation and Technicon Data Systems). From 1983 to 1985, Mr. Brown was Regional Sales Director for Compucare, a provider of mainframe-and minicomputer- based software and services to hospitals. Mr. Brown began his career in healthcare with Technicon in 1980 as a Hospital Consultant and then moved into the position of Sales Representative.

Marlene McCurdy, Senior Vice President, Client Services, joined Landacorp in July 1998 after serving as Director, Implementation Strategy/Research & Development for Eclipsys Corporation since 1995. From 1990 to 1995, Ms. McCurdy held a number of implementation and technical support positions for TDS Healthcare Systems Corporation and ALLTEL Information Services - -- Healthcare Division, including Director, Implementation Services.

Michael S. Miele, FSA, MAAA, Senior Vice President, Population Health Management and director joined Landacorp in November 2000. He is the founder of PatientCentrix and operated as Chairman and CEO of the company since its formation in 1995. Prior to founding PatientCentrix. Mr. Miele served as the Senior Actuary and National Practice Leader for the Price Waterhouse LLP Disease State Management Group.

Stephen Kay has announced his intention to resign as our Chief Financial Officer and Chief Operating Officer effective as of March 31, 2001, for personal reasons. Eugene Cattarina will act as our interim Chief Financial Officer and Chief Operating Officer. We have named Mark Rapoport as our new Chief Financial Officer, effective as of April 24, 2001. Mr. Rapoport, age 44, will join us from Atlanta-based iXL Enterprises, where he served as Senior Vice President, Controller. Prior to joining iXL, Mr. Rapoport served in a number of key financial positions for BellSouth Corporation. As Executive Director-Mergers & Acquisitions Accounting, he worked with the corporate development group for merger and acquisition activities and was responsible for setting overall BellSouth accounting policy. Mr. Rapoport also served as Vice President-Finance and Chief Financial Officer for BellSouth Entertainment, the company's video division. He also held several other executive financial management positions in business planning and market development in the BellSouth organization. Mr. Rapoport is a certified public accountant and earned his Master of Business Administration in finance and Accounting from Emory University in 1982.

Officers serve at the discretion of the Board and are appointed annually. The employment of each of our officers is at will and may be terminated at any time, with or without cause. There are no family relationships between any of the directors or executive officers of Landacorp.

ITEM 2. DESCRIPTION OF PROPERTY

Our corporate headquarters are located in Atlanta, Georgia. Our Research and Development and Support Departments are located in Chico, California. Our interactive media group is located in Portland, Oregon. Our Population Health Management groups are located in Montclair, New Jersey and Raleigh, North Carolina. We have under leases approximately 63,500 square feet of office space. We anticipate that our current facilities are adequate for our current needs.

ITEM 3. LEGAL PROCEEDINGS

Landacorp is not currently involved in any litigation.

ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS

None.

PART II

ITEM 5. MARKET FOR THE REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER MATTERS

During the year ended December 31, 2000, the we sold and issued the following unregistered securities:

    1. On October 27, 2000, we became obligated to issued an aggregate of 250,000 shares of Common Stock to the shareholders of PMX Holdings, Inc., in connection with our acquisition of the ProMedex business, at a price per share of $2.0625. They were issued as authorized shares on March 26, 2001.
    2. On November 2, 2000, we issued an aggregate of 1,157,000 shares of Common Stock to the stockholders of PatientCentrix, Inc., in connection with our acquisition of PatientCentrix, Inc., at a price per share of $1.777.

The offers, sales and issuances of the above securities were deemed to be exempt from registration under the Securities Act in reliance on Section 4(2) of the Securities Act, Regulation D promulgated thereunder, or Rule 701 promulgated under Section 3(b) of the Securities Act as transactions by an issuer not involving a public offering or transactions pursuant to compensatory benefit plans and contracts relating to compensation as provided under such Rule 701. The recipients of securities in each such transaction represented their intention to acquire the securities for investment only and not with a view to or for sale in connection with any distribution thereof and appropriate legends were affixed to the share certificates and warrants issued in such transactions. All recipients had adequate access, through employment or other relationships to information about Landacorp.

On February 14, 2000, we completed our initial public offering (the "IPO") pursuant to a Registration Statement on Form S-1 (File No. 333-87435). In the IPO we sold an aggregate of 4,025,000 shares (including an overallotment option of 525,000 shares) at $10 per share. The aggregate net proceeds to us were approximately $35 million, after deducting underwriting discounts and commissions of approximately $2.7 million and expenses of approximately $1.1 million. We used the proceeds for general corporate purposes and acquisitions.

As of December 31, 2000, there were approximately 192 registered holders of our common stock. Our common stock is listed for quotation on the Nasdaq Stock Market's National Market System under the symbol "LCOR". The following table sets forth for the period indicated, the high and low prices of our common stock as quoted in the Nasdaq Stock Market's National Market System:


                                             High        Low
                                           ---------  ---------
February 9, 2000 to March 31, 2000....... $  21.790  $   7.875
Quarter ended June 30, 2000..............     8.750      3.500
Quarter ended September 30, 2000.........     4.625      2.125
Quarter ended December 31, 2000.......... $   3.031  $   1.500

 

We have not paid any dividends since our inception and do not intend to pay any dividends on our capital stock in the foreseeable future.

ITEM 6. SELECTED CONSOLIDATED FINANCIAL DATA

SELECTED FINANCIAL DATA
(IN THOUSANDS, EXCEPT PER SHARE DATA)

You should read the following selected financial data in conjunction with our financial statements and their related notes and "Management's Discussion and Analysis of Financial Condition and Results of Operations" included elsewhere in this report. We derived the following statement of operations data for the years ended December 31, 1998, 1999 and 2000, and the balance sheet data as of December 31, 1999 and 2000, from the audited financial statements included at the end of this report. We derived the following statement of operations data for the year ended December 31, 1997 and the balance sheet data as of December 31, 1996, 1997 and 1998 from audited financial statements not included elsewhere in this report.

