-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, CEN7z9KvC/pQ6I5qk2k2E3JMJiUPpAOSh4E3bZlsqHuDK6xlxuCFuGCfYXG4XSjM nk+oPY9tYg6MCkYq+FyPuQ== 0000950123-99-002971.txt : 19990902 0000950123-99-002971.hdr.sgml : 19990902 ACCESSION NUMBER: 0000950123-99-002971 CONFORMED SUBMISSION TYPE: 10-K PUBLIC DOCUMENT COUNT: 7 CONFORMED PERIOD OF REPORT: 19981231 FILED AS OF DATE: 19990402 DATE AS OF CHANGE: 19990901 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ADVANCED HEALTH CORP CENTRAL INDEX KEY: 0001002628 STANDARD INDUSTRIAL CLASSIFICATION: 8090 IRS NUMBER: 133893841 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-K SEC ACT: SEC FILE NUMBER: 000-21209 FILM NUMBER: 99586231 BUSINESS ADDRESS: STREET 1: 555 WHITE PLAINS RD STREET 2: 2ND FL CITY: TARRYTOWN STATE: NY ZIP: 10591 BUSINESS PHONE: 9145244705 MAIL ADDRESS: STREET 1: 560 WHITE PLAINS RD STREET 2: 2ND FLOOR CITY: TARRYTOWN STATE: NY ZIP: 10591 FORMER COMPANY: FORMER CONFORMED NAME: ADVANCED HEALTH CORP DATE OF NAME CHANGE: 19960618 10-K 1 FORM 10-K 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K (Mark One) [X] Annual report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 for the fiscal year ended December 31, 1998 or [ ] Transition report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the transition period from ____________to________________ Commission File Number 0-21209 ADVANCED HEALTH CORPORATION (Exact name of registrant as specified in its charter) Delaware 13-3893841 (State or other jurisdiction (IRS employer identification of incorporation or organization) number) 555 White Plains Road 10591 Tarrytown, New York (Zip code) (Address of principal executive offices) Registrants' telephone number, including area code: (914) 524-4200 Securities registered pursuant to Section 12(b) of the Act: None Securities registered pursuant to Section 12(g) of the Act: Common Stock, $.01 par value Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes [X] No [ ] Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of registrant's knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K: [ ] 2 The aggregate market value of the shares of Common Stock held by non-affiliates of the registrant is $42,644,126, based on the closing price of the Common Stock on March 12, 1999. As of March 12, 1999, there were 10,431,129 shares of Common Stock outstanding. DOCUMENTS INCORPORATED BY REFERENCE Portions of the registrant's definitive Proxy Statement for the 1999 Annual Meeting of Stockholders to be filed with the Securities and Exchange Commission within 120 days after December 31, 1998, are incorporated by reference in Part III hereof. STATEMENTS MADE OR INCORPORATED INTO THIS ANNUAL REPORT INCLUDE A NUMBER OF FORWARD-LOOKING STATEMENTS WITHIN THE MEANING OF SECTION 27A OF THE SECURITIES ACT OF 1933, AS AMENDED, AND SECTION 21E OF THE SECURITIES EXCHANGE ACT OF 1934. FORWARD-LOOKING STATEMENTS INCLUDE, WITHOUT LIMITATION, STATEMENTS CONTAINING THE WORDS "ANTICIPATES," "BELIEVES," "EXPECTS," "INTENDS," "FUTURE" AND WORDS OF SIMILAR IMPORT WHICH EXPRESS MANAGEMENT'S BELIEF, EXPECTATIONS OR INTENT REGARDING THE COMPANY'S FUTURE PERFORMANCE. THE COMPANY'S ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THOSE SET FORTH IN THE FORWARD-LOOKING STATEMENTS. FORWARD-LOOKING STATEMENTS, INCLUDING STATEMENTS AS TO INDUSTRY TRENDS, FUTURE ECONOMIC PERFORMANCE, ANTICIPATED PROFITABILITY, ANTICIPATED REVENUES AND EXPENSES, AND PRODUCTS OR SERVICE LINE GROWTH MAY BE SIGNIFICANTLY IMPACTED BY CERTAIN RISKS AND UNCERTAINTIES SET FORTH HEREIN, INCLUDING, BUT NOT LIMITED TO, FAILURE OF THE CLINICAL E-COMMERCE INDUSTRY TO DEVELOP AT ANTICIPATED RATES, FAILURE OF THE COMPANY'S CLINICAL INFORMATION TECHNOLOGY PRODUCTS AND SERVICES TO GAIN SIGNIFICANT MARKET ACCEPTANCE, FAILURE TO MEET OPERATING OBJECTIVES OR TO EXECUTE THE OPERATING PLAN, FAILURE TO SUCCESSFULLY RESTRUCTURE THE COMPANY'S BUSINESS UNITS, COMPETITION AND OTHER ECONOMIC FACTORS. NO ASSURANCES CAN BE GIVEN AS TO THE OUTCOME OF ANY PENDING LAWSUITS AGAINST THE COMPANY. SEE ALSO ITEM 1 "RISKS AFFECTING THE COMPANY'S BUSINESS." PART I ITEM 1. BUSINESS Overview Advanced Health Corporation, d/b/a AHT Corporation (the "Company"), is a provider of enabling technologies, including Internet-based applications, for electronic commerce 2 3 ("e-commerce") and communications among physicians and other healthcare providers and organizations. The Company's products principally focus on laboratory and prescription connectivity and transaction processing, including, within the laboratory suite of applications, Dr. Chart(R), Dr. Chart Web(TM), Compliance Monitor(TM), CDR(TM), and CDX(TM), and its electronic prescription writing product, E-Rx Net(TM). The Company's products take an incremental approach to practice automation, with the goal of enabling the physician and office staff adoption of technology. The Company believes that its products are relatively easy to use and do not require radical changes in the healthcare provider's workflow or the physician's practice style generally. Dr. Chart(R) Laboratory Products The Company's Dr. Chart(R) products allow laboratories to receive orders online and to distribute test results online back to the ordering provider. A large part of a clinical laboratory's day-to-day operation is comprised of receiving and processing paper-based orders from providers and then distributing paper-based reporting of the test results performed back to the provider. These test results play a large role in the provider's decisions on current treatment options. Consequently, the more data-rich and timely a test result can be delivered, the sooner and better informed a medical decision can be made thus increasing the efficiency of the ordering and results communication process for both the providers and the laboratory. The Company's laboratory transaction management software suite serves to effectively manage test data dictionaries, other laboratory interfaces, and other sources of information, integrating disparate healthcare institutions and providing connectivity to community-based providers within an integrated delivery system. The Company's multi-system interfaces integrate provider workflow by creating connectivity to practice management systems, and hospital information systems. E-Rx Net(TM) Prescription Product The Company's electronic prescription writing product, E-Rx Net(TM), is designed to address the problems and issues affecting prescription benefit management, including, but not limited to, illegible prescriptions; prescriptions with the potential for adverse drug reactions, one of the leading causes of death in the United States; prescriptions that are not preferred or covered by standard insurance plans; the cost of manual order entry at the pharmacy; and the cost of telephone and written communication with providers and office staff regarding prescriptions, resulting in additional labor expense and lost time by both pharmacies and providers' offices. E-Rx Net(TM) automates the prescription writing process, from formulating the initial prescription order to checking for the potential for drug interactions to checking for preferences for health insurance coverage to printing, and in some cases, 3 4 transmitting electronically, the prescription, to the pharmacy. The Company's prescription transaction service has the potential in some cases to replace both the paper prescription and the phone calls regarding prescriptions with an efficient online transaction with the provider's clinical management system, which potentially saves both time and labor from the ordering process, as well as providing more accurate and informative orders. The Company's information system interfaces integrate provider workflow by creating connectivity to prescription benefit management information systems. Physician Practice and Network Management Services The Company historically offered comprehensive physician practice and network management and consulting services to physician practices, physician networks, hospitals, and other healthcare organizations. However, as described below, it is no longer the Company's primary business. The Company's services have included practice formation, operations development and strategic planning, and management, financial and administrative management, clinical information management, human resource management, and practice governance. The Company has provided physicians with consulting services to form and develop group practices and networks, to manage group practice and network operations, to develop disease management programs and to assist in the management of medical risk. In November 1998, the Company announced that it had decided to focus its strategy toward healthcare e-commerce away from physician practice and networking management and consulting services for healthcare organizations. In March 1999, the Company announced its intention to divest its physician practice management and consulting services prior to the end of the Company's fiscal second quarter, which may include selling certain of the Company's assets currently used in connection with the operation of its physician practice and network management unit. Nevertheless, until such time as and when the Company implements its strategic alternatives regarding this line of business, the Company will need to continue to operate this business unit within a highly competitive environment. See discussion below concerning the current physician practice and network management industry environment. In light of the competitive nature in which this unit currently operates, no assurance can be given that the Company's efforts to identify and implement its strategic alternatives will be successful. The Company was incorporated in the State of Delaware on June 20, 1995 under the name Majean, Inc. On August 24, 1995, the Company changed its name to Advanced Health Corporation, subsequent to a merger pursuant to which a Delaware corporation of the same name merged with and into the Company. On February 1, 1999 the Company filed a Registration of Trade Names in Delaware to do business under the name of AHT Corporation. Stockholders will vote on a proposal to change the Company's corporate name to AHT Corporation at the June 1999 Annual Meeting of Stockholders. Advanced Health Technologies Corporation, a wholly-owned subsidiary of Advanced Health Corporation, was incorporated in the State of Delaware on August 27, 1993 under the name Med-E-Mail Corporation. 4 5 The Company's executive offices are located at 555 White Plains Road, Tarrytown, New York, 10591, and its telephone number is (914) 524-4200. The Company's Internet address is www.ahtech.com. Clinical Information Systems The Company has developed enabling technologies, including Internet-based applications, for e-commerce and communications among physicians and other healthcare providers and organizations. The Company's clinical information systems consist of proprietary software, third-party hardware, proprietary and third-party databases, and related support services. They are designed to complement existing healthcare information systems and to function with third-party applications. The clinical information system connects to physician users through desktop computers using standard communication methods. Access to the Company's clinical information systems is delivered to physician users and other healthcare professionals via both private networks and Intranets. The Company's clinical information systems are designed to allow physicians to (i) access patient-specific clinical and payor information, (ii) generate prescriptions and orders for laboratory tests, patient education, and summaries of patient prescription and laboratory results history, and (iii) access databases containing managed care, disease management, health insurance, or diagnostic/treatment preferences. The Company's products operate within a client/server-based open architecture. The Company's products support HL-7 interfaces, incorporate TCP/IP and Microsoft NT protocols for real-time data transmission and run on the Microsoft Windows operating system and standard hardware platforms. The Company employs proprietary processes and standard commercial security measures to safeguard the privacy of clinical data accessed or transmitted on both private and public networks, including the Internet and the data communication paths within its products, including user passwords, 40 to 128-bit key encryption technology, and a triple-DES encryption algorithm. The Company expects to continue to employ industry standard security measures in the future. The Company licenses its clinical information systems to third party healthcare organizations, principally laboratories and prescription benefit management companies. The Company continues to pursue strategic relationships with healthcare providers as well as hospital information systems companies, physician practice management systems companies, and on-line services companies for the purpose of further developing and marketing its information systems. The Company offers its clinical information systems for provider users, and for laboratory and prescription clinical applications, summarized as follows: 5 6 Product Name Product Description Laboratory Dr. Chart(R) Dr. Chart(R)is a clinical software application that allows physicians, nurses and other clinicians to effectively manage patient information from multiple sources, such as clinical laboratory, radiology, and pathology systems. Working in conjunction with our CDX(TM) integration product, Dr. Chart(R)provides clinicians with a common user interface to view and print patient data from various electronic information sources. Dr. Chart(R) combines both inpatient and outpatient care data, which gives the caregiver a complete picture of the patient's clinical history. Dr. Chart Web(TM) Dr. Chart(R) is also web-enabled, making the clinical information available to a provider with a PC and a web browser in a secure Intranet environment. Compliance Monitor(TM) Compliance Monitor(TM) utilizes simple dialogues to generate a warning to the provider when an order links an inappropriate diagnosis with a single or group of procedure codes. The application also generates an Advance Beneficiary Notice to support compliance with Health Care Finance Administration ("HCFA") regulations. Prescription E-Rx Net(TM) E-Rx Net(TM) is a web-enabled product that creates legible and complete prescriptions that are screened for clinical and insurance preferences. The resulting prescription can then be printed, and in some cases, faxed or sent electronically to the patient's pharmacy. The patient's medication, allergy, and problem history is automatically stored in a central server, allowing for efficient data access by a physician involved in the patient's care. Industry and Competition The healthcare industry generates billions of clinical and financial transactions each year, including, but not limited to, prescriptions, lab orders and results, radiology orders and results, medical claims, eligibility inquiries, encounters and referrals. While most direct healthcare spending takes place outside of the doctor's office, physicians control an estimated 80% of the medical dollar through 6 7 their decisions. The growth of managed care has forced participants to become more efficient and sophisticated, while also demanding more information and increasing administrative requirements. Many of the inefficiencies in healthcare result from poor information exchange among participants, which include patients, providers, payors, and other trading partners. For physicians to meet the clinical and financial demands of managed care, the Company believes that moving patient-centered clinical and financial data electronically all along the continuum of care will become a business requirement. As an inexpensive, ubiquitous, and flexible technology, the Internet and secure intranets can be used to facilitate timely and accurate flow of information between the various participants in the healthcare system, within the rules promulgated by HCFA, The Health Insurance Portability and Accountability Act of 1996, and other various state statutes and regulations. Pharmacies, labs, payors, and managed care organizations are eager to enhance healthcare e-commerce, in order to reduce administrative costs while not compromising quality of care. For example, a physician who enters an electronic prescription could be warned about a patient's drug allergies or a potential drug interaction. The appropriate change could be made before the patient leaves the office, limiting the chance of misunderstanding and eliminating the need for additional administrative work. Over time, the patient's transactional data could be aggregated to create a basic electronic medical record that the physician could access, saving time and reducing the costs associated with lost records and neglected information. The Company believes that the combination of the size of the healthcare market, the changes currently affecting the healthcare market, and the relative lack of automation in such market creates significant business opportunities for companies like the Company, in the healthcare e-commerce industry. The market for healthcare information systems and services is highly competitive and rapidly changing. The Company believes that the principal competitive factors for clinical information systems are the proprietary nature of methodologies, databases, and technical resources; the usefulness of the data and reports generated by the software; customer service and support; compatibility with the customer's existing information systems; potential for product enhancement; vendor reputation; price; and the effectiveness of marketing and sales efforts. In addition, as the market for clinical information systems develops, additional competitors may enter the market and competition may intensify. The area of healthcare e-commerce transaction networks has been targeted by many companies. The Company is also aware that other e-commerce transaction processing companies have targeted this industry as a growth market, and that those companies could in the future utilize their networks to process electronic healthcare e-commerce transactions. Certain of these companies have announced pilot programs. The Company believes that its ability to compete successfully in the healthcare e-commerce market will depend upon its ability to offer a variety of integrated products and services and to implement sales and marketing strategies that bring its products and 7 8 services to the attention of its potential customer base. The Company believes that the timely development of new clinical information applications and the enhancement of existing clinical information systems are important to its competitive position. The Company's product development strategy is directed toward creating new applications that (i) increase the functionality of current products by providing enhanced interfaces; and (ii) expanding access to third-party systems and data repositories. The Company has approximately 20 professionals dedicated to systems development. Risks Affecting the Company's Business The Company's future success depends in significant part upon the continued service of its key technical and senior management personnel and its continuing ability to attract and retain highly qualified technical and managerial personnel. Competition for such personnel is intense and there can be no assurance that the Company can retain its key managerial and technical employees or that it can attract, assimilate or retain other highly qualified technical and managerial personnel in the future. The Company depends on its technical and implementation personnel. The Company's technical sales personnel typically support sales. The Company's ability to expand sales and enter into new vertical markets could be affected by a shortage of qualified technical sales support personnel. The Company depends on its trained implementation personnel or those of independent consultants to implement our software. A shortage in the number of trained implementation personnel could limit the Company's ability to implement its software on a timely and effective basis. Delayed or ineffective implementation of our software may limit the Company's ability to expand its revenues and may result in customer dissatisfaction and damage to the Company's reputation. Any of these events could seriously impair the Company's business, operating results and financial condition. Software programs are, by their nature, complex and have the potential to contain undetected errors or "bugs." Despite testing, bugs may be discovered only after the Company's product has been installed and used by customers. The Company has on occasion experienced delays in the scheduled introduction of new and enhanced products because of bugs. Undetected errors could result in adverse publicity, loss of revenues, litigation, liability, delay in market acceptance or claims against us by customers, any of which could seriously damage our business, operating results and financial condition. The majority of the Company's e-commerce revenues come from its laboratory reporting products. Therefore, a significant new entrant into the e-commerce market or a significant expansion by an existing competitor could have an adverse effect on the Company's business. As more fully described under Item 3 Legal Proceedings, the Company is currently subject to a temporary restraining order ("TRO") in connection with the Dr. Chart(R) software and related products. Although the Company has asked the Court to vacate the TRO and to dismiss the B&H lawsuit, there can be no assurance as to when or if the TRO will be vacated or whether any preliminary or permanent injunctive relief may in the future be granted providing similar or additional constraints. The continued existence of the TRO, or similar preliminary or permanent injunctive relief, could have a material adverse effect on the Company. 8 9 The market for the Company's products is characterized by frequent new product introductions and enhancements, rapid technological advances and rapid changes in customer requirements and preferences. Accordingly, the Company's future success will depend on its ability to enhance its existing products and to develop and market new products on a timely basis that respond to evolving customer requirements, achieve market acceptance and keep pace with technological developments. There can be no assurance that the Company will be successful in developing, introducing on a timely basis and marketing such products or enhancements; that its software will not contain errors that would delay product introduction, shipment or implementation; or that any such new products or enhancements will be accepted by the market. Because the Company's products are important to the successful operation of its customers' managed care organizations, errors or delays in product development and enhancement may have a material adverse effect on the continued market acceptance of the Company's products and may expose the Company to claims from customers and third parties. The Company faces competition from many healthcare information systems companies and other technology companies, including Proxymed and Healtheon. Many of its competitors are significantly larger and have greater financial resources than the Company and have established reputations for success in implementing healthcare information service systems. Many companies, including companies developing new technologies utilizing an Internet-based system, have targeted the healthcare e-commerce transaction industry for growth. Strategy The objective of the Company is to become a leading provider of Internet-based clinical e-commerce among both providers and healthcare organizations. By enabling providers and healthcare organizations to manage the collection, integration, and distribution of clinical information from disparate sources more effectively, the Company seeks to help providers and healthcare organizations meet medical necessity guidelines, manage patient care more effectively, analyze clinical utilization patterns, perform patient profiling, improve patient education, and improve delivery of care to patients. The Company's competitive strengths include (i) leading position in technology for the electronic management of laboratory orders and results; (ii) well-recognized customer base of approximately 50 healthcare organizations, including some of the largest hospital systems in the US and the largest prescription benefit manager in the US; and (iii) intellectual property that includes system interfaces to connect the Company's product to existing "legacy" information systems, and two patents for the electronic management of prescriptions in the physician's office. The Company has taken an incremental approach to practice automation. The Company gains entry to the practice through its line of laboratory products. The Company believes its laboratory products provide high value, are easy to use, and encourage the physician and his/her office staff to access the computer to manage 9 10 laboratory orders and results. A position on the physician's "desktop" is necessary to capture the physician's orders electronically and is critical to being a leader in the e-commerce industry. The Company plans to expand its application offerings to the physician who is already using the computer for laboratory orders and results to incrementally increase automation of the clinical workflow. The Company's strategy is to: - Use the Company's understanding of physician technology adoption for key clinical transactions. - Create additional distribution channels to penetrate physician offices and further secure a position on the physician's desktop. - Gain additional strategic, industry-leading customers. - Provide high levels of service to a national physician and healthcare organization customer base. - Gain critical mass through organic growth and acquisitions. Proprietary Rights The Company is relying upon the effectiveness of protection provided by a combination of patent, trade secret and copyright laws, nondisclosure and other contractual provisions and technological measures to protect its proprietary position in its methodologies, databases and software. The Company has two issued U.S. patent applications by the United States Patent and Trademark Office, and a foreign patent application having subject matter common with both U.S. applications. The patents are directed to the Company's electronic prescription management system and related technologies. No assurance can be given that patent, trade secrets, copyright or other intellectual property rights can be successfully asserted in any court action. The Company also has copyrights in its software, user documentation and databases. The copyright protection accorded to databases, however, is fairly limited. While the arrangement and selection of data are protectable, the actual data are not, and others are free to create databases that perform the same function. The Company distributes its clinical information systems products under agreements that grant customers non-exclusive licenses and generally contain terms and conditions restricting the disclosure and use of the Company's systems. In addition, the Company attempts to protect the secrecy of its proprietary databases and other trade secrets and proprietary information through confidentiality agreements with employees, consultants and third parties. The Company believes that, aside from the various legal protections of its proprietary information and technologies, factors such as the technological and creative skills of its personnel and product maintenance and support are integral to establishing and maintaining its position within the healthcare industry. Although the Company believes that its products do not infringe upon the proprietary rights of third parties, there can be no assurance that third parties will not assert infringement claims against the Company in the future. 10 11 Government Regulation As a participant in the healthcare industry, the Company's operations and relationships are subject to extensive and increasing regulation by a number of governmental entities at the federal, state, and local levels. The Company believes its operations are in material compliance with applicable laws. Nevertheless, because of the nature of the Company's relationship with physician organizations and the uncertainty of new regulations, many aspects of the Company's business operations have not been the subject of formal state or federal regulatory interpretations, and there can be no assurance that a review by courts or regulatory authorities of the Company's business or that of its affiliated physician organizations will not result in a determination that could adversely affect the operations of the Company or that the healthcare regulatory environment will not change so as to restrict the Company's or the affiliated physicians' existing operations or their expansion. Electronic Transmission of Prescriptions: A primary feature of the Company's products and services is the ability to electronically transmit (either by computer-to-facsimile or computer-to-computer) prescriptions from a doctor's office to a pharmacy. The ability of a pharmacist to fill an electronically transmitted prescription is governed by federal and state law. The United States Drug Enforcement Agency ("DEA") regulates the issuance and content of prescriptions for controlled substances. The United States Congress has approved the dispensing of prescriptions transmitted via facsimile of original, signed prescriptions for controlled substances other than for Schedule II drugs (narcotics). Neither Congress nor the DEA has addressed publicly electronic transmission of computer-generated prescriptions for controlled substances. The DEA is investigating the possibility of adopting a policy regarding electronic transmission of prescription orders, such as that used by the Prescription Systems, for controlled substances. No assurance can be given that Congress or the DEA will accept the method of transmitting prescriptions by electronic means for controlled substances in the future. The application of state rules to the use of the electronic prescription writing and management systems (the "Prescription Systems") varies. Additionally, other state laws that may affect the Company's ability to sell its products in certain states include certain state requirements that require licensure as either a doctor or a pharmacy in order for a third party to send or receive a prescription. A common carrier, such as a telephone company, is often excluded from such requirements. The Company's ability to market in such states would depend upon each state's willingness to deem the Company to be a common carrier of such prescriptions, the assurance of which cannot be given. Modification or further clarification of federal and state rules regarding use of the Prescription Systems in a manner that reduces their utility may have a material adverse effect on the Company. FDA Regulation: Certain products, including software applications, intended for use in the diagnosis of disease or other conditions, or in the cure, treatment, mitigation, or prevention of disease, are subject to regulation by the Food and Drug Administration ("FDA") as medical devices under the Federal Food, Drug and Cosmetic Act of 1938, as 11 12 amended (the "FDCA"). The FDCA imposes substantial regulatory controls over the manufacturing, testing, labeling, sale, distribution, marketing, and promotion of medical devices and other related activities. These regulatory controls can include, for example, compliance with the following: manufacturer establishment registration and device listing; current good manufacturing practices; FDA clearance of a pre-market notification submission or FDA approval of a pre-market approval application; medical device adverse event reporting; and prohibitions on misbranding and adulteration. Violations of the FDCA can result in severe criminal and civil penalties and other sanctions, including, but not limited to, product seizure, recall, repair, or refund orders, withdrawal or denial of pre-market notifications or pre-market approval applications, denial, or suspension of government contracts, and injunctions against unlawful product manufacture, labeling, promotion, and distribution, or other activities. In its 1989 Draft Policy For the Regulation of Computer Products ("Draft Policy"), the FDA stated their policy regarding the regulation of software products, including its intent to exempt certain clinical decision support software products from a number of regulatory controls. Under the Draft Policy, the FDA stated that it intended to exempt certain decision support software products that involve "competent human intervention before any impact on human health occurs (e.g., where clinical judgment and experience can be used to check and interpret a system output)" from the following controls: manufacturer establishment registration and device listing, pre-market notification, and compliance with the medical device reporting and current good manufacturing practice regulations. In the Draft Policy, the FDA stated that until it formally exempted decision support software products from these requirements, manufacturers of eligible decision support software products would be required to comply with those controls. Since issuing the Draft Policy, the FDA has not issued a final policy on this issue, not formally exempted any products as discussed in the Draft Policy, and has regulated additional software products. The FDA has referred to the Draft Policy in official presentations regarding software regulation and in decisions and opinions regarding the regulatory status of various products. Over the last several years, however, the FDA has stated that it intends to issue a new policy concerning computer products and has been increasing its efforts to develop this policy in recent months. Under this new policy being considered, exemptions from regulatory controls, if any, may be based upon a product specific "risk factor" analysis. For purposes of this analysis, the FDA may consider, among other things, the following: (i) seriousness of the disease to be diagnosed or treated, (ii) the time frame for use of the information, (iii) whether the data output is provided or manipulated in a novel or non-traditional manner, (iv) whether the software provides individualized patient care recommendations, (v) whether the mechanism by which the software arrives at a decision is hidden or transparent and (vi) whether the product provides new capabilities for the user. Given the FDA's intent to issue a new policy concerning the regulation of computer software, which policy may or may not conform to FDA's current reasoning, there can be no assurance as to the effect of such a policy, if any, upon the regulatory status of the Company's products. The Company's clinical information systems are intended to assist healthcare providers in analyzing economic and quality data related to patient care and expected 12 13 outcomes in order to maximize the cost-effectiveness of general treatment plans and practice protocols. These products are not intended to generate the primary source of specific diagnostic data, result or affect the use of specific therapeutic interventions for individual patients. As such, the Company believes that its clinical information systems are not medical devices under the FDCA, or, if medical devices not actively regulated by the FDA at this time, and, thus, are not subject to many, if any, of the controls imposed on manufacturers of medical devices. The Company further believes that to the extent that its products might be determined to be medical devices, and not otherwise exempt from regulation, they fall within the exemptions for decision support systems provided by the Draft Policy. The Company has not taken action to comply with the requirements that would otherwise apply if the Company's products were determined to be non-exempt medical devices. There can be no assurance that the FDA will not make a request or take other action to require the Company to comply with any or all current or future controls applicable to medical devices under the FDCA. There can be no assurance that, if such a request were made or other action were taken, the Company could comply in a timely manner, if at all, or that any failure to comply would not have a material adverse effect on the Company's business, financial condition or results of operations, or that the Company would not be subjected to significant penalties or other sanctions. There can be no assurance that the FDA will continue to permit any or all of the exemptions provided in the Draft Policy, or in a new policy statement, if any, or that the FDA will promulgate regulations formally implementing such exemptions. There can be no assurance that the Company's current or future clinical information systems will qualify for future exemptions, if any, nor can there be any assurance that any future requirements will not have a material adverse effect on the Company's business, financial condition or results of operations. Confidentiality of Medical Information: The confidentiality of patient records and the circumstances under which such records may be released is subject to substantial regulation under state and federal laws and regulations. These federal and state laws and regulations govern both the disclosure and the use of confidential patient medical record information. Although compliance with these laws and regulations is at present principally the responsibility of the hospital, physician, managed care organization, or other healthcare provider, regulations governing patient confidentiality rights are evolving rapidly. With respect to its electronic clinical information systems, the Company uses a state-of-the-art security system, including user passwords, 128-bit key encryption technology and a triple-DES encryption algorithm, to safeguard the privacy of clinical data accessed or transmitted on both private and public networks, including the Internet, and will continue to employ such security measures in the future. The Company believes that its procedures currently comply with the laws and regulations regarding the collection of patient data in substantially all jurisdictions, but regulations governing patient confidentiality rights are evolving rapidly and are often difficult to apply. 