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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 14A
(RULE 14a-101)
INFORMATION REQUIRED IN PROXY STATEMENT
SCHEDULE 14A INFORMATION
Proxy Statement Pursuant to Section 14(a) of the Securities
Exchange Act of 1934
Filed by the Registrant þ
Filed by a Party other than the Registrant o
Check the appropriate box:
o   Preliminary Proxy Statement
 
o   Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2))
 
þ   Definitive Proxy Statement
 
o   Definitive Additional Materials
 
o   Soliciting Material Pursuant to Rule 14a-12
MEDQUIST INC.
 
(Name of Registrant as Specified In Its Charter)
 
(Name of Person(s) Filing Proxy Statement, if other than the Registrant)
Payment of Filing Fee (Check the appropriate box):
þ   No fee required.
 
o   Fee computed on table below per Exchange Act Rules 14a-6(i)(1) and 0-11.
  (1)   Title of each class of securities to which transaction applies:
 
     
 
 
  (2)   Aggregate number of securities to which transaction applies:
 
     
 
 
  (3)   Per unit price or other underlying value of transaction computed pursuant to Exchange Act Rule 0-11 (set forth the amount on which the filing fee is calculated and state how it was determined):
 
     
 
 
  (4)   Proposed maximum aggregate value of transaction:
 
     
 
 
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o   Fee paid previously with preliminary materials.
 
o   Check box if any part of the fee is offset as provided by Exchange Act Rule 0-11(a)(2) and identify the filing for which the offsetting fee was paid previously. Identify the previous filing by registration statement number, or the Form or Schedule and the date of its filing.
  (1)   Amount Previously Paid:
 
     
 
 
  (2)   Form, Schedule or Registration Statement No.:
 
     
 
 
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  (4)   Date Filed:
 
     
 

 

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MEDQUIST INC.
1000 Bishops Gate Blvd, Suite 300
Mount Laurel, NJ 08054-4632
NOTICE OF ANNUAL MEETING OF SHAREHOLDERS
To Be Held On December 17, 2009
November 20, 2009
Dear Shareholders:
     An Annual Meeting of Shareholders of MedQuist Inc. will be held at 1000 Bishops Gate Blvd., Suite 300, Mount Laurel, New Jersey, on December 17, 2009 at 10:00 am ET. At the meeting, you will be asked to vote on the election of 8 directors to the board of directors of the Company to serve for a one-year term or until the election and qualification of their successors.
     The board of directors has fixed November 17, 2009 as the record date for determining shareholders entitled to receive notice of, and to vote at, the Annual Meeting or any adjournment or postponement thereof. Only shareholders of record at the close of business on November 17, 2009 are entitled to notice of, and to vote at, the meeting.
     Whether or not you intend to be present at the meeting, please sign and date the enclosed proxy card and return it in the enclosed envelope.
     The foregoing items of business are more fully described in the accompanying proxy statement.
         
     
  /s/ Peter Masanotti    
  Peter Masanotti   
  President and Chief Executive Officer   
 

 

 

Proxy Statement
     This proxy statement and the accompanying proxy card are being mailed, beginning on or about November 20, 2009, to owners of shares of common stock of MedQuist Inc. (which may be referred to herein as we, us or the Company) in connection with the solicitation of proxies by our board of directors for our Annual Meeting of Shareholders (referred to herein as the Annual Meeting). This proxy procedure is necessary to permit all shareholders, many of whom are unable to attend the Annual Meeting, to vote. Our board of directors encourages you to read this document thoroughly and to take this opportunity to vote on the matters to be decided at the Annual Meeting.
IMPORTANT NOTICE REGARDING THE AVAILABILITY OF PROXY MATERIALS
FOR THE SHAREHOLDER MEETING TO BE HELD ON DECEMBER 17, 2009.
THE PROXY STATEMENT FOR OUR 2009 ANNUAL MEETING, OUR ANNUAL REPORT
TO SHAREHOLDERS AND OUR ANNUAL REPORT ON FORM 10-K FOR THE YEAR
ENDED DECEMBER 31, 2008 ARE AVAILABLE AT: www.proxydocs.com/medq
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About the Meeting: Questions and Answers
What am I voting on?
          You will be voting on the election of 8 directors for a one-year term or until the election and qualification of their successors.
Who is entitled to vote at the Annual Meeting, and how many votes do they have?
     Shareholders of record at the close of business on November 17, 2009 may vote at the Annual Meeting. There were 37,555,893 shares of common stock outstanding on November 4, 2009. Each share has one vote. If you are a shareholder of record and either (i) have been a shareholder of our common stock continuously for the six months prior to the date this proxy statement was first mailed to shareholders (as stated on page 1 of this proxy statement), or (ii) hold more than 5% of our outstanding common stock, you may inspect a list of shareholders eligible to vote. If you would like to inspect the list, please call Mark R. Sullivan, our Corporate Secretary, at (856) 206-4000 to arrange a visit to our offices.
How do I vote?
     How you vote will depend on how you hold your shares of our common stock.
Shareholders of record
     If your shares are registered directly in your name with our transfer agent, American Stock Transfer and Trust Company, you are considered a shareholder of record with respect to those shares, and these proxy materials are being sent directly to you. As a shareholder of record, you have the right to vote in person at the Annual Meeting or by proxy. If you wish to vote by proxy, mark, sign and date the enclosed proxy card and return it in the postage-paid envelope we have provided, or return it to c/o American Stock Transfer and Trust Company, 59 Maiden Lane, New York, NY 10038.
     When voting by proxy, you will be designating Peter Masanotti, our President and Chief Executive Officer, and Mark R. Sullivan, our General Counsel, Chief Compliance Officer and Secretary, as your proxies. They may act together or individually on your behalf, and will have the authority to appoint a substitute to act as proxy. Submitting a proxy above will not affect your right to attend the Annual Meeting and vote in person.
Beneficial owners
     Many of our shareholders hold their shares in “street name” through a stockbroker, bank or other nominee, rather than directly in their own names. If you hold your shares in one of these ways, you are considered the beneficial owner of shares held in street name, and these proxy materials are being forwarded to you by your stockbroker, bank or other nominee who is considered, with respect to those shares, the shareholder of record. As the beneficial owner, you have the right to direct your stockbroker, bank or other nominee on how to vote your shares. If you hold your shares in street name, your stockbroker, bank or other nominee has enclosed a voting instruction form for you to use in directing the stockbroker, bank or other nominee in how to vote your shares. Stockbrokers, banks or other nominees that are member firms of the New York Stock Exchange and who hold shares in street name for customers have the discretion to vote those shares with respect to certain matters, such as the uncontested election of directors, if they have not received instructions from the beneficial owners.

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What is a proxy?
     A proxy is a person you appoint to vote on your behalf. By using the method discussed above, you will be appointing Peter Masanotti, our President and Chief Executive Officer, and Mark R. Sullivan, our General Counsel, Chief Compliance Officer and Secretary as your proxies. They may act together or individually on your behalf, and will have the authority to appoint a substitute to act as proxy. If you are unable to attend the Annual Meeting, please use the means available to you to vote by proxy so that your shares of common stock may be voted.
How will my proxy vote my shares?
     Your proxy will vote according to your instructions. If you complete and return the enclosed proxy card but do not indicate your vote, your proxy will vote “FOR” the election of the nominated slate of directors set forth on the accompanying proxy card. We do not intend to bring any other matter for a vote at the Annual Meeting. Your proxies are authorized to vote on your behalf, however, using their best judgment, on any other business that properly comes before the Annual Meeting.
How do I change my vote?
     You may revoke your proxy at any time before your shares are voted at the Annual Meeting by:
   •   Notifying our Corporate Secretary, Mark R. Sullivan, in writing at 1000 Bishops Gate Blvd, Suite 300, Mount Laurel, NJ 08054, that you are revoking your proxy;
 
   •   Submitting new voting instructions using the method described above; or
 
   •   Attending and voting by ballot at the Annual Meeting.
     If your shares are held in “street name” by your stockbroker, bank or other nominee, you must submit new voting instructions to your stockbroker, bank or other nominee.
Who will count the votes?
     Our board of directors will appoint an inspector of election who will count the votes.
What constitutes a quorum?
     The holders of shares entitled to cast a majority of the votes at the Annual Meeting, either present or represented by proxy, constitute a quorum. A quorum is necessary in order to conduct the Annual Meeting. If you choose to have your shares represented by proxy at the Annual Meeting, you will be considered part of the quorum. If a quorum is not present at the Annual Meeting, the shareholders present in person or by proxy may adjourn the meeting to a date when a quorum is present. If a new record date is fixed for the adjourned meeting, we will provide notice of the adjourned meeting to each shareholder of record entitled to vote at the meeting.
What vote is required to approve the election of directors?
     Nominees will be elected by a plurality of the votes cast in person or represented by proxy at the Annual Meeting. This means that the 8 nominees with the most votes for election will be elected. You may choose to vote, or withhold your vote, separately for each nominee. A properly executed proxy card marked “WITHHOLD AUTHORITY” with respect to the election of one or more directors will not be

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voted with respect to the director or directors indicated, although it will be counted for the purposes of determining whether there is a quorum.
What percentage of our common stock do our directors and officers have voting or investment power over?
     As of November 4, 2009, our current directors and executive officers have voting or investment power over approximately 69.9% of our common stock. See the discussion under the heading “Stock Ownership of our Directors, Executive Officers, and 5% Beneficial Owners” on page 18 for more details.
Who is soliciting proxies, how are they being solicited, and who pays the cost?
     We, on behalf of our board of directors, through our directors, officers, and employees, are soliciting proxies primarily by mail. In addition, proxies may also be solicited in person or by telephone, facsimile or the Internet. We will be bearing the cost of soliciting proxies. We may reimburse stockbrokers and other custodians, nominees, and fiduciaries for their reasonable out-of-pocket expenses for forwarding proxy and solicitation material to the beneficial owners of our common stock.
When are shareholder proposals for next year’s Annual Meeting due?
     To be included in the mailing of the Notice of Annual Meeting of Shareholders, proxy statement, and proxy voting card for our 2010 Annual Meeting, proposed shareholder proposals must be received on or before January 8, 2010 by our Corporate Secretary, at 1000 Bishops Gate Blvd, Suite 300, Mount Laurel, NJ 08054. You should submit any proposal by a method that permits you to prove the date of delivery to us.
Who is our independent registered public accounting firm, and will they be represented at the Annual Meeting?
     KPMG LLP served as the independent registered public accounting firm auditing our consolidated financial statements and the effectiveness of our internal control over financial reporting for 2008, and has been appointed to audit and report on our consolidated financial statements and our internal control over financial reporting for 2009. We expect that one or more representatives of KPMG LLP will be present at the Annual Meeting. They will have an opportunity to make a statement, if they desire, and will be available to answer appropriate questions during the meeting.
Will the directors be in attendance at the meeting?
     We do not have a policy regarding director attendance at our annual meetings, but currently we expect a representative of our directors to be in attendance at the Annual Meeting. We held our 2008 Annual Meeting of Shareholders on December 19, 2008. The chairman of our board of directors, Robert Aquilina, attended the 2008 Annual Meeting of Shareholders in person and director Michael Seedman, attended the meeting by telephone.
How may I obtain a copy of the Company’s Form 10-K or additional copies of this proxy statement?
     We will provide, without charge, a copy of our Annual Report on Form 10-K for the year ended December 31, 2008 or this proxy statement, upon written request to our Corporate Secretary at 1000 Bishops Gate Blvd, Suite 300, Mount Laurel, NJ 08054.

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Election of Directors
Nominees for Election
     Following the removal of our former directors Mark Schwarz and Brian O’Donoghue, our board of directors reduced the size of the board of directors from 10 members to 8 members. Each nominee has agreed, if elected, to serve a one-year term or until the election and qualification of his successor. If any nominee is unable to stand for election, which circumstance we do not anticipate, our board of directors may provide for a lesser number of directors or designate a substitute. In the latter event, shares represented by proxies may be voted for a substitute nominee.
     If a quorum is present at the Annual Meeting, then nominees will be elected by a plurality of the votes cast in person or represented by proxy at the meeting. Only shareholders of record on November 20, 2009 shall be entitled to vote at the Annual Meeting. There is no cumulative voting in the election of directors.
     Our board of directors has nominated all of the 8 current directors to stand for re-election based upon the recommendations of the Nominating Committee.
     We are not aware of any arrangements or understandings between any of the individuals listed below and any other person pursuant to which such individual was or is to be selected as a director, other than any arrangements or understandings with our directors acting solely in their capacities as such.
     Robert Aquilina, 54, has served as chairman of our board of directors since August 2008 and currently serves as chairman of the Compensation Committee. Mr. Aquilina has served as an Executive Partner, a senior operating consultant role, to S.A.C. Private Capital Group, LLC (SAC PCG) since 2007. Previously, he served as an Industrial Partner at Ripplewood Holdings LLC (Ripplewood), held the role of Co-Chairman of Flag Telecom Group Ltd. and was a board member of Japan Telecom Inc. Prior to these positions, Mr. Aquilina was a senior operating executive of AT&T, Inc. with a 21-year career. His last post at AT&T was as Co-President of AT&T Consumer Services and a member of the Chairman’s Operating Group. Previously within AT&T, Mr. Aquilina held a variety of senior positions including President of Europe, Middle East & Africa, Vice Chairman of AT&T Unisource, Vice Chairman of WorldPartners, Chairman of AT&T-UK, and General Manager of Global Data Services. Mr. Aquilina holds an M.B.A. from The University of Chicago and a Bachelors of Engineering degree from The Cooper Union for the Advancement of Science & Art in New York (Cooper Union). Mr. Aquilina has been a Member of Cooper Union’s Board of Trustees since 2000 and is currently chairing Cooper Union’s audit committee.
     Frank Baker, 37, has served as a member of our board of directors since August 2008 and currently serves as a member of the Compensation Committee and of the Nominating Committee. Mr. Baker is a Managing Director and co-founder of SAC PCG. Prior to establishing SAC PCG in 2007, Mr. Baker was a Managing Director at Ripplewood and RHJ International where he was responsible for making various private equity investments and taking RHJ International public on the Brussels Stock Exchange. He joined Ripplewood’s New York office in 1999 and transferred to Ripplewood Japan, Inc. in 2002. Prior to joining Ripplewood, Mr. Baker spent more than three years in investment banking as an Associate at J.P.Morgan Securities Inc. in the Capital Markets Group and as an Analyst at Goldman Sachs & Co. in the Mergers and Acquisitions Group. Mr. Baker has a B.A. in Economics from the University of Chicago and an M.B.A. from Harvard Business School.
     Peter E. Berger, 59, has served as a member of our board of directors since August 2008 and currently serves as a member of the Compensation Committee and as chairman of the Nominating

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Committee. Mr. Berger is a Managing Director and co-founder of SAC PCG. From 1995-1998 and 2000-2006, Mr. Berger, a founding member of Ripplewood, served as both a Managing Director of Ripplewood and as a Special Senior Advisor to the board of directors of RHJ International. Prior to joining Ripplewood, Mr. Berger was a senior partner and global head of the Corporate Finance Group at Arthur Andersen & Co., where he began his career in 1974. From 1989-1991, he served as a Managing Director in investment banking at Bear Stearns Companies. From 1999-2000, Mr. Berger was Managing Director and Chief Executive Officer of Mediacom Ventures LLC, a boutique investment advisory firm. He also served as non-executive Chairman of the Board of Kepner-Tregoe, Inc., a management consulting company. Mr. Berger has a B.Sc. from Boston University and an M.B.A. from Columbia University Graduate School of Business.
     John F. Jastrem, 54, has served as a member of our board of directors since September 2008 and currently serves as a member of the Audit Committee. Mr. Jastrem has been president and CEO of Exhibitgroup/Giltspur, a division of Viad Corp., since 2006. Previously, Mr. Jastrem was an executive for eight years with Omnicom Group Inc., where he started in 1998 as chairman and CEO of Rapp Collins Worldwide-Dallas (RCW), the global leader in direct response marketing and database management. Prior to his tenure at Omnicom, Mr. Jastrem was president and CEO of TEAM Consultants, which specialized in strategic planning, financing, interim management, technology-enabled solutions, and mergers and acquisitions. Prior to joining TEAM Consultants, Mr. Jastrem served as a member of the executive team at Knapp Communications Corporation (the publisher of Architectural Digest and Bon Appetit magazines), and at Wickes Companies Inc., an international retailer and manufacturer.
     Colin J. O’Brien, 71, has served as a member of our board of directors since September 2008 and currently serves as a member of the Audit Committee. Prior to retiring in 2001, Mr. O’Brien was employed in various positions with Xerox Corporation from 1992-2001, including vice president of Business Development and Systems Strategy, CEO of Xerox’s New Enterprise Board, and executive chairman of XESystems Inc., a subsidiary of Xerox. In 1986, Mr. O’Brien formed an investment company with E.M. Warburg Pincus & Co. Inc., making a number of acquisitions in defense electronics. Prior to that time, Mr. O’Brien served as chairman and chief executive of Times Fiber Communications Inc., a publicly traded company, and president of General Instrument’s cable television operations. Mr. O’Brien has held management positions with Union Carbide in both Canada and Europe, and has served on a number of public and private boards.
     Warren E. Pinckert II, 65, has served as a member of our board of directors since February 2008 and currently serves as the chairman of the Audit Committee and as a member of the Compensation Committee. Mr. Pinckert was the Chief Executive Officer of Cholestech Corporation, a medical device company, from 1993 until its acquisition in 2007. Prior to joining Cholestech, Mr. Pinckert served as Chief Financial Officer of Sunrise Medical, a durable medical equipment manufacturer. Mr. Pinckert also served as a member of the board of directors of PacifiCare Health Systems, a managed care company, until its acquisition in 2005. Since 2007, Mr. Pinckert has been retired. Mr. Pinckert currently serves on the board of directors of an early stage medical device company, BioVentrix Inc.
     Michael Seedman, 53, has served as a member of our board of directors since August 2008 and currently serves as a member of the Nominating Committee. Mr. Seedman is the founder of Seedman and Associates, a private equity firm. He has more than 30 years of senior executive management, leadership and technological innovation expertise and experience. Mr. Seedman was previously an Industrial Partner with Ripplewood, where he served on the D&M Holdings Inc. board of directors. He began his affiliation with Ripplewood as an Industrial Partner with Western Multiplex Corp. (acquired by Proxim Corporation), where he served on its board of directors. Before his association with Ripplewood, Mr. Seedman was the founder and Chairman of Entrega Technologies (acquired by Xircom), a computer peripheral designer and manufacturer. Mr. Seedman was Vice President and General Manager of U.S.