 


                                                          Years Ended December 31,
                                           -----------------------------------------------------
                                             1996       1997       1998       1999       2000
                                           ---------  ---------  ---------  ---------  ---------
                                                               (in thousands)
CONSOLIDATED STATEMENT OF OPERATIONS DATA:
  Revenues:
    System sales and program services.... $   1,007  $   3,136  $   4,967  $   7,251  $  10,649
    Support services.....................       932        902      1,250      2,059      2,702
                                           ---------  ---------  ---------  ---------  ---------
      Total revenues.....................     1,939      4,038      6,217      9,310     13,351
                                           ---------  ---------  ---------  ---------  ---------
  Cost of revenues:
    System sales and program services....       499      1,097      2,330      3,071      4,571
    Support services.....................       285        299        422        594        784
                                           ---------  ---------  ---------  ---------  ---------
      Total cost of revenues.............       784      1,396      2,752      3,665      5,355
                                           ---------  ---------  ---------  ---------  ---------
  Gross profit...........................     1,155      2,642      3,465      5,645      7,996
                                           ---------  ---------  ---------  ---------  ---------
  Operating expenses:
    Sales and marketing..................       782      1,176      1,875      3,222      5,903
    Research and development.............     1,269      1,294      1,410      1,733      4,214
    General and administrative...........       801        975      2,165      3,175      5,516
    Amortization of intangible assets....       --         --         --         --         631
                                           ---------  ---------  ---------  ---------  ---------
      Total operating expenses...........     2,852      3,445      5,450      8,130     16,264
                                           ---------  ---------  ---------  ---------  ---------
  Loss from operations...................    (1,697)      (803)    (1,985)    (2,485)    (8,268)
  Interest and other income, net.........       --         --         101        103      1,765
  Interest expense.......................      (200)      (208)       (26)       (17)       (54)
                                           ---------  ---------  ---------  ---------  ---------
  Net loss............................... $  (1,897) $  (1,011) $  (1,910) $  (2,399) $  (6,557)
                                           =========  =========  =========  =========  =========
  Net loss per share:
    Basic and diluted.................... $   (1.74) $   (0.91) $   (1.83) $   (1.86) $   (0.57)
                                           =========  =========  =========  =========  =========

    Weighted average shares..............     1,088      1,108      1,041      1,290     11,605



                                                                 December 31,
                                           -----------------------------------------------------
                                             1996       1997       1998       1999       2000
                                           ---------  ---------  ---------  ---------  ---------
                                                               (in thousands)
CONSOLIDATED BALANCE SHEET DATA:
  Cash and cash equivalents.............. $     --   $     142  $   2,032  $   1,884  $  21,752
  Working capital (deficit)..............    (4,482)    (5,545)       455     (1,035)    17,918
  Total assets...........................     1,536      1,181      4,313      5,859     45,821
  Long-term debt.........................       --         --         --         441        306
  Notes payable and accrued interest
    to stockholders......................     2,035      2,716        --         --         --
  Stockholders' equity (deficit).........    (4,269)    (5,259)       899        514     35,661



ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

OVERVIEW

Landacorp provides strategic healthcare management solutions to healthcare delivery and payer organizations. Our core Internet- and Windows-based medical management software is integrated with extensive predictive and preventive population health management programs and interactive media services to deliver comprehensive solutions that help manage and avoid cost, and enhance quality of healthcare. Our medical management software applications automate and streamline administrative and business processes and enable real-time interaction among various healthcare participants. Our population health management solutions help our clients to deliver consistent and appropriate educational information to members of plans who have chronic or potentially high predicted expenditure outcomes associated with their illness. As of December 31, 2000, 26 payers who claim to have a combined membership of 33 million participants were using our payer solutions, and approximately 160 hospital providers were using our provider solutions. We have historically derived revenues from the installation and licensing of our maxMC and Maxsys solutions, sublicensing third-party software applications as part of system implementations and delivery of post-contract customer support, training and consulting services. We are currently focusing our primary development, sales and marketing efforts on our e-maxMC, maxMC, DSBuilder, DSManager, Managing for Tomorrow and Maxsys II products. Although we do not anticipate future system sales or enhancements of Maxsys I, we continue to provide maintenance services to, and receive maintenance fees from, customers who purchased this product in the past. We plan to continue to support Maxsys I for the foreseeable future as a service to such customers and pursuant to ongoing contractual obligations.

Traditionally, we have recognized system sales revenues and associated costs using the percentage-of-completion method, with labor hours incurred relative to total estimated contract hours as the measure of progress towards completion. We recognize revenues from sublicensing of third-party software upon installation of such software. We recognize revenues from support services ratably over the support period. We recognize revenues from training and consulting as such services are delivered.

We introduced a new subscription-based fee structure for our e-maxMC and maxMC solutions during 2000 that provides for implementation services at a fixed hourly rate and the licensing of installed systems and post customer contract support through a monthly subscription fee based upon the number of members covered by the payer organization. Subscription-based contracts allow us to recognize the fair value of the implementation services as such services are delivered and recognize subscription fees on a monthly basis. With the acquisition of DSBuilder, DSManager and Managing for Tomorrow products in November 2000, we now have additional products for which revenue is recognized on a subscription fee based methodology. The majority of DSBuilder and DSManager revenue is recorded on a per member per month basis. Revenue received from our Managing for Tomorrow program is invoiced on a participant per year basis.

We expect to expand our operations and employee base, including our sales, marketing, research and development, implementation, and support services resources. To accelerate the implementation of elements of our strategy, we intend to target and pursue strategic acquisitions and relationships, such as marketing alliances with vendors of complementary products and services and partnerships with Internet providers of healthcare content, disease management and health-related e-commerce services. Investigating or entering into any such strategic relationships could lead to additional expenditures.

RECENT ACQUISITIONS

On January 31, 2000, we purchased from High Technology Solutions, Inc. assets related to its business of providing Web site services to healthcare payers. The purchase price for the assets is $1,268,000 (including an estimated $18,000 in assumed liabilities) of which we paid $250,000 at the closing. We paid the remaining balance in April 2000. The acquired assets include equipment, know how, trademarks and other intangible rights used by High Technology Solutions, Inc. in the operation of its business of providing Web site services to healthcare payers, as well as contracts, none of which are material. In connection with the acquisition we hired a number of former employees of High Technology Solutions, Inc. who we believe possess valuable expertise and relationships with potential healthcare payer customers. We believe the acquisition benefits Landacorp by providing us with valuable expertise and strategic relationships in the area of providing Web site services to healthcare payers faster and more cost-effectively than we would have been able to develop internally. As a result, the acquisition will allow us to accelerate the implementation of our strategy of providing Web site services to healthcare payers.

The purchase price of $1,268,000 (including an estimated $18,000 in assumed liabilities) has been allocated to the various tangible and intangible assets acquired. The acquired intangible assets will be amortized over their estimated useful lives of twenty-four to thirty-six months. Factors considered by the Company in determining estimated useful lives of the intangible assets include, service life expectancies of the workforce based on anticipated option vesting schedules of eighteen months and other short-lived incentive compensation arrangements, effects of obsolescence on intellectual property, and the effects of competition and other economic factors on goodwill, such as our intention to assimilate the acquired business into our operations rather than operate it as a separate business.

