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Filed Pursuant to Rule 424(b)(3)
Registration No. 333-66793
4,415,377 SHARES
QUADRAMED CORPORATION
COMMON STOCK
This Prospectus relates to the public offering, which is not being
underwritten, of 4,415,377 shares of our common stock which is held by some of
our current stockholders. All of the 4,415,377 Shares which may be offered
hereby were received by the stockholders in connection with our acquisition of
all of the outstanding capital stock and options of Pyramid Health Group, Inc.
and Integrated Medical Networks.
The prices at which such stockholders may sell the shares will be
determined by the prevailing market price for the shares or in negotiated
transactions. We will not receive any of the proceeds from the sale of the
shares. We have agreed to bear certain expenses in connection with the
registration of the shares being offered and sold by the stockholders hereby.
Our Common Stock is quoted on the Nasdaq National Market under the symbol
"QMDC." On April 1, 1999 the closing price on Nasdaq for the common stock was
$7.00.
____________________
INVESTING IN THE COMMON STOCK INVOLVES A HIGH DEGREE OF RISK. SEE "RISK
FACTORS" BEGINNING ON PAGE 2.
____________________
NEITHER THE SECURITIES AND EXCHANGE COMMISSION NOR ANY STATE SECURITIES
COMMISSION HAS APPROVED OR DISAPPROVED OF THESE SECURITIES OR PASSED UPON THE
ADEQUACY OR ACCURACY OF THIS PROSPECTUS. ANY REPRESENTATION TO THE CONTRARY IS
A CRIMINAL OFFENSE.
____________________
NEITHER THE SECURITIES AND EXCHANGE COMMISSION NOR ANY STATE SECURITIES
COMMISSION HAS APPROVED OR DISAPPROVED OF THESE SECURITIES OR PASSED UPON THE
ADEQUACY OR ACCURACY OF THIS PROSPECTUS. ANY REPRESENTATION TO THE CONTRARY IS
A CRIMINAL OFFENSE.
____________________
The date of this Prospectus is April 1, 1999
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PROSPECTUS SUMMARY
This summary highlights certain information contained elsewhere in
this Prospectus. This summary is not complete and does not contain all of the
information that you should consider before investing in the Common Stock. You
should read the entire Prospectus carefully, especially the risks of investing
in the Common Stock discussed under "Risk Factors."
THE COMPANY
QuadraMed Corporation develops, markets and sells software products and
services designed to enable health care providers and payors to increase
operational efficiency, improve cash flow, measure the cost of care and
effectively administer managed care contracts. Our suite of products is an
integrated offering of electronic data interchange ("EDI"), financial management
and decision support and compliance solutions for both providers and payors. In
addition, we provide compliance, consulting and business office outsourcing
services.
Electronic Data Interchange. These products enable the editing and
formatting of all claims submitted to payors to help ensure accuracy and
completeness, which results in more efficient reimbursement of third party
claims. We collect and utilize detailed clinical and financial information from
customers who license our EDI products. This data, which is supplemented with
similar, publicly-available information, forms the basis of our proprietary
databases for our decision support products.
Financial Management Products. These products utilize the enhanced data
stream created by our EDI products to allow providers to track payor contract
terms and review medical billing information to ensure that bills are properly
coded and include all services rendered. These capabilities facilitate a
provider's ability to obtain timely and accurate reimbursement and to administer
and measure the profitability of managed care contracts. Further, we offer a
product that is designed to improve the ability of health care providers to
prevent Medicare and Medicaid fraud and abuse by identifying potentially
fraudulent coding in their medical bills. In addition, our electronic document
imaging products allow our customers to improve work flow and move toward a
paperless office environment.
Decision Support Products. These products include database analysis
software and national and regional benchmark data that enable customers to
perform clinical, financial and marketing analyses. These products utilize the
enhanced data stream created by our EDI and financial management products to
build proprietary databases that enable providers to measure more accurately the
resources consumed in the provision of care and to compare clinical outcomes
against the associated costs.
Business Office Outsourcing and Cash Flow Management Services. These
services are offered to health care providers, many of which are recognizing the
value of outsourcing their business office operations to reduce costs, increase
cash flow and improve operating efficiencies. We believe that we possess a
significant advantage in the provision of outsourcing services due to our
ability to use our own QuanTIM(R) suite of software products and our centralized
cash flow management operations.
Compliance and Consulting Products. These services are offered (i) to
improve the ability of health care providers to prevent Medicare and Medicaid
fraud and abuse by identifying potentially fraudulent coding in a medical bill,
and (ii) to assist clients in increasing the efficiency of the business office.
We offer a comprehensive compliance program, including compliance assessment,
auditing and education expertise through a team of over 100 credentialed health
care attorneys, medical records professionals, registered nurses and physicians.
These services are augmented by the implementation of our integrated compliance
software products. In addition, we offer consulting and education services in
the areas of managed care contract performance and negotiation, clinically
oriented, patient-focused data analysis and financial management.
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We are incorporated under the laws of the State of Delaware.
Our executive offices are located at 1003 Cutting Blvd., Suite 200, Richmond,
California 94804 and our telephone number is (510) 620-2340. Unless the context
otherwise requires, "QuadraMed" and the "Company" refer to QuadraMed
Corporation and, where the context requires, its subsidiaries.
THE OFFERING
<TABLE>
<S> <C>
Common Stock offered by Selling
Stockholders............................. 4,415,377
Use of Proceeds.......................... QuadraMed will not receive any
proceeds from the sale of common
stock in the offering
Nasdaq National Market Symbol............ QMDC
</TABLE>
RISK FACTORS
Prior to making an investment in the shares of Common Stock, you
should carefully read this entire prospectus and consider the following risk
and speculative factors in evaluating our Company and our business.
HISTORY OF OPERATING LOSSES; UNCERTAINTY OF FUTURE PROFITABILITY
We incurred net losses of $23.6 million, $4.3 and $33.9 million in
fiscal years 1995, 1996 and 1997, respectively. In addition, we incurred net
losses of $4.1 million, $7.2 million and $4.5 million for the fiscal quarters
ended March 31, June 30 and September 30, 1998. As of September 30, 1998, our
accumulated deficit was $123.6 million. These losses include write-offs for
acquired in-process research and development of $14.8 million, $21.9 million and
$14.4 million in fiscal years 1995 and 1997 and the nine months ended September
30, 1998, respectively. In connection with our acquisitions, we have and will
incur significant non-recurring charges and we will be required to amortize
significant expenses related to goodwill and other intangible assets in future
periods. It is uncertain whether we will be able to achieve or sustain revenue
growth or profitability on a quarterly or annual basis.
POTENTIAL VARIABILITY IN QUARTERLY OPERATING RESULTS
Our quarterly operating results have varied significantly in the past.
Our quarterly revenues and operating results may fluctuate significantly in the
future as a result of a variety of factors, many of which are outside our
control. These factors include:
. integration of acquired businesses with our business;
. variability in demand for our products and services;
. the introduction of product enhancements and new products by us and our
competitors;
. the timing and significance of announcements concerning our present or
prospective strategic alliances;
. the termination of, or a reduction in, the products and services we offer,
. the loss of customers due to consolidation in the health care industry;
. delays in product delivery requested by our customers;
. the length of the sales cycle for our products or the timing of our sales;
. the amount of new potential contracts at the beginning of any particular
quarter;
. budgeting cycles of our customers and changes in our customer's budgets;
. our investment in marketing, sales, research and development, and
administrative personnel necessary to support our anticipated operations;
. costs incurred in connection with our marketing and sale promotional
activities;
. software defects and other quality factors in our products; and
. general economic conditions and resulting effects on the health care
industry.
We cannot accurately forecast the timing of our customer purchases due
to the complex procurement decision process associated with most health care
providers and payors. As a result, we typically experience sales cycles that
extend over several quarters. In addition, certain products we acquired as a
result of our acquisition of Integrated Medical Networks in September
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1998 and The Compucare Company in March 1999 have higher average selling prices
and longer sales cycles than many of our other products. This may increase the
volatility of our quarterly operating results. Moreover, our operating expense
levels, which will increase with the addition of acquired businesses, are
relatively fixed. Accordingly, if future revenues are below our expectations, we
would experience a disproportionate adverse affect on our net income and
financial results. Further, it is likely that, in some future quarter, our
revenues or operating results may fall below the expectations of securities
analysts and investors. In such an event, the trading price of our Common Stock
would likely be materially and adversely affected.
Integration Of Acquired Companies Into The Company
Realizing benefits from acquisitions depends in significant part upon
several factors and is accompanied by a number of risks, including:
. successful integration of the operations, products and personnel of the
acquired company;
. possible costs, delays or other problems we may incur to successfully
complete such integration;
. the potential interruption or disruption of our ongoing business and the
distraction of management from other matters; and
. significant operational and administrative expense relating to such
integration.
Any difficulties encountered in the integration process could have a
material adverse effect on our business, operating results and financial
condition. Even if we are able to successfully integrate these businesses with
our business, the acquired operations may not achieve sales, productivity and
profitability commensurate with our historical or projected operating results.
Failure to achieve such projected results would have a material adverse effect
on our financial performance, and in turn, on the market value of the our
Common Stock. There can be no assurance that we will realize any of the
anticipated benefits of our acquisitions or that such acquisitions will enhance
our business or financial performance.
Dependence On Acquisition Strategy
We intend to continue to expand in part through acquisitions of products,
technologies and businesses. Our ability to expand successfully through
acquisition depends on many factors, including:
. the successful identification and acquisition of products, technologies or
businesses;
. management's ability to effectively negotiate and consummate acquisitions and
integrate and operate the new products, technologies or businesses;
. significant competition for acquisition opportunities in our industry, which
may intensify due to increasing consolidation in the health care industry,
thereby increasing the costs of capitalizing on acquisition opportunities; and
. competition for acquisition opportunities with other companies that have
significantly greater financial and management resources than us.
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RISKS ASSOCIATED WITH ACQUISITIONS; NEED TO MANAGE CHANGING OPERATIONS
Acquisitions involve a number of special risks including:
. managing geographically dispersed operations;
. failure of the acquired business to achieve expected results;
. failure to retain key personnel of the acquired business;
. inability to integrate the new business into existing operations and risks
associated with unanticipated events or liabilities;
. potential increases in stock compensation expense and increased
compensation expense resulting from newly hired employees;
. the assumption of unknown liabilities and potential disputes with the
sellers of one or more acquired entities; and
. exposure to the risks of entering markets in which we have no direct prior
experience or to risks associated with the market acceptance of acquired
products and technologies.
Management evaluated and purchased a new management and accounting system
and will implement the system in 1999. Information systems expansion or
replacement can be a complex, costly and time-consuming process, and there can
be no assurance that our system transition and further implementation can be
accomplished without disruption of our business. Any business disruption or
other system transition difficulties could have a material adverse effect on
our business, financial condition and results of operations.
We may not be successful in addressing these risks and our failure to do
so could have a material adverse effect on our business, results of operations
and financial condition.
Additionally, customer dissatisfaction or performance problems at a single
acquired company could have an adverse effect on its sales and marketing
initiatives and on our reputation. With the addition of the acquired
businesses, our anticipated future operations may place a strain on our
management systems and resources. We expect that we will be required to continue
to improve our financial and management controls, reporting systems and
procedures, and will need to expand, train and manage our workforce. There can
be no assurance that we will be able to effectively manage these tasks, and the
failure to do so could have a material adverse effect on our business, financial
condition and results of operations.
Moreover, future acquisitions by us may result in potentially dilutive
issuances of equity securities, the incurrence of additional debt and the
recognition of amortization expenses related to goodwill and other intangible
assets. Our inability to successfully deal with these factors could have a
material adverse effect on our business, financial condition and results of
operations.
DEPENDENCE ON KEY PERSONNEL
We are substantially dependent upon the continued service of our executive
officers, product managers and other key sales, marketing and development
personnel. If we fail to retain the services of any of our executive officers
or fail to hire, retain and motivate other key employees, our business will be
adversely affected. Furthermore, additions of new, and departures of existing,
personnel could have a disruptive effect on our business and operations.
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RISKS RELATED TO HOSPITAL AND MANAGED CARE MARKETS; UNCERTAINTY IN THE
HEALTHCARE INDUSTRY
A substantial portion of our revenues have been and are expected to be
derived from the sale of software products and services to hospitals.
Consolidation in the health care industry, particularly in the hospital and
managed care markets, could cause a decrease in the number of existing or
potential purchasers of our products and services, which could adversely affect
our business. In addition, the decision to purchase our products often involves
the approval of several members of management of a hospital or health care
provider. Consequently, it is difficult for us to predict the timing or outcome
of the buying decisions of our customers or potential customers.
The health care industry in the United States is subject to changing
political, economic and regulatory influences that may affect the procurement
practices and operations of health care organizations. We believe that the
commercial value and appeal of our products may be adversely affected if the
current health care financing and reimbursement system were to reverse its
current evolution to a managed care model back to a fee-for-service model. In
addition, many of our customers are providing services under capitated service
agreements, and a reduction in the use of capitation arrangements as a result of
regulatory or market changes could have a material adverse effect on our
business, financial condition and operating results. During the past several
years, the health care industry has been subject to increasing levels of
governmental regulation of, among other things, reimbursement rates and certain
capital expenditures. Certain proposals to reform the health care system have
been and are being considered by Congress. These proposals, if enacted, could
change the operating environment of our clients in ways that cannot be
predicted. Health care organizations may react to these proposals by curtailing
or deferring investments, including those for our products and services.
Changes in current health care financing and reimbursement systems could
result in the need for unplanned product enhancements, in delays or
cancellations of product orders or shipments or in the revocation of endorsement
of our products by hospital associations or other customers. Any of these
occurrences could have a material adverse effect on our business. In addition,
many health care providers are consolidating to create integrated health care
delivery systems with greater regional market power. As a result, these emerging
systems could have greater bargaining power, which may lead to price erosion of
our products. If we fail to maintain adequate price levels, our business,
financial condition and results of operations would be adversely affected. Other
market-driven reforms could also have adverse effects on our business, financial
condition and results of operations.
HIGHLY COMPETITIVE MARKET
Competition in the market for our products and services is intense and
is expected to increase. Increased competition could result in price reductions,
reduced gross margins and loss of market share, any of which could materially
adversely affect our business, financial condition and results of operations. We
compete with other providers of health care information software and services,
as well as health care consulting firms. Our principal competitors include,
among others:
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. CIS Technologies, Inc., a division of National Data Corporation, Inc., and
Sophisticated Software, Inc. in the market for our EDI products;
. MedE AMERICA in the market for our claims processing service;
. Healthcare Cost Consultants, Inc., a division of CIS Technologies, Inc., and
Trego Systems, Inc. in the market for our contract management products;
. McKesson HBOC, Inc., Optika Imaging Systems, Inc. and LanVision Systems, Inc.
in the market for our electronic document management products;
. Transition Systems, Inc. and Healthcare Microsystems, Inc., a division of
Health Management Systems Inc., HCIA Inc. and MediQual Systems, Inc., a
division of Cardinal Health, Inc., in the market for our decision support
products;
. McKesson HBOC, Inc., Shared Medical Systems, Inc., MediTech Corporation and
Eclipses Corporation in the market for our enterprise products;
. HMS and ARTRAC, a division of Medaphis in the market for our business office
outsourcing services;
. a subsidiary of Minnesota Mining and Manufacturing, in the market for our
medical records products; and
. Transcend Services, Inc. and SMART Corporation in the market for our health
information management services.
In addition, current and prospective customers evaluate our capabilities
against the merits of their existing information systems and expertise.
Furthermore, major software information systems companies, including those
specializing in the health care industry, not presently offering products that
compete with those offered by us, may enter our markets. In addition, many of
our competitors and potential competitors have significantly greater financial,
technical, product development, marketing and other resources and market
recognition than us. Many of our competitors also currently have, or may
develop or acquire, substantial installed customer bases in the health care
industry. As a result of these factors, our competitors may be able to respond
more quickly to new or emerging technologies, changes in customer requirements
and political, economic or regulatory changes in the health care industry and
may devote greater resources to the development, promotion and sale of their
products than us. There can be no assurance that we will be able to compete
successfully against current and future competitors or that such competitive
pressures will not materially adversely affect our business, financial
condition and operating results.
SHARES ELIGIBLE FOR FUTURE SALE
Future sales of Common Stock by existing stockholders under Rule 144 of
the Securities Act and through the exercise of registration rights could lower
the market price of our Common Stock. As of January 31, 1999, approximately
1,850,000 shares are available for sale in the public market subject to
compliance with Rule 144. Certain of our existing stockholders holding an
aggregate of 1,304,706 shares of Common Stock as of January 31, 1999 have rights
under certain circumstances to require us to register their shares for future
sale (which amount does not include shares being registered hereunder).
In September 1998, we closed the acquisition of Integrated Medical
Networks. In connection with the acquisition of Integrated Medical Networks, we
issued an aggregate of
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1,550,000 shares of Common Stock and agreed to file a registration statement
under the Securities Act prior to January 1, 1999 to register all such shares.
In June 1998, we closed the acquisition of Pyramid Health Group, Inc.
("Pyramid"). In connection with the acquisition of Pyramid, we issued an
aggregate of 2,784,508 shares of Common Stock and warrants to purchase 62,710
shares of Common Stock. All of these shares are being registered hereunder for
resale under the Securities Act and will be freely tradeable following such
registration. In addition, 18,159 shares of common stock are being registered
hereunder for resale under the Securities Act pursuant to certain exercises of
options received by former Pyramid stockholders and will be freely tradeable
following such registration.
Sales of a substantial number of the aforementioned shares in the public
markets or the prospect of such sales could adversely affect or cause
substantial fluctuations in the market price of the Common Stock and impair our
ability to raise additional capital through the sale of our securities.
NEW PRODUCT DEVELOPMENT AND SYSTEM ENHANCEMENT
Our performance depends in large part upon our ability to provide the
increasing functionality required by our customers through the timely
development and successful introduction of new products and enhancements to our
existing suite of products. We have historically devoted significant resources
to product enhancements and research and development and believe that
significant continuing development efforts will be required to sustain our
operations and integrate the products and technologies of acquired businesses
with our products. There can be no assurance that we will successfully or in a
timely manner develop, acquire, integrate, introduce and market new product
enhancements or products, or that product enhancements or new products
developed by us will meet the requirements of hospitals or other health care
providers and payors and achieve or sustain market acceptance.
LIMITED PROPRIETARY RIGHTS; RISK OF INFRINGEMENT
We rely on a combination of trade secrets, copyright and trademark laws,
nondisclosure and other contractual provisions to protect our proprietary
rights. We have not filed any patent applications covering our technology.
There can be no assurance that measures taken by us to protect our intellectual
property will be adequate or that our competitors will not independently
develop products and services that are substantially equivalent or superior to
the products and services we offer.
There is substantial litigation regarding intellectual property rights in
the software industry. We expect that software products may be increasingly
subject to third-party infringement claims as the number of competitors in our
industry segment grows and the functionality of products overlaps. We believe
that our products do not infringe upon the proprietary rights of third parties.
However, there can be no assurance that third parties will not assert
infringement claims against us in the future. The Company may incur substantial
litigation expenses in defending any such claim regardless of the merit of the
claim. In the event of an unfavorable ruling on any such claim, we cannot
guarantee that a license or similar agreement will be available to us on
reasonable terms, if at all. Infringement may result in significant monetary
liabilities which would have a material adverse effect on our business,
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financial condition and results of operations. We cannot guarantee that we will
be successful in the defense of these or similar claims.
RISK OF PRODUCT DEFECTS; FAILURE TO MEET PERFORMANCE CRITERIA
Products such as our products frequently contain errors or failures,
especially when initially introduced or when new versions are released.
Although we conduct extensive testing on our products, software errors have
been discovered in certain enhancements and products after their introduction.
We cannot guarantee that despite such testing by us, and by our current and
potential customers, products under development, enhancements or shipped
products will be free of errors or performance failures, resulting in, among
other things;
. loss of revenues and customers;
. delay in market acceptance;
. diversion of resources;
. damage to our reputation; or
. increased service and warranty costs.
The occurrence of any of these consequences could have a material adverse
effect upon our business, financial condition and results of operations.
YEAR 2000
As is true for most companies, the Year 2000 computer issue creates a
risk for us. If systems do not correctly recognize date information when the
year changes to 2000, there could be an adverse impact on our operations. We
face risks in four areas: systems used by us to run our business, systems used
by our suppliers, potential warranty or other claims from our customers, and the
potential reduction in spending by other companies on our products and solutions
as a result of significant information systems spending on Year 2000
remediation.
We have conducted a thorough inventory and evaluation of our systems,
equipment and facilities. We have a number of projects underway to replace or
upgrade systems, equipment and facilities that we know to be Year 2000
non-compliant. We have not identified alternative remediation plans if upgrade
or replacement is not feasible. We will consider the need for such remediation
plans as we continue to assess the year 2000 risk. For the Year 2000
non-compliance issues identified to date, the cost of upgrade or remediation is
not expected to be material to our operating results. If implementation of
replacement systems is delayed, or if significant new non-compliance issues are
identified, our results of operations or financial condition could be materially
adversely affected.
We are also in the process of contacting our critical suppliers to
determine that such suppliers' operations and the products and services they
provide are Year 2000 compliant. To date, we are unaware of any current
suppliers that are not Year 2000 ready. In the event that our suppliers are not
Year 2000 compliant, we will seek alternative sources of supplies. However, such
failures remain a possibility and could have an adverse impact on our results of
operations or financial condition.
We believe our current products are Year 2000 compliant. However,
since all customer situations cannot be anticipated, particularly those
involving third party products, we may see an increase in warranty and other
claims as a result of the Year 2000 transition. In addition, litigation
regarding Year 2000 compliance issues is expected to escalate. For these
reasons, the impact of customer claims could have a material adverse impact on
our results of operations or financial condition.
Year 2000 compliance is an issue for virtually all businesses whose
computer systems and applications may require significant hardware and software
upgrades or modifications. Companies owning and operating such systems may plan
to devote a substantial portion of their information systems' spending to fund
such upgrades and modifications and divert spending away from our products and
solutions. Such changes in our customers' spending patterns could have a
material adverse impact on our sales, operating results or financial condition.
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RISK OF INTERRUPTION OF DATA PROCESSING
We currently process substantially all our customer data at our facilities
in Richmond, California and Neptune, New Jersey. Although we back up our data
nightly and have safeguards for emergencies such as power interruption or
breakdown in temperature controls, we have no mirror processing site to which
processing could be transferred in the case of a catastrophic event at either
of these facilities. In the event that a major catastrophic event occurs at
either the Richmond or the Neptune facility, possibly leading to an
interruption of data processing, our business, financial condition and results
of operations could be adversely affected.
RISKS RELATED TO OUTSOURCING BUSINESS
We provide compliance, consulting and business office outsourcing and cash
flow management services, including the billing and collection of receivables.
We acquired the infrastructure for our outsourcing business through an
acquisition. In addition, we often use our software products to provide
outsourcing services. As a result, we have not been required to make significant
capital expenditures in order to service existing outsourcing contracts.
However, if we experience a period of substantial expansion in our outsourcing
business, we may be required to make substantial investments in capital assets
and personnel. We cannot guarantee that we will be able to assess accurately the
investment required and negotiate and perform in a profitable manner any of the
outsourcing contracts we may be awarded. Our failure to either estimate
accurately the resources and related expenses required for a project, or to
complete our contractual obligations in a manner consistent with the project
plan upon which a contract was based, could have a material adverse effect on
our business, financial condition and results of operations. In addition, our
failure to meet a client's expectations in the performance of our services could
damage our reputation and adversely affect our ability to attract new business.
Finally, we could incur substantial costs and expend significant resources
correcting errors in our work, and could possibly become liable for damages
caused by these errors.
GOVERNMENT REGULATION
The United States Food and Drug Administration (the "FDA") is responsible
for assuring the safety and effectiveness of medical devices under the Federal
Food, Drug and Cosmetic Act. Computer products are subject to regulation when
they are used or are intended to be used in the diagnosis of disease or other
conditions, or in the cure, mitigation, treatment or prevention of disease, or
are intended to affect the structure or function of the body. The FDA could
determine in the future that any predictive aspects of our products make them
clinical decision tools subject to FDA regulation. Compliance with these
regulations could be burdensome, time consuming and expensive. We could also
become subject to future legislation and regulations concerning the development
and marketing of health care software systems. Such legislation could increase
the cost and time necessary to market new products and could affect us in other
respects not presently foreseeable. We cannot predict the effect of possible
future legislation and regulation.
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State governments substantially regulate the confidentiality of patient
records and the circumstances under which such records may be released for
inclusion in our databases. These state laws and regulations govern both the
disclosure and the use of confidential patient medical record information.
Although compliance with these laws and regulations is at present principally
the responsibility of the hospital, physician or other health care provider,
regulations governing patient confidentiality rights are evolving rapidly.
Additional legislation governing the dissemination of medical record
information has been proposed at both the state and federal levels. This
legislation may require holders of such information to implement security
measures that may require us to incur substantial expenditures. We are not sure
that changes to state or federal laws will not materially restrict the ability
of health care providers to submit information from patient records using our
products.
RISK OF PRODUCT-RELATED CLAIMS
Some of our products and services are used in the payment, collection,
coding and billing of health care claims and the administration of managed care
contracts. If our employees or our products fail to accurately assess, process
or collect these claims, our customers may file claims against us. We have been
and currently are involved in claims for money damages related to services
provided by our accounts receivable management business. We maintain insurance
to protect against certain claims associated with the use of our products, but
there can be no assurance that our insurance coverage would adequately cover any
claim brought against us. A successful claim brought against us that is in
excess of, or is not covered by, our insurance coverage could adversely affect
our business, financial condition and results of operations. Even a claim
without merit could result in significant legal defense costs and would consume
management time and resources. We do not know whether we will be subject to
material claims in the future which may result in liability in excess of our
insurance coverage, or which our insurance may not cover. We may not be able to
obtain appropriate insurance in the future at commercially reasonable rates. In
addition, if we are found liable, we would have to significantly alter our
products resulting in additional unanticipated research and development
expenses.
RISKS ASSOCIATED WITH CERTAIN INVESTMENTS
We have made equity investments to acquire minority interests in certain
early stage companies. We do not have the ability to control the operations of
any of these companies. Investing in such early stage companies is subject to
certain significant risks. There can be no assurance that any of these
companies will be successful or achieve profitability or that we will ever
realize a return on our investments. In addition, to the extent any of such
companies fail or become bankrupt or insolvent, we may lose some or all of our
investment. We intend to continue to make additional investments in such
companies in the future. Losses resulting from such investment could have a
material adverse effect on our operating results.
POTENTIAL EFFECT OF ANTI-TAKEOVER PROVISION
Our Board of Directors has the authority to issue up to 5,000,000 shares
of Preferred Stock and to determine the price, rights preferences, privileges
and restrictions, including voting rights, of those shares without any further
vote or action by the stockholders. The rights of the
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holders of Common Stock may be subject to, and may be adversely affected by, the
rights of the holders of any Preferred Stock that may be issued in the future.
The issuance of Preferred Stock may have the effect of delaying, deferring or
preventing a change of control of the Company without further action by the
stockholders and may adversely affect the voting and other rights of the holders
of Common Stock. We have no present plans to issue shares of Preferred Stock.
Further, certain provisions of our Certificate of Incorporation and Bylaws
could discourage potential takeover attempts and make attempts by stockholders
to change management more difficult. For example, our Board of Directors is
classified into three classes of directors serving staggered, three-year terms
and has the authority without action by our stockholders to impose various
procedural and other requirements that could make it more difficult for
stockholders to effect certain corporate actions. In addition, our Certificate
of Incorporation provides that directors may be removed only by the affirmative
vote of the holders of two-thirds of the shares of capital stock of the Company
entitled to vote. Any vacancy on the Board of Directors may be filled only by
vote of the majority of directors then in office. Further, our Certificate of
Incorporation provides that any "Business Combination" (as therein defined)
requires the affirmative vote of two-thirds of the shares entitled to vote,
voting together as a single class. These provisions, and certain other
provisions of the Certificate of Incorporation which may have the effect of
delaying proposed stockholder actions until the next annual meeting of
stockholders, could have the effect of delaying or preventing a tender offer for
the Company's Common Stock or other changes of control or management of the
Company, which could adversely affect the market price of our Common Stock.
Finally, certain provisions of Delaware law could have the effect of delaying,
deterring or preventing a change in control of the Company, including Section
203 of the Delaware General Corporation Law, which prohibits a Delaware
corporation from engaging in any business combination with any interested
stockholder for a period of three years from the date the person became an
interested stockholder unless certain conditions are met.
VOLATILITY OF STOCK PRICE
The stock market in general, and the Nasdaq National Market, has
historically experienced extreme price and volume fluctuations that have often
been unrelated to the operating performance of companies and which has affected
the market price of securities of many companies. The trading price of our
Common Stock is likely to be highly volatile and could also be subject to
significant fluctuations in price in response to such factors as:
. variations in quarterly results of operations;
. announcements of new products or acquisitions by us or our competitors;
. governmental regulatory action;
. developments or disputes with respect to proprietary rights;
. general trends in our industry and overall market conditions; and
. other event or factors, many of which are beyond our control.
The market price of our Common Stock may also be affected by movements in
prices of equity securities in general.
USE OF PROCEEDS
The Company will not receive any of the net proceeds from the sale of
the Shares by the Selling Stockholders.
11.
<PAGE> 13
SELLING STOCKHOLDERS
The following table sets forth the principal amount of Common Stock
beneficially owned by each of the Selling Stockholders as of January 31, 1999,
all of which are being offered pursuant hereto. Because the Selling Stockholders
may sell all or a portion of the Shares which they own pursuant to the offering
contemplated by this Prospectus, and because there are currently no agreements,
arrangements or understandings with respect to the sale of any of the Shares, no
estimate can be given as to the amount of Shares that will be held by the
Selling Stockholders after completion of this Offering. The Shares offered for
sale by this Prospectus may be offered from time to time by the Selling
Stockholders named below.
<TABLE>
<CAPTION>
PERCENTAGE OF
NUMBER OF SHARES OUTSTANDING
NAME OF SELLING STOCKHOLDER BENEFICIALLY OWNED SHARES
<S> <C> <C>
Bonnie J. Purdy 1,794 *
Compex Investors I, L.P. 82,263 *
Compex Investors II, L.P. 44,294 *
Copley Partners 2 115,689 *
DLJ Venture Capital Fund 41,584 *
David Shanks 11,450 *
Himanshu Sharma 1,185 *
Ivar S. Chhina 5,864 *
Jennifer Vanosdol 1,084 *
Jeffrey C. Bachman 23,840 *
Joe D. Whisenhunt, Sr. 155 *
Joe D. Whisenhunt, Jr. 155 *
Linda L. Leach 1,906 *
Mehta Family Partners, L.P. 428,438 2.1
Monica Pappas 44,521 *
Nitin T. Mehta 584,075 2.9
PKS Healthcare Systems, Inc. 294,500 1.5
Prabhu Goel, Trustee of the Neil N. Mehta - 1996 Trust 43,010 *
Prabhu Goel, Trustee of the Nayan N. Mehta - 1996 Trust 43,011 *
Robert Finzi 4,452 *
Scottish Investment Trust, PLC 63,299 *
Sharad P. Patel, Trustee of the Sharad P. Trust of April 19, 33,650 *
1985
Sharad P. Patel, Trustee of the Sharad P. Trust of April 19, 3,738 *
1985
Sprout Capital V 795,404 4.0
Sprout Growth, L.P. 267,445 1.3
Sprout Growth, Ltd. 29,183 *
Toronto Dominion Investments, Inc. 63,289 *
Transcorp C/F Nitin T. Mehta A/C IRC-6699-OT 4,965 *
Transcorp C/F Nitin T. Mehta A/C KPS-0227-00 8,903 *
Transcorp C/F Neil N. Mehta A/C IRZ-8055-OC 48,747 *
Transcorp C/F Nayan N. Mehta A/C IRZ-8054-OC 48,747 *
Transcorp C/F Meena N. Mehta A/C TPZ-87332 5,753 *
Victor Rivera 1,874 *
Weber Family Trust 11,920 *
Whisenhunt Investments, Inc. 1,255,190 6.3
</TABLE>
- --------------------------
* Less than one percent.
PLAN OF DISTRIBUTION
The Shares offered hereby are being offered directly by the Selling
Stockholders. The Company will receive no proceeds from the Offering. The Shares
offered hereby may be sold by the Selling Stockholders from time to time in
transactions in the over-the-counter market, in negotiated transactions, or a
combination of such methods of sale, at fixed prices which may be changed, at
market prices prevailing at the time of sale, at prices related to prevailing
market prices or at negotiated prices. The Selling Stockholders may effect such
transactions by selling the Shares to or through broker-dealers, and such
broker-dealers may receive compensation in the form of
12.
<PAGE> 14
discounts, concessions or commissions from the Selling Stockholders and/or the
purchasers of the Shares for whom such broker-dealers may act as agents or to
whom they sell as principals, or both (which compensation as to a particular
broker-dealer might be in excess of customary commissions). The Shares offered
hereby may be sold either pursuant to this Registration Statement or pursuant to
Rule 144 of the Securities Act.
In order to comply with the securities laws of certain states, if
applicable, the Shares will be sold in such jurisdictions only through
registered or licensed brokers or dealers. In addition, in certain states the
Shares may not be sold unless they have been registered or qualified for sale in
the applicable state or an exemption from the registration or qualification
requirement is available and is complied with.
The Selling Stockholders and any broker-dealers or agents that
participate with the Selling Stockholders in the distribution of the Shares may
be deemed to be "underwriters" within the meaning of the Securities Act, and any
commissions received by them and any profit on the resale of the Shares
purchased by them may be deemed to be underwriting commissions or discounts
under the Securities Act.
Under applicable rules and regulations under the Securities Exchange
Act of 1934, as amended (the "Exchange Act"), any person engaged in the
distribution of the Shares may not simultaneously engage in market making
activities with respect to the Common Stock of the Company for a period of one
business day prior to the commencement of such distribution. In addition and
without limiting the foregoing, each Selling Stockholder will be subject to
applicable provisions of the Exchange Act and the rules and regulations
thereunder, which provisions may limit the timing of purchases and sales of
shares of the Company's Common Stock by the Selling Stockholders.
LEGAL MATTERS
The validity of the securities offered hereby will be passed upon for
the Company by Brobeck, Phleger & Harrison LLP, San Francisco, California.
EXPERTS
The audited consolidated financial statements incorporated by reference
in this Registration Statement have been audited by Arthur Andersen LLP,
independent public accountants, as set forth in their reports. In that
report, that firm states that with respect to FRA Acquisitions, Inc. and
subsidiary its opinion is based on the report of other independent public
accountants, namely, Deloitte & Touche LLP. The financial statements referred
to above have been incorporated by reference in reliance upon the authority of
those firms as experts in giving said reports.
The consolidated financial statements of FRA Acquisitions, Inc. and
subsidiary, which are not presented separately or incorporated by reference in
this Registration Statement have been audited by Deloitte & Touche LLP,
independent auditors, as stated in their report, which report is incorporated
herein by reference from the QuadraMed Corporation Current Report on Form 8-K
dated March 12, 1999, and has been so incorporated in reliance upon the report
of such firm given upon their authority as experts in accounting and auditing.
AVAILABLE INFORMATION
The Company is subject to the informational requirements of the
Exchange Act, and in accordance therewith file reports, proxy statements and
other information with the Securities and Exchange Commission (the
"Commission"). These materials can be inspected and copied at the public
reference facilities maintained by the Commission at Room 1024, 450 Fifth
Street, N.W., Washington, D.C. 20549 and at the Commission's regional offices at
Citicorp Center, 500 West Madison Street, Suite 1400, Chicago, Illinois 60661
and 7 World Trade Center, New York, New York 10048. Information on the operation
of the Public Reference Room can be obtained by calling the Commission at
1-800-SEC-0330. Copies of these materials can also be obtained from the
Commission at prescribed rates by writing to the Public Reference Section of the
Commission, 450 Fifth Street, N.W., Washington, D.C. 20549. The Commission
maintains a Web site that contains reports, proxy and information statements and
other materials that are filed through the Commission's Electronic Data
Gathering, Analysis and Retrieval System ("EDGAR"). This Web site can be
accessed at http:\www.sec.gov. In addition, material filed by the Company can be
inspected at the offices of the National Association of Securities Dealers,
Inc., Market Listing Section, 1735 K Street, N.W., Washington, D.C. 20006.
This Prospectus does not contain all the information set forth in the
Registration Statement on Form S-3 and exhibits relating thereto, including any
amendments (the "Registration Statement"), of which this Prospectus is a part,
and which the Company has filed with the Commission under the Securities Act.
Reference is made to such Registration Statement for further information with
respect to the Company and the securities of the Company
13.
<PAGE> 15
offered hereby. Statements contained herein concerning the provisions of
documents are necessarily summaries of such documents, and each statement is
qualified in its entirety by reference to the copy of the applicable document
filed with the Commission or attached as an annex hereto.
INCORPORATION OF CERTAIN DOCUMENTS BY REFERENCE
The following documents filed by the Company with the Commission under
Section 13(a) and 15(d) of the Exchange Act are hereby incorporated by reference
in this Prospectus:
1. Annual Report on Form 10-K for the fiscal year ended December 31,
1998 filed March 31, 1999.
2. Quarterly Report on Form 10-Q for the fiscal quarter ended September
30, 1998 and amendment thereto filed March 15, 1999;
3. Quarterly Report on Form 10-Q for the fiscal quarter ended June 30,
1998 and amendment thereto filed March 15, 1999;
4. Quarterly Report on Form 10-Q for the fiscal quarter ended March 31,
1998 and amendment thereto filed March 15, 1999;
5. Current Report on Form 8-K dated March 12, 1999 and filed March 15,
1999.
6. Current Report on Form 8-K dated February 3, 1999 and filed February
18, 1999;
7. Current Report on Form 8-K dated September 30, 1998 and filed October
15, 1998;
8. Current Report on Form 8-K dated August 31, 1998 and filed September
11, 1998;
9. Current Report on Form 8-K dated June 1, 1998, and filed June 11,
1998, and amendment thereto filed June 17, 1998;
10. Current Report on Form 8-K dated May 1, 1998 and filed May 11, 1998;
11. Current Report on Form 8-K dated April 13, 1998 and filed April 29,
1998;
12. Current Report on Form 8-K dated April 24, 1997 and filed May 9, 1997,
and amendments thereto filed July 8, 1997 and March 10, 1998,
respectively;
13. Current Report on Form 8-K dated September 29, 1997 and filed October
14, 1997, and amendment thereto filed March 10, 1998;
14. Current Report on Form 8-K dated February 4, 1998 and filed February
18, 1998;
15. Current Report on Form 8-K dated December 29, 1997 and filed January
13, 1998; and
16. The description of Company Common Stock set forth in the Company's
Registration Statement on Form 8-A filed pursuant to Section 12 of the
Exchange Act and any amendment or report filed for the purpose of
updating such description.
All reports and definitive proxy or information statements filed by the
Company pursuant to Sections 13(a), 13(c), 14 or 15(d) of the Exchange Act
subsequent to the date of this Prospectus shall be deemed to be incorporated by
reference into this Prospectus from the date of filing of such documents. Any
statement contained in a document incorporated or deemed to be incorporated
herein shall be deemed to be modified or superseded for purposes of this
Prospectus to the extent that a statement contained herein or in any other
subsequently filed document which also is or is deemed to be incorporated by
reference herein modifies or supersedes such statement. Any such statement so
modified or superseded shall not be deemed, except as so modified or superseded,
to constitute a part of this Prospectus.
THIS PROSPECTUS INCORPORATES DOCUMENTS BY REFERENCE WHICH ARE NOT
PRESENTED HEREIN OR DELIVERED HEREWITH. THERE WILL BE PROVIDED WITHOUT CHARGE TO
EACH PERSON, INCLUDING ANY BENEFICIAL OWNER OF COMPANY COMMON STOCK, TO WHOM A
PROSPECTUS IS DELIVERED, UPON ORAL OR WRITTEN REQUEST OF ANY SUCH PERSON, A COPY
OF ANY OR ALL DOCUMENTS INCORPORATED BY REFERENCE HEREIN (EXCLUDING EXHIBITS
UNLESS SUCH EXHIBITS ARE SPECIFICALLY INCORPORATED BY REFERENCE HEREIN).
REQUESTS SHOULD BE DIRECTED TO KEITH M. ROBERTS, QUADRAMED CORPORATION, 1003
CUTTING BLVD. SUITE 200, RICHMOND, CALIFORNIA, 94804 (TEL. 510/620-2340).
14.
<PAGE> 16
NO PERSON IS AUTHORIZED IN CONNECTION WITH ANY OFFERING MADE HEREBY TO GIVE ANY
INFORMATION OR TO MAKE ANY REPRESENTATION OTHER THAN AS CONTAINED IN THIS
PROSPECTUS, AND IF GIVEN OR MADE, SUCH INFORMATION OR REPRESENTATION MUST NOT BE
RELIED UPON AS HAVING BEEN AUTHORIZED BY THE COMPANY OR BY ANY UNDERWRITER. THIS
PROSPECTUS DOES NOT CONSTITUTE AN OFFER TO SELL OR A SOLICITATION OF AN OFFER TO
BUY ANY OF THE SECURITIES OFFERED HEREBY TO ANY PERSON IN ANY JURISDICTION IN
WHICH IT IS UNLAWFUL FOR SUCH PERSON TO MAKE SUCH AN OFFERING OR SOLICITATION.
NEITHER THE DELIVERY OF THIS PROSPECTUS NOR ANY SALE MADE HEREUNDER SHALL UNDER
ANY CIRCUMSTANCE CREATE ANY IMPLICATION THAT THE INFORMATION CONTAINED HEREIN IS
CORRECT AS OF ANY DATE SUBSEQUENT TO THE DATE HEREOF.
TABLE OF CONTENTS
<TABLE>
<CAPTION>
Page
----
<S> <C>
Prospectus Summary......................................................... 1
Risk Factors............................................................... 2
Use of Proceeds............................................................ 11
Selling Stockholders....................................................... 12
Plan of Distribution....................................................... 12
Legal Matters.............................................................. 13
Experts.................................................................... 13
Available Information...................................................... 13
Incorporation of Certain Documents
by Reference.......................................................... 14
</TABLE>
QUADRAMED CORPORATION
4,415,377 Shares of Common Stock
PROSPECTUS
April 1, 1999