13 14 Each state has various laws protecting the confidentiality of patient medical information, including laboratory and prescription information. Although it is not uncommon for a third party to have access to such information, in most states, such third party has an obligation to maintain the confidentiality of such information and could be subject to liability if that obligation is breached. Although, as discussed above, the Company has procedures to maintain the confidentiality of the information it receives, there can be no assurance that inadvertent disclosure of information will not occur to the detriment of the Company's business. Additional legislation governing the dissemination of medical record information has been proposed at both the state and federal level. Furthermore, the Health Insurance Portability and Accountability Act of 1996 requires the Secretary of HHS to recommend legislation or promulgate regulations governing privacy standards for individually identifiable health information and creates a federal criminal offense for knowing disclosure or misuse of such information and to implement security and electronic signature standards for the electronic transmission of medical information by prior to August 1999. In August 1998, Secretary Shalala proposed such standards, although they have not yet been adopted in final form. When adopted in final form, such regulations could require the Company to expend substantial additional resources to comply with the revised standards. These statutes and regulations may require holders of such information to implement security measures that may be of substantial cost to the Company. There can be no assurance that changes to state or federal laws would not materially restrict the ability of the Company to obtain patient information originating from records of healthcare providers to submit information from patient records using the Company's applications. Reimbursement: Management estimates that approximately 40% of the revenues of the Company's affiliated physician group practices are derived from payments made by government-sponsored healthcare programs (principally Medicare, Medicaid and state reimbursement programs). Consequently, any change in reimbursement regulations, policies, practices, interpretations or statutes could adversely affect the operations of the Company. The federal Medicare program has implemented a system of reimbursement of physician services, RBRVS. The Company expects that future changes in the RBRVS fee schedule, as required by law, and in Medicare reimbursement generally, will result, in some cases, in a reduction and, in some cases, in an increase from historical levels in the per-patient Medicare revenue received by certain of the physician organizations with which the Company contracts. Reductions in the RBRVS fee schedule may have a material adverse effect on the Company, and if adopted by other payors, could have a further material adverse effect on the Company. Billing: There are state and federal civil and criminal statutes, which impose substantial penalties, including civil and criminal fines and imprisonment, on healthcare providers who fraudulently or wrongfully bill governmental or other third-party payors for healthcare services. The federal law prohibiting false billings allows a private person to bring a civil action in the name of the U.S. government for violations of its provisions. There is no assurance that the Company's activities will not be challenged or scrutinized by governmental authorities. Moreover, technical Medicare and other 14 15 reimbursement rules affect the structure of physician billing arrangements. The Company believes it is in material compliance with such regulations, but regulatory authorities may differ in their interpretations of such regulations and, in such event, the Company might have to modify its relationship with physician organizations. Noncompliance with such regulations by either the Company or its affiliated physician groups could have a material adverse effect on the business, financial condition and results of operations of the Company and subject it and affiliated physician groups to penalties and additional costs. Billing Agent, and Medicare Reassignment Rules: The Company is subject to Medicare rules governing billing agents. These rules prohibit a billing agent from receiving a fee based on a percentage of Medicare collections if the billing agent collects Medicare payments for its own account, and may require Medicare payments for the services of physicians to be made directly to the physician providing the services or to an account opened solely in the name of the physician or the physician's group. If an enforcement agency determines that the physician or his group violated any of these rules, the physician and/or his group could be excluded from the Medicare program and subject to civil monetary penalties, and Medicare payments collected under the agency arrangement would be subject to recoupment, all of which could have a material adverse effect on the Company. In addition, the revenues of physician practices affiliated with the Company and the Company's revenues from all insurers, including governmental insurers, are subject to significant regulation. Some payors limit the extent to which physicians may assign their revenues from services rendered to beneficiaries. Under these "reassignment" rules, the Company may not be able to require physicians to assign third-party payor revenues received from government-sponsored payment programs unless the physicians are employees of the Company, the Company is a healthcare delivery system (or physician directed clinic), the Company is a qualified billing agent for the physicians, or other conditions are met. In addition, governmental payment programs and certain commercial insurers will not pay for the services of mid-level practitioners who are supervised by physicians, unless the mid-level practitioners' services are rendered "incident to" physician services. To meet this "incident to" requirement, the mid-level practitioners must be either direct or leased employees of the physician group at which they work. If an enforcement agency determines that the Company or an affiliated physician practice has violated any of the various "reassignment" and "incident to" rules, the affiliated physician practice could be excluded from such payment program, payments could be recouped, civil penalties could be imposed, and continued violations, after notice, could result in criminal penalties. On December 18, 1998, the Office of the Inspector General of the Department of Health and Human Services (the "OIG") issued a notice providing guidance to third-party billing companies concerning compliance by such companies and their provider customers with applicable federal rules and regulations associated with proper coding, billing and related procedures. Risk areas in which the OIG focused attention included, among others, billing for services or items that have not been documented, duplicate billing, unbundling, upcoding, computer software programs that encourage billing 15 16 personnel to enter data in fields indicating services were rendered though not actually performed or documented and other kinds of abusive activities. While the adoption of applicable compliance plans is voluntary, adoption of such plans may be helpful in avoiding criminal and civil prosecution under various state and federal statutes. The Company has taken steps to develop and adopt appropriate procedures as well as a compliance plan in an effort to comply and to cause its customers to comply with applicable billing rules, and the Company believes that it is in material compliance with such rules. There can be no assurance, however, that the Company's activities or the activities of its customers will not be challenged or scrutinized by governmental authorities or third party payors, the effect of which could have a material adverse effect on the business, financial condition and results of operations of the Company. Corporate Practice of Medicine and Fee Splitting: The laws of many states prohibit business corporations such as the Company from practicing medicine and employing physicians to practice medicine. These laws forbid both direct control over medical decisions and indirect interference, such as splitting medical fees with physicians or controlling budgetary allotments for patient care. Laws regarding the corporate practice of medicine vary from state to state and are enforced by the courts and by regulatory authorities. Recently, the Florida Board of Medicine ruled that percentage-based management fees paid by physicians to management companies for marketing and other practice enhancement services constitute an improper fee splitting arrangement under Florida law and may violate the Florida anti-referral law. Similarly, the New York Department of Health has taken the position that management and billing service fees based on a percentage of collections violates New York's prohibition against fee splitting by licensed professionals. In addition, the OIG has raised similar questions under the federal anti-kickback statute concerning management and billing fees calculated in a manner that is based on revenues. See discussion below of the Inspector General's advisory opinion issued in April, 1998. All of the management service agreements ("MSAs") between the Company, or the Company's majority-owned MSOs, and the physician groups and networks they serve address these issues by providing that the physician organization retains complete control over medical decision making, and neither the Company nor the MSO may interfere with the professional judgment of medical personnel or control, direct or supervise the provision of medical services. Furthermore, the MSAs provide that the Company or MSO, as the case may be, may not perform any services or activities that constitute the practice of medicine. The role of the Company is as a management or consulting organization to perform administrative and business functions. In addition, the Company has abandoned such percentage of collection fees in all of the new MSAs with physicians in New York and is currently working toward modifying all of its current MSAs in New York. Although the Company believes it is in material compliance with regulations regarding the corporate practice of medicine, no assurance can be given that its operations will not be challenged by regulatory authorities. 16 17 A determination in any state that the Company is engaged in the corporate practice of medicine or fee splitting could render any management services agreement or Independent Practice Association ("IPA") provider agreement between the Company and a practice in such state unenforceable or subject to modification in a manner materially adverse to the Company. Fraud and Abuse Statutes: Certain provisions of the Social Security Act, commonly referred to as the "Anti-kickback Statute," prohibit the offer, payment, solicitation, or receipt of any form of remuneration which is intended to induce business for which payment may be made under a federal healthcare program. A federal healthcare program is any plan or program that provides health benefits, whether directly, through insurance or otherwise, which is funded directly, in whole or in part, by the United States government (e.g., Medicare, Medicaid and CHAMPUS). Excluded from the definition of federal healthcare program is the Federal Employee Health Benefits Program. The type of remuneration covered by the Anti-kickback Statute is very broad. It includes not only kickbacks, bribes, and rebates, but also proscribes any such remuneration, whether made directly or indirectly, overtly or covertly, in cash or in kind. Moreover, prohibited conduct includes not only remuneration intended to induce referrals, but also remuneration intended to induce the purchasing, leasing, arranging, or ordering of any goods, facilities, services, or items paid for by a federal healthcare program. In some instances, for example, the government may construe some of the marketing and managed care contracting activities conducted by the Company as arranging for the referral of patients to physician groups managed by the Company. In addition, in the event the Company provides management services to two or more physician groups and charges a percentage-based fee for those services, any cross-referral from a physician in one group to a physician in another group could be deemed to benefit the referring physician since the value of that physician's ownership in the Company will increase if the other physician group pays a management fee which is related to the service provided pursuant to the referring physician's referral. In addition, on April 15, 1998, the OIG issued an advisory opinion (the "Advisory Opinion") in which it found that a proposed management services agreement between a physician practice management company and a physician practice, which included a percentage of net practice revenues as a component of the management fee, may involve illegal payments under the federal anti-kickback statute. Although the Advisory Opinion provides valuable insight into areas of governmental concern, it is only applicable to, and cannot be relied upon by anyone other than, the individual requesting the opinion and is limited to its specific facts. The arrangement addressed in the Advisory Opinion involved a management company providing a physician practice with certain management services which included, in addition to standard management services, "direct marketing" services and establishing a network to which the physician would be required to refer his patients. As part of the management company's compensation, it would receive a percentage of the practice's net revenues (a term that was not defined). 17 18 The OIG concluded that these features of the arrangement "may include prohibited remuneration" under the federal anti-kickback statute. The OIG determined that while the agreement "may" be problematic, a definitive conclusion would require a determination of the parties' intent, which is beyond the scope of the advisory opinion process. Additionally, the Advisory Opinion reiterated the OIG's longstanding concern that percentage billing arrangements could increase the risk of upcoding and similarly abusive billing practices, and could incentivise the billing agent to influence providers to overutilize services. The Company's management and consulting agreements are factually distinct from the arrangement reviewed by the OIG. The Company does not engage in any "direct marketing" activity on behalf of the physician practices it manages. Additionally, the Company does not set up networks to which physicians managed by the Company are required to refer. Furthermore, for there to be a violation of the federal anti-kickback statute, there must be an intent to induce referrals. The intent of the Company's agreements with its physician customers is to be paid fair market value for management services that reduce the practice's administrative burdens, and free physicians to focus more of their time on the quality of patient care delivered. The Company does not intend to induce or arrange for referrals through the provision of its management services. Rather, the Company assists its managed practices in monitoring the appropriateness of services through utilization review and other programs. In general, the Anti-kickback Statute has been broadly interpreted by courts in many jurisdictions. Read literally, the statute places at risk many business arrangements potentially subjecting such arrangements to lengthy expensive investigations and prosecutions initiated by federal and state government officials. Many states, including some of those in which the Company does business, have adopted similar prohibitions against payments intended to induce referrals of Medicaid and other third-party payor patients. The Company believes that, although it is receiving remuneration under the MSAs for management services, it is not in a position to make or influence the referral of patients or services reimbursed under government programs to the physician groups and, therefore, believes it has not violated the Anti-kickback Statute. Although the Company will assist physician groups and networks in negotiating its contracts to provide professional services and will provide marketing and advertising services on behalf of such groups and networks, the Company will not refer patients to such groups and networks. Payments to the Company by such groups and networks in connection with marketing and advertising services should not be viewed as payments to the Company to induce referrals because the marketing services provided by the Company are of a general nature, and are not intended to direct patients to any particular provider for any particular Medicare/Medicaid covered item or service. Payments or issuances of Company stock or stock options to physicians should also not be viewed as payments to induce the purchase of an item or service reimbursable by Medicare or state healthcare programs, and management fees paid by affiliated physician groups and/or networks to the Company should not be viewed as payments to induce the Company to refer patients to such groups and networks because such payments will be consistent with the fair market value of the items or services received in exchange. Nevertheless, because of the breadth of federal and state anti-kickback statutes and the absence of court 18 19 decisions interpreting their application to arrangements such as those entered into by the Company, there can be no assurance that the Company's activities will not be challenged by regulatory authorities or that the Company's position will prevail if challenged. Although the Company believes that it is in compliance with the federal fraud and abuse statute, any exclusion or penalty applied to one or more affiliated physician groups or networks due to a violation of the federal fraud and abuse laws could have a material adverse effect upon the Company. Moreover, the Company is not a separate provider of Medicare or state health program reimbursed services. To the extent the Company is deemed to be either a referral source or a separate provider under its MSAs, the financial arrangements under such agreements could be subject to scrutiny and prosecution under the Anti-kickback Statute. Violation of the Anti-kickback Statute is a felony, punishable by criminal fines up to $25,000 per violation and imprisonment for up to five years; a civil monetary penalty of $50,000; and/or civil damages of not more than three times the amount of remuneration offered, paid, solicited or received without regard to whether any portion of such remuneration was for a lawful purpose. In addition, the U.S. Department of Health and Human Services ("HHS") may impose civil penalties excluding violators from participation in Medicare or state health programs. In July 1991, in part to address concerns regarding the Anti-kickback Statute, the federal government published regulations that provided exceptions, or "safe harbors," for transactions that will be deemed not to violate the Anti-kickback Statute. Among the safe harbors included in the regulations were provisions relating to the sale of practitioner practices, management and personal services agreements and employee relationships. Additional safe harbors were proposed in September 1993 offering new protections under the Anti-kickback Statute to eight activities, including referrals within group practices consisting of active investors. Proposed amendments to clarify these safe harbors were published in July 1994 which, if adopted, would cause substantive retroactive changes to the 1991 regulations. The failure of an activity to qualify under a safe harbor provision, while potentially leading to greater regulatory scrutiny, does not render the activity illegal. Although the Company believes that it is not in violation of the Anti-kickback Statute, its operations may not fit within any of the existing or proposed safe harbors. Notwithstanding the availability of advisory opinions from the OIG, the Company has not sought, and has no present intention of seeking, an advisory opinion regarding any aspect of its current operations or arrangements with physicians. Physician Self-Referral Laws: Significant prohibitions against physician referrals were enacted by Congress in the Omnibus Budget Reconciliation Act of 1993. These prohibitions, commonly known as "Stark II," amended prior physician self-referral legislation known as "Stark I" by dramatically enlarging the field of physician-owned or physician-interested entities to which the referral prohibitions apply. Effective January 1, 1995, Stark II prohibits, subject to certain exceptions, a physician or a member of his or her immediate family from referring Medicare patients to an entity providing designated health services in which the physician has an ownership or investment interest, or with 19 20 which the physician has entered into a compensation arrangement, including the physician's group practice. The designated health services include radiology and other diagnostic services, radiation therapy services, physical and occupational therapy services and providing durable medical equipment, parenteral, and enteral nutrients, equipment and supplies, prosthetics, orthotics, outpatient prescription drugs, home health services and inpatient and outpatient hospital services. The penalties for violating Stark II include a prohibition on payment by these government programs and civil penalties of as much as $15,000 for each violative referral and $100,000 for participation in a "circumvention scheme." The Company believes that its activities are not in violation of Stark I or Stark II. Stark II also applies to indirect financial arrangements. To the extent physicians managed by the Company are determined to have an indirect financial relationship with physicians in separate practices that are managed by the Company, absent a Stark II exception, referrals for designated health services between physicians in different practices could be prohibited. Stark II also governs a physician's ability to refer patients for designated health services within the practices and networks that the Company manages in light of the physician's ongoing compensation arrangements with such practices and networks. An exception for in-office ancillary services requires that the practices and networks meet certain structural and operational requirements on an ongoing basis in order to bill for in-office ancillary designated health services rendered by employed or contracted physicians. A key feature of the in-office ancillary services exception is the Stark law's definition of "group practice." In this regard, on January 9, 1998, the Healthcare Financing Administration ("HCFA") published proposed regulations interpreting the scope and refining the application of the Stark II law and has issued one advisory opinion analyzing certain components of the group practice definition. These proposed regulations provide, in the case of designated health services provided by a group practice, that the overhead expenses and income from the practice must be distributed according to methods that indicate that the practice is a unified business and not based on each satellite office operating as if it were a separate enterprise. There can be no assurance that the distribution methodologics used by practice groups managed by the Company will meet the unified business requirement. A determination that any practice group's sharing of overhead expenses and income does not comply with Stark II would preclude physician owners of such practice groups from referring Medicare/Medicaid patients to their practice group(s) for certain designated health services, and could have a material adverse effect on such group(s), and therefore the Company. In addition, the proposed regulations contemplate that the issuance to physicians of stock in a company prior to such company being publicly traded may not satisfy the Stark exception for ownership interests in publicly traded companies. Thus, to the extent the Company becomes a provider of designated health services, physicians who have received stock or stock options in the Company before it became public may be precluded from making Medicare/Medicaid referrals to the Company and, under certain circumstances, to other affiliated medical groups, for designated health services, which could have a material adverse impact on the Company. 20 21 In addition, the proposed Stark II regulations present a variety of additional modifications, clarifications and additions to the current Stark I regulations, including changes to the definition of designated health services. Many of these proposed changes, if finally adopted in their current or even modified form, could have a material adverse effect on the physician groups and networks managed by the Company, and therefore could have a material adverse effect on the Company. It is not clear when the final Stark II regulations will be issued in their final form. Notwithstanding the availability of advisory opinions from HCFA regarding provisions of the Stark law, the Company has no present intention to seek an advisory opinion regarding its current operations, arrangements with physicians or the referral activities of physicians in the practices and networks it manages. A number of states have enacted self-referral laws that are similar in purpose to Stark II but which impose different restrictions on referrals from Stark II. These various state self-referral laws have different requirements. Some states, for example, only prohibit referrals when the physician's financial relationship with a healthcare provider is based upon an investment interest. Other state laws apply only to a limited number of designated health services or, alternatively, to all healthcare services furnished by a provider. Some states do not prohibit referrals at all, but require only that a patient be informed of the financial relationship before the referral is made. Most of the states in which the Company conducts business have adopted some form of self-referral law. Many states, including Pennsylvania, have self-referral laws that are particularly applicable to workers' compensation patients. The Company believes that its current operations and the structure of the practices and networks it manages are in material compliance with the self-referral laws of the states in which such practices and networks are located, however, there can be no assurance that the Company's activities will not be challenged or scrutinized by governmental authorities, the effect of which could have a material adverse effect on the business, financial conditions, and results of operations of the Company. False Claims: Under numerous federal laws, including the Federal False Claims Act (the "False Claims Act"), the federal government is authorized to impose criminal, civil and administrative penalties on any healthcare provider that files a false claim for reimbursement from a federally funded health program (such as Medicare or Medicaid). Recently enacted federal legislation also imposes federal criminal penalties on persons who file false or fraudulent claims with private insurers. While the criminal statutes are generally reserved for instances of fraud, the civil and administrative penalty statutes are being applied by the government in an increasingly broad range of circumstances. Civil sanctions may be imposed if the claimant knew or should have known that billing was improper. The government also has taken the position that claiming reimbursement for services that are substandard is a violation of these false claims statutes if the claimant knew or should have known that the care was substandard or rendered under improper circumstances. Private persons may bring civil actions to enforce the False Claims Act. Under certain lower court decisions, claims derived from the Anti-kickback Statute or the Stark law have been deemed to be, or may under certain circumstances be construed to be, false claims. 21 22 PIP Regulations: HCFA has issued final regulations (the "PIP regulations") covering the use of physician incentive plans ("PIPs") by HMOs and other managed care contractors and subcontractors that contract to arrange for services to Medicare and Medicaid beneficiaries ("Organizations"). Any Organization that contracts with a physician group that places the individual physician members of the group at substantial financial risk for the provision of services that the group does not directly provide (e.g., if a primary care group takes risk but subcontracts with a specialty group to provide certain services) must satisfy certain disclosure, survey and stop-loss requirements. Under the PIP regulations, payments of any kind, direct or indirect, to induce providers to reduce or limit covered or medically necessary services are prohibited ("Prohibited Payments"). Further, where there are no Prohibited Payments but there is risk sharing among participating providers related to utilization of services by their patients, the regulations contain three groups of requirements: (i) requirements for physician incentive plans that place physicians at "substantial financial risk," (ii) disclosure requirements for all Organizations with PIPs: and (iii) requirements related to subcontracting arrangements. In case of substantial financial risk (defined in the regulations according to several methods, but essentially risk in excess of 25% of the maximum payments anticipated under a plan with less than 25,000 covered lives), Organizations must conduct enrollee surveys and ensure that all providers have specified stop-loss protection. The violation of the requirements of the PIP regulations may result in a variety of sanctions, including suspension of enrollment of new Medicaid or Medicare members, or a civil monetary penalty of $25,000 for each determination of noncompliance. In addition, because of the increasing public concerns regarding PIPs, the PIP regulations may become a model for the industry as a whole. Although the Company currently has no contracts that require compliance with the PIP regulations, the regulations, by limiting the amount of risk that may be imposed upon physicians in certain arrangements, could have an effect on the ability of the Company to effectively reduce the costs of providing services, by limiting the amount of risk that may be imposed upon physicians. Antitrust: Because the physician organizations managed by the Company remain separate legal entities, they may be deemed competitors subject to a range of antitrust laws which prohibit anti-competitive conduct, including price fixing, concerted refusals to deal and divisions of markets. In particular, the antitrust laws have been interpreted by the Federal Trade Commission and the United States Department of Justice to prohibit joint negotiations by competitors of price terms in the absence of financial risk that is shared among the competitors, other financial integration or substantial clinical integration among the competitors. The Company intends to comply with such state and federal laws as may affect its development of, and contracting for, integrated healthcare delivery networks, but there can be no assurance that review of the Company's business by courts or regulatory authorities will not result in a determination that could adversely affect the operation of the Company and its affiliated physician groups. Insurance Regulations: Laws in all states regulate the business of insurance and the operation of Health Maintenance Organizations ("HMOs") HMOs. On August 10, 1995, the National Association of Insurance Commissioners ("NAIC") issued a report opining that certain risk-transferring arrangements may entail the business of 22 23 insurance, to which state licensure laws apply, but that licensure laws would not apply where an unlicensed entity contracts to assume "downstream risk" from a duly licensed health insurer or HMO for healthcare provided to that carrier's enrollees. In addition, in December 1996, the NAIC issued a report entitled "Regulation of Health Risk Bearing Entities," which sets forth issues to be considered by state insurance regulators when considering new regulations, and encourages that a uniform body of regulation be adopted by the states. Certain states have enacted statutes or adopted regulations affecting risk assumption in the healthcare industry. In some states, including some of those in which the Company does business, these statutes and regulations subject any physician or physician network engaged in risk-based contracting, even if through HMOs and insurance companies, to applicable insurance laws and regulations, or other laws and regulations, which may include, among other things, providing for minimum capital requirements and other safety and soundness requirements. Although the NAIC's conclusions are not binding on the states, the Company believes that additional regulation at the state level will be forthcoming in response to the NAIC initiatives. The Company will enter into capitated contracts only with licensed insurance companies and HMOs, and only if allowed by state law. The Company believes that it is in compliance with these laws in the states in which it does business, but there can be no assurance that future interpretations of insurance laws and healthcare network laws by the regulatory authorities in these states or in the states into which the Company may expand will not require licensure or a restructuring of some or all of the Company's operations. Licensure; Certificate of Need: Certain of the ancillary services that the Company anticipates providing on behalf of the practices and networks it manages are now, or may in the future be, subject to licensure or certificate of need laws in various states. There can be no assurance that the Company, or the practices or networks it manages, will be able to obtain such licenses or certificate of need approval to the extent required for the particular ancillary service. Healthcare Reform: As a result of the continued escalation of healthcare costs and the inability of many individuals to obtain health insurance, numerous proposals have been and continue to be introduced in the U.S. Congress and state legislatures relating to healthcare reform, which may contain proposals to increase government involvement in healthcare, lower reimbursement rates and otherwise change the operating environment for the Company's customers. There can be no assurance as to the ultimate content, timing, or effect of any healthcare reform legislation, nor is it possible at this time to estimate the impact of potential legislation, which may be material to the Company. Employees As of March 31, 1999, the Company had a total of approximately 46 employees in continuing operations and approximately 110 employees associated with discontinued operations. The Company is not and never has been a party to a collective bargaining agreement. The Company has never experienced a work stoppage and believes that its employee relations are satisfactory. 23 24 ITEM 2. PROPERTIES The Company currently leases 26,302 square feet of office space in Tarrytown, New York, 17,552 square feet of which it occupies, and 8,750 square feet of which it sublets. The Company is responsible for an annual rent of approximately $500,000, which includes the sublet portion that generates approximately $160,000 of rental income. Both the lease and the sublease expire March 2002. The Advanced Health Management subsidiary occupies 4,065 square feet of leased office space in Marietta, Georgia. The lease expires January 2001, and has annual rent of approximately $50,000. The Advanced Health Technologies subsidiary occupies 8,028 square feet of leased office space in Fort Washington, which expires December 2002 and has an annual rent of approximately $128,000. The Integrated Medical Management subsidiary occupies 13,014 square feet in Malvern, Pennsylvania. The annual rent is approximately $200,000 and the lease term expires June 2004. ITEM 3. LEGAL PROCEEDINGS On September 23, 1997, the Company commenced an action in the Supreme Court of the State of New York against Synetic, Inc. ("Synetic") entitled Advanced Health Med-E-Systems Corporation v. Synetic, Inc. to collect $1 million owing by Synetic to the Company pursuant to a software license agreement. On October 1, 1997, Synetic filed an answer to this lawsuit and asserted various counterclaims against the Company, in which Synetic alleged that the subject software and documentation was not timely delivered and installed in accordance with the License Agreement. As previously announced, the parties settled their dispute in January 1999, and all claims have been dismissed with prejudice. From July 1 through August 17, 1998, eleven putative class actions were filed in the United States District Court for the Southern District of New York, all of which have been consolidated under the caption In re Advanced Health Corporation Securities Litigation. The consolidated complaint, filed in February 1999, seeks, among other remedies, certification as a class action and unspecified damages resulting from defendants' alleged violations of federal securities laws. The consolidated complaint alleges that the Company and its current or former officers or directors, Jonathan Edelson, M.D., Steven Hochberg, Alan B. Masarek, Robert Alger and Michael W. Rogers are liable for certain misrepresentations and omissions regarding, among other matters, the Company's operations, performance, and financial condition. The litigation is still in the preliminary stages, and the Company believes that the plaintiffs' claims are without merit and intends to defend against the action vigorously. On September 16, 1998, Bukstel & Halfpenny, Inc. ("B&H") commenced an action in the Supreme Court of the State of New York entitled Bukstel & Halfpenny, Inc. v. Advanced Health Corporation. In addition to the Company, the complaint names as defendants Advanced Health Med-E-Systems Corporation, Advanced Health Bukstel & Halfpenny Corporation, Jonathan Edelson, M.D., Alan Masarek, and Michael W. Rogers. 24 25 The Complaint asserts violations of the federal securities laws, common law fraud and other common law claims in connection with the Company's September 17, 1997 purchase of certain assets from B&H, and seeks rescission of the asset purchase agreement or unspecified damages. On October 30, 1998, B&H obtained an order to show cause and temporary restraining order, which temporarily prevents the Company from transferring certain software source code to Mayo Medical Laboratories and from including certain "software escrow" provisions in certain software licensing agreements for the Dr. Chart(R), Clinical Data Repository(TM), Clinical Data Exchange(TM) and Application Interface Engine(TM) products (the "TRO"). On November 17, 1998, the Court held a hearing on the Company's motion to dismiss the complaint and for sanctions on plaintiff's motion for expedited discovery and a preliminary injunction. No decision has been rendered to date. The Company believes that the plaintiffs' claims are without merit and intends to defend against the action vigorously. On December 12, 1998, the Company commenced an action in the Supreme Court of the State of New York against Madison Medical - The Private Practice Group of New York, L.L.P. ("Madison") entitled Advanced Health Corporation v. Madison Medical - the Private Practice Group of New York, L.L.P. The Company seeks to collect $2 million plus interest owing by Madison to the Company pursuant to a Promissory Note executed by Madison in favor of the Company. On January 15, 1999, the Company, through its majority owned subsidiary, Uptown Physician Management, Inc. ("Uptown") commenced an American Arbitration Association arbitration proceeding against Madison entitled Uptown Physician Management, Inc. v. Madison Medical -- the Private Practice Group of New York, L.L.P. to collect $2.1 million in fees owed pursuant to a management services agreement between the parties. Madison has asserted a defense in the action and a counterclaim in the arbitration seeking $2.4 million in damages based on the Company's and Uptown's alleged breaches of the management services agreement. On March 31, 1999, the Company announced a settlement with Madison of both disputes for an aggregate payment to the Company of approximately $2.5 million, $700,000 of which is to be paid by April 30, and the remaining $1.8 million plus interest to be paid in installments over time. ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITYHOLDERS No matters were submitted to a vote of securityholders during the fourth quarter of the fiscal year ended December 31, 1998. PART II ITEM 5. MARKET FOR REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER MATTERS The Common Stock began trading on the Nasdaq National Market under the symbol "ADVH" on October 3, 1996, and on February 1, 1999, changed its symbol to "AHTC." (a) Market Information The following sets forth the high and low bid price for the period commencing January 1, 1998 through December 31, 1998 as reported by NASDAQ. 25 26 Quotations reflect inter dealer prices without retail mark-up, mark-down, or commission, and may not represent actual transactions.
Common Stock High Low January 1, 1998 through December 31, 1998 $18.813 $ 1.063 First Quarter ended March 31, 1998 18.813 12.250 Second Quarter ended June 30, 1998 17.375 5.250 Third Quarter ended September 30, 1998 5.375 1.063 Fourth Quarter ended December 31, 1998 2.813 1.188
(b) Approximate Number of Equity Stockholders Based upon information supplied from the Company's transfer agent, the Company believes that the number of record holders of the Company's equity securities as of March 25, 1998 is approximately 250. The Company believes that the number of beneficial holders of the Company's Common Stock as of March 25, 1998 is in excess of 300. (c) Dividends The Company has not declared or paid any cash dividends on its capital stock since inception and does not expect to pay cash dividends in the foreseeable future. The Company presently intends to retain future earnings, if any, to finance the expansion of its business. The payment of any cash dividends in the future will depend on the Company's earnings, financial condition, results of operations, capital needs and other factors deemed pertinent by the Company's Board of Directors, subject to laws and regulations then in effect. ITEM 6. SELECTED FINANCIAL DATA The selected consolidated statement of operations data for the five years ended December 31, 1998, and the consolidated balance sheet data as of December 31, 1998, 1997, and 1996 are derived from the consolidated Financial Statements of the Company included elsewhere in this Annual Report on Form 10-K, which have been audited by Arthur Andersen LLP, independent public accountants. The selected consolidated statement of operations and balance sheet data for the periods ending December 31, 1994 to December 31, 1998 are derived from the consolidated financial statements of the Company which have been audited by Arthur Andersen LLP, independent public accountants. The selected consolidated financial data set forth below is qualified by reference to, and should be read in conjunction with, the Company's Consolidated Financial Statements and the Notes, thereto and "Management's Discussion and Analysis of Financial Condition and Results of Operations" contained elsewhere in this Annual Report on Form 10-K. 26 27
(In thousands except per share data) 1994 1995 1996 1997 1998 ---- ---- ---- ---- ---- REVENUE $ 379 $ 1,054 $ 2,657 $ 11,910 $ 3,530 COST OF REVENUES 12 340 799 1,030 1,942 ------------------------------------------------------------------- Gross profit 367 714 1,858 10,880 1,588 OPERATING EXPENSES 2,900 6,412 6,042 5,169 14,133 RESTRUCTURING CHARGES - - - - 7,645 ------------------------------------------------------------------- Operating (loss) income (2,533) (5,698) (4,184) 5,711 (20,190) OTHER INCOME, Net (15) (8) 15 1,144 2,073 ------------------------------------------------------------------- Net (loss) income from continuing operations before income taxes (2,548) (5,706) (4,169) 6,855 (18,117) INCOME TAX PROVISION (BENEFIT) - - (1,668) 365 4,722 ------------------------------------------------------------------- Net (loss)/income from continuing operations (2,548) (5,706) (2,501) 6,490 (22,839) DISCONTINUED OPERATION: (Loss) income from discontinued operations - - 1,036 668 (29,280) (Loss) on disposal of discontinued operations - (23,074) ================================================================== Net (loss) income $ (2,548) $ (5,706) $ (1,465) $ 7,158 $ (75,193) ================================================================== PER SHARE INFORMATION Basic net (loss) income per share: (Loss) income from continuing operations ($1.03) ($1.47) ($0.48) $0.82 ($2.27) (Loss) income from discontinued operations - - 0.20 $0.09 ($2.90) (Loss) on disposal of discontinued operations - - - - ($2.29) ================================================================== Basic net (loss) income per share ($1.03) ($1.47) ($0.28) $0.91 ($7.46) ================================================================== Diluted net (loss) per share: (Loss) income from continuing operations ($1.03) ($1.47) ($0.48) $0.73 ($2.27) (Loss) income from discontinued operations $0.00 $0.00 $0.20 $0.08 ($2.90) (Loss) on disposal of discontinued operations - - - - ($2.29) ================================================================== Diluted net (loss) income per share ($1.03) ($1.47) ($0.28) $0.81 ($7.46) ================================================================== Common shares used in computing per share amounts: Basic 2,482 3,893 5,149 7,872 10,085 Diluted 2,482 3,893 5,149 8,891 10,085
(In thousands) 1996 1997 1998 ---- ---- ----
27 28 Balance Sheet Data Cash and cash equivalents $ 12,086 $ 7,534 $ 9,269 Investments in marketable securities 7,390 34,082 6,972 Certificates of deposit - 5,399 2,580 Working capital 26,603 61,644 7,779 Total assets 35,400 94,358 44,634 Total debt - - 809 Total Stockholders' equity 31,884 93,100 29,890
ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS. The following discussion of the results of operations and financial condition of the Company should be read in conjunction with the Consolidated Financial Statements and the notes thereto included elsewhere in this Annual Report on Form 10-K. CERTAIN FACTORS THAT MAY AFFECT FUTURE RESULTS The Company's actual results could differ materially from its historical results or from any forward-looking statements made or incorporated into this Annual Report. Factors that may cause such differences include, but are not limited to, failure of the clinical e-commerce industry to develop at anticipated rates, failure of the Company's clinical information technology products and services to gain significant market acceptance, failure to meet operating objectives or to execute the operating plan, failure to successfully restructure the Company's business units, competition and other economic factors. OVERVIEW Advanced Health Corporation (the "Company") develops and provides clinical information systems and health care information technology solutions for use by integrated delivery systems, hospitals, and other health care organizations. The Company generates revenues from fees for the use and support of its clinical information systems, including license, software installation, software integration, training and data conversion fees. The Company believes that its historical results of operations from period to period are not comparable and that such results are not necessarily indicative of results for any future periods because the Company has restructured its continuing business operations, acquired new technology to develop and market and has discontinued the development and marketing of certain products from its product line, and is marketing its products to different customers. For the year ended December 31, 1998, the Company reported a net loss from continuing operations of $22.8 million and a net loss from discontinued operations of $52.4 million, for a total net loss of $75.2 million. Included in the net loss from continuing operations is $7.6 million of restructuring charges of which $6.2 million is non-cash. The Company 28 29 announced plans to divest its practice management services unit in order to enable the Company to devote its full resources to expanding its Internet-based laboratory and prescription transaction management business. The restructuring action described below contains forward-looking statements that may be significantly impacted by certain risks and uncertainties, including failure to meet operating objectives or to execute the operating plan and failure to successfully restructure the Company's business. The Company's restructuring of its information technology unit includes placing increased emphasis on product development and sales in areas such as electronic laboratory and prescription management. The Company intends to limit product development efforts that do not benefit its work on electronic laboratory and prescription management. Further, the Company will be redirecting its sales efforts to develop distribution channels including Internet portals and increase sales for its product lines that offer laboratory and prescription functionality. Sales efforts will be focused on strategic sales initiatives that emphasize long-term, recurring revenue streams rather than large, one-time revenue events so as to better position the Company to benefit from what it believes is the rapidly gaining importance of e-commerce. At December 31, 1998, the Company had a contract backlog of approximately $1.2 million of revenue that the Company expects to recognize in 1999. RESULTS FROM CONTINUING OPERATIONS YEAR ENDED DECEMBER 31, 1998 AND 1997 Total revenue from continuing operations for the year ended December 31, 1998 decreased to $3.5 million from $11.9 million in the comparable period ended December 31, 1997, primarily as a result of a change in the Company's strategy to market and support only its core product offerings of laboratory and prescription software rather than seeking large, one-time software sales or licensing from other system offerings. The Company earned these fees for the use and support of its clinical information systems, including the recognition of non-recurring license revenues and software and training revenues. Cost of revenues for the year ended December 31, 1998 increased to $1.9 million from $1.0 million for the comparable period ended December 31, 1997. The increase in cost of revenues related primarily to an increase in direct costs including amortization of capitalized research and development costs prior to write-off of these assets, and expenses related to the revenue generated by Bukstel & Halfpenny, which the Company acquired in September 1997. Operating expenses for the year ended December 31, 1998 increased to $14.1 million from $5.2 million for the comparable period ended December 31, 1997 and included non-recurring expenses and non-capitalized software development costs of approximately $5.6 million. The Company is not capitalizing any software development costs and has not capitalized any such costs since the quarter ended March 31, 1998. Further, the Company decided to focus its technology sales efforts around its laboratory and prescription software products and as a result of this action, software development assets related to other products, amounting to $6.2 million, were determined to be unrealizable and the remaining net value of these assets was charged to restructuring. Since that determination, the Company is not capitalizing any such costs but is treating them as period costs which are included in operating expenses in the Company's 29 30 consolidated financial statements. The above referenced write-off left $.4 million remaining in unamortized capitalized software development costs relating to laboratory and prescription software products. The increase in expenses also reflect costs related to the operations of B & H which the Company acquired in September 1997 and other charges as described above. Restructuring charges for the year ended December 31, 1998 amounted to approximately $7.6 million and represent amounts primarily associated with the write-down of capitalized software assets as explained above. The remaining $1.4 million of the $7.6 million restructuring charge relates primarily to facility closures and personnel reductions. Other income, net for the year ended December 31, 1998, was $2.1 million as compared to $1.1 million for the year ended December 31, 1997 and related primarily to interest earned from investments in marketable securities as a result of the investment of proceeds from the Company's 1997 follow-on public offering and operating cash. Provision for income taxes includes payments made for state and local income taxes based on amounts other than taxable income, and a charge of $4.1 million to record a valuation allowance against prior year deferred tax assets, as it is more likely than not that these assets will not be realized. The net loss from continuing operations for the year ended December 31, 1998 was $22.8 million compared to net income of $6.5 million for the year ended December 31, 1997 due to the factors described above. RESULTS OF DISCONTINUED OPERATIONS YEAR ENDED DECEMBER 31, 1998 AND 1997 In January 1999, the Company's Board of Directors approved a plan to divest its practice management services unit. Prior to this action, the Company had restructured this unit into an outsourcing services company designed to provide professional services to the healthcare industry that would selectively contract with customers that would potentially generate increased profitability. For the year ended December 31, 1998, the Company reported a net loss from discontinued operations net of income taxes of $29.3 million and an estimated loss of $23.1 million from the anticipated disposition of the management services unit of which $16.0 million is non-cash for each of the discontinued operations and disposition, compared to $.7 million for the comparable period ending December 31, 1997. The Company's historical financial information has been restated to report the results of the discontinued operation on a consistent basis for the years ended December 31, 1998, 1997 and 1996. LIQUIDITY AND CAPITAL RESOURCES At December 31, 1998, the Company had aggregate cash, cash equivalents, certificates of deposit and marketable securities of $18.8 million, compared to $47.0 million at December 31, 1997. At December 31, 1998, the Company had negative cash flow from its operating activities of ($10.2) million, compared with a positive $4.7 million at December 31, 1997. This decrease in net cash flows from continuing operations was due to a $82.4 million decrease in net income. Accounts payable, accrued expenses and other current liabilities increased 30 31 $3.9 million due principally to certain non-recurring expenses and restructuring charges. Net cash provided by investing activities from continuing operations was $27.7 million for the year ended December 31, 1998, principally attributable to the net proceeds from investments in marketable securities, an additional investment ($5.0 million) in an affiliated entity in which the Company previously had a minority interest, and increased capitalized software development costs (other assets) during the first quarter of 1998 ($1.1 million, net of amortization). Net cash (used in) investing activities was ($46.9) million for the comparable period ended December 31, 1997, resulting from the investment in marketable securities of the proceeds of the Company's follow-on equity offering, a minority investment in Patient Care Dynamics, (a company that provides an integrated family of technology-based patient care support systems) and the purchase of property and equipment. Net cash provided by financing activities from continuing operations was $.4 million for the year ended December 31, 1998, principally attributable to net proceeds from the exercise of incentive stock options offset by the purchase of treasury stock under the Company's stock repurchase program. Net cash provided by financing activities for the year ended December 31, 1997 was $47.2 million, and related primarily to the Company's follow-on public offering of Common Stock in October 1997, which raised net proceeds of $46.0 million. The Company's operating plan for 1999 includes divesting the practice management services unit and the continued development of the Company's electronic laboratory and prescription management products as described above. The principal categories of expenditures include research and development of the Company's electronic laboratory and prescription management products as well as ongoing business development and marketing. The Company believes that its cash and investments on hand, interest income and revenues from operations will be sufficient to fund planned operations of the Company through the end of 2000. The Company has no other planned material capital expenditures or capital commitments. From time to time in the ordinary course of its business, the Company evaluates possible acquisitions of businesses, products and technologies that are complimentary to those of the Company. YEAR 2000 COMPLIANCE Many currently installed computer systems and software products are coded to accept only two digit dates. Such systems may not be able to distinguish 20th century dates. To address these and any other Year 2000 operational issues which may affect the Company and its customers, the Company has designated a Year 2000 project manager who is primarily responsible for implementing the Company's Year 2000 project plan. The Company's Year 2000 project plan consists of four phases: assessment, remediation, validation, and distribution. The primary purpose of the assessment phase is to list and analyze the inventory of our products sold and supported. Major issues encountered during this phase are the identification of programming languages used, source code, and third-party libraries used in a product. The remediation phase calls for code modification. The validation phase is where the remediated products are tested and submitted for independent verification and validation. The Company's remediated products are provided to our customers during the distribution phase. Products and Services: For the Company's products and services, the assessment phase is complete and remediation is in progress. During the remediation process, third party vendors whose proprietary tools and library products are incorporated into the Company's products are being contacted in order for the Company to determine third party Year 2000 compliance status. The Company has taken action where required in accordance with instructions provided by the third party vendors. The Company expects that all of its software products will be Year 2000 compliant by July 1, 1999. Internal Systems, Vendors and Suppliers: The Company is engaged in the assessment phase for its internal administrative systems. Its project plan calls for completion of Year 2000 compliance for administrative systems by the end of the third quarter of 1999. A group has been designated and assigned the task of notifying all of the clinical transaction processing partners by the end of the second quarter of 1999 in order assess their Year 2000 readiness. Costs: The Company estimates that the final remediation and testing phase for the Company's products will cost approximately $.3 million. The Company does not have a current estimate for the cost of remediation of administrative systems. The Company believes that the bulk of any costs will be borne by the suppliers of such systems. 32 Contingency Plan: The Company is assessing the "worst case scenarios" that it believes are within its control, excluding power and communications. With internal date formatting, storage, and calculation being the key issues to the Company and its customers, the Company's focus is concentrated on strict date format and storage enforcement with the portions of our products that require data entry and data storage. Although the Company will recommend the use of its "YYYY" (four digit year format) at all times, the Company plans to retain a feature that allows a customer the option to configure the data entry system to accept "YY" (two digit year format) to be interpreted as "19YY" to speed data entry. This option has no impact on how dates are stored in the internal system or on how math is performed against dates. All dates are stored and all date math is done with a four digit year. Although there is no assurance that third party systems owned and used by the customer are Year 2000 compliant, it is important to state that by design, the Company's lab order and resulting products interface with legacy hospital and lab information systems. The Company's backend systems act as a conduit - moving data from one third party system to another - therefore relying totally on the accuracy and Year 2000 compliance of the legacy data which the Company "moves". During the second quarter of 1999, the Company will be formulating and documenting scenarios for its customer service representatives to utilize in preparation for potential hardware and software issues relating to Year 2000. The Company plans to have a documented business continuity plan to cover conceivable concerns including our products and services, alternative vendors and suppliers, and staffing issues to assure coverage immediately before and after the millennium. However, due to the general uncertainty inherent in the Year 2000 concern, there can be no assurance that all Year 2000 problems will be foreseen and corrected on a timely basis. Forward-Looking Statements: The foregoing Year 2000 discussion and the information contained herein are provided as a "Year 2000 Readiness Disclosure" as defined in the Year 2000 Information and Readiness Act of 1998 (Public Law 105-271, 112 Stat. 2386) enacted on October 19, 1998 and contain "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995. Such statements, including without limitation, anticipated costs and the dates by which the Company expects to complete certain actions, are based on management's best current estimates, which were derived utilizing numerous assumptions about future events, including the continued availability of certain resources, representations received from third parties and other factors. However, there can be no guarantee that these estimates will be achieved, and actual results could differ materially from those anticipated. Specific factors that might cause such material differences include, but are not limited to, the ability to identify and remediate all relevant systems, results of Year 2000 testing, adequate resolution of Year 2000 issues by governmental agencies, businesses and other third parties who are outsourcing service providers, suppliers and vendors of the Company, unanticipated system costs, the adequacy of and the ability to implement contingency plans and uncertainties. ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK. Not applicable. ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA 31 33 FINANCIAL STATEMENTS Report of Independent Public Accountants...........................................F-1 Consolidated Balance Sheets as of December 31, 1997 and 1998 ......................F-2 Consolidated Statements of Operations for the three years ended December 31, 1998 F-3 Consolidated Statements of Stockholders' Equity for the three years ended December 31, 1998 ..........................................................................F-4 Consolidated Statements of Cash Flows for the three years ended December 31, 1998 F-5 Notes to Consolidated Financial Statements.........................................F-6
Financial Statement Schedules All schedules, other than those disclosed, have been omitted because they are not applicable or not required or because the required information is included in the Consolidated Financial Statements or notes thereto. Item 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE None. PART III ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT The information called for by this item is incorporated herein by reference to the sections of the definitive Proxy Statement to be filed with the Securities and Exchange Commission not later than 120 days after December 31,1998, and delivered to stockholders in connection with the 1999 Annual Meeting of Stockholders, captioned "Election of Directors," "Executive Officers" and "Disclosure Pursuant to Section 16 of the Exchange Act." ITEM 11. EXECUTIVE COMPENSATION The information called for by this item is incorporated herein by reference to the sections of the definitive Proxy Statement to be filed with the Securities and Exchange Commission not later than 120 days after December 31,1998, and delivered to stockholders in connection with the 1999 Annual Meeting of Stockholders, captioned "Meetings of the Board of Directors and Committees of the Board of Directors; Compensation of Directors" and "Executive Compensation and Related Information." ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT The information called for by this item is incorporated herein by reference to the section of the definitive Proxy Statement to be filed with the Securities and Exchange 32 34 Commission not later than 120 days after December 31,1998, and delivered to stockholders in connection with the 1999 Annual Meeting of Stockholders, captioned "Security Ownership of Certain Beneficial Owners, Directors and Management." ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS The information called for by this item is incorporated herein by reference to the section of the definitive Proxy Statement to be filed with the Securities and Exchange Commission not later than 120 days after December 31, 1998, and delivered to stockholders in connection with the 1999 Annual Meeting of Stockholders, captioned "Certain Transactions." PART IV Item 14. EXHIBITS, FINANCIAL STATEMENT SCHEDULES AND REPORTS ON FORM 8-K (a) Documents Filed as Part of the Report 1. Financial Statements. The financial statements listed under Item 8 are filed as part of this report. 2. Financial Statement Schedules. Certain schedules have been omitted because they are either not applicable or the required information has been disclosed in the financial statements or notes thereto. 3. Exhibits. The exhibits listed on the accompanying Exhibit Index are filed as part of this report or incorporated by reference herein. (b) Reports on Form 8-K The registrant filed no Current Reports on Form 8-K during the fourth quarter of the year ended December 31, 1998. 33 35 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) 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, on the 30th day of March, 1999. ADVANCED HEALTH CORPORATION By /s/ Jonathan Edelson ------------------------------------- Jonathan Edelson, M.D., Chairman of the Board and Chief Executive Officer Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed by the following persons on behalf of the registrant and in the capacities and on the dates indicated:
Signature Title Date - - --------- ----- ---- /s/ Jonathan Edelson Chairman of the Board, Chief March 30, 1999 Jonathan Edelson, MD Executive Officer and Director (Principal Executive Officer) /s/ Jeffrey M. Sauerhoff Chief Financial Officer March 30, 1999 (Principal Financial and Jeffrey M. Sauerhoff Accounting Officer) /s/ James T. Carney Director March 30, 1999 James T. Carney /s/ Barry Kurokawa Director March 30, 1999 Barry Kurokawa /s/ Arthur M. Southam Director March 30, 1999 Arthur M. Southam, MD
34 36 EXHIBIT INDEX
Exhibit No. Description of Exhibit - - ----------- ---------------------- **3.1 Restated Certificate of Incorporation of the Registrant **3.2 By-laws of the Registrant **10.7 Tarrytown, New York Office Lease Agreement dated November 30, 1995, between Tarrytown Corporate Center IV, L.P. and the Registrant. **10.8 First Amendment to Lease Agreement between Reckon Operating Partnership, LP, as Owner, and the Registrant, as Tenant **10.9 Chicago Office Lease Agreement dated December 8, 1995, between Adams Family, LLC and the Registrant **10.10 Fort Washington Lease Agreement dated November 13, 1997, between Comdrive Associates, L.P. and Registrant as Tenant **10.11 Hawthorne Lease Agreement dated January 8, 1998, between United Parcel Service, Inc. and Registrant as Tenant *10.12 Malvern Lease dated October 6, 1997 *10.13 Tarrytown Sublease **10.14 Form of Director Indemnification Agreement **10.15 Employment Agreement between the Registrant and Jonathan Edelson, M.D. **10.16 Employment Agreement between the Registrant and Robert Alger *10.17 Employment Agreement between the Registrant and Jeffrey M. Sauerhoff *10.18 Employment Agreement between the Registrant and Eddy W. Friedfeld **10.19 Amended and Restated Advanced Health Corporation 1995 Stock Option Plan **10.20 Employee Stock Purchase Plan **11.1 Earnings Per Common Share Computation **21 List of Subsidiaries *23.2 Consent of Arthur Andersen LLP *27 Financial Data Schedule
35 37 * Filed herewith. ** Filed as an exhibit to the Registrant's Registration Statement on Form S-1, as amended (Registration No. 333-06283), Registrant's Registration Statement on Form S-1, as amended (Registration No. 333-35115), and Registrant's Form 10-K, dated March 30, 1997 incorporated herein by reference. 36 38 REPORT OF INDEPENDENT PUBLIC ACCOUNTANTS To Advanced Health Corporation: We have audited the accompanying consolidated balance sheets of Advanced Health Corporation (a Delaware corporation) and subsidiaries as of December 31, 1997 and 1998, and the related consolidated statements of operations, shareholders' equity and cash flows for the three years 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 audits. We conducted our audits 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 audits provide a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of Advanced Health Corporation and subsidiaries as of December 31, 1997 and 1998, and the results of their operations and their cash flows for the three years ended December 31, 1998 in conformity with generally accepted accounting principles. ARTHUR ANDERSEN LLP New York, New York March 31, 1999 F-1 39 ADVANCED HEALTH CORPORATION AND SUBSIDIARIES CONSOLIDATED BALANCE SHEETS (in thousands, except share data)
December 31, ---------------------- ASSETS 1997 1998 ------ --------- --------- CURRENT ASSETS: Cash and cash equivalents $ 7,534 $ 9,269 Certificates of deposit 5,399 2,580 Investments in marketable securities 34,082 6,972 Accounts receivable, net 2,006 320 Deferred income taxes 4,092 -- Other current assets 613 362 Current assets of discontinued operations 9,176 2,065 --------- --------- Total current assets 62,902 21,568 PROPERTY AND EQUIPMENT, net 3,333 2,565 GOODWILL, net 1,678 1,861 INVESTMENTS IN AFFILIATES 9,000 14,000 OTHER ASSETS 6,877 2,001 NON-CURRENT ASSETS OF DISCONTINUED OPERATIONS 10,568 2,639 --------- --------- Total assets $ 94,358 $ 44,634 ========= ========= LIABILITIES AND SHAREHOLDERS' EQUITY ------------------------------------ CURRENT LIABILITIES: Accounts payable and accrued expenses $ 450 $ 3,610 Other current liabilities 133 875 Current liabilities of discontinued operations 675 9,304 --------- --------- Total current liabilities 1,258 13,789 DEFERRED REVENUE -- 250 LIABILITIES FROM DISCONTINUED OPERATIONS -- 705 --------- --------- Total liabilities 1,258 14,744 --------- --------- COMMITMENTS AND CONTINGENCIES (Notes 1 and 15) SHAREHOLDERS' EQUITY: Preferred stock, $.01 par value; 5,000,000 shares authorized; 0 shares issued and outstanding, respectively -- -- Common stock, $.01 par value; 15,000,000 shares authorized; 9,869,719 and 10,424,127 shares issued and outstanding, respectively 99 103 Additional paid-in capital 95,976 108,450 Accumulated deficit (3,084) (78,277) Net unrealized gain on marketable securities, net of deferred income taxes 184 3 Less: Treasury stock, at cost; 8,937 and 153,937 shares, respectively (75) (389) --------- --------- Total shareholders' equity 93,100 29,890 --------- --------- Total liabilities and shareholders' equity $ 94,358 $ 44,634 ========= =========
The accompanying notes are an integral part of these consolidated balance sheets. F-2 40 ADVANCED HEALTH CORPORATION AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF OPERATIONS (in thousands, except share and per share data)
For the Years Ended December 31, -------------------------------------------- 1996 1997 1998 ------------ ------------ ------------ REVENUES $ 2,657 $ 11,910 $ 3,530 COST OF REVENUES 799 1,030 1,942 ------------ ------------ ------------ Gross profit 1,858 10,880 1,588 OPERATING EXPENSES 6,042 5,169 14,133 RESTRUCTURING CHARGES -- -- 7,645 ------------ ------------ ------------ Operating (loss) income (4,184) 5,711 (20,190) INTEREST EXPENSE (164) (11) (20) INTEREST INCOME 179 1,155 2,093 ------------ ------------ ------------ Net (loss) income from continuing operations before income taxes (4,169) 6,855 (18,117) INCOME TAX PROVISION (BENEFIT) (1,668) 365 4,722 ------------ ------------ ------------ Net (loss) income from continuing operations (2,501) 6,490 (22,839) ------------ ------------ ------------ DISCONTINUED OPERATIONS: (Loss) income from discontinued operations (Note 2) 1,036 668 (29,280) (Loss) on disposal of discontinued operations (Note 2) -- -- (23,074) ------------ ------------ ------------ Net (loss) income $ (1,465) $ 7,158 $ (75,193) ============ ============ ============ PER SHARE INFORMATION: Basic net (loss) income per share: (Loss) income from continuing operations $ (0.48) $ 0.82 $ (2.27) (Loss) income from discontinued operations 0.20 0.09 (2.90) (Loss) on disposal of discontinued operations -- -- (2.29) ------------ ------------ ------------ Basic net (loss) income per share $ (0.28) $ 0.91 $ (7.46) ============ ============ ============ Diluted net (loss) per share: (Loss) income from continuing operations $ (0.48) $ 0.73 $ (2.27) (Loss) income from discontinued operations 0.20 0.08 (2.90) (Loss) on disposal of discontinued operations -- -- (2.29) ------------ ------------ ------------ Diluted net (loss) income per share $ (0.28) $ .81 $ (7.46) ============ ============ ============ Common shares used in computing per share amounts: Basic 5,149,207 7,872,204 10,085,407 ============ ============ ============ Diluted 5,149,207 8,890,856 10,085,407 ============ ============ ============
The accompanying notes are an integral part of these consolidated statements. F-3 41 ADVANCED HEALTH CORPORATION AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY (in thousands, except share data)
Unrealized Gain (Loss) Common Stock Additional On ------------------------ Paid-in Accumulated Marketable Shares Par Value Capital Deficit Securities ---------- ---------- ---------- ---------- ---------- BALANCE, December 31, 1995 4,491,270 $ 46 $ 11,481 $ (8,777) $ -- Common stock issued for acquisition 8,937 -- 45 -- -- Exercise of stock options 21,734 -- 86 -- -- Issuance of common stock in public offering, net of expenses of $3,922 2,645,000 26 30,457 -- -- Unrealized gain on marketable securities, net of deferred income taxes of $40 -- -- -- -- 60 Net loss -- -- -- (1,465) -- ---------- ---------- ---------- ---------- ---------- BALANCE, December 31, 1996 7,166,941 72 42,069 (10,242) 60 Issuance of common stock, net of expenses of $4,102 2,250,000 22 45,939 -- -- Exercise of stock options 352,614 4 1,249 -- -- Common stock issued for acquisitions 100,164 1 3,759 -- -- Unrealized gain on marketable securities, net of deferred income taxes of $79 -- -- -- -- 124 Income tax benefit from exercise of stock options -- -- 2,960 -- -- Net income -- -- -- 7,158 -- ---------- ---------- ---------- ---------- ---------- BALANCE, December 31, 1997 9,869,719 99 95,976 (3,084) 184 Exercise of stock options 199,553 1 1,283 -- -- Common stock issued for acquisitions 354,855 3 4,891 -- -- Stock options granted for acquisition -- -- 6,300 -- -- Repurchase of treasury stock -- -- -- -- -- Unrealized loss on marketable securities, net of deferred income taxes of $0 -- -- -- -- (181) Net loss -- -- -- (75,193) -- ---------- ---------- ---------- ---------- ---------- BALANCE, December 31, 1998 10,424,127 $ 103 $ 108,450 $ (78,277) $ 3 ========== ========== ========== ========== ==========
Treasury Stock ------------------------- Shares Amount Total ---------- ---------- ---------- BALANCE, December 31, 1995 8,937 $ (75) $ 2,675 Common stock issued for acquisition -- -- 45 Exercise of stock options -- -- 86 Issuance of common stock in public offering, net of expenses of $3,922 -- -- 30,483 Unrealized gain on marketable securities, net of deferred income taxes of $40 -- -- 60 Net loss -- -- (1,465) ---------- ---------- ---------- BALANCE, December 31, 1996 8,937 (75) 31,884 Issuance of common stock, net of expenses of $4,102 -- -- 45,961 Exercise of stock options -- -- 1,253 Common stock issued for acquisitions -- -- 3,760 Unrealized gain on marketable securities, net of deferred income taxes of $79 -- -- 124 Income tax benefit from exercise of stock options -- -- 2,960 Net income -- -- 7,158 ---------- ---------- ---------- BALANCE, December 31, 1997 8,937 (75) 93,100 Exercise of stock options -- -- 1,284 Common stock issued for acquisitions -- -- 4,894 Stock options granted for acquisition -- -- 6,300 Repurchase of treasury stock 145,000 (314) (314) Unrealized loss on marketable securities, net of deferred income taxes of $0 -- -- (181) Net loss -- -- (75,193) ---------- ---------- ---------- BALANCE, December 31, 1998 153,937 $ (389) $ 29,890 ========== ========== ==========
The accompanying notes are an integral part of these consolidated statements. F-4 42 ADVANCED HEALTH CORPORATION AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS (in thousands)
For the Years Ended December 31, ---------------------------------- 1996 1997 1998 -------- -------- -------- CASH FLOWS FROM OPERATING ACTIVITIES: Net (loss) income from continuing operations $ (2,501) $ 6,490 $(22,839) Adjustments to reconcile net (loss) income to net cash used in operating activities- Depreciation and amortization 776 1,123 2,477 Deferred income taxes (977) -- 4,092 Allowance for doubtful accounts 210 450 553 Changes in operating assets and liabilities- Accounts receivable (749) (1,330) 1,133 Other current assets (436) 205 251 Accounts payable, accrued expenses and other current liabilities 1,071 (2,024) 3,918 Deferred revenue (1,300) (200) 250 -------- -------- -------- Net cash used in operating activities of continuing operations (3,906) 4,714 (10,165) -------- -------- -------- CASH FLOWS FROM INVESTING ACTIVITIES: Minority investment in affiliated entities -- (9,000) (5,000) Other assets (1,291) (5,307) 4,876 Investments in certificates of deposit, net -- (5,399) 2,819 Investments in marketable securities, net (7,390) (26,692) 27,110 Intangible assets -- (317) (1,495) Purchases of property and equipment, net (1,258) (2,246) (592) -------- -------- -------- Net cash used in investing activities of continuing operations (9,939) (48,961) 27,718 -------- -------- -------- CASH FLOWS FROM FINANCING ACTIVITIES: Net proceeds from sale and issuance of common stock 30,483 45,961 -- Net proceeds from exercise of stock options 86 1,254 759 Net proceeds from promissory notes 5,000 -- -- Repayment of promissory notes (5,000) -- -- Purchase of treasury stock -- -- (314) Repayment of capital lease obligations (138) -- -------- -------- -------- Net cash provided by financing activities of continuing operations 30,431 47,215 445 -------- -------- -------- Net cash (used in) discontinued operations (5,964) (7,520) (16,263) -------- -------- -------- Net change in cash and cash equivalents 10,622 (4,552) 1,735 CASH AND CASH EQUIVALENTS, beginning of year 1,464 12,086 7,534 -------- -------- -------- CASH AND CASH EQUIVALENTS, end of year $ 12,086 $ 7,534 $ 9,269 ======== ======== ======== SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION: Cash paid during the year for: Interest $ 160 $ 11 $ 100 ======== ======== ======== Income taxes $ 36 $ 248 $ 648 ======== ======== ======== SUPPLEMENTAL DISCLOSURE OF NON-CASH INVESTING ACTIVITIES: Capital lease obligations incurred $ 58 $ -- $ -- ======== ======== ======== Fair market value of common stock issued for acquisitions $ 45 $ 3,760 $ 5,415 ======== ======== ======== Unrealized gain (loss) on marketable securities $ 100 $ 297 $ (181) ======== ======== ======== Loan payable issued for acquisition $ 23 $ -- $ -- ======== ======== ========
The accompanying notes are an integral part of these consolidated statements. F-5 43 ADVANCED HEALTH CORPORATION AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS DECEMBER 31, 1997 AND 1998 (in thousands, except share and per share data) 1. ORGANIZATION AND BUSINESS: Advanced Health Corporation and subsidiaries (d/b/a "AHT Corporation" collectively, the "Company" or "AHT"), a Delaware corporation, was formerly a provider of primarily professional practice and network management services to physician groups and networks (Note 2). The Company has decided to refocus its business to be a provider of enabling technologies, including Internet-based applications, for electronic commerce ("e-commerce") and communications among physicians and other healthcare providers and organizations. The Company's clinical information systems consist of proprietary software, third-party hardware, proprietary and third-party databases, and related support services. Such systems are designed to complement existing healthcare information systems and to function with third-party applications. On February 1, 1999 the Company filed a Registration of Trade Names in Delaware to do business under the name of AHT Corporation.The Company intends to change its corporate name contingent upon stockholder approval. 2. DISCONTINUED OPERATIONS: In January 1999, the Company's Board of Directors approved a plan to seek strategic alternatives for the disposal of the Company's physician practice management line of business, which had been its primary business operation. This determination was made due to the fact that this business operation was deemed to be no longer core to the Company's strategy of focusing on healthcare e-commerce. Accordingly, the results of the physician practice management business has been accounted for as discontinued operations and the accompanying consolidated financial statements presented herein have been restated to report separately the net assets, net liabilities, operating results net cash flows and of this discontinued operation. Until such time as and when the Company disposes of this line of business, the Company will need to continue to operate this business unit and has accrued for estimated losses of $2,700 to be incurred until the expected disposal date. The loss from discontinued operations reflected in the consolidated statement of operations includes the write-down of the assets of the physician practice management operations to estimated net realizable values and the estimated costs of disposing of this discontinued operation, less the expected tax benefits applicable thereto. Summarized financial information for the discontinued operation is as follows:
Years Ended December 31, -------------------------------- 1996 1997 1998 -------- -------- -------- Revenue $ 16,480 $ 50,887 $ 57,979 ======== ======== ======== (Loss) income before income taxes $ 1,727 $ 705 $(29,280) Income tax provision (benefit) 691 37 -- -------- -------- -------- Net (loss) income $ 1,036 $ 668 $(29,280) ======== ======== ========
F-6 44 No benefit for income taxes has been reflected for 1998 in the above table as the Company has recorded a full valuation allowance against the related deferred tax assets due to the uncertainty of the realization of these assets.
December 31, --------------------- 1997 1998 -------- -------- Accounts receivable, net $ 9,053 $ 1,427 Other current assets 123 638 -------- -------- Total current assets 9,176 2,065 -------- -------- Property, plant and equipment 331 831 Other assets 10,237 1,808 -------- -------- Total non-current assets 10,568 2,639 -------- -------- Current liabilities (675) (9,304) Non-current liabilities -- (709) -------- -------- Net assets (liabilities) of discontinued operations $ 19,069 $ (5,309) ======== ========
Management Service Organizations The Company previously established Management Service Organizations by forming majority owned subsidiaries to facilitate the provision of management services to physician practice and network clients. In the three years ended December 31, 1998, the Company obtained a 51% interest in each of five, eight and one newly formed MSOs, respectively, whereby the Company acquired these interests as part of the formation of the MSOs and concurrent with the signing of long-term management services agreements between the MSOs and physician practices. In forming these MSOs, the Company conveyed 49% interests to the physician practice or network in exchange for the execution of the long-term management services agreements described above. The Company records the fair value of these arrangements, which is, in the opinion of management, more readily determinable than the 49% MSO interest conveyed. The structure of the Company's wholly or majority-owned MSOs provides for the Company to receive activity-based fee income from the MSOs for management services provided and reimbursement from the MSOs for certain expenses incurred, with the result being that there are no profits in the MSO entity for which a minority interest is required to be calculated. Accordingly, the income (loss) from discontinued operations does not reflect any minority interest in the operations of the MSOs. In the event that profits remain in MSO entities in the future, minority interests will be reflected in the Company's consolidated financial statements. As a result of the Company's decision to refocus its business operations, it is unlikely that there will be future profits in the MSOs. All intercompany accounts and transactions have been eliminated in consolidation. The results of operations, assets and liabilities attributable to the MSOs are included in discontinued operations in the accompanying consolidated financial statements. F-7 45 The stockholders agreements for these MSOs, among other issues, (i) restrict the transfer of MSO equity, (ii) provide the terms upon which the MSO can, at the Company's option, be merged with and into a wholly-owned subsidiary of the Company in a transaction in which the physician practice or network will receive stock of the Company in exchange for shares in the MSO, and (iii) grant to the physician practice or network the right to put its equity share in the MSO to the Company within one year of the Company's satisfaction of certain specified targets if the Company has not called its right to acquire those interests within that period. As of December 31, 1998, the Company had not met the specified targets. The agreements provide that these call transactions will be paid in the Company's common stock, and put transactions will be paid in cash, and that either transaction, if effected, would be based on an agreed-upon amount at the time of the transaction. The Company will, in the event that these transactions take place, account for such transactions as purchases at the agreed-upon fair market value of the MSO interest being purchased. As a result of the Company's decision to refocus its business operations it is unlikely that these transactions will take place in the future. Revenues from Discontinued Operations The Company's revenues from discontinued operations consist primarily of revenues from the provision of physician and network management services. A physician group practice is a single legal entity comprised of multiple physicians. Through its majority or wholly owned consolidated MSOs, the Company enters into management services agreements with physician group practices, whereby such physician practices outsource their non-medical and administrative functions to the MSO. Activity-based fees are generated by the MSO through the provision of these outsourced services as well as certain additional management, marketing and information services. Fees for such services are either fixed or based on the level of services provided, as negotiated in the Company's various agreements for the provision of services, and are recognized monthly or as these services are rendered, respectively, based on the terms of the related agreements. The Company's contracts with its physician group practices also include pre-determined incentives, which are earned and recognized as revenue in the event that the Company is successful in reducing a physician group practice's administrative overhead as a percentage of collections. Acquisitions from Discontinued Operations In connection with a 1995 acquisition agreement, the Company issued options to purchase 283,010 shares of common stock at $.0112 per share. These options are only exercisable, as contingent consideration, upon the achievement of certain capitalization levels related to regulatory requirements. The entire purchase price of this acquisition has been allocated to intangible assets included in non-current assets from discontinued operations in the accompanying consolidated balance sheets. The Company reached the stated capitalization level and therefore the stock options became exercisable. As a result, the Company recorded a $6,300 purchase price adjustment, which represents the fair market value of the stock options on the date they became exercisable. The remaining net intangible assets relating to this acquisition were subsequently charged to loss from discontinued operations in the accompanying statement of operations. In 1997, as a result of the achievement of certain targeted operating goals, as defined in previous purchase agreements, certain related parties exercised warrants for 72,196 shares of the Company's common stock valued at $1,354, which represents the difference between the market value of the stock at the date of exercise ($23.13 per share) and the value at the date of grant ($4.38 per share) and the Company issued 33,966 shares of common stock at a value of $21 per share for a total value of $713. These amounts were recorded as adjustments to the original purchase prices and included in non-current assets from discontinued operations in the accompanying consolidated balance sheets. F-8 46 During 1998, the Company acquired all of the outstanding stock of Integrated Medical Management, Inc. ("IMM"), a physician practice management organization, for $1,520 in cash and 354,855 shares of common stock ($13.79 per share), for an aggregate purchase price of approximately $6,400. Furthermore, the IMM purchase agreement calls for the issuance of additional shares of common stock, as contingent consideration based upon certain targets. The Company also entered into an employment agreement with a former shareholder of IMM for an annual base salary of $170 through December 2000. As a result of this acquisition, the Company recorded the excess purchase price over net liabilities acquired of $8,570, as goodwill. The results of operations, net assets and resulting goodwill from this entity are included within the discontinued operations in the accompanying consolidated financial statements. Subsequent to December 31, 1998, the Company and IMM's former shareholders amended the contingent consideration provision in the acquisition agreement, as a result of the Company's intention to dispose of its physician practice management businesses. Pursuant to the amended agreement, the Company has agreed to pay $1,300 to the former shareholders and the former shareholders have agreed to forfeit their rights to certain of their respective common stock options. The $1,300 payment is guaranteed and the timing of such payment is based upon the occurrence of certain events detailed in the settlement agreement. The Company has recorded a charge for such amount in the results from discontinued operations for the year ended December 31, 1998. Madison Medical - The Private Practice Group of New York, L.L.P. In June 1997, in connection with an amendment to the management services agreement with Madison Medical - The Private Practice Group of New York, L.L.P. ("Madison"), the Company exchanged approximately $3.8 million of accounts receivable from Madison for an increase in the fees payable by Madison, an increase in the term of the management services agreement from 20 to 30 years and the elimination of Madison's right to terminate the agreement, without cause, prior to the end of the tenth year of the term. This consideration has been allocated to management contracts and will be amortized over the remaining life of the related contract, as amended. Management of the Company believes that this related party transaction was effected on terms, which approximate fair market value. During 1997, the Company loaned $2,000 to Madison under a note agreement. Further, the Company has guaranteed a letter of credit in favor of Madison, in the amount of $1,916, by depositing and restricting cash in the same amount with the same financial institution providing that letter of credit. In December 1998 the Company commenced an action against Madison to collect the $2,000 loan. On January 15, 1999, the Company commenced an American Arbitration Association arbitration proceeding against Madison to collect $2,100 in fees owed pursuant to a management services agreement between the parties. Madison has asserted a defense in the action and a counterclaim in the arbitration seeking $2,400 in damages based on the Company's and Uptown's alleged breaches of the management services agreement. These actions were settled on March 31, 1999, and in management's opinion, the resolution of these matters will not have a materially adverse effect on the Company's consolidated financial statements. F-9 47 Loans to Affiliates During 1998, the Company loaned $2,000 to a physician, who was a principal in one of the physician practices with which the Company maintained a management services agreement, at 10% interest and payable in full on December 31, 1998. The physician subsequently informed the Company of his inability to repay the loan and as a result the Company agreed to restructure the loan. The restructuring did not have a materially adverse effect on the Company's consolidated financial statements. Litigation and Disputes from Discontinued Operations On May 22, 1997, certain shareholders commenced an action against the Company and certain of its executives in the United States District Court for the Southern District of New York. The action relates to: (i) employment Agreement dated April 1, 1996 between the Company and the shareholder and (ii) an Asset Purchase Agreement dated April 1, 1996, among the Company, the shareholder, and a company previously owned by the shareholder. This action was settled in 1998 and under the terms of the settlement agreement, the Company made a payment of $540 and all claims were dismissed with prejudice. This payment was offset by $150 received under the terms of the Company's corporate insurance policy. In January 1999, a physician practice client of the Company who was in bankruptcy, filed an adversary proceeding in United States Bankruptcy Court, District of New Jersey, entitled "Millennium Management Group, P.C. ("Millennium") v. Advanced Health and Millennium Physician Management, Inc." asserting claims for breach of fiduciary duty, breach of contract and conversion based on the management services agreement among the parties. The complaint seeks the return of certain property allegedly belonging to Millennium in exchange for a lien against the assets of Millennium that is senior to all claims other than Millennium's bank debt, as Millennium owes certain monies to the Company. The Company filed an answer to such complaint. The action is still in the preliminary stages, and the Company believes that Millennium's claims are without merit and intends to defend against them vigorously. In September 1998, the Company received notice from Advanced Heart Physicians and Surgeons Network, P.C. ("Advanced Heart") that Advanced Heart was dissolving due to irreconcilable differences. Advanced Heart claims that under the terms of the management services agreement between Advanced Heart and the Company, this action would cause the management services agreement to be terminated, the Company would be required to refund certain fees previously received from Advanced Heart and the Company would be required to repurchase certain outstanding common shares of the Company held by one of the principals of Advanced Heart. Subsequent to December 31, 1998, the management services agreement was terminated, however, no settlement has been reached or complaint filed regarding the other claims made by Advanced Heart. In December 1998, the Philadelphia Cardiology Group P.C. ("PCG") served the Company with a notice of default and termination under the management services agreement. In management's opinion, the resolution of this matter will not have a materially adverse effect on the Company's consolidated financial statements. No complaint has been filed by either party at this time. F-10 48 3. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES: Basis of Consolidation The accompanying consolidated financial statements include the accounts of AHT and its wholly-owned subsidiaries, Advanced Health Management Corporation ("AHM"), Advanced Health Technologies Corporation (f/k/a Advanced Health Med-E Systems Corporation), Advanced Health Bukstel & Halfpenny Corporation and its majority owned Management Service Organizations ("MSOs") discussed above. All intercompany transactions have been eliminated in consolidation. Use of Estimates The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions specifically for, but not limited to, the useful lives of capitalized software costs and intangible assets, and the loss on disposal of discontinued operations that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. Revenue Recognition The Company's revenue from continuing operations is generated from the sale and licensing of its software to third parties. The Company recognizes revenue in accordance with the newly issued Statement of Position ("SOP") 97-2 "Software Revenue Recognition". This new SOP supersedes SOP 91-1 "Software Revenue Recognition". SOP 97-2 applies to all entities that earn revenue by licensing, selling, leasing or otherwise marketing computer software. It does not apply to revenue earned on products or services when the software contained in those products or services is incidental to the products or services as a whole. SOP 97-2 requires that revenue be allocated to each product or service upon a high threshold of "vendor-specific objective evidence" and deferred until all of the following four criteria are met for that particular product or service: (1) persuasive evidence of an agreement must exist, (2) delivery must have occurred, (3) the vendor's fee must be fixed or determinable, and (4) collectibility must be probable. The SOP is effective for all transactions entered into in fiscal years beginning after December 15, 1997. Retroactive application was prohibited. The adoption of SOP 97-2 did not have a material effect on the Company's consolidated financial statements. Prior to 1998, the Company recorded revenues in compliance with the provisions of SOP 91-1. Cash and Cash Equivalents Cash and cash equivalents include cash and highly liquid investments with original maturities of three months or less when purchased. Included in the balance at December 31, 1997 and 1998 are one and four certificates of deposit totaling $1,727 and $2,580, respectively, that were pledged as collateral on outstanding letters of credit related to the Company's management service agreements previously discussed. Certificates of Deposit Certificates of deposit consist of a series of time deposits with maturities from three to twelve months. F-11 49 Investments in Marketable Securities The Company accounts for investments in accordance with Statement of Financial Accounting Standards ("SFAS") No. 115, "Accounting for Certain Investments in Debt and Equity Securities". In accordance with this pronouncement, the investment and debt securities held by the Company and included in the accompanying consolidated balance sheets that may be sold in response to changes in interest rates, prepayments, and other factors have been classified as available-for-sale. Such securities are reported at fair value, with unrealized gains and losses excluded from earnings and reported in a separate component of shareholders' equity (on an after-tax basis). Gains and losses on the disposition of securities are recognized on the specific identification method in the period in which they occur. Property and Equipment Property and equipment, consisting primarily of electronic data processing equipment, are stated at cost and depreciated on a straight-line basis over the useful lives of the assets (3 to 5 years). Equipment held under capital leases is amortized utilizing the straight-line method over the lesser of the term of the lease or the estimated useful life of the asset. Capitalized Software Costs The Company develops computer software, which is marketed to third parties. Development costs incurred in the research and development of new software products and enhancements to existing software products are expensed as incurred until technological feasibility is established. Any additional development costs are capitalized in accordance with SFAS No. 86, "Accounting for the Costs of Computer Software to be Sold, Leased or Otherwise Marketed." Amortization of such costs is provided using the straight-line basis over the estimated economic life of the products, as determined. The Company performs an annual review of the recoverability of such capitalized software costs. At the time a determination is made that capitalized amounts are not recoverable based on estimated cash flows to be generated from the applicable software, any remaining capitalized amounts are expensed. All previously capitalized software costs were charged to restructuring charges during 1998 (Note 4). Computer software amortization charged to expense aggregated $28, $300 and $1,054, respectively, for each of the three years ended December 31, 1998. Goodwill Goodwill, which represents the excess of the purchase price over the fair value of the net assets acquired, and covenants not-to-compete are included in intangible assets and are presently being amortized over a period of 20 years on a straight-line basis. These amortization periods are evaluated by management on a continuing basis, and will be adjusted if the lives of the related intangible assets are impaired. Amortization was $0, $187 and $96, respectively, for the three years ended December 31, 1998. Accounting for Long-Lived Assets The Company accounts for long-lived assets under the provisions of SFAS No. 121, "Accounting for the Impairment of Long-Lived Assets and for Long-Lived Assets to be Disposed Of." This statement establishes financial accounting and reporting standards for the impairment of long-lived assets, certain identifiable intangibles, and goodwill related to those assets to be held and used, and for long-lived assets and certain identifiable intangibles to be disposed of. Management has performed a review of all long-lived assets and has determined that there are impairments of the respective carrying values of certain long-lived assets as of December 31, 1998 (Notes 2 and 4). F-12 50 Investments in Affiliates Investments in affiliates represent purchased interests of less than 20% and are accounted for on the cost method. Annually, the Company reviews these investments for impairment or whenever events or changes in circumstances indicate that the carrying amounts of the assets may not be recoverable. Research and Development Research and development costs are expensed as incurred by the Company. Research and development expense aggregated $2,843, $770 and $2,400, respectively, for the three years ended December 31, 1998. Fair Value of Financial Instruments The carrying amounts of cash and cash equivalents, accounts receivable, amounts due from affiliates and accounts payable approximate fair value due to the short-term maturity of these instruments. The carrying amounts of capital lease obligations, including current portions, approximate fair value. Income Taxes The Company accounts for income taxes under SFAS No. 109, "Accounting for Income Taxes", which requires recognition of deferred tax liabilities and assets for the estimated future tax effects of events that have been recognized in the financial statements or income tax returns. Under this method, deferred tax liabilities and assets are determined based on (1) differences between the financial accounting and income tax bases of assets and liabilities, and (2) net operating loss carry-forwards, using enacted tax rates in effect for the years in which the differences and carry-forwards are expected to reverse and be utilized, respectively (Note 13). Net Income (Loss) Per Common Share Effective December 31, 1997, the Company adopted SFAS No. 128, "Earnings Per Share". Basic net income (loss) per common share ("Basic EPS") is computed by dividing net income (loss) by the weighted average number of common shares outstanding. Diluted net income (loss) per common share ("Diluted EPS") is computed by dividing net income (loss) by the weighted average number of common shares and dilutive potential common shares then outstanding. SFAS No. 128 requires the presentation of both Basic EPS and Diluted EPS on the face of the consolidated statements of operations. Accordingly, per share data for the year ending December 31, 1996 has been restated to conform with SFAS No. 128. Shares used in calculating Basic and Diluted EPS are reconciled as follows:
1996 1997 1998 ---------- ---------- ---------- Average shares outstanding for basic net (loss) income per share 5,149,207 7,872,204 10,085,407 Diluted effect of stock options and warrants -- 1,018,652 -- ---------- ---------- ---------- Weighted average shares outstanding for diluted net (loss) income per share 5,149,207 8,890,856 10,085,407 ========== ========== ==========
Diluted EPS for 1996 and 1998 does not include the impact of 804,444 and 1,460,607 stock options respectively, then outstanding, as the effect of their inclusion would be anti-dilutive. F-13 51 Stock-Based Compensation The Company has elected to follow the accounting set forth in Accounting Principles Board No. 25, "Accounting for Stock Issued to Employees" ("APB No. 25") and to provide the necessary pro-forma disclosures as if the fair value method had been applied (Note 13). Comprehensive Income During 1998, the Company adopted SFAS No. 130 "Reporting Comprehensive Income," which established standards for reporting and displaying comprehensive income and its components in a financial statement that is displayed with the same prominence as other financial statements. The components of comprehensive income are as follows:
For the Years Ended --------------------------------- 1996 1997 1998 -------- -------- -------- Net (loss) income $ (1,465) $ 7,158 $(75,193) Unrealized (loss) gain on marketable securities 60 124 (181) -------- -------- -------- Comprehensive (loss) income $ (1,405) $ 7,282 $(75,374) ======== ======== ========
Concentration of Credit Risk Financial instruments, which subject the Company to concentrations of credit risk, consist primarily of cash and cash equivalents, certificates of deposit, marketable securities and trade accounts receivable. The Company maintains cash and cash equivalents, certificates of deposit and marketable securities with various financial institutions. The Company performs periodic evaluations of the relative credit standing of these institutions. The Company's clients are concentrated in the United States. The Company performs ongoing credit evaluations, generally does not require collateral and establishes an allowance for doubtful accounts based upon factors surrounding the credit risk of customers, historical trends and other information. New Accounting Pronouncements In June 1997, the Financial Accounting Standards Board ("FASB") issued SFAS No. 131, "Disclosures About Segments of an Enterprise and Related Information." This statement establishes standards for the way public business enterprises report information about operating segments in annual financial statements and requires that those enterprises report selected information about operating segments in interim financial reports issued to shareholders. This statement is effective for financial statements for periods beginning after December 15, 1997 and need not be applied to interim periods in the initial year of application. Comparative information for earlier years presented is to be restated. The adoption of this statement did not have a material impact on the Company's results of consolidated operations, financial position or cash flows. In June 1998, the FASB issued SFAS No. 133, "Accounting for Derivatives and Hedging", which establishes accounting and reporting standards of derivative instruments, including certain derivative instruments embedded in other contracts, and for hedging activities. The Company does not expect the adoption of this standard to have a material effect on the Company's results of consolidated operations, financial position or cash flows. F-14 52 Reclassifications Certain prior year amounts have been reclassified to conform to the current year's presentation. 4. RESTRUCTURING CHARGES: During the third and fourth quarters of 1998, the Company recorded total restructuring charges of $7,648 relating to the Company's information technology line of business. Included in this total are non-cash write-downs of capitalized software of $6,160, facility closure costs of $281, non-cash write-downs of property, plant and equipment of $70 and severance and other employee related costs of $1,137. As of December 31, 1998, payments of $819 have been made for these charges. The Company anticipates that all of the remaining restructuring costs will be paid in 1999. The charge for capitalized software represents the write-down of certain of the Company's proprietary software to the net realizable value as a result of management's decision to no longer market and support this software. The facility closure costs represent the loss on the closure of an office used for the development and sale of one of the Company's clinical information systems lines of software. The charge for property, plant and equipment represents the write-down to the net realizable value of computer equipment, furniture and fixtures no longer needed in the Company's restructured operations. The severance and other employee related costs provide for the reduction of approximately 45 employees related to the facility closure and streamlining of operations related to cost reduction initiatives. 5. ACQUISITION OF BUSINESSES: During 1997, the Company acquired certain assets of Bukstel &Halfpenny, Inc. ("B&H"), a clinical information technology company, for $306 in cash, 66,201 shares of common stock ($21.81 per share) and options for the purchase of 12,012 shares ($21.00 per share) of the Company's common stock, for an aggregate purchase price of $2,000. Furthermore, the B&H purchase agreement calls for the issuance of an additional 114,613 shares of common stock, as contingent consideration. See Note 16 for discussion of litigation relating to the above purchase agreement. The Company records the effect of the contingent consideration, if any, related to this acquisition based upon the provisions of Emerging Issues Task Force Issue 95-8, "Accounting for Contingent Consideration Paid to the Shareholders of an Acquired Company in a Purchase Business Combination", which sets forth the criteria for determining the allocation of contingent consideration as either additional purchase price or compensation expense. These criteria provide for the recognition of contingent consideration, as opposed to compensation expense, upon the exercisability, if any, of such options and warrants where relevant facts and circumstances, such as continued employment of the sellers, components of the selling shareholder group, reasons for contingent payments and other agreements and issues, indicate that such accounting is warranted. Management of the Company believes that the terms of the acquisitions described above meet the criteria for recognition of contingent consideration. The common stock issued in connection with these acquisitions described above was valued based on, as applicable, either public trading values or on management's estimate of the fair value of common stock at the date of acquisition, which was determined by the Company's management by comparisons to (i) arms-length transactions with unrelated third-parties for the same or similar securities and (ii) an independent third-party appraisal. Costs and the pro forma effects of these transactions have not been presented, as the results are immaterial to the Company's consolidated financial statements taken as a whole. F-15 53 6. RELATED PARTY TRANSACTIONS: Software Licensing Agreements During 1997 and 1998, the Company entered into two separate software licensing agreements with a company in which AHT holds a preferred stock investment (Note 9(a)). The Company recognized $2,500 of licensing revenue from each transaction for each of the years ended December 31, 1997 and 1998, respectively. No amounts are due under these agreements. Transactions with Officers In accordance with the Company's Senior Executive Loan Policy, which is administered by the Compensation Committee of the Board of Directors, the Company has made loans to certain senior executives of the Company aggregating $780 and $1,570, which are included in other assets in the accompanying consolidated balance sheets as of December 31, 1997 and 1998, respectively. These loans are due three years from the loan date with interest at a rate of 6% per annum. Management of the Company believes that these related party transactions were effected on terms, which approximate fair market value. 7. INVESTMENTS IN MARKETABLE SECURITIES: The carrying amounts, gross unrealized gains and losses and estimated market values of investment securities are summarized as follows:
December 31, 1998 -------------------------------------------------------- Gross Gross Estimated Carrying Unrealized Unrealized Market Amount Gains (Losses) Value ------ ------ ------ ------ Commercial paper $2,200 $ -- $ -- $2,200 U.S. Government and agencies 2,015 -- -- 2,015 Corporate bonds 2,754 3 -- 2,757 ------ ------ ------ ------ $6,969 $ 3 $ -- $6,972 ====== ====== ====== ======
December 31, 1997 ----------------------------------------------------------- Gross Gross Estimated Carrying Unrealized Unrealized Market Amount Gains (Losses) Value ------ ----- -------- ----- Treasury bills $ 19,500 $ 215 $ -- $ 19,715 Commercial paper 2,000 -- -- 2,000 U.S. Government and agencies 9,793 85 -- 9,878 Corporate bonds 2,492 -- (3) 2,489 -------- -------- -------- -------- $ 33,785 $ 300 $ (3) $ 34,082 ======== ======== ======== ========
All investment securities held as of December 31, 1998 are due in one year or less. Expected maturities will differ from contractual maturities because borrowers may have the right to call or prepay obligations with or without call or prepayment penalties. F-16 54 8. PROPERTY AND EQUIPMENT: Property and equipment consist of the following:
December 31, ----------------- 1997 1998 ------ ------ Computer equipment and software $3,829 $4,223 Equipment under capital leases 471 438 Furniture and fixtures 723 632 Leasehold improvements 43 62 ------ ------ 5,066 5,355 Less: Accumulated depreciation and amortization 1,733 2,790 ------ ------ Property and equipment, net $3,333 $2,565 ====== ======
Depreciation and amortization aggregated $793, $753 and $1,178, respectively, for the three years ended December 31, 1998. 9. INVESTMENTS IN AFFILIATES: Investments in affiliates consist of the following:
December 31, ------------------ 1997 1998 ------- ------- PatientCare Dynamics, LLC (a) $ 5,000 $10,000 ACRM, Inc. (b) 3,500 3,500 Caresoft, Inc. (c) 500 500 ------- ------- $ 9,000 $14,000 ======= =======
(a) On December 30, 1997, the Company purchased Class B Shares and a Warrant equal to $5,000 of PatientCare Dynamics, LLC, a corporation that, among other things, provides technology based support systems and services to health care professionals. In 1998, the Company purchased additional Class B Shares and a Warrant equal to $5,000. As of December 31, 1998, the Company owns approximately 18.8% of PCD and has therefore accounted for this investment under the cost method. (b) On September 30, 1997, the Company paid $1,000 for 9.9% preferred stock ownership of ACRM, Inc., a corporation that provides advanced cardiovascular research management. In 1997, the Company loaned $2,500 to ACRM under a loan agreement. In July 1998, the preferred stock interest and the loan were converted into a $3,500 newly issued convertible debenture, bearing interest at 6.0% per annum and payable in full on July 1, 2003. The debenture can be redeemed or converted as follows: F-17 55 (1) ACRM may redeem the debenture upon the occurrence of certain "triggering events" (as defined) for the greater of (i) the then fair market value of the debenture or (ii) $1,000; (2) ACRM may at any time, convert the debenture into an amount equal to 15% of ACRM's then outstanding common stock on a fully diluted basis; and (3) AHT may redeem the debenture, during the period of February 1, 1999 through February 1, 2000, for a redemption price of $1,000. As of December 31, 1998, none of the above "triggering events" have occurred. This debenture is included in other assets in the accompanying consolidated balance sheets. (c) In June 1997, the Company purchased $500 of Series A Preferred Stock issued by Caresoft, Inc., a corporation that, among other things, develops chronic disease and patient compliance software. As of December 31, 1998, the Company owns less than 20% of Caresoft, Inc. and has therefore accounted for this investment under the cost method. 10. ACCOUNTS PAYABLE AND ACCRUED EXPENSES: Accounts payable and accrued expenses consist of the following:
December 31, ---------------- 1997 1998 ------ ------ Professional fees $ -- $1,996 Accounts payable 446 441 Other 4 1,173 ------ ------ Total accounts payable and accrued expenses $ 450 $3,610 ====== ======
11. OTHER CURRENT LIABILITIES: In connection with an acquisition in 1998 (Note 2), the Company assumed amounts due from a $1,000 line of credit with a bank, which bears interest at prime plus 1.25%. As of December 31, 1998, there was $809 outstanding on the line of credit. Subsequent to year end the Company extended the due date of the outstanding amount to September 30, 1999 at which time the full amount is due. In connection with the extension, the Company has pledged a $650 certificate of deposit as collateral. 12. SHAREHOLDERS' EQUITY: Common Stock (a) In 1995, the Company sold 79,780 common shares pursuant to a private placement agreement dated April 21, 1995 for an aggregate of $625. In accordance with this agreement, the holders of these shares have the right, on two occasions, to participate on a "piggy-back" basis in a registration by the Company under the Securities Act of 1933, as amended, subject to certain restrictions, for a period ending on September 30, 2000, and commencing twelve months from the closing of an initial public offering of the securities of the Company. (b) In October 1996, the Company completed an initial public offering of its common stock. The offering included the sale of 2,300,000 shares of common stock (on a basis, which reflected the reverse split described below,) at $13 per share plus an underwriter' overallotment of 345,000 shares. Total net proceeds from this offering were $30,483. F-18 56 (c) In October 1997, the Company completed a second public offering of its common stock. The offering included the sale of 2,000,000 shares of common stock by the Company and 500,000 shares of common stock by existing shareholders, at $22.25 per share plus an underwriter' overallotment of 750,000. Total net proceeds to the Company from this offering were $45,961. Stock Splits In April 1996, the Company authorized a 1.5 for 1 stock split on its common stock in the form of a stock dividend. In connection with the initial public offering, the Company effected a recapitalization whereby the presently outstanding common stock (including converted Series A, B, C and D Convertible Preferred Stock) was converted to shares of common stock on a .59581 to 1 share basis. All information in the accompanying consolidated financial statements and footnotes has been retroactively restated to give effect to these transactions. Stock Repurchase Program In September 1998, the Board of Directors approved a plan to repurchase up to 3,500,000 shares of the Company's outstanding common stock. The plan provides that the shares may be repurchased at the discretion of the Company's senior management over a period of up to six months. As of December 31, 1998, the Company had repurchased 145,000 shares of treasury stock for total payments of $314 under this plan. Stock Options The Company maintains the 1995 Stock Option Plan (the "1995 Plan") for the purpose of granting incentive stock options to employees, officers or directors of, or consultants or advisors to, the Company, provided that incentive stock options may only be granted to individuals who are employees of the Company. Options granted under the 1995 Plan typically vest annually over a three-year period and expire ten years from the date of grant. The Company reserved 1,500,000 shares of common stock for issuance under the 1995 Plan. The Company also maintains the Advanced Health Corporation Employee Stock Purchase Plan (the "Employee Plan") in order to allow the employees of the Company to acquire a proprietary interest in the Company through the purchase of the Company's common stock. Under the Employee Plan, eligible employees will be granted options to purchase shares of common stock through regular payroll deductions. The total number of shares of common stock that are authorized for issuance under the Employee Plan is 1,200,000. No shares have been issued under the Employee Plan. In August 1998, the Company canceled and reissued all then outstanding employee stock options, which had an exercise price above $5.05. Employees whose options were canceled, received an amount equal to 75% of their previous option grants. The new options were granted at an exercise price of $2.50 per share, which was equal to or above the then fair market value of the Company's common stock. The Company accounts for these plans under APB Opinion No. 25, under which no compensation cost has been recognized. F-19 57 Had compensation cost for these plans been determined consistent with SFAS No. 123, the Company's net income (loss) and basic net income (loss) per share would have been changed to the following pro forma amounts:
1996 1997 1998 --------- -------- ---------- Net (loss) income: As Reported $ (1,465) $ 7,158 $ (75,193) Pro Forma (1,850) 4,370 (81,557) Basic net (loss) income per share: As Reported $ (0.26) $ .91 $ (7.46) Pro Forma (0.33) .56 (8.11)
Because the SFAS No. 123 method of accounting has not been applied to options granted prior to January 1, 1995, the resulting pro forma compensation cost may not be representative of that to be expected in future years. A summary of the status of the 1996 Plan at December 31, 1997 and 1998, and changes during the years then ended, is presented in the table and narrative below:
1997 1998 ----------------------- ----------------------- Wtd. Avg. Wtd. Avg. Shares Ex Price Shares Ex Price ---------- ------ ---------- ------ Outstanding at beg. of year 804,444 $ 1.31 2,088,327 $13.72 Granted 1,775,895 16.85 1,298,718 2.81 Exercised (352,005) 3.95 (199,553) 5.35 Forfeited (140,007) 8.07 (1,726,885) 10.34 ---------- ---------- Outstanding at end of year 2,088,327 13.72 1,460,607 2.53 ========== ========== Exercisable at end of year 282,583 3.03 1,205,511 2.53 ========== ========== Weighted average fair value of options granted $ 8.52 N/A $ 2.53 N/A
The fair value of each option grant is estimated on the date of grant using the Black-Scholes option pricing model with the following weighted-average assumptions used for grants in 1997 and 1998, respectively: risk-free interest rates of 6.2% and 5.42%; expected dividend yields of 0%; expected lives of 3 years; expected stock price volatility of 74% and 154%, respectively. 13. INCOME TAXES: Income tax provision (benefit) consists of the following:
Years Ended December 31, ---------------------------------- 1996 1997 1998 -------- -------- -------- Federal: Current $ -- $ -- $ 536 Deferred (757) 2,556 (19,291) State and Local: Current -- -- 95 Deferred (220) 451 (3,404) Adjustment to valuation allowance for opening net deferred tax assets -- (2,605) 4,092 Valuation allowance for 1998 net deferred tax assets -- -- 22,694 -------- -------- -------- Total income tax provision (benefit) $ (977) $ 402 $ 4,722 ======== ======== ========
F-20 58 A reconciliation of the difference between the statutory Federal income tax rate and the Company's effective tax rate for the three years ended December 31, 1998 are as follows:
1996 1997 1998 ---- ---- ---- Tax provision (benefit) at statutory rate 34% 34% 34% State and local taxes 6% 6% 6% Adjustment to valuation allowance for opening net deferred tax assets -- -- 6% Valuation allowance for net deferred tax assets (40)% (35)% (40)% ----- ----- ----- -- % 5% 6% ===== ===== =====
The tax effects of temporary differences that give rise to a significant portion of the deferred income tax asset, net, at December 31, 1997 and 1998 are as follows:
December 31, -------------------- 1997 1998 -------- -------- Net operating loss carryforward $ 3,492 $ 16,011 Accrued expenses -- 4,666 Allowance for doubtful accounts 264 2,549 Amortization 238 1,746 Exercise of stock options -- 577 Deferred revenue 80 -- Other 18 (326) -------- -------- 4,092 25,223 Less: Valuation allowance -- (25,223) -------- -------- Total deferred income taxes, net $ 4,092 $ -- ======== ========
At December 31, 1998, the Company had net operating loss carryforwards ("NOLs") available to offset taxable income of approximately $2,235 and $13,776 expiring in varying amounts through 2013 and 2018. In 1997, management of the Company determined that, more likely than not, its previously-reserved deferred tax assets would be realized and, accordingly, reduced the related valuation allowance. The reduction in the valuation allowance is included in the provision for income taxes in the accompanying consolidated statement of operations for 1997. The determination that the net deferred tax asset of $4,092 at December 31, 1997 was realizable, was based on the Company's profitability during 1997. Based upon the Company's results of operations for the year ended December 31, 1998, the Company determined that more likely than not, its deferred tax assets would not be realized and recorded a full valuation allowance against such assets. The provision for income taxes for the year ended December 31, 1998 represents the charge for the valuation allowance for prior year deferred tax assets. Deferred tax assets of approximately $1,360 for the year ended December 31, 1997, all of which are related to tax benefits associated with the exercise of stock options, did not result in a tax benefit in the accompanying consolidated statements of operations but, rather, an increase to additional paid-in capital. 14. COMMITMENTS: The Company leases certain office space for its operations. Leases for this space expire through 2002 and call for annual rent, with immaterial escalations through the end of the leases. F-21 59 The Company has also entered into several operating leases for office equipment. Future minimum payments for operating leases at December 31, 1998 are as follows:
Year ending December 31, ------------------------ 1999 $ 1,313 2000 1,097 2001 838 2002 476 2003 and thereafter 340
Rent expense was $630, $443 and $299, respectively, for the three years ended December 31, 1998. Employment Agreements The Company maintains employment agreements with certain named executives. The employment agreements provide for aggregate annual base salaries of $855. These executives are also entitled to receive discretionary bonuses. The employment agreements provide for a four-year term that is automatically renewable for successive one-year terms unless either party gives prior written notice of its intent not to renew. In addition, pursuant to the severance terms of an employment agreement, the Company is obligated to make payments totaling $500 over the next two years to a former executive. 15. LITIGATION AND DISPUTES: On September 23, 1997, the Company commenced an action against a customer to collect $1,000 owed by the customer to the Company pursuant to a software license agreement dated as of March 31, 1997, as amended (the "License Agreement"), between the customer and the Company. On October 1, 1997, the customer filed an answer to this lawsuit and asserted various counterclaims against the Company, in which the customer alleges that the subject software and documentation was not timely delivered and installed in accordance with the License Agreement. As relief, the customer sought a declaratory judgment that the customer is not obligated to make the $1,000 payment, as well as unspecified damages. This action was settled in January 1999, all claims were dismissed with prejudice and the settlement did not have a materially adverse effect on the Company's consolidated financial statements. From July 1 through August 17, 1998, eleven putative class actions were filed in the United States District Court for the Southern District of New York, all of which have been consolidated under the caption "In re Advanced Health Corporation Securities Litigation". The amended consolidated complaint seeks, among other remedies, certification as a class action and unspecified damages resulting from defendants' alleged violations of federal securities laws. The amended consolidated complaint alleges that the Company and certain of its current or former officers or directors are liable for certain misrepresentations and omissions regarding, among other matters, the Company's operations, performance, and financial condition. The litigation is still in the preliminary stages, and the Company believes that the plaintiffs' claims are without merit and intends to defend against the action vigorously. F-22 60 On September 16, 1998, B&H commenced an action in the Supreme Court of the State of New York entitled "Bukstel & Halfpenny, Inc. v. Advanced Health Corporation". In addition to the Company, the complaint names as defendants Advanced Health Med-E-Systems Corporation, Advanced Health Bukstel & Halfpenny Corporation and certain current or former officers or directors of the Company. The Complaint asserts violations of the federal securities laws, common law fraud and other common law claims in connection with the Company's September 17, 1997 purchase of certain assets from B&H, and seeks rescission of the asset purchase agreement or unspecified damages. On October 30, 1998, B&H obtained an order to show cause and temporary restraining order, which temporarily prevents the Company from transferring certain software code to a certain customer and from including certain "software escrow" provisions in certain software licensing agreements. The litigation is still in the preliminary stages, and the Company believes that the plaintiffs' claims are without merit and intends to defend against the action vigorously. From time to time, the Company is involved in other litigation. Although the actual amount of any liability that could arise with respect to any such litigation cannot be accurately predicted, in the opinion of management, the resolution of these matters is not expected to have a material adverse effect on the Company's business, results of operations or financial condition. F-23 61 REPORT OF INDEPENDENT PUBLIC ACCOUNTANTS ON SCHEDULE To Advanced Health Corporation: We have audited, in accordance with generally accepted auditing standards, the consolidated financial statements of Advanced Health Corporation included in this annual report on Form 10-K and have issued our report thereon dated March 31, 1999. Our audits were made for the purpose of forming an opinion on the basic consolidated financial statements taken as a whole. This schedule is presented for purposes of complying with the Securities and Exchange Commission's rules and is not part of the basic consolidated financial statements. This schedule has been subjected to the auditing procedures applied in our audits of the basic consolidated financial statements and, in our opinion, fairly states in all material respects the financial data required to be set forth therein in relation to the basic consolidated financial statements taken as a whole. ARTHUR ANDERSEN LLP New York, New York March 31, 1999 S-1 62 SUPPLEMENTAL SCHEDULE II (in thousands)
Additions ------------------------------- Balance at Charged to Beginning of Charged to Cost Other Balance at End Description Period and Expenses Accounts Deductions of Period - - -------------------------------------------------------------------------------------------------------------------------- December 31, 1996 Allowance for Doubtful Accounts $ -- $210 $ -- $ -- $210 1997 Allowance for Doubtful Accounts $210 $450 $ -- $ -- $660 1998 Allowance for Doubtful Accounts $660 $ -- $ -- $ (630) $ 30
S-2
EX-10.12 2 MALVERN LEASE 1 Exhibit 10.12 AGREEMENT OF LEASE BETWEEN ROUSE & ASSOCIATES- 55 VALLEY STREAM PARKWAY LIMITED PARTNERSHIP ("LANDLORD") AND INTEGRATED MEDICAL MANAGEMENT ("TENANT") FOR SUITE 200 55 VALLEY STREAM PARKWAY GREAT VALLEY CORPORATE CENTER MALVERN, PA 19355 2 LEASE AGREEMENT (Multi-Tenant Office) INDEX SECTION PAGE - - ------- ---- 1. Summary of Terms and Certain Definitions............................1 2. Premises............................................................2 3. Acceptance of Premises..............................................2 4. Use; Compliance.....................................................2 5. Term................................................................2 6. Minimum Annual Rent.................................................3 7. Operation of Property; Payment of Expenses..........................3 8. Signs...............................................................4 9. Alterations and Fixtures............................................5 10. Mechanics' Liens....................................................5 11. Landlord's Right to Relocate Tenant; Right of Entry.................5 12. Damage by Fire or Other Casualty....................................5 13. Condemnation........................................................6 14. Non-Abatement of Rent...............................................6 15. Indemnification of Landlord.........................................6 16. Waiver of Claims....................................................6 17. Quiet Enjoyment.....................................................6 18. Assignment and Subletting...........................................6 19. Subordination; Mortgagee's Rights...................................7 20. Recording; Tenant's Certificate.....................................7 21. Surrender; Abandoned Property.......................................8 22. Curing Tenant's Defaults............................................8 23. Defaults - Remedies.................................................8 24. Representations of Tenant...........................................9 25. Liability of Landlord...............................................9 26. Interpretation; Definitions........................................10 27. Notices............................................................10 28. Security Deposit...................................................11 3 RIDER - - ----- 29. PA Additional Remedies..................................................R-1 30. Tenant Improvements; Landlord Allowance.................................R-2 31. Amendment to Article 1 (d)(ii) "Estimated Operating Expenses"...........R-3 32. Amendment to Article 7 "Operating of Property; Payment of Expenses".....R-3 33. Amendment to Article 4 "Use; Compliance"................................R-3 4 THIS LEASE AGREEMENT is made by and between Rouse & Associates-55 Valley Stream Parkway Limited Partnership a Pennsylvania limited partnership ("LANDLORD") with its address at 65 Valley Stream Parkway, Suite 100, Malvern, Pennsylvania 19355 and Integrated Medical Management, a Corporation organized under the laws of Pennsylvania ("TENANT") with its address at 50 Valley Stream Parkway, Malvern, PA 19355 and is dated as of the date on which this lease has been fully executed by Landlord and Tenant. 1. SUMMARY OF TERMS AND CERTAIN DEFINITIONS. (a) "PREMISES": Approximate rentable square feet: 13,014 (Section 2) Suites: 200 (b) "BUILDING": Approximate rentable square feet: 40,057 (Section 2) Address: 55 Valley Stream Parkway Malvern, PA 19355 (c) "TERM": Seventy Nine (79) months plus any partial month from (Section 5) the Commencement Date until the first day of the first full calendar month during the term (i) "COMMENCEMENT DATE": November 15, 1997 (ii) "EXPIRATION DATE": See Section 5 (d) MINIMUM RENT (SECTION 6) & OPERATING EXPENSES (SECTION 7) (i) "MINIMUM ANNUAL RENT": $83,100.00 (Eighty Three Thousand One Hundred and 00/100 Dollars), payable in monthly installments of $6,925.00, increased as follows:
LEASE YEAR ANNUAL MONTHLY LEASE YEAR ANNUAL MONTHLY - - ---------- ------ ------- ---------- ------ ------- 2 $185,709.78 $15,475.81 5 $202,888.26 $16,907.36 3 $191,175.66 $15,931.31 6 $209,004.84 $17,417.07 4 $196,901.82 $16,408.48 Mos. 73-80 N/A $17,937.63
(ii) Estimated "ANNUAL OPERATING EXPENSES": $94,872.06 (Ninety Four Thousand Eight Hundred Seventy Two and 06/100), payable in monthly installments of $7,906.01 (Seven Thousand Nine Hundred Six and 01/100 Dollars), subject to adjustment. (See Article 31) (e) "PROPORTIONATE SHARE" (Section 7(a)): 32.5% (Ratio of approximate rentable square feet in the Premises to approximate rentable square feet in the Building) (f) "USE" (Section 4): General office purposes (excluding any "place of public accommodation") (g) "SECURITY DEPOSIT" (Section 28): $16,000.00 (h) CONTENTS: This lease consists of the Index, pages 1 through 11 containing Sections 1 through 28 and the following, all of which are attached hereto and made a part of this lease: Rider with Section 29 through 33 Exhibits: "A" - Plan showing Premises "B" - Commencement Certificate Form "C" - Building Rules "D" - Cleaning Schedule "E" - Estoppel Certificate Form 1 5 2. PREMISES. Landlord hereby leases to Tenant and Tenant hereby leases from Landlord the Premises as shown on attached Exhibit "A" within the Building ( ) Building and the lot on which it is located (the "PROPERTY"), together with the non-exclusive right with Landlord and other occupants of the Building to use all areas and facilities provided by Landlord for the use of all tenants in the Property including any lobbies, hallways, driveways, sidewalks and parking, loading and landscaped areas (the "COMMON AREAS"). 3. ACCEPTANCE OF PREMISES. Tenant has examined and knows the condition of the Property, the zoning, streets, sidewalks, parking areas, curbs and access ways adjoining it, visible easements, any surface conditions and the present uses, and Tenant accepts them in the condition in which they now are, without relying on any representation, covenant or warranty by Landlord. Tenant and its agents shall have the right, at Tenant's own risk, expense and responsibility, at all reasonable times prior to the Commencement Date, to enter the Premises for the purpose of taking measurements and installing its furnishings and equipment; provided that the Premises are vacant and Tenant obtains Landlord's prior written consent. 4. USE; COMPLIANCE. (a) PERMITTED USE. Tenant shall occupy and use the Premises for and only for the Use specified in Section 1(f) above and in such a manner as is lawful, reputable and will not create any nuisance or otherwise interfere with any other tenant's normal operations or the management of the Building. Without limiting the foregoing, such Use shall exclude any use that would cause the Premises or the Property to be deemed a "place of public accommodation" under the Americans with Disabilities Act (the "ADA") as further described in the Building Rules (defined below). All Common Areas shall be subject to Landlord's exclusive control and management at all times. Tenant shall not use or permit the use of any portion of the Common Areas for other than their intended use. (b) COMPLIANCE. From and after the Commencement Date, Tenant shall comply promptly, at its sole expense, (including making any alterations or improvements) with all laws (including the ADA), ordinances, notices, orders, rules, regulations and requirements regulating the Property during the Term which impose any duty upon Landlord or Tenant with respect to Tenant's use, occupancy or alteration of, or Tenant's installations in or upon, the Property including the Premises, (as the same may be amended, the "LAWS AND REQUIREMENTS") and the building rules attached as Exhibit "C", as amended by Landlord from time to time, (the "BUILDING RULES"). Provided, however, that Tenant shall not be required to comply with the Laws and Requirements with respect tot he footings, foundations, structural steel columns and girders forming a part of the Property unless the need for such compliance arises out of Tenant's use, occupancy or alteration of the Property, or by any act or omission of Tenant or any employees, agents, contractors, licensees or invitees ("AGENTS") of Tenant. With respect to Tenant's obligations as to the property, other than the Premises, at Landlord's option and at Tenant's expense, Landlord may comply with any repair, replacement or other construction requirements of the Laws and Requirements and Tenant shall pay to Landlord all costs thereof as additional rent. (c) ENVIRONMENTAL. Tenant shall comply, at its sole expense, with all Laws and Requirements as set forth above, all manufacturers' instructions and all requirements of insurers relating to the treatment, production, storage, handling, transfer, processing, transporting, use, disposal and release of hazardous substances, hazardous mixtures, chemicals, pollutants, petroleum products, toxic or radioactive matter (the "RESTRICTED ACTIVITIES"). Tenant shall deliver to Landlord copies of all Material Safety Data Sheets or other written information prepared by manufacturers, importers or suppliers of any chemical and all notices, filings, permits and any other written communications from or to Tenant and any entity regulating any Restricted Activities. (d) NOTICE. If at any time during or after the Term, Tenant becomes aware of any inquiry, investigation or proceeding regarding the Restricted Activities or becomes aware of any claims, actions or investigations regarding the ADA, Tenant shall give Landlord written notice, within 5 days after first learning thereof, providing all available information and copies of any notices. 5. TERM. The Term of this lease shall commence on the Commencement Date and shall end at 11:59 p.m. on the last day of the Term (the "EXPIRATION DATE"), without the necessity for notice from either party, unless sooner terminated in accordance with the terms hereof. At Landlord's request, Tenant shall confirm the Commencement Date and Expiration Date by executing a lease commencement certificate in the form attached as Exhibit "B". 6. MINIMUM ANNUAL RENT. Tenant agrees to pay to Landlord the Minimum Annual Rent in equal monthly installments in the amount set forth in Section 1(d) (as increased at the beginning of each lease year as set forth in Section 1(d)), in advance, on the first day of each calendar month during the Term, without notice, demand or setoff, at Landlord's address designated at the beginning of this lease unless Landlord designates otherwise; provided that rent for the first full month shall be paid at the signing of this lease. If the Commencement Date falls on a day other than the first day of a calendar month, the rent shall be apportioned pro rata on a per diem basis for the period from the Commencement Date until the first day of the following calendar month and shall be paid on or before the Commencement Date. As used in this lease, the term "lease year" means the period from the Commencement Date 2 6 through the succeeding 12 full calendar months (including for the first lease year any partial month from the Commencement Date until the first day of the first full calendar month) and each successive 12 month period thereafter during the Term. 7. OPERATION OF PROPERTY; PAYMENT OF EXPENSES. (a) PAYMENT OF OPERATING EXPENSES. Tenant shall pay to Landlord the Annual Operating Expenses in equal monthly installments in the amount set forth in Section 1(d) (prorated for any partial month), from the Commencement Date and continuing throughout the Term on the first day of each calendar month during the Term, as additional rent, without notice, demand or setoff, provided that the monthly installment for the fist full month shall be paid at the signing of this lease. Landlord shall apply such payments to the annual operating costs to Landlord of operating and maintaining the Property during each calendar year of the Term, which costs may include by way of example rather than limitation: insurance premiums, fees, impositions, costs for repairs, maintenance, service contracts, management and administrative fees, governmental permits, overhead expenses, costs of furnishing, water, sewer, gas, fuel, electricity, other utility services, janitorial service, trash removal, security services, landscaping and grounds maintenance, and the costs of any other items attributable to operating or maintaining any or all of the Property excluding any costs which under generally accepted accounting principles are capital expenditures; provided, however, that annual operating costs also shall include the annual amortization (over an assumed useful life of ten years) of the costs (including financing charges) of building improvements made by Landlord to the Property that are required by any governmental authority or for the purpose of reducing operating expenses or directly enhancing the safety of tenants in the Building generally. The amount of the Annual Operating Expenses set forth in Section 1(d) represents Landlord's estimate of Tenant's share of the estimated operating costs during the first calendar year of the Term on an annualized basis; from time to time Landlord may adjust such estimated amount if the estimated operating costs increase. Tenant's obligation to pay the Annual Operating Expenses pursuant to this Section 7 shall survive the expiration or termination of this lease. (i) COMPUTATION OF TENANT'S SHARE OF ANNUAL OPERATING COSTS. After the end of each calendar year of the Term, Landlord shall compute Tenant's share of the annual operating costs described above incurred during such calendar year by (A) calculating an appropriate adjustment, using generally accepted accounting principles, to avoid allocating to Tenant or to any other tenant (as the case may be) those specific costs which Tenant or any other tenant has agreed to pay; (B) calculating an appropriate adjustment, using generally accepted accounting principles, to avoid allocating to any vacant space those specific costs which were not incurred for such space; and (C) multiplying the adjusted annual operating costs by Tenant's Proportionate Share. (ii) RECONCILIATION. By April 30th of each year (and as soon as practical after the expiration or termination of this lease or at any time in the extent of a sale of the Property), Landlord shall provide Tenant with a statement of the actual amount of such annual operating costs for the preceding calendar year or part thereof. Landlord or Tenant shall pay to the other the amount of any deficiency or overpayment then due from one to the other or, at Landlord's option, Landlord may credit Tenant's account for any overpayment. Tenant shall have the right to inspect the books and records used by Landlord in calculating the annual operating costs within 60 days of receipt of the statement during regular business hours after having given Landlord at least 48 hours prior written notice; provided, however, that Tenant shall make all payments of additional rent without delay, and that Tenant's obligation to pay such additional rent shall not be contingent on any such right. (b) IMPOSITIONS. As used in this lease the term "impositions" refers to all levies, taxes (including sales taxes and gross receipt taxes) and assessments, which are applicable to the Term, and which are imposed by any authority or under any law, ordinance or regulation thereof, or pursuant to any recorded covenants or agreements, and the reasonable cost of contesting any of the foregoing upon or with respect to the Property or any part thereof, or any improvements thereto. Tenant shall pay to Landlord with the monthly payment of Minimum Annual Rent any imposition imposed directly upon this lease or the Rent (defined in Section 7(g)) or amounts payable by any subtenants or other occupants of the Premises, or against Landlord because of Landlord's estate or interest herein. (i) Nothing herein contained shall be interpreted as requiring Tenant to pay any income, excess profits or corporate capital stock tax imposed or assessed upon Landlord, unless such tax or any similar tax is levied or assessed in lieu or assessed in lieu of all or any part of any imposition or an increase in any imposition. (ii) If it shall not be lawful for Tenant to reimburse Landlord for any of the impositions, the Minimum Annual Rent shall be increased by the amount of the portion of such imposition allocable to Tenant unless prohibited by law. (c) INSURANCE. (i) PROPERTY. Landlord shall keep in effect insurance against loss or damage to the Building or the Property by fire and such other casualties as may be included within fire, extended coverage and special form insurance covering the full replacement 3 7 cost of the Building (but excluding coverage of Tenant's personal property in, and any alterations by Tenant to, the Premises), and such other insurance as Landlord may reasonably deem appropriate or as may be required from time-to time by any mortgage. (ii) LIABILITY. Tenant, at its own expense, shall keep in effect comprehensive general public liability insurance with respect to the Premises and the property, including contractual liability insurance, with such limits of liability for bodily injury (including death) and property damage as reasonably may be required by Landlord from time to time, but not less than a combined single limit of $1,000,000 per occurrence and a general aggregate limit of not less than $2,000,000 (which aggregate limit shall apply separately to each of Tenant's locations if more than the Premises); however, such limits shall not limit the liability of Tenant hereunder. The policy of comprehensive general public liability insurance also shall name Landlord and Landlord's agent as insured parties with respect to the Premises, shall be written on an "occurrence" basis and not on a "claims made" basis, shall provide that it is primary with respect to any policies carried by Landlord and that any coverage carried by Landlord shall be excess insurance, shall provide that it shall not be cancelable or reduced without at least 30 days prior written notice to Landlord and shall be issued in form satisfactory to Landlord. The insurer shall be a responsible insurance carrier which is authorized to issue such insurance and licensed to do business in the state in which the Property is located and which has at all times during the Term a rating of no less than A VII in the most current edition of Best's Insurance Reports. Tenant shall deliver to Landlord on or before the Commencement Date, and subsequently renewals of, a certificate of insurance evidencing such coverage and the waiver of subrogation described below. (iii) WAIVER OF SUBROGATION. Landlord and Tenant shall have included in their respective property insurance policies waivers of their respective insurers' right of subrogation against the other party. If such a waiver should be unobtainable or unenforceable, then such policies of insurance shall state expressly that such policies shall not be invalidated if, before a casualty, the insured waives the right of recovery against any party responsible for a casualty covered by the policy. (iv) INCREASE OF PREMIUMS. Tenant agrees not to do anything or fail to do anything which will increase the cost of Landlord's insurance or which will prevent Landlord from procuring policies (including public liability) from companies and in a form subsidiary to Landlord. If any breach of the preceding sentence by Tenant causes the rate of fire or other insurance to be increased, Tenant shall pay the amount of such increase as additional rent promptly upon being billed. (d) REPAIRS AND MAINTENANCE; COMMON AREAS: BUILDING MANAGEMENT. (i) Tenant at its sole expertise shall maintain the Premises in a neat and orderly condition. (ii) Landlord, shall make all necessary repairs to the Premises, the Common Areas and any other improvements located on the Property, provided that Landlord shall have no responsibility to make any repair until Landlord receives written notice of the need for such repair. Landlord shall operate and manage the Property and shall maintain all Common Areas and any paved areas appurtenant to the Property in a clean and orderly condition. Landlord reserves the right to make alterations to the Common Areas from time to time. (iii) Notwithstanding anything herein to the contrary, repairs and replacements to the Property including the Premises made necessary by Tenant's use, occupancy or alteration of, or Tenant's installation in or upon the Property or by any act or omission of Tenant or its Agents shall be made at the sole expense of Tenant to the extent not covered by any applicable insurance proceeds paid to Landlord. Tenant shall not bear the expense of any repairs or replacements tot he Property arising out of or caused by any other tenant's use, occupancy or alteration of, or any other tenant's installation in or upon, the Property or by any act or omission of any other tenant or any other tenant's Agents. (e) UTILITIES. (i) Landlord will furnish the Premises with electricity, heating and air conditioning for the normal use and occupancy of the Premises as general offices between 8:00 a.m. and 6:00 p.p., Monday through Friday (legal holidays excepted). If Tenant shall require electricity or install electrical equipment including but limited to electrical heating, refrigeration equipment, electronic data processing machines, or machines or equipment using current in excess of 110 volts, which will in any way increase the amount of electricity usually furnished for use as general office space, or if Tenant shall attempt to use the Premises in such a manner that the services to be furnished by Landlord would be required during periods other than or in addition to business hours referred to above, Tenant will obtain Landlord's prior written approval and will pay for the resulting additional direct expense, including the expense resulting from the installation of such equipment and meters, as additional rent promptly upon being billed. Landlord shall not be responsible or liable for any interruption in utility service, nor shall such interruption affect the continuation or validity of this lease. 4 8 (ii) If at any time utility services supplied to the Premises are separately metered, the cost of installing Tenant's meter and the cost of such separately metered utility service shall be paid by Tenant promptly upon being billed. (f) JANITORIAL SERVICES. Landlord will provide Tenant with trash removal and janitorial services pursuant to a cleaning schedule attached as Exhibit "D". (g) "RENT". The term "RENT" as used in this lease means the Minimum Annual Rent, Annual Operating Expenses and any other additional rent or sums payable by Tenant to Landlord pursuant to this Lease, all of which shall be deemed rent for purposes of Landlord's rights and remedies with respect thereto. Tenant shall pay all Rent to Landlord within 30 days after Tenant is billed, unless otherwise provided in this lease, and interest shall accrue on all sums due but unpaid. 8. SIGNS. Landlord, at Landlord's expense, will place Tenant's name and suite number on the Building standard sign and on or beside the entrance door to the Premises. Except for signs which are located wholly within the interior of the Premises and not visible from the exterior of the Premises, no sign shall be placed on the Property without the prior written consent of the Landlord. All signs installed by the Tenant shall be maintained by Tenant in good condition and Tenant shall remove all such signs at the termination of this lease and shall repair any damage caused by such installation, existence or removal. 9. ALTERATIONS AND FIXTURES. (a) Subject to Section 10, Tenant shall have the right to install its trade fixtures in the Premises, provided that no such installation or removal thereof shall affect any structural portion of the Property nor any utility lines, communications lines, equipment or facilities in the Building serving any tenant other than Tenant. At the expiration or termination of this lease, and at the option of Landlord or Tenant, Tenant shall remove such installation(s) and, in the event of such removal, tenant shall repair any damage caused by such installation or removal; if Tenant, with Landlord's written consent, elects not to remove such installation(s) at the expiration or termination of this lease, all such installations shall remain on the Property and become the property of the Landlord without payment by Landlord. (b) Except for non-structural changes which do not exceed $5000 in the aggregate, Tenant shall not make or permit to be made any alterations to the Premises without Landlord's prior written consent. Tenant shall pay the costs of any required architectural/engineering reviews. In making any alterations, (I) Tenant shall deliver to Landlord the plans, specifications and necessary permits, together with certificates evidencing that Tenant's contractors and subcontractors have adequate insurance coverage naming Landlord and Landlord's agent as additional insureds, at least 10 days prior to commencement thereof, (ii) such alterations shall not impair the structural strength of the Building or any other improvements or reduce the value of the Property or affect any utility lines, communications lines, equipment or facilities in the Building serving any tenant other than Tenant, (iii) Tenant shall comply with Section 10 and (iv) the occupants of the Building and of any adjoining property shall not be disturbed thereby. All alterations to the Premises by the Tenant shall be the property of Tenant until the expiration or termination of this lease; at that time all such alterations shall remain on the Property and become the property of Landlord without payment by Landlord unless Landlord gives written notice to Tenant to remove the same, in which event Tenant will remove such alterations and repair any resulting damage. At Tenant's request prior to Tenant making any alterations, Landlord shall notify Tenant in writing, whether Tenant is required to remove such alterations at the expiration or termination of this lease. 10. MECHANICS' LIENS. Tenant shall pay promptly any contractors and materialmen who supply labor, work or materials to Tenant at the Property and shall take all steps permitted by law in order to avoid the imposition of any mechanic's lien upon all or any portion of the Property. Should any such lien or notice of lien be filed for work performed for Tenant other than by Landlord, Tenant shall bond against or discharge the same within 5 days after Tenant has notice that the lien or claim is filed, regardless of the validity of such lien or claim. Nothing in this lease is intended to authorize Tenant to do or cause any work to be done or materials to be supplied for the account of Landlord, all of the same to be solely for tenant's account and at Tenant's risk and expense. Throughout this lease the term "mechanic's lien" is used to include any lien, encumbrance or charge levied or imposed upon all or any portion of, interest in or income from the Property on account of any mechanic's, laborer's, materialman's or construction lien or arising out of any debt or liability to or claim of any contractor, mechanic, supplier, materialman or laborer and shall include any mechanic's notice of intention to file a lien given to Landlord or Tenant, any stop order given to Landlord or tenant, any notice of refusal to pay naming Landlord or Tenant and any injunctive or equitable action brought by any person claiming to be entitled to any mechanic's lien. 11. LANDLORD'S RIGHT TO RELOCATE TENANT; RIGHT OF ENTRY. (a) Landlord may cause Tenant to relocate from the Premises to a comparable space ("RELOCATION SPACE") within the Building by giving written notice to Tenant at least 60 days in advance, provided that Landlord shall pay all reasonable costs of 5 9 such relocation. Such a relocation shall not terminate, modify or otherwise affect this lease except that "Premises" shall refer to the Relocation Space rather than the old location identified in Section 1(a). (b) Tenant shall permit Landlord and its Agents to enter the Premises at all reasonable times following reasonable notice (except in the event of an emergency), for the purposes of inspection, maintenance or making repairs, alterations, or additions as well as to exhibit the Premises for the purpose of sale or mortgage and, during the last 12 months of the Term, to exhibit the Premises to any prospective tenant. Landlord will make reasonable efforts not to inconvenience Tenant in exercising the foregoing rights, but shall not be liable for any loss of occupation or quiet enjoyment thereby occasioned. 