On October 27, 2000 we completed the acquisition of assets and liabilities of the ProMedex business from PMX Holdings, Inc. ("ProMedex"), a leading provider of population and disease management programs and services. The total purchase price of $4,632,000, consisted of $585,000 cash, $516,000 of the Company's common stock (250,000 shares), other acquisition related expenses of approximately $319,000, consisting primarily of payment for legal and financial advisory services and the assumption of liabilities of $3,212,000. The purchase price was allocated to intangible assets, including existing technology ($1,600,000), customer base ($510,000), assembled work force ($430,000), and goodwill ($2,092,000).

On November 2, 2000 we completed the acquisition of PatientCentrix, Inc. ("PatientCentrix"), a leading provider of population management targeting and intervention programs and services. The Company acquired 100% of the shares and assumed all outstanding options of PatientCentrix in return for cash of $5,850,000 paid to the stockholders and option holders, and issuing 1,157,000 shares to the stockholders of PatientCentrix. The price of the shares issued was $1.777 based on the average of the previous 20 trading days prior to the date of the definitive agreement, which was October 31, 2000. We also assumed all the incentive stock options issued by PatientCentrix prior to the acquisition. These now represent options to purchase up to 1,582,532 of Common Stock of Landacorp with an average exercise price of $1.525. The total purchase price of $11,188,000 consisted of $5,850,000 cash, $2,056,000 of our Common Stock (1,157,000 shares), assumed stock options with a fair value of $2,970,000, and other acquisition related expenses of approximately $312,000, consisting primarily of payment for legal and financial advisory services. Of the total purchase price, approximately $191,000 was allocated to the net tangible assets, approximately $961,000 was allocated to unearned compensation related to our right to repurchase 30% of the shares of the Company's Common Stock and options to purchase our Common Stock issued to employees of PatientCentrix pursuant to the purchase agreement in the event of such employee's termination under certain circumstances, and the remainder was allocated to intangible assets, including existing technology ($3,600,000), customer base ($640,000), assembled work force ($280,000), and goodwill ($5,516,000). Additionally, based on the total contract value of sales for PatientCentrix software and services, capped at $50 million in orders for the twelve months from the closing of the acquisition; up to $6 million in additional cash will be paid to the shareholders and option holders of PatientCentrix, prorata to their rights to PatientCentrix stock.

RESULTS OF OPERATIONS

The following table presents the statement of operations data as a percentage of total revenues:


                                                Percentage of Revenues
                                        -------------------------------------
                                               Year Ended December 31,
                                        -------------------------------------
                                           1998         1999         2000
                                        -----------  -----------  -----------
Revenues:
  System sales and program services...        79.9 %       77.9 %       79.8 %
  Support services....................        20.1         22.1         20.2
                                        -----------  -----------  -----------
          Total revenues..............       100.0        100.0        100.0
                                        -----------  -----------  -----------
Cost of revenues:
  System sales and program services...        37.5         33.0         34.2
  Support services....................         6.8          6.4          5.9
                                        -----------  -----------  -----------
          Total cost of revenues......        44.3         39.4         40.1
                                        -----------  -----------  -----------
Gross profit..........................        55.7         60.6         59.9
                                        -----------  -----------  -----------
Operating expenses:
  Sales and marketing.................        30.1         34.6         44.2
  Research and development............        22.7         18.6         31.6
  General and administrative..........        34.8         34.1         41.3
  Amortization of intangible assets...          --           --          4.7
                                        -----------  -----------  -----------
          Total operating expenses....       (87.6)       (87.3)      (121.8)
                                        -----------  -----------  -----------
Loss from operations..................       (31.9)       (26.7)       (61.9)
Interest and other income, net........         1.6          1.1         13.2
Interest expense......................        (0.4)        (0.2)        (0.4)
                                        -----------  -----------  -----------
Net loss..............................       (30.7)%      (25.8)%      (49.1)%
                                        ===========  ===========  ===========

COMPARISON OF YEARS ENDED DECEMBER 31, 1998, 1999, AND 2000

Revenues. System sales and program service revenues and increased by $2,284,000 or 46% from $4,967,000 in 1998 to $7,251,000 in 1999 and by $3,398,000 or 47% to $10,649,000 in 2000. The increase in revenues between 1998 and 2000 resulted from growth in the volume of maxMC and Maxsys II contracts and an increase in the value of maxMC contracts. We added additional revenue from operating the interactive health media group from February 2000 and DSBuilder, DSManager and Managing for Tomorrow revenues from November 2000. In 1998, one customer accounted for 13% of system sales and program service revenues, in 1999, two customers accounted for 19% and 14% of system sales and program service revenues in 2000, two customers accounted for 37% and 11% of system sales and program service revenues.

Support services revenues increased by $809,000 or 65% from $1,250,000 in 1998 to $2,059,000 in 1999 and increased by $643,000 or 31% to $2,702,000 in 2000. The increase from 1998 to 2000 in support service revenues resulted from an increase in the number of support contracts sold for completed maxMC and Maxsys II contracts, partially offset by declines in the number of Maxsys I support customers.

Cost of Revenues. Cost of system sales and program services consists principally of costs incurred in the implementation of our software products, including personnel costs, amortization of unearned stock- based compensation, non-reimbursed travel expenditures, related department overhead, amortization of capitalized software development costs, costs of third party software products, and depreciation on equipment. Cost of system sales and program services increased by $741,000 or 32% from $2,330,000, representing 47% of system sales and program service revenues, in 1998 to $3,071,000, representing 42% of system sales and program service revenues, in 1999 and by $1,500,000 or 49% to $4,571,000, representing 43% of system sales and program service revenues, in 2000. This cost increase resulted from an increase in personnel costs as we added employees to perform software implementations, stock-based compensation expense further discussed below, and additional license fees that were paid to third party software vendors resulting from an increase in the volume of completed software contracts. The increase in the gross margin on system sales and program services from 53% in 1998 to 58% in 1999 resulted from implementation efficiencies realized from the increased volume of software contracts, and the increased size of individual software contracts. The decrease in gross margin on system sales and program services from 58% in 1999 to 57% in 2000 is attributable to revenue we did not recognize in the fourth quarter of the year while we expensed all the costs associated with that customer. This was in connection with the signing an agreement with one of our customers that constituted a deferred payment plan and we felt that the appropriate treatment for that plan was to recognize the revenue on a cash received basis going forward. We expect that cost of system sales and program service revenues will continue to increase as we add personnel to meet anticipated increases in contract volume and integrate our DSBuilder, DSManager and Managing for Tomorrow products. We cannot yet determine the impact of these increased costs on our gross margins, other than the impact of the deferred payment agreement will continue to put the gross margins under pressure for the first half of 2001.