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Robotics’ Personal Communications Division (acquired by 3Com Corporation). Prior to US Robotics, Mr. Seedman served as President and Chief Executive Officer of Practical Peripherals, which he founded in 1981 and later sold to Hayes Microcomputer, Inc. Mr. Seedman currently serves on the boards of directors of Revenew Systems, Inc., Cleversafe Inc., and LS Research, LLC. His previous board affiliations have been with both public and private boards. Mr. Seedman has served as an Executive Partner, a senior operating consultant role, to SAC PCG since 2007.
     Andrew E. Vogel, 36, has served as a member of our board of directors since September 2008 and currently serves as a member of the Audit Committee. Mr. Vogel is a Managing Member of ZM Capital, a media-focused private equity firm, and has been working at ZelnickMedia Corp. since late 2003. Prior to joining ZelnickMedia, Mr. Vogel was an investment professional at Ripplewood Holdings. Previously, Mr. Vogel was an associate at McCown De Leeuw & Co. and an investment banker in Lehman Brothers’ Mergers and Acquisitions group. Mr. Vogel is also a director of ThinkMap Inc. Mr. Vogel has a B.A. from Wesleyan University and an M.B.A. from Harvard Business School.
Our board of directors unanimously recommends a vote “FOR” each of the nominees.

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Governance of the Company
     Our business, property and affairs are managed by, or under the direction of, our board of directors, which currently consists of 8 directors. Our board of directors maintains an Audit Committee, a Nominating Committee and a Compensation Committee, each of which is discussed in detail below.
     Shareholder communications may be sent to our board of directors by mail addressed to: Board of Directors, MedQuist Inc., 1000 Bishops Gate Blvd, Suite 300, Mount Laurel, NJ 08054.
Independence of Directors
     Our common stock is listed on the Global Market of The NASDAQ Stock Market LLC (NASDAQ). We qualify as a “controlled company” as defined in Rule 5605(a)(2) of the Marketplace Rules (Marketplace Rules) of NASDAQ because more than 50% of our voting power is controlled by a single shareholder, CBay, Inc. (CBay). As a controlled company, we are exempt from the requirements of Rule 5605(b)(1) of the Marketplace Rules with respect to our board of directors being comprised of a majority of “independent directors” and the related rules covering the independence of directors serving on the Compensation Committee and the Nominating Committee of our board of directors. The controlled company exemption does not modify the independence requirements of the Audit Committee, which requires three independent directors. Our Audit Committee currently consists of four independent directors (Messrs. Jastrem, O’Brien, Vogel and Pinckert).
     As required by the rules of the Securities and Exchange Commission (SEC), our board of directors uses the independence requirements of NASDAQ (the Independence Requirements) to assess the independence of each of its members. Our board of directors has determined that Messrs. Pinckert, Jastrem, O’Brien, and Vogel are “independent” in accordance with the Independence Requirements. In making its determinations, our board of directors did not consider any related party transactions that are not described in the section of this proxy statement under the heading “Certain Relationships and Related Transactions” beginning on page 46.
Committees of our Board of Directors
     Our board of directors maintains the following three standing committees: Audit Committee; Compensation Committee; and Nominating Committee.
Audit Committee
     The Audit Committee oversees our corporate accounting and financial reporting process. The responsibilities of the Audit Committee, which are set forth in a written charter adopted by our board of directors and available on our website at www.medquist.com, include:
  •   review and assess the adequacy of the Audit Committee and its charter at least annually;
 
  •   evaluate, determine the selection of, and if necessary, the replacement/rotation of, our independent registered public accounting firm;
 
  •   ensure timely rotation of lead and concurring audit partner of our independent registered public accounting firm;
 
  •   review our audited consolidated financial statements as well as our quarterly consolidated financial statements which are not audited;

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  •   review whether interim accounting policies and significant events or changes in accounting estimates were considered by our independent registered public accounting firm to have affected the quality of our financial reporting;
 
  •   review our financial reports and other information submitted to any governmental body or the public;
 
  •   review with management and our independent registered public accounting firm their judgments about the quality of disclosures in our consolidated financial statements;
 
  •   obtain from our independent registered public accounting firm its recommendation regarding our internal control over financial reporting and review management’s report on its assessment of the design and effectiveness of our internal control over financial reporting;
 
  •   review management’s report on its assessment of the design and effectiveness of our internal control over financial reporting;
 
  •   review our major financial risk exposures;
 
  •   pre-approve all audit and permitted non-audit services and related fees;
 
  •   establish, review and update periodically our code of business conduct and ethics;
 
  •   establish and review policies for approving related party transactions between us and our directors, officers or employees;
 
  •   adopt procedures for receipt, retention and treatment of complaints received by us regarding accounting, internal accounting controls or auditing matters; and
 
  •   adopt regular and separate systems of reporting to the Audit Committee by management and our internal auditors regarding controls and operations of business units.
     The Audit Committee (or disinterested members of our board of directors) is also responsible for approving or ratifying all related party transactions. If the related party transaction involves compensation of a related party, other than CBay, Inc. or its affiliates, such transaction must be approved by the Compensation Committee. If the related party transaction involves compensation of CBay, Inc. or its affiliates, such transaction must be approved by the Audit Committee. The Audit Committee is composed of Warren E. Pinckert II (Chair), John F. Jastrem, Colin J. O’Brien and Andrew E. Vogel. Messrs. Pinckert, Jastrem, O’Brien and Vogel have been determined by our board of directors to have met the Independence Requirements for the purposes of serving on the Audit Committee. Our board of directors has determined that Mr. Pinckert is our “audit committee financial expert” as that term is defined in Item 407(d)(5) of Regulation S-K.
Compensation Committee
     While our board of directors is responsible for determining and approving the compensation for our executive officers in its sole discretion, including all individuals whose compensation is set forth in the “Summary Compensation Table” below, it frequently solicits recommendations from the Compensation Committee regarding the following:

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  •   the corporate goals and objectives relevant to the compensation of our President and Chief Executive Officer and our other executive officers;
 
  •   the performance of these officers in light of those goals and objectives; and
 
  •   the compensation of these officers based on such evaluations.
     The Compensation Committee is composed of Robert Aquilina (Chair), Frank Baker, Peter Berger, and Warren Pinckert. Former director, Brian O’Donoghue, served as a member of the Compensation Committee from December 7, 2007 through August 19, 2009. The Compensation Committee does not have a written charter.
Nominating Committee
     The responsibilities of the Nominating Committee, which are set forth in a written charter adopted by our board of directors and available on our website at www.medquist.com, includes the selection of potential candidates for our board of directors. The Nominating Committee also makes recommendations to our board of directors concerning the membership of the other board committees and is responsible for developing policies and procedures with regard to the consideration of any director candidates recommended by our shareholders. The Nominating Committee is composed of Peter Berger (Chair), Frank Baker and Michael Seedman. Former directors, Brian O’Donoghue and Mark Schwarz, served as members of the Nominating Committee from December 7, 2007 through August 19, 2009.
     Generally, our board of directors seeks diverse members who possess the background, skills and expertise to make a significant contribution to our board of directors, us and our shareholders. The Nominating Committee has adopted a set of procedures to guide it in the identification and evaluation of director nominees. The Nominating Committee supports our view that the continuing service of qualified incumbents promotes stability and continuity in the board room, contributing to our board of directors’ ability to work as a collective body, while giving us the benefit of the familiarity and insight into our affairs that our incumbent directors have accumulated during their tenure. Accordingly, the process of the Nominating Committee for identifying director nominees first considers renominating incumbent directors who continue to satisfy the Nominating Committee’s criteria for membership on our board of directors, whom the Nominating Committee believes continue to make important contributions to our board of directors and who consent to continue their service on our board of directors.
     If the Nominating Committee concludes new candidates are appropriate, it will review appropriate biographical information about the proposed candidates considering the following criteria, among others: personal and professional integrity, ethics and values; experience in corporate management, such as serving as an officer or former officer of a publicly held company; experience in our industry; experience as a board member of another publicly held company; diversity of expertise and experience in substantive matters pertaining to our business relative to other members of our board of directors; and practical and mature business judgment. The Nominating Committee will also consider our board of directors’ overall balance of diversity of perspectives, backgrounds and experiences. In seeking candidates, the Nominating Committee will solicit suggestions from other members of our board of directors and our management and may also engage the services of a professional search firm. The Nominating Committee will discuss and consider the potential candidates and choose which candidates to recommend to our board of directors.
     Candidates proposed by shareholders in accordance with the procedures set forth in our By-Laws will be considered by the Nominating Committee under criteria similar to the evaluation of other candidates, except that the Nominating Committee may consider, as one of the factors in its evaluation of shareholder

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recommended nominees, the size and duration of the interest in our common stock of the recommending shareholder or shareholder group. The Nominating Committee may also consider the extent to which the recommending shareholder intends to continue holding its interest in us, including, in the case of nominees recommended for election at an annual meeting of shareholders, whether the recommending shareholder intends to continue holding its interest at least through the time of such annual meeting.
     Our By-Laws provide that nominations for director may be made by a shareholder entitled to vote who delivers notice along with the additional information and materials required by our By-Laws to our Corporate Secretary prior to the date listed elsewhere in this proxy statement. You can obtain a copy of the By-Law provision by writing to Mark R. Sullivan, our Corporate Secretary, 1000 Bishops Gate Blvd, Suite 300, Mount Laurel, NJ 08054. A copy of our By-Laws is posted on our website at www.medquist.com.
Board of Directors and Committee Meetings Held During 2008
     During 2008, our board of directors held 27 meetings and the committees of our board of directors held a total of 23 meetings (including 11 meetings of the Audit Committee, 3 meetings of the Compensation Committee, 7 meetings of the Nominating Committee and 2 meetings of the Supervisory Committee, which is described in more detail under the heading entitled “Certain Relationships and Related Transactions” beginning on page 46). During 2008, all of the members of our board of directors attended at least 75% of the meetings of our board of directors held while they were members. All of the members of our board of directors attended at least 75% of the meetings of committees of our board of directors on which they served during 2008.
Compensation of Directors
     We currently do not pay Robert Aquilina, Frank Baker, Peter Berger and Michael Seedman, each of whom is affiliated with our majority owner, CBay, any compensation for their service on our board of directors. Our former directors, Clement Revetti, Stephen Rusckowski, Gregory Sebasky, Edward Siegel and Scott Weisenhoff, each of whom was affiliated with our former majority owner, Koninklijke Philips Electronics N.V. (Philips), did not receive any compensation for their service on our board of directors. All directors are reimbursed for all reasonable expenses incurred by them in connection with their service on our board of directors. Our former independent directors, Brian O’Donoghue and Mark Schwarz and our current independent directors, Messrs. Pinckert, Jastrem, O’Brien and Vogel, received the following annual compensation, prorated for Messrs. O’Donoghue and Schwarz through the date of their removal as directors on August 19, 2009 and prorated for Messrs. Pinckert, Jastrem, O’Brien, and Vogel through October 31, 2009:
     
Annual Board Retainer
  $90,000 to be paid in equal installments of:
 
    
 
 
•     a non-refundable payment of $45,000 payable on February 15th of each year (for service period of February 15th to August 14th)
 
    
 
 
•     a non-refundable payment of $45,000 payable on August 15th of each year (for service period of August 15th to February 14th)
 
    
Board Meeting Fees
  $2,000 for meetings attended in person
$1,000 for meetings attended by phone
 
    
Committee Chair Retainers
  Audit Committee — $15,000
Compensation Committee — $7,500

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  Nominating Committee — $5,000
Special Committee — $5,000
 
    
Committee Meeting Fees
(All Committees)
  $1,000 for meetings attended in person
$500 for meetings attended by phone
     Effective November 1, 2009, the our Board of Directors increased the annual Board retainer for our current independent directors to $110,000 (on a prorated basis) to be paid in equal installments of
     
 
 
•     a non-refundable payment of $55,000 payable on February 15th of each year (for service period of February 15th to August 14th)
 
    
 
 
•     a non-refundable payment of $55,000 payable on August 15th of each year (for service period of August 15th to February 14th)
     During 2008, our independent directors received the following compensation:
                                         
    Fees Earned or Paid in Cash    
                    Committee        
                    Chair   Committee    
    Annual Board   Board Meeting   Retainers   Meeting Fees    
Name   Retainer ($)   Fees ($)   ($)   ($)   Total ($)
Warren Pinckert
    78,750       27,000       13,125       12,000       130,875  
John Jastrem
    26,250       3,000       —       2,500       31,750  
Colin O’Brien
    26,250       5,000       —       3,000       34,250  
Brian O’Donoghue
    78,750       27,000       —       12,000       117,750  
Mark Schwarz
    78,750       24,000       —       10,500       113,250  
Andrew Vogel
    26,250       4,000       —       3,000       33,250  
Executive Officers of the Company
     Peter Masanotti, 54, has served as our Chief Executive Officer since September 2008 and as our President since November 2008. Prior to joining us, Mr. Masanotti was managing director and global head of Business Process Sourcing at Deutsche Bank since May 2007, where he was responsible for offshore and onshore labor productivity and efficiency for the investment banking platform. From July 2005 through May 2007, Mr. Masanotti was the Chief Operating Officer and Executive Vice President of OfficeTiger LLC, a judgment-based business outsourcing firm which services major investment banks and Fortune 500 companies. From December 2001 to May 2005, Mr. Masanotti served as Chief Operating Officer of Geller & Company, a privately held finance and accounting outsourcing firm.
     Dominick Golio, 64, has served as our Chief Financial Officer since April 2009. Prior to joining us, Mr. Golio was the North America Chief Financial Officer for D & M Holdings NA, a global consumer electronics company and a Bain Capital Holdings Portfolio Company, from 2002 to April 2009, where he had direct involvement in all mergers and acquisitions activities. From 1993 to 2002, Mr. Golio was the Chief Financial Officer and Senior Vice President of Finance of Belco Oil & Gas Corporation, an energy company previously listed on the New York Stock Exchange. From 1991 to 1993, Mr. Golio served as the Chief Financial Officer and Vice President of Finance of Millmaster Onyx Group, Inc., a manufacturer of specialty chemicals and a portfolio company of RFE Investment Partners.

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     Michael F. Clark, 47, has served as our Chief Operating Officer since June 2009. Mr. Clark previously served as our Senior Vice President of Operations from February 2005 to June 2009. Mr. Clark joined us in 1998 through our acquisition of MRC. From November 2003 until February 2005, Mr. Clark served as our Senior Vice President of Operations for our Western Division. From May 2002 until November 2003, Mr. Clark served as our Vice President of Operations for our Southwest Division and from January 1998 until July 2000, he served as Region Vice President for the Southeast. From May 2001 until May 2002, Mr. Clark served as Chief Operating Officer for eScribe, a transcription service provider. While at MRC, Mr. Clark served as Vice President, Marketing and Corporate Services.
     Alan Gold, 57, has served as our Senior Vice President of Sales & Marketing since March 2009. Prior to joining us, Mr. Gold was the Vice President of Sales, Managed Services, for Siemens Medical Solutions from 2000 to 2008, where he was responsible for all sales and marketing activities for Managed Services. From 1989 to 2000, Mr. Gold was employed by Shared Medical Systems, where he served as the Vice President of Sales and New Ventures (1998 to 2000), Vice President of Marketing (1996 to 1997), Area Vice President of Eastern Operations (1991 to 1995) and Director of Sales Support (1989 to 1990).
     Kevin Piltz, 51, has served as our Chief Information Officer since June 2009. Prior to joining us, Mr. Piltz was the Chief Information Officer for Geller & Company, a privately held finance and accounting outsourcing firm, from 2002 to 2009. From 1998 to 2002, Mr. Piltz was the Chief Information Officer of ITDS, a provider of information solutions to the communications and IP industry.
     James Brennan, 62, has served as our Principal Accounting Officer, Controller, Treasurer and Vice President since November 2006 and served as our Interim Principal Financial Officer from November 2008 to April 2009. From March 2006 until his appointment as our Principal Accounting Officer, Controller and Vice President, Mr. Brennan served as a consultant to us providing Sarbanes-Oxley compliance and financial accounting services. Mr. Brennan has been operating his own consulting firm, specializing in providing Sarbanes-Oxley compliance and financial accounting services, since July 2005. Between May 2000 and July 2005, Mr. Brennan served as the Vice President of Finance for two divisions of IKON Office Solutions. From 1995 to 1998, Mr. Brennan served as Vice President and Business Unit Financial Officer for the GS Electric Division of General Signal. From 1991 to 1995, Mr. Brennan served as Assistant Controller of General Signal Corporation.
     Mark R. Sullivan, 38, serves as our General Counsel, Chief Compliance Officer and Secretary. Mr. Sullivan was appointed as General Counsel in September 2006, Chief Compliance Officer in July 2006 and Secretary in January 2005. From August 2004 until September 2006, Mr. Sullivan served as our Acting General Counsel. Between March 2003 and August 2004, Mr. Sullivan served as our Associate General Counsel and Assistant Secretary. Prior to joining us, Mr. Sullivan was in private practice with Pepper Hamilton LLP from January 2000 until March 2003, and Drinker Biddle & Reath LLP from August 1998 to January 2000.
     We are not aware of any arrangements or understandings between any of the individuals listed above and any other person pursuant to which he or she was or is to be selected as an officer, other than any arrangements or understandings with our officers acting solely in their capacities as such.
Code of Conduct
     We have adopted a written code of business conduct and ethics which applies to all of our directors, officers and other employees, including our principal executive officer, our principal financial officer and our principal accounting officer. Our code of business conduct and ethics is available on our website, www.medquist.com. Any amendments to our code of business conduct and ethics or waivers from the

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provisions of our code of business conduct and ethics for our principal executive officer, our principal financial officer or our principal accounting officer will be disclosed on our website within four business days following the date of such amendment or waiver.
Copies of Referenced Documents
     Copies of the documents referred to above that appear on our website are also available upon request by any shareholder addressed to Mark R. Sullivan, our Corporate Secretary, 1000 Bishops Gate Blvd, Suite 300, Mount Laurel, NJ 08054.

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Report of the Audit Committee
     The following Report of the Audit Committee shall not be deemed incorporated by reference into any of our filings under the Securities Act of 1933, as amended (Securities Act), or the Securities Exchange Act of 1934, as amended (Exchange Act), except to the extent we specifically incorporate it by reference therein.
     The Company has a separately-designated standing Audit Committee established in accordance with section 3(a)(58)(A) of the Exchange Act. The Audit Committee of the board of directors is comprised of directors who meet the existing NASDAQ independence standards and the rules of the SEC. The board of directors has determined that Mr. Pinckert qualifies as an “audit committee financial expert” as defined in Item 407(d)(5) of Regulation S-K. The Audit Committee operates under a written charter adopted by the board of directors which is available on our website at www.medquist.com.
     During 2008, at each of its regular meetings, the Audit Committee met with the senior members of the Company’s finance department, the general counsel, representatives of the Company’s independent registered public accounting firm and representatives of the accounting firm that provides services as the Company’s internal audit function (internal audit function). Also at each regular meeting, the Audit Committee met privately with representatives of the Company’s independent registered public accounting firm as well as the internal audit function, and discussed financial management, legal, accounting, auditing, and internal control matters.
     In connection with the Company’s audited financial statements for the year ended December 31, 2008, the Audit Committee discussed the adequacy of the Company’s internal controls, its internal control assessment process, management’s assessment of internal control over financial reporting, and the documentation of, and review of and compliance with, internal controls with the representatives of the Company’s independent registered public accounting firm, and with appropriate Company financial personnel, including the internal audit function, and members of senior management. The Audit Committee also discussed with representatives of the Company’s independent registered public accounting firm their evaluation of the Company’s system of internal control over financial reporting, and discussed with the Company’s senior management and representatives of the Company’s independent registered public accounting firm the process used for the certifications by the Company’s Principal Executive Officer and Principal Financial Officer required by the SEC.
     The Audit Committee met 11 times during 2008. The Audit Committee schedules its meetings with a view to ensuring that it devotes appropriate attention to all of its responsibilities and promptly reports to the board of directors thereon. The Audit Committee’s regular meetings include executive sessions with representatives of the Company’s independent registered public accounting firm and the internal audit function without the presence of the Company’s management.
     Management is responsible for the financial reporting process, including the system of internal controls, and for the preparation of financial statements in accordance with U.S. generally accepted accounting principles. The Company’s independent registered public accounting firm audited the annual consolidated financial statements prepared by management, expressed an opinion as to whether those consolidated financial statements fairly present, in all material respects, the financial position, results of operations and cash flows of the Company in conformity with U.S. generally accepted accounting principles, and discussed with the Audit Committee any issues they believe should be raised with the Audit Committee. The Company’s independent registered public accounting firm also audited and discussed with the Audit Committee the Company’s internal control over financial reporting. The Audit Committee’s responsibility is to monitor and review these processes. None of the members of the Audit Committee are professionally engaged in the practice of accounting or auditing. The Audit Committee

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relies, without independent verification, on the information provided to it and on the representations made by management and the internal audit function, as well as the opinions issued by the Company’s independent registered public accounting firm.
     As part of its oversight of the Company’s consolidated financial statements, the Audit Committee reviewed and discussed the Company’s audited consolidated financial statements with representatives of its independent registered public accounting firm for the relevant periods with and without management present. During 2008, management advised the Audit Committee that each set of financial statements presented to the Audit Committee for review had been prepared in accordance with U.S. generally accepted accounting principles, and management reviewed with the Audit Committee significant accounting and disclosure issues regarding such statements. These reviews included discussion with the Company’s independent registered public accounting firm of matters required to be discussed by Statement on Auditing Standards No. 61, Communication with Audit Committees, as superseded by Statement of Auditing Standards No. 114, The Auditor’s Communication With Those Charged With Governance, as amended, and as adopted by the Public Company Accounting Oversight Board. The Audit Committee has also received the written disclosures and letter from the Company’s independent registered public accounting firm required by applicable requirements of the Public Accounting Oversight Board regarding the independent registered public accounting firm’s communications with the Audit Committee concerning independence, and has discussed with the Company’s independent registered public accounting firm matters relating to its independence.
     Based on the reviews and discussions referred to above, the Audit Committee recommended to the board of directors that the audited consolidated financial statements prepared by management for the year ended December 31, 2008 be included in the Company’s annual report on Form 10-K for the same period.
         
  Audit Committee of the Board of Directors

Warren E. Pinckert II, Chairman
John F. Jastrem
Colin J. O’Brien
Andrew E. Vogel

 		  
November 18, 2009     
     
     

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Relationship with Independent Registered Public Accounting Firm
          The Audit Committee of our board of directors is responsible for the appointment, compensation, oversight and replacement, if necessary, of our independent registered public accounting firm. In accordance with the charter of the Audit Committee, the Audit Committee must approve, in advance of the service, all audit, and permissible non-audit services provided by our independent registered public accounting firm, subject to a de minimis exception for non-audit services. In its review of non-audit service fees, the Audit Committee considers, among other things, the possible effect of the performance of such services on the independence of our independent registered public accounting firm. Our independent registered public accounting firm may not be retained to perform any of the non-audit services specified in Section 10A(g) of the Exchange Act.
          All services provided by KPMG LLP, our independent registered accounting firm, for the years ended December 31, 2008 and 2007 were preapproved by the Audit Committee.
Fees Paid to the Principal Accountant — 2008 and 2007
          The following table sets forth the aggregate fees billed to us for the years ended December 31, 2008 and 2007 by KPMG LLP (in thousands):
                 
Fees   2008     2007  
Audit Fees (1)
   $ 2,494     $ 6,577  
 
                
Audit-Related Fees
     —       —  
 
                
Tax Fees (2)
     272       263  
 
                
All Other Fees (3)
     55       —  
 
            
 
                
Total Fees
   $ 2,821     $ 6,840  
 
            
 
(1)   Audit Fees — represents aggregate fees paid or accrued for the audit of our internal control over financial reporting as required by Section 404, the audit of management’s assessment of our internal control over financial reporting, the audit of our annual financial statements and review of our interim financial statements, and fees for services that are normally provided by our independent registered public accounting firm in connection with statutory and regulatory filings.
 
(2)   Tax Fees — represents fees for all professional services rendered by our independent registered public accounting firm’s tax professionals, except those related to the audit of our financial statements, including tax compliance, tax advice and tax planning.
 
(3)   All Other Fees — represents fees for professional services rendered in connection with KPMG’s assistance to us for the due diligence associated with CBay’s August 2008 purchase of Philips’ majority interest in us.

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Stock Ownership of our Directors, Nominees, Executive Officers, and 5% Beneficial Owners
     The following table shows information known to us about beneficial ownership (as defined under the regulations of the SEC) of our common stock by:
  •   Each person we know to be the beneficial owner of at least five percent of our common stock;
 
  •   Each current director and director nominee;
 
  •   Each person named in our Summary Compensation Table; and
 
  •   All current directors and executive officers as a group.
     The percentages of shares outstanding provided in the table below are based on 37,555,893 shares of common stock outstanding as of November 4, 2009. Beneficial ownership is determined in accordance with SEC rules and regulations and generally includes voting or investment power with respect to securities. Unless otherwise indicated, each person or entity named in the table below has sole voting and investment power, or shares voting and investment power with his or her spouse, with respect to all shares of stock listed as owned by that person. Shares issuable upon the exercise of options that are exercisable within 60 days of November 4, 2009 are included in the table below and are considered to be outstanding for the purpose of calculating the percentage of outstanding shares of our common stock held by the individual, but not for the purpose of calculating the percentage of outstanding shares held by any other individual. The address of our directors and executive officers is c/o MedQuist Inc., 1000 Bishops Gate Blvd., Suite 300, Mount Laurel, New Jersey, 08054.

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    Number of Shares   Percent of
    of Common Stock   Shares
Name of Beneficial Owner   Beneficially Owned   Outstanding
CBay Inc. (1)
     26,085,086       69.5 %
2661 Riva Road
Building 1000, Fifth Floor
Annapolis MD 21401
                
Costa Brava Partnership III L.P. (2)
     2,367,138       6.3 %
420 Boyleston Street
Boston, Massachusetts 02116
                
 
                
Directors, Named Executive Officers and Former Named Executive Officers
                
Warren E. Pinckert, II
     1,000       —  
Robert Aquilina (1)
     26,085,086       69.5 %
Frank Baker (1)
     26,085,086       69.5 %
Peter E. Berger (1)
     26,085,086       69.5 %
Michael Seedman (1)
     26,085,086       69.5 %
John F. Jastrem
     —       —  
Colin J. O’Brien
     26,000       —  
Andrew E. Vogel
     —       —  
Peter Masanotti (3)
     98,583       —  
Howard S. Hoffmann
     —       —  
Kathleen E. Donovan (4)
     —       —  
R. Scott Bennett (5)
     —       —  
Mark Ivie (6)
     13,096       *  
Mark R. Sullivan (7)
     2,576       *  
Michael Clark (8)
     29,000       *  
James Brennan
     —       —  
 
All current directors and executive officers as a group (15 persons) (1) (3) (7) (8) (9)
     26,242,245       69.9 %
 
*   Less than one percent.
 
(1)   According to a Schedule 13D/A filed with the SEC on April 24, 2009: (i) CBay is a Delaware corporation, the principal business of which is to serve as an intermediate holding company for a portfolio of businesses that provide U.S. medical transcription, healthcare technology and healthcare financial services operations; (ii) CBaySystems is a British Virgin Islands company, the principal business of which is to serve as a holding company for a portfolio of businesses that provide medical transcription, healthcare technology and healthcare financial services operations; (iii) S.A.C. PEI CB Investment, L.P. (SAC CBI) is a Cayman Islands limited partnership, the principal business of which is to invest in securities of CBaySystems; (iv) S.A.C. PEI CB Investment GP, Limited (SAC CBI GP) is a Cayman Islands company, the principal business of which is to serve as general partner of SAC CBI; (v) S.A.C. Private Equity Investors, L.P. (SAC PEI) is a Cayman Islands limited partnership, the principal business of which is to invest in the securities of various companies; (vi) S.A.C. Private Equity GP, L.P. (SAC PEI GP) is a Cayman Islands limited partnership, the principal business of which is to serve as general partner of SAC PEI; (vii) S.A.C. Capital Management, LLC (SAC Capital Management) is a Delaware limited liability company, the principal business of which is to serve as investment manager to certain private investment funds and to serve as general partner of SAC PEI GP; (viii) Steven A. Cohen

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    is a resident of Connecticut, the principal business of whom is to serve as the principal of certain investment managers, including SAC Capital Management and certain other affiliated entities; and (ix) by reason of such relationships, Cohen, CBay, CBaySystems, SAC CBI, SAC CBI GP, SAC PEI, SAC PEI GP and SAC Capital Management may be deemed, pursuant to Rule 13d-3 of the Exchange Act, to be the beneficial owners of all shares of common stock held by CBay.
 
(2)   According to a Schedule 13D/A filed with the SEC on April 17, 2009: (i) Costa Brava Partnership III L.P. (Costa Brava) is a Delaware limited partnership, the principal business of which is investing in securities; (ii) Roark, Rearden & Hamot, LLC (RRH) is a Delaware limited liability company, the principal business of which is acting as the general partner of Costa Brava; (iii) Seth W. Hamot is an individual whose principal business is serving as the President of RRH; (iv) Andrew R. Siegel is an individual whose principal business is serving as a Senior Vice President of RRH, (v) Jay Scollins is an individual whose principle business is serving as Chief Financial Officer of RRH, and (vi) by reason of such relationships, RRH, Mr. Hamot, Mr. Siegel and Mr. Scollins may be deemed, pursuant to Rule 13d-3 of the Exchange Act, to be the beneficial owners of the shares of common stock held by Costa Brava.
 
(3)   Includes options to purchase 98,583 shares of our common stock held by Mr. Masanotti that may be exercised within 60 days of November 4, 2009.
 
(4)   Ms. Donovan is our former Senior Vice President and Chief Financial Officer. Ms. Donovan’s employment with us ended upon her resignation effective on November 21, 2008.
 
(5)   Mr. Bennett is our former Senior Vice President of Sales and Marketing. Mr. Bennett’s employment with us terminated on October 30, 2008.
 
(6)   Mr. Ivie is our former Senior Vice President and Chief Technology Officer. Mr. Ivie’s employment with us ended upon his resignation effective on July 31, 2009.
 
(7)   Includes options to purchase 2,500 shares of our common stock held by Mr. Sullivan that may be exercised within 60 days of November 4, 2009.
 
(8)   Includes options to purchase 29,000 shares of our common stock held by Mr. Clark that may be exercised within 60 days of November 4, 2009
 
(9)   Includes our current directors (Messrs. Aquilina, Baker, Berger, Jastrem, O’Brien, Pinckert, Seedman and Vogel) and our current executive officers (Messrs. Masanotti, Sullivan, Clark, and Brennan).

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Section 16(a) Beneficial Ownership Reporting Compliance
     Section 16(a) of the Exchange Act requires that each of our executive officers, directors and persons who beneficially own more than 10% of our common stock file with the SEC reports of ownership and changes in their ownership of our common stock. Our executive officers and directors and beneficial owners of greater than 10% of our common stock are required by SEC regulations to provide us with copies of all Section 16(a) forms that they file. Based solely on our review of the copies of such forms furnished to us, we believe that for the year ended December 31, 2008, all of our executive officers, directors and persons owning greater than 10% of our common stock complied with all Section 16(a) filing requirements applicable to them, except that with respect to Warren Pinckert, one Form 3 was not timely filed. A Form 3 was subsequently filed for him. In addition, with respect to Mr. Masanotti, one Form 4 reporting one transaction was not timely filed. A Form 4 reporting the transaction was subsequently filed for him.

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Executive Compensation
Compensation Discussion and Analysis
Compensation Philosophy
     We provide our executive officers, including our President and Chief Executive Officer (Mr. Masanotti), with incentives tied to the achievement of our corporate objectives.
     During the past few years, in making executive hiring and compensation decisions, we considered the risks associated with our ongoing litigation and governmental investigation matters, as well as our decision in June 2004 to not provide traditional equity-based long term incentives until we became current in our periodic filing obligations under the Exchange Act in October 2007. During the past few years, we experienced a significant turnover in our senior management. In light of all of these challenges, our board of directors established a total compensation philosophy and structure designed to accomplish the following objectives:
  •   attract, retain and motivate executives who can thrive in a competitive environment of continuous change and who can achieve positive business results in light of the challenges that we have faced and continue to face;
 
  •   provide our executives with a total compensation package that recognizes individual contributions, as well as overall business results; and
 
  •   promote and reward the achievement of objectives that our board of directors and management believe will lead to long-term growth in shareholder value, including the resolution of our ongoing litigation and governmental investigation matters.
     To achieve these objectives, we intend to maintain compensation arrangements that tie a substantial portion of our executive officers’ overall compensation to the achievement of key strategic, operational and financial goals.
Setting Executive Officer Compensation
Board of Directors, Compensation Committee and Management
     While our board of directors is responsible for determining and approving the compensation of our executive officers in its sole discretion, it frequently solicits recommendations from the Compensation Committee regarding the following:
  •   the corporate and individual goals and objectives relevant to the compensation of our executive officers;
 
  •   the evaluation of our corporate performance and the performance of our executive officers in light of such goals and objectives; and
 
  •   the compensation of our executive officers based on such evaluations.
     On a going forward basis, our new President and Chief Executive Officer (Mr. Masanotti), our current Vice President of Human Resources and the Compensation Committee together will review the performance of our executive officers, other than Mr. Masanotti, and will provide our board of directors

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with the results of the review and make recommendations to our board of directors for final approval with respect to the compensation of our executive officers. Our board of directors currently is, and will continue to be, responsible for setting the compensation of Mr. Masanotti and evaluating his performance based on corporate goals and objectives.
     Prior to Mr. Masanotti’s arrival, our former Chief Executive Officer (Mr. Hoffmann) and our current Vice President of Human Resources provided our board of directors with a review of the performance of our executive officers, other than Mr. Hoffmann, and made recommendations to our board of directors for final approval with respect to the compensation for those executive officers. Until Mr. Hoffmann’s departure in June 2008, Mr. Hoffmann, our current Vice President of Human Resources and the Compensation Committee together reviewed the compensation and performance of our executive officers, other than Mr. Hoffmann, and made recommendations to our board of directors for final approval.
     The 2008 compensation for Mr. Hoffmann’s services was based on an agreement between us and Nightingale Associates LLC (Nightingale), of which Mr. Hoffmann was the sole member. The agreement with Nightingale was terminated on June 10, 2008 when Mr. Hoffmann’s employment with us terminated. The 2008 compensation for Mr. Masanotti is based on an agreement between us and Mr. Masanotti. The terms of the agreements with Nightingale and Mr. Masanotti, respectively, were negotiated and approved by our board of directors and are described below under the caption “Compensation of our President and Chief Executive Officer.”
     Our executive officers do not play a role in their own compensation determination, other than discussing individual performance objectives with our President and Chief Executive Officer.
Analysis of Market Compensation Data
     In 2007, we engaged Compensation Resources, a regional compensation consulting firm, to provide a market analysis of target bonus percentages for certain members of our senior management team including our Chief Technology Officer (Mr. Ivie) and our General Counsel & Chief Compliance Officer (Mr. Sullivan). Based upon the results of that market analysis and our own internal review of target bonus percentages, an increase of target bonus percentages for certain members of our senior management team including Messrs. Ivie and Sullivan was recommended to the Compensation Committee. The Compensation Committee agreed with these recommendations and presented them to our board of directors, which subsequently approved them.
     In 2008, we engaged Mercer (Mercer), a compensation consulting firm that is a wholly-owned subsidiary of Marsh & McLennan Companies, Inc., to provide a market analysis of base salaries and target bonus percentages for members of our senior management team. Our Compensation Committee utilized this analysis to validate the compensation ranges for our senior management team.
Elements of Compensation
     Our executive compensation program utilizes four primary elements to accomplish the objectives described above:
  •   base salary;
 
  •   annual cash incentives linked to corporate and individual performance;
 
  •   long-term incentives; and
 
  •   benefits and perquisites.

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     We believe that we can meet the objectives of our executive compensation program by achieving a balance among these four elements that is competitive with our industry peers and creates appropriate incentives for our executive officers. Actual compensation levels are a function of both corporate and individual performance as described under each compensation element below. In making compensation determinations, the Compensation Committee and our board of directors consider the competitiveness of compensation both in terms of individual pay elements and the aggregate compensation package.
     Base Salary
     We provide our executive officers, other than our former President and Chief Executive Officer, Mr. Hoffmann, with base salary in the form of fixed cash compensation to compensate them for services rendered during the fiscal year. Consistent with our compensation philosophy, our board of directors believes that the current base salaries of our executive officers are at levels competitive with similarly-sized public companies in the healthcare IT sector (Peer Companies) with additional consideration given to the challenges we have and continue to face.
     The base salary of our executive officers, other than our former President and Chief Executive Officer, Mr. Hoffmann (who did not receive a base salary), is reviewed for adjustment annually by our board of directors. Generally, in making a determination of whether to make base salary adjustments, our board of directors considers the following factors:
  •   our success in meeting our strategic operational and financial goals;
 
  •   our President and Chief Executive Officer’s assessment of such executive officer’s individual performance;
 
  •   length of service to us of such executive officer;
 
  •   changes in scope of responsibilities of such executive officer; and
 
  •   the base salaries of executive officers at Peer Companies possessing similar job titles.
     In addition, our board of directors considers internal equity within our organization and, when reviewing the base salaries of our executive officers, their current aggregate compensation.
     2008 Base Salaries
     Based upon individual and corporate performance, as well as our executive officers’ base salaries in comparison to similarly titled executive officers at Peer Companies, the Compensation Committee recommended, and our board of directors subsequently determined, that the base salary of each of our executive officers, other than Mr. Hoffmann (who did not receive a base salary), should be increased by 3% for 2008. Thereafter, Mr. Ivie’s compensation was further increased by 20% from $237,930 to $285,516 as of June 11, 2008 in connection with his service as our Interim President and Chief Executive Officer. Mr. Ivie relinquished his role as Interim President and Chief Executive Officer upon Mr. Masanotti joining us on September 16, 2008 and, on that date, Mr. Ivie’s base salary returned to $237,930. Mr. Ivie continued to serve us as our Chief Technology Officer until his resignation effective on July 31, 2009.

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     2009 Base Salaries
     Our board of directors approved an increase in the base salary of Mr. Clark of 7.9% to $250,000 for 2009, effective March 16, 2009. Subsequently, in connection with Mr. Clark’s promotion from the position of Senior Vice President of Operations to Chief Operating Officer, our board of directors increased Mr. Clark’s base salary by 10% to $275,000 effective as of June 1, 2009. No other base salary adjustments for our executive officers were made for 2009. Mr. Clark’s salary was increased in because of his individual achievements and high level of performance in 2008.
     The 2009 base salaries of our executive officers, effective as of November 4, 2009, are as follows:
         
    2009 Annual Base
Name   Salary Rate ($)
Peter Masanotti
     500,000  
Kevin Piltz (1)
     280,000  
Michael Clark
     275,000  
Dominick Golio (2)
     275,000  
Alan Gold (3)
     240,000  
Mark R. Sullivan
     237,930  
James Brennan
     221,450  
 
(1)   Mr. Piltz was hired in May 2009 and his compensation is pursuant to an employment agreement between him and us dated May 18, 2009.
 
(2)   Mr. Golio was hired in April 2009 and his compensation is pursuant to an employment agreement between him and us dated April 9, 2009.
 
(3)   Mr. Gold was hired in March 2009 and his compensation is pursuant to an employment agreement between him and us dated February 26, 2009.
     Annual Incentive Compensation
     We believe that performance-based cash incentives play an essential role to motivate our executive officers to achieve defined annual goals. The objectives of our annual management incentive plans are to:
  •   align the interests of executives and senior management with our strategic plan and critical performance goals;
 
  •   motivate and reward achievement of specific, measurable annual individual and corporate performance objectives;
 
  •   provide payouts commensurate with our performance;
 
  •   provide competitive total compensation opportunities; and
 
  •   enable us to attract, motivate and retain talented executive management.

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     2008 Management Incentive Plan
     The Compensation Committee recommended, and our board of directors approved, our 2008 Management Incentive Plan (2008 Plan) in April 2008.
     Participation; Eligibility. Select key management level employees, including each of our executive officers other than Mr. Hoffmann, were eligible to participate in our 2008 Management Incentive Plan (2008 Plan). Other criteria for participation and eligibility to receive an incentive reward under the 2008 Plan included the following:
  •   a participant must have received a performance rating of “solid performer” or better for 2008 to receive an incentive award; and
 
  •   a participant must have been an active employee as of the award payout date to receive an incentive award.
     Incentive Targets. Each of our executive officers, other than Mr. Hoffmann, was eligible to receive a target annual cash incentive award expressed as a percentage of his or her base salary for 2008 (Target Incentive). The table below entitled “Grants of Plan-Based Awards” (and, specifically, the information under the caption “Estimated Possible Payouts Under Non-Equity Incentive Plan Awards”) illustrates the threshold, target and maximum amounts of cash incentives that were potentially payable to our named executive officers, other than Mr. Hoffmann, with respect to 2008 performance under the 2008 Plan.
     Performance Measures under the 2008 Plan. Payment of incentive awards were based on a combination of corporate and individual performance objectives which were established for each of our executive officers, other than Mr. Hoffmann, as a way to communicate our expectations and to maintain and unify our executives’ focus on our key strategic objectives, as well as to measure performance. The actual operating income and net revenues targets under the 2008 Plan and the individual performance objectives for each executive officer under the 2008 Plan were based on certain internal financial goals set in connection with our board of directors’ consideration and approval of our annual operating plan for 2008. The objectives were based on the following criteria:
  •   30% upon the achievement of such executive officer’s 2008 individual performance objectives;
 
  •   35% based upon a 2008 net revenues target; and
 
  •   35% based upon a 2008 operating income target.
     Termination of 2008 Plan and Adoption of Remainder of 2008 Plan
     On August 6, 2008, in connection with CBay’s purchase of Philips’ majority interest in us, the 2008 Plan terminated according to its terms. Upon termination of the 2008 Plan, (i) our corporate performance through July 31, 2008 was assessed against the specific goals established under the 2008 Plan and (ii) the 2008 Plan provided that the participants were deemed to have achieved 100% of their year-to-date individual performance objectives. As we exceeded, on a pro rata basis, both our 2008 net revenues and our 2008 operating income targets, each executive officer received 139% of his or her pro-rated (through July 31, 2008) Target Incentive under the 2008 Plan. The payments under the 2008 Plan to our executive officers, other than Mr. Hoffmann, were: Ms. Donovan ($140,781); Mr. Bennett ($90,100); Mr. Ivie ($90,864); Mr. Sullivan ($86,721); Mr. Clark ($84,469); and Mr. Brennan ($53,810), respectively, and were made on August 29, 2008.

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     On August 19, 2008, our board approved our 2008 Management Incentive Plan for August to December 2008 (Remainder of 2008 Plan), the terms of which are substantially similar to the terms of the 2008 Plan. The Remainder of 2008 Plan was intended to provide participants with incentive compensation substantially similar to what they would have received if the 2008 Plan were in effect for all of 2008, with some minor adjustments. Any payments to be paid pursuant to the Remainder of 2008 Plan were subject to offset by the payments previously made pursuant to the 2008 Plan.
     Under the Remainder of 2008 Plan, an executive officer’s pro-rated cash incentive award was based upon the following criteria:
  •   20% upon the achievement of such executive officer’s 2008 individual performance objectives;
 
  •   20% based upon a 2008 sales orders target;
 
  •   30% based upon a 2008 net revenues target; and
 
  •   30% based upon a 2008 operating income target.
     Corporate Performance Component
     For the Remainder of 2008 Plan, the corporate performance objectives approved by our board of directors were expressed in terms of sales orders, operating income and net revenues targets. The degree to which these targets were achieved established the amount of cash available for distribution under the Remainder of 2008 Plan, subject to offset by the payments previously made pursuant to the 2008 Plan. The achievement of the performance objectives (individual, sales orders, net revenues and operating income) was measured separately for incentive award calculation purposes. Under the Remainder of 2008 Plan, we had to achieve threshold levels of performance of at least 95% of our sales orders target, 97% of our net revenues target, 85% of our operating income target. In the event we did not achieve the applicable threshold level of performance for the sales orders target, net revenues target or operating income target, participants in the Remainder of 2008 Plan were not eligible to receive a payment for the target for which the threshold level of performance was not met. Participants in the Remainder of 2008 Plan could have received more than their respective Target Incentive (up to 170% of their respective Target Incentive) in the event we exceeded our corporate performance objectives. The exact amount a participant could have received was calculated based on how much we exceeded our corporate performance objectives.
     Individual Performance Component
     The 2008 individual performance objectives for our executive officers, other than Mr. Hoffmann, were set by Mr. Hoffmann. The goals, which were both qualitative and quantitative, reflected our strategic priorities in 2008. In connection with the Remainder of 2008 Plan, certain of the 2008 individual performance objectives for our executive officers were updated.
     Disclosure of Corporate and Individual Targets and Objectives
     The actual operating income and net revenues targets under the 2008 Plan, the sales orders, actual operating income and net revenues targets, and the individual performance objectives for each executive officer, other than Mr. Hoffmann, under the 2008 Plans were based on certain internal financial goals set in connection with our board of directors’ consideration of our annual operating plan for 2008. We believe that the internal financial goals, although not guaranteed, were capable of being achieved if our

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executive officers met or exceeded their individual objectives, if we performed according to our 2008 annual operating plan and if the assumptions in our 2008 annual operating plan proved correct.
     Remainder of 2008 Plan Incentive Award Calculation and Payments
     During the first quarter of 2009, both our corporate performance and the performance of each of our executive officers who participated in the 2008 Plans were assessed against the specific goals established under the Remainder of 2008 Plan. We achieved 101% of the net revenues target and 117% of the income from operations target, but did not meet the threshold level of performance for the sales orders target. Each executive officer (other than Mr. Hoffmann who did not participate in the 2008 Plans) was determined to have fully achieved his or her individual performance objectives and therefore received 100% of his or her Target Incentive under the 2008 Plans, with the exception of Mr. Clark, who received 115% of his Target Incentive because he was deemed to have exceeded his individual performance objectives. The payments under the Remainder of 2008 Plan to our executive officers, other than Mr. Hoffmann, were: Mr. Ivie ($20,348); Mr. Sullivan ($20,348); Mr. Clark ($35,000); and Mr. Brennan ($12,625), respectively, and were made on March 13, 2009.
2008 Incentive Compensation of Nightingale
     Nightingale was eligible for incentive compensation for 2008 related to Mr. Hoffmann’s services to us through June 10, 2008 in accordance with the terms of our agreement with Nightingale as described below under the caption “Compensation of our President and Chief Executive Officer.”
     2009 Management Incentive Plan. The Compensation Committee recommended, and our board of directors approved, our 2009 Management Incentive Plan (2009 Plan) in January 2009. The terms of the 2009 Plan are substantially similar to the terms of the 2008 Plans.
     Under the 2009 Plan, an executive officer’s cash incentive award will be based upon the following criteria:
  •   30% upon the achievement of such executive officer’s 2009 individual performance objectives;
 
  •   35% based upon a 2009 net revenues target; and
 
  •   35% based upon a 2009 EBITDA target.
     Individual performance objectives for the 2009 Plan were set in the same manner as they were set in 2008.
     Target Incentive amounts under the 2009 Plan remain unchanged from the 2008 Plans for all of our executive officers. The net revenues and EBITDA targets under the 2009 Plan and the individual performance objectives for each executive officer under the 2009 Plan are based on certain internal financial goals set in connection with our board of directors’ consideration and approval of our annual operating plan for 2009.
     We believe that the internal financial goals, although not guaranteed, are capable of being achieved if our executive officers meet or exceed their individual objectives, if we perform according to our 2009 annual operating plan and if the assumptions in our 2009 annual operating plan are proven correct.

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     Sign-On Bonuses
     Pursuant to the terms of his employment agreement, Mr. Masanotti was entitled to receive up to $800,000 on February 1, 2009 as a sign-on bonus. Due to the amount of the bonus payment relating to the 2008 fiscal year that Mr. Masanotti received from his prior employer (Prior Employer Bonus), in accordance with the terms of the Masanotti Employment Agreement, our obligation to pay any portion of the sign-on bonus on February 1, 2009 was eliminated.
Long-Term Incentives
     Equity-Based Incentives
     We believe that long term incentives align the interests of our executive officers with those of our shareholders and serves as an effective retention device. As a result, in connection with the recruitment of our executive officers, prior to December 31, 2008, we granted to each such newly-hired executive officer stock options to purchase shares of our common stock. Our Compensation Committee is currently developing a long term incentive plan to replace the stock option grants that were historically made.
     For a period of time prior to us becoming current in our reporting obligations under the Exchange Act in 2007, we suspended the granting of any stock options. However, upon hiring certain of our executive officers during this suspension period, we agreed in such executives’ employment agreements to make an option grant upon us becoming current in our reporting obligations under the Exchange Act. Therefore, on October 4, 2007, the date we became current in our reporting obligations under the Exchange Act, we made the following stock option grants to the following former named executive officers (as defined below) (Special Option Grants):
         
    Number of Shares
Name   Subject to Grant
Kathleen E. Donovan
     80,000  
R. Scott Bennett
     60,000  
Mark Ivie
     60,000  
     Each Special Option Grant had an exercise price of $11.20, which was the closing price of our common stock as reported by the Pink Sheets on October 4, 2007, and will expire on October 4, 2017. Additionally, each Special Option Grant will vest in equal annual installments over five years, subject to such executive officer’s continued employment with us through the applicable vesting date. Each Special Option Grant became fully vested in accordance with the terms of such Special Option Grant upon CBay’s purchase of Philips’ majority interest in us in August 2008. None of options granted to Ms. Donovan, Mr. Bennett or Mr. Ivie were exercised within 90 days following their respective separations from the Company and, in accordance with their terms, Ms. Donovan’s options terminated on February 19, 2009, Mr. Bennett’s options terminated in January 28, 2009 and Mr. Ivie’s options terminated on October 29, 2009.
     In addition to the Special Option Grants, on September 30, 2008 (Grant Date), we made a stock option grant (Original Stock Option Grant) to Mr. Masanotti, to purchase up to 295,749 shares of our common stock at the fair market value of our common stock as of September 30, 2008, which was $4.85 per share, with the options expiring on September 30, 2018. The number of shares that Mr. Masanotti was granted an option to purchase was provided for in Mr. Masanotti’s Employment Agreement with us dated September 3, 2008 (Masanotti Employment Agreement). On March 2, 2009, we entered into an Amended and Restated Stock Option Agreement with Mr. Masanotti (Amended Masanotti Option Agreement), to (i) amend the exercise price of the stock option grant and (ii) to provide that if Mr.

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Masanotti’s employment by us or one of our subsidiaries is terminated by us for “cause” as defined in the Masanotti Employment Agreement, the option will terminate immediately in full whether or not vested or exercisable. The Amended Masanotti Option Agreement provides, among other things, that:
  •   the exercise price shall be equal to the higher of (i) the fair market value of the Company’s common stock as of the Grant Date or (ii) $8.25. The fair market value of our common stock (as reported by NASDAQ) on the Grant Date was $4.85, accordingly the exercise price is $8.25;
 
  •   one-third (1/3) of the shares subject to the option vest on the first anniversary of the Grant Date and, thereafter, one-sixth (1/6) of the shares subject to the option vest on each of the following: the date that is six months after the first anniversary of the Grant Date, the second anniversary of the Grant Date, the date that is six months after the second anniversary of the grant date, and the third anniversary of the Grant Date;
 
  •   upon the occurrence of a “change in control” or our termination of Mr. Masanotti’s employment by us “without cause” or by him for “good reason” (each, as defined in the Masanotti Employment Agreement), the options shall become immediately exercisable, to the extent not already vested; and
 
  •   in the event of termination of Mr. Masanotti’s employment for any reason other than “without cause” by us, or for “good reason” by him, any of the unvested options shall be immediately forfeited.
     Messrs. Sullivan and Clark received grants of stock options as part of their compensation prior to the decision by our board of directors on June 2004 to not provide traditional equity-based long term incentives. Such grants, to the extent they have not expired, are shown below in the under the heading “Outstanding Equity Awards at Fiscal Year-End.”
     Mr. Hoffmann did not receive an option grant in connection with his provision of services to us because our agreement with Nightingale did not allow for any amounts payable to Nightingale for the services provided by Mr. Hoffmann to be paid in a form other than cash.
     2009 Long Term Incentive Plan
     In August 2009 our board of directors adopted a long-term incentive plan (LTIP) for certain members of our senior management team. The LTIP is administered by the Compensation Committee and is designed to encourage and reward the creation of long-term equity value by certain members of our senior management team. Effective as of January 1, 2009, certain executives and key employees who will be selected by the Compensation Committee will be eligible to participate in the LTIP. Cash payments pursuant to the LTIP will be made in three equal annual installments during the three years following the expiration of the LTIP’s term (December 31, 2011). As of November 20, 2009, no selection of the executives or key employees eligible for participation in the LTIP have been made and no awards under the LTIP have been made.

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Severance and Retention Agreements
     Employment Agreement Severance
     The severance arrangements applicable to Messrs. Masanotti, Ivie, Sullivan, Clark and Brennan are set forth in each of their respective employment agreements, as discussed in detail below under the heading “Potential Payments Upon Termination or Change in Control.” Our former Senior Vice President of Sales and Marketing, Mr. Bennett, is no longer employed by us. The terms of his separation from us, including severance payments, are set forth in the agreement we entered into with him that is discussed in detail below under the heading “Separation Arrangements with Former Executive Officer.” We did not enter into a separation agreement with (i) Mr. Hoffmann or Nightingale in connection with the termination of his services to us, (ii) Ms. Donovan in connection with her resignation, or (iii) Mr. Ivie in connection with his resignation, nor do we have any continuing obligations to Mr. Hoffmann, Ms. Donovan or Mr. Ivie.
     Retention and Strategic Transaction Bonus Agreements
     On July 11, 2007 we publicly announced that at the direction of our board of directors, we had engaged Bear, Stearns & Co. Inc. as our financial advisor to advise us on potential strategic alternatives. In recognizing that the uncertainty created by our announcement could be a distraction to our employees, including our executive officers, and could cause employees to consider alternative employment opportunities, our board of directors determined that it was in our best interest and the best interest of our shareholders to assure that we would have the continued dedication and objectivity of certain key management personnel, including our executive officers, notwithstanding the possibility, threat or occurrence of a change in our ownership structure.
     With these objectives in mind, in September 2007 we entered into substantially identical “Retention and Strategic Transaction Bonus Agreements” (Retention Bonus Agreements) with each of Ms. Donovan and Messrs. Bennett, Ivie, Sullivan and Clark. The Retention Bonus Agreements were designed to provide each executive with an incentive to remain with us through February 29, 2008 and to further reward each executive in the event a strategic transaction (as defined below) was completed. In the event a strategic transaction was completed and if so desired by the successor company, the Retention Bonus Agreements provided an incentive for each executive to remain employed for a period of time following the closing of that strategic transaction.
     For the purposes of the Retention Bonus Agreements and the March 2008 Letter Agreement (as defined below), a “strategic transaction” included (i) a transaction or series of related transactions whereby, we directly or indirectly, acquire control of, or a significant interest in, another entity having an enterprise value of greater than $50,000,000, as determined by our board of directors; or (ii) a transaction or series of related transactions whereby, directly or indirectly, control of, or a significant interest in (other than solely a secured interest in us through a debt transaction), us or any of our businesses or assets is transferred for consideration, including, without limitation, a sale, acquisition or exchange of stock or assets, a lease or license of assets, or a merger, consolidation or reorganization, tender offer, leveraged buyout, “going private” transaction or other extraordinary corporate transaction or business combination involving us, including any such transaction in which our equity securities not held by Philips are acquired by a third-party provided, however, that a secured interest in us or any of our businesses or assets arising solely from a debt transaction will not be considered to be a strategic transaction, Notwithstanding the foregoing, a strategic transaction did not include a transaction described above with any of our affiliates or an affiliate of any holder of more than 50% of our capital stock.

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     Under the terms of their respective Retention Bonus Agreements, Ms. Donovan and Messrs. Bennett, Ivie, Sullivan and Clark each received an amount equal to 75% of his or her respective Target Incentives under the 2007 Plan on March 14, 2008 for his or her continued service to us through February 29, 2008 (Service-Based Payment) and each received an additional amount equal to 75% of his or her respective Target Incentive under the 2007 Plan in November 2008 following completion of a strategic transaction (Success-Based Payment). Our board of directors believed that the amounts potentially payable under the Retention Bonus Agreements, in each case equal to approximately 67.5% of the executive officer’s annual base salary, were reasonable and appropriate to achieve the objectives described above, and were consistent with our overall compensation philosophy and objectives as described previously in this report.
     — Service-Based Payment
     As described above, the Service-Based Payments became payable on February 29, 2008. On March 14, 2008, we paid Ms. Donovan and Messrs. Bennett, Ivie, Sullivan and Clark, $126,563, $81,000, $77,963, $77,963 and $75,938, respectively, in connection with this portion of the Retention Bonus.
     — Success-Based Payment
     As described above, the Success-Based Payments became payable on November 4, 2008. In connection with this portion of the Retention Bonus, we paid (i) Ms. Donovan and Messrs. Ivie, Sullivan and Clark, $126,563, $77,963, $77,963 and $75,938, respectively, on November 10, 2008 and (ii) Mr. Bennett $81,000 on November 14, 2008.
Benefits and Perquisites
     Benefits
     We maintain broad-based benefits that are provided to all full-time employees, including health and dental insurance, life and disability insurance and our 401(k) plan. Certain of these benefits require employees to pay a portion of the premium. These benefits are offered to our executive officers on the same basis as all other employees, except that we provide, and pay the premiums for, additional long term disability and life insurance coverage for such executive officers. Mr. Hoffmann did not receive any of these benefits under the terms of our engagement with Nightingale. Mr. Bennett and Ms. Donovan are no longer employed by us and therefore do not receive any of these benefits.
     We also maintained a deferred compensation plan for certain of our employees (Deferred Compensation Plan). In the third quarter of 2009 we terminated the Deferred Compensation Plan and distributed plan assets to members and liquidated the plan assets. The Deferred Compensation Plan was administered by the Compensation Committee and previously allowed certain members of management and other highly compensated employees to defer a certain percentage of their income. Our board of directors indefinitely suspended the Deferred Compensation Plan in June 2004. Mr. Sullivan was our only executive officer who participated in the Deferred Compensation Plan while it was active and was our only executive officer with an account balance in our Deferred Compensation Plan prior to its termination. Information regarding Mr. Sullivan’s participation in the Deferred Compensation Plan is described below under “Nonqualified Deferred Compensation.”
     Perquisites or Other Personal Benefits
     Our executive officers are entitled to few perquisites or other personal benefits that are not otherwise available to all of our employees. In 2008, we provided premium payments for additional long term disability and life insurance coverage to our executive officers other than Mr. Hoffmann.

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     Additional compensation provided to Nightingale for Mr. Hoffmann’s services (including certain travel and lodging expenses associated with his engagement by us) and to Mr. Masanotti (including certain travel and lodging expenses) are detailed below under the heading “Summary Compensation Table.”
     These perquisites or other personal benefits represent a relatively modest portion of each executive officer’s compensation. We do not anticipate any significant changes to the perquisites or other personal benefits levels of our executive officers for 2009.
     Compensation of our President and Chief Executive Officer
     Compensation of Mr. Masanotti, our President and Chief Executive Officer
     On September 4, 2008, our board of directors appointed Mr. Masanotti to serve as our Chief Executive Officer as of September 16, 2008. In November 2008, our board appointed Mr. Masanotti to also serve as our President. In connection with his appointment as our Chief Executive Officer, we entered into an employment agreement with Mr. Masanotti, dated as of September 3, 2008 (Masanotti Employment Agreement), pursuant to which Mr. Masanotti will serve as our Chief Executive Officer through December 31, 2011. Our board of directors is responsible for monitoring and reviewing the performance of Mr. Masanotti on an ongoing basis.
     In structuring Mr. Masanotti’s compensation, our board of directors considered the importance of motivating a new Chief Executive Officer to make a long-term commitment to us and to consistently grow our business. Based on these and other considerations, our board of directors approved compensation for Mr. Masanotti comprised of a sign-on bonus, base salary, cash bonus and equity incentives. Pursuant to the terms of his employment agreement, Mr. Masanotti was entitled to receive up to $800,000 on February 1, 2009 as a sign-on bonus. Due to the amount of the bonus payment relating to the 2008 fiscal year that Mr. Masanotti received from his prior employer (Prior Employer Bonus), in accordance with the terms of the Masanotti Employment Agreement, our obligation to pay any portion of the sign-on bonus on February 1, 2009 was eliminated.
     In addition, Mr. Masanotti will receive an annual base salary of $500,000 and an annual bonus award based upon the achievement of target performance objectives established by our board of directors, equal to up to 140% of his base salary, or $700,000 based upon his current base salary. The Masanotti Employment Agreement provides that Mr. Masanotti’s target performance objectives will be established by our board of directors within the first three months of each fiscal year during the term of his employment agreement. Our board of directors has determined that Mr. Masanotti’s target performance objectives for 2009 are the performance objectives contained our 2009 Management Incentive Plan. See the discussion under the heading “2009 Management Incentive Plan” on page 28 for a description of the performance objectives contained our 2009 Management Incentive Plan. Our board of directors believes that the target performance objectives, although not guaranteed, will be capable of being achieved if Mr. Masanotti meets or exceeds his individual objectives, if we perform according to our operating plans and if the assumptions in our operating plans prove correct.
     Pursuant to the terms of the Masanotti Employment Agreement, Mr. Masanotti received a stock option grant from us to purchase up to 295,749 shares of our common stock. See “Long-Term Incentives — Equity-Based Incentives” above, for additional information regarding the stock option grant to Mr. Masanotti.

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     Compensation of Mr. Hoffmann, our Former President and Chief Executive Officer
     As a result of allegations that we had engaged in improper billing practices, our board of directors appointed Howard S. Hoffmann as our Interim Chief Executive Officer in July 2004. Our board of directors based its decision to retain Mr. Hoffmann’s services based upon Mr. Hoffmann’s extensive financial, operational and managerial experience, including financial and operational restructurings, in a wide range of industries. In connection with his appointment, we entered into a letter agreement with Nightingale, dated as of July 29, 2004 and amended as of December 16, 2004, September 25, 2006, January 8, 2007 (January 2007 Letter Agreement), September 19, 2007 (September 2007 Letter Agreement) and March 14, 2008 (March 2008 Letter Agreement), pursuant to which Nightingale assigned the services of Mr. Hoffmann to us to serve as our Chief Executive Officer. With the departure of our former President, in May 2007, our board of directors appointed Mr. Hoffmann to the additional position of President in June 2007. Mr. Hoffmann served as our President and Chief Executive Officer through June 10, 2008 pursuant to the terms of our agreement with Nightingale. Our board of directors was responsible for monitoring and reviewing the performance of Mr. Hoffmann on an ongoing basis.
     In structuring Nightingale’s compensation for Mr. Hoffmann’s services, our board of directors attempted to align Nightingale’s interests with the successful implementation and achievement of our corporate objectives, including achieving corporate operational improvements and bringing current our required reporting obligations under the Exchange Act. Based on this objective, the compensation for Mr. Hoffmann’s services consisted of fixed monthly cash payments and cash bonuses payable upon our achievement of certain corporate operational improvements. Our board of directors believed that the amount of these fixed and contingent cash payments was appropriate and reasonable in light of Mr. Hoffmann’s experience and the challenges associated with his role as our President and Chief Executive Officer.
     In 2008, we paid to Nightingale the sum of $120,000 per month through June 10, 2008, for Mr. Hoffmann’s service as our President and Chief Executive Officer. In addition, we reimbursed Nightingale for any out-of-pocket expenses incurred by Mr. Hoffmann in the course of his service as our President and Chief Executive Officer. Examples of such out-of-pocket expenses include transportation, meals, lodging, telephone, specifically assignable secretarial and office assistance, and report production.
Engagement Completion Bonus
     Nightingale received an engagement completion bonus in the amount of $132,500 because Mr. Hoffmann served as our President and Chief Executive Officer through February 29, 2008 (Engagement Completion Bonus). We paid Nightingale the Engagement Completion Bonus in a lump sum on March 17, 2008. In the March 2008 Letter Agreement, we extended Mr. Hoffmann’s service to us as our President and Chief Executive Officer through August 1, 2008.
2008 March-July Performance Bonus
     The terms of our agreement with Nightingale provided for a payment of up to $160,000 as a performance bonus to Nightingale for the period beginning on March 1, 2008 and ending on July 31, 2008 (2008 March-July Performance Bonus) in consideration of Mr. Hoffmann’s services to us as our President and Chief Executive Officer. The amount of the 2008 March-July Performance Bonus was decided by our board of directors and was based upon the achievement of certain operational objectives previously established by our board of directors and Nightingale. On June 10, 2008, we terminated our agreement with Nightingale prior to the August 1, 2008 termination date previously contemplated. On July 9, 2008, Nightingale was paid a 2008 March-July Performance Bonus in the amount of $114,286, in connection with Mr. Hoffmann’s services to us from March 1, 2008 through June 10, 2008. The amount of such bonus was decided by our board of directors and was based upon the achievement of certain operational objectives previously established by our board of directors and Nightingale.

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Strategic Transaction Bonus
     The September 2007 Letter Agreement and the March 2008 Letter Agreement granted Nightingale the right to receive a bonus if a strategic transaction was completed (Success-Based Bonus). The amount of the Success-Based Bonus was $132,500 and was payable if a strategic transaction closed and either:
  •   Mr. Hoffmann continued to serve as our President and Chief Executive Officer for the 90 day period immediately following the closing of a strategic transaction (Post-Closing Period), or
 
  •   Nightingale’s engagement with us (or any successor to its business), including the retention of Mr. Hoffmann as our (or our successor’s) President and Chief Executive Officer, terminated upon the closing of a strategic transaction or at any time during the Post-Closing Period.
     Notwithstanding the foregoing, the Success-Based Bonus would not apply upon the closing of a strategic transaction with any of our affiliates or an affiliate of any holder of more than 50% of our capital stock.
     Mr. Hoffmann stopped providing services to us on June 10, 2008, which was prior to the consummation of CBay’s purchase of Philips’ majority interest in us. No Success-Based Bonus was payable or paid to Nightingale in connection with Mr. Hoffmann’s services.
Tax and Accounting Considerations Affecting Executive Compensation
     We structure our compensation program in a manner that is consistent with our compensation philosophy and objectives. However, while it is the Compensation Committee and our board of directors’ general intention to design the components of our executive compensation program in a manner that is tax efficient for both us and our executives, there can be no assurance that the Compensation Committee or our board of directors will always approve compensation that is tax advantageous for us.
     We endeavor to design our equity incentive awards conventionally, so that they are accounted for under standards governing equity-based arrangements and, more specifically, so that they are afforded fixed treatment under those standards.

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Compensation of our Named Executive Officers
Summary Compensation Table
     The following table sets forth, for the year ended December 31, 2008, summary information concerning compensation of (i) all individuals who served as our Chief Executive Officer in 2008; (ii) all individuals who served as our Chief Financial Officer in 2008; (iii) our most highly compensated executive officers in 2008, other than those who served as our Chief Executive Officer and Chief Financial Officer during the year ended December 31, 2008, who were serving as executive officers as of December 31, 2008; and (iv) one additional individual, who was one of our three most highly compensated executive officers in 2008 but was not serving as an executive officer as of December 31, 2008 (collectively, the named executive officers).
                                                         
                                    Non-Equity        
                            Option   Incentive Plan   All Other    
Name and           Salary   Bonus(1)   Awards(12)   Compensation(2)   Compensation(3)   Total
Principal Position   Year   ($)   ($)   ($)   ($)   ($)   ($)
Peter Masanotti,
     2008       125,000       —       65,721       —       3,118       193,839  
President and Chief
Executive Officer (4)
                                                        
Mark Ivie,
    2008       248,400       155,926       —       111,212       1,842       517,380  
Interim President and
     2007       229,250       —       —       31,185       7,438       267,873  
Chief Executive
     2006       225,000       45,000               —       3,427       273,427  
Officer; and Senior
Vice President and
Chief Technology Officer (5)
                                                        
Howard S. Hoffmann,
     2008       —       —       —       —       913,113       913,113  
Former President and
     2007       —       —       —       —       1,788,440       1,788,440  
Chief Executive
    2006       —       —       —       —       2,029,273       2,029,273  
Officer (6)
                                                        
Kathleen E. Donovan,
     2008       358,828       253,126       —       140,781       668       753,403  
Former Senior Vice
     2007       375,000       125,000       —       50,625       7,896       558,521  
President and Chief
     2006       375,000       134,375       —       —       5,132       514,507  
Financial Officer (7)
                                                        
James Brennan,
     2008       219,569       —       —       66,435       1,741       287,745  
Interim Principal
Financial Officer; and
Principal Accounting
Officer,Controller,
Treasurer and Vice President (8)(9)
                                                        
Mark R. Sullivan ,
     2008       235,909       155,926       —       107,069       1,836       500,740  
General Counsel, Chief
     2007       229,250       25,000               31,185       7,272       292,707  
Compliance Officer and Secretary (10)
                                                        
Michael Clark,
     2008       229,781       151,876       —       119,469       1,808       502,934  
Chief Operating
Officer; and Senior
Vice President of
Operations (8)
                                                       
R. Scott Bennett,
     2008       213,249       162,000       —       90,100       307,598       772,947  
Former Senior Vice
     2007       240,000       —       —       32,400       7,047       279,447  
President of Sales and
     2006       240,000       54,000       —       —       1,879       295,879  
Marketing (11)
                                                        
 
(1)   The amounts reported in this column for 2008 for Mr. Ivie, Ms. Donovan, Mr. Sullivan, Mr. Clark and Mr. Bennett consist of the Service-Based Payment and Success-Based Payment pursuant to their Retention Bonus Agreements.
 
(2)   The amounts in this column represent payments made pursuant to our 2008 Plans.
 
(3)   The amounts reported in this column for 2008 represent the following:

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                    Long Term                
    Company   Group Life   Disability                
    Matching   Insurance   Insurance           Other    
    401(k)   Premium   Premium   Other   Contractual    
    Contributions   Cost   Cost   Perquisites   Payments    
Name   ($)   ($)   ($)   ($)   ($)   Total
Peter Masanotti
     —       182       1,293       1,643 (a)             3,118  
Mark Ivie
     —       729       1,113                       1,842  
Howard S. Hoffmann
     —       —       —       18,942 (b)     894,171 (c)     913,113  
Kathleen E. Donovan
     —       668               —       —       668  
James Brennan
     —       711       1,030                       1,741  
Mark R. Sullivan
     —       729       1,107       —       —       1,836  
Michael Clark
     —       729       1,079                       1,808  
R. Scott Bennett
     —       608       957       —       306,033 (d)     307,598  
 
(a)   This amount consists of reimbursements paid to Mr. Masanotti for lodging expenses by him in connection with his employment in 2008.
 
(b)   This amount consists of reimbursements paid to Nightingale for lodging expenses, mileage, toll and parking expenses, and certain other miscellaneous living expenses incurred by Mr. Hoffmann during his service as our President and Chief Executive Officer in 2008.
 
(c)   For the year ended December 31, 2008, the amount shown as Other Contractual Payments made to Mr. Hoffmann consist of (i) $640,000 to Nightingale, the primary purpose of which was to compensate Nightingale for Mr. Hoffmann’s service as our President and Chief Executive Officer, (ii) $132,500 to Nightingale for the Engagement Completion Bonus paid on March 17, 2008, (iii) $7,385 to Nightingale, which represents certain reimbursable business related expenses incurred by Mr. Hoffmann in his capacity as our President and Chief Executive Officer during 2008 and (iv) $114,286 to Nightingale for the 2008 March-July Performance Bonus paid on July 9, 2008.
 
(d)   This amount represents severance payments made or payable to Mr. Bennett in connection with the separation agreement we entered into with Mr. Bennett on November 14, 2008.
 
(4)   Mr. Masanotti’s employment with us commenced on September 16, 2008.
 
(5)   Mr. Ivie served as our Interim President and Chief Executive Officer from June 2008 until September 2008. Mr. Ivie relinquished his role as Interim President and Chief Executive Officer upon Mr. Masanotti joining us in September 2008, and Mr. Ivie continued to serve us as our Senior Vice President and Chief Technology Officer until his employment with us ended upon his resignation effective on July 31, 2009.

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(6)   Mr. Hoffmann’s service as our interim President and Chief Executive Officer and the related engagement of Nightingale terminated on June 10, 2008.
 
(7)   Ms. Donovan’s employment with us ended upon her resignation effective on November 21, 2008, and the amounts included for her represents amounts earned during 2008. Ms. Donovan’s base salary for 2008 on an annualized basis was $386,250.
 
(8)   With respect to Messrs. Brennan and Clark, information for the fiscal year ended December 31, 2007 is omitted because neither Mr. Brennan nor Mr. Clark was a named executive officer in our definitive proxy statement that was filed with the SEC in December 2008.
 
(9)   Mr. Brennan served as our has served as our Interim Principal Financial Officer from November 2008 to April 2009. Mr. Brennan relinquished his role as Interim Principal Financial Officer upon Mr. Golio joining us as Chief Financial Officer in April 2009. Mr. Brennan continues to serve as our Principal Accounting Officer, Controller, Treasurer and Vice President.
 
(10)   With respect to Mr. Sullivan, information for the fiscal year ended December 31, 2006 is omitted because was not a named executive officer in our definitive proxy statement that was filed with the SEC in December 2007.
 
(11)   Mr. Bennett’s employment with us terminated on October 30, 2008, and the amounts included for him represents amounts earned during 2008. Mr. Bennett’s base salary for 2008 on an annualized basis was $247,200.
 
(12)   The amount in this column reflects the dollar amount recognized for financial statement reporting purposes for the applicable fiscal year in accordance with Statement of Financial Accounting Standards (SFAS) No. 123 (revised 2004), Share-Based Payment (SFAS No. 123R), for stock options granted to our named executive officers during fiscal 2008, 2007 and 2006. See Note 13 to the Notes to our financial statements included in Item 8 of our Annual Report on Form 10-K for the year ended December 31, 2008 filed with the SEC on March 11, 2009, for a discussion of the assumptions used in determining the fair value calculation of each option award.

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Grants of Plan-Based Awards
          The following table sets forth each grant of an award made to each named executive officer for the year ended December 31, 2008.
                                                         
                                    All Other        
                                    Option        
                                    Awards:        
                                    Number of   Exercise    
            Estimated Future Payouts Under   Securities   Price of    
            Non-Equity Incentive Plan Awards(1)   Underlying   Option   Grant Date Fair
    Grant   Threshold   Target   Maximum   Options   Awards   Value of Option
            Name   Date   ($)   ($)   ($)   (#)(2)   ($/Sh)   Awards ($)(3)
Peter Masanotti
     9/30/2008       —       —       —       295,749       4.85 (4)     775,221  
Mark Ivie
             21,414       107,069       167,027       —       —       —  
Howard S. Hoffmann
             —       —       —       —       —       —  
Kathleen E. Donovan
             34,763       173,813       271,148       —       —       —  
James Brennan
             13,287       66,435       103,639       —       —       —  
Mark R. Sullivan
             21,414       107,069       167,027       —       —       —  
Michael Clark
             20,858       104,288       162,689       —       —       —  
R. Scott Bennett
             22,248       111,240       173,534       —       —       —  
 
(1)   Includes the 2008 threshold, target and maximum payouts designated under the 2008 Plans discussed above in the “Compensation Discussion and Analysis” section. We achieved 101% of the net revenues target and 117% of the income from operations target, but did not meet the threshold level of performance for the sales orders target. Each executive officer (other than Mr. Hoffmann who did not participate in the 2008 Plans) was determined to have fully achieved his or her individual performance objectives and therefore received 100% of his or her Target Incentive under the 2008 Plans, with the exception of Mr. Clark, who received 115% of his Target Incentive because he was deemed to have exceeded his individual performance objectives. The named executives that received payments under the 2008 Plan were: Mr. Ivie ($90,864); Ms. Donovan ($140,781); Mr. Brennan ($53,810); Mr. Sullivan ($86,721); Mr. Clark ($84,469); and Mr. Bennett ($90,100), and such payments were made on August 29, 2008. The named executives that received payments under the Remainder of 2008 Plan were: Mr. Ivie ($20,348); Mr. Brennan ($12,625), Mr. Sullivan ($20,348); and Mr. Clark ($35,000), and such payments were made on March 13, 2009.
 
(2)   The options will expire on September 30, 2018 and one-third (1/3) of the shares subject to the option vest on the first anniversary of the Grant Date and, thereafter, one-sixth (1/6) of the shares subject to the option vest on each of the following: the date that is six months after the first anniversary of the Grant Date, the second anniversary of the Grant Date, the date that is six months after the second anniversary of the grant date, and the third anniversary of the Grant Date.
 
(3)   The grant date fair value of each option award was determined in accordance with SFAS No. 123R. See Note 13 to the Notes to our financial statements included in Item 8 of our Annual Report on Form 10-K for the year ended December 31, 2008 filed with the SEC on March 11, 2009, for assumptions used in determining the grant date value of each option award.
 
(4)   As discussed in “Long-Term Incentives — Equity-Based Incentives” above, on September 30, 2008 (Grant Date), we made a stock option grant (Original Stock Option Grant) to Mr. Masanotti, to

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    purchase up to 295,749 shares of our common stock at the fair market value of the our common stock as of September 30, 2008, which was $4.85 per share, with the options expiring on September 30, 2018. On March 2, 2009, we entered into an Amended and Restated Stock Option Agreement with Mr. Masanotti (Amended Masanotti Option Agreement), to, among other things, amend the exercise price of the stock option grant. The Amended Masanotti Option Agreement provides, among other things, that the option price is equal to the higher of (i) the fair market value of the Company’s common stock as of the Grant Date or (ii) $8.25. The fair market value of our common stock (as reported by NASDAQ) on the Grant Date was $4.85, accordingly the exercise price is $8.25.
Narrative Disclosure to Summary Compensation Table and Grants of Plan-Based Awards Table
     Other than with respect to Mr. Hoffmann, we have or had written employment agreements with each of our named executive officers that provide or provided for the payment of base salary and for each named executive officer’s participation in our bonus programs and employee benefit plans.
     Our agreement with Nightingale contained unique terms as a result of the nature of its engagement by us, all of which are discussed in detail above. In addition, each agreement other than our agreement with Nightingale specifies payments and benefits that would be due to such named executive officer upon the termination of his or her employment with us. See “Potential Payments Upon Termination or Change-In-Control” below, for additional information regarding amounts payable upon termination to each of our named executive officers other than Mr. Hoffmann.
Outstanding Equity Awards at Fiscal Year-End
          The following table sets forth all outstanding equity awards held by each of our named executive officers as of December 31, 2008.
                                 
                         
    Number of Securities Underlying        
    Unexercised Options (#)   Option Exercise   Option Expiration
Name   Exercisable   Unexercisable   Price ($)   Date
Peter Masanotti
     —       295,749 (5)     4.85 (6)   September 30, 2018
 
                                
Mark Ivie
     60,000 (1)     —       11.20     October 4, 2017(7)
 
                                
Howard S. Hoffmann
     —       —       —       —  
 
                                
Kathleen E. Donovan
     80,000 (1)     —       11.20     October 4, 2017(7)
 
                                
James Brennan
     —       —       —       —  
 
                                
Mark R. Sullivan
     2,500 (2)     —       16.21     March 17, 2013
 
                                
R. Scott Bennett
     60,000 (1)     —       11.20     October 4, 2017(7)
 
                                
Michael Clark
     20,000 (3)             27.89     May 29, 2012
      9,000 (4)     —       17.45     February 4, 2013
 
(1)   Options vested in full on August 6, 2008 upon the consummation of CBay’s purchase of Philips’ majority interest in us.
 
(2)   Options vested in full on March 13, 2008.

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(3)   Options vested in full on May 29, 2007.
 
(4)   Options vested in full on February 4, 2008.
 
(5)   98,583 of the shares subject to the option vested on September 30, 2009. 49,292 of the shares subject to the option vest on March 31, 2010, 49,291 of the shares vest on September 30, 2010, 49,291 of the shares vest on March 31, 2011 and 49,291 of the shares vest on September 30, 2011.
 
(6)   As discussed in “Long-Term Incentives — Equity-Based Incentives” above, on September 30, 2008 (Grant Date), we made a stock option grant to Mr. Masanotti, to purchase up to 295,749 shares of our common stock at the fair market value of the our common stock as of September 30, 2008, which was $4.85 per share, with the options expiring on September 30, 2018. On March 2, 2009, we entered into the Amended Masanotti Option Agreement with Mr. Masanotti, to, among other things, amend the exercise price of the stock option grant. The Amended Masanotti Option Agreement provides, among other things, that the option price is equal to the higher of (i) the fair market value of the Company’s common stock as of the Grant Date or (ii) $8.25. The fair market value of our common stock (as reported by NASDAQ) on the Grant Date was $4.85, accordingly the exercise price is $8.25.
 
(7)   As discussed in footnote (1) above, the options granted to each of Ms. Donovan, Mr. Bennett and Mr. Ivie became fully vested in accordance with the terms of such option grant upon CBay’s purchase of Philips’ majority interest in us in August 2008. None of options granted to Ms. Donovan, Mr. Bennett or Mr. Ivie were exercised within 90 days following their respective separations from the company and, in accordance with their terms, Ms. Donovan’s options terminated on February 19, 2009, Mr. Bennett’s options terminated in January 28, 2009, and Mr. Ivie’s options terminated on October 29, 2009.
Option Exercises and Stock Vested During Last Fiscal Year
     There were no option exercises by any of our named executive officers during the year ended December 31, 2008.
Pension Benefits
     None of our named executive officers participate in or have account balances in qualified or non-qualified defined benefit plans that provide for payments or other benefits at or in connection with retirement sponsored by us.
Nonqualified Deferred Compensation
     Prior to June 2004, participants in our Deferred Compensation Plan could defer up to 15% of their base salary and up to 90% of any bonus compensation into an account in which the proceeds would be available to the participant after termination of employment or prior to termination of employment after the participant reaches the age of 65. Upon enrollment, the participant could elect the method and timing of distributions in the participant’s enrollment agreement. All deferred amounts increase or decrease based on hypothetical investment results of the participant’s selected investment alternatives. Our board of directors indefinitely suspended the Deferred Compensation Plan in June 2004. Mr. Sullivan is our only named executive officer who participated in the Deferred Compensation Plan while it was active.

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     Mr. Sullivan is the only one of our named executive officers who had an account balance in our Deferred Compensation Plan. Information related to Mr. Sullivan’s deferred compensation account balances is provided below. None of the amounts shown in the table below appear in the Summary Compensation Table for Mr. Sullivan.
                                         
                            Aggregate   Aggregate
    Executive   Our   Aggregate   Withdrawals/   Balance at
    Contributions   Contributions   Earnings in   Distributions in   December 31,
Name   in 2008 ($)   in 2008 ($)   2008 ($)   2008 ($)   2008 ($)
Mark R. Sullivan
     —       —       38       —       2,221  
     In the third quarter of 2009 we terminated the Deferred Compensation Plan and distributed plan assets to members, including Mr. Sullivan, who received a balance of $2,216.
Potential Payments Upon Termination or Change-In-Control
     The following is a discussion of payments and benefits that would be due to each of our named executive officers, other than Mr. Hoffmann, upon the termination of his or her employment with us. The amounts in the table below assume that each termination was effective as of December 31, 2008 and are merely illustrative of the impact of a hypothetical termination of each executive’s employment. The amounts to be payable upon an actual termination of employment can only be determined at the time of such termination based on the facts and circumstances then prevailing.
     We did not incur any severance or separation payment obligations in connection with (i) the termination of the engagement of Mr. Hoffmann, our former President and Chief Executive Officer, on June 10, 2008, (ii) the resignation of Ms. Donovan, our former Senior Vice President and Chief Financial Officer, effective on November 21, 2008, or (iii) the resignation of Mr. Ivie, our former Senior Vice President and Chief Technology Officer, effective on July 31, 2009. See the discussion under the heading “Compensation of our President and Chief Executive Officer” on page 33, for information regarding compensation arrangements with Nightingale related to Mr. Hoffmann’s service to us as President and Chief Executive Officer. The actual payments made, or to be made, to Mr. Bennett, our former Senior Vice President of Sales and Marketing, as a result of the termination of his employment are described below under the caption “Separation Arrangements with Former Executive Officers.”
Severance Payments
Mr. Masanotti
     Under the terms of our employment agreement with Mr. Masanotti, he will be entitled to the following severance payments in the event his employment is terminated by us “without cause” (as defined below), if he resigns for “good reason” (as defined below), or if we elect not to extend the term of Mr. Masanotti’s employment beyond the initial term or any of the automatic one-year extensions following the initial term of the employment agreement: continuation of his then current base salary for a period of 12 months. In order to receive the severance payments described herein, Mr. Masanotti is required to execute and deliver a general release of claims against us.
     As used in Mr. Masanotti’s employment agreement with us, the term “cause” means the occurrence of any of the following: (1) his failure to substantially perform his duties set forth in the employment agreement (other than as a result of total or partial incapacity due to physical or mental illness) for a period of 15 days following written notice by us to him of such failure, (2) dishonesty in the performance of his duties hereunder, (3) his conviction of, or plea of nolo contendere to a crime constituting (x) a

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felony under the laws of the United States or any state thereof or (y) a misdemeanor involving moral turpitude, (4) his willful malfeasance or willful misconduct in connection with his duties set forth in the employment agreement or any willful act or omission which is demonstrably injurious to our financial condition or business reputation or any of our subsidiaries or affiliates or (5) his breach of the provisions in the employment agreement relating to non-competition, confidentiality and our intellectual property.
     As used in Mr. Masanotti’s employment agreement with us, the term “good reason” means (1) the failure of us to pay or cause to be paid his base salary or annual bonus, when due pursuant to the terms of the employment agreement, (2) any reduction in his base salary or annual bonus opportunity set forth in the employment agreement, (3) any substantial and sustained diminution in his authority, title, reporting relationship or responsibilities from those described in the employment agreement, or (4) our material breach of the employment agreement; provided that any of the foregoing events shall constitute good reason only if we fail to cure such event within 30 days after receipt from Mr. Masanotti of written notice of the event which constitutes good reason; provided, further, that “good reason” shall cease to exist for an event on the 60th day following the later of its occurrence or Mr. Masanotti’s knowledge thereof, unless he has given us written notice thereof prior to such date.
     Mr. Masanotti is bound by certain non-competition and non-solicitation covenants which extend for a period of 12 months following termination of his employment for any reason.
Messrs. Brennan, Sullivan and Clark
     Under the terms of our employment agreement with Mr. Brennan, he will be entitled to the continuation of his then current base salary for a period of 12 months in the event he is terminated “without cause” (as defined below).
     Under the terms of their respective employment agreements, each of Messrs. Sullivan and Clark will be entitled to the continuation of his then current base salary for a period of 12 months in the event he is terminated “without cause” (as defined below) or if he tenders his written resignation within 30 days following a substantial and material diminution of his duties or a reduction in his base salary in excess of 10%, which diminution or reduction is not cured by us within 10 days of receiving his written resignation.
     In order to receive the severance payments described above, each named executive officer is required to execute and deliver a general release of claims against us.
     As used in their respective employment agreements, the term “cause” means the occurrence of any of the following: (1) such named executive officer’s refusal, willful failure or inability to perform (other than due to illness or disability) his employment duties or to follow the lawful directives of his superiors; (2) misconduct or gross negligence by such named executive officer in the course of employment; (3) conduct of such named executive officer involving fraud, embezzlement, theft or dishonesty in the course of employment; (4) a conviction of or the entry of a plea of guilty or nolo contendere to a crime involving moral turpitude or that otherwise could reasonably be expected to have an adverse effect on our operations, condition or reputation; (5) a material breach by such named executive officer of any agreement with or fiduciary duty owed to us or (6) alcohol abuse or use of controlled drugs other than in accordance with a physician’s prescription.
Applicable Restrictive Covenants
     Mr. Brennan is bound by certain non-competition and non-solicitation covenants which extend for a period of two years following termination of his employment for any reason. Messrs. Sullivan and Clark

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are bound by substantially similar covenants for a period of 12 months following termination of their employment for any reason.
Retention Bonus Agreements
     As described above under the heading “Retention and Strategic Transaction Agreements,” (i) Ms. Donovan and Messrs. Bennett, Ivie, Sullivan and Clark, each received his or her Service-Based Payment portion of the Retention Bonus on March 14, 2008 and (ii) we made the Success-Based Payment portion of the Retention Bonus to (A) Ms. Donovan and Messrs. Ivie, Sullivan and Clark, on November 10, 2008 and (B) Mr. Bennett on November 14, 2008.
     Assuming a termination “without cause” had occurred on December 31, 2008 (the last business day of 2008), the payments to each of Messrs. Masanotti, Ivie, Brennan, Sullivan and Clark had an estimated value of:
                                 
    Salary           Accelerated    
    Continuation   Severance   Vesting Option    
Name   ($)   Bonus(1) ($)   Grants(2) ($)   Total ($)
Peter Masanotti
     500,000       —       —       500,000  
Mark Ivie
     237,930       47,466       —       285,396  
James Brennan
     221,450       —       —       221,450  
Mark R. Sullivan
     237,930       —       —       237,930  
Michael Clark
     229,781       —       —       229,781  
 
(1)   Calculated as an average of prior years’ bonuses received for Mr. Ivie. Messrs. Masanotti, Brennan, Sullivan and Clark are not entitled to any severance payments related to their bonuses paid in prior years.
 
(2)   For purposes of the table above, we have assumed that the named executive officer experienced an involuntary termination without cause on December 31, 2008. Pursuant to the terms of the stock option grant to Mr. Masanotti, in that hypothetical scenario the accelerated options would have become immediately exercisable. The closing price per share of our common stock on December 31, 2008 was $2.05. Because the closing price per share of our common stock on December 31, 2008 ($2.05) was less than the exercise price per share of the option grant to Mr. Masanotti ($4.85), the value of the option grant to Mr. Masanotti was zero as of the first day the option grant to Mr. Masanotti would be exercisable. As discussed in “Long-Term Incentives — Equity-Based Incentives” above, on September 30, 2008 (Grant Date), we made a stock option grant to Mr. Masanotti, to purchase up to 295,749 shares of our common stock at the fair market value of the our common stock as of September 30, 2008, which was $4.85 per share, with the options expiring on September 30, 2018. On March 2, 2009, we entered into the Amended Masanotti Option Agreement with Mr. Masanotti, to, among other things, amend the exercise price of the stock option grant. The Amended Masanotti Option Agreement provides, among other things, that the option price is equal to the higher of (i) the fair market value of the Company’s common stock as of the Grant Date or (ii) $8.25. The fair market value of our common stock (as reported by NASDAQ) on the Grant Date was $4.85, accordingly the exercise price is $8.25.
 
    Mr. Brennan has not received any stock option grants from us and the stock option grants to Messrs. Ivie, Sullivan and Clark fully vested prior to December 31, 2008

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Separation Arrangements with Former Executive Officers
R. Scott Bennett
     We entered into a formal Separation and Release Agreement with Mr. Bennett, our former Senior Vice President of Sales and Marketing, on November 14, 2008 (Bennett Separation Agreement). Pursuant to the terms of the Bennett Separation Agreement, Mr. Bennett is entitled to receive the following:
  •   continuation of Mr. Bennett’s base salary as of the time of his termination for a period of 12 months; and
 
  •   a payment equal to the average of the last three bonuses received by Mr. Bennett pursuant to our management incentive plans.
     The following table summarizes the payments Mr. Bennett is entitled to receive pursuant to the terms of the Bennett Separation Agreement.
         
    Payment
    Amount ($)
Severance Payment
   $ 247,200  
Severance Bonus
   $ 58,833  
     In addition, the Bennett Separation Agreement provides that Mr. Bennett will be bound by the non-competition and non-solicitation covenants set forth in his employment agreement for a period of 12 months following his termination of employment. The Bennett Separation Agreement also provides that Mr. Bennett releases us from claims arising or occurring on or prior to the date of the Bennett Separation Agreement.

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Certain Relationships and Related Transactions
Majority Shareholder
     On August 6, 2008, CBay acquired approximately 69.5% of our outstanding common stock from our former majority shareholder, Philips. The transaction was more fully described in our Current Report on Form 8-K filed with the SEC on August 8, 2009.
CBay
     2008 TSA
     On September 15, 2008, our wholly owned subsidiary, MedQuist Transcriptions, Ltd., entered into a transcription services agreement (2008 TSA) with CBay Systems & Services, Inc. (CBay Systems), an affiliate of our majority shareholder, CBay, pursuant to which we outsourced certain medical transcription services to CBay Systems. The 2008 TSA was terminated by mutual written agreement on October 26, 2009.
          For the year ended December 31, 2008, we incurred expenses of $283,014 pursuant to the 2008 TSA. Through September 30, 2009 we incurred expenses of $958,000 in connection with the 2008 TSA.
     Transcription Services Agreement
     On April 3, 2009, MedQuist Transcriptions, Ltd. entered into a transcription services agreement (Transcription Services Agreement) with CBay Systems pursuant to which we outsource certain medical transcription services to CBay Systems. Under the Transcription Services Agreement, we pay CBay Systems a per line fee based on each transcribed line of text processed and the specific type of service provided. CBay Systems will perform its services using our DocQment Enterprise Platform and will be held to certain performance standards and quality guidelines set forth in the Transcription Services Agreement. The specific services to be performed will be set forth in order forms delivered by us to CBay Systems from time to time during the term of the Transcription Services Agreement.
     The Transcription Services Agreement will expire on April 3, 2012 unless sooner terminated by either party. Either MedQuist Transcriptions, Ltd. or CBay Systems may terminate the Transcription Services Agreement prior to its expiration for any reason upon at least six months prior notice to the other party. In addition, either party may terminate the Transcription Services Agreement immediately upon written notice to the other party in the event the other party breaches any material obligation under the Transcription Services Agreement and fails to cure such breach within 30 days or the other party files for bankruptcy.
     Through September 30, 2009 we incurred expenses of $3,334,000 in connection with the Transcription Services Agreement.
     Subcontracting Agreement
     On March 31, 2009, MedQuist Transcriptions, Ltd. entered into a transcription services subcontracting agreement (Subcontracting Agreement) with CBay Systems, pursuant to which CBay Systems will subcontract certain medical transcription, editing and related services to MedQuist Transcriptions, Ltd. Under the Subcontracting Agreement, MedQuist Transcriptions, Ltd. will provide the medical transcription, editing and related services to CBay Systems using labor located within the United States using our DocQment Enterprise Platform. The specific services to be performed will be set forth in

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order forms delivered by CBay Systems to MedQuist Transcriptions, Ltd. from time to time during the term of the Subcontracting Agreement. MedQuist Transcriptions, Ltd. will receive 98% of the net monthly fees collected by CBay Systems to its customers for the services provided by MedQuist Transcriptions, Ltd.
     The Subcontracting Agreement will expire on March 31, 2012 unless sooner terminated by either party. Either MedQuist Transcriptions, Ltd. or CBay Systems may terminate the Subcontracting Agreement prior to its expiration for any reason upon at least six months prior notice to the other party. In addition, either party may terminate the Subcontracting Agreement immediately upon written notice to the other party in the event the other party breaches any material obligation under the Subcontracting Agreement and fails to cure such breach within 30 days or the other party files for bankruptcy.
     Through September 30, 2009, we recorded revenue of $975,000 under the terms of the Subcontracting Agreement.
     Management Service Agreement
     On September 19, 2009, we entered into a services agreement (Management Services Agreement) with CBay Inc. (CBay), pursuant to which certain senior executives and directors of CBay render to us, upon the request of our Chief Executive Officer, certain advisory and consulting services in relation to the our affairs and the affairs of our subsidiaries. The Management Services Agreement will remain in effect until the earliest to occur of (i) December 31, 2009, if either party gives notice of termination of the Services Agreement to the other party no later than December 1, 2009, (ii) the end of any calendar quarter subsequent to December 31, 2009, if either party gives notice of termination of the Services Agreement to the other party no later than thirty (30) days prior to the end of such calendar quarter, (iii) such time as CBay or its affiliates (other than the us and our subsidiaries) control, directly or indirectly, the power to vote less than thirty percent (30%) of the issued and outstanding common equity of the MedQuist, and (iv) such earlier date as we and CBay may mutually agree upon in writing. The Management Services Agreement provides that, in consideration of the management services rendered by CBay to us since July 1, 2009 and to be rendered by CBay to us pursuant to the Management Services Agreement, we will pay CBay a quarterly services fee equal to $350,000, which shall be payable in arrears.
     Through September 30, 2009 we incurred services expenses with CBay of $350,000 in connection with the Management Services Agreement.
     To ensure the terms of the Transcription Services Agreement, the 2008 TSA, the Subcontracting Agreement and the Management Services Agreement (collectively, the Agreements) and the transactions arising from the Agreements are arms’ length, the material terms and conditions of each of the Agreements were reviewed and approved by the Audit Committee of the our board of directors pursuant to our Related Party Transaction Policy. Our Audit Committee is comprised solely of independent directors, none of whom have an interest in either of the Agreements or the transactions arising from the Agreements.
     Services Provided by CBay
     For the year ended December 31, 2008, we incurred services expenses of $342,000 in connection with management services provided to us by CBay (2008 CBay Management Services) in the fourth quarter of 2008. For the first six months of 2009, we incurred services expenses of $700,000 in connection with management services provided to us by CBay (2009 CBay Management Services), prior to our entry into the Management Services Agreement with CBay described above.

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     The payment of the 2008 CBay Management Services was reviewed and approved by the Audit Committee of the our board of directors pursuant to our Related Party Transaction Policy.
Indemnification Agreements
     On August 23, 2007, we entered into indemnification agreements with Ms. Donovan and Messrs. Hoffmann, Ivie, Brennan, Sullivan, Clark and Bennett (Officer Indemnification Agreements). Each indemnification agreement is substantially similar and provides, among other things, that to the extent permitted by New Jersey law, we will indemnify the executive officer against all expenses (including attorneys’ fees), judgments, fines and amounts paid in settlement actually and reasonably incurred by him or her in conjunction with any suit in which he or she is a party or otherwise involved as a result of his or her service as an executive officer. Each of these indemnification agreements was amended on August 19, 2008 to require us to obtain and maintain insurance policies providing our executive officers with coverage for losses in connection with their acts or omissions or to ensure our performance of our indemnification obligations under the indemnification agreements.
     On December 7, 2007, December 11, 2007 and February 21, 2008, we entered into indemnification agreements with Messrs. O’Donoghue, Schwarz and Pinckert, respectively. Each indemnification agreement is substantially similar to the Officer Indemnification Agreements and provides, among other things, that to the extent permitted by New Jersey law, we will indemnify each of Messrs. O’Donoghue, Schwarz and Pinckert against all expenses (including attorneys’ fees), judgments, fines and amounts paid in settlement actually and reasonably incurred by him in connection with any suit in which he is a party or otherwise involved as a result of his service as a member of our board of directors.
     On August 19, 2008, we entered into indemnification agreements with Messrs. Aquilina, Baker, Berger and Seedman. Each indemnification agreement is substantially similar to the Officer Indemnification Agreements and provides, among other things, that to the extent permitted by New Jersey law, we will indemnify each of Messrs. Aquilina, Baker, Berger and Seedman against all expenses (including attorneys’ fees), judgments, fines and amounts paid in settlement actually and reasonably incurred by him in connection with any suit in which he is a party or otherwise involved as a result of his service as a member of our board of directors.
     On November 21, 2008, we entered into indemnification agreements with Messrs. Jastrem, Masanotti, O’Brien and Vogel. Each indemnification agreement is substantially similar to the Officer Indemnification Agreements and provides, among other things, that to the extent permitted by New Jersey law, we will indemnify each of Messrs. Jastrem, Masanotti, O’Brien and Vogel against all expenses (including attorneys’ fees), judgments, fines and amounts paid in settlement actually and reasonably incurred by him in connection with any suit in which he is a party or otherwise involved as a result of his service as a member of our board of directors, or as our President and Chief Executive Officer, as applicable.
Philips
     Governance Agreement
     We were party to a governance agreement with Philips (Governance Agreement) until August 6, 2008, at which time Phillips sold its ownership position in us to CBay and the Governance Agreement terminated in accordance with its terms. The Governance Agreement set forth, among other things, the composition of our board and its committees. Pursuant to the Governance Agreement, our board of directors was required to maintain a committee composed only of independent directors that was responsible for the general oversight, administration, amendment and enforcement of the Governance

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Agreement and monitoring of transactions between us and Philips or parties affiliated with Philips (Supervisory Committee). See the discussion under the heading “Certain Relationships and Related Transactions-Our Policies Regarding Related Party Transactions” below, for more details.
     Licensing Agreement
     We entered into a Licensing Agreement with Philips Speech Recognition Systems GmbH f/k/a Philips Austria GmbH, Philips Speech Processing, a Republic of Austria corporation and an affiliate of Philips (PSRS) on May 22, 2000 (Licensing Agreement). The Licensing Agreement was subsequently amended by the parties as of January 1, 2002, February 23, 2003, August 10, 2003, September 1, 2004, December 30, 2005 and February 13, 2007. During 2008, our competitor, Nuance Communications, Inc. (Nuance) purchased PSRS. Nuance is successor-in-interest to PSRS. On November 10, 2009, we entered into an amendment to the Licensing Agreement with Nuance.
     Under the Licensing Agreement, we license from Nuance (previously PSRS) its SpeechMagic speech recognition and processing software, including any updated versions of the software developed by PSRS/Nuance during the term of the Licensing Agreement (Licensed Product), for use by us anywhere in the world. We pay a fee for use of the Licensed Product based upon a per line fee for each transcribed line of text processed through the Licensed Product. Upon the expiration of its initial term on June 28, 2005, the Licensing Agreement was renewed for an additional five year term. Nuance may terminate the Licensing Agreement for cause immediately in the event that we:
  •   default in any payment due to Nuance and the default continues for a period of 30 business days after written notice to us;
 
  •   fail to perform any material obligation, duty or responsibility or are in default with any material term or condition of the Licensing Agreement and the default continues for a period of 30 business days after written notice to us; or
 
  •   become insolvent or file for bankruptcy.
     We may terminate the Licensing Agreement for cause immediately in the event that Nuance:
  •   fails to perform any material obligation, duty or responsibility or is in default with any material term or condition of the Licensing Agreement and the default continues for a period of 30 business days after written notice to Nuance; or
 
  •   becomes insolvent or files for bankruptcy.
     Upon the expiration of its initial term on June 28, 2005, the Licensing Agreement was renewed for an additional five year term. As part of the Philips’ sale of its majority interest in us to CBay, PSRS waived, through June 30, 2011, its right to provide prior to June 30, 2011 a two year advance notice to terminate the Licensing Agreement. This waiver was conditioned upon a similar waiver from us which we have provided. The November 10, 2009 amendment to the Licensing Agreement that we entered into with Nuance extends the term of the Licensing Agreement until June 30, 2015. Thereafter, upon written notice to Nuance, we have the right to renew the Licensing Agreement for two successive terms of five years each (each a Renewal Term) on the same terms (except pricing terms) and conditions of the Licensing Agreement in effect at the end of the then-current initial term or Renewal Term. To the extent new pricing terms will apply to a Renewal Term, such terms must be determined and agreed to in writing by us and Nuance in advance of the start of such Renewal Term. In addition, any new pricing terms must be based upon Nuance’s then-current standard market prices.

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     In connection with the Licensing Agreement, we had a consulting arrangement with PSRS whereby PSRS assisted us with the integration of its speech and transcription technologies. Pursuant to the Licensing Agreement and this consulting arrangement, we incurred the following costs (dollars in thousands):
     
Nine Months Ended   Year Ended
September 30, 2008(1)   December 31, 2007
$2,070
  $2,479
 
(1)   Philips ceased being a related party on August 6, 2008.
     Philips, as discussed above, is no longer a related party to us as of August 6, 2008. However, the Licensing Agreement is still in force.
     OEM Supply Agreement
     On September 21, 2007, we entered into an Amended and Restated OEM Supply Agreement with PSRS. The Amended and Restated OEM Supply Agreement amends and restates a previous OEM Supply Agreement with PSRS dated September 23, 2004. In connection with the Amended and Restated OEM Supply Agreement certain amounts paid to PSRS were capitalized in fixed assets and are being amortized over a three-year period. As part of the Philips’ sale of its majority interest in us to CBay, we entered into a Second Amended and Restated OEM Supply Agreement with PSRS dated as of October 1, 2008 which clarified certain provisions of the Amended and Restated OEM Supply Agreement (the Second Amended OEM Agreement and, together with the Amended and Restated OEM Supply Agreement, the Amended OEM Agreement). During 2008, our competitor, Nuance Communications, Inc. (Nuance) purchased PSRS. Nuance is successor-in-interest to PSRS.
     Pursuant to the Amended OEM Agreement, we purchased a co-ownership interest in all rights and interests in and to SpeechQ for Radiology together with its components, including object and source code for the SpeechQ for Radiology application and the SpeechQ for Radiology integration SDK (collectively, the Product), but excluding the SpeechMagic speech recognition and processing software, which we separately licensed from PSRS pursuant to the terms and conditions of the Licensing Agreement, (other than pricing which was set forth in the Second Amended and Restated OEM Supply Agreement). SpeechQ for Radiology is our front-end speech recognition software application. Additionally, the Amended OEM Agreement provides that we shall receive, in exchange for a fee, the exclusive right in the United States, Canada and certain islands of the Caribbean (collectively the Exclusive Territory) to sell, service and deliver the Product. The Amended OEM Agreement further provided that we make payments to PSRS for PSRS’ development of an interim version of the software included in the Product (Interim Version). Except for the Interim Version which we and PSRS co-own, the Amended OEM Agreement provided that any improvements, developments or other enhancements either we or PSRS made to the Product (collectively, Improvements) would be owned exclusively by the party that developed such Improvement. Each party has the right to seek patent or other protection of the Improvements it owns independent of the other party. Either party may terminate the Amended OEM Agreement for cause immediately in the event that a material breach by the other party remains uncured for more than 30 days following delivery of written notice or in the event that the other party becomes insolvent or files for bankruptcy.
     The term of the Amended OEM Agreement extended through June 30, 2010. On November 10, 2009, we entered into a Third Amended and Restated OEM Supply Agreement with Nuance, which clarified certain provisions of the Amended OEM Agreement and made the following substantive modifications to the Amended OEM Agreement:

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  •   The termination date was extended to June 30, 2015 from June 30, 2010. In addition, upon written notice to Nuance, we have the right to renew the Third Amended and Restated OEM Supply Agreement for two successive terms of five years each (each an “OEM Renewal Term”) on the same terms (except pricing terms) and conditions of the Third Amended and Restated OEM Supply Agreement in effect at the end of the then-current initial term or OEM Renewal Term. To the extent new pricing terms will apply to an OEM Renewal Term, such terms must be determined and agreed to in writing by us and Nuance in advance of the start of such OEM Renewal Term. In addition, any new pricing terms must be based upon Nuance’s then-current standard market prices.
 
  •   Nuance is required to provide the services necessary to maintain the current code base of the Product until the earlier of: (i) the end of the term of the Third Amended OEM Agreement; or (ii) our termination of Nuance’s maintenance and support obligations.
 
  •   We are permitted to make modifications to the Product to use and market it in medical specialties other than radiology.
          We now license the SpeechMagic speech recognition and processing software for the Product - which we previously separately licensed pursuant to the terms and conditions of the Licensing Agreement, (other than pricing which was set forth in the Second Amended and Restated OEM Supply Agreement) — pursuant to a separate licensing agreement that we entered into with Nuance on November 10, 2009 (the SpeechMagic for SpeechQ Licensing Agreement). The term of the SpeechMagic for SpeechQ Licensing Agreement extends to June 30, 2015 and, thereafter, we have the right to renew the agreement for two (2) successive terms of five (5) years each in the same manner as the Third Amended OEM Agreement. The SpeechMagic for SpeechQ Licensing Agreement only applies to our licensing of the SpeechMagic speech recognition and processing software for the Product. The Licensing Agreement described above still remains in effect and applies to our other uses of the SpeechMagic speech recognition and processing software.
          Pursuant to the Amended OEM Agreement and its predecessor, we incurred the following costs (dollars in thousands):
     
Nine Months Ended   Year Ended
September 30, 2008(1)   December 31, 2007
$1,645   $2,252
 
(1)   Philips ceased being a related party on August 6, 2008.
     Equipment Sales
     We purchase dictation related equipment from Philips. We incurred the following costs for such equipment (dollars in thousands):
     
Nine Months Ended   Year Ended
September 30, 2008   December 31, 2007
$586(1)   $854
 
(1)   Philips ceased being a related party on August 6, 2008.

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     Insurance Coverage through Philips
     We obtained all of our business insurance coverage (other than workers’ compensation) through Philips until August 6, 2008. We incurred the following costs for such business insurance coverage (dollars in thousands):
     
Nine Months Ended   Year Ended
September 30, 2008   December 31, 2007
$399(1)   $1,794
 
(1)   Philips ceased being a related party on August 6, 2008.
Nightingale
     On July 30, 2004, our board of directors appointed Howard S. Hoffmann to serve as our Chief Executive Officer. On June 14, 2007, our board of directors appointed Mr. Hoffmann as our President. In connection with his appointment, we entered into a letter agreement with Nightingale, dated as of July 29, 2004 and amended as of December 16, 2004, September 25, 2006, January 8, 2007, September 19, 2007 and March 14, 2008, pursuant to which Nightingale assigned the services of Mr. Hoffmann to us to serve as our President and Chief Executive Officer. Mr. Hoffmann serves as the Managing Partner of Nightingale. Mr. Hoffmann served as our President and Chief Executive Officer through June 10, 2008. Our agreement with Nightingale would have terminated on August 1, 2008 but for the consensual termination of the agreement on June 10, 2008. Amounts paid to Nightingale in connection with Mr. Hoffmann’s service as our President and Chief Executive Officer are described above under the heading “Executive Compensation - Compensation of Mr. Hoffmann, our Former President and Chief Executive Officer” beginning on page 33. Our letter agreement with Nightingale also permitted us to engage personnel employed by Nightingale in addition to Mr. Hoffmann to provide consulting services to us from time to time. Pursuant to our agreement with Nightingale, we incurred the following costs (dollars in thousands):
         
    Nine Months Ended   Year Ended
Type of Service   September 30, 2008(1)   December 31, 2007
Mr. Hoffmann’s services   $   739   $1,788
Nightingale personnel and related expenses   $   334   $1,026
Total   $1,073   $2,914
 
(1)   The agreement with Nightingale was terminated on June 10, 2008 when Mr. Hoffmann’s employment with us terminated.
Our Policies Regarding Related Party Transactions
Transactions with Philips
     Philips beneficially owned approximately 69.5% of our outstanding common stock until August 6, 2008. Philips had, until such date, the ability to cause the election of a majority of the members of our board of directors. As a protection against us from entering into transactions with Philips or any of its

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subsidiaries that were not arms length, our board of directors maintained a Supervisory Committee composed of Messrs. O’Donoghue, Schwarz and Pinckert as required by the Governance Agreement. All transactions with Philips disclosed in this section were reviewed and approved by the Supervisory Committee.
Transactions with Other Related Parties
     In August 2007, our board of directors adopted a written policy which charges the Audit Committee (or the disinterested members of our board of directors) with the responsibility of approving or ratifying all related party transactions other than those between us and Philips.
     From August 2007 to July 28, 2009, if the related party transaction involved compensation, such transaction had to also be approved by the Compensation Committee. From August 2007 to July 28, 2009, according to the policy, a “related party transaction” was a transaction between us and any related party other than (i) transactions available to all of our employees generally, (ii) transactions involving less than $5,000 when aggregated with all similar transactions and (iii) transactions with Philips that were subject to the approval of the Supervisory Committee as described above.
     On July 28, 2009, our board of directors amended the related transaction policy with respect to compensation to provide that: (A) if the related party transaction involves compensation of a related party, other than CBay, Inc. or its affiliates, such transaction must be approved by the Compensation Committee and (B) if the related party transaction involves compensation of CBay, Inc. or its affiliates, such transaction must be approved by the Audit Committee. In addition, the amendment to the policy removed the references to Philips and the Supervisory Committee. Accordingly, as of July 28, 2009, a “related party transaction” is a transaction between us and any related party other than (i) transactions available to all of our employees generally, and (ii) transactions involving less than $5,000 when aggregated with all similar transactions.
     A “related party,” according to the policy, is any one of the following:
  •   any of our executive officers or directors;
 
  •   any shareholder owning more than 5% of our stock;
 
  •   any person who is an immediate family member of our executive officers or directors; or
 
  •   any entity in which any of the above has a substantial ownership interest or control.
     Since the adoption of the policy set forth above there have been no transactions that would be subject to the policy that have not been approved pursuant to the policy, with the exception of the Management Services Agreement, the payment of fees related to the 2008 CBay Management Services and the 2009 CBay Management Services, each of which was approved solely by the Audit Committee.
     As described above, prior to the amendment to the policy on July 28, 2009, transactions involving compensation had to be approved by the Audit Committee and the Compensation Committee. A majority of the members of the Compensation Committee were and are affiliated with CBay, Inc. and such members provided management services to us in 2008 and 2009 prior to the Management Services Agreement, and will continue to provide services to us under the Management Services Agreement. Due to the potential conflict of interest of a majority of the members of the Compensation Committee our board of directors approved an exception to our policy allowing for the 2008 CBay Management Services,

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the 2009 CBay Management Services and the Management Services Agreement to only be approved by the Audit Committee.
Compensation Committee Interlocks and Insider Participation
     The current members of our Compensation Committee are Robert Aquilina (Chair), Frank Baker, Peter Berger and Warren Pinckert. Former director, Brian O’Donoghue, served as a member of the Compensation Committee from December 7, 2007 through August 19, 2009. No member of our Compensation Committee was an officer or employee of ours. In addition, there are no Compensation Committee interlocks between us and other entities involving our executive officers and our board members who serve as executive officers of those other entities.

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Requirements for Advance Notification of Nominations and Shareholder Proposals
Advance Notice Requirements for Shareholder Proposals for Next Year’s Annual Meeting
     The deadline for submitting a shareholder proposal for inclusion in our proxy statement and form of proxy card for next year’s annual meeting of shareholders pursuant to Rule 14a-5(e) of the Exchange Act is July 23, 2010 (which is 120 calendar days before the anniversary of the date this proxy statement was first mailed to shareholders (as stated on page 1 of this proxy statement)). A shareholder may wish to have a proposal presented at next year’s annual meeting of shareholders, but not to have such proposal included in our proxy statement and form of proxy relating to that meeting. If notice of any such proposal is not received by us by October 6, 2010 (which is 45 calendar days before the anniversary of the date this proxy statement was first mailed to shareholders (as stated on page 1 of this proxy statement)), then such proposal shall be deemed “untimely” for purposes of Rule 14a-4(c) promulgated under the Exchange Act and, therefore, the individuals named in the proxies solicited on behalf of our board of directors for use at our next annual meeting of shareholders will have the right to exercise discretionary voting authority as to such proposal.
Advance Notice Requirements for Shareholder Nominations for Next Year’s Annual Meeting
     Nominations for election to our board of directors must be received by July 23, 2010 to be considered by our Nominating Committee and must be accompanied by (i) such information regarding the nominee as would be required to be included in a proxy statement filed pursuant to the Exchange Act (ii) a description of any arrangements or understandings between the recommending shareholder(s) and each nominee and any other person or entity with respect to such nomination and (iii) the consent of each nominee to serve as a director if elected.
Other Requirements
     You also must comply with all applicable requirements of the Exchange Act for nominations of directors and proposals of business to be conducted at shareholder meetings. If you have not complied with the procedures described above, the chairman of the meeting may refuse to acknowledge your nomination or proposal. These procedures will not be deemed to affect any of your rights under Rule 14a-8 under the Exchange Act to request inclusion of proposals in our proxy statements.
Change in the Date of Next Year’s Annual Meeting
     If our board of directors selects a date for next year’s annual meeting of shareholders that is more than 30 calendar days before or after the date that is one year after the date of the Annual Meeting, we will inform you of the change and include the new dates by which (i) shareholder proposals must be submitted to us for inclusion in our proxy statement and form of proxy card for next year’s annual meeting of shareholders and (ii) shareholder proposals must be received to not be considered to be “untimely,” in our first Quarterly Report on Form 10-Q following the change.

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Householding of Annual Meeting Materials
     Some banks, brokers and other nominee record holders may be participating in the practice of “householding” proxy statement and annual reports. This means that only one copy of our proxy statement and annual report to shareholders may have been sent to multiple shareholders in your household. We will promptly deliver a separate copy of either document to you if you contact Mark R. Sullivan, our Corporate Secretary, at the following address or telephone number: 1000 Bishops Gate Blvd, Suite 300, Mount Laurel, NJ 08054, (856) 206-4000. If you want to receive separate copies of our proxy statement or annual report to shareholders in the future, or if you are receiving multiple copies and would like to receive only one copy per household, you should contact your bank, broker or other nominee record holder, or you may contact us at the above address or telephone number.

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MEDQUIST INC. 2009 Annual Meeting of Shareholders — December 17, 2009 SOLICITED ON BEHALF OF THE COMPANY AND APPROVED BY THE BOARD OF DIRECTORS The undersigned hereby constitutes and appoints Peter Masanotti and Mark R. Sullivan, and each of them, as attorneys and proxies of the undersigned, with full power of substitution, for and in the name of the undersigned, to appear at the Annual Meeting of Shareholders of MedQuist Inc. to be held on Thursday, December 17, 2009 and at any postponement or adjournment thereof, and to vote all of the shares of MedQuist Inc. that the undersigned is entitled to vote, with all powers and authority the undersigned would possess if personally present. The undersigned hereby directs that this proxy be voted as follows: (Continued and to be signed on the reverse side) 14475

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ANNUAL MEETING OF SHAREHOLDERS OF MedQuist Inc. December 17, 2009 NOTICE OF INTERNET AVAILABILITY OF PROXY MATERIAL: The Notice of Meeting, proxy statement and proxy card are available at www.proxydocs.com/medq Please sign, date and mail your proxy card in the envelope provided as soon as possible. Please detach along perforated line and mail in the envelope provided. 20800000000000000000 0 121709 PLEASE SIGN, DATE AND RETURN PROMPTLY IN THE ENCLOSED ENVELOPE. PLEASE MARK YOUR VOTE IN BLUE OR BLACK INK AS SHOWN HERE x 1. ELECTION OF DIRECTORS FOR A TERM OF ONE YEAR: This proxy, when properly executed, will be voted as directed. If no directions to the contrary are indicated, the proxy agents intend to vote FOR the election as director NOMINEES: of the nominees named on this proxy card. FOR ALL NOMINEES O Robert Aquilina O Frank Baker A majority of the proxy agents present and acting in person, or by their substitutes (or WITHHOLD AUTHORITY O Peter E. Berger if only one is present and acting, then that one) may exercise all the powers conferred FOR ALL NOMINEES O John F. Jastrem hereby. DISCRETIONARY AUTHORITY IS CONFERRED HEREBY AS TO ALL O Colin J. O’Brien OTHER BUSINESS AS MAY PROPERLY COME BEFORE THE MEETING. FOR ALL EXCEPT O Warren E. Pinckert II (See instructions below) O Michael Seedman Receipt of the Company’s Annual Report and the Notice of the Annual Meeting and O Andrew E. Vogel Proxy Statement relating thereto is hereby acknowledged. INSTRUCTIONS: To withhold authority to vote for any individual nominee(s), mark “FOR ALL EXCEPT” and fill in the circle next to each nominee you wish to withhold, as shown here: To change the address on your account, please check the box at right and indicate your new address in the address space above. Please note that changes to the registered name(s) on the account may not be submitted via this method. Signature of Shareholder Date: Signature of Shareholder Date: Note: Please sign exactly as your name or names appear on this Proxy. When shares are held jointly, each holder should sign. When signing as executor, administrator, attorney, trustee or guardian, please give full title as such. If the signer is a corporation, please sign full corporate name by duly authorized officer, giving full title as such. If signer is a partnership, please sign in partnership name by authorized person.

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