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, 2004
| ¨ | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES ACT OF 1934 |
For The Transition Period From ____________ To ____________
Commission File No. 000-28715
NEOFORMA, INC.
(Exact name of the Registrant as Specified in its Charter)
| Delaware | 77-0424252 | |
| (State or other jurisdiction of incorporation or organization) |
(I.R.S. Employer Identification Number) |
| 3061 Zanker Rd., San Jose, CA | 95134 | |
| (Address of principal executive offices) | (Zip code) |
(408) 468-4000
(The Registrants 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 Per Share
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 the Registrants 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. Yes x No ¨
Indicate by check mark whether the registrant is an accelerated filer (as defined in Exchange Act Rule 12b-2). Yes x No ¨
As of June 30, 2004, the aggregate market value of the Registrants voting stock held by non-affiliates of the Registrant, based on the closing price for the Registrants common stock on The Nasdaq National Market on such date, was $100,154,223. This calculation does not reflect a determination that certain persons are affiliates of the Registrant for any other purposes.
The number of shares of the Registrants common stock outstanding on March 9, 2005 was 20,618,672.
| Page | ||||
| PART I | ||||
| ITEM 1. | 3 | |||
| ITEM 2. | 18 | |||
| ITEM 3. | 18 | |||
| ITEM 4. | 18 | |||
| PART II | ||||
| ITEM 5. | 19 | |||
| ITEM 6. | 19 | |||
| ITEM 7. | MANAGEMENTS DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS |
21 | ||
| ITEM 7A. | 52 | |||
| ITEM 8. | 53 | |||
| ITEM 9. | CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE |
53 | ||
| ITEM 9A. | 53 | |||
| ITEM 9B. | 53 | |||
| PART III | ||||
| ITEM 10. | 54 | |||
| ITEM 11. | 57 | |||
| ITEM 12. | SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS |
63 | ||
| ITEM 13. | 66 | |||
| ITEM 14. | 66 | |||
| PART IV | ||||
| ITEM 15. | 68 | |||
| SIGNATURES | 71 | |||
Neoforma, Neoforma.com, Neoforma Order Management Solution, Neoforma OMS, Neoforma Contract Management Solution, Neoforma CMS, Neoforma Data Management Solution, Neoforma DMS, Neoforma Materials Management Solution, Neoforma MMS, NeoConnect, Healthcare Products Information Services, HPIS, Med-ecom, Medcontrax, Neoforma Success Tracker and the Neoforma logo are some of our trademarks or service marks. Other trademarks or trade names appearing in this Annual Report on Form 10-K are the property of their respective owners.
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FORWARD LOOKING STATEMENTS
This report contains statements that involve expectations, plans or intentions (such as those relating to future business or financial results, new features or services, or management strategies). These statements are forward-looking and are subject to risks and uncertainties, so actual results may vary materially. You can identify these forward-looking statements by words such as may, will, should, expect, anticipate, believe, estimate, intend, plan and other similar expressions. You should consider our forward-looking statements in light of the risks discussed under the heading Factors That May Affect Future Operating Results below, as well as our consolidated financial statements, related notes, and the other financial information appearing elsewhere in this report and our other filings with the Securities and Exchange Commission. We assume no obligation to update any forward-looking statements.
| ITEM 1. | Business |
Our Company
We are a leading provider of supply chain management solutions for the healthcare industry. Through a combination of technology, information and services, our supply chain management solutions are designed to enable efficient collaboration among hospitals and their suppliers, helping them to reduce operational inefficiencies, lower costs and improve their financial health. The healthcare supply chain has a number of characteristics, including its large size, high degree of fragmentation, reliance on disparate technologies and data sources, dependence on manual processes and highly complex pricing structures, which have led to major inefficiencies. These inefficiencies lead to slower, error-prone transactions and increased overhead and costs for hospitals and suppliers. In addition, the participants in the healthcare industry are under significant competitive and cost pressures and are seeking ways to increase efficiencies in their supply chain to improve their overall margins. Our comprehensive solutions make it easier for the participants in the healthcare supply chain, principally hospitals, group purchasing organizations, or GPOs, and suppliers, to improve communication, receive comprehensive and accurate information, improve day-to-day operations, accelerate order and contract implementations, enhance strategic planning and gain organization-wide visibility into supply chain activities. Using our solutions, these organizations can improve efficiencies, reduce costs, increase revenue and improve capital allocation.
We serve more than 1,600 customers, including many of the nations leading hospitals and suppliers. We have a contractual relationship with Novation, LLC, VHA Inc., University HealthSystem Consortium, or UHC, and Healthcare Purchasing Partners International, LLC, or HPPI, under which these organizations have agreed to use us as their exclusive e-commerce provider for supply chain management. Novation is the supply chain management company for VHA, an alliance of not-for profit hospitals, health systems and their affiliates, and UHC, an alliance of academic medical centers and associate members. We currently generate a significant majority of our business through our Novation, VHA and UHC relationships. The hospital members of VHA and UHC utilize Marketplace@Novation®, an online healthcare supply exchange, to access e-commerce services and information tools that allow them to improve their order management and contract management processes. We also have contracts with VHA and UHC to sell and market data management services to their member healthcare organizations. As of December 31, 2004, VHA and UHC beneficially owned 42.4% and 10.5%, respectively, of our outstanding common stock.
In addition, we have a contractual relationship with Consorta, Inc., a group purchasing and resource management company, to sell and market data and order management services to its member healthcare organizations.
Our core strategy is to help hospitals operate more effectively and improve their financial health. Our principal focus, therefore, is on helping our hospital and GPO customers address the inefficiencies in the
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healthcare supply chain by providing a valuable combination of technology, information and services. We believe our success with our hospital and GPO customers will help drive our success with our supplier customers. We utilize our existing relationships with hospitals and strategic partners, and seek new relationships with key participants in the healthcare supply chain, to provide additional opportunities to sell our solutions and to develop and sell new products and services into that customer base. Our solutions are focused on the healthcare supply chain, and we will continue to work to address broader and deeper areas of this supply chain to help hospitals improve their financial health.
We were incorporated in California in 1996 and reincorporated in Delaware in 1998. Our headquarters is located at 3061 Zanker Road, San Jose, CA 95134, and our telephone number is (408) 468-4000. Our Web site is www.neoforma.com. We are not including the information contained on our Web site as a part of, nor incorporating it by reference into, this Annual Report on Form 10-K. Through our Web site, we make available, free of charge, our Annual Report on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K and all amendments to those reports, as well as other materials, as soon as reasonably practicable after such materials are electronically filed with or furnished to the Securities and Exchange Commission.
Recent Developments
On January 11, 2005, we announced that we had retained Merrill Lynch & Co. as our financial advisor to assist us in evaluating our strategic alternatives, including a possible sale of the company or merger transaction, to achieve greater stockholder value. We anticipate that any such change in control transaction will require the consent of VHA and UHC. We cannot assure you that any particular alternative will be pursued or that any transaction will occur, or if any transaction does occur, on what terms such transaction might be consummated.
On January 26, 2005, we announced that, in connection with our decision to evaluate strategic alternatives, Novation and we each had engaged independent consultants to assess the technology, information, services and pricing provided by us to Novation, VHA, UHC and their member hospitals under our exclusive outsourcing agreement, and that, although we believe the current quarterly maximum payment under the outsourcing agreement is reasonable, Novation had advised us that its assessment could result in a formal request to reduce the quarterly maximum payment.
Industry Background
The healthcare supply chain has a number of characteristics, including its large size, high degree of fragmentation, reliance on disparate technologies, dependence on manual processes and highly complex pricing structures, that have led to major inefficiencies. Supply chain costs represent the second largest expenditure category and approximately 25% to 30% of the average hospitals operating expenses. There are thousands of suppliers selling to numerous healthcare provider sites, including approximately 5,800 hospitals in the United States. The materials management or information systems or other technology in which hospitals and suppliers have invested generally do not communicate with each other, either within an organization or between organizations. Hospitals generally have made fewer technology investments in supply chain initiatives as compared to other organizations in other industries, and their technologies are often out-of-date. As a result, many hospitals and their suppliers remain reliant on manual processes primarily phone, fax and paper. In addition, participants in the healthcare supply chain frequently use complicated purchasing contracts and trade agreements, often negotiated by a GPO or supply management company, to facilitate the purchase of goods and services, adding another stakeholder and layer of complexity to the industry. Discrepancies in price, miscommunication and inaccurate or missing information lead to slower, error-prone transactions for all participants, higher costs for hospitals and increased overhead for suppliers. An industry study, which we co-sponsored, entitled The Value of eCommerce in the Healthcare Supply Chain, dated June 2001, estimated that these inefficiencies result in overall waste of two percent to 10% of total spending in the industry.
Participants in the healthcare industry are also under significant competitive and cost pressures. For example, hospitals are faced with reduced Medicare and third-party payor reimbursement rates, increasing
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malpractice insurance costs, intense pressure to increase patient safety initiatives and new legislation requiring increased investment in technology. Suppliers are faced with an increasingly competitive environment and growing margin pressures, as well as a need to support the financial and operational health of their hospital customers. These industry participants are seeking ways to improve efficiencies in their supply chain to increase overall margins.
Our Customers and Solutions
We deliver supply chain management solutions, utilizing a combination of technology, information and services, to enable effective collaboration among hospitals and suppliers, helping them to reduce operational inefficiencies and lower costs. Our customers principally consist of hospitals, GPOs and suppliers. We offer our customers solutions to address several main areas in the healthcare supply chain, including order management, contract management, data management, market intelligence and materials management.
We offer our hospital customers solutions to address:
| | Order management: Neoforma Order Management Solution, or Neoforma OMS; |
| | Contract management: Neoforma Contract Management Solution, or Neoforma CMS; |
| | Data management: Neoforma Data Management Solution, or Neoforma DMS; and |
| | Materials management: Neoforma Materials Management Solution, or Neoforma MMS. |
We offer our GPO customers solutions to address:
| | Order management: Neoforma OMS; |
| | Contract management: Neoforma CMS; and |
| | Data management: Neoforma DMS. |
We offer our supplier customers solutions to address:
| | Market intelligence: HPIS Market Intelligence and Neoforma Pharmaceutical Market Intelligence; |
| | Order management: Neoforma OMS; |
| | Contract management: Neoforma CMS and Neoforma CMS for Contract and Rebate Management Services and Reporting; and |
| | Materials management: Neoforma MMS. |
Our solutions are designed to enable hospitals, GPOs and suppliers to improve communication, receive comprehensive and accurate information, improve day-to-day operations, accelerate order and contract implementations, enhance strategic planning and gain organization-wide visibility into supply chain activities. Our solutions are designed to complement and augment our customers existing supply chain business processes, and we offer these solutions individually or jointly. Our principal focus is on helping our hospital and GPO customers address the inefficiencies in the healthcare supply chain to empower them with the strategic information they need to operate their supply chain more effectively.
Hospitals and Group Purchasing Organizations
Supply expenditures represent approximately 25% to 30% of an average hospital budget and are the second largest expenditure category, behind labor. Our supply chain management solutions help hospitals streamline their supply chain and reduce their supply chain costs by (i) automating manual, paper-based processes, (ii) increasing contract utilization and (iii) providing better visibility into supply spend.
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GPOs and supply management companies encounter a variety of purchasing and contracting challenges, including lengthy contracting processes, difficulties associated with providing accurate and timely contract information to their member healthcare organizations, reduced levels of contract compliance due to off-contract buying, incomplete member purchase history data and delayed supplier sales reporting. Through our solutions, GPOs and supply management companies can (i) provide information on their negotiated contracts to their hospital customers in a timelier manner, (ii) improve the quality and accuracy of their contract and related product information, (iii) gain access to detailed information regarding contract utilization, buying patterns and purchasing history and (iv) improve their ability to verify the accuracy of fee, sales and revenue information. As a result, our solutions enable GPOs and supply management companies to improve their service offerings to their customers and reduce their operating costs.
Order Management
Neoforma Order Management Solution, or Neoforma OMS
We address the day-to-day order management aspect of the healthcare supply chain with Neoforma OMS. Neoforma OMS streamlines healthcare supply purchasing by simplifying and automating day-to-day activities. Combining Web-based functionality, discrepancy management tools and connectivity, Neoforma OMS is designed to generate significant savings for hospitals and their suppliers through increased electronic transactions and by helping to resolve order discrepancies faster. In addition, Neoforma OMS provides hospitals and their suppliers with valuable information to help them reduce supply chain costs. For VHA and UHC member hospitals, we deliver Neoforma OMS as part of Marketplace@Novation, and we receive payment from Novation for the services we provide to these hospitals. We also sell Neoforma OMS to members of Consorta and to hospitals that are not members of VHA, UHC or Consorta.
The key components and benefits of Neoforma OMS to hospitals include:
| | Connectivity. Using our proprietary NeoConnect platform and rapid implementation methodology, we connect hospitals materials management information systems, or MMIS, to their suppliers enterprise resource planning, or ERP, systems. We connect to multiple types of hospital MMIS and supplier ERP systems, and we utilize a single data format, either electronic data interchange, or EDI, or extensible markup language, or XML, which are document standards typically used in the healthcare industry. We enable hospitals to connect to their suppliers using a single communication protocol and data format, reducing the costs to the hospitals and their suppliers of creating and maintaining connections. |
Neoforma OMS provides hospitals with electronic access to a broad group of suppliers, as well as the ability to support multiple document types, enabling hospitals to increase automation and accuracy. Broader connectivity to suppliers enables hospitals to conduct more of their supply transactions electronically, creating significant time and cost savings.
| | Online discrepancy management tools. We believe Neoforma OMS is the most comprehensive solution in the healthcare supply chain for identifying and resolving discrepancies in day-to-day ordering activities. Neoforma OMS allows purchasing teams within hospitals to identify, track and review order discrepancies in real-time before the orders get to the invoice stage. Using Neoforma OMS, hospitals and their suppliers are immediately alerted to price discrepancies, rejected line items, part number discrepancies, backorders, items on hold and added line items. By resolving issues and discrepancies prior to the invoice stage and increasing accuracy throughout the ordering process, hospital purchasing and accounts payable departments can avoid costly rework, capture payment discounts and provide more responsive service to internal customers and clinicians. |
| | Online order status. Neoforma OMS provides hospitals with faster access to ordering information from their suppliers, including instant access to confirmations, expected ship dates and advance ship notices, enabling hospital purchasing departments to stay apprised of the status of their orders and to quickly |
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| take action to resolve availability and substitution issues. Hospital purchasing departments can check the status of orders online instead of calling their supplier customer service representatives. |
| | On-demand reports. Hospital users of Neoforma OMS can access a number of detailed, on-demand reports, enabling them to gain visibility into transactions and make better decisions for their businesses. These reports provide hospital users the ability to identify disparate pricing within a hospital or between two or more hospitals in the same hospital system and to monitor spending across a hospital system, including spending in departments that typically make purchases outside of the materials department, such as food and pharmacy. All of the reports can be filtered, searched and downloaded into multiple formats. |
In 2004, we introduced pharmacy supply analysis reporting tools to enable VHA and UHC member hospitals to efficiently manage their increasing pharmacy costs. These reports, which are available through both Neoforma OMS and Neoforma CMS, help hospitals verify that invoice and contract prices match, identify contract opportunities, maximize their contract tiers and obtain failure-to-supply refunds.
Contract Management
Neoforma Contract Management Solution, or Neoforma CMS
Neoforma CMS is a Web-based solution that enables hospitals to reduce supply costs through improved utilization of contracts, fewer price discrepancies and faster, better-informed decision-making. We deliver Neoforma CMS to VHA and UHC member hospitals as part of Marketplace@Novation, and we receive payment from Novation for the services we provide to these hospitals.
The key components and benefits of Neoforma CMS provided to VHA and UHC hospitals through Marketplace@Novation include:
| | Contract catalog. Using Neoforma CMS, hospitals can access contract, product and pricing information for products that are covered by negotiated contracts. Neoforma CMS enables VHA and UHC member hospitals that participate in Novations purchasing program to access the complete contract and product portfolio of Novation, as well as to add and edit their own local and national contracts, through one system. For VHA and UHC member hospitals, we populate Neoforma CMS with data sourced directly from Novation and its suppliers, which enables us to alert users to new contracts and contract updates so they will have the latest product and pricing details for items under contract. By providing this accurate and up-to-date product and contract information, Neoforma CMS helps hospitals eliminate costly mistakes and optimize their use of negotiated contracts, which can ultimately reduce their supply costs. We provide tools that enable users to search for product and contract information, view detailed contract terms and export contract data into their MMIS. |
| | On-demand reports. Through Neoforma CMS, we provide on-demand report generation capabilities that allow hospitals to track purchase trends and gain visibility into and analyze contract spending, across both the materials and pharmacy departments. Hospitals can use these reports to reduce total supply spend through increased contract compliance and standardization. |
In 2004, we introduced pharmacy supply analysis reporting tools to enable VHA and UHC member hospitals to efficiently manage their increasing pharmacy costs. These reports, which are available through both Neoforma OMS and Neoforma CMS, help hospitals verify that invoice and contract prices match, identify contract opportunities, maximize their contract tiers and obtain failure-to-supply refunds.
| | Online collaboration. Neoforma CMS enables hospitals to communicate and interact with their suppliers online, helping hospital materials managers, contract agents and buyers to reduce product and price discrepancies. To expedite product updates, hospitals can initiate and collaborate on product setup |
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| and pricing changes with their suppliers through online forms, and email notifications are sent when changes are made. This component of Neoforma CMS is available currently only on a limited basis, but we are seeking ways to expand the availability of this functionality. |
| | Online product catalog. Neoforma CMS enables VHA and UHC member hospitals to access detailed, up-to-date product information on more than 650,000 products across most major areas of hospital spending, enabling hospital users to reduce product identification errors. Hospital users can access comprehensive product information provided by their suppliers, including product names, descriptions and manufacturer product numbers to find products and to research and source products more easily when backorders occur. |
Data Management
Neoforma Data Management Solution, or Neoforma DMS
For hospitals, Neoforma DMS includes a data cleansing, spend intelligence and maintenance solution that enables hospitals to significantly improve the accuracy of their item and vendor master data files. Hospitals typically have large amounts of item and vendor data stored in their MMIS or ERP systems. They are challenged by out-of-date product information, duplicate entries, inaccurately entered information, obsolete item and vendor records, incorrect prices and incorrect part numbers. Furthermore, the item data typically have poor descriptions and are often poorly categorized or not categorized at all. For hospitals, these issues increase the potential to overspend when an order is placed, lead to price and item discrepancies that require intervention and resolution with their suppliers. In addition, these issues make it difficult for users to source products and hamper their ability to perform meaningful spending analysis to prioritize their cost reduction efforts. Neoforma DMS cleanses, normalizes, enriches and categorizes MMIS master data. With improved item and vendor master files, hospitals can improve the return on their investment in MMIS and ERP systems, analyze variations in pricing and product orders, generate valuable reports on supply spend, better analyze product utilization and standardize products to reduce supply costs. We have contracts with VHA, UHC and Consorta to sell and market Neoforma DMS to their member healthcare organizations. We sell Neoforma DMS to VHA and UHC member healthcare organizations under contracts separate from our Marketplace@Novation agreements.
For GPOs, Neoforma DMS cleanses and categorizes contract and related product information that they publish to their member healthcare organizations.
The key components and benefits of Neoforma DMS to hospitals and GPOs include:
| | Data cleansing. Neoforma DMS cleanses data files using a combination of powerful technology and industry expertise to help ensure high quality results. The technology is capable of processing a high volume of records with increased accuracy as compared to manual methods. The industry expertise is provided by medical professionals representing numerous medical specialties. This combination of technology, information and services increases the accuracy of a hospitals MMIS item and vendor master files to enable the hospital to improve its day-to-day operations and make better strategic decisions. |
| | Data categorization. Neoforma DMS offers comprehensive categorization services. We support the United Nations Standard Products and Services Code®, or UNSPSC®, classification system, which is increasingly being adopted as a standard by participants in the healthcare supply chain. Classification to UNSPSC enables our customers to better find supplies for procurement in a given category, better analyze expenditures, including facilitating roll-up and drill-down capabilities, and better perform strategic sourcing. In addition to our support of UNSPSC, we also have the capability to categorize products to customer-specific or custom schema. |
| | Data enrichment. Neoforma DMS provides rich product attribute data that supports improved reporting, identification of functional equivalents and product standardization. Hospitals benefit when they are able to identify medical products from various vendors that are functionally equivalent and |
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| when they are able to standardize their purchasing from a particular vendor, increasing their contract utilization with that vendor and reducing their costs for that item. |
| | Operational and spend intelligence reporting options. Clean, accurate and complete item and vendor master files create the foundation for hospitals to generate advanced reports to analyze spending and identify pricing and contracting opportunities. Neoforma DMS helps hospital purchasing and materials managers understand where savings and cost efficiencies can be realized, allowing their organizations to consolidate and standardize purchasing for maximum cost reduction. Reports available through Neoforma DMS include both data processing and spend intelligence reports. Data processing reports include inactive products which need to be removed, duplicate products which can be consolidated, active products and vendors which need to be maintained on an ongoing basis, product descriptions that are cross-referenced between the hospitals and the vendors product information for accuracy and custom reports that include abbreviated product descriptions specific to the hospitals MMIS or ERP system. Spend intelligence reports include pricing and contract analysis for overall spending, utilization analysis for identifying standardization opportunities, benchmark analysis enabling peer comparisons for category and average price spend and vendor analysis for managing vendors. |
Materials Management
Neoforma Materials Management Solution, or Neoforma MMS
Neoforma MMS enables hospitals to manage inventory and requisitions, issue purchase orders, receive products and manage other components of the materials management process. In comparison to conventional materials management information systems, Neoforma MMS is designed to offer hospitals superior flexibility, process control and ease of use. At this time, we are supporting those hospitals using Neoforma MMS, but we are not actively selling Neoforma MMS as a standalone offering to new customers.
The key components and benefits of Neoforma MMS to hospitals include:
| | End-to-end materials management. Neoforma MMS enables hospital users, principally directors of materials management, buyers and receiving staff, to oversee their materials management process. |
| | Web-based approach. Neoforma MMS is deployed as a hosted solution, so that hospitals are not required to install software on their internal systems. This enables users to avoid the infrastructure, maintenance and upgrade efforts of, and subsequent costs to, their information technology, or IT, departments. Neoforma MMS offers a familiar browser-based interface, including drop-down lists and simple forms, to reduce the need for extensive training and to enable users to rapidly understand the features and functions. |
| | Point-of-use control over inventory. Neoforma MMS is compatible with handheld computing devices, including wireless tablet personal computers for bar code scanning, inventory usage tracking, inventory transfers, physical inventory counts, requisitioning, ordering and receiving. These devices allow hospitals to have point-of-use control over inventory, which reduces time-consuming, paper-based processes for reporting inventory in remote inventory locations. Additionally, these handheld devices reduce the risk of re-keying errors associated with manual processes. |
| | Designed for healthcare. Neoforma MMS was built and designed to provide materials management capabilities in the context of the healthcare supply chain, based on an understanding of the unique needs and processes of hospital organizations, including multiple clinical departments, IT resources and training needs. Neoforma MMS offers full support for various electronic document types, requires minimal customization and can be used in connection with Neoforma OMS and Neoforma DMS. |
Marketplace@Novation
We develop, implement and support supply chain management solutions for Marketplace@Novation, an online healthcare supply exchange provided by Novation for VHA and UHC member hospitals and their
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suppliers. Marketplace@Novation utilizes Neoforma OMS and Neoforma CMS, as well as pharmacy supply analysis tools that help VHA and UHC hospitals reduce total pharmacy spend by identifying contract opportunities and more effectively managing their contract purchases. The payments we receive from Novation in connection with Marketplace@Novation currently account for the substantial majority of our fees, and we anticipate that this will continue for the foreseeable future.
In order to cross-sell our other solutions, we leverage our relationships with Novation hospitals and their suppliers that have contracted with us to use Marketplace@Novation.
Suppliers
Suppliers, both manufacturers and distributors, face intense competition and margin pressures. Our supply chain management solutions help suppliers (i) reduce their operating expenses by automating manual processes, reducing transaction costs, providing contract management services and making their customers more efficient, (ii) improve cash flow by reducing days sales outstanding, or DSO, (iii) increase their service levels to their hospital customers, (iv) increase their revenue by increasing the efficiency of their sales people and by more efficiently utilizing direct and indirect channel resources and (v) gain visibility regarding market share.
Market Intelligence
Neoforma sells market intelligence offerings to medical-surgical and pharmaceutical manufacturers that sell through distributors.
HPIS Market Intelligence
We provide market intelligence reporting to medical-surgical manufacturers and distributors. HPIS Market Intelligence helps these suppliers identify market opportunities, measure market share and evaluate sales force performance and management. The team in our HPIS Market Intelligence business unit acquires detailed, transactional data from the leading medical-surgical distributor members of the Health Industry Distributors Association, or HIDA, and then aggregates, normalizes, indexes and reports on this transactional data. Healthcare manufacturers and distributors use this standardized and customized critical market intelligence to develop strategies to optimize their market performance.
For manufacturers, HPIS Market Intelligence provides:
| | Market share information by product or product category; |
| | Competitive market share information by geographic area; |
| | Sales performance information, including competitive performance, defined by sales areas; and |
| | Sales and market share trends over time. |
For distributors, HPIS Market Intelligence provides:
| | Sales and market share information defined by manufacturer product, product category and geographic region; and |
| | Distributor sales performance information compared to market trends. |
Neoforma Pharmaceutical Market Intelligence
We also provide market intelligence reporting to pharmaceutical manufacturers. Neoforma Pharmaceutical Market Intelligence helps pharmaceutical manufacturers gain key strategic insights into their sales volume, market share and contract compliance. Currently, we provide these reports to pharmaceutical manufacturers that sell products through the Novation contract portfolio within the VHA and UHC member hospital base. We are
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seeking to expand our GPO and hospital relationships to provide these strategic insights to pharmaceutical manufacturers that sell products through other contract portfolios and to other hospitals.