Cost of support service revenues consists of personnel costs, amortization of unearned stock-based compensation, support costs for third party software licenses, related department overhead and depreciation on equipment. Cost of support services revenues increased by $172,000 or 41% from $422,000, representing 34% of support services revenues, in 1998 to $594,000, representing 29% of support services revenues, in 1999 and by $190,000 or 32% to $784,000, representing 29% of support system revenues, in 2000. This increase in dollars resulted from an increase in salaries, benefits, stock-based compensation expense further discussed below, and other personnel-related expenses as we increased the size of the support services staff due to the increased volume of customers purchasing support contracts. The increase in the gross margin on support services from 66% during 1998 to 71% during both 1999 and 2000 resulted from efficiencies realized from additional support contracts sold for completed Maxsys II and maxMC contracts. We expect that cost of support services revenues will continue to increase in dollar amounts as we continue to expand our customer support department to meet anticipated customer demand. We cannot yet determine the impact of these increased costs on our gross margins.

Research and Development. Research and development expenses consist of personnel costs, amortization of unearned stock-based compensation, related department overhead and depreciation on equipment. Research and development expenses increased by $323,000 or 23% from $1,410,000, representing 23% of total revenues, in 1998 to $1,733,000, representing 19% of total revenues, in 1999 and by $2,481,000 or 143% to $4,214,000, representing 32% of total revenues, in 2000. This increase resulted from an increase in salaries, benefits and other personnel-related expenses, including stock-based compensation expense further discussed below, as we increased the size of the research and development staff. We anticipate that we will continue to devote substantial resources to research and development and that such expenses will increase in dollar amounts. We cannot yet determine the impact of these increased costs on our total operating expenses.

Sales and Marketing. Sales and marketing expenses consist principally of compensation for our sales and marketing personnel, amortization of unearned stock-based compensation, advertising, trade show and other promotions, costs, and department overhead. Sales and marketing expenses increased by $1,347,000 or 72% from $1,875,000, representing 30% of total revenues, in 1998 to $3,222,000, representing 35% of total revenues, in 1999 and by $2,681,000 or 83% to $5,903,000, representing 44% of total revenues, in 2000. This increase resulted from increased salaries, benefits and other personnel-related expenses due to growth in the number of sales and marketing personnel, stock-based compensation expense further discussed below, increases in sales commissions due to an increase in the volume of customer contracts, increases in travel costs due to the increased headcount, and increases in trade shows and other marketing expenses incurred to build additional product awareness. We expect that sales and marketing expenses will continue to increase in dollar amounts as we continue to expand our sales and marketing efforts, continue to add personnel and increase promotional activities. We cannot yet determine the impact of these increased expenses on our total operating expenses.

General and Administrative. General and administrative expenses consist of compensation for personnel, fees for outside professional services, amortization of unearned stock-based compensation, and allocated occupancy and overhead costs. General and administrative expenses increased by $1,010,000 or 47% from $2,165,000, representing 35% of total revenues, in 1998 to $3,175,000, representing 34% of total revenues, in 1999 and by $2,341,000 or 74% to $5,516,000 representing 41% of total revenues, in 2000. The increase was due to an increase in the number of employees, higher professional service fees, stock-based compensation expense further discussed below, and increased occupancy costs due to the commencement of our Atlanta office lease payment in December 1998, for expanded facilities in Chico, California in September 1999, assuming additional premises in February 2000 associated with our interactive health media group and finally office space acquired with the population health management products that we acquired in October 2000. We also had additional expenses associated with operating as a public company in fiscal 2000. We believe that our general and administrative expenses will continue to increase as a result of our growing operations and the integration of the population health management and interactive health media groups for a full year in 2001. However, we cannot yet determine the impact of these increased expenses on our total operating expenses.

Stock-Based Expenses. In connection with certain stock option grants and common stock issuances during the three years ended December 31, 1998, 1999 and 2000, the Company recognized unearned compensation totaling $4,166,000, $1,610,000, and $1,521,000, net Of 112,000 related to terminations, respectively. The 2000 figure of $1,521,000 is net of a credit of $112,000 relating to employees who have left. These costs are being amortized over the vesting periods or as the Company's repurchase rights lapse (See Note 5 of Notes to Financial Statements), as applicable, using the multiple option approach prescribed by FIN No. 28. Amortization expense recognized during the years ended December 31, 1998, 1999 and 2000, totaled $1,173,000, $1,958,000 and $1,842,000, respectively, and has been allocated to cost of sales and operating expenses. Additionally, compensation expense of $48,000 was recorded during 1999 for stock sold at a discount to a third party consultant for services provided, and is included in general and administrative expense. See Note 9 of Notes to Financial Statements.

Interest and Other Income and Interest Expense. Interest and other income consists primarily of earnings on our cash and cash equivalents. Interest and other income amounted to $101,000, $103,000 and $1,765,000 for the year ended December 31, 1998, 1999 and 2000, respectively. Interest income increased in 2000 primarily as a result of investing proceeds from the initial public offering in February 2000. Interest expense decreased by $9,000 or 35% from $26,000 in 1998 to $17,000 in 1999 and increased by $37,000 or 218% to $54,000 in 2000.

Income Taxes. We recorded no current provision or benefit for federal or state income taxes for the years ended December 31, 1998, 1999 and 2000, as we had incurred net operating losses and had no carryback potential. As of December 31, 2000, we had net operating loss carryforwards for federal tax purposes of approximately $11,093,000 and for state tax purposes of approximately $4,178,000. These federal and state tax loss carryforwards are available to reduce future taxable income. Utilization of such carryfor-wards may be limited in certain circumstances including, but not limited to, cumulative stock ownership changes of more than 50% over a three-year period and expire at varying amounts during the period from 2000 to 2014. We believe that there were cumulative changes of ownership of greater than 50% in February 1998. Accordingly, the amount of loss carryforwards that may be utilized to reduce future taxable income for federal and state income tax purposes will be limited. The amount of the limitation has not yet been calculated. We have not recognized a deferred tax asset on our balance sheet. See Note 6 of Notes to the Financial Statements.

LIQUIDITY AND CAPITAL RESOURCES

Since inception, we have financed our operations through net cash generated from operating activities, and private sales of common and preferred stock. During February 2000, we completed our initial public offering through which we raised net proceeds of approximately $35 million. As of December 31, 2000, we had $21.8 million in cash and cash equivalents and $17.9 million in working capital with outstanding debt totaling $306,000.