12. DAMAGE BY FIRE OR OTHER CASUALTY. (a) If the Premises or Building shall be damaged or destroyed by fire or other casualty, Tenant promptly shall notify Landlord and Landlord, subject to the conditions set forth in this Section 12, shall repair such damage and restore the Premises to substantially the same condition in which they were immediately prior to such damage or destruction, but not including the repair, restoration or replacement of the fixtures or alterations installed by Tenant. Landlord shall notify Tenant in writing, within 30 days after the date of the casualty, if Landlord anticipates that the restoration will take more than 180 days from the date of the casualty to complete; in such event, either Landlord or Tenant may terminate this lease effective as of the date of casualty by giving written notice to the other within 10 days after Landlord's notice. Further, if a casualty occurs during the last 12 months of the Term or any extension thereof, Landlord may cancel this lease unless Tenant has the right to extend the Term for at least 3 more years and does so within 30 days after the date of the casualty. (b) Landlord shall maintain a 12 month rental coverage endorsement or other comparable form of coverage as part of its fire, extended coverage and special form insurance. Tenant will receive an abatement of its Minimum Annual Rent and Annual Operating Expenses to the extent the Premises are rendered untenantable as determined by the carrier providing the rental coverage endorsement. 13. CONDEMNATION. (a) TERMINATION. If (I) all of the Premises are taken by condemnation or otherwise for any public or quasi-public use, (ii) any part of the Premises is so taken and the remainder thereof is insufficient for the reasonable operation of Tenant's business, or (iii) any of the Property is so taken, and in the Landlord's opinion, it would be impractical or the condemnation proceeds are insufficient to restore the remainder of the property, then this lease shall terminate and all unaccrued obligations hereunder shall cease as of the day before possession is taken by the condemnor. (b) PARTIAL TAKING. If there is a condemnation and this lease has not been terminated pursuant to this Section, (I) Landlord shall restore the Building and the improvements which are part of the Premises to a condition and size as nearly comparable as reasonably possible to the condition and size thereof immediately prior to the date upon which the condemnor took possession and (ii) the obligations of Landlord and tenant shall be unaffected by such condemnation except that there shall be an equitable abatement of the Minimum Annual Rent according to the rental value of the Premises before and after the date upon which the condemnor took possession and/or the date Landlord completes such restoration. (c) AWARD. In the event of a condemnation affecting Tenant, Tenant shall have the right to make a claim against the condemnor for moving expenses and business dislocation damages to the extent that such claim does not reduce the sums otherwise payable by the condemnor to Landlord. Except as aforesaid and except as set forth in (d) below, Tenant hereby assigns all claims against the condemnor to Landlord. (d) TEMPORARY TAKING. No temporary taking of the Premises shall terminate this lease or give Tenant any right to any rental abatement. Such a temporary taking will be treated as if Tenant had sublet the Premises to the condemnor and had assigned the proceeds of the subletting to Landlord to be applied on account of Tenant's obligation hereunder. Any award for such a temporary taking during the Term shall be applied first, to Landlord's costs of collection and, second, on account of sums owing by Tenant hereunder, and if such amounts applied on account of sums owing by Tenant hereunder should exceed the entire amount owing by Tenant for the remainder of the Term, the excess will be paid to Tenant. 14. NON-ABATEMENT OF RENT. Except as otherwise expressly provided as to damage by fire or other casualty in Section 12 (b) and as to condemnation in Section 13(b), there shall be no abatement or reduction of the Rent for any cause whatsoever, and this lease shall not terminate, and Tenant shall not be entitled to surrender the Premises. 15. INDEMNIFICATION OF LANDLORD. Subject to Sections 7(c)(iii) and 16, Tenant will protect, indemnify and hold harmless Landlord and its Agents from and against any and all claims, actions, damages, liability and expense (including fees of attorneys, investigators 6 10 and experts) in connection with loss of life, personal injury or damage to property in or about the Premises or arising out of the occupancy or use of the Premises by Tenant or its Agents or occasioned wholly or in part by any act or omission of Tenant or its Agents, whether prior to, during or after the Term, except to the extent such loss, injury or damage was caused by the negligence of Landlord or its Agents. In case any action or proceeding is brought against Landlord and/or its Agents by reason of the foregoing, Tenant, at its expense, shall resist and defend such action or proceeding, or cause the same to be resisted or defended by counsel (reasonably acceptable to Landlord and its Agents) designated by the insurer whose policy covers such occurrence or by counsel designated by Tenant and approved by Landlord and its Agents. Tenant's obligations pursuant to this Section 15 shall survive the expiration or termination of this lease. 16. WAIVER OF CLAIMS. Landlord and Tenant each hereby waives all claims for recovery against the other for any loss or damage which may be inflicted upon the property of such party even if such loss or damage shall be brought about by the fault or negligence of the other party or its Agents; provided, however, that such waiver by Landlord shall not be effective with respect to any liability of Tenant described in Sections 4(c) and 7(d)(iii). 17. QUIET ENJOYMENT. Landlord covenants that Tenant, upon performing all of its covenants, agreements, and conditions of this lease, shall have quiet and peaceful possession of the Premises as against anyone claiming by or through Landlord, subject, however, to the exceptions, reservations and conditions of this lease. 18. ASSIGNMENT AND SUBLETTING. (a) LIMITATION. Tenant shall not transfer this lease, voluntarily or by operation of law, without the prior written consent of Landlord which shall not be withheld unreasonably. However, Landlord's consent shall not be required in the event of any transfer by Tenant to an affiliate of Tenant which is at least as creditworthy as Tenant as of the date of this lease and provided Tenant delivers to Landlord the instrument described in Section (c)(iii) below, together with a certification of such creditworthiness by Tenant and such affiliate. Any transfer not in conformity with this Section 18 shall be void at the option of Landlord, and Landlord may exercise any or all of its rights under Section 23. A consent to one transfer shall not be deemed to be a consent to any subsequent transfer. "Transfer" shall include any sublease, assignment, license or concession agreement, change in ownership or control of Tenant, mortgage or hypothecation of this lease or Tenant's interest therein or in all or a portion of the Premises. (b) OFFER TO LANDLORD. Tenant acknowledges that the terms of this lease, including the Minimum Annual Rent, have been based on the understanding that Tenant physically shall occupy the Premises for the entire term. Therefore, upon Tenant's request to transfer all or a portion of the Premises, at the option of Landlord, Tenant and Landlord shall execute an amendment to this lease removing such space from the Premises, Tenant shall be relieved of any liability with respect to such space and Landlord shall have the right to lease such space to any party, including Tenant's proposed transferee. (c) CONDITIONS. Notwithstanding the above, the following shall apply to any transfer, with or without Landlord's consent: (i) As of the date of any transfer, Tenant shall not be in default under this lease nor shall any act or omission have occurred which would constitute a default with the giving of notice and/or the passage of time. (ii) No transfer shall relieve Tenant of its obligation to pay the Rent and to perform all its other obligations hereunder. The acceptance of Rent by Landlord form any person shall not be deemed to be a waiver by Landlord of any provision of this lease or to be a consent to any transfer. (iii) Each transfer shall be by a written instrument in form and substance satisfactory to Landlord which shall (A) include an assumption of liability by any transferee of all Tenant's obligations and the transferee's ratification of and agreement to be bound by all the provisions of this lease, (B) afford Landlord the right of direct action against the transferee pursuant to the same remedies as are available to Landlord against Tenant and (c) be executed by Tenant and the transferee. (iv) Tenant shall pay, within 10 days of receipt of an invoice which shall be no less than $250, Landlord's reasonable attorneys' fees and costs in connection with the review, processing, and documentation of any transfer for which Landlord's consent is requested. 19. SUBORDINATION; MORTGAGEE'S RIGHTS. (a) This lease shall be subordinate to any first mortgage or other primary encumbrance now or hereafter affecting the Premises. Although the subordination is self-operative, within 10 days after written request, Tenant shall execute and deliver any further instruments confirming such subordination of this lease and any further instruments of attornment that may be desired by any such mortgagee or Landlord. However, any mortgagee may at any time subordinate its mortgage to this lease, without Tenant's consent, 7 11 by giving written notice to Tenant and thereupon this lease shall be deemed prior to such mortgage without regard to their respective dates of execution and delivery; provided, however, that such subordination shall not affect any mortgagee's right to condemnation awards, casualty insurance proceeds, intervening liens or any right which shall arise between the recording of such mortgage and the execution of this lease. (b) It is understood and agreed that any mortgagee shall not be liable to tenant for any funds paid by Tenant to Landlord unless such funds actually have been transferred to such mortgagee by Landlord. (c) Notwithstanding the provisions of Sections 12 and 13 above, Landlord's obligation to restore the Premises after a casualty or condemnation shall be subject to the consent and prior rights of Landlord's first mortgagee. 20. RECORDING; TENANT'S CERTIFICATE. Tenant shall not record this lease or a memorandum thereof without Landlord's prior written consent. Within 10 days after Landlord's written request from time to time: (a) Tenant shall execute, acknowledge and deliver to Landlord a written statement certifying the Commencement Date and Expiration date of this lease, that this lease is in full force and effect, and has not been modified and otherwise as set forth in the form of estoppel certificate attached as Exhibit "E" or with such modification as may be necessary to reflect accurately the stated facts and/or such other certifications as may be requested by a mortgagee or purchaser. Tenant understands that its failure to execute such documents may cause Landlord serious financial damage by causing the failure of a financing or sale transaction. (b) Tenant shall furnish to Landlord, Landlord's mortgagee, prospective mortgagee or purchaser reasonably requested financial information. 21. SURRENDER; ABANDONED PROPERTY. (a) Subject to the terms of Sections 9(b), 12(a) and 13(b), at the expiration or termination of this lease, Tenant promptly shall yield up in the same condition, order and repair in which they are required to be kept throughout the Term, the Premises and all improvements thereto, and all fixtures and equipment servicing the Building, ordinary wear and tear excepted. (b) Upon or prior to the expiration or termination of this lease, Tenant shall remove any personal property from the Property. Any personal property remaining thereafter shall be deemed conclusively to have been abandoned, and Landlord, at tenant's expense, may remove, store, sell, or otherwise dispose of such property in such manner as Landlord may see fit and/or Landlord may retain such property as its property. If any part thereof shall be sold, then Landlord may receive and retain the proceeds of such sale and apply the same, at its option, against the expenses of the sale, the cost of moving and storage and any rent due under this lease. (c) If Tenant, or any person claiming through Tenant, shall continue to occupy the Premises after the expiration or termination of this lease or any renewal thereof, such occupancy shall be deemed to be under a month-to-month tenancy under the same terms and conditions set forth in this lease, except that the monthly installment of the Minimum Annual Rent during such continued occupancy shall be double the amount applicable to the last month of the term. Anything to the contrary notwithstanding, any holding over by tenant without Landlord's prior written consent shall constitute a default hereunder and shall be subject to all the remedies available to Landlord. 22. CURING TENANT'S DEFAULTS. If Tenant shall be in default in the performance of any of its obligations hereunder, Landlord, without any obligation to do so, in addition to any other rights it may have in law or equity, may elect to cure such default on behalf of Tenant after written notice (except in the case of emergency) to Tenant. Tenant shall reimburse Landlord upon demand for any sums paid or costs incurred by Landlord in curing such default, including interest thereon from the respective dates of Landlord's incurring such costs, which sums and costs together with interest shall be deemed additional rent. 23. DEFAULTS - REMEDIES. (a) DEFAULTS. It shall be an event of default: (i) If Tenant does not pay in full when due any and all rent; (ii) If Tenant fails to observe and perform or otherwise breaches any other provision of this lease; 8 12 (iii) If Tenant abandons the Premises, which shall be conclusively presumed if the Premises remain unoccupied for more than 10 consecutive days, or removal or attempts to remove Tenant's goods or property other than in the ordinary course of business; or (iv) If Tenant becomes insolvent or bankrupt in any sense or makes a general assignment for the benefit of creditors or offers a settlement to creditors, or if a petition in bankruptcy or for reorganization or for an arrangement with creditors under any federal or state law is filed by or against Tenant, or a bill in equity or other proceeding for the appointment of a receiver for any of Tenant's assets is commenced, or if any of the real or personal property of Tenant shall be levied upon; provided, however, that any proceeding brought by anyone other than Landlord or Tenant under any bankruptcy, insolvency, receivership or similar law shall not constitute a default until such proceeding has continued unstayed for more than 60 consecutive days. (b) REMEDIES. Then, and in any such event, Landlord shall have the following rights: (i) To charge a late payment fee equal to the greater of $100 or 5% of any amount owed to Landlord pursuant to this lease which is not paid within 5 days after the due date. (ii) To enter and repossess the Premises, by breaking open locked doors if necessary, and remove all persons and all or any property therefrom, by action at law or otherwise, without being liable for prosecution or damages therefor, and Landlord may, at Landlord's option, make alterations and repairs in order to relet the Premises and relet all or any part(s) of the Premises for tenant's account. Tenant agrees to pay to Landlord on demand any deficiency that may arise by reason of such reletting. In the event of reletting without termination of this lease, Landlord may at any time thereafter elect to terminate this lease for such previous breach. (iii) To accelerate the whole or any part of the rent for the balance of the term, and declare the same to be immediately due and payable. (iv) To terminate this lease and the Term without any right on the part of Tenant to save the forfeiture by payment of any sum due or by other performance of any condition, term or covenant broken. (c) GRACE PERIOD. Notwithstanding anything hereinabove stated, neither party will exercise any available right because of any default of the other, except those remedies contained in Subsection (b)(I) of this Section, unless each party shall have first given 10 days written notice thereof to the defaulting party, and the defaulting party shall have failed to cure the default within such period; provided, however, that: (i) No such notice shall be required if tenant fails to comply with the provisions of Sections 10 or 20(a), in the case of emergency as set forth in Section 22 or in the event of any default enumerated in subsections (a)(iii) and (iv) of this Section. (ii) Landlord shall not be required to give such 10 day notice more than 2 times during any 12 month period. (iii) If the default consists of something other than the failure to pay money which cannot reasonably be cured within 10 days, neither party will exercise any right if the defaulting party begins to cure the default within the 10 days and continues actively and diligently in good faith to completely cure said default. (iv) Tenant agrees that any notice given by Landlord pursuant to this Section which is served in compliance with Section 27 shall be adequate notice for the purpose of landlord's exercise of any available remedies. (d) NON-WAIVER; NON-EXCLUSIVE. No waiver by Landlord of any breach by Tenant shall be a waiver of any subsequent breach, nor shall any forebearance by Landlord to seek a remedy for any breach by Tenant be a waiver by Landlord of any rights and remedies with respect to such or any subsequent breach. Efforts by Landlord to mitigate the damages caused by Tenant's default shall not constitute a waiver of Landlord's right to recover damages hereunder. No right or remedy herein conferred upon or reserved to Landlord is intended to be exclusive of any other right or remedy provided herein or by law, but each shall be cumulative and in addition to every other right or remedy given herein or now or hereafter existing at law or in equity. No payment by Tenant or receipt or acceptance by Landlord of a lesser amount than the total amount due Landlord under this lease shall be deemed to be other than on account, nor shall any endorsement or statement on any check or payment be deemed an accord and satisfaction, and Landlord may accept such check or payment without prejudice to Landlord's right to recover the balance of rent due, or Landlord's right to pursue any other available remedy. 9 13 (e) COSTS AND ATTORNEY'S FEES. If either party commences an action against the other party arising out of or in connection with this lease, the prevailing party shall be entitled to have and recover from the losing party attorneys' fees, costs of suit, investigation expenses and discovery costs, including costs of appeal. 24. REPRESENTATIONS OF TENANT. Tenant represents to the Landlord and agrees that: (a) The word "Tenant" as used herein includes the Tenant named above as well as successors and assigns, each of which shall be under the same obligations and liabilities and each of which shall have the same rights, privileges, and powers as it would have possessed had it originally signed this lease as tenant. Each and every of the persons named above as tenant shall be bound jointly and severally by the terms, covenants and agreements contained herein. However, no such rights, privileges or powers shall inure to the benefit of any assignee of tenant immediate or remote, unless Tenant has complied with the terms of Section 18 and the assignment to such assignee is permitted or has been approved in writing by Landlord. Any notice required or permitted by the terms of this lease may be given by or to any of the persons named above as tenant, and shall have the same force and effect as if given by or to any one of the persons named above as Tenant, and shall have the same force and effect as if given by or to all thereof. (b) If Tenant is a corporation, partnership or any other form of business association or entity, Tenant is duly formed and in good standing, and has full corporate or partnership power and authority, as the case may be, to enter into this lease and has taken all corporate or partnership action, as the case may be, necessary to carry out the transaction contemplated herein, so that when executed, this lease constitutes a valid and binding obligation enforceable in accordance with its terms. Tenant shall provide Landlord with corporate resolutions or other proof in a form acceptable to Landlord, authorizing the execution of this lease at the time of such execution. 25. LIABILITY OF LANDLORD. The word "Landlord" as used herein includes the Landlord named above as well as its successors and assigns, each of which shall have the same rights, remedies, powers, authorities and privileges as it would have had it originally signed this lease as Landlord. Any such person or entity, whether or not named herein, shall have no liability hereunder after it ceases to hold title to the Premises except for obligations already accrued, (and, as to any unapplied portion of Tenant's Security Deposit, Landlord shall be relieved of all liability therefor upon transfer of such portion to its successor in interest) and Tenant shall look solely to Landlord's successor in interest for the performance of the covenants and obligations of the Landlord hereunder which thereafter shall accrue. Neither Landlord nor any principal of Landlord nor any owner of the Property, whether disclosed or undisclosed, shall have any personal liability with respect to any of the provisions of this lease or the Premises, and if Landlord is in breach or default with respect to Landlord's obligations under this lease or otherwise, Tenant shall look solely to the equity of Landlord in the Property for the satisfaction of Tenant's claims. Notwithstanding the foregoing, no mortgagee or ground lessor succeeding to the interest of Landlord hereunder (either in terms of ownership or possessory rights) shall be (a) liable for any previous act or omission of a prior landlord, (b) subject to any rental offsets or defenses against a prior landlord or (c) bound by any amendment of this lease made without its written consent, or by payment by Tenant of Minimum Annual rent in advance in excess of one monthly installment. 26. INTERPRETATION; DEFINITIONS. (a) CAPTIONS. The captions in this lease are for convenience only and are not a part of this lease and do not in any way define, limit, describe or amplify the terms and provisions of this lease or the scope or intent thereof. 14 EXHIBIT "C" BUILDING RULES 1. As stated in the lease, Tenant shall not use the Premises as a "place of public accommodation" as defined in the Americans with Disabilities Act of 1990, which identifies the following categories into one or more of which a business must fall to be a "place of public accommodation": a. Places of lodging (examples: hotel, motel) b. Establishments serving food or drink (examples: bar, restaurant) c. Places of exhibition (examples: motion picture house, theater, stadium, concert hall) d. Places of public gathering (examples: auditorium, convention center, lecture hall) e. Sales or rental establishments (examples: bakery, grocery store, hardware store, shopping center) f. Service establishments (examples: bank, laundromat, barber shop, funeral parlor, gas station, business offices such as lawyer, accountant, healthcare provider or insurance office) g. Station used for specified public transportation (examples: bus terminal, depot) h. Places of public display or collection (examples: museum, library, gallery) i. Places of recreation (examples: park, zoo, amusement park) j. Places of education (examples: nursery, elementary, secondary, private or other undergraduate or postgraduate school) k. Social service center establishment (examples: day-care center, senior citizen center, homeless shelter, food bank, adoption agency) l. Places of exercise or recreation (examples: gym, health spa, bowling alley, golf course) 2. Any sidewalks, lobbies, passages, elevators and stairways shall not be obstructed or used by Tenant for any purpose other than ingress and egress from and to the Premises. Landlord shall in all cases retain the right to control or prevent access by all persons whose presence, in the judgment of the Landlord, shall be prejudicial to the safety, peace or character of the Property. 3. The toilet rooms, toilets, urinals, sinks, faucets, plumbing or other service apparatus of any kind shall not be used for any purposes other than those for which they were installed, and no sweeping, rubbish, rags, ashes, chemicals or other refuse or injurious substances shall be placed therein or used in connection therewith or left in any lobbies, passages, elevators or stairways. 4. Tenant shall comply with all safety, fire protection and evacuation procedures and regulations established by Landlord or any governmental agency. No person shall go on the roof without Landlord's permission. 5. Skylights, windows, doors and transoms shall not be covered or obstructed by Tenant, and Tenant shall not install any window covering which would affect the exterior appearances of the Building, except as approved in writing by Landlord. Tenant shall not remove, without Landlord's prior written consent, any shades, blinds or curtains in the Premises. 6. Without Landlord's prior written consent, Tenant shall not hang, install, mount, suspend or attach anything from or to any sprinkler, plumbing, utility or other lines. If Tenant hangs, installs, mounts, suspends or attaches anything form or to any doors, windows, walls, floors or ceilings, Tenant shall sand and spackle all holes and repair any damage caused thereby or by the removal thereof at or prior to the expiration or termination of the lease. Without Landlord's prior written consent, no walls or partitions shall be painted, papered or otherwise covered or moved in any way or marked or broken; nor shall any connection be made to electric wires for running fans or motors or other apparatus, devices of equipment; nor shall machinery of any kind other than customary small business machines be allowed in the Premises; nor shall Tenant use any other method of heating, air conditioning or air cooling than that provided by Landlord; nor shall any mechanics be allowed to work in or about the Building other than those employed by Landlord. 7. Tenant shall not change any locks nor place additional locks upon any doors and shall surrender all keys and passes at the end of the Term. 8. Tenant shall not use nor keep in the Building any matter having an offensive odor, nor explosive or highly flammable material, nor shall any animals other than seeing eye dogs in the company of their masters be brought into or kept in or about the Premises. C-1 15 9. If tenant desires to introduce electrical, signaling, telegraphic, telephone, protective alarm or other wires, apparatus or devices, Landlord shall direct where and how the same are to be placed, and except as so directed, no installation boring or cutting shall be permitted. Landlord shall have the right to prevent and to cut off the transmission of excessive or dangerous current of electricity or annoyances into or through the Building or the Premises and to require the changing of wiring connections or layout at Tenant's expense, to the extent that Landlord may deem necessary, and further to require compliance with such reasonable rules as Landlord may establish relating thereto, and in the event of non-compliance with the requirements with the requirements or rules, Landlord shall have the right immediately to cut wiring or to do what it considers necessary to remove the danger, annoyance or electrical interference with apparatus in any part of the Building. All wires installed by Tenant must be clearly tagged at the distributing board and junction boxes and elsewhere where required by Landlord, with the number of the office to which said wires lead, and the purpose for which the wires respectively are used, together with the name of the concern, if any, operating same. 10. Tenant shall not place weights anywhere beyond the safe carrying capacity of the Building which is designed to normal office building standards for floor loading capacity. Landlord shall have the right to exclude from the Building heavy furniture, safes and other articles which may be hazardous or to require them to be located at designated places in the Premises. Tenant shall obtain Landlord's written consent prior to the installation of any vending machines in the Premises. 11. The use of rooms as sleeping quarters is strictly prohibited at all times. 12. Tenant shall have the right, at Tenant's sole risk and responsibility, to use its proportional share of the parking spaces at the Property as reasonably determined by Landlord. Tenant shall comply with all parking regulations promulgated by Landlord from time to time for the orderly use of the vehicle parking areas, including without limitation the following: Parking shall be limited to automobiles, passenger or equivalent vans, motorcycles, light four wheel pickup trucks and (in designated areas (bicycles). No vehicles shall be left in the parking lot overnight. Parked vehicles shall not be used for vending or any other business or other activity while parked in the parking areas. Vehicles shall be parked only in striped parking spaces, except for loading and unloading, which shall occur solely in zones marked for such purpose, and be so conducted as to not unreasonably interfere with traffic flow within the Property or with loading and unloading areas of other tenants. Employee and tenant vehicles shall not be parked in spaces marked for visitor parking or other specific use. All vehicles entering or parking in the parking areas shall do so owner's sole risk, and Landlord assumes no responsibility for and damage, destruction, vandalism or theft. Tenant shall cooperate with Landlord in any measures implemented by Landlord to control abuse of the parking areas, including without limitation access control programs, tenant and guest vehicle identification programs, and validated parking programs, provided that no such validated parking program shall result in Tenant being charged for spaces to which it has a right to free use under its lease. Each vehicle owner shall promptly respond to any sounding vehicle alarm or horn, and failure to do so may result in temporary or permanent exclusion of such vehicle from the parking areas. Any vehicle which violates the parking regulations may be cited, towed at the expense of the owner, temporarily or permanently excluded from the parking areas, or subject to other lawful consequences. 13. Tenant shall not smoke in the Building which Landlord has designated as a non-smoking building. 14. Canvassing, soliciting and distribution of handbills or any other written material, and peddling in the Building are prohibited, and Tenant shall cooperate to prevent same. 15. Tenant shall provide Landlord with a written identification of any vendors engaged by Tenant to perform services for Tenant at the Premises (examples: security guards/monitors, telecommunications installers/maintenance). Tenant shall permit Landlord's employees and contractors and no one else to clean the Premises unless Landlord consents in writing. Tenant assumes all responsibility for protecting its Premises from theft and vandalism and Tenant shall see each day before leaving the Premises that all lights are turned out and that the window and the doors are closed and securely locked. 16. Landlord shall provide Tenant with the move-in and move-out policies for the Building with which Tenant shall comply. Throughout the Term, no furniture, packages, equipment, supplies or merchandise of Tenant will be received in the Building, or carried up or down in the elevators or stairways, except during such hours as shall be designated by Landlord, and Landlord in all cases shall also have the exclusive right to prescribe the method and manner in which the same shall be brought in or taken out of the Building. At the end of the Term, Tenant's obligations regarding surrender of the Premises shall include Tenants obligation to shampoo all carpet, strip and re-wax all vinyl composite tile and replace any damaged ceiling tiles, the cost of which obligations shall be deducted from the Security Deposit if not completed by Tenant prior to the Expiration Date. C-2 16 17. Tenant shall not place oversized cartons, crates or boxes in any area for trash pickup without Landlord's prior approval. Landlord shall be responsible for trash pickup of normal office refuse placed in ordinary office trash receptacles only. Excessive amounts of trash or other out-of-the-ordinary refuse loads will be removed by landlord upon request at Tenant's expense. 18. Tenant shall cause all of Tenant's Agents to comply with these Building Rules. 19. Landlord reserves the right to rescind, suspend or modify any rules or regulations and to make such other rules and regulations as, in Landlord's reasonable judgment, may from time to time be needed for the safety, care, maintenance, operation and cleanliness of the Property. Notice of any action by Landlord referred to in this paragraph, given to Tenant, shall have the same force and effect as if originally made a part of the foregoing lease. New rules or regulations will not, however, be unreasonably inconsistent with the proper and rightful enjoyment of the Premises by Tenant under the lease. 20. These Building Rules are not intended to give Tenant any rights or claims in the event that Landlord does not enforce any of them against any other tenants or if Landlord does not have the right to enforce them against any other tenants and such non-enforcement will not constitute a waiver as to Tenant. 21. Tenant shall be deemed to have read these Building Rules and to have agreed to abide by them as a condition to Tenant's occupancy of the Premises. C-3 17 EXHIBIT "D" CLEANING SCHEDULE All service and materials specified in this Exhibit shall be furnished at the sole cost and expense of Landlord. I. OFFICE AREA: A. Nightly (Monday through Friday - Holidays excepted): 1. Empty wastepaper baskets, ashtrays, and refuse receptacles. 2. Dust sweep had surface flooring. 3. Vacuum carpeted areas and rugs. 4. Hand dust and wipe clean with treated cloths all horizontal surfaces including furniture, desk equipment, telephones, windowsills and induction unit tops within normal reach. 5. Clean and sanitize all drinking fountains. B. Weekly: 1. Remove finger marks from stairways, elevator and utility closet doors and light switches. C. Monthly: 1. Wash and wax resilient tile floors. D. Quarterly: 1. Do high dusting not reached in daily cleaning, to include: a) pictures, frames, charts, graphs, and similar wall hangings; and b) all vertical surfaces, such as walls, partitions, doors and bucks not reached in nightly cleaning. E. Annually: 1. Wash all light fixtures. 18 2. Dry clean drapes or wash venetian blinds, whichever is supplied by Landlord on exterior windows. II. LAVATORIES: A. Nightly: 1. Sweep and wash floors with approved germicidal detergent solution. 2. Wash and polish all mirrors, powder shelves, dispensers, receptacles, bright work, flushometers, piping and toilet seat hinges. 3. Wash both sides of toilet seats, wash basins, bowls, and urinals with approved germicidal detergent solution. 4. Remove finger marks and smudges from toilet partitions, ventilating grills, and tile walls. 5. Empty and clean towel and sanitary disposal receptacles, remove waste to disposal areas. 6. Replenish paper towel, toilet tissue, soap and sanitary napkin dispensers. B. Monthly: 1. Wash partitions and tile walls. 2. Wash all waste receptacles with approved germicidal solution. III. WINDOW WASHING: A. Quarterly: 1. Wash all exterior window glass, inside and outside surfaces, and all interior glass partitions. IV. PEST EXTERMINATION: A. Maintain pest extermination as needed. 19 EXHIBIT "E" TENANT ESTOPPEL CERTIFICATE Please refer to the documents described in Schedule 1 hereto, (the "Lease Documents") including the "Lease" therein described: all defined terms in this Certificate shall have the same meanings as set forth in the Lease unless otherwise expressly set forth herein. The undersigned Tenant hereby certified that it is the tenant under the Lease. Tenant hereby further acknowledges that it has been advised that the Lease may be collaterally assigned in connection with a proposed financing secured by the Property and/or may be assigned in connection with a sale of the Property and certifies both to Landlord and to any and all prospective mortgages and purchasers of the Property, including any trustee on behalf of any holders of notes or other similar instruments, any holders from time to time of such notes or other instruments, and their respective successors and assigns (the "Mortgagees") that as of the date hereof: 1. The information set forth in attached Schedule 1 is true and correct. 2. Tenant is in occupancy of the Premises and the Lease is in full force and effect, and, except by such writings as are identified on Schedule 1, has not been modified, assigned, supplemented or amended since its original execution, nor are there any other agreements between Landlord and Tenant concerning the Premises, whether oral or written. 3. All conditions and agreements under the Lease to be satisfied or performed by Landlord have been satisfied and performed. 4. Tenant is not in default under the Lease Documents, Tenant has not received any notice of defaults under the Lease Documents, and, to Tenant's knowledge, there are no events which have occurred that, with the giving of notice and/or passage of time, would result in a default by Tenant under the Lease Documents. 5. Tenant has not paid any Rent due under the Lease more than 30 days in advance of the date due under the Lease and Tenant has no rights of setoff, counterclaim, concession or other rights of diminution of any Rent due and payable under the Lease except as set forth in Schedule 1. 6. To Tenant's knowledge, there are no uncured defaults on the part of Landlord under the Lease Documents, Tenant has not sent any notice of default under the Lease Documents to Landlord, and there are no events which have occurred that, with the giving of notice and/or the passage of time, would result in a default by Landlord thereunder, and that at the present time Tenant has not claim against Landlord under the Lease Documents. 7. Except as expressly set forth in Part G of Schedule 1, there are no provisions for any, and Tenant has no, options with respect to the Premises or all or any portion of the Property. 8. Except as set forth on Part M of Schedule 1, no action, voluntary or involuntary, is pending against Tenant under federal or state bankruptcy or insolvency law. 9. The undersigned has the authority to execute and deliver this Certificate on behalf of Tenant and acknowledges that all Mortgagees will rely upon this Certificate in purchasing the Property or extending credit to Landlord or its successors in interest. 10. This Certificate shall be binding upon the successors, assigns and representatives of Tenant and any party claiming through or under Tenant and shall inure to the benefit of all Mortgagees. IN WITNESS WHEREOF, Tenant has executed this Certificate this _____ day of ___________, 19____. _____________________________________ Name of Tenant By:__________________________________ Title:_______________________________ E-1 20 SCHEDULE 1 TO TENANT ESTOPPEL CERTIFICATE LEASE DOCUMENTS, LEASE TERMS AND CURRENT STATUS A. Date of Lease: B. Parties: 1. Landlord: 2. Tenant d/b/a/: C. Premises known as: D. Modifications, Assignments, Supplements or Amendments to Lease: E. Commencement Date: F. Expiration of Current Term: G. Options: H. Security Deposit Paid to Landlord: $ I. Current Fixed Minimum Rent (Annualized): $ J. Current Additional Rent (and if applicable, Percentage Rent)(Annualized): $ K. Current Total Rent: $ L. Square Feet Demised: M. Tenant's Bankruptcy or other Insolvency Actions: E-2
