3/A 1 ftsjan01v2.txt UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 3 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 1. Name and Address of Reporting Person Sample, Frank T. P.O. Box 1070 1400 Shelburne Road Burlington, VT 05402-1070 2. Date of Event Requiring Statement (Month/Day/Year) 07/10/1997 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) 4. Issuer Name and Ticker or Trading Symbol IDX Systems Corporation (IDXC) 5. Relationship of Reporting Person to Issuer (Check all applicable) [X] Director [ ] 10% Owner [ ] Officer (give title below) [ ] Other (specify below) Director 6. If Amendment, Date of Original (Month/Day/Year) 07/18/97 7. Individual or Joint/Group Filing (Check Applicable Line) [X] Form filed by One Reporting Person [ ] Form filed by More than One Reporting Person
Table I Non-Derivative Securities Beneficially Owned -------------------------------------------------------------------------------- --------------------- 1)Title of Security 2)Amount of 3) 4)Nature of Securities D Indirect Beneficially or Beneficial Owned I Ownership -------------------------------------------------------------------------------- --------------------- Common Stock 36,829.00 (1) D Direct Common Stock 4,099.00 I By 401(k) Plan Table II Derivative Securitites Beneficially Owned -------------------------------------------------------------------------------- ---------------------------------------------------- 1)Title of Derivative Security 2)Date Exercisable 3)Title and Amount of 4)Conver- 5)Ownership 6)Nature of and Expiration Date Securities Underlying sion or Form of Indirect (Month/Day/Year) Derivative Security exercise Derivative Beneficial price of Security Ownership Date Expira- Amount or Deri- Direct(D) Exer- tion Number of vative or cisable Date Title Shares Security Indirect(I) -------------------------------------------------------------------------------- ---------------------------------------------------- Employee Stock Option (right to 07/10/97 01/23/02 Common Stock (4) 6,829.00 $5.7500 D Direct buy) (2) (3) Employee Stock Option (right to 07/10/97 12/03/00 Common Stock (4) 49,380.00 $5.8200 D Direct buy) (2) (3) Employee Stock Option (right to 07/10/97 02/03/04 Common Stock (4) 7,299.00 $6.5800 D Direct buy) (2) (3) Employee Stock Option (right to 07/10/97 01/30/07 Common Stock (4) 21,899.00 $20.7200 D Direct buy) (2) (3) Employee Stock Option (right to 07/10/97 01/27/05 Common Stock (4) 18,249.00 $23.1900 D Direct buy) (2) (3) Employee Stock Option (right to 07/10/97 01/25/06 Common Stock (4) 10,949.00 $32.8800 D Direct buy) (2) (3) Explanation of Responses: (1) Pursuant to the terms of the Merger Agreement, all PHAMIS Common Stock and options for PHAMIS Common Stock were converted into .73 shares of IDX Common stock or options for IDX Common Stock (the 'Conversion Ratio'). For example, the reporting person owned 50,000 shares of PHAMIS Common Stock prior to the Effective Time of the Merger. After the conversion, the reporting person now owns 36,500 shares of IDX Common Stock (50,000 x .73 = 36,500) (2) Prior to the Effective Time of the Merger, the reporting person was a shareholder and optionee of PHAMIS and all of the reporting person's PHAMIS Common Stock and options for PHAMIS Common Stock have been converted into IDX Common Stock and options for IDX Common Stock. (3) Pursuant to the terms of the Agreement and Plan of Merger dated as of 3/25/97 (the 'Merger Agreement'), between PHAMIS, Inc. ('PHAMIS') and IDX Systems Corporation ('IDX'), all options became 100% vested and exercisable immediately prior the Merger. The Effective Time of the Merger was July 10, 1997 and all options became exercisable as of that date. (4) Pursuant to the terms of the Merger Agreement, the purchase price per share of IDX Common Stock is determined by dividing the purchase price per share of PHAMIS Common Stock subject to the PHAMIS option by the Conversion Ratio. For example, the reporting person was granted options for PHAMIS stock on 01/25/96 at a purchase price of $24.00 ($24.00/.73 = $32.88) - The reporting person originally reported 330 shares purchased under a Section 423 Plan in July 1997; however, the conversion ratio was applied to the total shares rather than to each separate purchase causing the final conversion share amount to be incorrect. Therefore, an error has occurred in the final converted share amount originally reported and there is a one share discrepancy. The correct number of converted shares should be 329 shares of IDX Common Stock. It is the intent of this amendment to modify all forms by this reporting person subsequent to July 18, 1997 which is the date of Form 3 filed by this reporting person.
SIGNATURE OF REPORTING PERSON /S/ By: FRANK T. SAMPLE For: DIANE L. BROWN, ATTORNEY-IN-FACT DATE January 9, 2001