Net cash provided by operating activities was $472,000 in 1999 compared to net cash used in operating activities of $5.1 million in 2000. Net cash provided by operating activities in 1999 consists of net losses before non-cash charges for depreciation and amortization, and increases to accounts payable, accrued expenses and deferred revenue. Net cash used to fund operating activities in 2000 reflects net losses before non-cash charges for depreciation and amortization, amortization of unearned stock-based compensation, increases in accounts receivable, increase in deferred revenue, and decreases in accounts payable and accrued expenses.

Net cash used in investing activities was $862,000 in 1999 and $9.4 million in 2000. Investing activities in 1999 consisted primarily of purchases of computer equipment, office furniture and leasehold improvements, and additions to capitalized software development costs. Investing activities in 2000 consisted primarily of the acquisition of three businesses (see Note 11 to the Company's financial statements), for which we paid approximately $8.3 million, and for computer equipment, office furniture and leasehold improvements, and additions to capitalized software development costs.

Net cash generated from financing activities was $4.7 million in 1998, $242,000 in 1999 and $34.4 million in 2000. Net cash generated from financing activities in 1998 resulted from the issuance of preferred stock and common stock, partially offset by principal payments on stockholder notes payable. Net cash generated from financing activities in 1999 resulted from proceeds from long-term debt and the issuance of common stock, partially offset by principal payments on long-term debt. Net cash generated from financing activities in 2000 resulted primarily from the issuance of common stock, related to the initial public offering in February 2000 (see Note 3 to the Company's financial statements) and the proceeds from long-term debt, partially offset by principal payments on long-term debt.

In February 1998, we entered into an agreement with Brian Lang whereby the Company agreed to pay a bonus of $335,000 to Mr. Lang upon the successful completion of our initial public offering. This amount was paid on March 1, 2000 following our initial public offering and the expense was recorded as operating expense for that period.

In February 1999, we obtained a line of credit (LOC Agreement) that allows maximum borrowings of $2.0 million. The Company was allowed to designate up to $300,000 of the maximum borrowings as a term note to finance purchases. At December 31, 1999, we had no outstanding borrowings under the LOC Agreement and $240,000 on the term note. In October 2000, the Company fully paid the outstanding balance on the term note.

In January 2001, we amended and restated the LOC Agreement by eliminating the term loan provision and certain covenant requirements. Advances on the LOC Agreement are collateralized by substantially all of our assets, accrue interest at prime plus 0.5%, and are due January 2002. At December 31, 2000, there were no outstanding borrowings under the LOC Agreement.

We expect to experience significant growth in our operating expenses for the foreseeable future in order to execute our business plan. As a result, we anticipate that operating expenses and planned capital expenditures will constitute a material use of our cash resources. In addition, we may utilize cash resources to fund acquisitions or investments in other businesses, technologies or product lines. We believe that available cash and cash equivalents and the net proceeds from the sale of the common stock in our recent offering will be sufficient to meet our working capital and operating expense requirements for at least the next twelve months. Thereafter, we may require additional funds to support our working capital and operating expense requirements or for other purposes and may seek to raise such additional funds through public or private debt or equity financings. Such additional financing may be unavailable, or if it is available, it may only be available on unreasonable terms and may be dilutive to our stockholders.

YEAR 2000 COMPLIANCE

We have not experienced any material problems associated with the year 2000.

RECENT ACCOUNTING PRONOUNCEMENTS

The Financial Accounting Standards Board ("FASB") has issued SFAS No. 133, "Accounting for Derivatives and Hedging Activities" ("SFAS 133"). SFAS 133 establishes accounting and reporting standards of derivative instruments, including certain derivative instruments embedded in other contracts, and for hedging activities. In July 1999, the FASB issued SFAS No. 137 "Accounting for Derivative Instruments and Hedging Activities -- Deferral of the Effective Date of FASB Statement No. 133" ("SFAS 137"). SFAS 137 deferred the effective date until the first fiscal year beginning after June 15, 2000. We will adopt SFAS 133 in our quarter ending March 31, 2001 and do not expect such adoption to have a material effect on our financial statements.

In December 1999, the Securities and Exchange Commission ("SEC") issued Staff Accounting Bulletin No. 101 ("SAB 101"), "Revenue Recognition in Financial Statements." SAB 101 summarizes certain of the SEC's views in applying generally accepted accounting principles to revenue recognition in financial statements. We have adopted the provisions of SAB 101, which had no material impact on our results of operations, financial condition or cash flows.

In March 2000, the FASB issued Interpretation No. 44, ("FIN 44"), "Accounting for Certain Transactions Involving Stock Compensation-an Interpretation of APB 25." This Interpretation clarifies (a) the definition of employee for purposes of applying Opinion 25, (b) the criteria for determining whether a plan qualifies as a non-compensatory plan, (c) the accounting consequence of various modifications to the terms of a previously fixed stock option or award, and (d) the accounting for an exchange of stock compensation awards in a business combination. We have adopted the provisions of FIN 44, which had no material impact on our results of operations, financial condition or cash flows.

 

FACTORS THAT MAY AFFECT FUTURE RESULTS

WE HAVE A LONG HISTORY OF LOSSES AND MAY NEVER BECOME PROFITABLE

We have been in business since 1982 and we have incurred significant losses since that time. We expect to continue to incur losses on an annual basis for the foreseeable future. As of December 31, 2000, our accumulated deficit was $20.2 million. We expect to incur increased levels of product development, sales and marketing and administrative expenses and, as a result, we will need to increase our revenue significantly to achieve future profitability. Although our revenue has grown in recent quarters, we may not be able to sustain this growth and we may not realize sufficient revenue to achieve profitability. Further, even if we achieve profitability, due to competition and the evolving nature of the healthcare information technology and Internet market, we could fail to sustain or increase profitability on a quarterly or annual basis.

WE HAVE A HISTORY OF QUARTERLY AND ANNUAL FLUCTUATIONS IN OUR REVENUE AND OPERATING RESULTS, AND EXPECT THESE FLUCTUATIONS TO CONTINUE, WHICH MAY RESULT IN VOLATILITY IN OUR STOCK PRICE

Our quarterly and annual revenue and operating results have varied significantly in the past and will likely vary significantly in the future due to a number of factors, many of which we cannot control. The factors that may cause our quarterly revenue and operating results to fluctuate include:

Accordingly, you should not rely on the results of any past periods as an indication of our future performance. In some future periods, our operating results may not meet expectations of public market analysts or investors. If this occurs, our stock price may decline.