EX-10.13 3 TARRYTOWN SUBLEASE 1 Exhibit 10.13 S U B L E A S E THIS SUBLEASE made as of February 9, 1999, by and between ADVANCED HEALTH CORPORATION, having an office at 555 White Plains Road, Tarrytown, New York 10597 (hereinafter called "Sublessor") and WESTCO ASSOCIATES, INC., having an office at 3 Browns Lane, Suite 203, Hawthorne, New York 10532 (hereinafter called "Subtenant"), W I T N E S S E T H: WHEREAS, Sublessor is the tenant in possession pursuant to the First Amendment to Lease Agreement dated September 20, 1996 and certain other prior leases referenced therein (together, the "Prime Lease", a copy of which is annexed hereto as Exhibit A) between Reckson Operating Partnership, L.P. (as landlord) and Sublessor (as tenant) pursuant to the provisions of which Sublessor now subleases that part of the fifth (5th) floor comprising twenty-six thousand three hundred and two (26,302) square feet located in the building known as 555 White Plains Road, Tarrytown, New York (the "Premises"); and WHEREAS, Sublessor wishes to sublease to Subtenant a portion of said 5th floor constituting eight thousand seven hundred fifty (8,750) square feet as shown as shaded area on the diagram annexed hereto as Exhibit B (the "Sublet Premises") pursuant to the provisions of this Sublease, hereinafter set forth; NOW, THEREFORE, Sublessor and Subtenant, in consideration of the charges, covenants and agreements hereinafter set forth, mutually covenant and agree as follows: 1. Sublease. Sublessor hereby leases the Sublet Premises to Subtenant for occupancy during the Term. 2. Term. The term of this Sublease shall commence on the date after the date that Reckson Operating Partnership, L.P., the present landlord under the Prime Lease ("Landlord"), shall have given its written consent to this Sublease ("Commencement Date"), and shall terminate on March 31, 2002, unless earlier terminated as provided herein (the "Term"). The obligation to pay rent shall commence ("Rent Commencement Date") seventy-five (75) days after the issuance of the work permits and approvals necessary to build out the space in accordance the plan attached as Exhibit C (the "Build-out"). If the Prime Lease or the term thereby granted is terminated for any reason whatsoever, this Sublease shall thereupon simultaneously terminate and thereupon, except as otherwise herein specifically provided, the obligations of the Sublessor and Subtenant, other than the obligations of Subtenant for payment of any monies then owing to Sublessor, shall cease, except that the parties shall remain liable for any obligations incurred prior to any such termination date for any matter occurring prior to such date. 3. Annual Fixed Rent. Subtenant shall pay Sublessor fixed rent for the Sublet Premises, inclusive of all charges for electricity, except as described below, at the annual rate of one hundred eighty one thousand five hundred sixty-two dollars and fifty cents ($181,562.50) for the period ending March 31, 2000 (the "First Rent Period") and thereafter at the annual rate of one hundred ninety six thousand ($196,000.00) dollars. Fixed rent shall 2 be paid in twelve (12) equal monthly installments in advance, each in the amount of fifteen thousand one hundred thirty dollars and twenty one cents ($15,130.21), for the First Rent Period except as otherwise provided below in paragraph 3, and thereafter in equal monthly payments of sixteen thousand three hundred thirty-three dollars and thirty-three cents ($16,333.33) and without notice or demand, on the 1st day of the month for which the fixed rent payment is due during the term hereof, and without setoff, deduction or abatement. Should Landlord charge Sublessor fees for excess electrical usage due to subtenant's electrical usage, subtenant shall pay Sublessor such difference. All installments of fixed rent shall be paid by check, drawn on a member bank of the New York Clearinghouse Association, to the order of Sublessor and shall be delivered or mailed to Sublessor at its address first above set forth, or at such other address as Sublessor may from time to time in writing designate. If the date on which Subtenant's obligation to pay fixed rent or additional rent shall commence on a date other than the first day of a calendar month or shall end on a date other than the last day of a calendar month, then the fixed rent and additional rent payable by Subtenant shall be apportioned based upon the portion of such calendar month included with the term of this Sublease. The foregoing notwithstanding, the first thirty-four thousand dollars ($34,000.00) of fixed rent otherwise payable hereunder is abated so that Subtenant shall enjoy a free rent period of approximately two months and eight days from and after the Rent Commencement Date. Upon execution hereof, Subtenant will pay Sublessor the first monthly installment of fixed rent payable under this Sublease. 4. Use. The Sublet Premises shall be used by Subtenant solely for executive and administrative offices and for no other purpose. 5. Condition of the Sublet Premises and Commencement of Construction. Subtenant has examined, and agrees to accept, the Sublet Premises in the condition and state of repair existing on the date of the execution of this Sublease, subject to Subtenant's receipt of consent from Landlord to the Build-out. Construction shall commence upon receipt of Landlord's consent and the receipt by Subtenant or its contractor and agents of work permits and approvals required for such construction. Subtenant warrants that it will seek to obtain all necessary permits and approvals without delay. 6. Telephones and Equipment. Subtenant shall install its telephone and facsimile system and equipment in the Sublet Premises at its sole expense and shall have the sole obligation to maintain and repair same during the Term. 7. Measurements. Subtenant and its representatives shall have the right to inspect and to take measurements of the Sublet Premises during business hours effective immediately after this Sublease is executed except that existing facilities and equipment shall not be disturbed. 8. Brokerage. Sublessor agrees to pay the commissions earned by any and all brokers that were the procuring cause of the parties hereto entering into this sublease. Such brokers shall be compensated per separate agreement. 2 3 9. Subordination. This Sublease is subject and subordinate to the rights of Landlord under the Prime Lease to any renewal, amendments, or modification thereof, to the rights of any mortgagee under any mortgage to which the Prime Lease or said Sublease is subject or subordinate, to all renewals, modifications, consolidations, correlations, replacements and extensions thereof, and to any Ground Lease to which the Prime Lease or said Sublease is subject or subordinate, and to all renewals, modifications, consolidations, amendments, replacements and extensions thereof. The provisions for such subordination shall be self-operative so that no further instrument of subordination need be required by any mortgagee. 10. Prime Lease. This Sublease is subject to all of the convenants, agreements, terms, provisions and conditions contained in the Prime Lease which are hereby made a part of this Sublease with the same force and effect as if they were fully set forth herein. Wherever the term "Tenant" appears in the Prime Lease, it shall read "Subtenant" and where ever the term "Owner" appears, it shall be deemed to include "Sublessor" unless by its terms such use would be inappropriate and Sublessor shall have all the rights and remedies of Landlord thereunder, without limiting Sublessor's rights and remedies to enforce any provision of this Sublease not contained in the Prime Lease. Subtenant agrees to observe and perform all of such covenants, agreements, terms, provisions and conditions contained in this Sublease as though and as if Subtenant was the tenant originally named in the Prime Lease, except that the provisions of the Prime Lease which have been specifically addressed by this Sublease shall not, to the extent addressed, apply and Subtenant shall not be obligated thereunder except as otherwise provided in this Sublease. The foregoing notwithstanding, Subtenant shall pay to Sublessor as additional rent its pro rata share of increases in Base Impositions and Base Operating Costs due to Landlord from Sublessor. The term "Base Impositions" shall mean the Impositions levied against the property of which the demised premises are part for city and school taxes for the 1999 state, county and town year and for the 1998/1999 school year. The term "Base Operating Costs" shall mean the Operating Costs in effect for the calendar year ending December 31, 1999. The Subtenant's pro rata share shall equal 33.27% of the Tenant Proportionate share. Subtenant shall also be allocated four (4) parking spaces. Sublessor shall have no obligation to provide any services or to do any act or thing with respect to the Sublet Premises which are the obligation or responsibility of the Landlord under the Prime Lease, and Subtenant agrees to look solely to Landlord under the Prime Lease for the provision of any such service and observance and performance of any such act or thing. Upon Subtenant's written request, Sublessor shall present to Landlord, in the name of Sublessor, any demand requested by Subtenant for any such repairs, restorations, materials or services required to be furnished to the Sublet Premises by Landlord. Subtenant shall have the right to exercise, in Sublessor's name, but at Subtenant's sole cost and expense, all of the rights available to Sublessor to enforce performance of the obligations of Landlord to make any such repairs and restorations or to supply any such materials and services to the demised premises, and no cessation, interruption or suspension of any service provided by Landlord shall entitle Subtenant to any diminution or abatement of fixed or additional rent or other compensation under this Sublease, nor shall this Sublease be affected by reason of any such failure, cessation, interruption or suspension. Notwithstanding anything contained herein the Sublease shall not be deemed to grant Subtenant any rights under the Prime Lease which Sublessor does not have under the Prime Lease, and any act of Sublessor or any 3 4 omission to act required by the Prime Lease shall in no event be deemed a violation of this Sublease merely because such act or omission is a violation of the Prime Lease. 11. Insurance. Subtenant shall furnish to Sublessor on or before the Commencement Date of this Sublease evidence that the insurance required to be obtained pursuant to the Prime Lease has been obtained and as to all such insurance (i) Subtenant shall cause Sublessor to be named as an additional insured; (ii) the general liability policy required to be obtained shall also provide contractual indemnity coverage with respect to the obligations of tenant under the Prime Lease, (iii) duplicate originals of policies or certificates required to be delivered to Landlord shall be delivered to Sublessor as well, and (iv) Subtenant shall deliver to Sublessor a certificate or certificates containing an endorsement that such insurance shall not be canceled except upon ten days' prior notice to Landlord and Sublessor. 12. Assignment Subletting. Subtenant shall not, without the prior written consents of both Landlord and Sublessor in each instance, by operation of law or otherwise, assign, mortgage, pledge, sub-sublet, encumber or otherwise transfer this Sublease (collectively a "Transfer"), nor the estate and term hereby granted, nor sublet or permit the Sublet Premises or any part thereof to be used by others. Notwithstanding anything contained above, Sublessor may withhold such consent in its sole and absolute discretion to any sub-sublet, assignment or any other Transfer of this Sublease. Notwithstanding anything to the contrary, affiliated entities controlling, controlled by, or under common control with, the Subtenant shall not be deemed assignees or Subtenants by Sublessor. Sublessor shall be listed on the building directory, and Subtenant shall submit the names of affiliated entities directly to the Landlord for listing on the building directory. 13. Repairs, Alterations, Improvements and Other Work: (a) After completion of the Build-out, Subtenant shall at no time make any alterations or improvements to the Sublet Premises without the prior written consent of both Landlord and Sublessor, which in the case of Sublessor shall not be unreasonably witheld or delayed. Subtenant shall bear all risk, liability and expense and in all respects meet the requirements of the Prime Lease in connection with any alteration whether before, during or after the build-out. Landlord's consent under the terms of the Prime Lease is a condition precedent to the making of any alterations or improvements to the extent required under the Prime Lease. (b) Neither Sublessor nor Subtenant shall be required to restore Subtenant's space on the expiration or earlier termination of the Prime Lease or the Sublease. Neither Sublessor nor Subtenant shall be required to pay Landlord or its affiliates any fee for general contracting or related services set forth in the Prime Lease unless mutually agreed pursuant to a separate agreement. 14. Time Periods. The time limits provided in the Prime Lease for any grace periods, for the giving of notices, the making of demands, the performance of any act, condition or covenant, or the exercise of any right, remedy or option are changed for the purposes of this Sublease by shortening the same by three (3) days in each 4 5 instance, but in the event there shall be remaining less than three (3) days after giving effect to such shortened term, then the term shall be coextensive with the time limit provided under the Prime Lease. 15. Non-Liability, Indemnity. Subtenant shall indemnify and hold harmless Sublessor, its agents, contractors, servants, licensees, employees or invitees from and against any and all claims, losses, liabilities, damages, costs and expenses (including, without limitation, reasonable attorney's fees and disbursements) arising from (i) the use, conduct or maintenance of the Sublet Premises or any business therein or any work or thing whatsoever done, or any condition created in or about the Sublet Premises during the term of this Sublease (or any time prior to the Commencement Date that Subtenant may have been given access to the demised premises), (ii) any negligent or otherwise wrongful act or omission of Subtenant or any of its agents, contractors, servants, licensees, employees or invitees, and (iii) any failure of Subtenant to perform or comply with all of the provisions of this Sublease hereof that are applicable to Subtenant. In case any action or proceeding be brought against Sublessor or any agent, contractor, servant, licensee, employee or invitee of Sublessor by reason of any of the foregoing, Subtenant, upon notice from Sublessor, shall defend such action or proceeding by counsel chosen by Subtenant, who shall be reasonably satisfactory to Sublessor. Subtenant or its counsel shall keep Sublessor fully apprised at all times of the status of such defense and shall not settle same without the written consent of Sublessor. 16. Destruction by Fire or Other Casualty, Condemnation. If the Sublet Premises or the Building shall be partially or totally damaged or destroyed by fire or other casualty, Subtenant shall be entitled to exercise the right to terminate this Sublease on behalf of Sublessor, pursuant to the provisions of the Prime Lease. (a) If the Sublet Premises are partially or totally damaged by fire or other casualty as a consequence of which Sublessor shall receive an abatement of rent and/or additional rent relating to the demised premises, then in such event, there shall be a pro rata abatement of the fixed rent payable hereunder. (b) Subtenant shall give Sublessor and Landlord notice of any fire, casualty or accident in or about the demised premises promptly after Subtenant becomes aware of such event. (c) If the Prime Lease is terminated pursuant to the provisions thereof as the result of a taking of all or any portion of the Building by condemnation (or deed in lieu thereof), this Sublease shall likewise terminate. In such event, Subtenant shall have no claim to any portion of the award with respect to any such taking, except to file a claim for the value of its fixtures, furnishings, or for moving expenses, provided, however, that Sublessor's award is not thereby reduced or otherwise adversely affected. 17. Successors and Assigns. Subject to the restrictions on assignment and subletting in this Sublease and the Prime Lease, this Sublease and the covenants and agreements herein contained and incorporated herein by reference shall bind and inure to the benefit of the respective successors and assigns of the parties. 18. Entire Agreement; Amendments; Waiver. This Sublease sets forth the entire agreement of the parties, and shall not be modified or amended except by a writing signed by the party against whom enforcement is 5 6 sought. Neither the waiver of any breach by either party of any provisions of this Sublease, nor any indulgence by either party in respect of any payment due it hereunder shall be construed as a waiver of any subsequent breach or imply any future indulgence. 19. Costs and Expenses. Subtenant shall reimburse Sublessor, on demand, for all costs and expenses (including attorneys' fees and disbursements and court costs) incurred by Sublessor in connection with enforcing Subtenant's obligations under this Sublease, whether incurred in connection with an action or proceeding commenced by Sublessor or by Subtenant. All such amounts shall be deemed to be additional rent, and shall be collectible whether incurred before or after the expiration or termination of this Sublease. 20. End of Term. Upon the expiration or other termination of this Sublease, Subtenant shall quit and surrender to Sublessor the Sublet Premises broom clean in accordance of the Prime Lease, in good order, ordinary wear excepted, and Subtenant shall remove all of its property therefrom. Should Sublessor be subject to any fine, cost or expense pursuant to the Prime Lease because of any holdover or other failure to comply with end of term provisions by Subtenant, Subtenant will pay as liquidated damages to Sublessor an amount equal to two and one half (2-1/2) times the amount of such fine, cost or expense. 21. Defaults. If Subtenant (a) defaults in the timely payment of any rent or other charges due Sublessor; (b) if the Sublet Premises are vacated or deserted by Subtenant; (c) if any execution or attachment shall be issued against Subtenant or any Subtenant's property whereupon the Sublet Premises shall be taken or occupied by someone other than Subtenant; (d) if Subtenant shall fail to move into or take possession of the Sublet Premises within thirty days after the Commencement Date; or (e) Subtenant defaults in fulfilling any other covenant under this Sublease not cured within ten (10) days after notice; then Sublessor may serve a written three days' notice of cancellation of this Sublease upon Subtenant and upon the expiration of said three days, this Sublease and the term thereof shall end and expire and Subtenant shall then quit and surrender the Sublet Premises to Sublessor. This Sublease and the term thereof shall end and expire and in such event Sublessor may, without notice, re-enter the Sublet Premises either by force or otherwise, and dispossess Subtenant by summary proceedings or otherwise, and the legal representative of Subtenant or other occupant of the Sublet Premises and remove their effects and hold the Sublet Premises as if this Sublease had not been made, and Subtenant hereby waives the service of notice of intention to re-enter or to institute legal proceedings to that end. 22. Construction. This Sublease shall be governed by and construed under the law of the State of New York. 23. Notices. All notices under this Sublease shall be in writing and shall be deemed to have been sufficiently given when (i) delivered personally, (ii) sent by postage prepaid certified mail, return receipt requested (air mail if international), (iii) sent by telex, telegraph, or facsimile transmission, or (iv) sent by private courier service guaranteeing overnight or three-day delivery, addressed at the addresses included on Page 1 hereof, or to such other address as any party may subsequently designate by this notice procedure. Notice will be deemed 6 7 effective (i) upon delivery, if delivered personally to the notice address of either party; or (ii) three (3) business days after mailing, if by certified mail (air mail if international); and (iii) three business days after deposit with the courier if sent by courier service with delivery or attempted delivery confirmed by the courier in writing. 24. Landlord's Consent. This Sublease shall not become effective, nor shall the term commence, unless and until the written consent of Landlord to this Sublease, the build-out plans and the subletting hereunder is obtained. Subtenant agrees to supply such information and fees as Landlord shall require in connection with its determination. Sublessor shall promptly request such consent and furnish Subtenant with a copy thereof when it is obtained. In the event such written consent of Landlord is not given within sixty (60) days hereafter, either party may terminate this agreement on five (5) days' written notice except that if such consent is given within said five-day period, said notice shall be deemed withdrawn. Both parties shall modify this Sublease to the extent reasonably required by Landlord. IN WITNESS WHEREOF, Sublessor and Subtenant have respectively signed this Sublease as of the day and year first above written. ADVANCED HEALTH CORPORATION (Sublessor) By:(ORIGINAL SIGNATURE) ------------------------------------ WESTCO ASSOCIATES, INC., (Subtenant) By: (ORIGINAL SIGNATURE) ------------------------------------ 7 8 DENNIS NOSKIN ARCHITECT, P.C. Architecture/Interior Design/Planning 32 Elm Place Rye, New York 10580 Floor Plan Design (#22981, Pg 13 of original source) 8 9 DENNIS NOSKIN ARCHITECT, P.C. Architecture/Interior Design/Planning 32 Elm Place Rye, New York 10580 Floor Plan Design (#22981, Pg 14 of original source) RECKSON ASSOCIATES 555 WHITE PLAINS RD TARRYTOWN, NEW YORK Job Title : WESTCO Job No. 98xxx Dwg Title: EXISTING CONDITIONS Scale: 1/32" x 1'-0" Issue date: 10 FAB 99 9 EX-10.17 4 EMPLOYMENT AGREEMENT 1 Exhibit 10.17 EMPLOYMENT AGREEMENT dated as of November 1, 1998, between ADVANCED HEALTH CORPORATION, a Delaware corporation (the "Company"), and JEFFREY M. SAUERHOFF (the "Employee"). The Company desires to formalize the employment arrangements between the Company and the Employee and to continue to employ the Employee as the Senior Vice President, Finance of the Company and the Employee desires to accept such continued employment by the Company, on the terms and subject to the conditions hereinafter set forth. NOW, THEREFORE, in consideration of the mutual covenants and obligations hereinafter set forth, the parties hereto hereby agree as follows: 1. Employment. The Company hereby employs the Employee, and the Employee hereby accepts employment by the Company, upon the terms and subject to the conditions hereinafter set forth. 2. Term. The employment of the Employee hereunder shall be for the four-year period commencing on the date hereof and ending on November 1, 2002 (the "Base Term"). The Base Term shall automatically renew for consecutive one-year terms (each, a "Renewal Term" and together with the Base Term, collectively, the "Employment Period") unless either the Company or the Employee gives the other party hereto at least 90 days' prior written notice before the end of the Employment Period of such party's intent not to renew this Agreement. 3. Duties. The Employee shall be employed as the Senior Vice President, Finance or in such other position as the Company and the Employee shall agree in writing. The Employee shall perform such duties and services as are appropriate and commensurate with the Employee's position with the Company and would otherwise be consistent in stature and prestige with the position of Senior Vice President, Finance of a corporation with similar operations as the Company, as the same may be assigned to him from time to time by the Board of Directors of the Company (the "Board"). 4. Time to be Devoted to Employment; Place of Employment. (a) Except for three weeks vacation per year (in addition to public holidays), absences due to temporary illness, during the Employment Period the Employee shall devote substantially all of his business time, attention and energies to the business and affairs of the Company. (b) During the Employment Period, the Employee shall not be engaged in any other business activity which conflicts with the duties of the Employee hereunder, whether or not such activity is pursued for gain, profit or other pecuniary advantage. 5. Compensation; Reimbursement. (a) During the Employment Period, the Company (or at the Company's option, any subsidiary or affiliate thereof) shall pay to the Employee an annual salary (the "Base Salary") of not less than $190,000, payable in such installments as is the policy of the Company with respect to its senior executive officers. Such Base Salary will be reviewed at least annually and may be increased by the Board (or, if such authority shall be delegated by the Board to the Compensation Committee thereof, then by such Committee) in its sole discretion. 2 (b) From time to time the Employee may also receive cash bonuses at the discretion of the Board or the Compensation Committee. (c) During the Employment Period and to the extent available to employees of the Company, the Employee shall be entitled to participate in all of the Company's benefit plans, pension and retirement plans, life insurance, hospitalization and surgical and major medical coverages, sick leave, vacation and holiday policies, disability coverage and such other fringe benefits enjoyed by other employees at substantially the same employment level as the Employee. (d) The Company shall reimburse the Employee, in accordance with the practice from time to time for other employees of the Company, for all reasonable and necessary traveling expenses, disbursements and other reasonable and necessary incidental expenses incurred by him for or on behalf of the Company in the performance of his duties hereunder upon presentation by the Employee to the Company of appropriate vouchers. (e) The Employee shall maintain a suitable automobile for business use. During the Employment Period, the Company shall pay the Employee a $550 per month car allowance towards the costs of leasing, using, insuring, repairing and maintaining such automobile. (f) Following the expiration or termination of this Agreement for any reason, the Employee shall have the right to maintain any (i) health and life insurance benefits provided by the Company to the extent provided under applicable law and (ii) any life insurance benefits provided by the Company so long as the Employee makes the premium payments relating to such life insurance. 6. Involuntary Termination. (a) If the Employee is incapacitated or disabled by accident, sickness or other cause so as to render him mentally or physically incapable of performing the services required to be performed by him under this Agreement for a period of 90 days or longer during any six-month period (such condition being herein referred to as a "Disability"), prior to the Employee resuming the performance of his duties as contemplated herein, the Company may terminate the employment of the Employee under this Agreement (an "Involuntary Termination"). Until the Company or the Employee shall have terminated the Employee's employment hereunder, the Employee shall be entitled to receive his compensation and other benefits as set forth in this Agreement notwithstanding any such physical or mental disability. (b) If the Employee dies during the Employment Period, his employment hereunder shall be deemed to cease as of the date of his death, and the termination of his employment occasioned thereby shall be deemed an Involuntary Termination. 7. Termination for Cause. The Company may terminate the Employee's employment hereunder for "Cause" (a "Termination for Cause"). For purposes of this Agreement, "Cause" shall be limited to: (i) the willful and continued failure by the Employee substantially to perform the duties described in Section 3 (other than any failure resulting 2 3 from an illness or other similar incapacity or disability), for 30 days after a written demand for performance is delivered to the Employee on behalf of the Board that specifically identifies the manner in which it is alleged that the Employee has not substantially performed his duties; or (ii) the conviction by the Employee of misappropriation of funds, properties or assets of the Company, sexual harassment, chronic alcoholism or drug addiction, slander or libel concerning the Company or a material tort relating to his office or employment with the Company that has a material adverse effect on the business, affairs, conditions (financial or otherwise), operations, results of operations, assets, properties or rights, liabilities or obligations, customer or employee relationships or prospects of the Company. 8. Termination Without Cause. The Company may terminate the employment of the Employee hereunder at any time during the Employment Period without "Cause" (a "Termination Without Cause"). It is expressly acknowledged that if Employee shall not report to the CEO of the Company, such change in reporting structure shall constitute a Termination Without Cause. It is expressly acknowledged that non-renewal of this Agreement as contemplated by Section 2 shall not constitute a Termination Without Cause. Further, if either (I) Employee's Base Salary shall be reduced without Employee's consent, or (ii) Employee shall be required to relocate outside the New York metropolitan area, such action by Employer shall constitute a Termination Without Cause. 9. Voluntary Termination. Any termination of the employment of the Employee hereunder otherwise than as a result of an Involuntary Termination, a Termination for Cause or a Termination Without Cause shall be deemed to be a "Voluntary Termination." A Voluntary Termination shall be deemed to be effective immediately upon written notice of such termination to the Company. 10. Change in Control. On a Change of Control, all options to purchase common stock of the Company then held by the Employee shall immediately vest and shall be exercisable for a period of five years from the date of the Change in Control. For purposes of this Agreement, a "Change in Control" of the Company shall be deemed to have occurred if (a) there shall be consummated (x) any consolidation or merger of the Company in which the Company is not the continuing or surviving corporation or pursuant to which shares of the common stock of the Company (the "Common Stock") would be converted into cash, securities or other property, other than a merger of the Company in which the holders of the Common Stock immediately prior to the merger have the same proportionate ownership of common stock of the surviving corporation immediately after the merger, or (y) any sale, lease, exchange or other transfer (in one transaction or a series of related transactions) of all, or substantially all, of the assets of the Company; or (b) the stockholders of the Company approve any plan or proposal for the liquidation or dissolution of the Company; or (c) any person (as such term is used in Sections 13(d) and 14(d)(2) of the Securities Exchange Act of 1934, as amended (the "Exchange Act")), shall become the beneficial owner (within the meaning of Rule 13d-3 under the Exchange Act) of 30% or more of the Company's outstanding Common Stock; or (d) during any period of two consecutive years, individuals who at the beginning of such period constitute the entire Board shall cease for any reason to constitute a majority thereof 3 4 unless the election, or the nomination for election by the Company's stockholders, of each new director was approved by a vote of at least two-thirds of the directors then still in office who were directors at the beginning of the period. 11. Effect of Termination of Employment. (a) Upon the termination of the Employee's employment hereunder pursuant to a Voluntary Termination or a Termination for Cause, neither the Employee nor his beneficiary or estate shall have any further rights or claims against the Company under this Agreement except to receive: (i) any unpaid portion of the Base Salary provided for in Section 5(a), computed on a pro rata basis to the date of termination; (ii) cash compensation equal to the product of (A) the number of days of accrued vacation, if any, accumulated by the Employee to the effective date of termination divided by the total number of work days per annum for which the Employee receives a Base Salary multiplied by (B) the Base Salary; and (iii) reimbursement for any expenses for which the Employee shall not have theretofore been reimbursed as provided in Section 5(d). In addition, current arrangements concerning indemnification, including but not limited to payment of expenses of officers, directors, and employees in connection with litigation involving the Company shall remain in full force and effect following termination. (b) Upon the termination of the Employee's employment hereunder pursuant to an Involuntary Termination, neither the Employee nor his beneficiary or estate shall have any further rights or claims against the Company under this Agreement except the right (i) to receive a termination payment equal to that provided for in Section 11(a) hereof, plus (ii) to receive a cash severance payment in an aggregate amount equal to the cash compensation received by the Employee during the 3-month period immediately prior to the effective date of the Involuntary Termination, payable in equal monthly installments, plus (iii) to be immediately vested in all stock options granted to the Employee by the Company that would have vested during the three-month period immediately following the effective date of the Involuntary Termination. In addition, current arrangements concerning indemnification, including but not limited to payment of expenses of officers, directors, and employees in connection with litigation involving the Company shall remain in full force and effect following termination. (c) Upon the termination of the Employee's employment hereunder pursuant to a Termination Without Cause, neither the Employee nor his beneficiary or estate shall have any further rights or claims against the Company under this Agreement except the right (i) to receive a termination payment equal to the amount provided for in Section 11(a) hereof , (ii) to receive a cash severance payment in an aggregate amount equal to the base salary and bonus received by the Employee during the 12-month period immediately prior to the effective date of the Termination Without Cause, plus car allowance, health insurance and life insurance premium payments, professional licensing and membership fees and dues for such one year period, payable in one lump sum within 10 days of such termination if such termination occurs within six months of a Change in Control, and otherwise in 12 equal monthly installments, (iii) reasonable cell phone and pager use, and inclusion in the Company's 401(k) plan for the 12-month period following such termination; plus (iv) all options to purchase common stock of the Company, which shall include any parent or affiliated entity shall fully vest and shall be exercisable for a period of five years following the date of such Termination. In addition, current arrangements concerning 4 5 indemnification, including but not limited to payment of expenses of officers, directors, and employees in connection with litigation involving the Company shall remain in full force and effect following termination. 12. Non-Competition; Non-Disclosure of Information. (a) The Employee shall not during the Employment Period, and for a period of one year following the termination of the Employment Period, (i) directly or indirectly engage in any Competitive Business (as defined below), whether such engagement shall be as an employee, employer, owner, consultant, partner or other participant in any Competitive Business, (ii) assist others in engaging in any Competitive Business in the manner described in the foregoing clause (i), (iii) induce employees of the Company to terminate their employment with the Company or engage in any Competitive Business or (iv) induce customers or vendors of the Company to alter or terminate their business relationship with the Company; provided, however, that the Employee may own directly or indirectly, solely as a passive investment, securities of any Competitive Business traded on any national securities exchange if the Employee is not a controlling person of, nor a member of a group which controls such person and does not, directly or indirectly, own 5% or more of any class of securities of such person. As used herein, the term "Competitive Business" shall mean any business which, directly or indirectly, competes with the Company or any of its subsidiaries in the business of primarily providing physician practice management, physician network management and/or clinical information technology to or for physicians to the extent such businesses are conducted by the Company and its subsidiaries at the time of any termination of the Employment Period. (b) The Employee understands that the foregoing restrictions may limit his ability to earn a livelihood in a Competitive Business, but he nevertheless believes that he has received and will receive sufficient consideration and other benefits in connection with his employment to clearly justify such restrictions which, in any event, the Employee does not believe would prevent him from earning a living. Nothing herein contained shall prohibit the Employee from engaging in a business that is not a Competitive Business. (c) The Employee agrees that he will not, at any time during or after the Employment Period, disclose to any person, firm, corporation or other entity, except as required by law, any secret or confidential information concerning the business, clients or affairs of the Company or any subsidiary or affiliate thereof for any reason or purpose whatsoever other than in furtherance of the Employee's work for the Company nor shall the Employee make use of any of such secret or confidential information for his own purpose or for the benefit of any person, firm, corporation or other business entity except the Company or any subsidiary or affiliate thereof. 13. Company Right to Inventions. The Employee shall promptly disclose, grant and assign to the Company for its sole use and benefit any and all inventions, improvements, technical information, methods and suggestions (the "Inventions") relating in any way to the business of providing physician practice management, physician network management and/or clinical information technology to or for physicians, which he may develop or acquire during the period of the Employee's employment with the Company prior to any termination of employment (whether or not during usual working hours), together with all patent applications, patents, 5 6 copyrights and reissues thereof that may at any time be granted for or upon any such Inventions. In connection therewith: (a) the Employee shall without charge, but at the expense of the Company, promptly at all times hereafter execute and deliver such applications, assignments, descriptions and other instruments as may be reasonably necessary or proper in the reasonable opinion of the Company to vest title to any such inventions, improvements, technical information, methods, patent applications, patents, copyright applications, copyrights or reissues of any thereof in the Company and to enable it to obtain and maintain the entire right and title thereto throughout the world; and (b) the Employee shall render to the Company at its expense (including a reasonable payment for the time involved in case he is not then in its employ) all such assistance as it may reasonably require in the prosecution of applications for said patents, copyrights or reissues thereof, in the prosecution or defense or interferences which may be declared involving any said applications, patents or copyrights and in any litigation in which the Company may be involved relating to any such patents, copyrights, inventions, improvements, technical information or methods. 14. Enforcement. It is the desire and intent of the parties hereto that the provisions of this Agreement shall be enforced to the fullest extent permissible under the laws and public policies applied in each jurisdiction in which enforcement is sought. Accordingly, if any particular provision of this Agreement shall be adjudicated to be invalid or unenforceable, such provision shall be deemed amended to delete therefrom the portion thus adjudicated to be invalid or unenforceable, such amendment to apply only with respect to the operation of such provision in the particular jurisdiction in which such adjudication is made; provided, however, that if any one or more of the provisions contained in this Agreement shall be adjudicated to be invalid or unenforceable because such provision is held to be excessively broad as to duration, geographical scope, activity or subject, such provision shall be deemed amended by limiting and reducing it so as to be valid and enforceable to the maximum extent compatible with the applicable laws of such jurisdiction, such amendment to apply only with respect to the operation of such provision in the particular jurisdiction in which such adjudication is made. 15. Remedies; Survival. (a) The Employee acknowledges and understands that the provisions of this Agreement are of a special and unique nature, the loss of which cannot be accurately compensated for in damages by an action at law, and that the breach of the provisions of this Agreement would cause the Company irreparable harm. In the event of a breach by the Employee of the provisions of Section 12 or 13 hereof, the Company shall be entitled to an injunction restraining him from such breach. Nothing herein contained shall be construed as prohibiting the Company from pursuing any other remedies available for any breach of this Agreement. (b) Notwithstanding anything contained in this Agreement to the contrary, the provisions of Sections 12, 13, 14 and this Section 15 shall survive the expiration or other termination of this Agreement until, by their terms, such provisions are no longer operative. 6 7 (c) It is understood and agreed that the provisions of Sections 12 and 13 of this Agreement are separate and distinct from any other agreement between the parties hereto. Accordingly, in the event of a breach of such provisions, the breaching party shall only be held responsible for damages arising under such provisions and not for any damages which may be claimed to arise under or with respect to any other agreement that is not separately breached. 16. Notices. Notices and other communications hereunder shall be in writing and shall be delivered personally or sent by air courier or first class certified or registered mail, return receipt requested and postage prepaid, addressed as follows: If to the Employee: Jeffrey M. Sauerhoff 45 Longacre Drive Huntington, NY 11743 If to the Company: Advanced Health Corporation 555 White Plains Road, Second Floor Tarrytown, New York 10591 Attention: Chairman and CEO Or to such other address as the party to whom notice is to be given may have furnished to the other party in writing in accordance herewith. All notices and other communications hereunder shall be deemed to have been given on the date of delivery if personally delivered; on the business day after the date when sent if sent by air courier; and on the third business day after the date when sent if sent by mail, in each case addressed to such party as provided in this Section 16. 17. Binding Agreement. This Agreement shall inure to the benefit of and be enforceable by the Employee's personal or legal representatives, executors, administrators, successors, heirs, distributees and devisees. If the Employee should die while any amount would still be payable to him hereunder if he had continued to live, all such amounts, unless otherwise provided herein, shall be paid in accordance with the terms of this Agreement to the beneficiary designated by the Employee in writing delivered to the Company, or if there be no such designated beneficiary, to his estate. 18. Governing Law. This Agreement shall be governed by, and construed and enforced in accordance with, the laws of the State of New York applicable to contracts made and to be performed wholly therein. 19. Waiver of Breach. The waiver by either party of a breach of any provision of this Agreement by the other party must be in writing and shall not operate or be construed as a waiver of any subsequent breach by such other party. 20. Entire Agreement; Amendments; Execution. This Agreement contains the entire agreement between the parties with respect to the subject matter contained herein and supersedes all prior agreements or understandings among the parties with respect thereto. This Agreement may be amended only by an agreement in writing signed by the parties hereto. This Agreement may be executed in any number of counterparts, 7 8 each of which shall be deemed an original document but all of which shall constitute but one agreement. 21. Headings. The section headings contained in this Agreement are for reference purposes only and shall not affect in any way the meaning or interpretation of this Agreement. 22. Severability. Any provisions of this Agreement that is prohibited or unenforceable in any jurisdiction shall, as to such jurisdiction, be ineffective to the extent of such prohibition or unenforceability without invalidating the remaining provisions hereof, and any such prohibition or unenforceability in any jurisdiction shall not invalidate or render unenforceable such provision in any other jurisdiction. 23. Assignment. With respect to the Employee, this Agreement is personal in its nature and the Employee shall not assign or transfer this Agreement or any rights or obligations hereunder. The Company may in its sole discretion assign or otherwise transfer this Agreement and the provisions hereof (including, without limitation, Sections 12, 13 and 14) shall inure to the benefit of, and be binding upon, each successor of the Company, whether by merger, consolidation, transfer of all or substantially all assets, or otherwise. IN WITNESS WHEREOF, the parties have duly executed this Agreement as of the date first above written. ADVANCED HEALTH CORPORATION --- /s/ Jonathan T. Edelson, MD ---- Name: Jonathan T. Edelson, MD Title: Chairman and CEO ---/s/-- Jeffrey M. Sauerhoff--- Jeffrey M. Sauerhoff 8 EX-10.18 5 EMPLOYMENT AGREEMENT 1 EXHIBIT 10.18 EMPLOYMENT AGREEMENT dated as of November 1, 1998, between ADVANCED HEALTH CORPORATION, a Delaware corporation (the "Company"), and EDDY W. FRIEDFELD (the "Employee"). The Company desires to formalize the employment arrangements between the Company and the Employee and to continue to employ the Employee as the Senior Vice President, Business and Legal Affairs and General Counsel of the Company and the Employee desires to accept such continued employment by the Company, on the terms and subject to the conditions hereinafter set forth. NOW, THEREFORE, in consideration of the mutual covenants and obligations hereinafter set forth, the parties hereto hereby agree as follows: 1. Employment. The Company hereby employs the Employee, and the Employee hereby accepts employment by the Company, upon the terms and subject to the conditions hereinafter set forth. 2. Term. The employment of the Employee hereunder shall be for the four-year period commencing on the date hereof and ending on November 1, 2002 (the "Base Term"). The Base Term shall automatically renew for consecutive one-year terms (each, a "Renewal Term" and together with the Base Term, collectively, the "Employment Period") unless either the Company or the Employee gives the other party hereto at least 90 days' prior written notice before the end of the Employment Period of such party's intent not to renew this Agreement. 3. Duties. The Employee shall be employed as Senior Vice President, Business and Legal Affairs and General Counsel or in such other position as the Company and the Employee shall agree in writing. The Employee shall perform such duties and services as are appropriate and commensurate with the Employee's position with the Company and as would otherwise be consistent in stature and prestige with the position of Senior Vice President, Business and Legal Affairs and General Counsel of a corporation with similar operations as the Company, as the same may be assigned to him from time to time by the Board of Directors of the Company (the "Board"). 4. Time to be Devoted to Employment; Place of Employment. (a) Except for three weeks vacation per year (in addition to public holidays), absences due to temporary illness, during the Employment Period the Employee shall devote substantially all of his business time, attention and energies to the business and affairs of the Company. (b) During the Employment Period, the Employee shall not be engaged in any other business activity which conflicts with the duties of the Employee hereunder, whether or not such activity is pursued for gain, profit or other pecuniary advantage. 5. Compensation; Reimbursement. (a) During the Employment Period, the Company (or at the Company's option, any subsidiary or affiliate thereof) shall pay to the Employee an annual salary (the "Base Salary") of not less than $175,000, payable in such installments as is the policy of the Company with respect to its senior executive officers. Such Base Salary will be reviewed at least annually and may be increased 2 by the Board (or, if such authority shall be delegated by the Board to the Compensation Committee thereof, then by such Committee) in its sole discretion. (b) From time to time the Employee may also receive cash bonuses at the discretion of the Board or the Compensation Committee. (c) During the Employment Period and to the extent available to employees of the Company, the Employee shall be entitled to participate in all of the Company's benefit plans, pension and retirement plans, life insurance, hospitalization and surgical and major medical coverages, sick leave, vacation and holiday policies, disability coverage and such other fringe benefits enjoyed by other employees at substantially the same employment level as the Employee. (d) The Company shall reimburse the Employee, in accordance with the practice from time to time for other employees of the Company, for all reasonable and necessary traveling expenses, disbursements and other reasonable and necessary incidental expenses incurred by him for or on behalf of the Company in the performance of his duties hereunder upon presentation by the Employee to the Company of appropriate vouchers. (e) The Employee shall maintain a suitable automobile for business use. During the Employment Period, the Company shall pay the Employee a $600 per month car allowance towards the costs of leasing, using, insuring, repairing and maintaining such automobile. (f) Following the expiration or termination of this Agreement for any reason, the Employee shall have the right to maintain any (i) health and life insurance benefits provided by the Company to the extent provided under applicable law and (ii) any life insurance benefits provided by the Company so long as the Employee makes the premium payments relating to such life insurance. 6. Involuntary Termination. (a) If the Employee is incapacitated or disabled by accident, sickness or other cause so as to render him mentally or physically incapable of performing the services required to be performed by him under this Agreement for a period of 90 days or longer during any six-month period (such condition being herein referred to as a "Disability"), prior to the Employee resuming the performance of his duties as contemplated herein, the Company may terminate the employment of the Employee under this Agreement (an "Involuntary Termination"). Until the Company or the Employee shall have terminated the Employee's employment hereunder, the Employee shall be entitled to receive his compensation and other benefits as set forth in this Agreement notwithstanding any such physical or mental disability. (b) If the Employee dies during the Employment Period, his employment hereunder shall be deemed to cease as of the date of his death, and the termination of his employment occasioned thereby shall be deemed an Involuntary Termination. 7. Termination for Cause. The Company may terminate the Employee's employment hereunder for "Cause" (a "Termination for Cause"). For purposes of this Agreement, "Cause" shall be limited to: 2 3 (i) the willful and continued failure by the Employee substantially to perform the duties described in Section 3 (other than any failure resulting from an illness or other similar incapacity or disability), for 30 days after a written demand for performance is delivered to the Employee on behalf of the Board that specifically identifies the manner in which it is alleged that the Employee has not substantially performed his duties; or (ii) the conviction by the Employee of misappropriation of funds, properties or assets of the Company, sexual harassment, chronic alcoholism or drug addiction, slander or libel concerning the Company or a material tort relating to his office or employment with the Company that has a material adverse effect on the business, affairs, conditions (financial or otherwise), operations, results of operations, assets, properties or rights, liabilities or obligations, customer or employee relationships or prospects of the Company. 8. Termination Without Cause. The Company may terminate the employment of the Employee hereunder at any time during the Employment Period without "Cause" (a "Termination Without Cause"). It is expressly acknowledged that if Employee shall not report to the CEO of the Company, such change in reporting structure shall constitute a Termination Without Cause. It is expressly acknowledged that non-renewal of this Agreement as contemplated by Section 2 shall not constitute a Termination Without Cause. Further, if either (I) Employee's Base Salary shall be reduced without Employee's consent, or (ii) Employee shall be required to relocate outside the New York metropolitan area, such action by Employer shall constitute a Termination Without Cause. 9. Voluntary Termination. Any termination of the employment of the Employee hereunder otherwise than as a result of an Involuntary Termination, a Termination for Cause or a Termination Without Cause shall be deemed to be a "Voluntary Termination." A Voluntary Termination shall be deemed to be effective immediately upon written notice of such termination to the Company. 10. Change in Control. On a Change of Control, all options to purchase common stock of the Company then held by the Employee shall immediately vest and shall be exercisable for a period of five years from the date of the Change in Control. For purposes of this Agreement, a "Change in Control" of the Company shall be deemed to have occurred if (a) there shall be consummated (x) any consolidation or merger of the Company in which the Company is not the continuing or surviving corporation or pursuant to which shares of the common stock of the Company (the "Common Stock") would be converted into cash, securities or other property, other than a merger of the Company in which the holders of the Common Stock immediately prior to the merger have the same proportionate ownership of common stock of the surviving corporation immediately after the merger, or (y) any sale, lease, exchange or other transfer (in one transaction or a series of related transactions) of all, or substantially all, of the assets of the Company; or (b) the stockholders of the Company approve any plan or proposal for the liquidation or dissolution of the Company; or (c) any person (as such term is used in Sections 13(d) and 14(d)(2) of the Securities Exchange Act of 1934, as amended (the "Exchange Act")), shall become the beneficial owner (within the meaning of Rule 13d-3 under the Exchange Act) of 30% or more of the Company's outstanding Common Stock; or (d) during 3 4 any period of two consecutive years, individuals who at the beginning of such period constitute the entire Board shall cease for any reason to constitute a majority thereof unless the election, or the nomination for election by the Company's stockholders, of each new director was approved by a vote of at least two-thirds of the directors then still in office who were directors at the beginning of the period. 11. Effect of Termination of Employment. (a) Upon the termination of the Employee's employment hereunder pursuant to a Voluntary Termination or a Termination for Cause, neither the Employee nor his beneficiary or estate shall have any further rights or claims against the Company under this Agreement except to receive: (i) any unpaid portion of the Base Salary provided for in Section 5(a), computed on a pro rata basis to the date of termination; (ii) cash compensation equal to the product of (A) the number of days of accrued vacation, if any, accumulated by the Employee to the effective date of termination divided by the total number of work days per annum for which the Employee receives a Base Salary multiplied by (B) the Base Salary; and (iii) reimbursement for any expenses for which the Employee shall not have theretofore been reimbursed as provided in Section 5(d). In addition, current arrangements concerning indemnification, including but not limited to payment of expenses of officers, directors, and employees in connection with litigation involving the Company shall remain in full force and effect following termination. (b) Upon the termination of the Employee's employment hereunder pursuant to an Involuntary Termination, neither the Employee nor his beneficiary or estate shall have any further rights or claims against the Company under this Agreement except the right (i) to receive a termination payment equal to that provided for in Section 11(a) hereof, plus (ii) to receive a cash severance payment in an aggregate amount equal to the cash compensation received by the Employee during the 3-month period immediately prior to the effective date of the Involuntary Termination, payable in equal monthly installments, plus (iii) to be immediately vested in all stock options granted to the Employee by the Company that would have vested during the three-month period immediately following the effective date of the Involuntary Termination. In addition, current arrangements concerning indemnification, including but not limited to payment of expenses of officers, directors, and employees in connection with litigation involving the Company shall remain in full force and effect following termination. (c) Upon the termination of the Employee's employment hereunder pursuant to a Termination Without Cause, neither the Employee nor his beneficiary or estate shall have any further rights or claims against the Company under this Agreement except the right (i) to receive a termination payment equal to the amount provided for in Section 11(a) hereof , (ii) to receive a cash severance payment in an aggregate amount equal to the base salary and bonus received by the Employee during the 12-month period immediately prior to the effective date of the Termination Without Cause, plus car allowance, health insurance and life insurance premium payments, professional licensing and membership fees and dues for such one year period, payable in one lump sum within 10 days of such termination if such termination occurs within six months of a Change in Control, and otherwise in 12 equal monthly installments, (iii) reasonable cell phone and pager use, and inclusion in the Company's 401(k) plan for the 12-month period following such termination; plus (iv) all options to purchase common stock of the Company, which shall 4 5 include any parent or affiliated entity shall fully vest and shall be exercisable for a period of five years following the date of such Termination. In addition, current arrangements concerning indemnification, including but not limited to payment of expenses of officers, directors, and employees in connection with litigation involving the Company shall remain in full force and effect following termination. 12. Non-Competition; Non-Disclosure of Information. (a) The Employee shall not during the Employment Period, and for a period of one year following the termination of the Employment Period, (i) directly or indirectly engage in any Competitive Business (as defined below), whether such engagement shall be as an employee, employer, owner, consultant, partner or other participant in any Competitive Business, (ii) assist others in engaging in any Competitive Business in the manner described in the foregoing clause (i), (iii) induce employees of the Company to terminate their employment with the Company or engage in any Competitive Business or (iv) induce customers or vendors of the Company to alter or terminate their business relationship with the Company; provided, however, that the Employee may own directly or indirectly, solely as a passive investment, securities of any Competitive Business traded on any national securities exchange if the Employee is not a controlling person of, nor a member of a group which controls such person and does not, directly or indirectly, own 5% or more of any class of securities of such person. As used herein, the term "Competitive Business" shall mean any business which, directly or indirectly, competes with the Company or any of its subsidiaries in the business of primarily providing physician practice management, physician network management and/or clinical information technology to or for physicians to the extent such businesses are conducted by the Company and its subsidiaries at the time of any termination of the Employment Period. (b) The Employee understands that the foregoing restrictions may limit his ability to earn a livelihood in a Competitive Business, but he nevertheless believes that he has received and will receive sufficient consideration and other benefits in connection with his employment to clearly justify such restrictions which, in any event, the Employee does not believe would prevent him from earning a living. Nothing herein contained shall prohibit the Employee from engaging in a business that is not a Competitive Business. (c) The Employee agrees that he will not, at any time during or after the Employment Period, disclose to any person, firm, corporation or other entity, except as required by law, any secret or confidential information concerning the business, clients or affairs of the Company or any subsidiary or affiliate thereof for any reason or purpose whatsoever other than in furtherance of the Employee's work for the Company nor shall the Employee make use of any of such secret or confidential information for his own purpose or for the benefit of any person, firm, corporation or other business entity except the Company or any subsidiary or affiliate thereof. 13. Company Right to Inventions. The Employee shall promptly disclose, grant and assign to the Company for its sole use and benefit any and all inventions, improvements, technical information, methods and suggestions (the "Inventions") relating in any way to the business of providing physician practice management, physician network management and/or clinical information technology to or for physicians, which he may develop or acquire during the period of the Employee's 5 6 employment with the Company prior to any termination of employment (whether or not during usual working hours), together with all patent applications, patents, copyrights and reissues thereof that may at any time be granted for or upon any such Inventions. In connection therewith: (a) the Employee shall without charge, but at the expense of the Company, promptly at all times hereafter execute and deliver such applications, assignments, descriptions and other instruments as may be reasonably necessary or proper in the reasonable opinion of the Company to vest title to any such inventions, improvements, technical information, methods, patent applications, patents, copyright applications, copyrights or reissues of any thereof in the Company and to enable it to obtain and maintain the entire right and title thereto throughout the world; and (b) the Employee shall render to the Company at its expense (including a reasonable payment for the time involved in case he is not then in its employ) all such assistance as it may reasonably require in the prosecution of applications for said patents, copyrights or reissues thereof, in the prosecution or defense or interferences which may be declared involving any said applications, patents or copyrights and in any litigation in which the Company may be involved relating to any such patents, copyrights, inventions, improvements, technical information or methods. 14. Enforcement. It is the desire and intent of the parties hereto that the provisions of this Agreement shall be enforced to the fullest extent permissible under the laws and public policies applied in each jurisdiction in which enforcement is sought. Accordingly, if any particular provision of this Agreement shall be adjudicated to be invalid or unenforceable, such provision shall be deemed amended to delete therefrom the portion thus adjudicated to be invalid or unenforceable, such amendment to apply only with respect to the operation of such provision in the particular jurisdiction in which such adjudication is made; provided, however, that if any one or more of the provisions contained in this Agreement shall be adjudicated to be invalid or unenforceable because such provision is held to be excessively broad as to duration, geographical scope, activity or subject, such provision shall be deemed amended by limiting and reducing it so as to be valid and enforceable to the maximum extent compatible with the applicable laws of such jurisdiction, such amendment to apply only with respect to the operation of such provision in the particular jurisdiction in which such adjudication is made. 15. Remedies; Survival. (a) The Employee acknowledges and understands that the provisions of this Agreement are of a special and unique nature, the loss of which cannot be accurately compensated for in damages by an action at law, and that the breach of the provisions of this Agreement would cause the Company irreparable harm. In the event of a breach by the Employee of the provisions of Section 12 or 13 hereof, the Company shall be entitled to an injunction restraining him from such breach. Nothing herein contained shall be construed as prohibiting the Company from pursuing any other remedies available for any breach of this Agreement. (b) Notwithstanding anything contained in this Agreement to the contrary, the provisions of Sections 12, 13, 14 and this Section 15 shall survive the expiration or 6 7 other termination of this Agreement until, by their terms, such provisions are no longer operative. (c) It is understood and agreed that the provisions of Sections 12 and 13 of this Agreement are separate and distinct from any other agreement between the parties hereto. Accordingly, in the event of a breach of such provisions, the breaching party shall only be held responsible for damages arising under such provisions and not for any damages which may be claimed to arise under or with respect to any other agreement that is not separately breached. 16. Notices. Notices and other communications hereunder shall be in writing and shall be delivered personally or sent by air courier or first class certified or registered mail, return receipt requested and postage prepaid, addressed as follows: If to the Employee: Eddy W. Friedfeld 300 East 71st Street New York, NY 10021 If to the Company: Advanced Health Corporation 555 White Plains Road, Second Floor Tarrytown, New York 10591 Attention: Chairman and CEO Or to such other address as the party to whom notice is to be given may have furnished to the other party in writing in accordance herewith. All notices and other communications hereunder shall be deemed to have been given on the date of delivery if personally delivered; on the business day after the date when sent if sent by air courier; and on the third business day after the date when sent if sent by mail, in each case addressed to such party as provided in this Section 16. 17. Binding Agreement. This Agreement shall inure to the benefit of and be enforceable by the Employee's personal or legal representatives, executors, administrators, successors, heirs, distributees and devisees. If the Employee should die while any amount would still be payable to him hereunder if he had continued to live, all such amounts, unless otherwise provided herein, shall be paid in accordance with the terms of this Agreement to the beneficiary designated by the Employee in writing delivered to the Company, or if there be no such designated beneficiary, to his estate. 18. Governing Law. This Agreement shall be governed by, and construed and enforced in accordance with, the laws of the State of New York applicable to contracts made and to be performed wholly therein. 19. Waiver of Breach. The waiver by either party of a breach of any provision of this Agreement by the other party must be in writing and shall not operate or be construed as a waiver of any subsequent breach by such other party. 20. Entire Agreement; Amendments; Execution. This Agreement contains the entire agreement between the parties with respect to the subject matter contained herein and supersedes all prior agreements or understandings among the parties with respect 7 8 thereto. This Agreement may be amended only by an agreement in writing signed by the parties hereto. This Agreement may be executed in any number of counterparts, each of which shall be deemed an original document but all of which shall constitute but one agreement. 21. Headings. The section headings contained in this Agreement are for reference purposes only and shall not affect in any way the meaning or interpretation of this Agreement. 22. Severability. Any provisions of this Agreement that is prohibited or unenforceable in any jurisdiction shall, as to such jurisdiction, be ineffective to the extent of such prohibition or unenforceability without invalidating the remaining provisions hereof, and any such prohibition or unenforceability in any jurisdiction shall not invalidate or render unenforceable such provision in any other jurisdiction. 23. Assignment. With respect to the Employee, this Agreement is personal in its nature and the Employee shall not assign or transfer this Agreement or any rights or obligations hereunder. The Company may in its sole discretion assign or otherwise transfer this Agreement and the provisions hereof (including, without limitation, Sections 12, 13 and 14) shall inure to the benefit of, and be binding upon, each successor of the Company, whether by merger, consolidation, transfer of all or substantially all assets, or otherwise. IN WITNESS WHEREOF, the parties have duly executed this Agreement as of the date first above written. ADVANCED HEALTH CORPORATION ----/s/ -- Jonathan T. Edelson, MD Name: Jonathan T. Edelson, MD Title: Chairman and CEO ---/s/ - Eddy W. Friedfeld --- Eddy W. Friedfeld 8 EX-23.2 6 CONSENT OF ARTHUR ANDERSEN LLP 1 (e) COSTS AND ATTORNEY'S FEES. If either party commences an action against the other party arising out of or in connection with this lease, the prevailing party shall be entitled to have and recover from the losing party attorneys' fees, costs of suit, investigation expenses and discovery costs, including costs of appeal. 24. REPRESENTATIONS OF TENANT. Tenant represents to the Landlord and agrees that: (a) The word "Tenant" as used herein includes the Tenant named above as well as successors and assigns, each of which shall be under the same obligations and liabilities and each of which shall have the same rights, privileges, and powers as it would have possessed had it originally signed this lease as tenant. Each and every of the persons named above as tenant shall be bound jointly and severally by the terms, covenants and agreements contained herein. However, no such rights, privileges or powers shall inure to the benefit of any assignee of tenant immediate or remote, unless Tenant has complied with the terms of Section 18 and the assignment to such assignee is permitted or has been approved in writing by Landlord. Any notice required or permitted by the terms of this lease may be given by or to any of the persons named above as tenant, and shall have the same force and effect as if given by or to any one of the persons named above as Tenant, and shall have the same force and effect as if given by or to all thereof. (b) If Tenant is a corporation, partnership or any other form of business association or entity, Tenant is duly formed and in good standing, and has full corporate or partnership power and authority, as the case may be, to enter into this lease and has taken all corporate or partnership action, as the case may be, necessary to carry out the transaction contemplated herein, so that when executed, this lease constitutes a valid and binding obligation enforceable in accordance with its terms. Tenant shall provide Landlord with corporate resolutions or other proof in a form acceptable to Landlord, authorizing the execution of this lease at the time of such execution. 25. LIABILITY OF LANDLORD. The word "Landlord" as used herein includes the Landlord named above as well as its successors and assigns, each of which shall have the same rights, remedies, powers, authorities and privileges as it would have had it originally signed this lease as Landlord. Any such person or entity, whether or not named herein, shall have no liability hereunder after it ceases to hold title to the Premises except for obligations already accrued, (and, as to any unapplied portion of Tenant's Security Deposit, Landlord shall be relieved of all liability therefor upon transfer of such portion to its successor in interest) and Tenant shall look solely to Landlord's successor in interest for the performance of the covenants and obligations of the Landlord hereunder which thereafter shall accrue. Neither Landlord nor any principal of Landlord nor any owner of the Property, whether disclosed or undisclosed, shall have any personal liability with respect to any of the provisions of this lease or the Premises, and if Landlord is in breach or default with respect to Landlord's obligations under this lease or otherwise, Tenant shall look solely to the equity of Landlord in the Property for the satisfaction of Tenant's claims. Notwithstanding the foregoing, no mortgagee or ground lessor succeeding to the interest of Landlord hereunder (either in terms of ownership or possessory rights) shall be (a) liable for any previous act or omission of a prior landlord, (b) subject to any rental offsets or defenses against a prior landlord or (c) bound by any amendment of this lease made without its written consent, or by payment by Tenant of Minimum Annual rent in advance in excess of one monthly installment. 26. INTERPRETATION; DEFINITIONS. (a) CAPTIONS. The captions in this lease are for convenience only and are not a part of this lease and do not in any way define, limit, describe or amplify the terms and provisions of this lease or the scope or intent thereof. EX-27 7 FINANCIAL DATA SCHEDULE
5 YEAR DEC-31-1998 JAN-01-1998 DEC-31-1998 9,269 6,972 320 0 0 21,568 2,565 2,790 44,634 13,805 0 0 0 104 29,770 44,634 0 3,530 0 1,942 21,778 553 20 (18,117) 4,722 22,839 (52,354) 0 0 (75,193) (7.46) (7.46)
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