Our data are aggregated from a variety of pharmaceutical wholesalers and purchased data sources and are delivered to manufacturers in a series of Web-based and offline reports that include:
| | Pharmacy purchasing volume by hospital and product, which provides manufacturers with visibility into all sales of their products, whether on or off-contract, to a customer, allowing them greater visibility into their sales trends; |
| | Market share by generic equivalents, which allows manufacturers to measure the performance of their products and identify specific areas of opportunity; |
| | Market share by American Hospital Formulary Service therapeutic class, which enables manufacturers to compare their products performance with the performance of competing products in the same therapeutic class; |
| | Compliance by contract, which helps manufacturers identify missed sales opportunities and target key customers that are not complying with existing contracts; and |
| | Market share by contract, which provides manufacturers with insight into the market share performance of their contracted products at the GPO, integrated delivery network, or IDN, and hospital level. |
These reports deliver visibility down to the hospital facility level, enabling pharmaceutical manufacturers to maximize the impact of their contracting and sales efforts.
Order Management
Neoforma OMS
Many of the key components of Neoforma OMS for suppliers are similar to the key components for hospitals, including connectivity, online discrepancy management tools, online order status and on-demand reports. We deliver Neoforma OMS both as part of and separate from Marketplace@Novation agreements. Many of the key benefits to suppliers are also similar to the key benefits for hospitals, including:
| | Increased automation and improved order accuracy throughout the ordering process; |
| | Reduced costs for creating and maintaining connections by using a single communication protocol and data format to connect; |
| | Significant time and cost savings from broader connectivity that enables them to conduct more of their supply transactions electronically; |
| | Accelerated resolution of discrepancies; and |
| | Increased visibility into transactions and increased ability to make better decisions for their businesses by using detailed, on-demand reports. |
The key components and benefits of Neoforma OMS unique to suppliers include:
| | The ability to convert customers with whom they previously had communicated by phone or fax, to electronic connections, reducing the burden and expense of servicing customers; |
| | The ability to proactively manage order discrepancies with their hospital customers, before the orders get to the invoice stage, allowing suppliers to reduce DSO and spend less time on customer support and more time selling; and |
| | Improved customer satisfaction levels and reduced customer service and sales personnel costs made possible by enabling hospital purchasing teams to check the status of orders online instead of calling their customer service representatives. |
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Contract Management
Neoforma CMS
Neoforma CMS provides a secure, online environment that allows suppliers to communicate contract and product information with hospital customers and to collaborate with hospitals on new contract setup and price changes. Neoforma CMS is currently available for use by supplier customers that have contracts with Novation and that sell to VHA and UHC member hospitals and to hospital customers that are members of VHA and UHC and participate in Novations purchasing program. Using Neoforma CMS, suppliers can reduce contract and marketing administration costs through more effective communication and fewer price discrepancies with their customers. We deliver Neoforma CMS as part of Marketplace@Novation.
Many of the key components of Neoforma CMS for suppliers are similar to the key components for hospitals, including a contract catalog, an online product catalog, online collaboration and on-demand reports. The online collaboration component of Neoforma CMS is currently available only on a limited basis, but we are seeking ways to expand the availability of this functionality. Many of the key benefits of Neoforma CMS for suppliers are also similar to the key benefits for hospitals, including:
| | Elimination of costly mistakes and optimized use of negotiated contracts by using online access to contract, product and pricing information for products covered by negotiated contracts, populated with data sourced directly from suppliers; |
| | Reduced product and price discrepancies using online communication and interaction between hospitals and suppliers; and |
| | Expedited product updates by collaborating on product setup and pricing changes through online forms. |
The key components and benefits of Neoforma CMS unique to suppliers include:
| | The ability to display comprehensive contract information and updates, provide a single, centralized place where their hospital customers can find complete contracts and related documents, enabling their hospital customers to quickly search for contract information using simple and advanced search techniques, and where they can provide contact information so their hospital customers can more quickly implement contracts. These features can improve a hospitals awareness of a suppliers Novation contracts to improve the utilization and reduce the cost of administering contract purchases; |
| | Utilization of a single form to initiate and approve product and price updates for multiple items, utilize product information from the product catalog to populate online forms, create an audit trail for issue resolution and use contact lists to find and select hospital customer contacts and initiate collaboration with these customers; and |
| | The ability to provide their VHA and UHC member hospital customers with detailed, up-to-date product information. Suppliers can enable their hospital customers to access comprehensive product information, including product names, descriptions and manufacturer product numbers to find products and to research and source products more easily when backorders occur. |
Neoforma CMS for Contract and Rebate Management Services and Reporting
In addition to the offering described above, we provide contract and rebate management services and sales reporting services primarily to medical-surgical manufacturers that sell through distributors. Our Neoforma CMS for Contract and Rebate Management Services and Reporting includes tools for manufacturers to improve sales operations by validating rebate payments from distributors, analyzing sales tracing data from distributors, maximizing contract compliance, tracking sales through GPO contracts and managing accruals and rebate processing activities. Manufacturers use these services to keep track of products sold through distributors and across a range of distributors and to improve the management of the contract pricing and rebate processes with their distributors.
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The key components and benefits of Neoforma CMS for Contract and Rebate Management Services and Reporting to suppliers include:
| | Data procurement. We obtain data from multiple distributors. We identify duplicate or missing files and data inconsistencies and work with distributors to fix any issues, cleansing and standardizing incoming data for manufacturers to ensure more efficient data procurement. |
| | Data cleansing and formatting. We cross-reference data by distributor, product, contract and hospital facility. Using data that we have cleansed and formatted, manufacturers can improve the accuracy of their rebate transaction data, view actionable reports for faster rebate resolution, reduce the risk of overpaying administrative fees to GPOs and reduce the potential of overstating sales, rebates and commissions. |
| | Reporting services. We provide standard and custom reports that cover the entire contract and rebate management process. Manufacturers can use our sales tracing validation reports, which include data cross-referenced by GPO membership and hospital facility, to ensure that they are receiving the correct sales data and pricing from distributors. Our sales information reports provide manufacturers with improved visibility into sales trends by territory, division, region, month or year, as well as by distributor, hospital facility and end-user. Users of our custom reporting services can create reports specific to their needs, such as sales by commission code, product group and customer group, to improve their analyses and decision-making using metrics important to their organizations. |
Materials Management
Neoforma MMS
In addition to providing Neoforma MMS directly to hospitals, we provide Neoforma MMS to suppliers that either resell it to their hospital customers to support their inventory management or use it to provide fully outsourced inventory management services. Suppliers leverage browser-based and handheld inventory management capabilities to facilitate streamlined consignment tracking and replenishment, in addition to outsourced hospital inventory management. At this time, we are supporting those customers using Neoforma MMS, but we are not actively selling Neoforma MMS as a standalone offering.
Many of the key components of Neoforma MMS for suppliers are similar to the key components for hospitals, including the ability to have end-to-end materials management, a Web-based approach, point-of-use control over inventory and a healthcare focus. Many of the key benefits to suppliers are also similar to the key benefits to hospitals, including:
| | Avoidance of infrastructure, maintenance and upgrade efforts and costs for IT departments by deploying Neoforma MMS as a hosted solution, rather than software installed on internal systems; |
| | Reduced need for extensive training by providing a familiar, browser-based interface, including drop-down lists and simple forms, enabling users to rapidly understand the features and functions; |
| | Increased point-of-use control over inventory and reduced time-consuming, paper-based processes for tracking and reporting inventory in remote inventory locations, as well as a reduced risk of re-keying errors associated with manual processes, by using powerful, handheld computers for bar code scanning, inventory usage tracking, inventory transfers, physical inventory counts, requisitioning, ordering and receiving; and |
| | Minimal need for customization because Neoforma MMS was built and designed in the context of the healthcare supply chain, based on an understanding of the unique needs and processes of hospital and supplier organizations, and offering full support for various electronic document types. |
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The key components and benefits of Neoforma MMS unique to suppliers include:
| | Real-time visibility for field and office personnel into inventory levels so that they can immediately respond to demand changes; and |
| | Automated ordering capabilities based on inventory usage or time intervals, reducing the risk of stock outs and last minute, higher-cost premium shipments, increasing customer service levels and keeping inventory low. |
Strategic Relationships
In 2000, we entered into a 10-year strategic relationship with Novation, the supply chain management company for VHA and UHC. Novation is an established healthcare industry participant, and we believe that this relationship has been, and will continue to be, instrumental to our success. Novation, VHA and UHC named us as the exclusive e-commerce provider for their members, and we developed Marketplace@Novation for their use. VHA is a provider alliance of more than 2,200 not-for-profit hospitals, health systems and their affiliates. It comprises approximately 25% of the nations community hospitals. UHC is an alliance of 90 academic medical centers and 123 associate members that represent approximately 76% of the academic medical centers in the United States. See Managements Discussion and Analysis of Financial Condition and Results of OperationsStrategic Relationships for further discussion of our relationships with VHA, UHC and Novation.
In August 2001, we entered into a three-year agreement, which we subsequently renewed for one year in August 2004, with Global Healthcare Exchange, LLC, or GHX, to provide connectivity to GHXs supplier customers to help our hospital customers more quickly realize the benefits of e-commerce and minimize the costs of connectivity and information exchange. GHX is majority owned by a number of manufacturers and distributors to the healthcare industry.
In March 2004, we entered into a three-year agreement with UHC designating us as the preferred provider of supply chain data cleansing and maintenance services to the UHC hospital membership base. In connection with this agreement, we offer Neoforma DMS to UHC hospital members and have developed joint sales and marketing plans with UHC to support this relationship. In June 2004, we entered into a similar, three-year agreement with VHA, designating us as a provider of supply chain data cleansing and maintenance services to the VHA hospital membership base. In connection with this agreement, we offer Neoforma DMS to VHA member hospitals and collaborate with VHA to educate their member hospitals about the benefits of Neoforma DMS.
In January 2005, we entered into a three-year agreement with Consorta, Inc., a group purchasing and resource management company, to provide supply chain data management and order management services to the Consorta membership base. Consorta named us as the preferred provider of these solutions to their members, and Neoforma DMS and Neoforma OMS are the only data and order management solutions that are currently endorsed by Consorta. We had previously entered into two data management agreements with Consorta in 2004 to cleanse, classify, enrich and maintain the Consorta Contract Catalog. Consorta is a cooperative of 13 shareholder healthcare systems, including more than 520 hospitals, representing 60% of all Catholic hospitals in the United States.
Marketing, Sales and Service
The marketing teams within our company lead our efforts to understand our customers and how our solutions can address their needs. These teams gather customer, partner and market input and prioritize our product development and service initiatives. Our outbound marketing activities include traditional and Internet-based vehicles such as direct mail advertising, Web-based seminars, sponsorships and tradeshows. We also utilize a variety of public relations initiatives, including continuing to develop relationships with business, healthcare, Internet and technology media and industry analysts. These activities aim to increase awareness of
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our brand, to attract new customers to our solutions and to educate our customers on how to optimize their use of our solutions. We intend to continue to invest in these areas because we believe a deep understanding of our customers and their business processes, as well as their awareness of our offerings, is crucial to the success of our business and is a key differentiator for us.
We sell our solutions to hospitals and suppliers through a direct field sales force. The sales force consists of hospital specialists, who primarily target the hospital market to sell our solutions, and supplier specialists, who focus on the sale of our solutions to manufacturers and distributors. Our field sales force has significant experience in the sale of medical products, medical equipment and supply chain and information technology systems to healthcare customers. We plan to continue to grow and develop our sales force as we expand the breadth of our solutions portfolio and our hospital and supplier customer base.
Our relationships with a number of our strategic partners provide for joint and cross-selling and marketing of our solutions. For example, under our strategic relationships with Novation, VHA, UHC and Consorta, the sales forces and account managers of these organizations actively promote our supply chain management solutions to hospitals and suppliers, which significantly aids in our selling and marketing efforts. We plan to expand the number and scope of our strategic relationships, including channel relationships, to support the sale of our solutions.
We provide extensive customer service and support for our hospital and supplier customers. Once a customer has signed an agreement with us, our customer care team manages the customer experience from implementation through ongoing support. Our services include technical integration and interfaces, data mapping and cleansing, Web-based training and 24x7 call center support. In addition to our centralized service and support resources, we employ a team of field-based account managers to work closely with our hospital and supplier customers at their facilities, where appropriate. Additionally, we utilize a value documentation team that currently assists our hospital customers in identifying and documenting actual dollar cost savings and other value received through the use of our solutions. We believe a commitment to providing a consistently superior customer experience, coupled with highly dependable, reliable systems, is and will continue to be an important differentiator for us.
Architecture, Product Development and Support
We intend to continue to expand and enhance the functionality of our solutions. We have invested in architecture, product development and support and management resources to enhance the technical infrastructure that supports our increasing volumes of data and customer usage. We intend to continue to augment our existing solutions that increase utility and value for hospitals, GPOs and suppliers.
Our architecture group is responsible for establishing our solutions architecture and corporate technology strategy. The product development and support group is responsible for defining, validating and translating customer needs into products and services. In addition to building product specifications, this group also builds detailed technical specifications, configuring and developing technology solutions, testing and supporting these applications for our production environment. Depending on the number and complexity of current development projects underway, our staff is augmented using both independent contractors and consulting firms.
Currently, we are developing additional enterprise and supply chain analytics capabilities as a part of our solutions infrastructure. These capabilities will provide enhanced business intelligence and supply chain management information to our customers and partners in support of committed purchasing and supplier relationships.
For both our current and future product development activities, we plan to continue to leverage commercially available technology from new and existing partners to accelerate product delivery and minimize development risk.
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For the years ended December 31, 2002, 2003 and 2004, our product development expenses were $17.2 million, $18.6 million and $16.9 million, respectively.
Proprietary Rights and Licensing
Our success and ability to compete depend on our ability to develop and maintain the proprietary aspects of our technology and confidential information. We rely on a combination of patent, copyright, trademark and trade secret laws and contractual restrictions to establish and protect the proprietary aspects of our technology. We seek to protect our software, both its object and source code, as well as our documentation and other written materials, under trade secret and copyright laws. In addition, we seek to avoid wrongful disclosure and use of our intellectual property by restricting access to our source code and other confidential information by implementing technical security precautions and by requiring employees and consultants with access to our proprietary information to execute confidentiality agreements with us. We have also applied for three patents covering various aspects of our proprietary technology, including our Neoforma Success Tracker customer value tool.
We rely on technology that we license from third parties, including software that is integrated with internally developed software and used in our solutions, to perform key functions. Such product licenses may expose us to increased risks, including risks associated with the assimilation of new products, the diversion of resources away from the development of our products, the inability to generate revenue from new products sufficient to offset associated acquisition costs and the maintenance of uniform, effective products. If we are unable to continue to license any of this software on commercially reasonable terms, we will face delays in releases of our solutions until we can identify, license or develop and integrate equivalent technology into our current technology. These delays, if they occur, could seriously harm our business.
Despite our efforts to protect our proprietary rights, parties may attempt to copy aspects of our products or to obtain and use information that we regard as proprietary without authorization. Litigation may be necessary in the future to enforce our intellectual property rights, to protect our trade secrets and to determine the validity and scope of the proprietary rights of others. Any resulting litigation could result in substantial costs and/or diversion of resources and could seriously harm our business. In addition, the laws of some foreign c