OUR BUSINESS WILL SUFFER IF OUR MAXMC AND E-MAXMC MEDICAL MANAGEMENT SOLUTIONS DO NOT ACHIEVE WIDESPREAD MARKET ACCEPTANCE AMONG HEALTHCARE PAYER ORGANIZATIONS

Achieving our growth objectives depends on our medical management solutions achieving widespread market acceptance among healthcare payer organizations, which is difficult to determine at this time. We commercially released maxMC in 1997 and acquired DSBuilder, DSManager, and Managing for Tomorrow in the fourth quarter of 2000. We only have 26 payer customers currently use our solutions. Therefore, our solutions currently have limited market acceptance. We have completed the installation of e-maxMC at one client. As a result, e-maxMC has not achieved any market acceptance at this time and we currently do not have sufficient evidence to determine whether and to what extent it will achieve market acceptance. Achieving market acceptance for our medical management solutions will require ongoing improvement of their features and functionalities and enhanced sales and marketing efforts. If we do not gain significant market share for our medical management solutions before our competitors introduce alternative products with features similar to ours, our operating results will suffer. Our operating results will also suffer if our pricing strategies, such as our planned subscription pricing for payers, are not economically viable or acceptable to our customers.

THE HEALTHCARE INDUSTRY MAY NOT ACCEPT OUR MEDICAL MANAGEMENT SOLUTIONS

To be successful, we must attract a significant number of payer customers, such as managed care companies, and continue to attract provider customers, such as hospitals. We cannot determine the extent to which the payer market will accept our medical management solutions as substitutes for traditional methods of processing healthcare information and managing patient care. To date, many healthcare industry participants have been slow to adopt new technology solutions. We believe that the complex nature of healthcare processes and communications among healthcare industry participants, as well as concerns about confidentiality of patient information, may hinder the development and acceptance of new technology solutions such as our medical management solutions.

In addition, customers using existing information systems in which they have made significant investments may refuse to adopt our solutions if they perceive that our solutions will not complement their existing systems. As a result, the conversion from traditional methods of communication to electronic information exchange may not occur as rapidly as we expect it will. Even if the conversion does occur as rapidly as expected, payers and providers may use solutions, products and services offered by others.

BECAUSE WE OFFER A LIMITED NUMBER OF PRODUCTS AND OPERATE EXCLUSIVELY IN THE MARKET FOR MEDICAL MANAGEMENT SOLUTIONS, WE ARE PARTICULARLY SUSCEPTIBLE TO COMPETITION, PRODUCT OBSOLESCENCE AND DOWNTURNS IN THE MARKET FOR MEDICAL MANAGEMENT PRODUCTS

We depend on a limited number of products and we operate exclusively in the market for medical management solutions. To date, we have derived substantially all of our revenue from the sale and associated support of Maxsys II (and its predecessor Maxsys I), a medical management solution marketed to hospital providers. We anticipate that substantially all of our revenue in the foreseeable future will be attributable to continued sales and associated support of that solution, as well as sales and support of maxMC, e-maxMC, DSBuilder, DSManager, and Managing for Tomorrow, our medical management solutions marketed to payers. Dependence on a limited product line makes us particularly susceptible to the successful introduction of, or changes in market preferences for, competing products. In addition, operating exclusively in the market for medical management solutions makes us particularly susceptible to downturns in that market that may be unrelated to the quality or competitiveness of our solutions.

IF WE DO NOT HIRE AND RETAIN ADDITIONAL SALES, MARKETING AND IMPLEMENTATION PERSONNEL WE MAY NOT SUCCEED IN IMPLEMENTING OUR GROWTH STRATEGY AND ACHIEVING OUR TARGET REVENUE GROWTH

Our future growth depends to a significant extent on our ability to hire additional sales, marketing and implementation personnel. Competition for these people is intense. We have experienced difficulty in hiring qualified sales and marketing professionals, as well as database administrators, and we may not be successful in attracting and retaining such individuals. If we do not hire additional qualified sales and marketing personnel, we may not succeed in implementing our growth strategy and our targeted revenue growth may not be achieved. In addition, even if our sales increase, our market penetration and revenue growth will be limited if we are unable to hire additional personnel to implement the medical management solutions we sell.

We also believe that our success depends to a significant extent on the ability of our key personnel to operate effectively, both individually and as a group. Many of our employees have only recently joined us, and we may experience high turnover rates in some categories of personnel. If we do not assimilate new employees in a timely and cost-effective manner, the productivity of those employees will be low, and as a result our operating results may decrease.

In addition, companies in our industry whose employees accept positions with competitors frequently claim that their competitors have engaged in unfair hiring practices. Competitors or other companies may make such claims against us in the future as we seek to hire qualified personnel. Any claim of this nature could result in material litigation. We could incur substantial costs in defending ourselves against these claims, regardless of their merits.

OUR FUTURE SUCCESS DEPENDS IN SIGNIFICANT PART UPON THE CONTINUED SERVICE OF OUR EXECUTIVE OFFICERS

Our executive officers have a great deal of experience in the healthcare information technology industry in general and in the market for medical management solutions in particular. Therefore, they are uniquely qualified to manage our business and would be difficult to replace. We do not have employment contracts with most of these officers or many of our other key personnel. As a result, these employees may voluntarily terminate their employment with us at any time. The search for a replacement for any of our key personnel could be time consuming, and could distract our management team from the day-to-day operations of our business. This could delay the implementation of our growth strategy and negatively impact our ability to achieve targeted revenue growth. In addition, with the exception of two executive officers and one key employee, we do not maintain key person life insurance on our key personnel.

We do not believe that the departure of Stephen Kay, our Chief Financial Officer and Chief Operating Officer, will have a material adverse effect on our business and results of operations. Eugene Cattarina, our Chief Executive Officer, will act as interim Chief Operating Officer, a position for which he is well qualified. Our new Chief Financial Officer, Mark Rapoport, will join the Company in April 2000.

THE LENGTH AND COMPLEXITY OF OUR SALES CYCLE AND PRODUCT IMPLEMENTATION PERIOD MAY CAUSE US TO EXPEND SUBSTANTIAL TIME, EFFORT AND FUNDS WITHOUT RECEIVING RELATED REVENUE

We do not control many of the factors that influence our customers' buying decisions and the implementation of our medical management solutions. The sales and implementation process for our solutions is lengthy, involves a significant technical evaluation and requires our customers to commit a great deal of time and money. The sale and implementation of our solutions are subject to delays due to healthcare payers' and providers' internal budgets and procedures for approving large capital expenditures and deploying new technologies within their organizations. The sales cycle for our solutions is unpredictable and has generally ranged from six to twenty-four months from initial contact to contract signing. The time it takes to implement our solutions is also difficult to predict and has typically ranged from six to fifteen months from contract execution to the commencement of live operation. During the sales cycle and the implementation period, we may expend substantial time, effort and money preparing contract proposals, negotiating the contract and implementing the solution without receiving any related revenue.

