0001125282-01-502119.txt : 20011009 0001125282-01-502119.hdr.sgml : 20011009 ACCESSION NUMBER: 0001125282-01-502119 CONFORMED SUBMISSION TYPE: 10-K/A PUBLIC DOCUMENT COUNT: 4 CONFORMED PERIOD OF REPORT: 20001231 FILED AS OF DATE: 20011003 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CLAIMSNET COM INC CENTRAL INDEX KEY: 0001046057 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] IRS NUMBER: 752649230 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-K/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-14665 FILM NUMBER: 1751714 BUSINESS ADDRESS: STREET 1: 12801 N CENTRAL EXPRESSWAY STREET 2: SUITE 1515 CITY: DALLAS STATE: TX ZIP: 75243 BUSINESS PHONE: 9724581701 10-K/A 1 b314023.txt 10-K/A SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K/A (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 ______________ 001-14665 COMMISSION FILE NUMBER CLAIMSNET.COM INC. ------------------ (Exact name of registrant as specified in its charter) Delaware 75-2649230 -------- ---------- (State or other jurisdiction of (I.R.S. Employer incorporation or organization) Identification No.) 12801 N. Central Expressway, Suite 1515 Dallas, Texas 75243 ------------- ----- (Address of principal (Zip Code) executive offices) Registrant's telephone number, including area code: 972-458-1701 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 (229.405 of this chapter) is not 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 Common Stock of the registrants held by non-affiliates of the registrant, based on the closing sales price on Nasdaq SmallCap stock market on September 28, 2001 was $16,665,607. Indicate the number of shares outstanding of each of the issuer's classes of common stock, as of the latest practicable date. Common Stock, $.001 par value, 10,481,514 shares outstanding as of September 28, 2001. DOCUMENTS INCORPORATED BY REFERENCE None. 1 PART I THIS REPORT CONTAINS FORWARD-LOOKING INFORMATION THAT INVOLVES RISKS AND UNCERTAINTIES. OUR ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THOSE ANTICIPATED BY THE FORWARD-LOOKING INFORMATION. FACTORS THAT MAY CAUSE SUCH DIFFERENCES INCLUDE, BUT ARE NOT LIMITED TO, THOSE DISCUSSED ELSEWHERE IN THIS REPORT INCLUDING OUR ABILITY TO SECURE ADDITIONAL FUNDING, DEVELOP AND MAINTAIN STRATEGIC PARTNERSHIPS OR ALLIANCES, INCREASE OUR CUSTOMER BASE, DEVELOP OUR TECHNOLOGY AND TRANSACTION PROCESSING SYSTEM, RESPOND TO COMPETITIVE DEVELOPMENTS, OR COMPLY WITH GOVERNMENT REGULATIONS. ANY FORWARD-LOOKING STATEMENT THAT WE MAKE IS INTENDED TO SPEAK ONLY AS OF THE DATE ON WHICH WE MADE THE STATEMENT. WE WILL NOT UPDATE ANY FORWARD-LOOKING STATEMENT TO REFLECT EVENTS OR CIRCUMSTANCES THAT OCCUR AFTER THE DATE ON WHICH THE STATEMENT IS MADE. THESE RISKS AND UNCERTAINTIES, AMONG OTHERS, MAY CAUSE OUR ACTUAL RESULTS TO DIFFER MATERIALLY FROM THOSE DESCRIBED IN FORWARD-LOOKING STATEMENTS MADE IN THIS REPORT OR PRESENTED ELSEWHERE BY MANAGEMENT FROM TIME TO TIME. ITEM 1. BUSINESS TRANSACTION PROCESSING BUSINESS We are an electronic commerce company engaged in healthcare transaction processing for the medical and dental industries by means of the Internet. Our proprietary software, which was developed over the last seven years and resides entirely on our servers, allows healthcare providers to prepare healthcare claims interactively on the Internet and electronically transmits the claims to us for processing. It also allows us to download claims from the healthcare providers' computers directly to our servers. Our software provides real-time editing of the claims data for compliance with the format and content requirements of payers and converts the claims to satisfy payer's specific processing requirements. We then electronically transmit processed claims on behalf of healthcare providers directly or indirectly to medical and dental payers that accept claims processing transmissions electronically. In addition, our software provides for secure encryption of all claims data transmitted in compliance with the regulations of the United States Health Care Financing Administration. The payers to which claims processed by us are submitted, primarily through clearinghouses operated by McKesson HBOC, Inc. ("McKesson") and ProxyMed, include plans and affiliates of Aetna Life & Casualty Company, Inc., MetLife Healthcare/Metropolitan Healthcare Corporation, Cigna Healthcare, Inc., The Prudential Insurance Company of America, various Blue Shield/Blue Cross organizations, and United Healthcare Corporation. We believe that the following are significant advantages of our electronic claims transmission services over other currently available services: o the ability of healthcare providers utilizing their Web sites to interactively process claims on the Internet and receive real time edits prior to claim submission, o the ease and availability of Claimsnet.com-provided training over the Internet, o the minimal software and processing power required for providers to utilize our proprietary software, o the scalability of our software allows us the ability to add incremental services, such as patient statements, managed care encounter forms, eligibility verification, electronic remittance advices, and data modeling, through the same browser interface and Web site as our claims processing services, and o the ability to create multiple custom Web site formats to be promoted by partners and sponsors without modification of the server-based processing systems. We believe that the improved claims processing procedure will result in a sharply reduced average number of outstanding days revenue tied up in accounts receivable, which should improve a provider's working capital. We believe that the services offered by our competitors are generally based on legacy mainframe technology, proprietary networks, and proprietary file formats, which limit the ability of those competitors to offer interactive Internet-based processing services on an economical basis. In addition, competitors' services generally require extensive formal training, the installation of substantial software on each healthcare provider's computer, and significant processing power. We generate revenue from claims processing services by 1) charging commercial payers, or clearinghouses acting for commercial payers, a transaction fee for certain claims submitted electronically, 2) by charging healthcare providers a subscription fee and certain transaction fees for use of our services, or 3) charging our business partners fees for our services. We also offer patient statement processing services and real time eligibility verification of patient benefit coverage for healthcare providers and generate revenue by charging additional subscription and transaction fees for such services. We use various subcontractors to print and mail the bar-coded and customized statements along with a return envelope. 2 ELECTRONIC CLAIMS PROCESSING MARKET The healthcare electronic claims processing market, including dental claims, has been estimated by Faulkner & Gray's Health Data Directory, an industry publication, to include over 4.7 billion healthcare claim and HMO encounter form or claim submissions in 1999, of which, approximately 1.7 billion claims are submitted on paper forms. Health Data Management estimates that electronic claims processing is currently used to process approximately 43% of all medical outpatient claims and 17% of all dental claims. We believe that, as a result of the low penetration of electronic claims processing among healthcare providers and dentists, this market presents an attractive opportunity for us to offer a low cost-effective service. We intend to focus our marketing efforts on outpatient claims, including claims of clinics, hospitals, physicians, dentists, and other outpatient service providers, as we believe they are the underserved segments of the market. The number of non-electronic paper transactions in the HMO market is increasing rapidly and we believe that HMO encounters are another underserved segment of the outpatient claims processing market. Currently there is no formal transmission document standard. Accordingly, we believe that the opportunity exists for us to utilize our claims processing configuration to make available a document scanning service using hypertext markup language (HTML). This will enable us to convert an encounter form into a document that appears identical to the printed version, yet is designed to reconfigure the data entered and present it in a format that conforms to a payer's specific requirements. Healthcare claims are traditionally processed by clearinghouses using a similar operating structure to that which exists in the credit card industry. A merchant that accepts a credit card for payment does not send payment requests directly to the bank that issued the card, but sends the payment request to a clearinghouse. The payment request is processed and transmitted to the appropriate bank. Healthcare claim clearinghouses accept, sort, process, edit, and then forward the claims to the appropriate payers, either electronically or on paper. The major healthcare clearinghouses operate in a mainframe computer environment. Furthermore, traditional clearinghouses process claims in off-line batches and return edit results to the submitters in a subsequent batch transmission. This operating configuration is both expensive and time consuming due to the source code changes required to continuously process claims correctly to meet payer requirements. In contrast, our healthcare transaction processing software system on the Internet is designed to operate in a real-time, open client-server configuration. This operating alternative can offer the provider a method of bypassing the clearinghouse and communicating directly with the payer in a rapid, accurate, and cost-effective manner. The Health Insurance Portability and Accountability Act of 1996 ("HIPAA") includes a section on administrative simplification requiring improved efficiency in health care delivery by standardizing electronic data interchange, and protection of confidentiality and security of health data through setting and enforcing standards. More specifically, HIPAA calls for (a) standardization of electronic patient health, administrative and financial data, (b) unique health identifiers for individuals, employers, health plans and health care providers, and (c) security standards protecting the confidentiality and integrity of "individually identifiable health information,". All healthcare organizations are effected, including health care providers, health plans, employers, public health authorities, life insurers, clearinghouses, billing agencies, information systems vendors, service organizations, and universities. HIPAA calls for severe civil and criminal penalties for noncompliance. The provisions relating to standards for electronic transactions, including health claims and equivalent managed care encounter information, must be implemented by October 2002 for large organizations and October 2003 for small organizations. The provisions relating to standards for privacy must be implemented by April 2003 for large organizations and April 2004 for small organizations. The deadlines for standards related to security and unique identifiers have not yet been established. We believe that the convergence of HIPAA mandates and the introduction of internet technology will cause sweeping changes in the health care industry. If the industry evolves toward direct payer submission of claims or real-time adjudication of claims, our software will be able to offer efficient access to payers and healthcare providers in a HIPAA-compliant format. BENEFIT MANAGEMENT BUSINESS On April 18, 2000, we, through our wholly-owned subsidiary, HealthExchange.com, Inc., a Delaware corporation ("HECOM"), acquired from VHx Company, a Nevada corporation ("VHx"), selected properties and assets, including it's HealthExchange.com name and trademark, and in-process research and development (together, "HealthExchange"). Several factors have caused us to delay continued development of the HealthExchange(TM) products, including lack of existing customer commitment to continued product development, lack of market acceptance at this time, future cash requirements to continue product development, and cost of sales and marketing efforts to create a market niche. 3 On January 4, 2001, we adopted a refined business strategy plan that focuses on near-term financial performance. The new plan dedicates our resources to the implementation of services for existing partnerships, and selective growth opportunities with near-term profit potential and long-term benefit. Our new business plan does not allocate resources for the additional development of the HealthExchange(TM) product at this time. BENEFIT MANAGEMENT MARKET According to the U.S. Bureau of the Census, approximately 225 million Americans are covered by some form of health insurance. It was estimated by President Clinton in his September 8, 1999 Remarks on Health Care Priorities that over 160 million of these people are enrolled in some form of managed care. Employers pay for a large proportion of the cost of these health plans. We believe that the complexity of managed care plans has increased the administrative burden and related costs of healthcare and has negatively effected both member satisfaction and provider satisfaction. Benefit management services are marketed to managed care organizations, including health maintenance organizations, preferred provider organizations, and third party administrators. While we may actively pursue the benefit management market in the future, we have not allocated resources to do so at this time. BUSINESS STRATEGY Our business strategy is as follows: o to aggressively pursue and support strategic relationships with companies that will in turn aggressively market electronic claims processing and our other services to outpatient healthcare providers, including clinics, hospitals, physicians, HMOs, third party administrators, dentists, and other outpatient service providers; o to continue to expand our services to include additional transaction processing functions, such as HMO encounter forms, eligibility and referral verifications, patient statements, and other healthcare administrative services, in order to diversify sources of revenue; o to license our technology for other applications, including stand-alone purposes, Internet systems and private label use, and for original equipment manufacturers. There can be no assurance that any of our business strategies will succeed or that any of our business objectives will be met with any success. MARKETING EFFORTS We have entered into several alliances with potentially strategic partners for the marketing of our services and proprietary technology, including: o an October 1999 agreement, superseded in April 2001 (described below), granting a multi-year, non-exclusive, private label license to McKesson as to certain of our proprietary technology and providing for us to manage McKesson's operation on a fully outsourced basis and permitting us to use McKesson's extensive direct payer connections to submit certain claims to selected payers. o arrangements entered into in 2000 with business-to-business healthcare transaction service providers, application service providers and other internet service providers; such as Proxy Med Inc. ("Proxy Med"), Passport Health Communications, Inc. ("Passport"), and Synertech, to operate or provide each a co-branded version of our claims processing application to be marketed by the other party either directly throughout the United States or, in the case of Passport, as part of its Passport OneSource(TM), its internet-based service delivering time critical healthcare administration data to hospitals and physicians in selected geographic areas. The foregoing is in addition to several joint marketing arrangements with other partners, including a department of Blue Cross/Blue Shield of Louisiana and an affiliate of Premier Inc. RECENT DEVELOPMENTS In connection with the new business plan adopted on January 4, 2001, we significantly reduced our work force and other operating expenses. In addition, Mr. Bo W. Lycke, our Chairman of the Board, President, and Chief Executive Officer, voluntarily agreed to defer one half of the salary due pursuant to his employment agreement for an indefinite period of time. In February 2001, we entered into a joint arrangement with Quality Care Solutions, Inc. (QCSI), a leading provider of enterprise-wide solutions for healthcare payer organizations to provide a co-branded version of our claims processing application to QCSI and be able to submit claims directly to QCSI. 4 In March 2001, we borrowed $400,000 pursuant to a loan agreement with American Medical Finance, Inc., a related party. Principal and interest, at 9.5% per annum on the unpaid principal, are due in March 2002. In March 2001, we completed the private placement of 400,000 shares of common stock at $1.75 per share for net proceeds of $630,000. In the foregoing financing, we provided certain rights to register resale of the shares at our expense under the Securities Act of 1933. On April 12, 2001, we entered into an agreement with McKesson which superseded our October 1999 agreement. Under the 1999 Development and Services Agreement we (a) issued a three year warrant to McKesson to purchase 819,184 shares of common stock at $7.00 per share, (b) received fees for the development of a private label claims processing and statement processing internet application for McKesson, (c) received one of three scheduled license fee payments for use of the McKesson internet application, (d) received monthly support fees for dedicated private label system hosting, operation and support services commencing at the date of acceptance of the McKesson internet application, and (e) received transaction fees for claims and statements processed by the McKesson internet application. Under the new agreement, (a) McKesson acquired 1,514,285 shares of common stock at $1.75 per share for net proceeds of $2,650,000, (b) McKesson paid a one-time fee of $200,000 to us, (c) the stock purchase warrant originally issued to McKesson in October 1999 was cancelled, (d) McKesson retained a license to use the McKesson internet application to process statements and claims without additional license fee payments, (e) McKesson agreed to eliminate the need for dedicated private label system hosting, operation, and support services and we agreed to provide standard system hosting, operation, and support serviced without the payment of future monthly support fees, (f) we will receive fees for transactions processed by the McKesson internet application, (g) we and McKesson agreed to use best efforts to expand the scope of the license agreement to include additional claim types, and (h) we and McKesson agreed to use best efforts to pursue other unspecified business opportunities. Under a separate agreement, we have contracted for McKesson processing services to print patient statements and submit claims to payers for certain of our customers, for which we pay McKesson fees for some transactions and share third party revenues for other transactions. Pursuant to the 1999 Development and Services Agreement, we recorded cash payments received for development and license fees as deferred revenue and amortized the total expected contract payments to revenue ratably over the life of the contract. We recorded, in shareholders' equity, the imputed value of the warrant as deferred sales discount and amortized the amount as an offset to revenues ratably over the life of the license. During the year ended December 31, 2000, we received cash payments of $2,004,000 and recorded net revenue of $681,000 (net of $314,000 in deferred sales discount amortization). Pursuant to the processing services agreement, we recorded $411,000 of expense related to fees paid to McKesson and $79,000 of shared revenue for fees received from McKesson during the year ended December 31, 2000. We have no other customers for which we are providing services substantially similar to those under the Development and Services Agreement. The fees paid to and received from McKesson pursuant to the processing services agreement are similar to fees with non-affiliates. HEALTHCARE TRANSACTION PROCESSING SOFTWARE AND SECURITY Our healthcare transaction processing software is designed for in-patient and out-patient healthcare providers, and dental claims. The software is modular, providing valuable flexibility, and generally consists of the following components: o industry standard website management software, o state-of-the-art commercial security and encryption software, and o core processing software developed by us which provides claims review, claims processing, hard-coding of claims, and a "table-based" software coding of claims variables. The expensive and time-consuming hard-coding routines required by traditional systems have been replaced by a user friendly system that is table-based. This permits payer-specific edits to meet the requirements of payers and avoids expensive onsite software changes. Our personnel input new edits. Once healthcare providers connect to our secure website, our software edits claims on-line automatically, using a database containing more than 22,000 edit variables. The direct provider-payer connections offered by our system are designed to allow for immediate billing data and information exchange when it becomes available from the payers. In the event that a particular payer cannot accept submission of claims electronically, we either print and mail hard copies of the claims to these payers and charge the provider for this additional service or allow the provider to print and mail the claims. During the initial application process, a new customer interacts with our proprietary "Print Wizard," that downloads claim files from the provider's practice management system. When connecting to the Internet, the provider's browser encryption is automatically enabled at the client extranet site. The user must "log-in" through a security firewall to reach the user's secure 5 extranet site of our healthcare transaction processing system. At this point, all communications with the healthcare provider are automatically encrypted, claims are extracted from the provider's PC, and editing begins. Only claims containing errors are identified for editing. Once claims are edited, they are queued with accurate claims for transmission to payers. Should a claim not be acceptable electronically by a payer, the claim is automatically printed and mailed by the payer gateways. This mailing service is optional to the providers. To assure proper network operation and allow other revenue producing services, such as custom reports, eligibility inquiries, and decision support tools, we monitor all traffic through our private application server and firewall. Our healthcare transaction processing software is a Web-based system, based upon a client-server computing model, and includes a variety of different software applications. Individual applications work together to provide the extraction and encryption of claims from a provider's practice management system to our Internet claims processing server, where editing and formatting occurs in a secure environment. Our system then delivers the claims to the payer gateway. The different software applications have been purchased, licensed, or developed by us. Our website is structured into three sections: "PUBLIC INTERNET," "CLIENT EXTRANET," and "PRIVATE INTRANET." The PUBLIC INTERNET site provides company background, product demonstrations, and customer enrollment forms. The CLIENT EXTRANET provides a secure individual customer area for private customer communication and encrypted claims transmission. The United States Health Care Financing Administration has defined security requirements for Internet communications including healthcare data. We operate in compliance with these requirements. Traditional claims clearinghouses that use regular phone and private data networks cannot provide this level of data security. The PRIVATE INTRANET site is designed for internal communications, website operating reports, customer support, and reporting. With the exception of the commercial software, such as that provided by Microsoft, we have either identified back-up sources for all the software used or, in the event of a business failure by the licensing vendor, we own the source code. TRAINING AND HARDWARE REQUIREMENTS The training for the various products and services offered by us is included in the initial setup fee. User manuals and reference information is available online through our client extranet to the provider, seven days a week, 24 hours a day. The tutorial and other training documents are always available at our Web home page, the location of which is http://www.claimsnet.com. After an initial free period of unlimited service, we will charge users a fee for technical support comparable to those charged by other healthcare software vendors. No significant hardware investment by the customer is required in order to take advantage of our services. The system requires the provider to use a 28,800 bps or better asynchronous modem and a PC with Windows 3.11 or higher operating system installed. An Internet Service Provider, such as AT&T Worldnet, MCI, and Physicians' Online, offers local telecommunication to the Internet. Our customers are responsible for obtaining and maintaining the Internet Service Provider connection. INTERNET/INTRANET The processing configuration used by us requires limited electronic claims processing software to reside at the level of the healthcare provider. All editing and formatting takes place at our Internet application server site. From the standpoint of the user, we believe our system has the latest software version and all format changes available instantly. Our healthcare transaction processing software has the effect of turning a provider's old or outdated hardware into a terminal capable of operating in a 32-bit Windows environment. Our processing does not take place on the Internet, but rather in an extranet configuration. The main advantage of this approach is to assure that the communication between our servers and a provider takes place in a highly-controlled, secure, and encrypted environment. The dual encryption utilized by us occurs at the browser software and application server level. All processing and data storage occurs behind a firewall, providing secure and controlled access to all data. CUSTOMERS We view our customers as (1) the healthcare providers submitting claims, (2) the strategic partners and affiliates with which we jointly operate, and (3) the payers accepting claims. We are currently processing claims for approximately 3,700 providers. The providers are geographically dispersed and represent a mix of physician specialties and dentists. We are authorized to submit claims to more than 2,000 payers that are also geographically dispersed and represent a mix of commercial insurers, managed care organizations, third party administrators, and Medicare and Medicaid carriers. Revenues from one strategic partner represented 43% and 21%, respectively, of our total revenues for 2000 and 1999. We require each healthcare provider using our services to enter into a standard subscription agreement available on the home page of our website. This system 6 allows the healthcare provider to access, complete, and return the subscription agreement on the Internet, and enables the provider to immediately access our services. Each subscription agreement provides that the healthcare provider shall pay us monthly all applicable fees and sets forth the nature of our services and the terms and conditions under which they are to be rendered. The contracts are terminable by the healthcare provider upon 30 days prior written notice. We also enter into agreements with the commercial medical and dental payers or clearinghouses to which we submit processed claims. Generally, such agreements provide for the payment of a fee per claim to be paid to us for certain payers once certain minimum volume requirements have been met. As a result of the varying submission requirements of many insurance and other plans within any payer, we treat each plan as a separate payer with its own particular requirements. Under a September 1998 agreement with Electronic Data Interchange Services, a department of Blue Cross/Blue Shield of Louisiana, we provide claims processing services to Blue Cross/Blue Shield of Louisiana Network providers. Under this agreement, we and Blue Cross/Blue Shield of Louisiana are to jointly promote our services to the 9,600 network providers of Blue Cross/Blue Shield of Louisiana through website links, Blue Cross/Blue Shield of Louisiana network communication resources, educational seminars, telemarketing, and direct mail campaigns. In a Development and Services Agreement with McKesson, originally entered into in October 1999 and superseded by a new agreement on April 12, 2001, we granted McKesson a multi-year, non-exclusive, private label license for certain of our proprietary technology and agreed to manage McKesson's operation of the system on a fully outsourced basis, with our being allowed to operate the system in the way we determine to be the most efficient. McKesson is the leading provider of information technology services in the worldwide healthcare market. Under the agreement, we are to integrate our proprietary Internet-based claims processing technology into selected McKesson's electronic commerce solutions for the purposes of better serving the claims processing needs of the independent physician practice market, and we are allowed to use McKesson's extensive direct payer connections to submit certain claims to selected payers. Under the April 2001 agreement, McKesson acquired 1,514,285 shares of common stock at a cost of $2,650,000 and paid $200,000; and a three year warrant to purchase 819,184 shares of our common stock at $7.00 per share, granted under the October 1999 agreement, was cancelled. The April 2001 agreement granted McKesson additional license rights for co-branding the services to third parties and for an expanded set of transactions. McKesson will continue to pay transaction fees for all transactions processed under the license, but will not pay additional license fees and subscription fees that were included in the October 1999 agreement. Since October 2000 we have provided Passport with a co-branded version of our claims processing application integrated into Passport OneSource (TM), Passport's internet-based service delivering time critical healthcare administrative data. Passport markets Passport OneSource, including the claims processing application, to hospitals and physicians in selected geographic markets. We market Passport's eligibility and referral verification services to our customers and we and Passport cooperate on payer opportunities from time to time. In 2001 we expect to provide Synertech, a premier application service provider and administrative outsourcer for the healthcare industry, and its customers, primarily payer organizations, with co-branded versions of our claims processing application. Under an arrangement entered into in September 2000 with ProxyMed, a leading provider of business-to-business healthcare transaction services, linking more than 50,000 physicians' offices to pharmacies, clinical laboratories, and payers, we are to operate a co-branded version of our claims processing application and ProxyMed is to market the service throughout the United States. This arrangement also provides for us to use ProxyMed's extensive direct payer connections to submit certain claims to selected payers. In February 2001 we agreed with Quality Care Solutions, Inc. (QCSI), a leading provider of enterprise-wide solutions for healthcare payer organizations, to provide a co-branded version of our claims processing application to QCSI and be able to submit claims directly to QCSI. MARKETING We believe that a direct sales and marketing campaign to the large and fragmented healthcare provider community can be prohibitively expensive and impractical at this time. We are, accordingly, pursuing a primary marketing strategy of creating strategic partnerships with organizations that: o are engaged in electronic claims processing and expect to benefit by using our advanced technology, o serve or are engaged in direct sales and marketing to the healthcare market and desire to expand the products and services they offer to their clients without incurring substantial costs by using our advanced technology in a co-branded or private-label arrangement. 7 We have established valuable strategic relationships and are actively seeking additional partners for alliances and joint ventures, including managed care companies, Internet service and information providers, traditional healthcare information systems providers, clearinghouses, payer organizations, and consulting firms, each seeking solutions to the costly handling of healthcare claims and other administrative transactions. We also believe that there are opportunities for joint marketing with banks, insurance companies, and pharmaceutical companies that desire online interfacing with healthcare providers. We believe that our strategic alliance marketing strategy will allow us to capture a share of the claims processing market without a costly direct sales and marketing effort as the healthcare industry adopts new technology, either because of greater efficiencies or due to required compliance with HIPAA mandates and other regulatory initiatives. If such a transition continues to move at a relatively slow pace, we expect to benefit by conserving expenses, or if it escalates dramatically due to HIPAA compliance deadlines or for other reasons, we expect to benefit by having a broad provider distribution network. There can be no assurance that we will secure any additional alliances or joint venture relations, or if we do, that such alliances or joint venture relationships will be profitable. COMPETITION Several large companies such as WebMD, McKesson, National Data Corporation, QuadraMed Corporation, PerSe Technologies, and ProxyMed dominate the claims processing industry in which we operate. Each of these companies operates a regional or national clearinghouse of medical and dental claims. In most cases, these companies have large existing capital and software investments and focus on large healthcare providers, such as hospitals and large clinics, or act as wholesale clearinghouses for smaller electronic claims processing companies. We estimate, based on information from various trade journals, that in addition to these large competitors, there are approximately 300 or more small independent electronic claims processing companies and clearinghouses which operate as local sub-clearinghouses for the processing of medical and dental claims. A number of additional companies such as MedUnite, Axolotl, Zirmed, RealMed, and Merallis have announced that they intend to enter the claims processing industry. Some of these companies have indicated a desire to primarily serve the payer community and some are primarily focused on the provider community. All of these companies are considered competitors for our provider clients that subscribe to the Claimsnet.com-branded service. However, several of these companies are already our strategic partners for co-branded or private label solutions and many of the others are potential strategic partners. While we compete with many other providers of electronic claims processing services in some markets, we are not aware of any other companies that provide healthcare electronic claims processing services in the same manner as those provided by us. We believe that we are the only claims processing company currently providing a real time, two-way, streaming transmission over the internet, with the ability and intent to market the service via multiple internet brands connected to a single, highly configurable, processing engine. We believe that our pricing structure and total cost is very competitive with other providers of electronic claims processing services. We further believe that some competitors and potential partners are constrained not only by capital investments and existing hardware/software configurations, but also by existing customer agreements. Despite these limitations, we anticipate that competition will increase in the processing of claims on the Internet. No assurance can be given that we will successfully compete in any market in which we conduct or may conduct operations. Some segments of the medical and dental claims processing industry are not currently suited to the use of electronic claims processing, such as psychiatry and surgery, each of which requires substantial documentation in addition to the claim to be submitted. Accordingly, we have not designed our business plan to address these market segments. EMPLOYEES As of December 31, 2000, we had a total of 52 full-time employees, of whom two are executive officers, 39 are technical and service personnel, four are sales and marketing personnel, and seven are administrative personnel. None of our employees are represented by a labor organization. All of our employees have been granted incentive stock options and we believe that our relations with our employees are satisfactory. 8 RISK FACTORS IN ADDITION TO THE OTHER INFORMATION IN THIS REPORT, THE FOLLOWING FACTORS SHOULD BE CONSIDERED CAREFULLY IN EVALUATING OUR BUSINESS AND PROSPECTS. WE HAVE A HISTORY OF NET LOSSES, LIMITED REVENUES, ANTICIPATE FURTHER LOSSES AND HAVE A WORKING CAPITAL DEFICIT We have incurred net losses since inception and expect to continue to operate at a loss for the foreseeable future. For the period from our inception in April 1996 through December 1996 and the years ended December 31, 1997, 1998, 1999, and 2000, we incurred net losses of $(2,781,000), $(4,663,000), $(8,858,000), and $(17,695,000), respectively. As of December 31, 1997, 1998, 1999, and 2000, we had working capital (deficits) of $36,000, $(1,089,000), $6,224,000, and $(1,012,000), respectively. We generated revenues of $414,000 for the year ended December 31, 1999, and $1,602,000 for the year ended 2000. See "Management's Discussion and Analysis of Financial Condition and Results of Operations--In General." ONE CUSTOMER HAS GENERATED A SIGNIFICANT SHARE OF OUR REVENUES AND WE HAVE RECENTLY ENTERED INTO A NEW AGREEMENT WHICH WILL HAVE A NEGATIVE IMPACT ON OUR NEAR TERM REVENUES One customer represented 43% and 21% of our total revenues for the years ended December 31, 2000 and 1999, respectively. We have recently entered into a new agreement that supersedes the agreement under which the revenues were earned. The new agreement eliminates further payments for software development, software license, and dedicated support services, which accounted for nearly all of the revenues from this customer recognized during 1999 and 2000. The new agreement will, therefore, have a material effect on our near term financial results. The nature of all future cash payments to be received pursuant to the new agreement are dependent on the volume of services provided. In the event of a complete termination of the McKesson agreement, our future business prospects and results of operations may be negatively effected. While we would expect to replace the lost revenues primarily by a combination (a) fees from increasing transaction volumes with our existing customers and business partners, (b) fees from new customers and business partners, and (c) fees generated by services for additional types of health care transactions, no assurances can be given that we would be successful in such revenue replacement efforts. WE CANNOT PREDICT OUR FUTURE CAPITAL NEEDS AND WE MAY NOT BE ABLE TO SECURE ADDITIONAL FINANCING We believe that our available cash resources, together with anticipated revenues from operations and the proceeds of recently completed financing activities, will be sufficient to satisfy our capital requirements through December 31, 2001. Our belief is based on the existence of net working capital of $377,000 at December 31, 2000, excluding deferred revenue of $1,225,000 and a $500,000 disputed accrued liability which we do not expect to require a cash settlement in 2001; plus net cash proceeds of $3,880,000 received from transactions described above, less (i)$3,849,000 of net cash operating losses for 2001 and (ii)$90,000 for capital expenditures. The projected net cash operating losses for 2001 are based upon annualized actual results for January and February 2001, and a further loss of $477,000 for the effect of the restructured agreement with McKesson. Some of these assumptions may prove to be incorrect. As a result, financial resources may not be sufficient to satisfy our capital requirements for this period. We are currently seeking additional funding. Management cannot predict whether this additional financing will be in the form of equity or debt, or be in another form. Necessary additional capital may not be available on a timely basis or on acceptable terms, if at all. In any of these events, we may be unable to implement current plans for expansion or to repay debt obligations as they become due. If current plans can not be implemented, we may be forced to significantly reduce operating expenses to a point which would be detrimental to business operations, curtail research and development activities, sell certain business assets or discontinue some or all of our business operations, or take other actions which could be detrimental to business prospects and result in charges which could be material to our operations and financial position. In the event that any future financing should take the form of equity securities, the holders of the common stock may experience additional dilution. BECAUSE WE HAVE BEEN IN BUSINESS FOR A SHORT PERIOD OF TIME, THERE IS LIMITED INFORMATION UPON WHICH YOU CAN EVALUATE OUR BUSINESS We have a limited operating history upon which you may base an evaluation of us and determine our prospects for achieving our intended business objectives. We are prone to all of the risks inherent to the establishment of any new business venture. Organized in April 1996, we were a development stage company through March 31, 1997. We are currently processing claims for accounts representing 9 approximately 3,700 providers, some of which receive favorable pricing as early stage clients. We have entered into agreements with clearinghouses providing access to more than 2,000 payers. The revenues received or costs incurred under these agreements are highly dependent upon transaction volumes. Additionally, we endeavored to diversify our business during the year ended December 31, 2000, through an asset acquisition, which due to delay in market readiness resulted in a large non-recurring loss. We have also changed our sales and marketing strategy from a direct sales model to a strategic partner distribution model. Consequently, you should consider the likelihood of our future success to be highly speculative in light of our limited operating history, our limited resources and problems, expenses, risks, and complications frequently encountered by similarly situated companies in the early stages of development, particularly companies in new and rapidly evolving markets, such as electronic commerce. To address these risks, we must, among other things: o maintain and increase our strategic partnerships, o maintain and increase our customer base, o implement and successfully execute our business and marketing strategy, o continue to develop and upgrade our technology and transaction-processing systems, o continually update and improve our Web site, o provide superior customer service, o respond to competitive developments, and o attract, retain, and motivate qualified personnel. We may not be successful in addressing these risks, and our failure to do so could have a material adverse effect on our business, prospects, financial condition, and results of operations. WE EXPECT TO EXPERIENCE SIGNIFICANT FLUCTUATIONS IN OUR FUTURE OPERATING RESULTS DUE TO A VARIETY OF FACTORS, MANY OF WHICH ARE OUTSIDE OUR CONTROL We are a relatively young company in the rapidly evolving and highly competitive internet-based medical claims processing industry. Our ability to achieve operating results in this industry will depend on several factors, including: o our ability to satisfy capital requirements in an investment climate that has been more reluctant generally to invest in "Internet" companies, o our ability to retain existing customers, attract new customers at a steady rate, and maintain customer satisfaction in an industry in which there is as of yet no uniformly accepted standard or methodology for claims processing, o our ability to introduce new sites, service and products, o the announcement or introduction of new sites, services, and products by our competitors in a rapidly evolving industry, o price competition or price increases in our industry, o the level of use of the Internet and online services and the rate of market acceptance of the Internet and other online services for the purchase of health claims processing services, o our ability to upgrade and develop our systems and infrastructure in a timely and effective manner, o the amount of traffic on our Web site, o the incurrance of technical difficulties, system downtime, or Internet brownouts to which we are acutely sensitive insofar as our medical claims processing service is Internet-based, o the amount and timing of operating costs and capital expenditures relating to expansion of our business, operations, and infrastructure which cannot be predicted with any large degree of accuracy in light of the rapidly evolving nature of the medical claims processing industry, o our ability to comply with existing and added government regulation such as HIPAA or privacy regulations relating to the Internet or patient information, and o general economic conditions and economic conditions specific to the Internet, electronic commerce, and the medical claims processing industry. 10 If we are unable to handle or satisfactorily respond to these factors, our operating results may fall below the expectations of securities analysts and investors. In this event, the market price of our common stock would likely be materially adversely affected. OUR MARKETING STRATEGY HAS NOT BEEN SUFFICIENTLY TESTED AND MAY NOT RESULT IN SUCCESS We have recently changed our marketing strategy from direct marketing to reliance on the development and maintenance of strategic relationships with companies that will aggressively market electronic claims processing and our other services to outpatient healthcare providers. To date, we and our strategic partners have conducted limited marketing efforts for such purpose. To penetrate our market we will have to rely on our strategic partners to exert significant efforts and devote material resources to create awareness of and demand for our co-branded products and services. No assurance can be given that our strategic partners will devote significant efforts and resources to, and be successful in, these marketing services or that they will result in material sales of our products and services. No representation can be made that our reliance on this strategy will prove successful and that if not successful that we will have adequate resources to attempt to engage in direct marketing of our products and services or that such efforts will prove successful. Our failure to develop our marketing capabilities, successfully market our products or services, or recover the cost of our services will have a material adverse effect on our business, prospects, financial condition, and results of operations. IF WE ARE UNABLE TO UPGRADE OUR SYSTEMS, WE MAY BE UNABLE TO PROCESS AN INCREASED VOLUME OF CLAIMS A key element of our strategy is to generate a high volume of traffic on, and use of, our Web site. We are currently processing less than 10 million medical claims per year in an industry that processes approximately 4.7 billion claims annually. If the volume of traffic on our Web site or the number of claims submitted by customers substantially increases, we will have to expand and further upgrade our technology, claims processing systems, and network infrastructure to accommodate these increases or our systems may suffer from unanticipated system disruptions, slower response times, degradation in levels of customer service, impaired quality and speed of claims processing, and delays in reporting accurate financial information. We may be unable to effectively upgrade and expand our claims processing system or to integrate smoothly any newly developed or purchased modules with our existing systems, which could have a material adverse effect on our business, prospects, financial condition, and results of operations. BECAUSE WE DEPEND UPON A SINGLE SITE FOR OUR COMPUTER SYSTEMS WE ARE VULNERABLE TO THE EFFECTS OF NATURAL DISASTERS, COMPUTER VIRUSES, AND SIMILAR DISRUPTIONS Our ability to successfully receive and process claims and provide high-quality customer service largely depends on the efficient and uninterrupted operation of our computer and communications hardware systems. Our proprietary software resides solely on our servers, most of which are located in a monitored server facility in Washington, DC. Our systems and operations are in a secured facility with hospital-grade electrical power, redundant telecommunications connections to the Internet backbone, uninterruptible power supplies, and generator back-up power facilities. Further, we maintain redundant systems at a separate facility for backup and disaster recovery. Despite such safeguards, we remain vulnerable to damage or interruption from fire, flood, power loss, telecommunications failure, break-ins, earthquake, and similar events. In addition, we do not, and may not in the future, carry sufficient business interruption insurance to compensate us for losses that may occur. Despite our implementation of network security measures, our servers are vulnerable to computer viruses, physical or electronic break-ins, and similar disruptions, which could lead to interruptions, delays, loss of data, or the inability to accept and process customer claims. The occurrence of any of these events could have a material adverse effect on our business, prospects, financial condition, and results of operations. WE RELY ON INTERNALLY DEVELOPED ADMINISTRATIVE SYSTEMS THAT ARE INEFFICIENT, WHICH MAY PUT US AT A COMPETITIVE DISADVANTAGE Some of the systems and processes used by our business office to prepare information for financial, accounting, billing, and reporting, are inefficient, inadequate, and require a significant amount of manual effort. For example, our systems require cumbersome data manipulation using spreadsheets in order to prepare information for both billing and client reporting purposes. The manual effort is both costly and negatively affects the timeliness of these processes. These inefficiencies may place us at a competitive disadvantage when compared to competitors with more efficient systems. We intend to continue to upgrade and expand our administrative systems and to integrate newly-developed and purchased modules with our existing systems in order to improve the efficiency of our reporting methods, although we are unable to predict whether these upgrades will improve our competitive position. 11 WE HAVE LIMITED SENIOR MANAGEMENT RESOURCES, AND WE NEED TO ATTRACT AND RETAIN HIGHLY SKILLED PERSONNEL; WE MAY BE UNABLE TO EFFECTIVELY MANAGE GROWTH WITH OUR LIMITED RESOURCES Our senior management currently consists of Bo W. Lycke, our Chairman of the Board of Directors, President, and Chief Executive Officer, Paul W. Miller, our Chief Financial Officer, Patricia Davis, our Senior Vice President of Sales and Operations and Jeffrey P. Baird, our Senior Vice President of Technology. Any expansion of our business would place a significant strain on these individuals and on our limited managerial, operational, and financial resources. We will be required to expand our operational and financial systems significantly and to expand, train, and manage our work force in order to manage the expansion of our operations. Our failure to fully integrate our new employees into our operations could have a material adverse effect on our business, prospects, financial condition, and results of operations. Our ability to attract and retain highly skilled personnel is critical to our operations and expansion. We face competition for these types of personnel from other technology companies and more established organizations, many of which have significantly larger operations and greater financial, marketing, human, and other resources than we have. We may not be successful in attracting and retaining qualified personnel on a timely basis, on competitive terms, or at all. If we are not successful in attracting and retaining these personnel, our business, prospects, financial condition, and results of operations will be materially adversely affected. BECAUSE OF THEIR SPECIALIZED KNOWLEDGE OF OUR PROPRIETARY TECHNOLOGY AND THE MEDICAL CLAIMS PROCESSING INDUSTRY, WE DEPEND UPON OUR SENIOR MANAGEMENT AND CERTAIN KEY PERSONNEL; THE LOSS OR UNAVAILABILITY OF ANY OF THEM COULD PUT US AT A COMPETITIVE DISADVANTAGE We currently depend upon the efforts and abilities of our senior executives and any other key personnel, each of whom has a distinctive body of knowledge regarding electronic claims submissions and related technologies, the medical claims processing industry and our services. The loss or unavailability of the services of any of these individuals for any significant period of time could have a material adverse effect on our business, prospects, financial condition, and results of operations. We have obtained, own, and are the sole beneficiary of, key-person life insurance in the amount of $2,000,000 on the life of Bo W. Lycke, our Chairman of the Board of Directors, President, and Chief Executive Officer. This insurance may not continue to be available to us on reasonable terms, or at all. Mr. Lycke and Messrs. Ward L. Bensen and Robert H. Brown Jr., two of our Directors, serve as the Chairman of the board of directors, a Director and Senior Vice President, and a Director, respectively, of American Medical Finance, one of our affiliates. In addition, our employment agreement with Mr. Lycke permits him to terminate the agreement on 30 days' notice. WE MAY BE UNABLE TO PROTECT OUR INTELLECTUAL PROPERTY RIGHTS AND WE MAY BE LIABLE FOR INFRINGING THE INTELLECTUAL PROPERTY RIGHTS OF OTHERS The Company's business is based in large part upon the proprietary nature of its services and technologies. Accordingly, our ability to compete effectively will depend on our ability to maintain the proprietary nature of these services and technologies, including our proprietary software and the proprietary software of others with which we have entered into software licensing agreements. We hold no patents and rely on a combination of trade secrets and copyright laws, nondisclosure, and other contractual agreements and technical measures to protect our rights in our technological know-how and proprietary services. In addition, we have been advised that trademark and service mark protection of our corporate name is not available. We depend upon confidentiality agreements with our officers, directors, employees, consultants, and subcontractors to maintain the proprietary nature of our technology. These measures may not afford us sufficient or complete protection, and others may independently develop know-how and services similar to ours, otherwise avoid our confidentiality agreements, or produce patents and copyrights that would materially and adversely affect our business, prospects, financial condition, and results of operations. We believe that our services are not subject to any infringement actions based upon the patents or copyrights of any third parties; however, our know-how and technology may in the future be found to infringe upon the rights of others. Others may assert infringement claims against us, and if we should be found to infringe upon their patents or copyrights, or otherwise impermissibly utilize their intellectual property, our ability to continue to use our technology could be materially restricted or prohibited. If this event occurs, we may be required to obtain licenses from the holders of their intellectual property, enter into royalty agreements, or redesign our products so as not to utilize their intellectual property, each of which may prove to be uneconomical or otherwise impossible. Licenses or royalty agreements required in order for us to use this technology may not be available on terms acceptable to us, or at all. These claims could result in litigation, which could materially adversely affect our business, prospects, financial condition, and results of operations. 12 BECAUSE WE ARE NOT CURRENTLY PAYING CASH DIVIDENDS, INVESTORS MAY HAVE TO SELL CLAIMSNET.COM SHARES IN ORDER TO REALIZE THEIR INVESTMENT We have not paid any cash dividends on our common stock and do not intend to pay cash dividends in the foreseeable future. We intend to retain future earnings, if any, for reinvestment in the development and expansion of our business. Any credit agreements which we may enter into with institutional lenders may restrict our ability to pay dividends. Whether we pay cash dividends in the future will be at the discretion of our Board of Directors and will be dependent upon our financial condition, results of operations, capital requirements, and any other factors that the board of directors decides is relevant. Holders of our common stock may have to sell all or a part of these shares in order to realize their investment. SOME PROVISIONS OF OUR CERTIFICATE OF INCORPORATION AND BY-LAWS MAY DETER OUR ACQUISITION A number of provisions of our amended certificate of incorporation and Delaware law may be deemed to have an anti-takeover effect. Our certificate of incorporation and by-laws provide that our board of directors is divided into two classes serving staggered two-year terms, resulting in approximately one-half of the directors being elected each year and other provisions relating to voting and the removal of the officers and directors. Further, our by-laws contain provisions which regulate the introduction of business at annual meetings of our stockholders by other than the board of directors. In addition, we are subject to the anti-takeover provisions of Section 203 of the Delaware General Corporation Law. In general, this statute prohibits a publicly held Delaware corporation from engaging in a "business combination" with an "interested stockholder" for a period of three years after the date of the transaction in which the person became an interested stockholder, unless the business combination is approved in a prescribed manner. In addition, our certificate of incorporation, as amended, authorizes our board of directors to issue up to 4,000,000 shares of preferred stock, which may be issued in one or more series, the terms of which may be determined at the time of issuance by the board of directors, without further action by stockholders, and may include voting rights (including the right to vote as a series on particular matters), preferences as to dividends and liquidation, conversion, and redemption rights, and sinking fund provisions. We have no present plans for the issuance of any series of preferred stock. However, the issuance of any such preferred stock could materially adversely affect the rights of holders of shares of our common stock and, therefore, could reduce the value of the common stock. In addition, specific rights granted to future holders of preferred stock, could be used to restrict our ability to merge with, or sell our assets to, a third party. The ability of the board of directors to issue preferred stock could have the effect of rendering more difficult, delaying, discouraging, preventing, or rendering more costly an acquisition of us or a change in control of us, thereby preserving our control by the current stockholders. INTERNET SECURITY POSES RISKS TO OUR ENTIRE BUSINESS The electronic submission of healthcare claims and other electronic healthcare transaction processing services by means of our proprietary software involves the transmission and analysis of confidential and proprietary information of the patient, the healthcare provider, or both, as well as our own confidential and proprietary information. The compromise of our security or misappropriation of proprietary information could have a material adverse effect on our business, prospects, financial condition, and results of operations. We rely on encryption and authentication technology licensed from other companies to provide the security and authentication necessary to effect secure Internet transmission of confidential information, such as medical information. Advances in computer capabilities, new discoveries in the field of cryptography, or other events or developments may result in a compromise or breach of the technology used by us to protect customer transaction data. Anyone who is able to circumvent our security measures could misappropriate proprietary information or cause interruptions in our operations. We may be required to expend significant capital and other resources to protect against security breaches or to minimize problems caused by security breaches. Concerns over the security of the Internet and other online transactions and the privacy of users may also inhibit the growth of the Internet and other online services generally, and the Web site in particular, especially as a means of conducting commercial transactions. To the extent that our activities or the activities of others involve the storage and transmission of proprietary information, such as diagnostic and treatment data, security breaches could damage our reputation and expose us to a risk of loss or litigation and possible liability. Our security measures may not prevent security breaches. Our failure to prevent these security breaches may have a material adverse effect on our business, prospects, financial condition, and results of operations. WE WILL ONLY BE ABLE TO EXECUTE OUR BUSINESS PLAN IF ELECTRONIC COMMERCE CONTINUES TO GROW GENERALLY AND SPECIFICALLY IN THE HEALTH CARE INDUSTRY Our future revenues and any future profits are substantially dependent upon the widespread acceptance and use of the Internet and other online services as an effective medium of commerce by submitters of medical claims. Rapid growth in 13 the use of, and interest in, the Internet, the Web, and online services is a recent phenomenon, and may not continue on a lasting basis. In addition, customers may not adopt, and continue to use, the Internet and other online services as a medium of commerce. Demand and market acceptance for recently introduced services and products over the Internet are subject to a high level of uncertainty, and few services and products have generated profits. For us to be successful, the healthcare community must accept and use novel and cost efficient ways of conducting business and exchanging information. In addition, the public in general, and the healthcare industry in particular, may not accept the Internet and other online services as a viable commercial marketplace for a number of reasons, including potentially inadequate development of the necessary network infrastructure or delayed development of enabling technologies and performance improvements. To the extent that the Internet and other online "business to business" services continue to experience significant growth in the number of users, their frequency of use, or in their bandwidth requirements, the infrastructure for the Internet and online services may be unable to support the demands placed upon them. In addition, the Internet or other online services could lose their viability due to delays in the development or adoption of new standards and protocols required to handle increased levels of Internet activity, or due to increased governmental regulation. Changes in, or insufficient availability of, telecommunications services to support the Internet or other online services also could result in slower response times and adversely affect usage of the Internet and other online services generally and our product and services in particular. If use of the Internet and other online services does not continue to grow or grows more slowly than we expect, if the infrastructure for the Internet and other online services does not effectively support the growth that may occur, or if the Internet and other online services do not become a viable commercial marketplace, our business, prospects, financial condition, and results of operations could be materially adversely affected. WE MAY NOT BE ABLE TO ADAPT AS THE INTERNET, ELECTRONIC COMMERCE, AND CUSTOMER DEMANDS CONTINUE TO EVOLVE The Internet and the medical claims processing industry are characterized by: o rapid technological change, o changes in user and customer requirements and preferences, o changes in federal legislation and regulation, o frequent new product and service introductions embodying new technologies, and o the emergence of new industry standards and practices that could render our existing Web site and proprietary technology and systems obsolete. Our success will depend, in part, on our ability to: o enhance and improve the responsiveness and functionality of our online claims processing services, o license leading technologies useful in our business and to enhance our existing services, o comply with all applicable regulations regarding our industry and the Internet, o develop new services and technology that address the increasingly sophisticated and varied needs of our prospective or current customers, and o respond to technological advances and emerging industry standards and practices on a cost-effective and timely basis. The development of our Web site and other proprietary technology will involve significant technical and business risks. We may not be able to adapt successfully to such demands. Our failure to respond in a timely manner to changing market conditions or customer requirements would have a material adverse effect on our business, prospects, financial condition, and results of operations. WE MAY NOT BE ABLE TO COMPETE EFFECTIVELY IN OUR INDUSTRY Based on total assets and annual revenues, we are significantly smaller than the majority of our national competitors: we are one-seventh the size of our next largest competitor in terms of total assets and one-thirtieth their size in terms of total revenues. If we compete with them for the same geographical or institutional markets, their financial strength could prevent us from capturing those markets. We may not successfully compete in any market in which we conduct or may conduct operations. In addition, in certain market segments, including psychiatry and surgery, we believe that we are not currently able to compete with existing potential competitors and, accordingly, we have designed our business plan to address other market segments. 14 REGULATORY AND LEGAL UNCERTAINTIES COULD HARM OUR BUSINESS We are not currently subject to direct regulation by any government agency other than laws or regulations applicable to electronic commerce, but we process information which, by law, must remain confidential. The U.S. Health Care Financing Administration has defined security requirements for Internet communications including healthcare data. We operate in compliance in all material respects with these requirements. Due to the increasing popularity and use of the Internet and other online services, federal, state, and local governments may adopt laws and regulations, or amend existing laws and regulations, with respect to the Internet or other online services covering issues such as user privacy, pricing, content, copyrights, distribution, and characteristics and quality of products and services. Furthermore, the growth and development of the market for electronic commerce may prompt calls for more stringent consumer protection laws to impose additional burdens on companies conducting business online. The adoption of any additional laws or regulations may decrease the growth of the Internet or other online services, which could, in turn, decrease the demand for our services and increase our cost of doing business, or otherwise have a material adverse effect on our business, prospects, financial condition, and results of operations. Moreover, the relevant governmental authorities have not resolved the applicability to the Internet and other online services of existing laws in various jurisdictions governing issues such as property ownership and personal privacy, and it may take time to resolve these issues definitively. Any new legislation or regulation, the application of laws and regulations from jurisdictions whose laws do not currently apply to our business, or the application of existing laws and regulations to the Internet and other online services could have a material adverse effect on our business, prospects, financial condition, and results of operations. THE MARKET PRICE FOR OUR COMMON STOCK MAY BE HIGHLY VOLATILE; WE MUST CONTINUE TO SATISFY THE APPLICABLE REQUIREMENTS FOR OUR COMMON STOCK TO TRADE ON THE NASDAQ SMALLCAP MARKET The market price of our common stock has experienced, and may continue to experience, significant volatility. Our operating results, announcements by us or our competitors regarding acquisitions or dispositions, new procedures or technology, changes in general conditions in the economy, and general market conditions could cause the market price of our common stock to fluctuate substantially. The equity markets have, on occasion, experienced significant price and volume fluctuations that have affected the market prices for many companies' common stock and have often been unrelated to the operating performance of these companies. Under the currently effective criteria for continued listing on the Nasdaq SmallCap Market, a company must maintain (a) either (i) $2,000,000 in net tangible assets, (ii) $500,000 net income in the last fiscal year, or (iii) market capitalization of $35 million, (b) a minimum bid price of $1.00, and (c) a public float of at least $1,000,000. By letter dated April 19, 2001, the Company was requested to provide to the Staff of the Nasdaq SmallCap Market a specific plan to achieve compliance with these criteria, in connection with its review of the Company's continuing eligibility for listing on the Nasdaq SmallCap Market. By letter dated June 14, 2001, the Company was notified that the Staff has determined that the Company complies with the Rule for continued listing and that the matter is closed. If we cannot maintain the standards for continued listing, our common stock could be subject to delisting from the Nasdaq SmallCap Market. Trading, if any, in our common stock would then be conducted in the over-the-counter market on the OTC Bulletin Board established for securities that do not meet the Nasdaq SmallCap Market listing requirements or in what are commonly referred to as the "pink sheets." As a result, an investor may find it more difficult to dispose of, or to obtain accurate quotations as to the price of, our shares. THE MARKET FOR OUR COMMON STOCK MAY SUFFER IN THE EVENT OF DELISTING FROM THE NASDAQ SMALLCAP MARKET AND IF OUR COMMON STOCK IS "PENNY STOCK" If our common stock were to be delisted from the Nasdaq SmallCap Market, and no other exclusion from the definition of a "penny stock" under the Exchange Act were available, our common stock would be subject to the penny stock rules that impose additional sales practice requirements on broker-dealers who sell these securities to persons other than established customers and accredited investors. Accredited investors are generally those investors with net worth in excess of $1,000,000 or an annual income exceeding $200,000 or $300,000 together with a spouse. For transactions covered by these rules, the broker-dealer must make a special suitability determination for the purchase, and must have received the purchaser's written consent to the transaction prior to sale. As a result, delisting, if it were to occur, could materially adversely affect the ability of broker-dealers to sell our common stock and the ability of purchasers of our stock to sell their shares in the secondary market. FUTURE SALES OF COMMON STOCK BY OUR EXISTING STOCKHOLDERS COULD ADVERSELY AFFECT OUR STOCK PRICE The market price of our common stock could decline as a result of sales of a large number of shares of our common stock in the market, or the perception that these sales could occur. These sales also might make it more difficult for us to sell equity securities in the future at a time and at a price that we deem appropriate. 15 CAUTIONARY NOTES REGARDING THE FORWARD-LOOKING STATEMENTS This report contains, and incorporates by reference, forward-looking statements regarding our plans and objectives for the future. These forward-looking statements are based on current expectations that involve numerous risks and uncertainties. Our plans and objectives are based on a successful execution of our expansion strategy and are based upon a number of assumptions, including assumptions relating to the growth in the use of the Internet and that there will be no unanticipated material adverse change in our operations or business. These assumptions involve judgments with respect to, among other things, future economic, political, competitive, and market conditions, and future business decisions, all of which are difficult or impossible to predict accurately and many of which are beyond our control. Although we believe that the assumptions underlying our forward-looking statements are reasonable, any of the assumptions could prove inaccurate. The forward-looking statements included, or incorporated by reference, in this report may prove to be inaccurate. In light of the significant uncertainties inherent in these forward-looking statements, you should not regard these statements as representations by us or any other person that we will achieve our objectives and plans. ITEM 2. PROPERTIES We currently lease 8,735 square feet of office space at a rent of $15,546 per month, at 12801 North Central Expressway, Suite 1515, Dallas, Texas 75243. The lease expires December 31, 2001. We believe that, in the event alternative or larger offices are required, such space is available at competitive rates. For our servers, we utilize DIGEX Business Internet Solutions, including a nationwide DS-3 backbone, a substantial dedicated Web server management facility, and a 24 hour per day, 7 day per week Network Operations Center at a cost of $28,500 per month. ITEM 3. LEGAL PROCEDINGS We are not currently party to any litigation proceedings. ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS On October 20, 2000, the annual meeting of stockholders was held in Dallas, Texas. The stockholders approved, by a vote of 5,632, 980 shares for and 89,634 shares against, with holders of 1,866,703 shares not voting and 37,271 shares abstaining, the proposal to increase the number of shares issuable pursuant to the 1997 Stock Option Plan by 750,000. The stockholders approved, by a vote of 5,669,533 for and 51,842 against, with holders of 1,866,703 not voting and 32,510 abstaining, the reservation of 1,427,076 shares of Common Stock of the Company, for issuance upon the conversion of the Company's Series A Convertible Redeemable Preferred Stock and Series B Convertible Redeemable Preferred Stock. The stockholders elected, by a vote of 7,611,053 shares for and 9,535 shares withheld, Bo W. Lycke, Ward L. Bensen, and Robert H. Brown, Jr., to serve as Class I Directors for a two year period and until their successors are elected and qualified. The stockholders also ratified, by a vote of 7,610,758 shares for, and 6,530 shares against, with holders of 3,300 shares abstaining, the selection of Ernst & Young LLP as independent auditors for the fiscal year ending December 31, 2000. 16 PART II ITEM 5. MARKET FOR REGISTRANT'S COMMON EQUITY AND RELATED SHAREHOLDER MATTERS PRICE RANGE OF COMMON STOCK The Common Stock of Claimsnet.com has been traded on the Nasdaq SmallCap Market under the symbol "CLAI" and on the Boston Stock Exchange under the trading symbol "CLA" since April 6, 1999. The following table sets forth, for the fiscal periods indicated, the quarterly high and low per share sales prices, as reported by Nasdaq:
HIGH LOW ---- --- 1999 From April 6, 1999 through June 30,1999 $19.125 $ 7.563 Three months ended September 30, 1999 8.500 4.000 Three months ended December 31, 1999 12.625 4.000 2000 Three months ended March 31, 2000 $ 11.250 $ 6.500 Three months ended June 30,2000 9.500 2.000 Three months ended September 30, 2000 4.813 1.625 Three months ended December 31, 2000 3.750 1.063 2001 Three months ended March 31, 2001 $ 2.313 $ 1.063 Three months ended June 30, 2001 2.820 1.313 Three months ended September 30, 2001 3.290 1.250
The last reported sale price of the Common Stock on the Nasdaq SmallCap Market on September 28, 2001 was $1.59 per share. As of September 14, 2000, there were 2,192 holders of record of the Common Stock. DIVIDEND POLICY We have not paid any cash dividends on our Common Stock and, in view of net losses and our operating requirements, do not intend to pay cash dividends in the foreseeable future. If we achieve profitability, we intend to retain future earnings, if any, for reinvestment in the development and expansion of our business. Any credit agreements, which we may enter into with institutional lenders, may restrict our ability to pay dividends. Whether we pay cash dividends in the future will be at the discretion of our Board of Directors and will be dependent upon our financial condition, results of operations, capital requirements, and any other factors that the Board of Directors determines to be relevant. RECENT SALES OF UNREGISTERED SECURITIES In June 2001, we issued 16,000 shares of common stock with a fair market value of $41,600 to New York Capital AG in connection with an agreement for professional services to be rendered in 2001. In April 2001, we entered into an agreement with McKesson by which McKesson acquired 1,514,285 shares of common stock at $1.75 per share for net proceeds of $2,650,000 and the stock purchase warrant originally issued to McKesson in 1999 was cancelled. No registration rights were granted to McKesson for the shares acquired. In March 2001, we completed a private placement of 400,000 shares of common stock issued to an accredited investor at $1.75 per share for net proceeds of $630,000. In April 2001, we granted warrants to purchase 40,000 shares of common stock to financial advisors that assisted us with the negotiation and structuring of such investment. The warrants are immediately exercisable at a price of $1.75 per share and expire on the second anniversary of the date of grant. In October 2000, upon completion of our annual meeting, options exercisable for an aggregate of 25,000 shares of common stock were granted under the Directors' Plan. The option exercise price of $2.375 was the fair market value of a share of the outstanding common stock on the date the options were granted. In August 2000, we completed a private placement of 270,000 shares of common stock at $3.50 per share for net proceeds of $927,000 to various accredited investors. In connection with the financing, we also issued warrants to purchase 17 270,000 shares of common stock at a price of $4.60 per share exercisable for a period of one year from their issue date and warrants to purchase 270,000 shares of common stock at a price of $5.60 exercisable for a period of two years from their issue date. In June 2000, we completed a private placement of 1,000,000 shares of common stock issued to an accredited investor at $3.00 per share for net proceeds of $2,982,000. In June 2000, we granted certain employees ten-year warrants to purchase 178,250 shares of common stock at a price of $3.00 per share, the market price on the date of grant. They become exercisable in June 2001. In May 2000, we sold at a price of $3.00 per share, 100,000 shares of common stock to American Medical Finance, Inc., a related party and the owner of record of 381,603 shares of common stock prior to the transaction. Bo W. Lycke, the Chairman of the Board, President and Chief Executive Officer of the Company, Robert H. Brown, Jr., a Director of the Company, and Ward L. Bensen, a Director of the Company, control 71.1%, 17.7%, and 11.2%, respectively, of the outstanding common stock of American Medical Finance, Inc. In April 2000, we issued 1,200,000 shares valued at $6,376,000 to acquire certain assets from VHx Company. In December 2000, pursuant to provisions of the asset purchase agreement, we withdrew from escrow and returned to our treasury 888,000 shares at a value of $1,415,000, and we issued 244,000 shares valued at $389,000 from treasury stock to JDH, a major creditor, in satisfaction of debt owed by VHx Company. Except as otherwise indicated, in each of the security issuances referenced above, we provided certain rights to register resale of the shares at our expense under the Securities Act of 1933. Except as indicated, no sales of securities involved the use of an underwriter and no commissions were paid in connection with the sale of any securities. Except as otherwise indicated, the proceeds from each of the private placements referenced above was used for general corporate purposes. The certificates evidencing the common stock issued in each of the transactions referenced above were appropriately legended. The offer and sale of the securities in each of the private placements referenced above was exempt by virtue of Section 4(2) of the Securities Act of 1933 and the rules promulgated thereunder. Each of the offerees and investors in such private placements provided representations to us that they were each "accredited investors," as defined in Rule 501 under the Securities Act of 1933, as well as highly sophisticated investors, and (ii) some of the investors in the 2000 private placements were existing stockholders of us at the time of such transaction. Each investor in such private placements, whether a new investor or existing investor, was afforded the right to conduct a complete due diligence review of us if they so desired, and was offered the opportunity to ask questions of, and receive answers from Claimsnet.com. 18 ITEM 6. SELECTED FINANCIAL DATA The following selected financial data are derived from our consolidated financial statements. The financial statements as of, and for the years ended December 31, 2000 and 1999 have been audited by Ernst & Young LLP, independent auditors. The financial statements as of, and for the years ended December 31, 1998, 1997 and 1996 have been audited by King Griffin & Adamson, P.C., independent auditors. The following selected financial data should be read in conjunction with "Management's Discussion and Analysis of Financial Condition and Results of Operations" and our consolidated financial statements and the related notes appearing elsewhere in this form 10-K.
April 8, 1996 Year Ended December 31, (Inception ---------------------------------------------------------------- Through) 2000 1999 1998 1997 1996 ------ ------ ------ ------ ------ STATEMENT OF OPERATIONS DATA: ----------------------------- Revenues ................................. $ 1,602,000 $ 414,000 $ 155,000 $ 82,000 $ - ------------ ------------ ----------- ----------- --------- Total operating expenses.................. 19,432,000 8,485,000 4,510,000 2,514,000 148,000 ------------ ------------ ----------- ----------- --------- Interest expense - affiliate.............. 6,000 142,000 314,000 390,000 158,000 Interest expense - bridge debt............ - 967,000 - - - Interest income........................... (141,000) (322,000) (6,000) (41,000) - ------------ ------------ ----------- ----------- --------- Net loss.................................. $(17,695,000) $ (8,858,000) $(4,663,000) $(2,781,000) $(306,000) ============ ============ =========== =========== ========= Loss per weighted average common share outstanding (basic and diluted)... $ (2.16) $ (1.52) $ (1.41) $ (0.98) $ (0.13) ============ ============ =========== =========== ========= Weighted average common shares outstanding (basic and diluted).......... 8,174,000 5,811,000 3,309,000 2,851,000 2,349,000 ============ ============ =========== =========== ========
December 31, ------------------------------------------------------------------------------- 2000 1999 1998 1997 1996 ------ ------ ------ ------ ------ BALANCE SHEET DATA: ------------------- Current assets............................ $ 1,562,000 $ 7,124,000 $ 105,000 $ 419,000 $ 16,000 Total assets.............................. 3,076,000 9,034,000 1,653,000 2,175,000 978,000 Working capital (deficit)................. (1,348,000) 6,113,000 (1,089,000) 36,000 16,000 Long-term debt............................ - - 4,323,000 3,468,000 4,408,000 Accumulated deficit....................... (34,303,000) (16,608,000) (7,750,000) (3,087,000) (306,000) Stockholders' equity (deficit)............ 166,000 7,971,000 (3,864,000) (1,677,000) (3,430,000)
19
Quarters --------------------------------------------------------------------------------- First Second Third Fourth Total ----- ------ ----- ------ ----- QUARTERLY FINANCIAL DATA (UNAUDITED) ------------------------------------ FISCAL 2000 (Note 2) (Note 3) (Note 4) (Note 5) Revenues $ 280,000 $ 330,000 $ 483,000 $ 509,000 $ 1,602,000 Gross loss (Note 1) (547,000) (612,000) (373,000) (140,000) (1,672,000) Net loss (1,934,000) (9,308,000) (3,728,000) (2,725,000) (17,695,000) Basic loss per common share (0.29) (1.20) (0.41) (0.30) (2.16) FISCAL 1999 Revenues 65,000 64,000 84,000 201,000 414,000 Gross loss (Note 1) (319,000) (515,000) (583,000) (587,000) (2,004,000) Net loss (2,475,000) (1,914,000) 2,080,000) (2,389,000) (8,858,000) Basic loss per common share (0.67) (0.30) (0.31) (0.36) (1.52)
(1) Quarterly gross loss has been revised to include amortization of software costs. Previously issued reports filed on forms 10-K and 10-Q reported those costs as operating expenses. (2) The three months ended June 30, 2000 includes revenues of $15,000 and operating expenses of $7,020,000 (including $6,153,000 of purchased research and development costs) for a net loss of $7,005,000 associated with the April 18, 2000 acquisition of HealthExchange assets. (3) The three months ended September 30, 2000 includes revenues of $19,000 and operating expenses of $2,206,000 (including $1,540,000 for impairment of acquired intangible assets) for a net loss of $2,187,000 associated with the April 18, 2000 acquisition of HealthExchange assets. (4) The three months ended December 31, 2000 includes revenues of $24,000 and operating expenses of $1,481,000 (including $722,000 for impairment of acquired intangible assets) for a net loss of $1,457,000 associated with the April 18, 2000 acquisition of HealthExchange assets. (5) The year ended December 31, 2000 includes revenues of $58,000 and operating expenses of $10,707,000 (including $8,415,000 for purchased research and development and impairment of acquired intangible assets) for a net loss of $10,649,000 associated with the April 18, 2000 acquisition of HealthExchange assets. 20 ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS AND OTHER PORTIONS OF THIS REPORT CONTAIN FORWARD-LOOKING INFORMATION THAT INVOLVE RISKS AND UNCERTAINTIES. OUR ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THOSE ANTICIPATED BY THE FORWARD-LOOKING INFORMATION. FACTORS THAT MAY CAUSE SUCH DIFFERENCES INCLUDE, BUT ARE NOT LIMITED TO, AVAILABILITY OF FINANCIAL RESOURCES FOR LONG TERM NEEDS, PRODUCT DEMAND, MARKET ACCEPTANCE AND OTHER FACTORS DISCUSSED ELSEWHERE IN THIS REPORT. THIS MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS SHOULD BE READ IN CONJUNCTION WITH OUR CONSOLIDATED FINANCIAL STATEMENTS AND THE RELATED NOTES INCLUDED ELSEWHERE IN THIS REPORT. IN GENERAL As of December 31, 2000, we had a working capital deficit of $(1,348,000) and stockholders' equity of $166,000. We generated revenues of $1,602,000 for the year ended December 31, 2000, $414,000 for the year ended December 31, 1999 and $155,000 for the year ended December 31, 1998, incurred net losses since inception and had an accumulated deficit of ($34,303,000) at December 31, 2000. We expect to continue to operate at a loss for the foreseeable future. There can be no assurance that we will ever achieve profitability. In addition, during the year ended December 31, 2000, net cash used in operating activities was $6,737,000. We are in the early stage of operations and, as a result, the relationships between revenue and cost of revenue, and operating expenses reflected in the financial information included in this report do not represent future expected financial relationships. Much of the cost of revenue and operating expenses reflected in our consolidated financial statements are associated with people costs, and not directly related to transaction volumes. Our expenses increased with the escalation of sales and marketing activities and transaction volumes, but at a much slower rate of increase than the corresponding revenue increase. Research and development reported a significant one-time, non-recurring expense due to delay in development of an asset acquisition made during the year. Accordingly, we believe that, at our current stage of operations period to period comparisons of results of operations are not meaningful. PRIVATE PLACEMENTS, OPTIONS AND WARRANTS In June 2001, we issued 16,000 shares of common stock with a fair market value of $41,600 to New York Capital AG in connection with an agreement for professional services to be rendered in 2001. In April 2001, we entered into an agreement with McKesson by which McKesson acquired 1,514,285 shares of common stock at $1.75 per share for net proceeds of $2,650,000 and the stock purchase warrant originally issued to McKesson in 1999 was cancelled. No registration rights were granted to McKesson for the shares acquired. In March 2001, we completed a private placement of 400,000 shares of common stock issued to an accredited investor at $1.75 per share for net proceeds of $630,000. In April 2001, we granted warrants to purchase 40,000 shares of common stock to financial advisors that assisted us with the negotiation and structuring of such investment. The warrants are immediately exercisable at a price of $1.75 per share and expire on the second anniversary of the date of grant. In October 2000, upon completion of our annual meeting, options exercisable for an aggregate of 25,000 shares of common stock were granted under the Directors' Plan. The option exercise price of $2.375 was the fair market value of a share of the outstanding common stock on the date the options were granted. In August 2000, we completed a private placement of 270,000 shares of common stock at $3.50 per share for net proceeds of $927,000 to various accredited investors. In connection with the financing, we also issued warrants to purchase 270,000 shares of common stock at a price of $4.60 per share exercisable for a period of one year from their issue date and warrants to purchase 270,000 shares of common stock at a price of $5.60 exercisable for a period of two years from their issue date. In June 2000, we completed a private placement of 1,000,000 shares of common stock issued to an accredited investor at $3.00 per share for net proceeds of $2,982,000. In June 2000, we granted certain employees ten-year warrants to purchase 178,250 shares of common stock at a price of $3.00 per share, the market price on the date of grant. They become exercisable in June 2001. 21 In May 2000, we sold at a price of $3.00 per share, 100,000 shares of common stock to American Medical Finance, Inc., a related party and the owner of record of 381,603 shares of common stock prior to the transaction. Bo W. Lycke, the Chairman of the Board, President and Chief Executive Officer of the Company, Robert H. Brown, Jr., a Director of the Company, and Ward L. Bensen, a Director of the Company, control 71.1%, 17.7%, and 11.2%, respectively, of the outstanding common stock of American Medical Finance, Inc. In April 2000, we issued 1,200,000 shares valued at $6,376,000 to acquire certain assets from VHx Company. In December 2000, pursuant to provisions of the asset purchase agreement, we withdrew from escrow and returned to our treasury 888,000 shares at a value of $1,415,000, and we issued 244,000 shares valued at $389,000 from treasury stock to JDH, a major creditor, in satisfaction of debt owed by VHx Company. Except as otherwise indicated, in each of the security issuances referenced above, we provided certain rights to register resale of the shares at our expense under the Securities Act of 1933. Except as indicated, no sales of securities involved the use of an underwriter and no commissions were paid in connection with the sale of any securities. Except as otherwise indicated, the proceeds from each of the private placements referenced above was used for general corporate purposes. The certificates evidencing the common stock issued in each of the transactions referenced above were appropriately legended. The offer and sale of the securities in each of the private placements referenced above was exempt by virtue of Section 4(2) of the Securities Act of 1933 and the rules promulgated thereunder. Each of the offerees and investors in such private placements provided representations to us that they were each "accredited investors," as defined in Rule 501 under the Securities Act of 1933, as well as highly sophisticated investors, and (ii) some of the investors in the 2000 private placements were existing stockholders of us at the time of such transaction. Each investor in such private placements, whether a new investor or existing investor, was afforded the right to conduct a complete due diligence review of us if they so desired, and was offered the opportunity to ask questions of, and receive answers from Claimsnet.com. PLAN OF OPERATIONS Our business strategy is as follows: o to aggressively pursue and support strategic relationships with companies that will in turn aggressively market electronic claims processing and our other services to outpatient healthcare providers, including clinics, hospitals, physicians, HMOs, third party administrators, dentists, and other outpatient service providers; o to continue to expand our services to include additional transaction processing functions, such as HMO encounter forms, eligibility and referral verifications, patient statements, and other healthcare administrative services, in order to diversify sources of revenue; o to license our technology for other applications, including stand-alone purposes, Internet systems, private label use, and original equipment manufacturers. We anticipate that our primary source of revenues will be fees paid by strategic partners for private-label and co-branded licenses and services, fees paid by users for insurance claim and patient statement services, and fees from medical and dental payers for delivering claims electronically. We expect most of our revenues to be recurring in nature. Our principal operating costs are anticipated to be processing fees for certain transactions, technical and customer support, research and development, acquisition of capital equipment, and general and administrative expenses. We intend to continue to develop and upgrade our technology and transaction-processing systems and continually update and improve our website to incorporate new technologies, protocols, and industry standards. Selling, general and administrative expenses include all corporate and administrative functions that serve to support our current and future operations and provide an infrastructure to support future growth. Major items in this category include management and staff salaries and benefits, travel, professional fees, network administration, business insurance, and rent. RESULTS OF OPERATIONS COMPARISON OF THE YEARS ENDED DECEMBER 31, 2000 AND 1999 REVENUES Revenues increased 287% to $1,602,000 in 2000 from $414,000 in 1999. Revenues of $681,000 and $87,000, respectively, during 2000 and 1999 are related to software license and support revenue under the McKesson Development and Services Agreement and revenues of $921,000 and $327,000, respectively during 2000 and 1999, are related to our Internet-based clients. Increased revenues from 22 internet-based clients are attributable to volume and pricing improvements and increased customer interest in the patient statement product. Revenues from recurring revenue sources for 2000 represented 47% of total revenues. Recurring revenues were comprised of $644,000 from transaction-based fees and $115,000 from subscription fees. Revenues from non-recurring sources totaled $162,000 and were related to setup, support, and other fees. Revenues under the McKesson Development and Services Agreement accounted for approximately 43% of 2000 revenues and 21% of 1999 revenues. Transactions processed by us increased 88% to 5,283,000 in 2000 from 2,809,000 in 1999. All of the increase was attributable to internal growth in the number of accounts and healthcare providers subscribing to our services. Additionally, 88% of all transactions were for physician and dental claim submission services and 12% were from patient statement processing. We had 399 accounts processing transactions for 3,696 providers at December 31, 2000 compared with 365 accounts and 3,001 providers at December 31, 1999, representing increases of 9% and 23%, respectively. Transaction-based revenue averaged $.12 per transaction and $.07 per transaction for the years ended December 31, 2000 and 1999, respectively, representing an increase of 71%. Pricing changes implemented early in the year on certain transactions and the growth in statement transactions contributed to the improvement. We expect the average revenue per transaction to continue to increase in future periods for several reasons. Revenue per transaction for the 2,543,000 commercial electronic claims averaged $.04 during 2000 as compared to 1,649,000 claims which averaged $.02 during 1999. We expect commercial electronic claim prices to increase due to additional payer rebate contracts with volume-based pricing structures. Revenue per transaction for the 1,803,000 Medicare and Medicaid claims averaged $.09 during 2000, compared to 842,000 Medicare and Medicaid claims which averaged $.01 during 1999. This increase resulted from the implementation of a new pricing structure charging a per transaction fee to a broader group of customers. Average revenue per transaction for the 310,000 paper claims was $.48 during the year compared to 287,000 paper claims at $.47 for the prior year. Patient statement volumes increased to 626,000 in 2000 from approximately 30,000 in 1999. Patient statement revenues averaged $.34 per transaction in 2000. COST OF REVENUES Cost of revenues were $3,274,000 in 2000 compared to $2,418,000 for the prior year. The four components of cost of revenues are data center expenses, transaction processing expenses, customer support operation expenses and amortization of software. Data center expenses were $394,000 for the year ended December 31, 2000 compared with $324,000 for 1999, an increase of 22%. Transaction processing expenses were $498,000 in 2000 compared to $208,000 in 1999, representing a 139% increase. Customer support operations expense increased by 62% to $1,832,000 in 2000 from $1,133,000 in 1999, while the number of accounts and providers served at the end of each year increased by 9% and 23%, respectively. The increases in customer support operations expense were primarily attributable to increased staffing. Amortization of software and development project amortization was $550,000 in 2000 compared to $753,000 in 1999, representing a 27% decrease. This decrease reflects completion of software development amortization in 2000. RESEARCH AND DEVELOPMENT Research and development expenses were $2,019,000 in 2000, compared with $981,000 in 1999, representing an increase of 106%. Research and development expenses are comprised of personnel costs and related expenses. No internal use software costs were capitalized in the current year compared to $161,000 capitalized during 1999. Development efforts during 2000 were concentrated on development of the McKesson project started during 1999 and additional development of HealthExchange(TM) products which have not yet reached marketability. Development efforts during 1999 relating to our proprietary software system represented continuous incremental enhancements, which are individually and simultaneously implemented for all clients on our centralized operating system. No costs were capitalized for these development efforts. Development costs capitalized during 1999 were related to several internal infrastructure system projects. PURSCHASED RESEARCH AND DEVELOPMENT AND WRITE-OFF OF PURCHASED INTANGIBLES AND OTHER ASSETS On April 18, 2000, the Company executed an asset purchase agreement (the "Asset Purchase Agreement") with VHx Company ("VHx") to acquire selected properties and assets of VHx, including the HealthExchange.com name and HealthExchange.com trademarks, related to all efforts of VHx to develop products and services designed to use Internet technology to facilitate and improve interaction between physicians, health plans, employers and their members. The Company allocated the purchase price to the various assets acquired using standard valuation methodologies, projecting cash flows over the estimated useful lives of the assets, net of additional investment needs, and considering the stage of completion of software development projects. The initial results valued the intangible assets at $3,700,000 after charges to in-process technology of $6,154,000, recorded in the quarter ended June 30, 2000. One of the significant assets acquired, an agreement with John Deere Health ("JDH") for development of an Enterprise Care Management System, required the parties to negotiate mutually agreeable business terms for delivery of the system after acceptance of beta testing. The Company and JDH were unable to reach such an agreement. 23 In November and December 2000, as a result of the inability to negotiate mutually agreeable business terms with JDH, an industry consolidation of system vendors, sluggish sales in the payer market, and dramatic changes in the financial markets, the Company substantially lowered its estimates of future revenues less costs of completing the product. The Company reevaluated the HealthExchange asset purchase using the same valuation methodologies and determined that there had been a total impairment of the assets acquired. The Company ceased further development of the HealthExchange(TM) products and all marketing efforts. As a result of the revised valuation, the Company recognized charges of $2,276,000 for the write-off of the unamortized balance of purchased intangibles and other assets. AMORTIZATION OF INTANGIBLES Amortization of intangible assets of $412,000 was recorded in 2000 on trademarks and non-compete agreements acquired in the April 18,2000 purchase of HealthExchange assets. SELLING, GENERAL AND ADMINISTRATIVE Selling, general and administrative expenses were $5,297,000 in 2000, compared with $5,086,000 in 1999, an increase of 4%. The $211,000 increase includes a $913,000 increase for other general and administrative expenses, primarily related to salaries and benefits for additional employees and increases in professional and insurance fees. Offsetting this increase were decreases of $380,000 in sales and marketing expenses and $46,000 in technology infrastructure and support expenses and a one-time charge of $276,000 in 1999 for the cost of past services related to the grant of stock options and warrants to non-employees. The sales and marketing decrease primarily reflects reduced marketing efforts during 2000. OTHER INCOME (EXPENSE) Interest expense was $6,000 for 2000 compared with $1,109,000 in 1999. Included in the 1999 expense was $850,000 related to amortization of debt discount related to bridge financing, $108,000 related to amortization of deferred financing costs and $9,000 of cash interest at 12% per annum. Interest of $142,000 was paid to affiliates in 1999. Interest income of $141,000 and $322,000 was provided in 2000 and 1999, respectively, from investment of the net proceeds from the April 6, 1999 Initial Public Offering. COMPARISON OF THE YEARS ENDED DECEMBER 31, 1999 AND 1998 REVENUES Revenues increased 167% to $414,000 in 1999 from $155,000 in 1998. Revenues of $87,000 during 1999 (21% of total revenues) are related to software license revenue under the McKesson Development and Services Agreement and revenues of $327,000 (79% of revenue) are related to our internet-based clients. Although we provided internet-based services during 1998, there were no related revenues recognized because we waived fees as an introductory promotional offer for our initial clients. We do not currently waive fees to new customers, although we still have some long-time customers for which some fees are waived. We do not recognize any revenues from waived fees. Revenues for 1998 were exclusively derived from the remaining business of Medica Systems, Inc. (Medica), which was acquired by us in June 1997. The acquisition was made primarily for the value of Medica's claims processing software technology. A majority of Medica's revenues related to business that was not transferable to our internet-based system. Nearly all of the Medica business was phased out during 1998. Revenues from recurring revenue sources for 1999 represented 61% of total revenues. Recurring revenues were comprised of $199,000 from transaction-based fees and $53,000 from subscription fees. Revenues from non-recurring sources totaled $75,000 and were related to setup, support, and other fees. Transactions processed by us increased 302% to 2,809,000 in 1999 from 699,000 in 1998, attributable to internal growth in the number of accounts and healthcare providers subscribing to our services. Additionally, 99.1% of all transactions were for physician and dental claim submission services. We had 365 accounts processing transactions for 3,001 providers at December 31, 1999 compared with 175 accounts and 1,364 providers at December 31, 1998, representing increases of 109% and 120%, respectively. Transaction-based revenue averaged $.07 per transaction for 1999. Revenue per transaction for the 1,649,000 commercial electronic claims averaged $.02 during 1999 and revenue per transaction for the 842,000 Medicare and Medicaid claims averaged $.01for the year. Revenue per transaction for the 287,000 paper claims averaged $.47 during 1999. We processed approximately 31,000 patient statements during 1999, representing 1% of total transactions during the period. 24 COST OF REVENUES Cost of revenues were $2,418,000 in 1999 compared to $1,321,000 for the prior year. The four components of cost of revenues are data center expenses, transaction processing expenses, customer support operation expenses, and amortization of software. Data center expenses were $324,000 for 1999 compared with $114,000 for 1998, an increase of 184%. Transaction processing expenses were $208,000 in 1999 compared to $110,000 in 1998, representing a 89% increase. Customer support operations expense increased by 167% to $1,133,000 in 1999 from $425,000 in 1998, while the number of accounts and providers served at the end of each year increased by 109% and 120%, respectively. The increases in customer support operations expense were primarily attributable to increased staffing. Software amortization expenses and development project amortization increased 12% to $753,000 in 1999 from $672,000 in 1998 as a result of additional amortization for software costs capitalized in 1999. RESEARCH AND DEVELOPMENT Research and development expenses were $981,000 in 1999, compared with $531,000 in 1998, representing an increase of 85%. Research and development expenses are comprised of personnel costs and related expenses. Internal use software costs of $161,000, all related to several internal infrastructure system projects, were capitalized during 1999 while no costs were capitalized during 1998. Development efforts during both periods relating to our proprietary software system represented continuous incremental enhancements, which are individually and simultaneously implemented for all clients on our centralized operating system. No costs were capitalized for these development efforts. SELLING, GENERAL AND ADMINISTRATIVE Selling, general and administrative expenses were $5,086,000 in 1999, compared with $2,658,000 in 1998, an increase of 91%. The $2,428,000 increase includes a $1,413,000 increase in sales and marketing expenses and a $192,000 increase in technology infrastructure and support expenses, both of which are primarily related to personnel costs and related expenses. The sales and marketing increase also reflects marketing efforts during 1999. A one-time charge of $276,000 for the cost of past services related to the grants of stock options and warrants to non-employees contributed to the increase. Other general administrative expenses increased by $547,000, primarily due to increases in office rent, telephone expenses, employee recruiting expenses, outside professional fees, and employment agreement contractual increases. OTHER INCOME (EXPENSE) Interest expense was $1,109,000 in 1999 compared with $314,000 in 1998. Included in the 1999 expense was $850,000 of amortization of debt discount related to bridge financing, $108,000 of amortization of deferred financing costs and $9,000 of cash interest at 12% per annum. Interest of $142,000 was paid to affiliates in 1999 and $314,000 in 1998. Interest income of $322,000 in 1999 arose from investment of the net proceeds from the April 6, 1999 initial public offering. Interest income of $6,000 was earned in 1998. LIQUIDITY AND CAPITAL RESOURCES For the year ended December 31, 2000 net cash used in operating activities of $6,496,000 was primarily attributable to operating losses of $17,695,000, less: non-cash amortizations and write offs of $8,842,000 associated with HECOM, depreciation of $855,000 and change in working capital of $1,162,000. The acquisition of HECOM assets in the second quarter of 2000 was responsible for $10,649,000 of our $17,695,000 net loss. The following table presents HECOM's impact on our consolidated statement of operations: Revenue $ 58,000 ----------- Cost of revenue 21,000 Research and development 944,000 Purchased research and development and write-off of intangible assets 8,430,000 Amortization of intangibles 412,000 Selling, general and administrative 900,000 ----------- Total operating expenses 10,707,000 ----------- NET LOSS $10,649,000 =========== In connection with the acquisition of HealthExchange assets, the Company has accrued contractual acquisition costs of $500,000 representing a disputed investment banking fee. There has been no resolution of the dispute or substantial discussions from which to better estimate either the amount, if any, or the timing of any such settlement. 25 For the year ended December 31, 1999 net cash used in operating activities of $6,264,000 was primarily attributable to operating losses of $8,858,000, less: depreciation of $882,000, issuance of common stock for services rendered of $276,000, amortization of debt discount and deferred financing costs related to bridge financing, and change in working capital of $361,000. For the year ended December 31, 1998 net cash used in operating activities of $2,994,000 was primarily attributable to operating losses of $4,663,000, less: depreciation of $707,000, non-cash write off of offering costs of $412,000 and change in working capital of $516,000. Net cash provided by investing activities was $380,000 in 2000 compared to net cash used in investing activities in 1999 of $5,493,000 and $120,000 in 1998. Cash was provided in 2000 by the sale of $3,832,000 marketable securities and collection of employee loans. Primary uses in 2000 consisted of the purchase of $2,978,000 of intangible assets and research and development from the VHx Company, and the purchase of $499,000 in property and equipment. Net cash used by investing activities in 1999 consisted of the net purchases of $3,832,000 of marketable securities and the purchases of $1,500,000 in property and equipment. In addition, we purchased operating licenses and began implementation for several internal support systems during 1999. In connection with the implementation of such systems, we capitalized $161,000 of internal development. Net cash was used in 1998 for purchase of property and equipment and loans to employees. Net cash provided by financing activities in 2000 was $4,227,000 as a result of sales in: May 2000 of 100,000 shares of common stock to American Medical Finance, Inc. for $300,000; June 2000, in a private placement of 1,000,000 shares of common stock for $3,000,000; and August 2000 of 270,000 shares of common stock at $3.50 per share for net proceeds of $927,000. In connection with the financing, we issued warrants to purchase 270,000 shares of common stock at a price of $4.60 per share for a period of one year and warrants to purchase 270,000 shares of common stock at a price of $5.60 per share for a period of two years. In March 2001, we entered into the following financing transactions: (i) a one year loan from American Medical Finance, Inc., a related party, in the amount of $400,000 bearing interest at 9.5% per annum, and (ii) a private placement of 400,000 shares of common stock at $1.75 per share for net proceeds of $630,000. On April 12, 2001, we entered into an agreement with McKesson which superseded our October 1999 agreement. Under the 1999 Development and Services Agreement we (a) issued a three year warrant to McKesson to purchase 819,184 shares of common stock at $7.00 per share, (b) received fees for the development of a private label claims processing and statement processing internet application for McKesson, (c) received one of three scheduled license fee payments for use of the McKesson internet application, (d) received monthly support fees for dedicated private label system hosting, operation and support services commencing at the date of acceptance of the McKesson internet application, and (e) received transaction fees for claims and statements processed by the McKesson internet application. Under the new agreement, (a) McKesson acquired 1,514,285 shares of common stock at $1.75 per share for net proceeds of $2,650,000, (b) McKesson paid a one-time fee of $200,000 to us, (c) the stock purchase warrant originally issued to McKesson in October 1999 was cancelled, (d) McKesson retained a license to use the McKesson internet application to process statements and claims without additional license fee payments, (e) McKesson agreed to eliminate the need for dedicated private label system hosting, operation, and support services and we agreed to provide standard system hosting, operation, and support serviced without the payment of future monthly support fees, (f) we will receive fees for transactions processed by the McKesson internet application, (g) we and McKesson agreed to use best efforts to expand the scope of the license agreement to include additional claim types, and (h) we and McKesson agreed to use best efforts to pursue other unspecified business opportunities. Under a separate agreement, we have contracted for McKesson processing services to print patient statements and submit claims to payers for certain of our customers, for which we pay McKesson fees for some transactions and share third party revenues for other transactions. Pursuant to the 1999 Development and Services Agreement, we recorded cash payments received for development and license fees as deferred revenue and amortized the total expected contract payments to revenue ratably over the life of the contract. We recorded, in shareholders' equity, the imputed value of the warrant as deferred sales discount and amortized the amount as an offset to revenue ratably over the life of the license. During the year ended December 31, 2000, we received cash payments of $2,004,000 and recorded net revenue of $681,000 (net of $314,000 in deferred sales discount amortization). Pursuant to the processing services agreement, we recorded $411,000 of expense related to fees paid to McKesson and $79,000 of shared revenue for fees received from McKesson during the year ended December 31, 2000. We have no other customers for which we are providing services substantially similar to those under the 26 Development and Services Agreement. The fees paid to and received from McKesson pursuant to the processing services agreement are similar to fees with non-affiliates. The renegotiated agreement eliminates future payments for services and fees that accounted for nearly all of the $681,000 of revenue recognized pursuant to the McKesson agreement for the year ended December 31, 2000. The new agreement will, therefore, have a material effect on our near term financial results. The nature of all future cash payments to be received pursuant to the new McKesson agreement are dependent on the volume of services provided. Since the new agreement already eliminates any future guaranteed payments, in the event of complete termination of the McKesson agreement, our future business prospects and results of operations could be negatively effected, but it would not have a significant impact on our current evaluation of liquidity and capital resources because that evaluation included de minimus revenues from McKesson. We expect to replace the lost revenues primarily by a combination (a) fees from increasing transaction volumes with our existing customers and business partners, including McKesson, (b) fees from new customers and business partners, and (c) fees generated by services for additional types of health care transactions. Net cash provided by financing was $14,734,000 in 1999 as a result of: sales in February 1999 of Series A 12% Subordinated Notes ("Notes") along with 125,000 shares of common stock for net proceeds of $892,000; sales in April 1999 of 2,875,000 shares of common stock in an initial public offering at $8.00 per share for net proceeds of $19,515,000; and borrowings of $911,000 against a line of credit facility with American Medical Finance, Inc., a related party. Net cash from the initial public offering was used to repay: $5,234,000 of outstanding principal and accrued interest on the 9.5% note payable and line of credit facility with American Medical Finance, Inc.; $1,000,000 of outstanding principal and accrued interest under the Series A 12% Subordinated Notes; and $350,000 of contingent notes. Net cash provided by financing was $2,763,000 in 1998 as a result of private placement of 27,512 shares of common stock for net proceeds of $2,025,000 and borrowings of $1,530,000 against a line of credit facility with American Medical Finance, Inc. Net cash of $792,000 was used for payment of deferred financing costs associated with failed initial public offering attempts. In the foregoing financing we provided certain rights to register resale of the shares at our expense under the Securities Act of 1933. We believe that our available cash resources, together with anticipated revenues from operations and the proceeds of recently completed financing activities, will be sufficient to satisfy our capital requirements through December 31, 2001. Our belief is based on the existence of net working capital of $377,000 at December 31, 2000, excluding deferred revenue of $1,225,000 and a $500,000 disputed accrued liability which we do not expect to require a cash settlement in 2001; plus net cash proceeds of $3,880,000 received from transactions described above, less (i)$3,849,000 of net cash operating losses for 2001 and (ii)$90,000 for capital expenditures. The projected net cash operating losses for 2001 are based upon annualized actual results for January and February 2001, and a further loss of $477,000 for the effect of the restructured agreement with McKesson. Some of these assumptions may prove to be incorrect. As a result, financial resources may not be sufficient to satisfy our capital requirements for this period. We are currently seeking additional funding. Management cannot predict whether this additional financing will be in the form of equity or debt, or be in another form. Necessary additional capital may not be available on a timely basis or on acceptable terms, if at all. In any of these events, we may be unable to implement current plans for expansion or to repay debt obligations as they become due. If current plans can not be implemented, we may be forced to significantly reduce operating expenses to a point which would be detrimental to business operations, curtail research and development activities, sell certain business assets or discontinue some or all of our business operations, or take other actions which could be detrimental to business prospects and result in charges which could be material to our operations and financial position. In the event that any future financing should take the form of equity securities, the holders of the common stock may experience additional dilution. 27 ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK THE FOLLOWING DISCUSSION AND ANALYSIS ABOUT MARKET RISK DISCLOSURES MAY CONTAIN "FORWARD-LOOKING STATEMENTS" WITHIN THE MEANING OF SECTION 27A OF THE SECURITIES ACT AND SECTION 21E OF THE EXCHANGE ACT. SUCH STATEMENTS INCLUDE DECLARATIONS REGARDING OUR INTENT, BELIEF OR CURRENT EXPECTATIONS AND OUR MANAGEMENT AND INVOLVE RISKS AND UNCERTAINTIES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THOSE PROJECTED IN THE FORWARD-LOOKING STATEMENTS. We believe that our available cash resources, together with anticipated revenues from operations and the proceeds of recently completed financing activities, will be sufficient to satisfy our capital requirements through December 31, 2001. Our belief is based on the existence of net working capital of $377,000 at December 31, 2000, excluding deferred revenue of $1,225,000 and a $500,000 disputed accrued liability which we do not expect to require a cash settlement in 2001; plus net cash proceeds of $3,880,000 received from transactions described above, less (i)$3,849,000 of net cash operating losses for 2001 and (ii)$90,000 for capital expenditures. The projected net cash operating losses for 2001 are based upon annualized actual results for January and February 2001, and a further loss of $477,000 for the effect of the restructured agreement with McKesson. Some of these assumptions may prove to be incorrect. As a result, financial resources may not be sufficient to satisfy our capital requirements for this period. We are currently seeking additional funding. Management cannot predict whether this additional financing will be in the form of equity or debt, or be in another form. Necessary additional capital may not be available on a timely basis or on acceptable terms, if at all. In any of these events, we may be unable to implement current plans for expansion or to repay debt obligations as they become due. If current plans can not be implemented, we may be forced to significantly reduce operating expenses to a point which would be detrimental to business operations, curtail research and development activities, sell certain business assets or discontinue some or all of our business operations, or take other actions which could be detrimental to business prospects and result in charges which could be material to our operations and financial position. In the event that any future financing should take the form of equity securities, the holders of the common stock may experience additional dilution. At December 31, 2000 we had $91,000 in cash accounts which were subject to interest rate fluctuations. Changes in interest rates will not materially effect our operations. We operate in the United States and are not subject to foreign currency fluctuations and run away inflation. ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA Below is an index of financial statements. The financial statements required by this item begin at page F-1 hereof.
Page ---- Independent Auditors' Report F-1 Independent Auditors' Report F-2 Consolidated Balance Sheets - December 31, 2000 and 1999 F-3 Consolidated Statements of Operations for the Years Ended December 31, 2000, 1999 and 1998 F-4 Consolidated Statements of Changes in Stockholders' Equity (Deficit) for the Years Ended December 31, 2000, 1999 and 1998 F-5 Consolidated Statements of Cash Flows for the Years Ended December 31, 2000, 1999 and 1998 F-6 Notes to Consolidated Financial Statements F-8
28 INDEPENDENT AUDITORS' REPORT The Board of Directors and Shareholders Claimsnet.com, inc. We have audited the accompanying consolidated balance sheets of Claimsnet.com, inc. and subsidiaries as of December 31, 2000, and 1999, and the related consolidated statements of operations, stockholders' equity (deficit) and cash flows for each of the two years in the period ended December 31, 2000. Our audit also included the financial statement schedule listed at 14(b). These financial statements and financial statement schedule are the responsibility of the Company's management. Our responsibility is to express an opinion on these financial statements and financial statement schedule based on our audits. We conducted our audits in accordance with auditing standards generally accepted in the United States. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the consolidated financial position of Claimsnet.com, inc. and subsidiaries at December 31, 2000, and 1999, and the consolidated results of their operations and their cash flows for each of the two years in the period ended December 31, 2000, in conformity with accounting principles generally accepted in the United States. Also, in our opinion, the related financial statement schedule, when considered in relation to the basic financial statements taken as a whole, presents fairly in all material respects the information set forth therein. /S/ Ernst & Young LLP Dallas, Texas February 2, 2001, except for Notes A and J as to which the date is April 13, 2001 F-1 REPORT OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS Board of Directors Claimsnet.com inc. We have audited the accompanying consolidated statements of operations, stockholders' deficit, and cash flows of Claimsnet.com, inc. and subsidiary for the year ended December 31, 1998. These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on these financial statements based on our audit. We have conducted our audit in accordance with generally accepted auditing standards. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audit provides a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the results of operations and cash flows of Claimsnet.com, inc. and subsidiary for the year ended December 31, 1998 in conformity with generally accepted accounting principles. /S/ KING GRIFFIN & ADAMSON, P.C. Dallas, Texas January 22, 1999 F-2 CLAIMSNET.COM INC. AND SUBSIDIARY CONSOLIDATED BALANCE SHEETS (In Thousands, Except Share Data)
December 31, ---------------------------- 2000 1999 ---- ---- ASSETS CURRENT ASSETS Cash and equivalents $ 1,132 $ 3,021 Marketable securities -- 3,832 Accounts receivable, net of allowance for doubtful accounts of $29 and $26 in 2000 and 1999, respectively 307 98 Interest receivable -- 100 Prepaid expenses and other current assets 123 73 -------- -------- Total current assets 1,562 7,124 EQUIPMENT, FIXTURES AND SOFTWARE Computer hardware and software 1,875 1,617 Software development costs 2,351 2,110 Furniture and fixtures 125 109 Office equipment 25 25 Leasehold improvements -- 31 -------- -------- 4,376 3,892 Accumulated depreciation and amortization (2,862) (2,007) -------- -------- Total equipment, fixtures and software 1,514 1,885 OTHER ASSETS -- 25 -------- -------- TOTAL ASSETS $ 3,076 $ 9,034 ======== ======== LIABILITIES AND STOCKHOLDERS' EQUITY CURRENT LIABILITIES Accounts payable $ 434 $ 554 Accrued severance 363 -- Accrued acquisition costs 500 -- Accrued payroll and other current liabilities 388 398 Deferred revenues 1,225 111 -------- -------- TOTAL CURRENT LIABILITIES 2,910 1,063 COMMITMENTS AND CONTINGENCIES STOCKHOLDERS' EQUITY Preferred stock, $.001 par value; 4,000,000 shares authorized, no shares issued or outstanding Common stock, $.001 par value; 40,000,000 shares authorized; 9,195,000 shares and 6,625,000 shares issued as of December 31, 2000 and 1999, respectively 9 7 Additional capital 36,820 26,220 Deferred sales discount (1,334) (1,648) Accumulated deficit (34,303) (16,608) Treasury stock, 644,000 shares, at cost (1,026) -- -------- -------- Total stockholders' equity 166 7,971 -------- -------- TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY $ 3,076 $ 9,034 ======== ========
The accompanying notes are an integral part of these consolidated financial statements. F-3 CLAIMSNET.COM INC. AND SUBSIDIARY CONSOLIDATED STATEMENTS OF OPERATIONS (In Thousands, Except Per Share Data)
Year Ended December 31, ----------------------------------- 2000 1999 1998 ---- ---- ---- REVENUES $ 1,602 $ 414 $ 155 Cost of revenues 3,274 2,418 1,321 -------- ----- ------ Gross loss (1,672) (2,004) (1,166) -------- ------- ------ OPERATING EXPENSES: Research and development 2,019 981 531 Purchased research and development and write-off of purchased intangibles and other assets 8,430 -- -- Amortization of intangibles 412 -- -- Selling, general and administrative 5,297 5,086 2,658 -------- ------ ------ LOSS FROM OPERATIONS (17,830) (8,071) (4,355) -------- ------- ------ OTHER INCOME (EXPENSE) Interest expense-affiliate (6) (142) (314) Interest expense-bridge debt -- (967) -- Interest income 141 322 6 -------- ------- ------ Total Other Income (Expense) 135 (787) (308) -------- ------- ------ NET LOSS $(17,695) $(8,858) $(4,663) ======== ======= ======= NET LOSS PER SHARE - BASIC AND DILUTED $ (2.16) $ (1.52) $ (1.41) ======== ======= ======= WEIGHTED AVERAGE COMMON SHARES OUTSTANDING (Basic and diluted) 8,174 5,811 3,309 ======== ======= =======
The accompanying notes are an integral part of these consolidated financial statements. F-4 CLAIMSNET.COM INC. AND SUBSIDIARY CONSOLIDATED STATEMENT OF CHANGES IN STOCKHOLDERS' EQUITY (DEFICIT) (In Thousands)
Total Number of Common Additional Deferred Sales Accumulated Treasury Stockholders' Shares Stock Capital Discount Deficit Stock Equity (Deficit) --------- ------ ---------- -------------- ----------- -------- ---------------- Balances at January 1, 1998 3,111 $ 3 $ 1,407 $ -- $ (3,087) $ -- $ (1,677) Sale of stock for cash 514 1 2,475 -- -- -- 2,476 Net loss -- -- -- -- (4,663) -- (4,663) ----- --- ------- ------- -------- ------- -------- Balances at December 31, 1998 3,625 4 3,882 -- (7,750) -- (3,864) ----- --- ------- ------- -------- ------- -------- Issuance of common stock with Series A 12% Subordinated Notes 125 -- 850 -- -- -- 850 Non-employee stock option grants -- -- 155 -- -- -- 155 Issuance of common stock warrants -- -- 121 -- -- -- 121 Sale of common stock in initial public offering 2,875 3 19,512 -- -- -- 19,515 Issuance of warrants in connection with development agreement -- -- 1,700 (1,700) -- -- -- Amortization of deferred sales discount -- -- -- 52 -- -- 52 Net loss -- -- -- -- (8,858) -- (8,858) ----- --- ------- ------- -------- ------- -------- Balances at December 31, 1999 6,625 7 26,220 (1,648) (16,608) -- 7,971 ----- --- ------- ------- -------- ------- -------- Sale of common stock 1,370 1 4,226 -- -- -- 4,227 Issuance of common stock for asset purchase 1,200 1 6,374 -- -- -- 6,375 Return to treasury of stock issued for asset purchase (888) -- -- -- -- (1,415) (1,415) Issuance from treasury of common stock for settlement of acquired obligation 244 -- -- -- -- 389 389 Amortization of deferred sales discount -- -- -- 314 -- -- 314 Net loss -- -- -- -- (17,695) -- (17,695) ----- --- ------- ------- -------- ------- -------- Balances at December 31, 2000 8,551 $ 9 $36,820 $(1,334) $(34,303) $(1,026) $ 166 ===== === ======= ======= ======== ======= ========
The accompanying notes are an integral part of these consolidated financial statements. F-5 CLAIMSNET.COM INC. AND SUBSIDIARY CONSOLIDATED STATEMENT OF CASH FLOWS (In Thousands)
Year Ended December 31, 2000 1999 1998 -------- -------- -------- CASH FLOWS FROM OPERATING ACTIVITIES: Net loss $(17,695) $(8,858) $(4,663) Adjustments to reconcile net loss to net cash used by operating activities: Depreciation and amortization 855 882 707 Common stock issued for services -- 276 -- Provision for doubtful accounts 27 65 34 Amortization of intangibles 412 -- -- Purchased research and development and write off of purchased intangibles 8,415 -- -- Write-off of property and equipment 15 -- -- Amortization of debt discount and deferred financing costs -- 958 -- Offering costs written off -- -- 412 Amortization of deferred sales discount 313 52 -- Changes in operating assets and liabilities, net of acquisitions: Accounts receivable (236) (121) (62) Prepaid expenses and other current assets 51 (154) (9) Accounts payable and other accrued expenses (130) 525 587 Accrued severance 363 -- -- Deferred revenues 1,114 111 -- -------- ------- ------- Net cash used in operating activities (6,496) (6,264) (2,994) -------- ------- ------- CASH FLOWS FROM INVESTING ACTIVITIES: Purchase of marketable securities -- (5,757) -- Proceeds from sale of marketable securities 3,832 1,925 -- Purchase of intangible assets and research and development (2,978) -- -- Employee loan 25 -- (25) Purchase of property and equipment (499) (1,500) (95) Capitalized cost of internal software development -- (161) -- -------- ------- ------- Net cash provided by (used in) investing activities 380 (5,493) (120) -------- ------- ------- CASH FLOWS FROM FINANCING ACTIVITIES: Increase in line of credit - affiliate -- 911 1,530 Payments of notes and line of credit - affiliate -- (5,234) -- Issuance of Series A 12% Subordinated Notes -- 892 -- Payment of Series A 12% Subordinated Notes -- (1,000) -- Payment of contingent notes -- (350) -- Proceeds from issuance of common stock 4,227 19,515 2,025 Payments of deferred offering costs -- -- (792) -------- ------- ------- Net cash provided by financing activities 4,227 14,734 2,763 -------- ------- ------- NET INCREASE (DECREASE) IN CASH AND EQUIVALENTS (1,889) 2,977 (351) CASH AND EQUIVALENTS, BEGINNING OF YEAR 3,021 44 395 -------- ------- ------- CASH AND EQUIVALENTS, END OF YEAR $ 1,132 $ 3,021 $ 44 ======== ======= =======
F-6 CLAIMSNET.COM INC. AND SUBSIDIARY CONSOLIDATED STATEMENTS OF CASH FLOWS (CONTINUED) (In Thousands)
Year Ended December 31, 2000 1999 1998 -------- -------- -------- SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION NON CASH TRANSACTIONS: Common stock issued in connection with Series A 12% Subordinated Notes $ -- $ 850 $ -- ======== ======= ======= Conversion of portion of line of credit - affiliate to equity $ -- $ -- $ 450 ======== ======= ======= Common stock warrants issued in connection with development and services agreement $ -- $ 1,700 $ -- ======== ======= ======= Issuance of common stock for intangible assets and research and development $ 6,375 $ -- $ -- ======== ======= ======= Return to treasury of stock issued for asset purchase $ (1,415) $ -- $ -- ======== ======= ======= Issuance from treasury of common stock for settlement of acquired obligation $ 389 $ -- $ -- ======== ======= =======
The accompanying notes are an integral part of these consolidated financial statements. F-7 CLAIMSNET.COM INC. AND SUBSIDIARY NOTES TO CONSOLIDATED FINANCIAL STATEMENTS DECEMBER 31, 2000, 1999 AND 1998 NOTE A--ORGANIZATION, BACKGROUND AND LIQUIDITY Claimsnet.com inc. ("Claimsnet.com" or the "Company") is a Delaware corporation originally formed in April 1996. The Company owns, operates and licenses software used for processing medical insurance claims on the internet. In 1996, the Company acquired all the internet software, licenses, intellectual property rights and technology developed by an affiliated company, American Medical Finance ("American Medical Finance"). American Medical Finance is affiliated through common stockholders, and as a stockholder of the Company. On June 2, 1997, the Company acquired Medica Systems, Inc., which owned the CyberClaim software source code previously licensed to the Company for use in conjunction with the software purchased from American Medical Finance. The Company completed an initial public offering in April 1999, for 2,875,000 shares of common stock at $8.00 per share including the underwriter's overallotment of 375,000 shares. During 2000, the Company made private placements of 1,370,000 shares of common stock at prices between $3.00 and $3.50 per share. In April 2000, the Company formed a wholly owned subsidiary, HealthExchange.com (HECOM), to purchase certain research and development and other assets from VHx Company. (See Note C) In March 2001, the Company entered into a twelve-month loan agreement with American Medical Finance, Inc., a related party, in the amount of $400,000 bearing interest at 9.5% per annum. In March 2001, the Company completed the private placement of 400,000 shares of common stock at $1.75 per share for net proceeds of $630,000. On April 12, 2001, the Company entered into an agreement with McKessonHBOC ("McKesson") that superseded its October 1999 agreement. Under the new agreement, McKesson acquired 1,514,285 shares of common stock at $1.75 per share, for net proceeds of $2,650,000, and paid a one-time fee of $200,000. The stock purchase warrant originally issued to McKesson in October 1999 was cancelled in April 2001. Additionally, the new agreement eliminates certain Claimsnet operating requirements to provide dedicated system hosting, operations, and support services, and eliminates future McKesson license and subscription fees. The new agreement retains provisions for the payment of transaction fees by McKesson and expands the scope of transactions that may be processed under the license and the scope of other business opportunities which Claimsnet and McKesson may jointly pursue. The Company has generated losses since inception and has had negative cash flow from operations. Through 2000, the Company generated minimal revenues and relied on an initial public offering, private equity placements, and funding from an affiliate to fund its operations and development activities. In 2001 the Company has acquired additional funding from a one year loan, a private placement of common stock, and a sale to McKesson of shares of common stock in conjunction with a contract restructuring. The Company's business strategy has been refined to focus on existing partnerships and selective growth opportunities with near-term profit potential and long-term benefit in order to improve near-term financial performance. Management believes that available cash resources, together with anticipated revenues from operations and the proceeds of recently completed funding will be sufficient to satisfy the Company's capital requirements through December 31, 2001. This belief is based on the existence of net working capital of $377,000 at December 31, 2000, excluding deferred revenue of $1,225,000 and a $500,000 disputed liability which has been accrued and which the Company does not expect to require a cash settlement in 2001; plus net cash proceeds of $3,880,000 received from transactions described above, less (i)$3,849,000 of net cash operating losses for 2001 and (ii)$90,000 for capital expenditures. The projected net cash operating losses for 2001 are based upon annualized actual results for January and February 2001, and a further loss of $477,000 for the effect of the restructured agreement with McKesson. Some of these assumptions may prove to be incorrect. As a result, financial resources may not be sufficient to satisfy capital requirements for this period. The Company is currently seeking additional funding. Management cannot predict whether this additional financing will be in the form of equity or debt, or be in another form. Necessary additional capital may not be available on a timely basis or on acceptable terms, if at all. In any of these events, the Company may be unable to implement current plans for expansion or to repay debt obligations as they become due. If current plans can not be implemented, the Company may be forced to significantly reduce operating expenses to a point which would be detrimental to business operations, curtail research and development activities, sell certain business assets or discontinue some or all of the Company's business operations, or take other actions which could be detrimental to business prospects and result in charges which could be material to the Company's operations and financial position. In the event that any future financing should take the form of equity securities, the holders of the common stock may experience additional dilution. F-8 CLAIMSNET.COM INC. AND SUBSIDIARY NOTES TO CONSOLIDATED FINANCIAL STATEMENTS DECEMBER 31, 2000, 1999 AND 1998 NOTE B--SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES CONSOLIDATION The accompanying financial statements include the accounts of Claimsnet.com and its subsidiary. All material intercompany accounts and transactions from that date have been eliminated in consolidation. CASH EQUIVALENTS Cash equivalents include time deposits, certificates of deposits and all highly liquid debt instruments with original maturities of 3 months or less when purchased. MARKETABLE SECURITIES Management determines the appropriate classification of securities at the time of purchase and reevaluates such designations as of each balance sheet date. In 1999 the Company classified all investments in debt securities as held-to-maturity because the Company had the positive intent and perceived ability to hold the securities to maturity. Held-to-maturity securities are stated at amortized cost, adjusted for amortization of premiums and accretion of discounts to maturity. Such amortization is included in investment income. Interest on securities classified as held-to-maturity is included in investment income. FAIR VALUE OF FINANCIAL INSTRUMENTS Accounts receivable are considered to be equivalent to market value, as stated net of allowance for doubtful accounts. REVENUE RECOGNITION The Company enters into services agreements with its customers to provide access to its hosted software platform for processing of customer transactions, including base level support. The customers are not entitled to delivery of the Company's software at any time during or at the end of the agreements. The customers access the Company's hosted software platform via the internet with no additional software required to be located on the customer's systems. Customers pay transaction fees and pay time and materials charges for support above the base level and one customer pays monthly hosting fees for dedicated servers and databases. Customer agreements also may (i) provide for development fees related to private labeling of the Company's software platform (ie access to the Company's servers through a web site which is in the name of and/or has the look and feel of the customer's other web sites) and some customization of the offering and business rules, and (ii) have periodic license fees. The Company accounts for its service agreements by combining the contractual revenues from development, license and support fees and recognizing the revenue ratably over the estimated period covered by the development and license. The Company does not segment these services and use the contractual allocation to recognize revenue because it does not have objective and reliable evidence of fair value to allocate the arrangement consideration to the deliverables in the arrangement. The Company recognizes service fees for transactions, above base support and monthly hosting as the services are performed. SOFTWARE FOR SALE OR LICENSE The Company begins capitalizing costs incurred in developing a software product once technological feasibility of the product has been determined. Software development costs capitalized through December 31, 2000 were $2,351,000. Capitalized computer software costs include direct labor, labor-related costs and interest. The software is amortized over its expected useful life of 3 years. Amortization expense related to internally developed software totaled $292,000, $673,000 and $629,000 for 2000, 1999 and 1998, respectively. Management periodically evaluates the recoverability, valuation, and amortization of capitalized software costs to be sold, leased, or otherwise marketed. As part of this review, management considers the expected undiscounted future net cash flows. If they are less than the stated value, capitalized software costs will be written down to fair value. F-9 CLAIMSNET.COM INC. AND SUBSIDIARY NOTES TO CONSOLIDATED FINANCIAL STATEMENTS DECEMBER 31, 2000, 1999 AND 1998 NOTE B--SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED) EQUIPMENT, FIXTURES AND INTERNAL USE SOFTWARE Equipment and fixtures are stated at cost. Depreciation is provided using the straight line method over the estimated useful lives of the depreciable assets which range from three to seven years. Maintenance and repairs are expensed as incurred. Significant replacements and betterments are capitalized. Depreciation expense related to equipment and fixtures totaled $304,000, $141,000 and $57,000 in 2000, 1999 and 1998, respectively. Effective January 1, 1999 the Company adopted Statement of Position 98-1, "Accounting for the Costs of Computer Software Developed or Obtained for Internal Use." Software purchases of $79,000 in 2000 and $559,000 in 1999, related to software utilized in several of the Company's internal support systems, and internal development costs in 1999 of $161,000 were capitalized in compliance with this Statement. The software is amortized over its expected useful life of three years. Amortization expense related to costs of software developed or obtained for internal use totaled $258,000, $68,000 and $21,000 in 2000, 1999 and 1998. Leasehold improvement costs are capitalized and amortized over the remaining lease term. Costs incurred in 2000 and 1999 were $3,000 and $42,000, respectively. Amortization totaled $34,000 and $11,000 in 2000 and 1999, respectively. INTANGIBLE ASSETS The purchase price of HECOM assets acquired from VHx in April 2000 (see Note C) was allocated to intangible assets and research and development based upon appraisals provided by an independent valuation firm. The appraisals utilized standard appraisal methodologies, projecting cash flows over the estimated useful lives of the assets, net of additional investment needs, and considering the stage of completion of software development projects. Intangible assets included trademarks and non-compete agreements. Initial results of the valuation valued intangibles at $3,700,000 and amortization commenced using straight-line method of depreciation, with a four year expected life. Amortization of $412,000 was recorded in 2000 prior to total impairment. Subsequent re-valuations, due to contractual and strategic revisions resulted in a charge for the full impairment of intangibles. INCOME TAXES Deferred income taxes are provided for the tax effects of differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. Valuation reserves are provided for the deferred tax assets when realization of the assets is not reasonably assured. LOSS PER SHARE Basic net loss per share is computed by dividing net loss by the weighted average number of common shares outstanding for the period. Diluted net loss per share is computed by dividing net loss by the weighted average number of common shares and dilutive common stock equivalents outstanding for the period. Common stock equivalents, representing options and warrants totaling approximately 2,329,000 shares at December 31, 2000 are not included in the diluted loss per share as they would be antidilutive. As such, diluted and basic loss per share are the same. COMPREHENSIVE INCOME In June 1997, the FASB issued Statement of Financial Accounting Standards No. 130, "Reporting Comprehensive Income" (SFAS 130). SFAS 130 requires that total comprehensive income (loss) be disclosed with equal prominence as net income (loss). The Company's comprehensive loss is equal to its net losses for all periods presented. F-10 CLAIMSNET.COM INC. AND SUBSIDIARY NOTES TO CONSOLIDATED FINANCIAL STATEMENTS DECEMBER 31, 2000, 1999 AND 1998 NOTE B--SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED) STOCK-BASED COMPENSATION The Company accounts for employee stock options in accordance with Accounting Principles Board Opinion No. 25 (APB 25), "Accounting for Stock Issued to Employees". Under APB 25, the Company recognizes no compensation expense related to employee stock options when options are granted with exercise prices at the estimated fair value of the stock on the date of grant, as determined by the Board of Directors. The Company provides the supplemental disclosures required by Financial Accounting Standard No. 123 (FAS 123), "Accounting for Stock-Based Compensation", which assumes the recognition of compensation expense based on the fair value of options on the grant date. The Company follows the provisions of FAS 123 and Emerging Issues Task Force No. 96-18, "Accounting for Equity Instruments That Are Issued to Other Than Employees for Acquiring or in Connection with Selling Goods or Services", for equity instruments granted to nonemployees. SEGMENT REPORTING The Company operated during all periods in a single segment when applying the management approach defined in Statement of Financial Accounting Standards No. 131, "Disclosures about Segments of an Enterprise and Related Information". CONCENTRATION OF CREDIT RISK AND SIGNIFICANT CUSTOMERS One customer represented 43% and 21% of the Company's total revenue for 2000 and 1999, respectively. The Company does not generally require collateral. Management provides an allowance for doubtful accounts which reflects its estimate of uncollectible receivables. USE OF ESTIMATES AND ASSUMPTIONS Management uses estimates and assumptions in preparing financial statements in accordance with generally accepted accounting principles. Those estimates and assumptions affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities, and the reported amounts of revenues and expenses. Actual results could vary from the estimates that were used. RECENT ACCOUNTING PRONOUNCEMENTS In June 1998, the Financial Accounting Standards Board issued Standard No. 133 "Accounting for Derivative Instruments and Hedging Activities". SFAS 133 establishes accounting and reporting standards for derivative instruments, including certain derivative instruments embedded in other contracts, (collectively referred to as derivatives) and for hedging activities. SFAS 133 is effective for all fiscal quarters of all fiscal years beginning after June 15, 2000. In management's opinion, Claimsnet's adoption of SFAS 133 will not have a material impact on its financial position or results of operations. ADVERTISING COSTS Advertising costs are expensed as incurred. Advertising expense totaled $230,000, $579,000 and $99,000 for the years ended December 31, 2000, 1999 and 1998, respectively. RECLASSIFICATION Certain 1999 and 1998 amounts have been reclassified to conform with the 2000 presentation. F-11 CLAIMSNET.COM INC. AND SUBSIDIARY NOTES TO CONSOLIDATED FINANCIAL STATEMENTS DECEMBER 31, 2000, 1999 AND 1998 NOTE C--HEALTHEXCHANGE ASSET ACQUISITION On April 18, 2000, Claimsnet.com, through its newly formed, wholly-owned subsidiary, HealthExchange.com, Inc., a Delaware corporation ("HECOM"), executed an asset purchase agreement (the "Asset Purchase Agreement") with VHx Company, a Nevada corporation ("VHx"), whereby HECOM acquired selected properties and assets of VHx, including the HealthExchange.com name and HealthExchange.com trademarks, related to all efforts of VHx to develop products and services designed to use Internet technology to facilitate and improve interaction between physicians, health plans, employers and their members in exchange for (i) 1,200,000 shares of common stock, par value $.001 per share, which were held in escrow, (ii) the assumption of certain liabilities, and (iii) the cancellation of a $2 million advance owed by VHx to the Company. In addition, the Company issued additional consideration comprised of 13,767 shares of Series A 8% Convertible Redeemable Preferred Stock , stated value of $725.60 per share, and 13,767 shares of Series B 8% Convertible Redeemable Preferred Stock, stated value of $725.60 per share (the Preferred Stock). The Preferred Stock is contingent upon the completion of specified milestones, described below, by March 31, 2001. The Preferred Stock is either (i) cancelled in the event that the milestones are not satisfied or (ii) convertible into common stock in the event that the milestones are satisfied. The performance milestone for the Series A Preferred Stock is the existence of 1,000,000 lives covered by the business operation attributable to assets acquired. The performance milestone for the Series B Preferred Stock is the recognition of revenue from 6,000,000 member-months attributable to assets acquired. Neither performance milestone was satisfied by March 31, 2001. Therefore, both series of Preferred Stock will be cancelled. One of the significant assets acquired, an agreement with John Deere Health ("JDH") for development of an Enterprise Care Management System, required the parties to negotiate mutually agreeable business terms for delivery of the system after acceptance of beta testing. The Company and JDH were unable to reach such an agreement. Additionally, the asset purchase agreement contained provisions related to the satisfaction of pre-existing financial obligations due to JDH by VHx within 180 days of the acquisition and also contained certain provisions in the event that such obligations were not satisfied by VHx. VHx was unable to satisfy the JDH obligations within the 180 days. As a result, the Company exercised its rights pursuant to the asset purchase agreement and reclaimed 888,000 of the 1.2 million shares of common stock back into treasury stock. The fair market value of the common shares returned to the Company was $1,415,000 as of the date of the agreement. Contemporaneously, the Company, HECOM, and JDH reached an agreement in December 2000 by which the parties agreed to cancel all pre-existing agreements and JDH agreed to forgive all unpaid obligations in exchange for 244,000 shares of Claimsnet common stock which was valued at $389,000 at the date of the agreement. The Company allocated the purchase price to the various assets acquired using standard valuation methodologies, projecting cash flows over the estimated useful lives of the assets, net of additional investment needs, and considering the stage of completion of software development projects. A blended state and federal effective tax rate of 40% was applied to the cash flows. These cash flows were discounted to their present value using discount rates between 60 and 70 percent, reflective of development products at similar risk. The initial results valued the intangible assets at $3,700,000 after charges to in-process technology of $6,154,000, recorded in the quarter ended June 30, 2000. In November 2000, as a result of revised expectations due to the inability to negotiate mutually agreeable business terms with JDH, the Company reevaluated the HealthExchange asset purchase using the same valuation methodologies and determined that there had been an impairment of the assets acquired. The revised valuation valued the intangible assets acquired at $400,000. In December 2000, in recognition of the sluggish growth in potential customers, and future cash requirements to continue product development, the Company decided to postpone further development of the HealthExchange(TM) products and terminate the Atlanta facility. The residual value of intangible assets was written off. As a result of the revised valuation of intangible assets acquired and the revised agreement and return of escrowed shares described above, the Company F-12 CLAIMSNET.COM INC. AND SUBSIDIARY NOTES TO CONSOLIDATED FINANCIAL STATEMENTS DECEMBER 31, 2000, 1999 AND 1998 NOTE C--HEALTHEXCHANGE ASSET ACQUISITION (CONTINUED) recognized charges of $3,288,000 for impairment of assets, $15,000 for write off of fixed assets and a reduction to purchased research and development expense of $1,026,000. Amortization of $412,000 related to the acquisition has been recognized during the twelve months ended December 31, 2000. The Company and JDH also entered into a separate business agreement whereby the Company will continue to provide limited services to JDH and its clients at fair market value for a period not to exceed eighteen months. The following table reflects the impact of HECOM upon the Company's current year operations: Revenue $ 58,000 ----------- Cost of sales 21,000 Research and development 944,000 Purchased research and development and write-off of intangible assets 8,430,000 Amortization of intangibles 412,000 Selling, general and administrative 900,000 ----------- Total operating expenses 10,707,000 ----------- NET LOSS $10,649,000 ===========
NOTE D--MARKETABLE SECURITIES Securities classified in 1999 as held-to-maturity debt securities were converted to cash in 2000 to fund operations. Of the $3,832,000 outstanding at December 31, 1999, $2,232,000 matured and $1,600,000 were sold prior to maturity, incurring a $7,000 loss. NOTE E--INCOME TAXES There was no provision or benefit for federal or state income taxes for the two years ended December 31, 2000. The differences between the actual income tax benefit and the amount computed by applying the statutory federal tax rate to the loss before incomes taxes are as follows:
December 31, 2000 1999 ---- ---- Benefit computed at federal statutory rate $(6,016,300) $(3,012,000) Permanent differences 60,591 167,000 State income tax benefit, net of federal tax effect at state statutory rate (520,249) (263,000) Increase in valuation reserve 6,475,958 3,108,000 ----------- ----------- $ -- -- =========== ===========
F-13 CLAIMSNET.COM INC. AND SUBSIDIARY NOTES TO CONSOLIDATED FINANCIAL STATEMENTS DECEMBER 31, 2000, 1999 AND 1998 NOTE E--INCOME TAXES (CONTINUED) The components of the deferred tax assets and liabilities are as follows:
December 31, 2000 1999 ---- ---- Deferred tax assets: Net operating loss carryforwards $ 9,135,592 $ 6,058,525 Intangible assets 3,263,712 -- Fixed assets -- 29,738 Allowance for doubtful accounts 10,721 9,871 ----------- ----------- Total deferred tax assets 12,410,025 6,098,134 Valuation allowance for deferred tax assets (12,362,092) (5,886,134) ----------- ----------- Deferred tax liabilities: Equipment and fixtures (47,933) (212,000) ----------- ----------- Deferred income tax assets, net of deferred tax liabilities $ -- $ -- =========== ===========
At December 31, 2000, the Company has approximately $24,700,000 of federal net operating loss carryforwards, which begin to expire in 2011. The Company has approximately $24,700,000 of state net operating losses as of December 31, 2000. At December 31, 2000, the Company has recorded a valuation allowance against its net deferred tax assets because management believes that, after considering all the available objective evidence, the realization of the assets is not reasonably assured. As a result of stock issued during 2000, the Company may have experienced an ownership change as defined in Internal Revenue Code section 382. As a result, the Company's ability to use net operating loss carryforwards and certain other deductions to offset future taxable income may be limited. The annual limit is an amount equal to the value of the Company at the date of an ownership change multiplied by approximately 5%. F-14 CLAIMSNET.COM INC. AND SUBSIDIARY NOTES TO CONSOLIDATED FINANCIAL STATEMENTS DECEMBER 31, 2000, 1999 AND 1998 NOTE F--RELATED PARTY TRANSACTIONS In 2000, American Medical Finance, a related party, acquired 100,000 shares of Claimsnet.com at $3.00 per share. As a result, American Medical Finance owns a total 482,000 shares of the Company's common stock or 5.6% of the outstanding shares at December 31, 2000. In March 2001, the Company entered into a loan agreement in the amount of $400,000 with American Medical Finance, Inc. Principal and interest, at 9.5% per annum on the unpaid principal, are due in March 2002. NOTE G--STOCKHOLDERS' EQUITY In 2000, the Company sold 1,370,000 shares of common stock in private placements to various accredited investors at prices between $3.00 and $3.50 per share for proceeds of $4,227,000. In connection with the financings, the Company issued warrants to purchase 270,000 shares of common stock at a price of $4.60 for a period of one year and warrants to purchase 270,000 shares of common stock at a price of $5.60 for a period of two years. The Company also issued 1,200,000 shares valued at $6,376,000 for the purchase of assets from VHx Company. Subsequent adjustments pursuant to provisions of the asset purchase agreement resulted in the return of 888,000 shares to treasury stock at a value of $1,415,000 and the issuance from treasury stock of 244,000 shares at a value of $389,000 to JDH in forgiveness of all the unpaid obligations of VHx Company to JDH under a development agreement. In October 2000, upon completion of the Company's annual meeting and pursuant to the terms of the Directors' Plan, options exercisable for an aggregate of 25,000 shares of common stock were granted under the Directors' Plan. The option exercise price of $2.375 was the fair market value of the common stock on the date the options were granted. In June 2000, the Company granted certain employees warrants to purchase 178,250 shares of common stock at $3.00 per share, the market price on the date of grant. The warrants expire on the 10th anniversary of the grant, and become exercisable one year from the grant date. In 1999 the Company issued $1,000,000 of Series A 12% Subordinated Notes (see Note C) along with 125,000 shares of common stock for net proceeds of approximately $892,000 (net of closing fees and cash financing expenses). The notes and all accrued interest were due upon the earlier of the first day subsequent to the close of the Company's initial public offering or one year from the date of issuance. The 125,000 shares of common stock issued with the Notes were valued at $850,000 ($6.80 per share) and were recorded at that amount with a corresponding charge to debt discount. The Notes were repaid in April 1999 from the proceeds of the initial public offering which occurred on April 6, 1999 and the debt discount was amortized over the period from issuance to repayment, resulting in an $850,000 charge to interest expense. Debt issuance costs of $108,000 were capitalized as deferred financing costs and amortized to interest expense over the period the Notes were outstanding. In connection with the Company's initial public offering ("IPO"), 2,875,000 shares of common stock were sold in April and May 1999 at a price of $8.00 per share. The net proceeds to the Company (after deducting the underwriting discounts and offering expenses payable by the Company) were approximately $19.5 million. The Company also issued underwriter warrants to purchase an aggregate of 250,000 shares of common stock at a price of $13.20 per share, exercisable between the first and fourth anniversaries of the date of grant. In connection with the initial public offering, the Company granted employees and non-employees options to purchase 420,000 shares of common stock under the 1997 Stock Option Plan, 27,000 of which were granted to non-employees. Total shares authorized for grant under the 1997 Plan are 1,307,692. The options were granted at a price of $8.00 or $8.80 per share, expire on the tenth anniversary of the grant, and the employee options vest ratably over the first four F-15 CLAIMSNET.COM INC. AND SUBSIDIARY NOTES TO CONSOLIDATED FINANCIAL STATEMENTS DECEMBER 31, 2000, 1999 AND 1998 NOTE G--STOCKHOLDERS' EQUITY (CONTINUED) anniversaries of the grant. The non-employee options were granted for past services, are fully vested, and become exercisable ratably over the first four anniversaries of the grant. The options granted to non-employees required a charge to earnings equal to the imputed value of the options as of March 31, 1999, which was estimated at $5.73 per option using the Black-Scholes valuation method (using the following assumptions: life of four years, risk free rate of 7 percent, no dividends during the term, and a volatility of 0.8). This resulted in a one-time expense of $155,000. The Company also granted non-employee directors options to purchase 80,000 shares of common stock under the Non-Employees and Director's Plan. The non-employee director options were issued with an exercise price of $8.00 per share. In May 1999, the board of directors voted to accelerate the vesting of the directors' option shares from one year to immediate vesting. The Company did not record a charge for the acceleration as it determined the modification resulted in a de minimus change in fair value. All options expire on the tenth anniversary of the date of the grant. Total shares authorized for grant under this Plan are 111,538. Also in connection with the initial public offering, the Company issued warrants to purchase an aggregate of 20,000 shares of common stock at a price of $8.80 per share, exercisable between the first and fifth anniversaries of the date of grant. The warrants are fully vested and were issued for past services and, therefore, required a charge to earnings equal to the imputed value of the warrants, which was estimated at $6.07 per share using the Black-Scholes valuation method (using the following assumptions: life of four years, risk free rate of 7 percent, no dividends during the term, and a volatility of 0.8). Therefore, the Company recognized a one-time expense of $121,400 as of March 31, 1999 related to the issuance of warrants. In November 1999, the Company granted certain employees and non-employees options to purchase 62,500 shares of common stock under the 1997 Stock Option Plan, 5,000 of which were granted to a non-employee. The options provide for an exercise price of $8.00 per share, the market price on the date of grant, expire on the tenth anniversary of the grant, and vest ratably over the first four anniversaries of the grant. The options granted to the non-employee were valued at $5.06 per share based on the Black-Scholes valuation method (using the following assumptions: life of four years, risk free rate of 7 percent, no dividends during the term, and a volatility of 0.8). The expense is being recognized ratably over the four year vesting period. In October 1999 Claimsnet.com entered into a Development and Services Agreement (the "Agreement") with McKesson, whereby the Company has granted McKesson a multi-year, non-exclusive, private label license for certain of the Company's proprietary technology and has agreed to manage McKesson's operation of the system on a fully outsourced basis. In connection with the Agreement, the Company issued McKesson a warrant to purchase 819,184 shares of common stock at an exercise price of $7.00 per share. The fair market value of the Company's Common Stock on the date the warrant was granted was $4.25 a share. The warrant is immediately exercisable and can be exercised at any time through October 27, 2002. The imputed value of the warrant, which was estimated at approximately $1,700,000 using the Black-Scholes valuation method (using the following assumptions: life of three years, risk free rate of 6 percent, no dividends during the life, and a volatility of 0.76), is being amortized ratably over the three year life of the agreement as a direct reduction of revenues generated by the Agreement. (See Note J-Subsequent Events, for April 2001 restructuring of the agreement.) During 1998, the Company consummated a private offering of 20 units, each unit consisting of 11,967 shares of common stock, for aggregate gross proceeds of $1,000,000 in the form of $550,000 cash and $450,000 debt cancellation related to a portion of the line of a credit-affiliate. Also, during the period from July to October 1998, the Company consummated an additional private offering of 29.5 units, each unit consisting of 9,295 shares of the Company's common stock for aggregate gross proceeds of $1,475,000. In July 1998, the Company issued warrants to acquire an aggregate of 11,154 shares of common stock to a non-employee. Such warrants are exercisable for a period of four years commencing one year following the initial public offering at a price per share equal to 110% of the initial public offering price of $8.00 per share. F-16 CLAIMSNET.COM INC. AND SUBSIDIARY NOTES TO CONSOLIDATED FINANCIAL STATEMENTS DECEMBER 31, 2000, 1999 AND 1998 NOTE G--STOCKHOLDERS' EQUITY (CONTINUED) STOCK BASED COMPENSATION ARRANGEMENTS The Company's 1997 stock option plan provides for the issuance to employees, officers, directors, and consultants of incentive and/or non-qualified options to acquire 1,307,692 shares of common stock. The options are to be issued at fair market value, as defined, and generally vest 25% each year from the date of the option grant. Options generally expire 10 years from the date of grant and automatically expire on termination of employment. The Company's Directors' Plan provides for the issuance to non-employee directors of options to acquire 111,538 shares of common stock. The options are to be issued at fair market value, as defined, and vest on the first anniversary from the date of the option grant. Options generally expire 10 years from the date of grant and automatically expire one year from the date upon which the participant ceases to be a Director. The following table summarizes the stock option activity related to the Company:
NUMBER OF PER SHARE WEIGHTED AVERAGE SHARES EXERCISE EXERCISE PRICE --------- --------- ---------------- Outstanding options-January 1, 1999 -- $ -- $ -- Granted 562,500 7.00-8.80 8.03 Cancelled (41,500) 8.00 8.00 ------- ---------- ------ Outstanding options-December 31, 1999 521,000 7.00-8.80 8.03 Granted 220,000 2.38-8.00 7.36 Expired (213,462) 7.00-8.00 7.44 -------- ---------- ------ Outstanding options-December 31, 2000 527,538 $2.38-8.80 $ 7.67 ======== ========== ======== Options exercisable-December 31, 2000 150,463 $7.00-8.80 $ 7.94 ======== ========== ========
Outstanding options as of December 31, 2000, had a weighted average remaining contractual life of approximately 8.7 years and a weighted average fair value at issuance of $4.66 based on the Black-Scholes value method. Options available for grant under the Company's 1997 Stock Option Plan at December 31, 2000, were 885,154, and under the Company's Directors' Plan were 6,538. The following table summarizes the warrant activity related to employee grants:
NUMBER OF PER SHARE WEIGHTED AVERAGE SHARES EXERCISE EXERCISE PRICE --------- --------- ---------------- Outstanding employee warrants-January 1, 2000 -- -- -- Granted 178,250 $ 3.00 $ 3.00 Expired (33,800) 3.00 3.00 -------- ---------- -------- Outstanding employee warrants-December 31, 2000 144,450 $ 3.00 $ 3.00 ======== ========== ======== Employee warrants exercisable-December 31, 2000 -- -- -- ======== ========== ========
F-17 CLAIMSNET.COM INC. AND SUBSIDIARY NOTES TO CONSOLIDATED FINANCIAL STATEMENTS DECEMBER 31, 2000, 1999 AND 1998 NOTE G--STOCKHOLDERS' EQUITY (CONTINUED) Outstanding employee warrants as of December 31,2000, had a weighted average contractual life of approximately 9.4 years and a weighted average fair value at issuance of $2.53 based on the Black-Scholes value method. SFAS No. 123 requires the disclosure of pro forma net loss and net loss per share as if the Company had adopted the fair value method since inception. The Company's calculations for employee grants were made using a Black-Scholes model using the following assumptions: expected life, four years; risk free rate of 5.64 to 7 percent; no dividends during the expected term; and a volatility of 0.8 to 1.355. If the computed values of all the Company's stock based awards were amortized to expense over the vesting period of the awards as specified under SFAS No. 123, net loss would have been $17,226,000 ($2.11 per basic and diluted share) for the year ended December 31, 2000 and $9,200,000 ($1.58 per basic and diluted share) for the year ended December 31, 1999. NOTE H--COMMITMENTS AND CONTINGENCIES The Company leases office space under a lease agreement that expires on December 31, 2001. Rent expense totaled $492,000, $248,000 and $116,000 for the years ended December 31, 2000, 1999 and 1998, respectively. Rent expense commitments for the year ended December 31, 2001 are $193,000. From time to time in the normal course of business, the Company is a party to various matters involving claims or possible litigation. One such dispute relates to a $500,000 amount associated with the acquisition of HealthExchange assets in April 2000, which is accrued in current liabilities as of December 31, 2000. Management believes the ultimate resolution of these matters will not have a material adverse effect on the Company's financial position or results of operations. NOTE I--RETIREMENT PLAN The Company utilizes a third party for the processing and administration of its payroll and benefits. Under the agreement, the third party is legally a co-employer of all of the Company's employees, which are covered by the third party's 401(k) retirement plan. Under the plan, employer contributions are discretionary. The Company has made no contributions to the plan through December 31, 2000. NOTE J--SUBSEQUENT EVENTS In January 2001, the Company unveiled a refined business strategy focused on existing partnerships and selective growth opportunities with near-term profit potential and long-term benefit in order to improve near-term financial performance and preserve capital. The Company's new business plan does not allocate resources for the additional development of the HealthExchange(TM) product at this time. In January 2001, the Company granted employees options to purchase an aggregate of 385,500 shares of common stock under the 1997 Stock Option Plan. The options were issued at a price of $1.25 per share, the market price on the date of grant, expire on the tenth anniversary of the grant, and vest on the first anniversary of the grant. In March 2001, the Company entered into a loan agreement with American Medical Finance, Inc., a related party, in the amount of $400,000. Principal and interest, at 9.5% per annum on the unpaid principal, are due in March 2002. In March 2001, the Company completed the private placement of 400,000 shares of common stock to an accredited investor at $1.75 per share for net proceeds of $630,000. On April 12, 2001, the Company entered into an agreement with McKessonHBOC ("McKesson") that superseded its October 1999 agreement. Under the new agreement, McKesson acquired 1,514,285 shares of common stock at $1.75 per F-18 CLAIMSNET.COM INC. AND SUBSIDIARY NOTES TO CONSOLIDATED FINANCIAL STATEMENTS DECEMBER 31, 2000, 1999 AND 1998 NOTE J--SUBSEQUENT EVENTS (CONTINUED) share, for net proceeds of $2,650,000, and paid a one-time fee of $200,000. The stock purchase warrant originally issued to McKesson in October 1999 was cancelled in April 2001. Additionally, the new agreement eliminates certain Claimsnet operating requirements to provide dedicated system hosting, operations, and support services, and eliminates future McKesson license and subscription fees. The new agreement retains provisions for the payment of transaction fees by McKesson and expands the scope of transactions that may be processed under the license and the scope of other business opportunities which Claimsnet and McKesson may jointly pursue. No registration rights were granted to McKesson for the shares acquired. Pursuant to the October 1999 agreement, through March 31, 2001 the Company (a) received payments in the aggregate amount of $2,202,000 (of which approximately $1,200,000 was received in December 2000) related to development and license fee provisions, which were recorded as deferred revenue and were being accounted for by amortizing the total amount, received and to be received, of approximately $4,500,000 ratably over the expected contract life of 65 months, (b) expended $428,000 related to development and implementation costs, which was recorded as software development costs on the balance sheet, and was being amortized ratably over the expected contract period of 65 months, and (c)recorded in equity a capital contribution and an offsetting deferred sales discount in the amount of $1,700,000 for the imputed value of the warrant, which was being amortized ratably over the expected contract period of 65 months. As of March 31, 2001 the Company had amortized $1,187,000 of the deferred revenue into revenue, $112,000 of the deferred development costs into cost of revenues, and $445,000 of the deferred sales discount as a reduction of revenues, leaving balances of $1,015,000, $316,000 and $1,255,000, respectively. As of March 31, 2001, the Company accrued the $200,000 payment, received in April in connection with the contract modification, as additional deferred revenue. As a result of the April 2001 modification of the 1999 contract with McKesson, as of March 31, 2001 the Company offset the remaining deferred sales discounts against the remaining deferred revenue. Although the new agreement with McKesson permits them to continue to use the software which the Company had developed specifically to process their transactions, there was no requirement for them to use the system and no ability to project future transaction revenues. F-19 ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE On August 10, 1999 we discontinued the engagement of King Griffin & Adamson P.C., which served as our independent auditors since 1996. The report issued by King Griffin & Adamson P.C. on our financial statements for the year ended December 31, 1998 did not contain an adverse opinion nor a disclaimer of opinion, and was not qualified or modified as to uncertainty, audit scope or accounting principles. Based on the recommendation of our Audit Committee of the Board of Directors, the Board approved the decision to change independent auditors. In connection with its audit for the year ended December 31, 1998 and through August 10, 1999, there were no disagreements with King Griffin & Adamson P.C. on any matter of accounting principles or practices, financial statement disclosure, or auditing scope or procedure, which disagreements, if not resolved to the satisfaction of King Griffin & Adamson P.C., would have caused King Griffin & Adamson P.C. to make reference thereto in their Report on the financial statements for such years or such interim periods. King Griffin & Adamson P.C. furnished us with a letter addressed to the Commission stating whether or not it agrees with the above statements. A copy of such letter, dated August 16, 1999, is filed as Exhibit 16.1 to our Report on Form 8-K, dated August 10, 1999. We engaged Ernst & Young LLP as our new independent auditors as of August 10, 1999. Our Board of Directors approved the engagement on May 21, 1999. Through August 10, 1999, we verbally consulted with Ernst & Young LLP only regarding issues related to 1999 matters and, specifically, to matters related to a bridge financing transaction, matters related to the issuance of stock options and stock warrants to non-employees, and general matters related to the presentation of interim financial results. The recommendations of Ernst & Young LLP were adopted by us and disclosed in our Reports on Form 10-Q dated May 17, 1999 and August 16,1999. The previous independent auditors were verbally consulted on the matter related to a bridge financing transaction and were not in disagreement with the views of management and Ernst & Young LLP. We had allowed Ernst & Young LLP to review the aforementioned Report on Form 8-K before it was filed with the Commission. Ernst & Young LLP has not furnished us with a letter containing any new information, clarification, or disagreement with the information set forth herein. 32 PART III ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT MANAGEMENT Our directors and executive officers, their ages, and their positions held with us are as follows:
NAME AGE POSITION ---- --- -------- Bo W. Lycke .................. 55 Chairman of the Board of Directors, President, Chief Executive Officer, and Class I Director Paul W. Miller ............... 45 Senior Vice President, Chief Operating Officer, and Chief Financial Officer Patricia Davis ............... 45 Senior Vice President of Sales and Operations Jeff P. Baird ................ 39 Senior Vice President of Technology Abbas R. Kafi ................ 48 Senior Vice President and Chief Technology Officer Ward L. Bensen .............. 58 Class I Director, Treasurer Robert H. Brown, Jr. ......... 47 Class I Director Sture Hedlund ................ 62 Class II Director John C. Willems, III ......... 45 Class II Director Wescott W. Price, III ........ 61 Class II Director
The following is certain summary information with respect to our executive officers and directors. BO W. LYCKE has served as our Chairman of the Board of Directors, President, and Chief Executive Officer since our inception. In 1990, Mr. Lycke founded American Medical Finance for the purpose of financing and processing medical accounts receivable and, since such time, has served as the Chairman of the Board of Directors thereof. During the period from 1983 to 1990, Mr. Lycke was involved in a variety of entrepreneurial undertakings in the fields of satellite antenna manufacturing, precious metal scrap recovery, and independent radio programming production. He also has extensive experience as a director of several private companies. In 1972, Mr. Lycke founded, and from 1973 to 1983, was president and director, of Scanoil, Inc., a company engaged in domestic and international oil futures trading, as well as chartering and operating ocean-going oil tankers. From 1971 to 1983 Mr. Lycke also served as a President and director of various domestic operating subsidiaries of the Volvo Automotive/Beijer Group, the indirect owner of Scanoil, Inc. PAUL W. MILLER is a Certified Public Accountant and has served as our Chief Operating Officer since October 2000 and Chief Financial Officer since November 1997. From September 1995 to October 1997, Mr. Miller served as Chief Financial Officer and Vice President of Quality Management Services for Sweetwater Health Enterprises, Inc., a NCQA accredited credentials verification organization and commercial software firm serving the managed healthcare industry. From April 1991 to May 1995, Mr. Miller served as Chief Financial Officer and Secretary of Quantra Corporation, formerly, Melson Technologies, an information systems company serving the commercial real estate industry. From January 1984 to February 1991, Mr. Miller held a variety of financial and operations management positions in the independent clinical laboratory industry with SmithKline Beecham Clinical Laboratories, Inc. and Nichols Institute Laboratories North Texas, Ltd. Mr. Miller began his career in 1978 in the audit division of Arthur Andersen & Company. PATRICIA DAVIS has served as our Senior Vice President of Business Development and joined us in October 1999. She has over 15 years of health industry management experience. From December 1996 to September 1999 Ms. Davis was the director of quality management services for Caredata.com, a leading healthcare intelligence provider and Internet content destination. From November 1993 to November 1996, Ms. Davis was the region sales/service manager for Quest Diagnostics, one of the leading clinical and research development laboratories. Prior to Quest Diagnostics, Ms. Davis held positions managing operations, client services, sales and multi-site information systems for several of the largest companies in the $35 billion clinical laboratory industry, including Nichols Institute and SmithKline Beecham Clinical Laboratories. Ms. Davis began her career in 1980 at International Clinical Laboratories. JEFF P. BAIRD has served as our Senior Vice President of Technology since joining the Company in June 2001. He has over 15 years technical leadership experience in health care technology business planning, product development, systems engineering and integration, quality assurance, and IT infrastructure design, implementation and operational support. From July 2000 to June 2001Mr. Baird was Senior Manager of Web Architecture for First Consulting Group (FCG) providing strategic technical leadership to large health delivery and health plan organizations. From December 1995 to July 2000 Mr. Baird was Vice President of Information Technology for Caredata.com, a leading healthcare intelligence provider and Internet content destination. Other prior positions of Mr. Baird include Director, Product Development for S2 Systems, a commercial software development company specializing in Electronic Data Interchange (EDI), and Director, Systems Development and Support for Equifax Healthcare Administrative Services, a healthcare cost management company. 33 ABBAS R. KAFI served as our Chief Technology Officer from August 2000 until his cessation of employment in June 2001 and was our Vice President of Information Systems from July 1998 until August 2000. Mr. Kafi has over 17 years of software development and information systems management experience. From August 1996 to July 1998 Mr. Kafi served as Senior Director, Business Systems Development and Operations for Citizens Communications, Inc. in Dallas, Texas, where he was responsible for supporting services for 1.2 million customers nationwide. From September 1995 to August 1996, Mr. Kafi served as Executive Director of Information Technology for PrimeCo Personal Communications, L.P., Dallas, Texas, during its start up period. At PrimeCo, Mr. Kafi was responsible for designing, developing, and implementing a state of the art client/server environment capable of supporting 4.0 million subscribers nationwide. Mr. Kafi's prior experience includes software development and management positions with Value-Added Communication, USDATA Corporation, Harris Corporation, and American Micro Products. WARD L. BENSEN has been a director since April 1996 and has served as our Treasurer since inception. He has served as a director, and since June 1994, as Senior Vice President of American Medical Finance where he is primarily responsible for its marketing efforts in the western United States and receivables acquisitions nationwide. From March 1993 until September 1993, Mr. Bensen was Vice President of Investment, and marketed investment programs for both Prudential Securities and Shearson Lehman Brothers, and, from 1991 to 1993, provided specialized investment banking services as a partner of John Casey and Associates, a contract wholesale securities marketing firm. From 1984 to 1991, he served as Division Vice President for Jones International Securities and prior thereto, held various positions with Shearson American Express, The Safeco Insurance Co. and Procter & Gamble. ROBERT H. BROWN, JR. has served as a director of our Company since April 1996 and had been a director of American Medical Finance since 1990. Since January 1999, Mr. Brown has served as President and Chief Executive Officer of Frost Securities, Inc. From July 1998 to January 1999, Mr. Brown served as President and Chief Executive Officer of RHB Capital, LLC, a Dallas-based private investment firm. From 1990 to 1998, Mr. Brown was employed by Dain Rauscher, Inc., a regional investment banking and brokerage firm, as an Executive Vice President. Mr. Brown was Senior Vice President of TM Capital Corporation during 1989. From 1985 to 1989, Mr. Brown was a Vice President of Thompson McKinnon Securities, where he was responsible for all corporate finance activities in the southwestern United States. Mr. Brown also serves as a director of Emerson Radio Inc. STURE HEDLUND has served as a director of our Company since 1998. Since January 1987, Mr. Hedlund has also served as Chairman of the board of directors of Scandinavian Merchant Group AB, a Swedish corporation engaged in venture capital investing. From 1993 to April 5, 2001, Mr. Hedlund served as a director of Ortivus AB, a public company engaged in the business of medical technology, and was a director of Ortivus Medical AB, a subsidiary of Ortivus AB, engaged in the manufacture of heart monitoring devices. JOHN C. WILLEMS, III has served as a director of our Company since 1998 and has been our legal counsel since April 1996. Since September 1993, Mr. Willems has been an attorney with the law firm of McKinley, Ringer & Zeiger, PC, in Dallas, Texas, practicing in the area of business law. From January 1992 to August 1993, Mr. Willems was an attorney in the law firm of Settle & Pou, PC, also located in Dallas, Texas. WESTCOTT W. PRICE, III has served as a director of our Company since April 1999. Mr. Price is the former President, Chief Executive Officer and Vice Chairman of the board of directors of FHP International Corporation ("FHP"), a publicly-held managed healthcare company. During his fifteen-year tenure at FHP, it's annual revenues grew from under $50 million to over $4 billion. In February 1997, FHP was acquired for $2.1 billion. Before joining FHP in 1981, Mr. Price served as President and Chief Executive Officer of Wm. Flaggs, Inc., a restaurant chain. From 1970 to 1973, Mr. Price was the Chief Operating Officer of California Medical Centers, a publicly-held long-term care and retail pharmacy-operating company in Los Angeles. Mr. Price has in the past served on various boards, including Health Maintenance Life Insurance Company and Talbert Medical Management Company, a physician practice management company with revenues of $460 million. He currently serves as a director of Scripps Health, a non-profit hospital operating company, and of StorComm, Inc., as well as other private companies. Mr. Price is a member of the Advisory Board for the School of Medicine at the University of California-Irvine. STRUCTURE OF THE BOARD OF DIRECTORS The board of directors is divided into two classes with each class consisting of, as nearly as possible, one-half of the total number of directors constituting the entire board of directors. The board of directors currently consists of three members in class I and three members in class II. The Class I directors currently are Messrs. Lycke, Bensen, and Brown, whose terms of expire at the 2002 annual meeting of stockholders. The Class II directors currently are Messrs. Hedlund, Price, and Willems, whose terms expire at the 2001 annual meeting of stockholders. Each class is elected for a term of two years. There are no family relationships among our directors and executive officers. 34 ITEM 11. EXECUTIVE COMPENSATION The following table sets forth the compensation paid or accrued by us for services rendered in all capacities during the years ended December 31, 2000, 1999 and 1998 by the chief executive officer and each of the other most highly compensated executive officers of our Company who received compensation of at least $100,000 during the year ended December 31, 2000.
SUMMARY COMPENSATION TABLE ANNUAL COMPENSATION SECURITIES UNDERLYING OPTIONS/ NAME AND PRINCIPAL POSITION YEAR SALARY BONUS WARRANTS --------------------------- ---- ------ ----- ---------- Bo W. Lycke ................................................. 2000 $263,173 $11,891 22,500 Chairman of the Board of Directors, President, 1999 258,390 -- 20,000 and Chief Executive Officer 1998 108,333 -- -- Terry A. Lee(1) ............................................ 2000 231,729 3,868 -- Former Executive Vice President and Chief Operating Officer 1999 140,865 15,000 20,000 1998 125,000 -- 109,189 Paul W. Miller(2) ......................................... 2000 130,192 7,723 12,000 Senior Vice President, Chief Operating Officer, and Chief 1999 106,345 31,487 50,000 Financial Officer 1998 100,000 200,000 -- Abbas R. Kafi .............................................. 2000 139,462 2,759 32,000 Senior Vice President and Chief Technology Officer 1999 125,000 15,512 12,000 1998 55,288 -- -- Patricia Davis(3) ........................................... 2000 109,680 3,482 12,000 Senior Vice President of Sales and Operations 1999 19,961 850 8,000
(1) Mr. Lee served as Executive Vice President and Chief Operating Officer from September 1997 to June 2000. Mr. Lee's salary for the year ended December 31, 2000 includes $162,500 pursuant to a severance agreement. (2) Mr. Miller was appointed Chief Operating Officer in October 2000. (3) Ms. Davis joined us in October 1999. The following table provides information on the value of each of the named executive officers' options at December 31, 2001: AGGREGATED OPTION/WARRANT EXERCISES IN THE LAST FISCAL YEAR AND FISCAL YEAR-END OPTION/WARRANT VALUES
NUMBER OF SECURITIES VALUE OF UNEXERCISED UNDERLYING UNEXERCISED IN THE MONEY OPTIONS/ OPTIONS/WARRANTS AT WARRANTS AT SHARES DECEMBER 31, 2000 (#) DECEMBER 31, 2000 ($) ACQUIRED VALUE ----------------------- --------------------- ON EXERCISE REALIZED EXERCISABLE/ EXERCISABLE/ NAME (#) ($) UNEXERCISABLE UNEXERCISABLE ---- ----------- -------- ----------------------- ---------------------- Bo W. Lycke -- -- 5,000 / 37,500 -- / -- Terry A. Lee -- -- 114,189 / -- (1) -- / -- Paul W. Miller -- -- 12,500 / 49,500 -- / -- Abbas R. Kafi -- -- 3,000 / 39,000 -- / -- Patricia Davis -- -- 2,000 / 18,000 -- / --
(1) Mr. Lee forfeited all unexercisable options upon termination of employment in June 2000. Calculated based upon the fair market value share price of $1.25 on December, 2000, less the share price to be paid upon exercise. There is no guarantee that if and when these options are exercised they will have this value. 35 DIRECTOR COMPENSATION During the year ended December 31, 2000, directors received no compensation for their services other than reimbursement of expenses relating to attending meetings of the board of directors. DIRECTORS' STOCK OPTION PLAN (THE "DIRECTORS' PLAN") In April 1998, we adopted the Directors' Plan to tie the compensation of outside (non-employee) directors to future potential growth in our earnings, and encourage them to remain on our board of directors, to provide them with an increased incentive to make significant and extraordinary contributions to our long-term performance and growth, and to align their interests through the opportunity for increased stock ownership, with the interests of our stockholders. Only outside directors are eligible to receive options under the Directors' Plan. An aggregate of 111,538 shares of common stock are reserved for issuance to participants under the Directors' Plan. In the event of any changes in the common stock by reason of stock dividends, split-ups, recapitalization, mergers, consolidations, combinations, or other exchanges of shares and the like, appropriate adjustments will be made by the board of directors to the number of shares of common stock available for issuance under the Directors' Plan, the number of shares subject to outstanding options, and the exercise price per share of outstanding options, as necessary substantially to preserve option holders' economics interests in their options. In April 1999, upon the closing of the initial public offering, options exercisable for an aggregate of 80,000 shares of common stock were granted under the Directors' Plan. The option exercise price of $8.00 was not less than the fair market value of a share of the issued common stock on the date the options were granted. The options became fully vested in May 1999. In October 2000, upon completion of our annual meeting, options exercisable for an aggregate of 25,000 shares of common stock were granted under the Directors' Plan. The option exercise price of $2.375 was the fair market value of a share of the outstanding common stock on the date the options were granted. The period for exercising an option ends ten years from the date the option is granted. With the exception of those options issued in April 1999 which were fully exercisable in May 1999, fifty percent of the options granted become exercisable on the first anniversary of the date of grant with the remainder becoming exercisable on the second anniversary of the date of grant. During the period an option is exercisable, the option holder may pay the purchase price for the share subject to the option in cash or, under some circumstances, make this payment by surrender of shares of common stock, valued at their then fair market value on the date of exercise, or by a combination of cash and shares. Shares subject to an option which has not been exercised at the expiration, termination, or cancellation of an option will be available for future grants under the Directors' Plan, but shares surrendered as payment for an option, as described above will not again be available for use under the Directors' Plan. Unless earlier terminated, the Directors' Plan will terminate on December 31, 2007. EMPLOYMENT AGREEMENTS In April 1997, we entered into an employment agreement with Mr. Lycke providing that, commencing with the public offering on April 6, 1999 and expiring on December 31, 2002, Mr. Lycke will serve as our Chairman of the board of directors, President, and Chief Executive Officer at a base salary equal to $250,000, increasing by 5% per annum subject to increase by the board of directors, and any bonuses as may be determined by the board of are directors. In the event of a change in control of our Company, as defined in the employment agreement, all options previously granted to Mr. Lycke which are unvested automatically vest immediately. Upon a termination of Mr. Lycke's employment following a change in control, unless Mr. Lycke voluntarily terminates his employment for other than listed reasons described in the employment agreement, we are required to pay Mr. Lycke a lump sum severance payment equal to one-half his then current annual salary. In addition, if Mr. Lycke's employment is terminated (1) upon his death, (2) by us due to disability, (3) by us without cause, or (4) by Mr. Lycke upon our default or an unremedied adverse change in duties, as defined in the agreement, we are required to pay Mr. Lycke a lump sum severance payment equal to the balance of his salary for the remainder of the term computed at the then current annual rate. Mr. Lycke may terminate his employment at any time upon at least 30 days written notice to us. Upon the termination of such agreement, Mr. Lycke is subject to a non-compete, non-disturbance, and non-interference provisions for one year. In September 1996, we entered into an employment agreement, which was amended in March 1997, March 1998 and June 1999, with Mr. Lee, then our Executive Vice President and Chief Operating Officer, providing that, for an initial 36 term of two years subject to annual extension, Mr. Lee will devote his full business time and efforts to our Company for a base salary per annum of $150,000 plus bonus for achieving designated milestones. In addition and according to this agreement, Mr. Lee was issued 46,385 shares of common stock on March 26, 1997. Mr. Lee was entitled to participate in insurance and other benefit plans established by us for our employees. In January 1998, Mr. Lee was granted an option to purchase an aggregate of 109,189 shares of common stock at a price of $3.89 per share from Messrs. Lycke and Brown and American Medical Finance. In June 2000, pursuant to a severance agreement with Mr. Lee, Mr. Lee resigned as an executive officer and member of the board of directors and provided us a general release related to his employment. He received severance of $162,500 and a general release. Mr. Lee was restricted from competing with us for a period of six months from termination. 1997 STOCK OPTION PLAN In April 1997, our board of directors and stockholders adopted the 1997 Plan. The 1997 Plan provides for the grant of options to purchase up to 1,307,692 shares of common stock to our employees, officers, directors, and consultants. Options may be either "incentive stock options" or non-qualified options under the Federal tax laws. Incentive stock options may be granted only to our employees, while non-qualified options may be issued to non-employee directors, consultants, and others, as well as to our employees. The 1997 Plan is administered by "disinterested members" of the board of directors or the compensation committee, who determine, among other things, the individuals who shall receive options, the period during which the options may be exercised, the number of shares of common stock issuable upon the exercise of each option, and the option exercise price. Subject to some exceptions, the exercise price per share of common stock subject to an incentive option may not be less than the fair market value per share of common stock on the date the option is granted. The per share exercise price of the common stock subject to a non-qualified option may be established by the board of directors, but shall not, however, be less than 85% of the fair market value per share of common stock on the date the option is granted. The aggregate fair market value of common stock for which any person may be granted incentive stock options which first become exercisable in any calendar year may not exceed $100,000 on the date of grant. No stock option may be transferred by an optionee other than by will or the laws of descent and distribution, and, during the lifetime of an optionee, the option will be exercisable only by the optionee. In the event of termination of employment or engagement other than by death or disability, the optionee will have no more than three months after such termination during which the optionee shall be entitled to exercise the option to the extent exercisable at the time of termination, unless otherwise determined by the board of directors. Upon termination of employment or engagement of an optionee by reason of death or permanent and total disability, the optionee's incentive stock options remain exercisable for one year to the extent the options were exercisable on the date of such termination. Options may not be granted under the 1997 Plan beyond a date ten years from the effective date of the 1997 Plan. Subject to some exceptions, holders of incentive stock options granted under the 1997 Plan cannot exercise these options more than ten years from the date of grant. Options granted under the 1997 Plan generally provide for the payment of the exercise price in cash and may provide for the payment of the exercise price by delivery to us of shares of common stock already owned by the optionee having a fair market value equal to the exercise price of the options being exercised, or by a combination of these methods. Any unexercised options that expire or that terminate upon an employee's ceasing to be employed by us become available again for issuance under the 1997 Plan. The following table summarizes the stock option activity related to the Company:
NUMBER OF PER SHARE WEIGHTED AVERAGE SHARES EXERCISE EXERCISE PRICE ---------- --------- ---------------- Outstanding options-January 1, 1999 -- $ -- $ -- Granted 562,500 7.00-8.80 8.03 Cancelled (41,500) 8.00 8.00 -------- ----------- -------- Outstanding options-December 31, 1999 521,000 7.00-8.80 8.03 Granted 220,000 2.38-8.00 7.36 Expired (213,462) 7.00-8.00 7.44 -------- ----------- -------- Outstanding options-December 31, 2000 527,538 $ 2.38-8.80 $ 7.67 ======== =========== ======== Options exercisable-December 31, 2000 150,463 $ 7.00-8.80 $ 7.94 ======== =========== ========
37 Outstanding options as of December 31, 2000, had a weighted average remaining contractual life of approximately 8.7 years and a weighted average fair value at issuance of $4.66 based on the Black-Scholes value method. The following table summarizes the warrant activity related to employee grants:
NUMBER OF PER SHARE WEIGHTED AVERAGE SHARES EXERCISE EXERCISE PRICE -------- --------- ---------------- Outstanding employee warrants-January 1, 2000 Granted 178,250 $3.00 $ 3.00 Expired (33,800) 3.00 3.00 ------- ----- ------ Outstanding employee warrants-December 31, 2000 144,450 $3.00 $ 3.00 ======= ===== ====== Employee warrants exercisable-December 31, 2000 - - - ======= ===== ======
Outstanding employee warrants as of December 31,2000, had a weighted average contractual life of approximately 9.4 years and a weighted average fair value at issuance of $2.53 based on the Black-Scholes value method. No options or warrants were exercised during 2000. The following table sets forth information with respect to options and warrants granted during 2000 to the individuals set forth in the Summary Compensation Table above: INDIVIDUAL GRANTS
Number of % of Total Potential Realizable Securities Options and Value at Assumed Annual Underlying Warrants Rates of Stock Price Options and Granted to Exercise Appreciation for Option Alternative Warrants Employees in Price or Warrant Term(1) Grant Date Name Granted Fiscal Year ($/Share) Expiration Date 5% 10% Value (2) ------------------------------------------------------------------------------------------------------------------------------------ Bo W. Lycke 22,500 6.0% $ 3.00 June 2, 2010 $ 42,450 $107,578 $ - Terry A. Lee - - - - - - - Paul W. Miller 12,000 3.2 3.00 June 2, 2010 22,640 57,375 - Abbas R. Kafi 20,000 5.4 8.00 April 18, 2010 100,623 255,000 - 12,000 3.2 3.00 June 2, 2010 22,640 57,375 - Patricia Davis 12,000 3.2 3.00 June 2, 2010 22,640 57,375 -
(1) In accordance with the rules of the Securities and Exchange Commission (the "Commission"), shown are the gains or "option spreads" that would exist for the options or warrants granted, based on the assumed rates of annually compounded stock price appreciation of 5% and 10% from the date the option or warrant was granted over the full option or warrant term, without adjustment for the present valuation of such potential future option or warrant spread. (2) The alternative grant date value is based upon the actuarial value of the options at the date of grant as estimated using the Black-Sholes method. Our calculations for employee grants were made using a Black Scholes valuation model using the following average assumption: expected life, four years; risk free rate of 5.64 to 7%; no dividends during the expected term; and a volatility of 0.8 to 1.355. We account for our stock based awards to employees using the intrinsic value method in accordance with APB 25, "Accounting for Stock Issued to Employees," and its related interpretations. DIRECTORS' LIMITATION OF LIABILITY Our certificate of incorporation and by-laws include provisions to (1) indemnify the directors and officers to the fullest extent permitted by the Delaware General Corporation Law, including circumstances under which indemnification is 38 otherwise discretionary and (2) eliminate the personal liability of directors and officers for monetary damages resulting from breaches of their fiduciary duty, except for liability for breaches of the duty of loyalty, acts, or omissions not in good faith or which involve intentional misconduct or a knowing violation of law, violations under Section 174 of the Delaware General Corporation Law, or for any transaction from which the director derived an improper personal benefit. We believe that these provisions are necessary to attract and retain qualified persons as directors and officers. We provide directors and officers liability insurance coverage of $10,000,000. Insofar as indemnification for liability arising under the Securities Act of 1933 may be permitted to our directors, officers, and controlling persons as stated in the foregoing provisions or otherwise, we have been advised that, in the opinion of the Commission, this indemnification is against public policy as expressed in the Securities Act of 1933 and is, therefore, unenforceable. ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT The following table sets forth, as of December 31, 2000, o each person who is known by us to be the beneficial owner of more than 5% of the outstanding common stock, o each director and each of our executive officers, named in the compensation table under Item 11, o all our directors and executive officers as a group, and o the number of shares of common stock beneficially owned by each such person and such group and the percentage of the outstanding shares owned by each such person and such group. As used in the table below and elsewhere in this report, the term BENEFICIAL OWNERSHIP with respect to a security consists of sole or shared voting power, including the power to vote or direct the vote, and/or sole or shared investment power, including the power to dispose or direct the disposition, with respect to the security through any contract, arrangement, understanding, relationship, or otherwise, including a right to acquire such power(s). Except as otherwise indicated, the stockholders listed in the table have sole voting and investment powers with respect to the shares indicated. Beneficial ownership includes shares issuable upon exercise of options exercisable within sixty days of December 31, 2000. Except as otherwise noted below, the address of each of the persons in the table is c/o Claimsnet.com inc., 12801 N. Central Expressway, Suite 1515, Dallas, Texas 75243. Unless otherwise noted, beneficial ownership consists of sole ownership, voting, and investment power with respect to all common stock shown as beneficially owned by them.
SHARES BENEFICIALLY OWNED ---------------------------------------------- NAME AND ADDRESS NUMBER OF PERCENT OF BENEFICIAL OWNER SHARES OWNED ------------------- ---------- ------- Bo W. Lycke (1) (2) (6) ......................................................... 1,737,993 20.3% Terry A. Lee (6) (12) ........................................................... 160,573 1.9 Paul W. Miller (5) .............................................................. 14,100 * Abbas R. Kafi (8) .............................................................. 3,000 * Ward L. Bensen (1) (3) .......................................................... 701,904 8.2 Robert H. Brown, Jr. (1) (4) (6) ............................................... 802,354 9.4 Sture Hedlund (7) ............................................................... 117,008 1.4 John C. Willems, III (9) ........................................................ 14,277 * Westcott W. Price III (10) ...................................................... 55,000 * Patricia Davis (11) ............................................................. 2,100 * American Medical Finance ........................................................ 481,603 5.6 12801 N. Central Expressway Suite 1515, Dallas, Texas 75243 McKesson HBOC, Inc. (14) ........................................................ 819,184 9.6 One Post Street San Francisco, California 94104 Sinclair Restructuring Fund ..................................................... 1,000,000 11.7 One Post Street San Francisco, California 94104 All our directors and executive officers as a group (10) persons) (13) ........................................................ 2,416,638 29.0
39 * Less than one percent. (1) Includes 481,603 shares of common stock owned of record by American Medical Finance, 16,333 shares of which are subject to an option it granted to Terry A. Lee. Mr. Lycke serves as the Chairman of the Board of Directors of American Medical Finance. Messrs. Lycke, Bensen, and Brown are stockholders of American Medical Finance owning 71.1%, 11.2%, and 17.7% of the outstanding capital stock of American Medical Finance, respectively. Therefore, Messrs. Lycke, Bensen, and Brown may be deemed to beneficially own the shares of common stock owned by American Medical Finance. (2) Consists of 1,246,390 shares of common stock owned of record by Mr. Lycke, 74,325 shares of which are subject to an option he granted to Terry A. Lee, 10,000 shares which Mr. Lycke has the right to acquire, and 481,603 shares of Common Stock owned of record by American Medical Finance. (3) Consists of 195,301 shares of common stock owned of record by Mr. Bensen, 25,000 shares which Mr. Bensen has the right to acquire, and 481,603 shares of common stock owned of record by American Medical Finance. (4) Consists of 310,751 shares of common stock owned of record by Mr. Brown, 18,531 shares of which are subject to an option he granted to Terry A. Lee, 10,000 shares which Mr. Brown has the right to acquire, and 481,603 shares of common stock owned of record by American Medical Finance. (5) Consists of 1,600 shares of common stock owned of record by Mr. Miller and 12,500 shares which Mr. Miller has the right to acquire. (6) Includes options granted by Bo Lycke, Robert H. Brown, Jr. and American Medical Finance to Terry A. Lee to purchase an aggregate of 109,189 shares of common stock at an exercise price of $3.88 per share. (7) Consists of 82,157 shares of common stock owned of record by Mr. Hedlund, 12,884 shares of common stock owned by Scandinavian Export Services, AB and 11,967 shares of common stock owned by Scandinavian Merchant Group, AB, and 10,000 shares which Mr. Hedlund has the right to acquire. (8) Consists of 3,000 shares which Mr. Kafi has the right to acquire. (9) Consists of 9,277 shares of common stock owned of record by Mr. Willems and 5,000 shares which Mr. Willems has the right to acquire. (10) Consists of 25,000 shares of common stock owned of record by Mr. Price and 30,000 shares which Mr. Price has the right to acquire. (11) Consists of 100 shares of common stock owned of record by Ms. Davis and 2,000 shares which Ms. Davis has the right to acquire. (12) Consists of 46,384 shares of common stock owned of record by Mr. Lee, 5,000 shares which Mr. Lee has the right to acquire from the Company and 109,189 shares which Mr. Lee has the right to acquire from Mr. Lycke, Mr. Brown and American Medical Finance. (13) Includes an aggregate of 115,275 shares which they have a right to acquire. (14) Consists of 819,184 shares which they have a right to acquire. ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS Bo W. Lycke, our Chairman of the Board, President, and Chief Executive Officer, Ward L. Bensen, a Director, and Robert H. Brown, Jr., a Director, are, respectively, the Chairman of the Board, a Director and Senior Vice President, and a Director, and owners, respectively, of 71.1%, 11.2%, and 17.7% of the outstanding capital stock of American Medical Finance. They devoted minimal time to winding up the business and affairs of American Medical Finance for approximately three months following the initial public offering. On July 31, 1996, we acquired all of the Internet software, licenses, intellectual property rights, and technology developed by American Medical Finance in exchange for a promissory note in the amount of $3,740,000. On September 19, 1997, American Medical Finance reduced the principal amount of the note to $2,000,000 and contributed the remaining $1,740,000 in principal amount of this note to our capital. The note accrued interest of 9.50% per annum and was collateralized by all of our Internet software, intellectual property rights, Internet technology and technology rights, including software development costs. We utilized a portion of the net proceeds of the April 6, 1999 initial public offering to satisfy this obligation. Upon the consummation of the acquisition transaction with American Medical Finance, it agreed to provide us with a credit line of up to $2,000,000 to facilitate additional development of our services and technology. During June 1998, American Medical Finance purchased nine units in our private placement, each unit consisting of 11,967 shares of common stock, or an aggregate of 107,704 shares. As consideration for the purchase, American Medical Finance cancelled $450,000 of the principal balance then outstanding under the credit line. Part of the proceeds of the initial public offering was used to repay the outstanding principal of $2,254,000 of the line of credit and $273,000 of accrued interest. In March 2001, we borrowed $400,000 pursuant to a loan agreement with American Medical Finance, Inc. Principal and interest, at 9.5% per annum on the unpaid principal, are due in March 2002. 40 On April 12, 2001, we entered into an agreement with McKesson which superseded our October 1999 agreement. Under the 1999 Development and Services Agreement we (a) issued a three year warrant to McKesson to purchase 819,184 shares of common stock at $7.00 per share, (b) received fees for the development of a private label claims processing and statement processing internet application for McKesson, (c) received one of three scheduled license fee payments for use of the McKesson internet application, (d) received monthly support fees for dedicated private label system hosting, operation and support services commencing at the date of acceptance of the McKesson internet application, and (e) received transaction fees for claims and statements processed by the McKesson internet application. Under the new agreement, (a) McKesson acquired 1,514,285 shares of common stock at $1.75 per share for net proceeds of $2,650,000, (b) McKesson paid a one-time fee of $200,000 to us, (c) the stock purchase warrant originally issued to McKesson in October 1999 was cancelled, (d) McKesson retained a license to use the McKesson internet application to process statements and claims without additional license fee payments, (e) McKesson agreed to eliminate the need for dedicated private label system hosting, operation, and support services and we agreed to provide standard system hosting, operation, and support serviced without the payment of future monthly support fees, (f) we will receive fees for transactions processed by the McKesson internet application, (g) we and McKesson agreed to use best efforts to expand the scope of the license agreement to include additional claim types, and (h) we and McKesson agreed to use best efforts to pursue other unspecified business opportunities. Under a separate agreement, we have contracted for McKesson processing services to print patient statements and submit claims to payers for certain of our customers, for which we pay McKesson fees for some transactions and share third party revenues for other transactions. Pursuant to the 1999 Development and Services Agreement, we recorded cash payments received for development and license fees as deferred revenue and amortized the total expected contract payments to revenue ratably over the life of the contract. We recorded, in shareholders' equity, the imputed value of the warrant as deferred sales discount and amortized the amount as an offset to revenues ratably over the life of the license. During the year ended December 31, 2000, we received cash payments of $2,004,000 and recorded net revenue of $681,000 (net of $314,000 in deferred sales discount amortization). Pursuant to the processing services agreement, we recorded $411,000 of expense related to fees paid to McKesson and $79,000 of shared revenue for fees received from McKesson during the year ended December 31, 2000. We have no other customers for which we are providing services substantially similar to those under the Development and Services Agreement. The fees paid to and received from McKesson pursuant to the processing services agreement are similar to fees with non-affiliates. All future transactions between us and our officers, directors, and 5% stockholders will be on terms no less favorable to us than can be obtained from unaffiliated third parties and will be approved by a majority of our independent and disinterested directors. 41 PART IV ITEM 14. EXHIBITS AND FINANCIAL STATEMENT SCHEDULE The following documents are filed as part of this report: (a) Consolidated Financial Statements: See Index to Consolidated Financial Statements at Item 8 on page 28 of this report (b) Financial Statement Schedule: See page 43 of this report The following exhibits are filed herewith: 2.1* Asset purchase agreement, dated as of March 23, 2000, related to the acquisition of VHX. 3.1** Certificate of Incorporation 3.1(a)** Form of Certificate of Amendment to Certificate of Incorporation 3.2** Bylaws, as amended 4.1** Form of warrant issued to Cruttenden Roth Inc. 4.2** Form of Common Stock Certificate 10.1** Employment Agreement, dated as of April 8, 1997 between Claimsnet.com inc. and Bo W. Lycke 10.2** 1997 Stock Option Plan, as amended through October 19, 2000 10.2(a)*** Amendment dated October 20, 2000 to 1997 Stock Option Plan 10.3** Form of Indemnification Agreement 10.4** Agreement and Plan of Merger, dated June 2, 1997, among Claimsnet.com inc. (formerly, American NET Claims), ANC Holdings, Inc., Medica Systems, Inc., and the stockholders of Medica Systems Inc. 10.5**** Employment Agreement, dated as of September 17, 1996, between Claimsnet.com inc. and Terry A. Lee, as amended as of March 26, 1997, April 6, 1998 and June 7, 1999. 10.5(a)***** Severance Agreement with Mr. Lee 10.6** Service Agreement, dated August 5, 1997, between American Medical Finance and Claimsnet.com inc. 10.7** Form of Agreement, dated September 14, 1998, between Claimsnet.com and BlueCross BlueShield of Louisiana 10.8** Form of Non-Employee Director's Plan 10.9** Service Agreement, dated November 1998, between Claimsnet.com and Southern Medical Association. 10.10 Development and Services Agreement, dated October 27, 1999, between Claimsnet.com and McKesson HBOC, Inc. 10.10(a) Agreement, dated April 12, 2001, between Claimsnet.com and McKesson HBOC, Inc. superseding October 1999 Agreement. 10.11 Note dated March 9, 2001 between Claimsnet.com and American Medical Finance related to $400,000 loan. 16.1** Letter from King Griffin & Adamson P.C. as to change in certifying accountant to Ernst & Young LLC, dated August 16, 1999 and filed on Form 8K.
----------------- * Incorporated by reference to the corresponding exhibit filed by the Registrant with its Current Report on Form 8-K, dated March 23, 2000. ** Incorporated by reference to the corresponding exhibit filed by the Registrant with the registration statement on Form S-1 (Registration No. 333-36209). *** Incorporated by reference to the corresponding exhibit filed by the Registrant with its Annual Report on Form 10-K for the year ended December 31, 2000 filed on April 16, 2001. 42 **** Incorporated by reference to the corresponding exhibit filed by the Registrant with its Annual Report on Form 10-K for the year ended December 31, 1999. ***** Incorporated by reference to the corresponding exhibit filed by the Registrant with its Current Report on Form 8-K dated June 28, 2000. SCHEDULE II - VALUATION AND QUALIFYING ACCOUNTS Years ended December 31, 2000, 1999, and 1998 (In Thousands)
Charge to Other Beginning of Charge to Accounts/ End of Period Operations Adjustments Deductions Period ------------ ------------- --------------- ---------- ------ Allowance for doubtful accounts 2000 $ 26 $ 27 $ -- $ (24) $ 29 1999 43 31 -- (48) 26 1998 10 34 -- (1) 43 Valuation allowance for deferred tax assets (1) 2000 5,886 6,476 -- -- 12,362 1999 2,778 3,108 -- -- 5,886 1998 988 1,790 -- -- 2,778
Offset to deferred tax benefit created primarily by net losses. 43 SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized. CLAIMSNET.COM INC. (Registrant) By: /s/ Bo W. Lycke ----------------------------- Bo W. Lycke President and Chief Executive Officer, on behalf of the Registrant By: /s/ Paul W. Miller ----------------------------- Paul W. Miller Chief Financial Officer and Chief Operating Officer October 2, 2001 44
EX-10.10 3 b314023_ex10-10.txt DEVELOPMENT AND SERVICES AGREEMENT Exhibit 10.10 CLAIMSNET.COM INC. DEVELOPMENT AND SERVICES AGREEMENT This Agreement, made as of this 27th day of October, 1999 (the "Effective Date"), by and between Claimsnet.com inc., a Delaware corporation (the "Company") having its principal place of business in Dallas, Texas, and McKesson HBOC, Inc., a Delaware corporation (the "Customer"), having its principal place of business in San Francisco, California, but whose relevant business unit has a principal place of business in Dubuque, Iowa. W I T N E S S E T H WHEREAS, Customer has an existing proprietary EDI system (the McKesson EDI system or "MIE") permitting certain claims processing and other services. WHEREAS, Company has developed an existing Internet EDI offering (its Services.now product) with a Web interface (collectively, the "Existing Company Product"), which Company believes Company may readily adapt to integrate with and be adapted to become Customer's MIE system. WHEREAS, Customer desires to provide an E-commerce solution that may be sold directly by its general sales force, including, without limitation, through sales to small physician offices with independent practice management systems, and believes that integrating and customizing the Existing Company Product with Customer's MIE offering, with a short implementation time, will allow Customer to roll out its product offering in a timely fashion to take advantage of an opportunity in the market. WHEREAS, Company will therefore provide development, customization, electronic claims processing and other services to the Customer in accordance with this Agreement NOW, THEREFORE, in consideration of the mutual covenants contained in this Agreement and for other good and valuable consideration, the receipt and adequacy of which are hereby acknowledged, and intending to be legally bound, the Parties hereby agree as follows: SECTION 1 Definitions "Acceptance" shall mean either of the following: (1) Customer's delivery to Company of a written notice of Acceptance of the Modifications in Final Form; (2) Customer's commencement of "Live" Processing using the Modifications in Final Form. "Acceptance Criteria" shall mean the following: (1) The Modifications conform to the Design Specifications; and (2) the Modifications will successfully provide seamlessly integrated services, and when installed on the applicable Hardware will successfully perform in accordance with all service levels specified in Design Specifications set forth on Exhibit A. 1 "Acceptance Testing Period" shall mean the period commencing upon Customer's receipt of the Modifications in Final Form and ending 60 days thereafter or upon Live Processing, whichever is earlier. "Acceptance Testing Procedures" shall mean testing procedures to be performed by Customer for the purpose of establishing that the Modifications in Final Form (as integrated with Customer's MIE software and installed on the Hardware) conform to the Acceptance Criteria. "Additional Term" shall mean any period of extension or renewal of this Agreement after the Initial Term pursuant to Section 8.1 of this Agreement. "Affiliate" of a Party means any entity that controls, is controlled by, or is under common control with such Party or its Affiliates. "Agreement" shall mean this Development and Services Agreement, including all exhibits and Schedules hereto, as the same may be amended or supplemented from time to time. "Business Day" shall mean any day that is not a Saturday, Sunday, legal holiday or other day on which national banks are authorized or obligated by law or executive order to close. "Confidential Information" shall mean all source code, related documentation, support materials and any confidential instructional and training materials, customer lists, data reports, Financial Statements, interpretations, forecasts and audit reports, as well as information concerning Company or the Customer, which is not available to the general public and which has been provided by one Party to another Party in connection with the services offered under this agreement. "Final Form," as in "Modifications in Final Form," shall mean an entire set of Modifications delivered or deliverable to Customer and indicated by Company to be ready for Acceptance Testing Procedures. "Hardware" shall mean the servers and other hardware described in the Design Specifications and provided by Company for hosting the Web site and providing the Services as described in this Agreement. "Initial Term" shall mean the original term of this Agreement as set forth in Section 8.1 of this Agreement. "Interim Testing Period" shall mean the period commencing upon Customer's receipt of Sub-Milestone Deliveries and ending upon delivery of the Modifications in Final Form. "Interim Testing Procedures" shall mean tests, trial runs, temporary use guidelines, or other procedures agreed by Company and Customer with respect to Sub-Milestone Deliveries of the Modifications. "Live Processing" shall mean the first day upon which the Modifications in Final Form are brought fully on-line and used to process transactions for Customer and Customer's clients. Live Processing shall not be deemed to occur prior to Acceptance, however, if such transactions 2 are processed primarily for testing purposes or if Customer, upon written notice to Company, commences operation with the Modifications while testing is still in progress or while deficiencies that provide a basis for rejection are still being corrected. "Modifications" shall mean changes, additions, or corrections made by Company to Existing Company Product pursuant to this Agreement. Where possible, Modifications shall be divided into separately defined and deliverable development projects, each of which is treated independently for purposes of design and development, testing, acceptance, warranty, and payment terms under and pursuant to this Agreement. Unless otherwise indicated, "Modifications" may refer to any combination of Sub-Milestone Deliveries, Modifications in Test Form, or Modifications in Final Form. "Parties" shall mean Company and the Customer. "Party" shall mean Company or the Customer. "Person" shall mean any natural person, corporation (including business, municipal, or not-for-profit corporation), trustee, executor, administrator or other personal representative constituting a separate person as a matter of law, business trust, limited liability company, general or limited partnership, joint venture, unincorporated association, joint stock company, or other entity of any kind and any government, including any agency, political subdivision, or instrumentality of any government. "Program Error" shall mean any deviations in the Modifications from (1) the Design Specifications; (2) any specifications that are mutually agreed upon by the Parties; or (3) commonly accepted standards for normal and correct operation of computer programs, such as any cases where the Modifications in Final Form abnormally cease functioning, produce incorrect or misleading information, or erroneously interprets information given to it. "Services" shall mean the electronic claims processing, hosting, support and maintenance services to be provided in accordance with this Agreement. "Sub-milestone Deliveries" shall mean separately defined and deliverable portions of the Modifications, as indicated in the Design Specifications. "Term" shall mean the period commencing on the Effective Date during which this Agreement shall remain in full force and effect, and ending on the Termination Date. "Termination Date" shall mean the date that this Agreement expires pursuant to its terms or is terminated pursuant to Section 8 of this Agreement. "Test Form," as in "Modifications in Test Form," shall mean Sub-Milestone Deliveries or Modifications delivered or deliverable to Customer prior to Company's indication that an entire set of Modifications is complete and ready for Acceptance Testing Procedures. "Testing Period" shall mean the combination of the Interim Testing Period and the Acceptance Testing Period. 3 "Testing Procedures" shall mean the combination of the Interim Testing Procedures and the Acceptance Testing Procedures. "Transaction" shall mean the transmission of business information between two or more parties by means, in whole or in part, of electronic data interchange. Transactions may be transmitted singly or in groups and may be delivered in real-time or in periodic cycles during which transactions are aggregated and transmitted in a batch. Types of Transactions shall include, without limitation, paper or electronic physician or dental Claims, Eligibility Query and Responses, Electronic Remittance Advices, Encounters, Referrals, Claim Status Messages, Patient Statements and Enrollments. SECTION 2 Development Services By Company, Testing and Acceptance 2.1 Development Of The Modifications in Final Form. As more specifically described in the design specifications set forth as Exhibit A (the "Design Specifications") and incorporated herein by this reference, Company shall convert the Existing Company Product to the MIE system with a unique look and feel approved by Customer, including graphical changes and content provided or approved by Customer. As provided more specifically in the Design Specifications, the front-end Web site shall consist of a "public" site for basic information and registration of the service, and a "private" site for actual transaction processing, secured through digital certification provided by Company and its software. 2.2 Development Timetable. Company shall provide its development and customization services in accordance with the milestone delivery schedule set forth as attached Exhibit B (the "Milestone Schedule"). Company agrees that time is of the essence in this Agreement and represents and warrants to Customer that, conditioned upon receiving timely feedback and cooperation from Customer, Company has the resources committed to this project to permit it to perform its services and to customize and deliver the software in accordance with the Milestone Schedule. 2.3 Cooperation During Initial Development Phase. The Parties agree that they shall cooperate in good faith and provide timely feedback to permit rapid development and deployment of the Modifications in Final Form as set forth in the Milestone Schedule. To further that cooperation, each Party agrees that within 10 business days of the execution of this agreement that party shall designate an individual in writing to the other Party who shall be responsible for coordinating the design, development and approval process in connection with the development and deployment of the Modifications. 2.4 Testing and Acceptance. During the Testing Period and prior to Acceptance, customer may install, execute, and test the Modifications subject to any agreed guidelines provided in the Interim Testing Procedures. Until Acceptance of the Modifications in Final Form, however, the Modifications are subject to further testing and development, and Customer's use of such Modifications are at Customer's risk. Company shall make good faith efforts to test Sub-Milestone Deliveries prior to delivery, but until Acceptance, Company gives 4 no assurance that the Modifications have been tested, are error free, or will perform in the prescribed manner in accordance with the Design Specifications. During the Testing Period, Customer and Company shall cooperate to perform the Testing Procedures and report the results to the other Party. Company will provide to Customer, its representatives, and its consultants (if applicable) such documentation and assistance as may be reasonably required by Customer to perform any Testing Procedures. If Customer determines during the Testing Period that the Modifications do not conform to applicable Design Specifications, or otherwise demonstrate errors, Customer shall notify Company the nature and specifics of the non-conformity. Company shall use all reasonable efforts to correct or modify the Modifications so that they conform to the Design Specifications, operate without error, and otherwise qualify for Acceptance. 2.5 Notice of Acceptance or Non-Conformity. Upon satisfactory completion of the Acceptance Testing Procedures after delivery of the Modifications in Final Form, Customer shall issue to Company a notice of Acceptance pertaining to the Modifications. If Customer determines that at any time during the Acceptance Testing Period that the Modifications in Final Form fail to qualify for Acceptance, Customer shall notify Company of the nature and specifics of the non-conformity. If Customer notifies Company as to any such non-conformity and does not provide its Acceptance of the Modifications by the end of the Acceptance Testing Period set forth in the Milestone Schedule, and the Parties do not agree on an extension of the Acceptance Testing Period to permit further correction or modification of the Modifications by Company, or if Customer otherwise reasonably determines that the Modifications will not qualify for Acceptance despite Company's efforts, Customer shall be entitled to terminate all further efforts relating to such Modifications, shall return all Company Confidential Information, including such Modifications and all related documents, to Company, and shall terminate this Agreement immediately. 2.6 License. During the Term of this Agreement, Customer shall have a license to use the Modifications in Final Form and derivative works thereof in connection with providing the Services to end user customers. Customer may not grant licenses of sublicenses to the Modifications of the Company Existing Product to any party. The Modifications performed by the Company for the customer pertaining to (i) user interface as outlined in the Design Specifications (Exhibit A) as of the date hereof and (ii) any Confidential Information of Customer, shall be the sole and exclusive property of, and title thereto shall be fully vested in and held by, the Customer. Company agrees to cooperate reasonably to implement Modifications requested by Customer, provided that Company is not hereby required to perform any such Modification except as otherwise provided under this or any other written agreement between the parties. Except as set forth in Section 8.4, all remaining portions of the Modifications, including those in the specific processing engine, including, but not limited to, real-time editing of claims, system interface software from the practice management systems into the processing engine, installation services including mapping technologies, shall be the sole and exclusive property of, and the title thereto shall be fully vested in and held by, the Company. 2.7 Future Development Phases. In addition to the development and delivery of the Modifications in Final Form, Company, upon receipt of a detailed design specification from 5 Customer, agrees to develop, for mutually agreed fees, the Phase II (Integration with Physician Office Manager) and Phase III (Seamless Integration with Physician Office Manager) tasks described generally in the Design Specifications. For one year from the Effective Date, Company agrees not to enter into any transaction or agreement that it reasonably believes would interfere with or prevent it from performing the Phase II and Phase III development tasks described. SECTION 3 Ongoing Services by Company 3.1 Ongoing Services. During the Term of this Agreement, Company shall provide the services more specifically described on Exhibit C attached to this Agreement, including without limitation, claims processing services from a site selected by Customer, together with providing all necessary hardware and software to permit hosting of the Public Site, Private Site and processing system as more specifically described in the Design Specification attached as Exhibit A. 3.2 Maintenance And Support. As more specifically described in Exhibit D ("Support and Maintenance Agreement"), which is hereby incorporated by this reference, Company agrees to provide maintenance services to Customer consisting of delivery on a periodic basis of all releases improving the functionality or features of, or correcting errors in, the Existing Company Product to the extent licensed hereunder, its successors or similar software provided as part of the Modifications. Company agrees that it shall provide Customer with such enhancements or improvements in a timely fashion to permit Customer's site to incorporate any such enhancements or improvements at the same time or within 90 days after the earlier of launch by other customers of Company or of Company's incorporation of them as part of the Existing Company Product, its successors or similar software. As set forth in the Support and Maintenance Agreement, Company shall provide first level and second level support for all of Customer's users and customers. At the reasonable request of Company, Customer shall make available in an appropriate place on the Web site reasonably selected by Customer, information or instructions that may assist end-user customers of Customer in extraction of claims files from various systems and format information. If Customer designates that the Hardware shall be located at Customer's facility, Customer shall pay the reasonable increases in support and maintenance costs caused by Customer's designation of a location separate from other hardware maintained by Company or its designee. In the event that that Customer determines to locate the Hardware at any facility other than a facility designated by Company, Customer (A) shall indemnify, defend and hold harmless Company, and each of the respective employees, officers and directors of Company, for and against all expenses and costs, including, but not limited to, reasonable attorneys fees, judgments, penalties and other payments in settlement or other disposition, in connection with any claim or controversy brought or asserted by a third party in any type of claim or proceeding relating to any Services rendered by means of the Hardware located at such facility and the performance thereof and (B) waive all warranties and covenants of Company with respect to the proper performance of the Existing Company Product and the Modifications on such Hardware unless and until such Hardware is approved by Company. 6 3.3 Marketing Plan. On or before the Live Processing date, Company and Customer shall agree on a Marketing Plan to be attached as Exhibit E to this Agreement. 3.4 Source Code Escrow. On or prior to the Live Processing date, Company and Customer shall enter into the Source Code Escrow Agreement attached to this Agreement as Exhibit F, permitting access by Customer or its Consultants to the source code for the Modifications in Final Form in the event Company breaches its obligations to provide maintenance and support, or to correct errors, or in the event the Company becomes insolvent, files for or is subject to any insolvency or bankruptcy proceeding, makes an assignment for the benefit of creditors, or is subject to receivership, conservatorship or liquidation. SECTION 4 Fees Customer shall pay to Company the following fees, in accordance with this Agreement: 4.1 Development Fee. In return for Company's development of the Modifications in Final Form, Customer shall pay Company a fee of $1,035,000 in installments as provided in the Milestone Schedule attached as Exhibit B, upon approval of the applicable milestone deliverables, including final Acceptance. 4.2 Software and Site Licensing Fee. In return for Company's licensing of the Modifications in Final Form, hosting the Web site at a facility designated by Customer (if applicable), and providing the Hardware (if applicable), Customer shall pay Company $3,500,000, divided into two installments of $1,166,666.66 each and a final installment of $1,166,666.67 payable respectively (1) within 30 days of the commencement of Live Processing; (2) and on the first and second anniversaries thereof. 4.3 Monthly Subscription Fee. In return for Company's obligation to provide all processing hardware and software maintenance and upgrades, including payor edits, hosting hardware and system upgrades, and for providing the other maintenance services set forth in the Maintenance and Support Agreement, Customer shall pay Company a monthly subscription fee of $52,500 (a "Monthly Fee"). This Monthly Fee shall be payable upon the commencement of Live Processing and monthly thereafter during the term of this Agreement. Payment shall be due within 30 days of invoice. 4.4 Transaction Fees. In addition to the other fees set forth in this Agreement, in return for Company's providing the Services, Customer shall pay a transaction fee of $.15 per HCFA, $.15 per paper claim, $.05 per remittance advice, and $.15 per statement (where Company has provided mapping and translation prior to submission to Customer) as more specifically described in Exhibit C, "Continuing Services to be Provided." 4.5 Customer support. As described in, and in return for the customer support services described in the Support and Maintenance Agreement attached as Exhibit D, Customer shall pay Company a claim processing set up fee of $150, and a statement processing set-up fee of $150 and may charge such set-up fees it sets for the end user customers. All as more specifically described in the Support and Maintenance Agreement, the Parties contemplate that 7 Customer will provide first level phone consultation for end user customers using its Physician Office Manager product, and Company will be responsible for initial telephone support of other end user customers during the hours of 8:00 a.m. to 8:00 p.m. Eastern Time, for which Company may bill Customer an incident fee/telephone of $60. Company shall provide free telephone support for 30 days from the date an account is ready for production. 4.6 Most Favored Pricing. Notwithstanding sections 4.2, 4.3, 4.4, and 4.5 of this Agreement, if during the term of this Agreement Company provides substantially similar services to a third party at more favorable pricing, Company shall reduce the price of the relevant services to Customer to ensure that Customer shall receive a price as least as favorable as any other customer of Company's, taking into account relevant volume and service requirements. SECTION 5 Representations and Warranties 5.1 Representations and Warranties of Customer. Customer hereby represents and warrants to Company as follows: Customer has all requisite corporate power and authority to enter into, adopt and perform all of its obligations under this Agreement and all Schedules and Exhibits hereto. The execution, adoption and delivery of this Agreement (including all Schedules and Exhibits hereto), have been duly and validly authorized by all necessary corporate action on the part of Customer, and upon execution and delivery by the other parties hereto and thereto, such agreements will constitute legal, valid and binding obligations of Customer, enforceable against it in accordance with their respective terms, subject as to enforceability, to bankruptcy, insolvency, conservatorship, receivership and other laws of general applicability relating to or affecting creditors' rights and to general equity principles. 5.2 Representations and Warranties of Company. Company hereby represents and warrants to Customer as follows: Company has all requisite corporate power and authority to enter into, adopt and perform all of its obligations under this Agreement and all Exhibits and Schedules hereto. The execution, adoption and delivery of this Agreement (including all Exhibits and Schedules hereto), have been duly and validly authorized by all necessary corporate action on the part of Company, and upon execution and delivery by the other parties hereto and thereto, such agreements will constitute legal, valid and binding obligations of Company, enforceable against it in accordance with their respective terms, subject as to enforceability, to bankruptcy, insolvency, conservatorship, receivership and other laws of general applicability relating to or affecting creditors' rights and to general equity principles. Company has all necessary rights to its Existing Company Product to permit it to enter into this Agreement and modify that software to create the Modifications in Final Form, and has not entered into any agreement inconsistent with its grant of rights and performance of its obligations herein. Except for the content of the Web sites contributed by Customer, the Modifications in Final Form shall not infringe the intellectual property, contract, or other rights of any third party, and Company will not grant any rights to any portion of the Modifications in Final Form that are inconsistent with the rights granted to Customer under this Agreement. The Modifications in Final Form shall be free from Program Errors, including without limitation date problems known commonly as "Y2K" problems, and will operate in accordance with the Design Specifications. The Modifications in Final Form and all interim deliverables and the media on which they are 8 delivered shall be free from viruses, undocumented features known as "Easter eggs", or other harmful or dangerous programs. At Customer's request, Company will promptly investigate and use best efforts to correct all significant Program Errors reported by Customer and will deliver to Customer, at no additional charge to Customer and as soon as practicable, an avoidance procedure or work-around to solve or avoid any significant Program Error until a correction is achieved. Company will continue to use its best efforts to develop a correction for any material Program Error and when a correction is achieved, Company will deliver to Customer all modifications necessary to implement this correction. The Hardware and any other media delivered to Customer (or to any entity providing hosting services at Customer's direction) by Company (or by third party's at Company's direction) shall operate free from errors of workmanship for 180 days from the date of its delivery. In addition to its obligations under section 7.1 below, if any third party receives a binding determination from a competent authority limiting Customer's right to use the Modifications in Final Form because of any claimed intellectual property or contract right to any portion of the Modification in Final Form, contrary to Company's representations and warranties herein, and such determination is not removed or stayed within thirty (30) days, Company shall be obligated, at Company's sole expense either to modify the Modification in Final Form to eliminate the claimed problem or to obtain a license to the necessary rights for Customer from the third party claiming an interest. SECTION 6 Confidential Information 6.1 Preservation of Confidential Information. During the Term of this Agreement, both Parties may be exposed to the Confidential Information of the other party, and each of them agrees to preserve this Confidential Information as confidential, and agrees to use at least the same level of safeguards and protection to preserve this Confidential Information as it uses to protect its own Confidential Information; provided that Confidential Information may be disclosed as required by clearly applicable law, rules, regulations or judicial, administrative or similar process, including, without limitation, the requirements of the Federal securities laws and the rules and regulations thereunder, after seeking protective orders or other similar means to prevent public disclosure and after notice to the other party with an opportunity for the other party to seek an injunction to avoid such disclosure. Upon Customer's request, Company shall execute any further documents reasonably necessary to protect transactional information and other confidential information of Customer's clients and customers. 6.2 Return or Destruction of Confidential Information on Termination. Upon expiration or termination of this Agreement, any written Confidential Information originally provided by one of the Parties (including all copies thereof and extracts therefrom) still in the possession of the other Party, its agents, employees and representatives, will be returned to the Party originally providing such Confidential Information promptly upon written request of the originating Party. Any written Confidential Information not so requested, any oral Confidential Information, and any joint Confidential Information about the Parties, obtained or created by the Parties will be either held and kept confidential by the Parties hereto or destroyed. 6.3 Press Releases and Public Announcements. Company agrees not to make any public announcement or press release regarding this Agreement, the product to be developed 9 under this Agreement or the products to be offered by Customer without the prior written consent of Customer, which consent will not be unreasonably withheld. Except as required by clearly applicable law, rules, regulations or judicial, administrative or similar process, including, without limitation, the requirements of the Federal securities laws and the rules and regulations thereunder, and after seeking protective orders or other similar means to prevent public disclosure and after notice to Customer with an opportunity for Customer to seek an injunction to avoid such disclosure, Company shall not disclose the terms of this Agreement. 6.4 Non-Solicitation. Each Party hereby agrees that for the term commencing on the date hereof and terminating on the date which is one year following the date of termination of this Agreement it shall not employ, solicit for employment, or retain, or cause others to employ, solicit or retain, any employee of the other Party hereto. SECTION 7 Indemnification 7.1 Indemnification. Each of the parties hereto (the "Indemnifying Party") shall indemnify, defend and hold harmless the other party hereto. and each of the respective employees, officers and directors of such other party hereto ("Indemnified Parties") for and against all reasonable expenses and reasonable costs, including, but not limited to, reasonable attorneys fees, judgments, penalties and other payments in settlement or other disposition, in connection with (1) any claim or controversy brought or asserted by a third party in any type of claim or proceeding relating to this Agreement and its performance to the extent allowable by law, other than any claims or controversies brought or asserted solely because of any willful acts or omissions of the Indemnified Parties; and (2) any claim or controversy arising out of breach or claimed breach of the Indemnifying Party's representations or warranties under this Agreement. 7.2 Notification. Promptly after receipt by an Indemnified Party of notice of any threatened or commenced claim or proceeding, the Indemnified Parties shall so notify the Indemnifying Party in writing; provided, however, that unless materially prejudicial to the defense of such action, the omission to notify the Indemnifying Party shall not relieve the Indemnifying Party of any liability which it may have to the Indemnified Party otherwise than under this Section. The Indemnifying Party shall be entitled to participate in the defense of such action, and may assume the defense thereof with counsel satisfactory to such Indemnified Party (which consent shall not be unreasonably withheld); provided, however, that the Indemnified Party shall be entitled to participate in any such action with counsel of its own choice at the expense of the Indemnifying Party if, in the good faith judgment of the Indemnified Party's counsel, representation by Indemnifying Party's counsel may present a conflict of interest or that there may be defenses available to the Indemnified Party which are different from or in addition to those available to Indemnifying Party. If Indemnifying Party assumes the defense of such action in accordance with the preceding sentence and subject thereto, Indemnifying Party shall not be liable to such Indemnified Party for any legal expenses subsequently incurred by such Indemnified Party in connection with the defense of such claim or proceeding, other than reasonable costs of investigation and review and approval of any settlement. If Indemnifying Party shall not assume the defense of any such action, the Indemnified Party may defend against such action in such manner as it may deem appropriate, at the expense of Indemnifying Party-, 10 provided that an Indemnified Party shall not settle any action which would give rise to Indemnifying Party's liability under this indemnity without the prior written consent of Indemnifying Party, which consent shall not be unreasonably withheld. Indemnifying Party shall not, without the prior written consent of each Indemnified Party that is not released as described in this sentence, settle or compromise any action, or permit a default or consent to the entry of judgment or otherwise seek to terminate any pending or threatened action, in respect of which indemnity may be sought hereunder (whether or not any Indemnified Party is a party thereto), unless (A) such settlement, compromise, consent or termination includes an unconditional release of each indemnified party from all liability in respect of such action and (B) such settlement, compromise, consent or termination is solely for money damages. 7.3 Reimbursement. Subject to Section 7.2, Indemnifying Party shall reimburse the Indemnified Parties for all reasonable costs and expenses incurred with respect to any claim or threatened claim described in Section 7.1 as such costs and expenses are incurred. All claims for reimbursement for such costs and expenses shall be paid within 10 days of the Indemnified Party furnishing to Indemnifying Party written evidence of any costs or expenses incurred by the Indemnified Party, which evidence may be in the form, among other things, of a canceled check or receipt. Any such request for reimbursement by the Indemnified Party shall be made no more frequently than at 30-day intervals. SECTION 8 Term and Termination 8.1 Term and Termination of Agreement. The Initial Term of this Agreement shall commence on the Effective Date and continue until the third anniversary of the commencement of Live Processing. In the event that this Agreement is not sooner terminated as provided for herein, upon the expiration of the Initial Term, Customer may renew this Agreement for up to two additional one year periods, commencing on the third and fourth anniversaries of Live Processing (each, an "Additional Term") provided that it continues to pay the Monthly Fee as provided in Section 4.3. 8.2 Termination. This Agreement may be terminated by either Party for a material breach of this Agreement, which is not cured within 30 days after written notice of the breach. In the event of termination, Company shall return the proportionate amount of any remaining maintenance and support fees attributable to any time after the termination date. Either Party may terminate this Agreement immediately in the event the other Party becomes insolvent in that its liabilities exceed its assets, is adjudicated insolvent, files for or is subject to any insolvency or bankruptcy proceeding, makes an assignment for the benefit of creditors prior to bankruptcy or is subject to receivership, conservatorship or liquidation. In the event Company proposes to (1) sell all or substantially all of its assets, or (2) be acquired, merged into another entity or otherwise undergo a change in ownership and control such that the holders of the Company's voting securities prior to the transaction hold less than fifty percent (50%) of the total voting power represented by the voting securities of the surviving or successor corporation or entity immediately following such transaction, the Company shall promptly deliver to Customer a notice of such proposed transaction, which notice shall specify that it is a notice pursuant to this Section 8.2 and shall identify the purchaser or purchasers of such assets or other party or parties 11 to such transaction. Within twenty (20) days after the delivery of such notice to Customer, Customer shall deliver to Company a notice which shall either (i) consent to such transaction or (ii) advise Company of Customer's intention to terminate this Agreement in the event of the consummation of such sale of assets or such transaction. In the event that Customer shall fail to deliver such notice to Company within such twenty (20) day period, Customer shall be deemed to have delivered such notice to Company to the effect of clause (i) in the immediately preceding sentence. In the event that Customer shall deliver to Company such notice within such period to the effect of clause (ii) of the second preceding sentence, upon the consummation of such asset sale or transaction, this Agreement shall terminate. Upon such termination, at Customer's request, Company shall continue to provide services under this Agreement for an additional period of up to twelve months in return for the fees payable under this Agreement, prorated for such time period. Customer may terminate its subscription pursuant to this Agreement by (A) delivering to Company at any point after the first anniversary of the Live Processing date notice of such termination, which notice shall become effective one hundred twenty (120) days following such date of notice and (B) by paying to Company all Monthly Fees through the date of such termination and all license fees then remaining under this Agreement. 8.3 Survival. In the event a Party gives notice of termination of this Agreement pursuant to Section 8.1 hereof, this Agreement shall become void and have no effect, except that (i) the provisions relating to the confidentiality, indemnification, the payment of any outstanding amounts hereof and future competition, respectively, shall survive any such termination and (ii) any termination shall not relieve any party from any liability that may arise from a breach of the terms of this Agreement or otherwise. 8.4 Future Competition. Notwithstanding any other provision of this Agreement, including without limitation, the confidentiality provisions of Section 6, the Parties agree that nothing in this Agreement prevents Customer from developing or deploying any other Web-based claims processing service or other EDI service, even one which competes with the Existing Company Product and which has similar functionality and a similar look and feel, but Customer is prohibited from directly incorporating any of Company's Confidential Information to create such service. Modifications which, pursuant to Section 2.6, are the property of Customer shall be deemed to not contain any of Company's Confidential Information. 8.5 Payment of Fees. As soon as practicable after the Termination Date (but not later than 30 days thereafter), each Party shall pay to the other any fees or other payments due pursuant to the Agreement or otherwise in connection with the Program. SECTION 9 Amendment 9.1 Complete Agreement. This Agreement (including the Exhibits and Schedules hereto) expresses the entire agreement of the Parties with respect to the subject matter hereof, and supersedes all prior agreements, written or oral, with respect to such subject matter. The terms and conditions of this Agreement shall inure to the benefit of and be binding upon the Parties hereto and their respective successors and assigns. Nothing in this Agreement, expressed 12 or implied, is intended to confer upon any party, other than the Parties hereto and their respective successors and assigns, any rights, remedies, obligations or liabilities. 9.2 Amendment. This Agreement may be amended or supplemented (including by adding or amending the Exhibits and Schedules hereto) at any time by mutual agreement of the Parties hereto. Any such amendment or supplement must be in writing and executed by the Parties' duly authorized officers. SECTION 10 Miscellaneous 10.1 Notices. Any notices required or permitted to be given to any Party in connection with this Agreement shall be in writing, shall be deemed delivered when received and sufficient if delivered personally; deemed delivered the next Business Day if sent by Federal Express or similar overnight courier service for next Business Day delivery; shall be effective if delivered during the Business Day by telecopier or similar means with written confirmation of receipt during business hours (or, otherwise, effective the next Business Day); or deemed delivered and effective three Business Days after deposit in first class mail, Express Mail, or registered or certified mail, postage prepaid, addressed as follows: If to Company: If to Customer: Claimsnet.com inc. McKesson HBOC, Inc. 12801 N. Central Expressway One Post Street Suite 1515 San Francisco, California 94104-5296 Dallas, Texas 75243 Fax: (415) 983-8826 Fax: (972) 458-1737 ATTENTION: ATTENTION: William Dawson Terry A. Lee Corporate Senior Vice President, Executive Vice President Business Development 13 With a copy (which shall not constitute With a copy (which shall not notice) to: constitute notice) to: Brock Silverstein, LLC McKesson HBOC, Inc. 800 Third Avenue, 21st Floor Law Department New York, NY 10022 One Post Street, 34th Fl. San Francisco, CA 94104-5296 ATTENTION: ATTENTION: Robert Steven Brown, Esq. General Counsel Fax: 212-371-5500 Fax: 415-983-9369 10.2 Assignment. No Party may assign its rights or obligations under this Agreement without the written consent of the other, except that either Party may assign its rights and obligations hereunder to any Affiliate without the consent of the other Party hereto, such consent not to be unreasonably withheld. 10.3 Further Assurances. The Parties hereto agree to do such further acts and to execute and deliver such additional assignments, agreements, instruments and other documents as may be required to carry into effect the purposes contemplated by this Agreement. 10.4 No Implied Waivers; Remedies. No failure or delay on the part of either Party in exercising any right, privilege, power, or remedy under this Agreement, and no course of dealing between the Parties shall operate as a waiver of any such right, privilege, power, or remedy; nor shall any single or partial exercise of any right, privilege, power, or remedy under this Agreement preclude any other or further exercise of such right, privilege, power, or remedy or the exercise of any other right, privilege, power or remedy. No waiver shall be asserted against any Party unless signed in writing by such Party. The rights, privileges, powers, and remedies available to the Parties are cumulative and not exclusive of any other rights, privileges, powers, or remedies provided by statute, at law, in equity, or otherwise. Except as provided in this Agreement, no notice to or demand on either Party in any case shall entitle such Party to any other or further notice or demand in any similar or other circumstances or constitute a waiver of the right of the Party giving such notice or making such demand to take any other or further action in any circumstances without notice or demand. 10.5 Governing Law. This Agreement shall be governed by, and construed in accordance with, the laws of the State of California applicable to agreements made and entirely to be performed within such jurisdiction, without regard to the conflict of laws principles thereof. 10.6 Headings. The headings contained in this Agreement are for convenience only and shall not affect the construction of any provision of this Agreement. 10.7 Counterparts. This Agreement may be executed in any number of counterparts, and each such counterpart shall be deemed to be an original instrument, but all such counterparts together shall constitute but one agreement. 14 10.8 Warranty; Disclaimer and Limitation of Damages. In no event shall any party be permitted to claim any consequential or special damages, (other than payment of indemnification claims asserted by third parties) notwithstanding their foreseeable disclosure by one party to the other. [REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK] 15 IN WITNESS WHEREOF, the Parties hereby have caused this Agreement to be duly executed by their respective officers or authorized agents, and attested by their officers duly authorized, as of the day and year first above written. CLAIMSNET.COM INC. By: /s/ Bo W. Lycke ------------------------------------- Name: Bo W. Lycke Title: Chairman Attested to: By: /s/ Sharon Larkin ------------------------------------- Name: Sharon Larkin Title: Corporate Controller MCKESSON HBOC, INC. By: /s/ William J. Dawson ------------------------------------- Name: William J. Dawson Title: Senior Vice President Attested to: By: /s/ Dana C. Chiu ------------------------------------- Name: Dana C. Chiu Title: Counsel 16 EXHIBIT A Design Specifications Company shall convert its existing Claimsnet.com Internet EDI offering known as Services.now to become the front end and an integrated part of the Customer's Internet EDI system for HCFA 1500 claims, Electronic Remittance Advice ("ERA") and Statements with a unique look and feel approved by the Customer. These services shall be maintained on a server dedicated to the Customer. Company Modifications in Final Form include: A private public website developed to carry all Internet HCFA 1500, Statements and Electronic Remittance Advice ("ERA") transactions for Customer's physician office manager ("POM") product and all capabilities available in the Company's claims processing and statement processing system. Private and public websites will support Internet HCFA 1500 and Statement transactions for third party practice management systems customers with all capabilities available in the Company's claims processing and statement processing system. The public and private website may link from Customer's existing Web sites, and will have an independent URL as selected by Customer. Capabilities to house `links' to other Web sites as directed by Customer. "Real time" edits with errors returned to the "message center" and accurate claims passed on to Customer's processing system in Dubuque, Iowa. Payor specific claims edits will be created and maintained by Company and reside within the new system created for Customer. Initially, the following system interfaces are to be created for Customer by Company to allow easy and quick installation of those systems for claims: IDX, Medic, Physician Office Manager (McKessonHBOC), Physician Practice Manager (McKessonHBOC), Medical Manager and Millbrook. Training and demo capabilities as in the current Services.now. Registration of users as they are in the Services.now system with registration information available electronically to the Customer designated contact for update. "Look and Feel" shall include the public site developed for Customer (the "Public Site with the same basic inverted "L" tabs used by Company on its Services.now product, and will provide access to a limited demonstration area, Frequently Asked Questions, the registration process and general information. This Public Site for basic information and registration of the service shall retain the basic design used by the existing Company site, with changes to the graphical interface and certain additional content provided by Customer to maintain a consistent Customer-selected look and feel. The private site (the "Private Site") will be a site secured for actual transaction processing through digital certification provided through Company. The Private Site will be 17 developed to keep the same basic inverted "L" tabs and will provide access to HCFA 1500 claims, statements and remittance processing, together with service for Customer's customers in the initial release. Company shall include a message center for payor reports, online tutorials and processing status, which shall indicate completion of editing. The Public Site will be developed to enable the addition of other services to be provided by Company and Customer in the future, such as payor report sorting. Hosting of the Public Site, Private Site and processing system at the current location of the Company production servers. Installation services for the Internet services to include mapping for claims and statements for each PMSV that has agreed to services as sold by Customer. Maintaining sample statement form or forms on the server for preview as directed by Customer Customer Modifications in Final Form include: Additional content, software and development resources required to add additional services or features in the public or private site. Output files from the POM and other third party practice management systems, as available, to minimize customer mapping requirements and facilitate installation and set-up provided by Company. This includes instructions on extraction of files from named third party practice management vendors for posting in customer care and the website, if available. Customer will provide the required statement format that Company will need to map all statements to prior to sending to Customer for printing. Timely account set-up and effort to automate set-up for claim and statement customers in the McKessonHBOC system. 18 EXHIBIT B Milestone Delivery And Payment Schedule The following are high points in the development and delivery of new Customer Internet system: Contract signing. FIRST INSTALLMENT DEVELOPMENT FEE DUE COMPANY - $250,000 Agreement of specifications, screen presentation, test plan, support plan, escalation procedures, and workflow. SECOND INSTALLMENT DEVELOPMENT FEE DUE COMPANY - $250,000 Programming of agreed specifications completed. Internal testing between Company and Customer completed upon Customer signoff. FINAL INSTALLMENT DEVELOPMENT FEE DUE COMPANY - $535,000 Beta site testing complete upon Customer signoff. System generally available upon Customer signoff. FIRST INSTALLMENT SOFTWARE AND SITE LICENSE FEE DUE COMPANY WITHIN 30 DAYS - $1,166,666.66 PLUS $52,500 SUBSCRIPTION FEE PAID MONTHLY First anniversary of System generally available. SECOND INSTALLMENT SOFTWARE AND SITE LICENSE FEE DUE COMPANY WITHIN 30 DAYS - $1,166,666.66 PLUS $52,500 SUBSCRIPTION FEE PAID MONTHLY Second anniversary of System generally available. THIRD INSTALLMENT SOFTWARE AND SITE LICENSE FEE DUE COMPANY WITHIN 30 DAYS - $1,166,666.67 PLUS $52,500 SUBSCRIPTION FEE PAID MONTHLY 19 EXHIBIT C Continuing Services To Be Provided Company agrees to provide the following on an ongoing basis at no additional charge unless otherwise indicated: Enhancements and new releases. Customer will be consulted on new release content. Corrections to programming errors at no charge with a mutually agreed escalation and resolution plan. Optional custom programming at $120/hour 80 hours of training time annually that can be used at the Customer's discretion for sales, customer service (POM), etc. Installation with a backlog not to exceed 2 months. Addition of new links to other Customer designated sites. Sales support questions from Customer. 20 EXHIBIT D Support And Maintenance Agreement The following are support and maintenance areas: Company will provide first line support for PMSV who are not POM. Company will provide PMSV support for the first 30 days free of charge and then may bill Customer an incident fee of $60 thereafter. Company will provide second line support for Customer's POM support group. Support hours to be set at 8 am EST - 8pm EST M-F Criteria of a live customer site to be determined by Customer with mutual agreement by the Company. Release plans and upgrade procedures will be mutually agreed to for release for minimum impact to end-users and operations. The Company will strive for 80% first call resolution and will mutually determine with the Customer escalation and resolution standards for Level 1 - Level 2 security levels. EXHIBIT E Marketing Plan EXHIBIT F Source Code Escrow Agreement EX-10.10(A) 4 b314023_ex10-10a.txt DEVELOPMENT AND SERVICES AGREEMENT (CONTD.) Exhibit 10.10(a) AGREEMENT, dated as of April 12, 2001, between CLAIMSNET.COM INC., a Delaware corporation (the "Company") having its principal place of business in Dallas, Texas, and McKESSON HBOC, INC., a Delaware corporation (the "Customer") having its principal place of business in Dubuque, Iowa. W I T N E S S E T H WHEREAS, as of October 27, 1999, the Company and the Customer entered into the Claimsnet.com inc. Development and Services Agreement, dated as of such date (the "Development Agreement"); and WHEREAS, simultaneously with the execution thereof, the Company and the Customer executed and delivered the Securities Purchase Agreement, dated as of October 27, 1999 (the "Securities Purchase Agreement"), between the Company and the Customer; and WHEREAS, simultaneously with the execution thereof and pursuant to the terms thereof, the Company executed and delivered to the Customer warrants (the "Warrants"), representing the right to acquire up to an 819,184 shares of Common Stock; and WHEREAS, simultaneously with the execution thereof, the Company and the Customer executed and delivered the Registration Rights Agreement, dated as of October 27, 1999 (the "Registration Rights Agreement") between the Company and the Customer relating to the registration under the Securities Act of 1933, as amended (the "Securities Act"), of the resale of the shares of Common Stock issuable upon the exercise of the Warrants; and WHEREAS, the parties hereto and to the Development Agreement desire to amend and/or supersede the Development Agreement, the Securities Purchase Agreement, the Warrants, and the Registration Rights Agreement; and WHEREAS, the Customer desires to acquire, and the Company desires to sell to the Customer, shares of common stock, par value $.001 per share (the "Common Stock"), of the Company as set forth herein; and WHEREAS, all capitalized terms used, but not otherwise defined, herein shall have the respective definitions assigned thereto in the Development Agreement. NOW THEREFORE, in consideration of the mutual covenants contained in this Amendment and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, and intending to be legally bound, the parties hereby agree as follows: SECTION 1 Amendments to Development Agreement 1.1 Limitation on Amendments; Compliance. Except as otherwise set forth herein, the Development Agreement shall continue in full force and effect. Each party hereby acknowledges that all obligations of the other party under the Development Agreement which, in accordance with the terms thereof, was required to be performed on or prior to the date hereof, has been performed in all respects. 1.2 Cessation of Development Activities; Acceptance of Modifications. At the date hereof, the Company shall discontinue all development activities by the Company referenced in the Development Agreement, including, without limitation, those set forth in Milestone Schedule attached to the Development Agreement as Exhibit B and shall not be obligated under the Development Agreement to engage in any additional development activities under the Development Agreement, including Section 2.7 thereof. The Customer hereby agrees that the Testing Period has ended and that Acceptance of the Modifications by the Customer has taken place. 1.3 License. The license set forth in Section 2.6 of the Development Agreement (the "License") relating to the use of the Modifications shall continue in full force and effect, provided, however, that that in lieu of the fees set forth in Sections 4.1, 4.2, and 4.3 of the Development Agreement, the Customer shall pay to the Company simultaneously with the execution hereof, the amount of $200,000 by electronic wire transfer in accordance with the instructions set forth in Schedule 1.3 hereof. 1.4 Dedicated Server. Customer hereby waives the requirement set forth in Exhibit A to the Development Agreement that the services described therein shall be maintained on a dedicated server. 1.5 Continuing Services; Support and Maintenance. The agreements set forth in Exhibits C and D to the Development Agreement shall remain in full force and effect. The manner of the performance of the obligations set forth in such Exhibits, and the course of dealing between the parties with respect thereto, to date by the parties hereto shall be deemed sufficient to satisfy such obligations, notwithstanding such agreements. 1.6 Termination. Section 8.2 of the Development Agreement is herby amended to read as follows: This agreement may be terminated by (a) either Party for a material breach of this Agreement, which is not cured within 30 days after written notice of the breach; (b) either Party immediately in the event the other Party becomes insolvent in that its liabilities exceed its assets, is adjudicated insolvent, files for or is subject to any insolvency or bankruptcy proceeding, makes an assignment for the benefit of creditors prior to bankruptcy or is subject to receivership, conservatorship, or liquidation; (c) Customer upon thirty (30) days prior written notice. In the event Company proposes to (1) sell all or substantially all of its assets, or (2) be acquired, merged into another entity or otherwise undergo a change of ownership and control such that the holders of the Company's voting securities prior to the transaction hold less than fifty percent (50%) of the total voting power represented by the voting securities of the surviving or successor corporation or entity immediately following such transaction, the Company shall promptly deliver to Customer a notice of such proposed transaction, which notice shall specify that it is a notice pursuant to this Section 8.2 and shall identify the purchaser or purchasers of such assets or other party or parties to such transaction. SECTION 2 Warrants and the Registration Rights Agreement 2.1 Termination. Each of the Warrants and the Registration Rights Agreement are hereby terminated and of no further force or effect. SECTION 3 Additional Business Relationship 3.1 Additional License. The Company and the Customer shall use commercially reasonable best efforts to enter into an agreement mutually agreeable thereto pursuant to which the scope of the License shall be amended to include UB-92 claims. 3.2 Other Opportunities. The Company and the Customer hereby agree to use commercially reasonable best efforts to discuss and pursue agreed upon opportunities. SECTION 4 Investment 4.1 Acquisition of Shares of Common Stock. In accordance with Section 7.1 hereof, (i) the Company shall deliver to the Customer stock certificates, registered in the name of the Customer or its designees, representing an aggregate of 1,514,285 shares (the "Shares") of Common Stock, and (ii) the Customer deliver to the Company, by electronic wire transfer in accordance with the instructions set forth in Schedule 1.3 hereto, the aggregate purchase price of $ 2,649,998.75, representing payment in full for the Shares. SECTION 5 Representations and Warranties of the Company 5.1 Organization and Qualification. Each of the Company, ANC Holdings, Inc., a Texas corporation ("ANC"), and HealthExchange.com Inc., a Delaware corporation ("HealthExchange" and, together with ANC, the "Subsidiaries") has been duly organized and is validly existing as a corporation in good standing under the laws of the jurisdiction of its incorporation, with full power and authority (corporate and otherwise) to own its properties and conduct its business as described in the SEC Materials (as hereinafter defined) and is duly qualified or licensed to do business as a foreign corporation and is in good standing in each other jurisdiction in which the nature of its business or the character or location of its properties requires such qualification, except where the failure to so qualify will not materially affect the condition (financial or otherwise), business, properties, prospects, net worth or results of operations of the Company and the Subsidiaries, taken as a whole. Except for the stock of its Subsidiaries, the Company does not control, directly or indirectly, any corporation, partnership, joint venture, association or other business organization. For purposes of this Agreement, the term "SEC Materials" shall mean the Company's Prospectus, dated April 6, 1999, the Annual Report on Form 10-K for the year ended December 31, 1999, the Quarterly Report on Form 10-Q of the Company for the three months ended March 31, 2000, the Quarterly Report on Form 10-Q of the Company for the three months ended June 30, 2000, the Quarterly Report on Form 10-Q of the Company for the three months ended September 30, 2000, the proxy statement of the Company, dated September 14, 2000, Current Reports on Form 8-K of the Company dated March 23, 2000 (including amendments thereto), March 24, 2000, July 11, 2000, November 14, 2000, December 18, 2000, January 4, 2001, March 20, 2001, and April 5, 2001, collectively, all as filed with the United States Securities and Exchange Commission. 5.2 Capitalization. As of the date hereof, the authorized capital stock of the Company consists of 40,000,000 shares of Common Stock, par value $.001 per share, of which 8,951,229 shares are outstanding, and 4,000,000 shares of preferred stock, par value $.001 per share, of which 27,534 shares are outstanding. Each of such outstanding shares of capital stock of the Company is validly authorized, validly issued, fully paid, and nonassessable, has not been issued and is not owned or held in violation of any preemptive or similar right of stockholders, and is owned, to the best knowledge of the Company, free and clear of all liens, security interests, pledges, charges, encumbrances, stockholders' agreements, and voting trusts. Except as set forth in the SEC Materials, there is no commitment, plan, or arrangement to issue, and no outstanding option, warrant, or other right calling for the issuance of, any share of capital stock of the Company or any security or other instrument convertible into, exercisable for, or exchangeable for capital stock of the Company. There is outstanding no security or other instrument convertible into or exchangeable for capital stock of the Company. 5.3 Enforceability; Validity. The Shares, when issued and delivered pursuant hereto against payment therefor will be duly authorized and issued, fully paid, and nonassessable and free of preemptive rights of any security holder of the Company. 5.4 Authorization. This Agreement has been duly and validly authorized, executed, and delivered by the Company and, assuming due execution by the other party hereto and thereto, as applicable, constitutes the valid and binding obligation of the Company enforceable against the Company in accordance with its terms, except as enforceability may be limited by applicable bankruptcy, insolvency or other laws affecting the rights of creditors generally and the discretion of the courts in granting equitable remedies. The Company has full power and lawful authority to authorize and issue the Shares against payment therefor on the terms and conditions set forth herein. No consent, approval, authorization, or order of, or any filing or declaration with, any governmental authority is required for the consummation of the transactions contemplated by this Agreement or in connection with the issuance of the Shares by the Company, except such as may be required under Federal or state securities or blue sky laws. 5.5 Conflicts. Except as described in the SEC Materials, neither the Company nor any Subsidiary is in violation, breach, or default (which includes any event that has occurred which, with notice or lapse of time or both, would constitute a default) of or under, and consummation of the transactions herein contemplated and the fulfillment of the terms of this Agreement will not conflict with, or result in a breach of, any of the terms or provisions of, or constitute a default under, or result in the creation or imposition of any lien, charge or encumbrance upon any of the property or assets of the Company or any Subsidiary pursuant to the terms of any indenture, mortgage, deed of trust, loan agreement, or other agreement or instrument to which the Company or any Subsidiary is a party or by which the Company or any Subsidiary may be bound or to which any of the property or assets of the Company or any Subsidiary is subject, nor will such action result in any violation of the provisions of the articles of incorporation or any order, rule, or regulation applicable to the Company or any Subsidiary of any court or any regulatory authority or other governmental body having jurisdiction over the Company or any Subsidiary. 5.6 Properties. Subject to the qualifications set forth in the SEC Materials, the Company and each Subsidiary has good and marketable title to all properties and assets described in the SEC Materials as owned by them, free and clear of all liens, charges, encumbrances or restrictions, except such as are not materially significant or important in relation to its business; all of the material leases and subleases under which the Company or any Subsidiary is the lessor or sublessor of properties or assets or under which the Company or any Subsidiary holds properties or assets as lessee or sublessee as described in the SEC Materials are in full force and effect, and, except as described in the SEC Materials, neither the Company nor any Subsidiary is in default in any material respect with respect to any of the terms or provisions of any of such leases or subleases, and no claim has been asserted by anyone adverse to rights of the Company or any Subsidiary as lessor, sublessor, lessee or sublessee under any of the leases or subleases mentioned above, or affecting or questioning the right of the Company or the subsidiary to continued possession of the leased or subleased premises or assets under any such lease or sublease, except as described or referred to in the SEC Materials; and each of the Company and each Subsidiary owns or leases all such properties described in SEC Materials as are necessary to its operations as now conducted and, except as otherwise stated in the SEC Materials, as proposed to be conducted as set forth in the SEC Materials. 5.7 Financial Condition; Financial Matters. (a) The consolidated financial statements and the related notes of the Company, any supplementary financial information, any related schedules and the pro forma financial statements of the Company set forth in the SEC Materials present fairly the consolidated financial position and results of operations and changes in stockholder's equity and cash flows of the Company on a consistent basis at the respective dates and for the respective periods to which they apply. The consolidated financial statements and the related notes of Medica Systems, Inc., any supplementary financial information and any related schedules set forth in the SEC Materials present fairly the consolidated financial position and results of operations and changes in stockholders' equity and cash flows of Medica Systems, Inc. on the basis stated in the SEC Materials at the respective dates and for the respective periods to which they apply. Said financial statements and notes, supplementary financial information, related schedules, and pro forma financial statements have been prepared in accordance with generally accepted accounting principles applied on a basis which is consistent during the periods involved. The pro forma financial information included in the SEC Materials has been prepared in accordance with the applicable requirements of Regulation S-X and the assumptions used in the preparation of such pro forma information are, in the opinion of the Company, reasonable. There has been no material adverse change in the condition (financial or otherwise), business, properties, prospects, net worth or results of operations of the Company and the Subsidiaries, taken as a whole, from the latest information set forth in the SEC Materials, except as properly described in the SEC Materials, and there is no fact known to the Company or any of its Subsidiaries which could reasonably be expected to have a material and adverse effect on the future prospects of the Company and the Subsidiaries (other than political or economic matter of general applicability or as properly described in the SEC Materials). (b) Subsequent to the respective dates as of which information is given in the SEC Materials and except as described therein, the Company has not paid or declared any dividends or other distributions of any kind on any class of its capital stock nor has it incurred any liabilities or obligations, direct or contingent, not in the ordinary course of business, or entered into any transaction not in the ordinary course of business, which is material to the business of the Company, and there has not been any change in the capital stock of, or any material incurrence of long-term debt by the Company or any of its Subsidiaries or any material issuance of options, warrants, or other rights to purchase the capital stock of the Company or any of its Subsidiaries or any material adverse change or any material development involving, so far as the Company or any Subsidiaries can now reasonably foresee, a prospective adverse change in the condition (financial or otherwise), net worth, results of operations, business, key personnel, or properties of the Company or any Subsidiary which would be material to the business or condition (financial or otherwise) of the Company and its Subsidiaries, taken as a whole, none of the Company or any Subsidiary has become a party to, and neither the business nor the property of the Company or any Subsidiary has become the subject of, any material litigation or other legal or administrative proceedings whether or not in the ordinary course of business. (c) The books, records and accounts and systems of internal accounting controls of the Company currently comply in all material respects with the requirements of Section 13(b)(2) of the Securities Exchange Act of 1934, as amended (the "Exchange Act"). The Company maintains a system of internal accounting controls sufficient to provide reasonable assurance that (1) transactions are executed in accordance with management's general or specific authorizations; (2) transactions are recorded as necessary to permit preparation of financial statements in conformity with generally accepted accounting principles and to maintain asset accountability; (3) access to assets is permitted only in accordance with management's general or specific authorization; and (4) the recorded accountability for assets is compared with the existing assets at reasonable intervals and appropriate action is taken with respect to any differences. 5.8 Litigation. Except as set forth in the SEC Materials, there is not now pending or threatened, any action, suit, or proceeding to which the Company or any Subsidiary is a party before or by any court or governmental agency or body, which might result in any material adverse change in the condition (financial or otherwise), business, properties, prospects, net worth, or results of operations of the Company and the Subsidiaries, taken as a whole, nor are there any actions, suits, or proceedings related to environmental matters or related to discrimination on the basis of age, sex, religion, or race; and no labor disputes involving the employees of the Company or any Subsidiary exist or are threatened which might be expected to materially adversely affect the condition (financial or otherwise), business, properties, prospects, net worth, or results of operations of the Company and the Subsidiaries, taken as a whole. 5.9 Permits. Except as disclosed in the SEC Materials, the Company and each Subsidiary has sufficient licenses, permits, certificates, and other governmental authorizations as are required for the conduct of its business or the ownership of its property as described in the SEC Materials and are in all material respects complying therewith. Neither the Company nor any Subsidiary has received any notice of proceedings relating to the revocation or modification of any such certificate, authorization, or permit nor, to the knowledge of the Company or any Subsidiary, do any of the activities or business of the Company or any Subsidiary cause the Company or any Subsidiary to be in violation of, or cause the Company or any Subsidiary to violate, any law, rule, regulation, or order of the United States, any state, county, or locality, or of any agency or body of the United States or of any state, county, or locality, the violation of which would have a material adverse impact upon the condition (financial or otherwise), business, properties, prospects, net worth, or results of operations of the Company and the Subsidiaries, taken as a whole. 5.10 Questionable Payments. Neither the Company nor any Subsidiary has directly or indirectly, at any time (i) made any contributions to any candidate for political office, or failed to disclose fully any such contribution in violation of law or (ii) made any payment to any state, federal, or foreign governmental officer or official, or other person charged with similar public or quasi-public duties, other than payments or contributions required or allowed by applicable law. The Company's internal accounting controls and procedures are sufficient to cause the Company to comply in all material respects with the Foreign Corrupt Practices Act of 1977, as amended. 5.11 Transfer Taxes. At the date of this Agreement, all transfer or other taxes (including franchise, capital stock, or other tax, other than income taxes, imposed by any jurisdiction), if any, which are required to be paid in connection with the issuance and delivery of the Shares to the Customer hereunder will have been fully paid or provided for by the Company and all laws imposing such taxes will have been fully complied with in all material respects. 5.12 Brokers; Finders. The Company has not entered into any agreement pursuant to which any person is entitled, either directly or indirectly, to compensation from the Company for services as a finder in connection with the public offering referred to herein. 5.13 Employment Matters. (a) The Company has entered into an employment contract with its principal executive officer, Bo W. Lycke, and the description of such employment agreements in the SEC Materials is true, correct, and complete in all material respects. (b) No labor dispute with the employees of the Company exists or is threatened or imminent that could result in a material adverse change in the condition (financial or otherwise), business, properties, prospects, net worth or results of operations of the Company or any Subsidiary, except as described in or contemplated by the SEC Materials. 5.14 Intellectual Property. The Company owns or possesses, or can acquire on reasonable terms, all material patents, patent applications, trademarks, service marks, trade names, licenses, copyrights and proprietary or other confidential information currently employed by them in connection with its businesses, and neither the Company nor any Subsidiary has received any notice of infringement of or conflict with asserted rights of any third party with respect to any of the foregoing, which, singly or in the aggregate, if the subject of an unfavorable decision, ruling or funding, would result in a material adverse change in the condition (financial or otherwise), business, properties, prospects, net worth or results of operations of the Company and the Subsidiaries, taken as a whole, except as described in or contemplated by the SEC Materials. 5.15 Insurance. The Company and its Subsidiaries are insured by insurers of recognized financial responsibility against such losses and risks and in such amount as the Company and its Subsidiaries believe are prudent and customary in the businesses in which they are engaged; neither the Company nor any Subsidiary has been refused any insurance coverage sought or applied for; and neither the Company nor any Subsidiary has no reason to believe that they will not be able to renew its existing insurance coverage as and when such coverage expires or to obtain similar coverage from similar insurers as may be necessary to continue its business at a cost that would not materially and adversely affect the condition (financial or otherwise), business, properties, prospects, net worth, or results of operations of the Company and the Subsidiaries, taken as a whole, except as described in or contemplated by the SEC Materials. 5.16 Investment Company. The Company is not an investment company under the Investment Company Act of 1940, as amended. The Company will conduct its operations in a manner that will not subject it to registration as an investment company under such act, and this transaction will not cause the Company to become an investment company subject to registration under such Act. 5.17 Tax Returns. The Company and its Subsidiaries have filed all foreign, federal, state, and local tax returns that are required to be filed or have requested extensions thereof (except in any case in which the failure so to file would not have a material adverse effect on the Company and the Subsidiaries, taken as a whole) and have paid all taxes required to be paid and any other assessment, fine, or penalty levied, to the extent that any of the foregoing is due and payable, except for any such assessment, fine or penalty that is currently being contested in good faith or as described in or contemplated by the SEC Materials. 5.18 Quotation of Common Stock. The Common Stock is currently included for quotation on the Nasdaq SmallCap Market under the symbol "CLAI," and for listing on the Boston Stock Exchange under the symbol "CLA." 5.19 Filings, Taxes, and Financial Statements. (a) The Company has filed the SEC Materials with the Securities and Exchange Commission, the Nasdaq SmallCap Market, Inc. and any other required person or entity (governmental or otherwise) in a timely manner and as otherwise required by applicable laws and regulations, including the federal securities laws. The audited financial statements of the Company for the fiscal year ended December 31, 1999 and the Company's unaudited balance sheet for the period ending September 30, 2000, together with the accompanying statements of operations and cash flows included in the SEC Materials are accurate and complete in all material respects and fairly present the financial condition of the Company as at the dates thereof and have been prepared in accordance with generally accepted accounting principles applied on a consistent basis throughout the periods indicated (except as may be otherwise indicated in such financial statements or the notes thereto). (b) Except as disclosed in the SEC Materials which sets forth a true and accurate list and description of any employee benefit plans maintained or sponsored by the Company or to which the Company is required to make contributions, the Company does not maintain, sponsor, and is not required to make contributions to or otherwise to have any liability with respect to any pension, profit sharing, thrift, or other retirement plan, employee stock ownership plan, deferred compensation, stock ownership, stock purchase performance share, bonus or other incentive plan, severance plan, health or group insurance plan, welfare plan, or other similar plan, agreement, policy, or understanding (whether written or oral), whether or not such plan is intended to be qualified under Section 401(a) of the Code, within the meaning of Section 3(8) of the Employee Retirement Income Security Act of 1974, as amended, which plan covers any employee or former employee of the Company. 5.20 SEC Materials. None of the information disclosed or set forth in any of the SEC Materials, as of the date they were filed with the Securities and Exchange Commission and as of the date hereof, contained or contains any untrue statement of material fact or omitted to state a material fact required to be stated therein or necessary to make the statements therein) in light of the circumstances under which they were made, not misleading. SECTION 6 Representations And Warranties Of The Customer 6.1 Organization and Qualification. The Customer is a corporation duly organized, validly existing and in good standing under the laws of the State of Delaware, with all requisite power and authority (corporate and otherwise), and all necessary consents, authorizations, approvals, orders, licenses, certificates, and permits of and from, and declarations and filings with, all federal, state, local, and other governmental authorities and all courts and other tribunals, to own, lease, license, and its properties and assets and to carry on the business in which it is now engaged. The Customer is duly qualified to transact the respective business in which it is engaged and is in good standing as a foreign corporation in every jurisdiction in which its ownership, leasing, licensing, or use of property or assets or the conduct of its business makes such qualification necessary. 6.2 Authorization. This Agreement has been duly and validly authorized by the Customer. This Agreement has been duly executed and delivered by the Customer and, assuming due execution by the other party hereto and thereto, as applicable, constitutes the valid and binding obligation of the Customer enforceable against the Customer in accordance with its terms, except as enforceability may be limited by applicable bankruptcy, insolvency, or other laws affecting the rights of creditors generally and the discretion of the courts in granting equitable remedies. No consent, approval, authorization, or order of, or any filing or declaration with, any governmental authority is required for the consummation of the transactions contemplated hereby, except such as may be required under Federal or state securities or Blue Sky Laws. 6.3 Completeness of Disclosure. No representation or warranty by the Customer in this Agreement contains an untrue statement of material fact or omits to state a material fact required to be stated therein or necessary to make the statements made therein not misleading. 6.4 Accredited Investor. (a) The Customer is an "accredited investor" as defined in Rule 501(a) of Regulation D under the Securities Act of 1933, as amended. The Customer is sophisticated in transactions of this type and capable of evaluating the merits and risks of the transactions described herein, has the capacity to protect its own interests, has reviewed the SEC Materials, and is aware of the risk factors relating to an investment in the Company, as disclosed in such filings. The Customer has not been formed solely for the purpose of entering into the transaction described here in and is acquiring the Shares for investment for its own account, not as a nominee or agent, and not with the view to distribute or sell any part thereof; provided, that the Customer shall be permitted to transfer the Shares as permitted under the applicable law. The Customer has been afforded the opportunity to ask questions of, and receive information about, the Company and its business and prospects, from management and representatives of the Company, and has relied on its own independent judgment in making a judgment about an investment in the Company. (b) The Customer has not retained any investment banker, broker, or finder in connection with the transaction contemplated by this Agreement. 6.5 No Conflicts. The execution, delivery and performance by the Customer of this Agreement, the purchase and acceptance of the Shares, and compliance with provisions hereof by the Customer will not (a) violate any provisions of applicable law, statute, rule, or regulation applicable to the Customer or any ruling, writ, injunction, order, judgment, or decree of any court, arbitration, administrative agency, or other governmental body applicable to the Customer or any of its properties or assets or (b) conflict with or result in any breach of any of the terms, conditions, or provisions of, or constitute (with notice or lapse of time to both) a default (or give rise to any right of termination, cancellation, or acceleration) under , or result in the creation of any encumbrance upon any of the properties or assets of the Customer under its Certificate of Incorporation or By-laws or any material contract to which the Customer is party, except where such violation, conflict, or breach would not, individually or in the aggregate, have a material adverse effect on the Customer. 6.6 Approvals. No permit, authorization, consents, or approval of or by, or any notification of or filing with, any person or entity (governmental or otherwise) is required in connection with the execution, delivery, or performance of the Agreement (including the funding and acceptance thereof) by the Customer. SECTION 7 The Exchange 7.1 Terms of the Exchange. On the basis of the representations, warranties, covenants, and agreements contained in this Agreement and subject to the terms and conditions of this Agreement: (a) The Company shall simultaneously (i) issue to the Customer the Shares and (ii) execute and deliver to the Customer this Agreement. (b) The Customer shall simultaneously execute shall deliver to the Company this Agreement. 7.2 The Closing. The closing of the transactions contemplated by Sections 7.1 and 7.2 shall take place at the offices of Reitler Brown LLC, 800 Third Avenue, 21st Floor, New York, New York 10022, at 10:00 a.m., local time, on the date of this Agreement or at such different place, such different time, or such different date or a combination thereof as the Company and Customer agrees in writing. The closing of the transactions contemplated by Sections 7.1(a) and 7.1(b) is herein called the "Closing." 7.3 Indemnity Against Liabilities. Each party hereto agrees to indemnify and hold harmless the other and their respective officers, directors, employees, counsel, agents, and stockholders, in each case past, present, or as they may exist at any time after the date of this Agreement, and each person, if any, who controls, controlled, or will control any of them within the meaning of Section 15 of the Securities Act or Section 20(a) of the Exchange Act (the "Indemnitees"), against any and all losses, liabilities, damages, and expenses whatsoever (which shall include, for all purposes of this Section 7.3, but not be limited to, reasonable counsel fees and any reasonable expenses whatsoever incurred in investigation, preparing, or defending against any litigation, commenced or threatened, or any claim whatsoever, and any and all amounts paid in settlement of any claim or litigation) as and when incurred arising out of, based upon, or in connection with (a) any breach of any representation, warranty, covenant, or agreement of the indemnifying party contained in this Agreement and (b) any act, alleged act, omission, or alleged omission occurring at or prior to the Closing (including without limitation any which arise out of , are based upon, or are in connection with any of this Agreement or any of the transactions contemplated hereby). The foregoing agreement to indemnify shall be in addition to any liability the parties hereto may otherwise have, including liabilities arising under this Agreement. SECTION 8 Covenants and Agreements of the Parties Each of the Company and Customer covenants and agrees as follows: 8.1 Public Statements. Before the Company or Customer shall release any information concerning this Agreement or the transactions contemplated hereby which is intended for or may result in public dissemination thereof, it shall cooperate with the other party , shall furnish drafts of all documents or proposed oral statements to the other party, for comments, and shall not release any such information without the prior written consent of the other party. Nothing contained herein shall prevent the Company or Customer from releasing any information to any governmental authority if required to do so by law. 8.2 Confidentiality. The parties hereto shall insure that all confidential information which either party, any of its respective officers, directors, employees, counsel, agents, investment bankers, or accountants may now possess or may hereafter create or obtain relating to the financial condition, results of operations, business, properties, assets, liabilities, or future prospects of the Company, any affiliate thereof, or any customer or supplier thereof or any such affiliate shall not be published, disclosed, or made accessible by any of them to any other person or entity at any time or used by any of them. Notwithstanding the foregoing, the restrictions of the immediately preceding sentence shall not apply (a) as may otherwise be required by law, (b) as may be necessary or appropriate in connection with the enforcement of the Agreement, or (c) to the extent such information shall have otherwise become publicly available. The Customer shall, and shall cause all other such persons and entities to, deliver to the Company all tangible evidence of such confidential information to which the restrictions of the foregoing sentence apply at the Closing or the earlier termination of this Agreement. SECTION 9 Miscellaneous 9.1 Further Actions. At any time and from time to time, each party agrees, at its or his expense, to take such actions and to execute and deliver such documents as may be reasonably necessary to effectuate the purposes of this Agreement. 9.2 Availability of Equitable Remedies. Since a breach of the provisions of this Agreement could not adequately be compensated by money damages, any party shall be entitled, either before or after the Closing, in addition to any other right or remedy available to it, to an injunction restraining such breach or a threatened breach and to specific performance of any such provision of this Agreement, and in either case no bond or other security shall be required in connection therewith, and the parties hereby consent to the issuance of such an injunction and to the ordering of specific performance. 9.3 Survival. The covenants, agreements, representations, and warranties contained in or made pursuant to this Agreement shall survive the Closing and any delivery of the Shares to the Customer, irrespective of any investigation made by or on behalf of any party. The statements contained in any statement, certificate, or other instrument executed by the Company and relating hereto or delivered to the Customer in connection with the transactions contemplated hereby or thereby shall be deemed representations and warranties, covenants and agreements, or conditions, as the case may be, of the Company hereunder for all purposes of this Agreement (including all statements, certificates, or other instruments delivered pursuant hereto or thereto or delivered in connection with the transactions contemplated hereby or thereby). The statements contained in any statement, certificate, or other instrument executed by the Customer and relating hereto or delivered to the Company in connection with the transactions contemplated hereby or thereby shall be deemed representations and warranties, covenants and agreements, or conditions, as the case may be, of the Customer hereunder for all purposes of this Agreement (including all statements, certificates, or other instruments delivered pursuant hereto or thereto or delivered in connection with the transactions contemplated hereby or thereby). 9.4 Modification. This Agreement and the Schedule hereto set forth the entire understanding of the parties with respect to the subject matter hereof (except as provided in Section 9.3), supersede all existing agreements among them concerning such subject matter (except as otherwise provided herein), and may be modified only by a written instrument duly executed by each party with the approval of an authorized officer or partner of each party. 9.5 Notices. Any notices required or permitted to be given to any party hereto in connection with this Agreement shall be in writing, shall be deemed delivered when received and sufficient if delivered personally; deemed delivered the next Business Day if sent by Federal Express or similar overnight courier service for next Business Day delivery; shall be effective if delivered during the Business Day by telecopier or similar means with written confirmation of receipt during business hours (or, otherwise, effective the next Business Day); or deemed delivered and effective three Business Days after deposit in first class mail, Express Mail, or registered or certified mail, postage prepaid, addressed as follows: If to Company: If to Customer: Claimsnet.com inc. McKesson HBOC, Inc. 12801 N. Central Expressway 5995 Windward Parkway Suite 1515 Alpharetta, Georgia 30003 Dallas, Texas 75243 Fax: (404) 338-5154 Fax: (972) 458-1737 ATTENTION: ATTENTION: Bo W. Lycke J.R. Hughes Chief Executive Officer President, Provider Solutions Group With a copy (which shall not constitute With a copy (which shall not constitute notice) to: notice) to: Reitler Brown, LLC McKesson HBOC, Inc. 800 Third Avenue Law Department 21st Floor One Post Street New York, New York 10022 San Francisco, California 94104-5296 ATTENTION: ATTENTION: Robert Steven Brown, Esq. General Counsel Fax: (212) 371-5500 Fax: (415) 983-8826 9.6 Waiver. Any waiver by any party of a breach of any term of this Agreement shall not operate as or be construed to be a waiver of any other breach of that term or of any breach of any other term of this Agreement. The failure of a party to insist upon strict adherence to any term of this Agreement on one or more occasions will not be considered a waiver or deprive that party of the right thereafter to insist upon strict adherence to that term or any other term of this Agreement. Any waiver must be in writing. 9.7 Binding Effect. The provisions of this Agreement shall be binding upon and inure to the benefit of the Company and the Customer and their respective successors and assigns. 9.8 No Third Party Beneficiaries. This Agreement does not create, and shall not be construed as creating, any rights enforceable by any person not a party to this Agreement. 9.9 Separability. If any provision of this Agreement is invalid, illegal, or unenforceable, the balance of this Agreement shall remain in effect, and if any provision is inapplicable to any person or circumstance, it shall nevertheless remain applicable to all other persons and circumstances. 9.10 Headings. The headings in this Agreement are solely for convenience of reference and shall be given no effect in the construction or interpretation of this Agreement. 9.11 Counterparts; Governing Law. This Agreement may be executed in any number of counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument. It shall be governed by and construed in accordance with the laws of Delaware, without giving effect to conflict of laws. [THE REMAINDER OF THIS PAGE IS INTENTIONALLY BLANK] IN WITNESS WHEREOF, the parties have duly executed this Agreement as of the date first written above. CLAIMSNET.COM INC. By: /s/ Bo W. Lycke ---------------------------------------- Bo W. Lycke Chairman of the Board of Directors, President, and Chief Executive Officer McKESSON HBOC, INC. By: /s/ J.R. Hughes ---------------------------------------- J. R. Hughes President Provider Solutions Group SCHEDULE 1.3 Wire to: Bank: Bank of America ABA#: 111000025 Account Name: Claimsnet.com Account#: 4770647184 EX-10.11 5 b314023_ex10-11.txt NOTE Exhibit 10.11 NOTE Date: March 9, 2001 Maker: Claimsnet.com, Inc. Payee: American Medical Finance, Inc. Place for Payment: 12801 N. Central Expressway, Suite 1515, Dallas, Dallas County, Texas 75243 Principal Amount: Four Hundred Thousand Dollars ($400,000,00) Annual Interest Rate on Unpaid Principal from Date of Funding: NINE AND ONE HALF PERCENT (9.5%) Terms of Payment: Principal and interest shall be due and payable March 9, 2002, interest being calculated on the unpaid principal balance to the date of each installment paid, and the payment made credited first to the discharge of interest accrued and the balance to the reduction of the principal. Accrued and unpaid interest shall be computed on the basis of the actual days elapsed in a year consisting of 360 days on the principal. Annual Interest Rate on Matured, Unpaid Amounts: The highest rate allowed by law. Security for Payment: None Maker promises to pay to the order of Payee at the place for payment and according to the terms of payment the principal amount plus interest at the rates stated above. All unpaid amounts shall be due by the final scheduled payment date. On default in the payment of this note or in the performance of any obligation in any instrument securing or collateral to it, this note and all obligations in all instruments securing or collateral to it shall become immediately due at the election of Payee. Maker and each surety, endorser, and guarantor waive all demands for payment, presentations for payment, notices of intention to accelerate maturity, notices of acceleration of maturity, protest, and notices of protest. If this note or any instrument securing or collateral to it is given to an attorney for collection or enforcement, or if suit is brought for collection or enforcement, or if it is collected or enforced through probate, bankruptcy, or other judicial proceeding, then Maker shall pay Payee reasonable attorney's fees in addition to other amounts due. Reasonable attorney's fees shall be 10.0% of all amounts due unless either party pleads otherwise. Nothing in this note shall authorize the collection of interest in excess of the highest rate allowed by law. Maker reserves the right to prepay the outstanding principal balance of this Note, in whole or in part, at any time and from time to time, without premium or penalty. Any such pre-payment shall be made together with payment of interest accrued on the amount of principal being prepaid through the date of such prepayment, and shall be applied to the installments of principal due hereunder in the inverse order of maturity. Each Maker is responsible for the entire amount of this note. The terms Maker and Payee and other nouns and pronouns include the plural if more than one. Maker shall not be deemed to be in default of this note unless and until Maker shall have been given seven (7) days written notice and opportunity to cure such default, via certified mail return receipt requested. Claimsnet.com, Inc. By: /s/ Paul W. Miller ----------------------------------- Paul W. Miller, Chief Operating Officer MAKER