OUR MEDICAL MANAGEMENT SOLUTIONS ARE COMPLEX AND MAY CONTAIN UNDETECTED SOFTWARE ERRORS, WHICH COULD LEAD TO AN INCREASE IN OUR COSTS OR A REDUCTION IN OUR REVENUES

Complex software products such as those included in our medical management solutions frequently contain undetected errors when first introduced or as new versions are released. We have, from time to time, found errors in the software products included in our solutions, and in the future we may find additional errors. In addition, we combine our solutions with software and hardware products from other vendors. As a result, we may experience difficulty in identifying the source of an error. The occurrence of hardware and software errors, whether caused by our solutions or another vendor's products, could:

BECAUSE OUR MEDICAL MANAGEMENT SOLUTIONS RELY ON TECHNOLOGY THAT WE OWN, OUR BUSINESS WILL SUFFER IF WE FAIL TO PROTECT OUR INTELLECTUAL PROPERTY RIGHTS TO THAT TECHNOLOGY AGAINST INFRINGEMENT BY COMPETITORS

To protect our intellectual property rights, we rely on a combination of copyright, trademark and trade secret laws and restrictions on disclosure. We also enter into confidentiality or license agreements with our employees, consultants and corporate partners, and control access to and distribution of our software, documentation and other proprietary information. Despite our efforts to protect our proprietary rights, unauthorized parties may copy or otherwise obtain and use our products or technology. Monitoring unauthorized use of our solutions is difficult and the steps we have taken may not prevent unauthorized use of our technology, particularly in foreign countries where the laws may not protect our proprietary rights as fully as in the United States. If we fail to protect our intellectual property from infringement, other companies may use our intellectual property to offer competitive products at lower prices. If we fail to compete effectively against these companies we could lose customers and sales of our solutions and our revenue could decline.

EFFORTS TO PROTECT OUR INTELLECTUAL PROPERTY OR OUR ALLEGED MISUSE OF THE INTELLECTUAL PROPERTY OF OTHERS MAY CAUSE US TO BECOME INVOLVED IN COSTLY AND LENGTHY LITIGATION

Although we are not currently involved in any intellectual property litigation, we may be a party to litigation in the future either to protect our intellectual property or as a result of an alleged infringement by us of the intellectual property of others. These claims and any resulting litigation could subject us to significant liability or invalidate our ownership rights in the technology used in our solutions. Litigation, regardless of the merits of the claim or outcome, could consume a great deal of our time and money and would divert management time and attention away from our core business. Any potential intellectual property litigation could also force us to do one or more of the following:

If we must take any of the foregoing actions, we may be unable to manufacture and sell our solutions, which would substantially reduce our revenue.

WE FACE SIGNIFICANT COMPETITION FROM, AMONG OTHERS, SOFTWARE VENDORS, INTERNET COMPANIES AND CONSULTING GROUPS FOCUSED ON THE HEALTHCARE INDUSTRY

We face intense competition in the market for our medical management solutions. Many of our competitors have greater financial, technical, product development, marketing and other resources than we have. Because these organizations may be better known and have more customers than us, we may not compete successfully against them. The principal companies we compete against in the payer market include HPR (a subsidiary of McKesson HBOC), MedDecision, PhyCom, Confer, American Healthways, CorSolutions and others. In the hospital provider market, we compete against MIDS (a division of Affiliated Computer Systems, Inc.), SoftMed Systems and others. We expect that competition will continue to increase as a result of consolidation in the Internet, information technology and healthcare industries.

RAPIDLY CHANGING TECHNOLOGY MAY IMPAIR OUR ABILITY TO DEVELOP AND MARKET OUR MEDICAL MANAGEMENT SOLUTIONS

Because our business relies on technology, it is susceptible to:

In particular, the Internet is evolving rapidly and the technology used in Internet related products changes rapidly. As the Internet, computer and software industries continue to experience rapid technological change, we must quickly modify our solutions to adapt to such changes. The demands of operating in such an environment may delay or prevent our development and introduction of new solutions and additional functions for our existing solutions that continually meet changing market demands and that keep pace with evolving industry standards. Moreover, competitors may develop products superior to our solutions, which could make our products obsolete.

OUR CUSTOMERS MAY ENCOUNTER SYSTEM DELAYS, FAILURES OR LOSS OF DATA WHEN USING OUR NEW INTERNET-BASED MEDICAL MANAGEMENT SOLUTION AS A RESULT OF DISRUPTIONS OR OTHER PROBLEMS WITH INTERNET SERVICES AND INTERNET ACCESS PROVIDED BY THIRD PARTIES

System delays, failures or loss of data experienced by our customers could harm our business. The success of our new Internet-based medical management solution for payers will depend on the efficient operation of Internet connections among our payer customers and their members and associated providers. These connections, in turn, depend on the efficient operation of Web browsers, Internet connections and Internet service providers. In the past, Internet users have occasionally experienced difficulties with Internet connections and services due to system failures. Any disruption in Internet access provided by third parties could delay or disrupt the performance of our new Internet-based solution, and consequently, make it less acceptable to payers. Furthermore, we will depend on our customers' hardware suppliers for prompt delivery, installation and service of the equipment that runs our applications.

SECURITY BREACHES AND SECURITY CONCERNS ABOUT INTERNET TRANSMISSIONS MAY CAUSE CUSTOMERS TO REFUSE TO PURCHASE OR DISCONTINUE THE USE OF OUR MEDICAL MANAGEMENT SOLUTIONS

Our customers will retain confidential customer and patient information using our solutions. An experienced computer user who is able to access our customers' computer systems could gain access to confidential patient and company information. Therefore, our products must remain secure and the market must perceive them as secure. The occurrence of security breaches could cause customers to refuse to purchase or discontinue use of our solutions. Protecting against such security breaches or alleviating problems caused by security breaches may require us to expend significant capital and other resources. In addition, upgrading our systems to incorporate more advanced encryption and authentication technology as it becomes available may cause us to spend significant resources and encounter costly delays. Concerns over the security of the Internet and other online transactions and the privacy of users may also inhibit the growth of the market for our Internet-based medical management solution.

WE OPERATE IN AN INDUSTRY SUBJECT TO CHANGING REGULATORY INFLUENCES, WHICH COULD LIMIT THE USEFULNESS OF OUR SOLUTIONS OR REQUIRE US TO MAKE EXPENSIVE AND TIME-CONSUMING MODIFICATIONS TO OUR PRODUCTS

During the past several years, federal, state and local governments have increased their regulation of the U.S. healthcare industry and have proposed numerous healthcare industry reforms. These reforms may increase governmental involvement in healthcare, continue to reduce reimbursement rates and otherwise change the operating environment for our customers. Our customers may react to these proposals and the uncertainty surrounding the proposals by curtailing or deferring investments, including those for our medical management solutions.

Existing state and federal laws regulate the confidentiality of healthcare information and the circumstances under which such records may be released. Congress is considering legislation and the Department of Health and Human Services has proposed regulations that would further regulate the confidentiality of healthcare information. In addition, the Department of Health and Human Services has proposed regulations setting forth security standards for all health plans, clearinghouses and providers to follow with respect to healthcare information that is electronically transmitted, processed or stored. While these laws and regulations may not apply to us directly, our products must comply with existing and future laws and regulations in order to achieve market acceptance. Such compliance may be difficult and expensive or even impossible to achieve. These laws or regulations could restrict the ability of our customers to obtain, use or disseminate patient information, which in turn could limit the usefulness of our medical management solutions causing a decrease in our sales.

Because of the Internet's popularity and increasing use, new laws and regulations with respect to the Internet are becoming prevalent. Such new laws and regulations could limit the effectiveness and market acceptance of our Internet-based medical management solutions or could cause us to have to modify our solutions, which could be expensive and time consuming.

CONSOLIDATION IN THE HEALTHCARE INDUSTRY COULD LEAD TO LARGE INTEGRATED HEALTHCARE DELIVERY SYSTEMS WHO MAY USE THEIR ENHANCED MARKET POWER TO FORCE PRICE REDUCTIONS FOR OUR MEDICAL MANAGEMENT SOLUTIONS AND RELATED SERVICES

Many healthcare industry participants are consolidating to create integrated healthcare delivery systems with greater market power. As the healthcare industry consolidates, competition to provide products and services to industry participants will become more intense and the importance of establishing relationships with large industry participants will become greater. These industry participants may try to use their market power to negotiate price reductions for our products and services. Our operating results may suffer if we reduce our prices without achieving corresponding reductions in our expenses.

WE MAY ENCOUNTER ACQUISITION-RELATED RISKS SUCH AS BECOMING RESPONSIBLE FOR UNEXPECTED LIABILITIES OF ACQUIRED BUSINESSES AND DIFFICULTIES INTEGRATING EMPLOYEES AND OPERATIONS OF ACQUIRED BUSINESSES

We expect to review opportunities to acquire other businesses or technologies. In connection with acquisitions, we could:

Acquisitions could involve numerous risks, including:

We may not be able to successfully integrate any businesses, products, technologies or personnel that we might purchase in the future.

OUR PRINCIPAL STOCKHOLDERS HAVE SIGNIFICANT VOTING POWER, WHICH MAY LIMIT OUR STOCKHOLDER'S ABILITY TO INFLUENCE THE OUTCOME OF DIRECTOR ELECTIONS AND OTHER STOCKHOLDER MATTERS

Our executive officers and directors and their affiliates beneficially own, in the aggregate, approximately 63% of our outstanding common stock. As a result, these stockholders will be able to exercise significant control over all matters requiring stockholder approval, including the election of directors and approval of significant corporate transactions, which could delay or prevent an outside party from acquiring or merging with us.

IF WE DO NOT MEET OUR FUTURE CAPITAL REQUIREMENTS, WE MAY BE UNABLE TO DEVELOP OR ENHANCE OUR MEDICAL MANAGEMENT SOLUTIONS, TAKE ADVANTAGE OF FUTURE OPPORTUNITIES OR RESPOND TO COMPETITIVE PRESSURES OR UNANTICIPATED EVENTS

We believe that the net proceeds of our initial public offering, together with our existing cash balances, credit facilities and expected cash flow from operations, will allow us to meet our capital requirements at least through the next 12 months. However, we may need or want to seek additional capital prior to that time. Such capital may not be available to us on favorable terms, or at all. Further, if we raise capital by issuing new equity securities, stockholders may experience additional dilution or the new equity securities may have rights, preferences or privileges senior to those of existing holders of common stock. If we cannot raise capital on acceptable terms, we may not have the resources to develop new products or enhance existing products, take advantage of future opportunities or respond to competitive pressures or unanticipated events.

OUR STOCK PRICE HAS BEEN HIGHLY VOLATILE, AND YOUR INVESTMENT COULD SUFFER A DECLINE IN VALUE.

The trading price of our common stock has been highly volatile and could continue to be subject to wide fluctuations in price in response to various factors, many of which are beyond our control, including:

In addition, the stock market in general, and the Nasdaq National Market and the market for technology companies in particular, have experienced significant price and volume fluctuations that have often been unrelated or disproportionate to the operating performance of those companies. Further, there has been particular volatility in the market prices of securities of life science companies. These broad market and industry factors may seriously harm the market price of our common stock, regardless of our operating performance. In the past, following periods of volatility in the market price of a company's securities, securities class action litigation has often been instituted. A securities class action suit against us could result in substantial costs, potential liabilities and the diversion of management's attention and resources.

THERE MAY NOT BE AN ACTIVE, LIQUID TRADING MARKET FOR OUR COMMON STOCK.

There is no guarantee that an active trading market for our common stock will be maintained on the Nasdaq National Market. You may not be able to sell your shares quickly or at the market price if trading in our stock is not active.

THE LARGE NUMBER OF SHARES OF OUR COMMON STOCK WHICH RECENTLY BECAME ELIGIBLE FOR PUBLIC SALE COULD CAUSE OUR STOCK PRICE TO DECLINE.

The market price of our common stock could decline as a result of sales of substantial amounts of our common stock in the public market, or the perception that these sales could occur. In addition, these factors could make it more difficult for us to raise funds through future offerings of common stock. All of the shares sold in our recently completed initial public offering will be freely transferable without restriction or further registration under the Securities Act, except for any shares purchased by our "affiliates," as defined in Rule 144 of the Securities Act. The remaining shares of common stock outstanding will be "restricted securities" as defined in Rule 144. These shares may be sold in the future without registration under the Securities Act, to the extent permitted by Rule 144 or other exemptions under the Securities Act.

On April 21, 2000, we registered 1,743,566 shares of common stock that are reserved for issuance upon exercise of options granted under our stock option and employee stock purchase plans. On March 22, 2001, we registered an additional 3,500,000 shares of common stock that are reserved for issuance upon exercise of options granted under our stock option plan. These shares can be sold in the public market upon issuance, subject to restrictions under the securities laws applicable to resales by affiliates.

ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES A