MED E AMERICA CORP
S-1/A, 1999-01-11
COMPUTER PROCESSING & DATA PREPARATION
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   AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON JANUARY 11, 1999
                                                     REGISTRATION NO. 333-55977
================================================================================

                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                                -----------------
                                 AMENDMENT NO. 6
                                       TO
                                    FORM S-1
                             REGISTRATION STATEMENT
                                      UNDER
                           THE SECURITIES ACT OF 1933
                                -----------------
                            MEDE AMERICA CORPORATION
             (Exact name of registrant as specified in its charter)
    

<TABLE>
<S>                                   <C>                              <C>
                DELAWARE                          7374                              11-3270245
  (State or other jurisdiction of     (Primary Standard Industrial     (I.R.S. Employer Identification No.)
   incorporation or organization)      Classification Code Number)
</TABLE>

                          90 MERRICK AVENUE, SUITE 501
                           EAST MEADOW, NEW YORK 11554
                                 (516) 542-4500
       (Address, including zip code, and telephone number, including area
               code, of registrant's principal executive offices)

                                -----------------
                             DAVID M. GOLDWIN, ESQ.
                                 GENERAL COUNSEL
                            MEDE AMERICA CORPORATION
                          90 MERRICK AVENUE, SUITE 501
                           EAST MEADOW, NEW YORK 11554
                                 (516) 542-4500

 (Name, address, including zip code, and telephone number, including area code,
                              of agent for service)

                                -----------------
                                   COPIES TO:


    MARK J. TANNENBAUM, ESQ.                 FREDERICK W. KANNER, ESQ.
     REBOUL, MACMURRAY, HEWITT,                 DEWEY BALLANTINE LLP
        MAYNARD & KRISTOL                   1301 AVENUE OF THE AMERICAS
       45 ROCKEFELLER PLAZA                     NEW YORK, NY 10019
        NEW YORK, NY 10111                       (212) 259-8000
          (212) 841-5700


APPROXIMATE  DATE OF  COMMENCEMENT  OF PROPOSED  SALE TO THE PUBLIC:  As soon as
practicable after this Registration Statement becomes effective.

     If any of the securities being registered on this Form are to be offered on
a delayed or continuous  basis  pursuant to Rule 415 under the Securities Act of
1933, check the following box: [ ]

     If this Form is filed to  register  additional  securities  for an offering
pursuant to Rule 462(b) under the Securities Act, please check the following box
and list  the  Securities  Act  registration  statement  number  of the  earlier
effective registration statement for the same offering. [ ]

     If this Form is a  post-effective  amendment  filed pursuant to Rule 462(c)
under the  Securities  Act,  check the following box and list the Securities Act
registration  statement number of the earlier effective  registration  statement
for the same  offering.  [ ]

     If this Form is a  post-effective  amendment  filed pursuant to Rule 462(d)
under the  Securities  Act,  check the following box and list the Securities Act
registration  statement number of the earlier effective  registration  statement
for the same offering.  [ ] 

     If delivery of the  prospectus is expected to be made pursuant to Rule 434,
please check the following box. [ ]

                               -----------------

     THE REGISTRANT  HEREBY AMENDS THIS  REGISTRATION  STATEMENT ON SUCH DATE OR
DATES AS MAY BE NECESSARY TO DELAY ITS EFFECTIVE DATE UNTIL THE REGISTRANT SHALL
FILE A FURTHER  AMENDMENT  WHICH  SPECIFICALLY  STATES  THAT  THIS  REGISTRATION
STATEMENT SHALL  THEREAFTER  BECOME EFFECTIVE IN ACCORDANCE WITH SECTION 8(A) OF
THE SECURITIES  ACT OF 1933 OR UNTIL THIS  REGISTRATION  STATEMENT  SHALL BECOME
EFFECTIVE  ON SUCH  DATE  AS THE  SECURITIES  AND  EXCHANGE  COMMISSION,  ACTING
PURSUANT TO SAID SECTION 8(A), MAY DETERMINE.

================================================================================
<PAGE>
   
                 SUBJECT TO COMPLETION, DATED JANUARY 11, 1999
    

P R O S P E C T U S

                               4,166,667 SHARES

                               [GRAPHIC OMITTED]

                           MEDE AMERICA CORPORATION

                                 COMMON STOCK

                              ------------------

     All  of  the  shares  of  Common  Stock offered hereby (the "Offering") are
being  sold by MEDE AMERICA Corporation ("MEDE AMERICA" or the "Company"). Prior
to  the  Offering,  there  has been no public market for the Common Stock of the
Company.  It  is currently estimated that the initial public offering price will
be  between  $11.00  and  $13.00  per  share. See "Underwriting" for information
relating  to  the  factors  to  be  considered in determining the initial public
offering  price. The Company's Common Stock has been approved for listing on the
Nasdaq National Market under the symbol "MEDE."

                              ------------------
   SEE "RISK FACTORS" BEGINNING ON PAGE 10 FOR A DISCUSSION OF CERTAIN FACTORS
       THAT SHOULD BE CONSIDERED BY PROSPECTIVE PURCHASERS OF THE COMMON
                             STOCK OFFERED HEREBY.

    THESE SECURITIES HAVE NOT BEEN APPROVED OR DISAPPROVED BY THE SECURITIES
        AND EXCHANGE COMMISSION OR ANY OTHER STATE SECURITIES COMMISSION
           NOR HAS THE SECURITIES AND EXCHANGE COMMISSION OR ANY STATE
                SECURITIES COMMISSION PASSED UPON THE ACCURACY OR
               ADEQUACY OF THIS PROSPECTUS. ANY REPRESENTATION TO
                       THE CONTRARY IS A CRIMINAL OFFENSE.

================================================================================
                         PRICE       UNDERWRITING       PROCEEDS
                          TO         DISCOUNTS AND         TO
                        PUBLIC      COMMISSIONS(1)     COMPANY(2)
- --------------------------------------------------------------------------------
Per Share .........   $            $                  $
- --------------------------------------------------------------------------------
Total(3) ..........   $            $                  $
================================================================================

   (1)  The Company has agreed to indemnify  the  Underwriters  against  certain
        liabilities,  including liabilities under the Securities Act of 1933, as
        amended. See "Underwriting."

   (2)  Before  deducting  expenses  estimated  at  $1,700,000,  payable  by the
        Company.

   (3)  The Company has granted to the  Underwriters a 30-day option to purchase
        up to 625,000 additional shares of Common Stock on the same terms as set
        forth above solely to cover  over-allotments,  if any. If such option is
        exercised in full, the total Price to Public, Underwriting Discounts and
        Commissions  and  the  Proceeds  to  Company  will  be  $ ,  $  and  $ ,
        respectively. See "Underwriting."

                              ------------------

     The shares of Common  Stock are being  offered by the several  Underwriters
named herein,  subject to prior sale,  when, as and if delivered and accepted by
them,  and  subject to their right to reject  orders in whole or in part.  It is
expected  that  certificates  for  such  shares  of  Common  Stock  will be made
available  for delivery at the offices of Salomon  Smith  Barney Inc.,  333 West
34th Street, New York, New York 10001, on or about , 1999.

   
                              ------------------
SALOMON SMITH BARNEY
                            BEAR, STEARNS & CO. INC.
                                                        WILLIAM BLAIR & COMPANY

      , 1999
    

Information   contained  herein  is  subject  to  completion  or  amendment.   A
registration  statement  relating  to these  securities  has been filed with the
Securities  and Exchange  Commission.  These  securities may not be sold nor may
offers to buy be accepted prior to the time the registration  statement  becomes
effective.  This  prospectus  shall  not  constitute  an  offer  to  sell or the
solicitation of an offer to buy nor shall there be any sale of these  securities
in any State in which such offer,  solicitation  or sale would be unlawful prior
to registration or qualification under the securities laws of any such State.

<PAGE>
                     [DIAGRAM OF MEDE AMERICA CORPORATION'S
                       TECHNOLOGY, PRODUCTS AND SERVICES]













   
                                 ------------
CERTAIN  PERSONS  PARTICIPATING IN THIS OFFERING MAY ENGAGE IN TRANSACTIONS THAT
STABILIZE,  MAINTAIN  OR  OTHERWISE  AFFECT  THE  PRICE  OF  THE  COMMON  STOCK,
INCLUDING  BY  OVER-ALLOTMENT,  ENTERING  STABILIZING  BIDS, EFFECTING SYNDICATE
COVERING  TRANSACTIONS  OR  IMPOSING OF PENALTY BIDS. FOR A DESCRIPTION OF THESE
ACTIVITIES, SEE "UNDERWRITING."
    

     MEDE  AMERICA  is a  trademark  of the  Company.  All  other  trade  names,
trademarks or service  marks  appearing in this  Prospectus  are the property of
their respective owners and are not the property of the Company.

<PAGE>

                              PROSPECTUS SUMMARY

     The  following  summary is qualified in its entirety by, and should be read
in conjunction with, the more detailed information and the financial statements,
including the notes thereto, appearing elsewhere in this Prospectus.

   
                                  THE COMPANY

     MEDE AMERICA is a leading provider of electronic data  interchange  ("EDI")
products and services to a broad range of providers and payors in the healthcare
industry.  The Company  offers an integrated  suite of EDI solutions that allows
hospitals,  pharmacies,  physicians, dentists and other healthcare providers and
provider groups to electronically edit, process and transmit claims, eligibility
and  enrollment  data,  track claims  submissions  throughout the claims payment
process  and obtain  faster  reimbursement  for their  services.  In addition to
offering greater  processing speed, the Company's EDI products reduce processing
costs,  increase  collection rates and result in more accurate data interchange.
The Company  maintains over 540 direct  connections  with  insurance  companies,
Medicare and  Medicaid  agencies,  Blue Cross and Blue Shield  systems and other
third party payors,  as well as over 500 indirect  connections  with  additional
payors  through  claims  clearinghouses.  As of December 31,  1998,  the Company
processed over 900,000  transactions  per business day for over 65,000 providers
located in all 50 states.
    

     Since its  formation in March 1995,  the Company has expanded  both through
internal growth and the acquisition of six healthcare EDI processing businesses.
As part of its strategy of providing an  integrated  suite of EDI solutions to a
broad range of  healthcare  providers,  the Company has focused on  acquisitions
that provide entry into new markets or expand the Company's  product suite.  The
Company has actively  pursued the  integration of its  acquisitions  and, in the
process,  has either divested,  closed or restructured various operations of the
acquired  entities in order to eliminate  non-core or redundant  operations  and
achieve cost savings and operating efficiencies.

   
     Innovations  over  the  past  decade  in  computer  and  telecommunications
technologies  have resulted in the development of EDI systems to  electronically
process  and  transmit   information  among  the  various  participants  in  the
healthcare  industry.  These  systems were  designed to replace the  paper-based
recording and transmission of information,  enabling greater  processing  speed,
reduced processing costs and more accurate data interchange. According to Health
Data  Directory,  in 1998 over 4.4 billion  electronic  and paper claims will be
paid  in all  sectors  of the  healthcare  services  market.  From  1994 to 1998
(estimated),  the proportion of total healthcare claims that were electronically
processed  increased  from 47% to 62%.  During  such period the number of claims
processed  electronically  increased  at an  average  rate of 14% per year.  The
Company  expects the electronic  processing of healthcare  claims to continue to
increase as a result of increased reliance on electronic  commerce and increased
emphasis on cost containment in the healthcare industry.

     The penetration of electronic  processing  varies  significantly  among the
different  markets  within  the  healthcare  industry.   Health  Data  Directory
estimates that in 1998 electronic  processing will account for approximately 16%
of total dental claims,  40% of total  physician  medical  claims,  84% of total
hospital  medical  claims and 88% of total pharmacy  claims.  In addition to the
opportunity to convert remaining  paper-based  claims to electronic  processing,
the  Company  believes  that  there  is  significant  market  potential  for EDI
processing in the non-claim area, including eligibility verification, remittance
transactions  and other  data  exchange  transactions  such as claims  tracking,
referrals and physician scripting.  The Company believes that EDI penetration in
these  non-claim  transaction  categories  is  low,  and as a  result,  the  EDI
transaction  growth in these areas will exceed that of the EDI claims processing
market.
    

     The Company believes that it has several  competitive  strengths which will
enable  it  to  capitalize  on  the  significant  growth  opportunities  in  the
healthcare EDI marketplace.

                                       3

<PAGE>

     COMPREHENSIVE SUITE OF EDI PRODUCTS AND SERVICES.  The Company has followed
a strategy of  developing  or acquiring  EDI  products and services  that may be
offered  to a broad  range  of  healthcare  providers.  The  Company's  products
incorporate open  architecture  designs and what the Company regards as "best of
breed"  technology  and may be  purchased  as modular  additions to the client's
existing data storage and retrieval  system,  or as part of a comprehensive  EDI
processing  system. The Company believes it is well positioned to take advantage
of the  expected  growth  of EDI in  areas  such as  eligibility,  managed  care
transactions and physician scripting.

     BROAD AND  DIVERSIFIED  CLIENT BASE.  The  Company's  client base is highly
diversified,   consisting  of  approximately  42,000  pharmacies,  8,000  dental
offices, 1,100 hospitals and clinics and 14,000 physicians.  The Company's broad
and  diversified  client base provides it with  transaction-based  revenues that
tend to be recurring and  positions it to capitalize on the rapid  consolidation
taking place within the healthcare industry.

     DIRECT RELATIONSHIPS WITH PROVIDERS AND PAYORS. The range of MEDE AMERICA's
services and the extent of its connectivity with payors provides the opportunity
to achieve  deeper  penetration  of its  provider  base,  while at the same time
offering more complete  solutions to new clients.  MEDE AMERICA believes that it
is strongly positioned to offer reliable, one-stop shopping to providers for all
their EDI needs.

     FOCUS ON CLIENT  SERVICE.  The Company has focused on  implementing  a wide
range of client  service and support  functions  including  the use of automated
client  service  tracking  software,  expanded  client  help  desk  and  account
executive  support  functions  and extensive  client  feedback  mechanisms.  The
Company  believes that its high quality client service enhances the satisfaction
of its clients and generates new revenue  opportunities  in the form of expanded
transaction volume and sales of new products and services.

     LEADING  TECHNOLOGY AND PRODUCT  PLATFORMS.  Over the past two years,  MEDE
AMERICA has invested significant capital in new hardware and software systems to
increase its  transaction  processing  capacity.  As a result of such technology
investments, MEDE AMERICA believes it is able to provide high quality service to
its  clients  in the  form  of  high  network  availability,  batch  transaction
reliability  and high rates of payor  claims  acceptance.  Through  its  various
processing  platforms,  MEDE AMERICA can provide  Internet access to its clients
for the transmission and receipt of EDI transactions. MEDE AMERICA also believes
that its technology platform,  which is operating at approximately  one-third of
its total capacity, provides the Company with substantial operating leverage.

     EXPERIENCED MANAGEMENT TEAM. Each member of the Company's senior management
team  has  over  15  years  of  experience  in the  information  technology  and
transaction  processing  industries and has extensive background in working with
emerging companies in the information  processing industry. The Company believes
that the range and depth of its senior  management  team  position it to address
the evolving  requirements  of its clients and to manage the growth  required to
meet its strategic goals.

     The  Company's  mission  is  to  be  the  leading  provider  of  integrated
healthcare transaction processing technology,  networks and databases,  enabling
its clients to improve the quality and efficiency of their services.  To achieve
this  objective,  the Company is  pursuing a growth  strategy  comprised  of the
following  elements:  provide a  comprehensive  suite of EDI solutions;  further
penetrate its existing client base through  cross-selling  of emerging  products
and  services;  develop  new EDI  solutions  to  meet  the  evolving  electronic
transaction  processing needs of its clients;  provide  multiple  communications
technologies for healthcare  providers,  including direct lines,  common carrier
dial-ups,  commercial  data  networks  and the  Internet;  continue  to  utilize
strategic  alliances  with key players in the  healthcare  industry;  and pursue
strategic acquisitions in order to expand the Company's product offerings, enter
new markets and capitalize on the Company's operating leverage.

     The Company's  executive  offices are located at 90 Merrick  Avenue,  Suite
501, East Meadow, New York 11554, and its telephone number is (516) 542-4500.

                                       4

<PAGE>

                                 THE OFFERING

   
COMMON STOCK OFFERED BY THE COMPANY.........    4,166,667 shares

COMMON STOCK TO BE OUTSTANDING AFTER THE
 OFFERING...................................    12,613,084 shares (1)(2)
    

USE OF PROCEEDS.............................     To  retire    all   outstanding
                                                 subordinated  indebtedness  and
                                                 accrued interest thereon, and a
                                                 portion  of  outstanding   bank
                                                 indebtedness.

PROPOSED NASDAQ NATIONAL
 MARKET SYMBOL...............................    MEDE

- ----------
(1) Reflects the proposed Recapitalization (as defined herein).

   
(2) Excludes (i) 1,250,000 shares of Common Stock issuable pursuant to the Medic
    Warrant (as defined  herein),  (ii) 84,050  shares of Common Stock  issuable
    pursuant to the 1998 Guaranty Warrants (as defined herein) and (iii) 482,823
    shares  of  Common  Stock  issuable  upon  the  exercise  of  stock  options
    outstanding as of December 31, 1998 under the MEDE AMERICA  Corporation  and
    Its Subsidiaries Stock Option and Restricted Stock Purchase Plan (the "Stock
    Plan"), of which 233,668 were exercisable at such date. The weighted average
    exercise  price of all  outstanding  stock  options is $4.84 per share.  See
    "Recent Developments" and "Management -- Employee Benefit Plans."
    

                              RECENT DEVELOPMENTS

     On July  17,  1998,  the  Company  entered  into a  Transaction  Processing
Agreement  (the  "Processing  Agreement")  with  Medic  Computer  Systems,  Inc.
("Medic"),  a subsidiary  of Misys plc that  develops and licenses  software for
healthcare  providers,  principally  physicians,  medical service  organizations
("MSOs")  and  physician  practice  management  companies  ("PPMs").  Under  the
Processing  Agreement,  the Company will undertake certain software  development
obligations,  and from  July 1,  1999 it will  become  the  exclusive  processor
(subject  to certain  exceptions)  of medical  reimbursement  claims for Medic's
subscribers submitted to payors with whom MedE has or establishes  connectivity.
Under the Processing  Agreement,  the Company will be entitled to revenues to be
paid by payors (in respect of which a commission is payable to Medic) as well as
fees to be paid by Medic.

     Contemporaneously,  to  ensure a close  working  relationship  between  the
parties,  on July 17,  1998 the Company  granted to Medic a warrant  (the "Medic
Warrant") to acquire  1,250,000  shares of the Company's  Common Stock, at a per
share  exercise  price  equal to the price of the  Common  Stock  offered to the
public in the Offering or, in the event that an initial  public  offering is not
completed by March 31, 1999, at an exercise price equal to $8.00 per share.  The
difference between the two alternative  prices reflects,  in the Company's view,
the incremental value of a share of Common Stock resulting from the Offering and
the concurrent Recapitalization.  The Medic Warrant vests over a two year period
and may be exercised up to five years after the date of grant. The Medic Warrant
contains customary  weighted average  antidilution  provisions.  The Company and
certain of its principal stockholders have agreed that, following the completion
of the  Offering  and until the  earlier of the  termination  of the  Processing
Agreement or the  disposition by Medic and its affiliates of at least 25% of the
shares of Common Stock issuable  under the Medic  Warrant,  Medic shall have the
right to designate one director to the Company's  Board of Directors.  As of the
date of this Prospectus, Medic has not named a designee.

     On October 30, 1998,  the Company  acquired all the  outstanding  shares of
capital stock of Healthcare  Interchange,  Inc. ("HII"),  a St. Louis,  Missouri
based provider of EDI transaction processing services to hospitals and physician
groups in Missouri,  Kansas and Illinois.  Prior to the  acquisition,  HII was a
subsidiary  of  RightCHOICE  Managed  Care,  Inc.  ("RightCHOICE")  and  General
American Life Insurance Company ("General  American").  The Company acquired HII
for a total cash payment of approximately $11.7 million,  including  transaction
expenses.

                                       5

<PAGE>

   
     The HII acquisition was financed  pursuant to an amendment to the Company's
Credit  Agreement,  dated as of  December  18,  1995,  as amended  (the  "Credit
Facility")  increasing the facility to $36,000,000.  To induce  investment funds
affiliated  with Welsh,  Carson,  Anderson & Stowe,  a private  investment  firm
("WCAS"),  and William Blair Capital Partners L.L.C.  ("WBCP") to guarantee this
increase,  on October 7, 1998,  the Company  granted to such funds warrants (the
"1998  Guaranty  Warrants")  to  purchase  an  aggregate  84,050  shares  of the
Company's  Common Stock,  at a per share exercise  price  determined in the same
manner  as the  Medic  Warrant.  The  1998  Guaranty  Warrants  are  immediately
exercisable and may be exercised up to five years after the date of grant.
    

                                 RISK FACTORS

     Prospective  purchasers should consider all of the information contained in
this  Prospectus  before  making an  investment  in shares of Common  Stock.  In
particular,  prospective purchasers should consider the factors set forth herein
under "Risk Factors."

                                       6

<PAGE>

                      SUMMARY CONSOLIDATED FINANCIAL DATA

<TABLE>
<CAPTION>
                                                                               YEAR ENDED JUNE 30,                        
                                           ---------------------------------------------------------------------------- 
                                                                         ACTUAL                             PRO FORMA(1)  
                                            ---------------------------------------------------------------------------- 
                                                  1995             1996          1997(3)         1998(3)      1998(3)    
                                            ---------------- ---------------- ------------- ----------------------------    
                                                          (IN THOUSANDS, EXCEPT PER SHARE DATA)            
<S>                                         <C>              <C>              <C>           <C>               <C>            
STATEMENT OF OPERATIONS DATA:                                                                                              
 Revenues(4) ..............................    $ 16,246         $ 31,768        $  35,279       $ 42,290       $ 48,880    
 Operating expenses:                                                                                                       
  Operations ..............................       9,753           19,174           16,817         16,958         18,882    
  Sales, marketing and client services            3,615            7,064            8,769         10,765         12,376    
  Research and development ................       2,051            2,132            3,278          3,941          3,984    
  General and administrative ..............       3,119            6,059            5,263          4,865          6,027    
  Depreciation and amortization ...........       2,995            5,176            5,460          7,143          8,645    
  Write-down of intangible assets .........       8,191 (5)        9,965 (6)           --             --             --    
  Acquired in-process research and                                                                                         
    development(7) ........................          --               --            1,556             --             --    
  Other charges(8) ........................       2,864              538            2,301             --             --    
                                               ---------        ---------       ---------       --------       --------    
 Total operating expenses .................      32,588           50,108           43,444         43,672         49,914    
                                               ---------        ---------       ---------       --------       --------    
 Income (loss) from operations ............     (16,342)         (18,340)          (8,165)        (1,382)        (1,034)   
 Other (income) expense ...................          --              313             (893)           (12)           (12)   
 Interest expense (income), net ...........         189              584            1,504          3,623            639    
                                               ---------        ---------       ---------       --------       --------    
 Loss before provision for income                                                                                          
  taxes ...................................     (16,531)         (19,237)          (8,776)        (4,993)        (1,661)   
 Provision for income taxes ...............          70               93               57             42             42    
                                               ---------        ---------       ---------       --------       --------    
 Net loss .................................     (16,601)         (19,330)          (8,833)        (5,035)        (1,703)   
 Preferred stock dividends ................         (27)          (2,400)          (2,400)        (2,400)            --    
                                               ---------        ---------       ---------       --------       --------    
 Net loss applicable to common                                                                                             
  stockholders ............................    $(16,628)        $(21,730)       $ (11,233)      $ (7,435)      $ (1,703)   
                                               =========        =========       =========       ========       ========    
 Basic and diluted net loss per com-                                                                                       
  mon share ...............................    $  (3.17)        $  (4.14)       $   (2.07)      $  (1.31)(9)   $  (0.14)   
 Weighted average common shares                                                                                            
  outstanding - Basic and diluted .........       5,238            5,245            5,425          5,679         12,308    
                                                                                                                           
<CAPTION>                                                                                                     
                                                             THREE MONTHS
                                                         ENDED SEPTEMBER 30,
                                            -------------------------------------------
                                                       ACTUAL              PRO FORMA(2)
                                            ----------------------------- -------------
                                              1997(3)          1998            1998
                                            ----------- ----------------- -------------
                                                   (IN THOUSANDS, EXCEPT PER SHARE DATA)
<S>                                            <C>         <C>               <C>
STATEMENT OF OPERATIONS DATA:
 Revenues(4) ..............................     $  9,241       $ 12,006         $13,318
 Operating expenses:
  Operations ..............................        4,285          4,793           5,272
  Sales, marketing and client services             2,385          2,930           3,208
  Research and development ................          806          1,106           1,106
  General and administrative ..............        1,061          1,263           1,511
  Depreciation and amortization ...........        1,698          1,894           2,177
  Write-down of intangible assets .........           --             --              --
  Acquired in-process research and
    development(7) ........................           --             --              --
  Other charges(8) ........................           --             --              --
                                                --------       --------         -------
 Total operating expenses .................       10,235         11,986          13,274
                                                --------       --------         -------
 Income (loss) from operations ............         (994)            20              44
 Other (income) expense ...................           --             --              --
 Interest expense (income), net ...........          655          1,089             214
                                                --------       --------         -------
 Loss before provision for income
  taxes ...................................       (1,649)        (1,069)           (170)
 Provision for income taxes ...............           12             16              16
                                                --------       --------         -------
 Net loss .................................       (1,661)        (1,085)           (186)
 Preferred stock dividends ................         (600)          (600)             --
                                                --------       --------         -------
 Net loss applicable to common
  stockholders ............................     $ (2,261)      $ (1,685)        $  (186)
                                                ========       ========         =======
 Basic and diluted net loss per com-
  mon share ...............................     $  (0.40)      $  (0.30)(9)     $ (0.02)
 Weighted average common shares
  outstanding - Basic and diluted .........        5,674          5,685          12,314
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
                                                     AS OF SEPTEMBER 30, 1998
                                                  -------------------------------
                                                                    PRO FORMA,
                                                     ACTUAL       AS ADJUSTED(10)
                                                  ------------   ----------------
<S>                                               <C>            <C>
BALANCE SHEET DATA:
 Working capital ...............................   $   2,232          $ 3,295
 Total assets ..................................      64,726           76,392
 Long-term debt, including current portion .....      42,627           11,715
 Redeemable cumulative preferred stock .........      31,823               --
 Stockholders' equity (deficit) ................     (23,750)          51,328
</TABLE>

<TABLE>
<CAPTION>
                                                                           YEAR ENDED JUNE 30,                      
                                            -----------------------------------------------------------------------
                                                                   ACTUAL                         PRO FORMA(1)  
                                            ------------------------------------------------------------------------     
                                                 1995          1996       1997(3)      1998(3)       1998(3)     
                                            ------------- ------------- ----------- --------------------------------   
                                                (IN THOUSANDS, EXCEPT PER TRANSACTION DATA)    

<S>                                         <C>           <C>           <C>         <C>              <C>              
OTHER DATA:                                                                                                        
 EBITDA(11) ...............................   $ (13,347)    $ (13,164)   $  (2,705)  $    5,761        $    7,611     
 Adjusted EBITDA(11) ......................      (2,292)       (2,052)       2,211        5,761             7,611     
 Cash flows from operating activities            (3,561)       (1,653)      (4,020)      (2,500)               --     
 Cash flows from investing activities.          (22,074)       (4,919)     (12,221)     (12,104)               --     
 Cash flows from financing activities.           33,434           657       15,521       15,635                --     
 Transactions processed(12)                                                                                        
  Pharmacy ................................          --       107,030      126,211      188,114           191,663     
  Medical .................................          --        15,687       23,075       31,564            46,821     
  Dental ..................................          --         6,021       12,188       14,681            14,681     
                                              ---------     ---------    ---------   ----------        ----------     
    Total transactions processed ..........          --       128,738      161,474      234,359           253,165     
 Transactions per FTE(12)(13) .............          --           321          415          642               633    
 Revenue per FTE(13) ......................   $      48     $      79    $      91   $      116        $      122    
 Operating expenses per transac-                                                                                   
  tion(12) ................................          --           0.39         0.27         0.19             0.20    
                                                                                                                   
                                                                                                    

<CAPTION>
   
                                                         THREE MONTHS
                                                   ENDED SEPTEMBER 30, 1998
                                           ------------------------------------
                                                    ACTUAL          PRO FORMA(2)
                                           ---------------------- -------------
                                                1997       1998         1998
                                           ----------- ---------- -------------
                                         (IN THOUSANDS, EXCEPT PER TRANSACTION DATA)
<S>                                          <C>         <C>        <C>
OTHER DATA:
 EBITDA(11) ...............................   $     704   $ 1,914     $  2,221
 Adjusted EBITDA(11) ......................         704     1,914        2,221
 Cash flows from operating activities            (1,616)      447           --
 Cash flows from investing activities.             (519)     (869)          --
 Cash flows from financing activities.            2,781     1,023           --
 Transactions processed(12)
  Pharmacy ................................      38,513    53,466       53,466
  Medical .................................       7,762     8,348       12,601
  Dental ..................................       3,546     4,135        4,135
                                              ---------   -------     --------
    Total transactions processed ..........      49,821    65,949       70,202
 Transactions per FTE(12)(13) .............         137       174          170
 Revenue per FTE(13) ......................   $      25   $    32     $     32
 Operating expenses per transac-
  tion(12) ................................        0.21      0.18         0.19
    

</TABLE>
                                                   (Footnotes on following page)

                                       7

<PAGE>

 (1) Gives effect to (i) the  acquisition of Stockton in November 1997, (ii) the
     acquisition of HII in October 1998, (iii) the Recapitalization and (iv) the
     Offering, as if they had occurred on July 1, 1997.

 (2) Gives  effect  to (i) the  acquisition  of HII in  October  1998,  (ii) the
     Recapitalization and (iii) the Offering, as if they had occurred on July 1,
     1997.

   
 (3) As restated,  to adjust the write-off of acquired  in-process  research and
     development and the amortization of goodwill resulting from the acquisition
     of  Time-Share  Computer  Systems,  Inc.  ("TCS").  See Note 13 of Notes to
     Consolidated Financial Statements of the Company.
    

 (4) During the periods presented, the Company made a series of acquisitions and
     divested certain non-core or unprofitable operations. Revenues attributable
     to these  divested  operations,  which are  included  in the  statement  of
     operations  data, were  $1,709,000,  $3,617,000,  $2,252,000,  $241,000 and
     $190,000 in the fiscal years ended June 30, 1995,  1996,  1997 and 1998 and
     the three months ended September 30, 1997, respectively.

 (5) Reflects  the  write-off of goodwill related to the acquisitions of Medical
     Processing Center, Inc. ("MPC") and Wellmark, Inc. ("Wellmark").

 (6) Reflects  the  write-down  of costs  relating  to client  lists and related
     allocable   goodwill  obtained  in  the  acquisition  of  General  Computer
     Corporation,  subsequently  renamed MEDE AMERICA Corporation of Ohio ("MEDE
     OHIO").

 (7) Reflects the  write-off  of acquired  in-process  research and  development
     costs upon the consummation of the TCS acquisition.

 (8) Reflects (i) expenses of $2,864,000 relating to the spin-off of the Company
     by Card Establishment  Services, Inc. ("CES") in the fiscal year ended June
     30, 1995 and (ii) expenses  recorded  relating to contingent  consideration
     paid to former owners of acquired  businesses of $538,000 and $2,301,000 in
     the fiscal years ended June 30, 1996 and 1997, respectively.

 (9) Supplemental  net loss per share,  giving  effect to the  Recapitalization,
     would be $(0.62)  and  $(0.13)  for the fiscal year ended June 30, 1998 and
     the three months ended September 30, 1998, respectively.

(10) Gives  effect  to (i) the  acquisition  of HII in  October  1998,  (ii) the
     Recapitalization  and  (iii)  the  Offering,  as if they  had  occurred  on
     September 30, 1998.

(11) EBITDA  represents net income (loss) plus  provision for income taxes,  net
     interest expense, other (income) expense and depreciation and amortization.
     EBITDA  is  not  a  measurement  in  accordance  with  generally   accepted
     accounting  principles ("GAAP") and should not be considered an alternative
     to, or more meaningful than, earnings (loss) from operations,  net earnings
     (loss) or cash flow from  operations  as defined by GAAP or as a measure of
     the  Company's  profitability  or liquidity.  Not all  companies  calculate
     EBITDA in the same manner and, accordingly,  EBITDA shown herein may not be
     comparable  to EBITDA  shown by other  companies.  The Company has included
     information  concerning  EBITDA herein because  management  believes EBITDA
     provides useful information. Adjusted EBITDA represents EBITDA plus certain
     other charges as described below. The following table summarizes EBITDA and
     adjusted EBITDA for all periods presented:


<PAGE>
<TABLE>
<CAPTION>
                                                                YEAR ENDED JUNE 30,
                                                ---------------------------------------------------
                                                                      ACTUAL
                                                ---------------------------------------------------
                                                     1995           1996          1997       1998
                                                -------------- -------------- ------------ --------
                                                                  (IN THOUSANDS)
<S>                                             <C>            <C>            <C>          <C>
  EBITDA ......................................   $  (13,347)    $  (13,164)    $ (2,705)   $5,761
  Contingent consideration paid to former
    owners of acquired businesses .............           --            538        2,301        --
  Write-down of intangible assets .............        8,191          9,965           --        --
  Acquired in-process research and
    development ...............................           --             --        1,556        --
  Expenses related to the CES spin-off ........        2,864             --           --        --
  Contract and legal settlement provisions                --            609        1,059        --
                                                  ----------     ----------     --------    ------
  Adjusted EBITDA .............................   $   (2,292)    $   (2,052)    $  2,211    $5,761
                                                  ==========     ==========     ========    ======

<CAPTION>
                                                YEAR ENDED            THREE MONTHS
                                                  JUNE 30,        ENDED SEPTEMBER 30,
                                                ----------- ------------------------------
                                                 PRO FORMA        ACTUAL         PRO FORMA
                                                ----------- ------------------- ----------
                                                    1998      1997      1998       1998
                                                ----------- -------- ---------- ----------
                                                              (IN THOUSANDS)
<S>                                             <C>         <C>      <C>        <C>
  EBITDA ......................................    $7,611    $ 704    $ 1,914    $ 2,221
  Contingent consideration paid to former
    owners of acquired businesses .............        --       --         --         --
  Write-down of intangible assets .............        --       --         --         --
  Acquired in-process research and
    development ...............................        --       --         --         --
  Expenses related to the CES spin-off ........        --       --         --         --
  Contract and legal settlement provisions             --       --         --         --
                                                   ------    -----    -------    -------
  Adjusted EBITDA .............................    $7,611    $ 704    $ 1,914    $ 2,221
                                                   ======    =====    =======    =======
</TABLE>

(12) Transaction  volumes are not  available  for the fiscal year ended June 30,
     1995.

(13) Full-time  equivalents ("FTE") represents the number of full-time employees
     and  part-time  equivalents  of  full-time  employees  as of the end of the
     period shown.

                                       8

<PAGE>

                        QUARTERLY FINANCIAL INFORMATION

     The following table summarizes certain quarterly financial  information for
all periods presented:

<TABLE>
<CAPTION>
                                              THREE MONTHS ENDED
                               ------------------------------------------------
                                 9/30/96    12/31/96   3/31/97(1)   6/30/97(1)
                               ----------- ---------- ------------ ------------
                                                (IN THOUSANDS)
<S>                            <C>         <C>        <C>          <C>
STATEMENT OF OPERATIONS DATA:
 Revenues ....................  $  8,179    $  7,831   $   8,954    $  10,315
 Income (loss) from oper-
  ations .....................    (1,301)     (1,108)     (2,784)      (2,972)
 Net loss ....................    (1,465)     (1,324)     (2,341)      (3,703)
OTHER DATA:
 EBITDA(2) ...................  $   (199)   $    (64)  $  (1,361)   $  (1,081)
 Contingent consideration
  paid to former
  owners of acquired
  businesses .................       330         330         330        1,311
 Acquired in-process re-
  search and
  development ................        --          --       1,556           --
 Contract and legal settle-
  ment provisions ............        --          --          --        1,059
                                --------    --------   ---------    ---------
 Adjusted EBITDA(1) ..........  $    131    $    266   $     525    $   1,289
                                ========    ========   =========    =========



<CAPTION>
                                                     THREE MONTHS ENDED
                               ---------------------------------------------------------------
                                9/30/97(1)   12/31/97(1)   3/31/98(1)   6/30/98(1)    9/30/98
                               ------------ ------------- ------------ ------------ ----------
                                                        (IN THOUSANDS)
 <S>                            <C>          <C>           <C>          <C>          <C>
STATEMENT OF OPERATIONS DATA:
 Revenues ....................   $  9,241     $  9,849      $ 11,099     $ 12,101    $ 12,006
 Income (loss) from oper-
  ations .....................       (994)        (389)         (123)         124          20
 Net loss ....................     (1,661)      (1,316)       (1,049)      (1,009)     (1,085)
OTHER DATA:
 EBITDA(2) ...................   $    704     $  1,309      $  1,729     $  2,019    $  1,914
 Contingent consideration
  paid to former
  owners of acquired
  businesses .................         --           --            --           --          --
 Acquired in-process re-
  search and
  development ................         --           --            --           --          --
 Contract and legal settle-
  ment provisions ............         --           --            --           --          --
                                 --------     --------      --------     --------    --------
 Adjusted EBITDA(1) ..........   $    704     $  1,309      $  1,729     $  2,019    $  1,914
                                 ========     ========      ========     ========    ========
</TABLE>

     See  "Management's  Discussion  and  Analysis  of  Financial  Condition and
Results of Operations -- Quarterly Operating Results."

- -----------

   
(1)  As restated,  to adjust the write-off of acquired  in-process  research and
     development  and  the  amortization  of  goodwill  resulting  from  the TCS
     acquisition.  See Note 13 of Notes to Consolidated  Financial Statements of
     the Company.
    

(2)  EBITDA  represents net income (loss) plus  provision for income taxes,  net
     interest expense, other (income) expense and depreciation and amortization.
     EBITDA is not a  measurement  in  accordance  with GAAP and  should  not be
     considered an alternative to, or more meaningful than, earnings (loss) from
     operations,  net earnings (loss) or cash flow from operations as defined by
     GAAP or as a measure of the Company's  profitability or liquidity.  Not all
     companies  calculate  EBITDA in the same  manner and,  accordingly,  EBITDA
     shown herein may not be comparable to EBITDA shown by other companies.  The
     Company  has  included   information   concerning   EBITDA  herein  because
     management  believes EBITDA provides  useful  information.  Adjusted EBITDA
     represents EBITDA plus certain other charges as described above.

   
- -----------
     Except as otherwise  noted herein,  all  information in this Prospectus (i)
assumes no exercise of the Underwriters'  over-allotment option, (ii) assumes no
exercise of the Medic Warrant or the 1998  Guaranty  Warrants and (iii) has been
adjusted  to  give  effect  to a  one-for-4.5823  reverse  stock  split  of  all
outstanding  Common Stock (the "Reverse Stock Split").  The Company's  Preferred
Stock,  $.01 par value  ("Preferred  Stock"),  provides  for  conversion  of the
aggregate liquidation value of the Preferred Stock, including accrued but unpaid
dividends,  into Common Stock at the initial  public  offering  price per share.
However,  cash  realized by the Company upon any  exercise of the  Underwriters'
overallotment option would be applied to the payment of accrued dividends on the
Preferred  Stock and the remainder of such accrued  dividends would convert into
Common  Stock.  Except  as  otherwise  noted  herein,  each  reference  in  this
Prospectus  to Common Stock  issuable  upon  conversion  of all of the Preferred
Stock assumes a conversion  price of $12.00.  Based on an aggregate  liquidation
preference  of the  Preferred  Stock of  $32,420,358  (including  $8,424,758  of
accrued  dividends)  as of December 31, 1998,  2,701,643  shares of Common Stock
would  be so  issuable  as of such  date.  In  addition,  concurrently  with the
consummation of the Offering,  an additional  59,926 shares of Common Stock will
be issued  upon the  exercise  of  certain  outstanding  Common  Stock  purchase
warrants.  The Medic  Warrant  and the 1998  Guaranty  Warrants,  all  having an
exercise  price  equal to the price to the public in the  Offering,  will remain
outstanding  after the Offering.  Such  conversion of the Preferred  Stock,  and
exercise  of  warrants  to  purchase  59,926  shares of Common  Stock (on a "net
exercise"  basis),  are  referred  to  herein  as  the  "Recapitalization."  See
"Capitalization,"  "Description of Common Stock,"  "Principal  Stockholders" and
"Underwriting."
    

                                       9

<PAGE>
                                 RISK FACTORS

     In addition to other information contained in this Prospectus,  prospective
investors should carefully consider the following risk factors before purchasing
the  shares  of  Common  Stock  offered   hereby.   This   Prospectus   contains
forward-looking  statements  relating to future  events or the future  financial
performance  of the  Company.  Prospective  investors  are  cautioned  that such
forward-looking  statements are not guarantees of future performance and involve
risks and  uncertainties.  Actual events or results may differ  materially  from
those discussed in the forward-looking statements as a result of various factors
and the matters set forth in this Prospectus generally.

HISTORY OF OPERATING LOSSES; LIMITED OPERATING HISTORY

     The Company has experienced substantial net losses, including net losses of
$16.6 million,  $19.3 million,  $8.8 million,  $5.0 million and $1.1 million for
the fiscal years ended June 30, 1995,  1996,  1997 and 1998 and the three months
ended September 30, 1998,  respectively.  The Company had an accumulated deficit
of approximately  $51.3 million as of September 30, 1998. In connection with its
acquisitions   completed  to  date,   the  Company  has   incurred   significant
acquisition-related  charges and will record  significant  amortization  expense
related to goodwill and other intangible assets in future periods.  There can be
no assurance that the Company will be able to achieve or sustain  revenue growth
or  profitability  on a quarterly or annual basis.  See  "Selected  Consolidated
Financial Data" and "Management's Discussion and Analysis of Financial Condition
and Results of Operations."

     The Company's operating history is limited. The Company's prospects must be
considered  in  light  of  the  risks,  expenses  and  difficulties   frequently
encountered  by  companies  with  limited  operating   histories,   particularly
companies  in new and  rapidly  evolving  markets  such  as EDI and  transaction
processing.  Such  risks  include,  but are not  limited  to,  an  evolving  and
unpredictable  business model and the difficulties inherent in the management of
growth.  To address these risks, the Company must, among other things,  maintain
and increase its client base,  implement and  successfully  execute its business
and marketing  strategies,  continue to develop and upgrade its  technology  and
transaction-processing  systems,  provide  superior client  service,  respond to
competitive developments,  and attract, retain and motivate qualified personnel.
There can be no assurance that the Company will be successful in addressing such
risks or in  achieving  profitability,  and the  failure  to do so could  have a
material  adverse  effect on the  Company's  business,  financial  condition and
results of operations.

ACQUISITION STRATEGY; NEED FOR ADDITIONAL CAPITAL

   
     The Company's  strategy includes  acquisitions of healthcare EDI businesses
that  complement or supplement  the  Company's  business.  The success of such a
strategy  will  depend on many  factors,  including  the  Company's  ability  to
identify   suitable   acquisition   candidates,   the  purchase  price  and  the
availability  and terms of financing.  Significant  competition  for acquisition
opportunities  exists in the  healthcare EDI industry,  which may  significantly
increase the costs of and decrease the opportunities for acquisitions.  Although
the  Company  is  actively  pursuing  possible  acquisitions,  there  can  be no
assurance that any acquisition  will be consummated.  No assurances can be given
that the Company will be able to operate any acquired  businesses  profitably or
otherwise successfully implement its expansion strategy. The Company may finance
future  acquisitions  through  borrowings  or the  issuance  of debt  or  equity
securities. Any borrowings would increase the Company's interest expense and any
issuance  of equity  securities  could have a dilutive  effect on the holders of
Common Stock. The Company will not be able to account for acquisitions under the
"pooling of  interests"  method for at least two years  following  the Offering.
Accordingly,  such future acquisitions may result in significant  goodwill and a
corresponding  increase  in the amount of  amortization  expense  and could also
result in write-downs of purchased  assets,  all of which could adversely affect
the Company's operating results in future periods.

     The Credit Facility is scheduled to terminate on October 29, 1999. Although
the Company has received a letter from its current lender undertaking to provide
financing for working capital and other uses beyond such date, such  undertaking
is subject to a number of conditions and there can be no
    

                                       10

<PAGE>

   
assurance that such financing will be made available.  Accordingly, there can be
no  assurance  that  the  Company  will be able to  obtain  financing  on  terms
favorable to the Company and the failure to do so could have a material  adverse
effect on the Company's business, financial condition and results of operations.
    

INTEGRATION OF ACQUIRED BUSINESSES

     The success of the Company's  acquisition  strategy also depends to a large
degree on the Company's  ability to effectively  integrate the acquired products
and  services,  facilities,  technologies,  personnel  and  operations  into the
Company.  The  process of  integration  often  requires  substantial  management
attention  and other  corporate  resources,  and the  Company may not be able to
accurately  predict  the  resources  that will be needed to  integrate  acquired
operations.  There  can be no  assurance  that  the  Company  will  be  able  to
effectively  integrate any or all acquired companies or operations.  Any failure
to do so could  result in  operating  inefficiencies,  redundancies,  management
distraction  or  technological   difficulties   (among  other  possible  adverse
consequences),  any  of  which  could  have a  material  adverse  effect  on the
Company's business, financial condition and results of operations.

EVOLVING INDUSTRY STANDARDS AND RAPID TECHNOLOGICAL CHANGES

     The market for the  Company's  products  and services is  characterized  by
rapidly  changing  technology,  evolving  industry  standards  and the  frequent
introduction  of new and enhanced  services.  The Company's  success will depend
upon its ability to enhance its existing services, to introduce new products and
services  on  a  timely  and  cost-effective   basis  to  meet  evolving  client
requirements,  to achieve market  acceptance for new products or services and to
respond to emerging industry standards and other  technological  changes.  There
can be no  assurance  that the Company  will be able to respond  effectively  to
technological  changes  or new  industry  standards.  Moreover,  there can be no
assurance  that  other  companies  will  not  develop  competitive  products  or
services,  or that any such  competitive  products or services  will not have an
adverse  effect on the Company's  business,  financial  condition and results of
operations.

DEPENDENCE ON CONNECTIONS TO PAYORS

     The  Company's  business is enhanced  by the  substantial  number of payors
(such as insurance companies, Medicare and Medicaid agencies and Blue Cross/Blue
Shield  organizations)  to which the Company has electronic  connections.  These
connections  may either be made  directly  or through a  clearinghouse  or other
intermediary.  The  Company has  attempted  to enter into  suitable  contractual
relationships to ensure long term payor connectivity;  however,  there can be no
assurance  that the Company  will be able to maintain  its links with all payors
with whom it currently has connections.  In addition,  there can be no assurance
that the Company  will be able to develop new  connections  (either  directly or
through  clearinghouses)  on  satisfactory  terms,  if at all.  Lastly,  certain
third-party  payors  provide  EDI  systems  directly  to  healthcare  providers,
bypassing  third-party  processors such as the Company.  The failure to maintain
its  existing  connections  with  payors and  clearinghouses  or to develop  new
connections  as  circumstances  warrant,  or an increase in the  utilization  of
direct links between providers and payors,  could have a material adverse effect
on the Company's business, financial condition and results of operations.

DEVELOPMENT OF EDI PROCESSING IN THE HEALTHCARE INDUSTRY

     The Company's strategy anticipates that electronic processing of healthcare
transactions,  including  transactions  involving  clinical as well as financial
information,  will become more  widespread  and that  providers and  third-party
payors  increasingly  will use EDI  processing  networks for the  processing and
transmission  of data.  Electronic  transmission  of healthcare  transactions is
still developing, and complexities in the nature and types of transactions which
must be processed have hindered,  to some degree, the development and acceptance
of EDI  processing  in this  market.  There can be no assurance  that  continued
conversion  from  paper-based  transaction  processing to EDI  processing in the
healthcare industry will occur or that, to the extent it does occur,  healthcare
providers and payors will use independent

                                       11

<PAGE>

processors  such as the  Company.  Furthermore,  if EDI  processing  extensively
penetrates the healthcare market or becomes highly standardized,  it is possible
that  competition  among  transaction  processors  will  focus  increasingly  on
pricing.  If  competition  causes the  Company to reduce its pricing in order to
retain market  share,  the Company may suffer a material  adverse  change in its
business, financial condition and results of operations.

POTENTIAL VARIABILITY IN QUARTERLY OPERATING RESULTS

     The Company's quarterly operating results have varied  significantly in the
past and are likely to vary from  quarter to  quarter in the  future.  Quarterly
revenues  and  operating  results  may  fluctuate  as a result of a  variety  of
factors, including:  integration of acquired businesses; seasonal variability of
demand for healthcare services generally; the number, timing and significance of
announcements  and  releases  of product  enhancements  and new  products by the
Company  and its  competitors;  the timing  and  significance  of  announcements
concerning the Company's present or prospective strategic alliances; the loss of
clients due to consolidation in the healthcare industry;  legislation or changes
in government  policies or regulations  relating to healthcare  EDI  processing;
delays in product  installation  requested  by clients;  the length of the sales
cycle or the timing of sales;  client  budgeting  cycles  and  changes in client
budgets; marketing and sales promotional activities;  software defects and other
quality factors; and general economic conditions.

     The  Company's  operating  expense  levels,  which will  increase  with the
addition of acquired  businesses,  are relatively  fixed.  If revenues are below
expectations,  net income is likely to be disproportionately adversely affected.
Further, in some future quarters the Company's revenues or operating results may
be below the expectations of securities  analysts and investors.  In such event,
the trading  price of the  Company's  Common  Stock would  likely be  materially
adversely  affected.  See  "Summary  --  Quarterly  Financial  Information"  and
"Management's  Discussion  and  Analysis of Financial  Condition  and Results of
Operations -- Quarterly Operating Results."

PROPOSED HEALTHCARE DATA CONFIDENTIALITY LEGISLATION

     Legislation that imposes restrictions on third-party processors' ability to
analyze  certain  patient  data  without   specific  patient  consent  has  been
introduced in the U.S. Congress.  Although the Company does not currently access
or analyze individually identifiable patient information,  such legislation,  if
adopted,  could  adversely  affect the  ability  of  third-party  processors  to
transmit  information  such as treatment and clinical data, and could  adversely
affect the Company's  ability to expand into related areas of the EDI healthcare
market. In addition,  the Health Insurance  Portability and Accountability  Act,
passed  in  1997,  mandates  the  establishment  of  federal  standards  for the
confidentiality,   format  and   transmission   of  patient  data,  as  well  as
recordkeeping and data security  obligations.  It is possible that the standards
so developed will necessitate changes to the Company's  operations,  which could
have a material adverse effect on the Company's  business,  financial  condition
and results of operations.

COMPETITION

     The   Company   faces   significant   competition   from   healthcare   and
non-healthcare  EDI  processing  companies.  The  Company  also faces  potential
competition  from  other  companies,  such as vendors  of  provider  information
management  systems,  which  have  added or may add  their own  proprietary  EDI
processing systems to existing or future products and services.  Competition may
be  experienced  in the form of  pressure  to reduce per  transaction  prices or
eliminate per  transaction  pricing  altogether.  If EDI processing  becomes the
standard for claims and  information  processing,  a number of larger and better
capitalized  entities  may  elect to enter the  industry  and  further  increase
competitive  pricing  pressures.  Many of the  Company's  existing and potential
competitors  are larger and have  significantly  greater  financial,  marketing,
technological  and other  resources than the Company.  There can be no assurance
that  increased  competition  will not have a  material  adverse  effect  on the
Company's business, financial condition and results of operations. See "Business
- -- Competition."

                                       12

<PAGE>

RISK OF INTERRUPTION OF DATA PROCESSING

     The  Company  currently  processes  its  data  through  its  facilities  in
Twinsburg,  Ohio, Mitchel Field, New York, and Atlanta,  Georgia.  The Twinsburg
and Mitchel Field sites are designed to be redundant.  Additionally, the Company
transmits data through a number of different  telecommunications networks, using
a variety of different  technologies.  However,  the occurrence of an event that
overcomes the data processing and transmission  redundancies then in place could
lead to service  interruptions  and could have a material  adverse effect on the
Company's business, financial condition and results of operations.

YEAR 2000 COMPLIANCE

     Many currently  installed  computer systems and software products are coded
to accept only two digit entries in the date code field.  These date code fields
will need to accept four digit  entries to  distinguish  21st century dates from
20th century  dates.  As a result,  prior to January 1, 2000,  computer  systems
and/or  software used by many companies  (including the Company) will need to be
upgraded to comply with such "Year 2000" requirements.  Significant  uncertainty
exists in the software  industry  concerning the potential  consequences  of the
Year 2000 phenomenon.  Although the Company  currently offers software  products
that  are  designed  or  have  been  modified  to  comply  with  the  Year  2000
requirements,  the Company has identified certain products and services which it
believes  are not Year 2000  compliant.  While the  Company has plans to address
such  problems,  there  can be no  assurance  that the costs of  bringing  these
systems into compliance will not be  significantly  greater than expected,  that
compliance  will be achieved in a timely  manner,  or that  providers and payors
will bring their  systems  into Year 2000  compliance  in a timely  manner.  The
failure to achieve Year 2000 compliance in a timely manner could have a material
adverse  effect on the Company's  business,  financial  condition and results of
operations. See "Management's Discussion and Analysis of Financial Condition and
Results of Operations-- Year 2000 Compliance."

   
     In October 1998 the Company  acquired HII.  HII's EDI products and services
fall  into  three  categories:  physician  claims  processing,  hospital  claims
processing and claims data  transmission  (extraction and transmission of claims
data to a third  party  data  analyst).  Based on its  review at the time of the
acquisition,  the Company  determined  that none of these  products is Year 2000
compliant.  Prior to the HII acquisition,  certain employees and officers of HII
made express and implied representations to a number of HII's clients that HII's
systems  would be Year 2000  compliant by January 1, 1999.  While the Company is
actively  engaged in a  remediation  program to provide  HII's clients with Year
2000 compliant products and services, it is likely that such remediation program
will not be completed prior to mid-1999. Consequently,  certain of HII's clients
may elect to terminate their relationships with HII.

     The Credit Facility contains a covenant on the part of the Company to cause
its products to be Year 2000  compliant  by August 31, 1999.  Failure to achieve
such  compliance  on a timely  basis  would  create a default  under the  Credit
Facility. In addition,  the terms of the Company's proposed credit facility also
contemplate a Year 2000 compliance covenant. There can be no assurance that such
compliance  will be  achieved on a timely  basis.  Failure to do so could have a
material  adverse  effect on the  Company's  business,  financial  condition and
results of operations.  See  "Management's  Discussion and Analysis of Financial
Condition and Results of Operations-- Year 2000 Compliance."
    

DEPENDENCE ON KEY PERSONNEL

     The  Company's  performance  depends in  significant  part on the continued
service of its executive officers, its product managers and key sales, marketing
and development personnel. The Company considers its key management personnel to
be Thomas P. Staudt,  President and Chief Executive Officer, William M. McManus,
Linda K. Ryan and Roger L.  Primeau,  in charge  of the  pharmacy,  medical  and
dental  operations,   respectively,   James  T.  Stinton,  the  Company's  Chief
Information  Officer,  and Richard P. Bankosky,  the Company's  Chief  Financial
Officer. No single individual is considered by the Company to be critical to the
Company's  success.  The Company does not maintain  employment  agreements  with
these officers or other employees  (with limited  exceptions) and the failure to
retain the services of such persons could have a material  adverse effect on the
Company's business, financial condition and results of operations.

                                       13

<PAGE>

UNCERTAINTY AND CONSOLIDATION IN THE HEALTHCARE INDUSTRY

     The  healthcare  industry is subject to changing  political,  economic  and
regulatory  influences that may affect the procurement  practices and operations
of healthcare industry participants. Federal and state legislatures periodically
consider programs to modify or amend the United States healthcare system at both
the federal and state level.  These  programs may contain  proposals to increase
governmental  involvement in healthcare,  lower reimbursement rates or otherwise
change  the  environment  in which  healthcare  industry  participants  operate.
Healthcare   industry   participants  may  react  to  these  proposals  and  the
uncertainty  surrounding such proposals by curtailing or deferring  investments,
including investments in the Company's products and services. In addition,  many
healthcare  providers are  consolidating  to create larger  healthcare  delivery
organizations.  This  consolidation  reduces the number of potential clients for
the  Company's   services,   and  the  increased   bargaining   power  of  these
organizations  could lead to  reductions  in the amounts paid for the  Company's
services.  Other healthcare information companies,  such as billing services and
practice  management  vendors,  which currently utilize the Company's  services,
could develop or acquire transaction processing and networking  capabilities and
may cease  utilizing the Company's  services in the future.  The impact of these
developments in the healthcare industry is difficult to predict and could have a
material  adverse  effect on the  Company's  business,  financial  condition and
results of operations. To the extent that the current trend toward consolidation
in the industry  continues,  MEDE  AMERICA may find it more  difficult to obtain
access to payors, information providers and practice management software vendors
on whom its ability to deliver services and enroll new clients now depends. Loss
of access to these industry  participants could materially  adversely affect the
Company's business, financial condition and results of operations.

DEPENDENCE ON INTELLECTUAL PROPERTY; RISK OF INFRINGEMENT

     The  Company's  ability to  compete  effectively  depends to a  significant
extent on its ability to protect its proprietary information. The Company relies
on a  combination  of statutory  and common law  copyright,  trademark and trade
secret laws, client licensing agreements, employee and third-party nondisclosure
agreements and other methods to protect its proprietary rights. The Company does
not include in its software any  mechanisms  to prevent or inhibit  unauthorized
use, but generally enters into confidentiality  agreements with its consultants,
clients and  potential  clients and limits access to, and  distribution  of, its
proprietary information.  The Company has not filed any patent applications with
respect to its intellectual  property.  It is the Company's policy to defend its
intellectual  property;  however, there can be no assurance that the steps taken
by the  Company to protect  its  proprietary  information  will be  adequate  to
prevent  misappropriation  of its  technology or that the Company's  competitors
will not independently develop technologies that are substantially equivalent or
superior to the Company's technology.

     The Company is also  subject to the risk of alleged  infringement  by it of
intellectual  property  rights of others.  Although the Company is not currently
aware of any  pending or  threatened  infringement  claims  with  respect to the
Company's  current  or future  products,  there can be no  assurance  that third
parties will not assert such claims.  Any such claims could  require the Company
to enter into  license  arrangements  or could result in  protracted  and costly
litigation,  regardless of the merits of such claims.  No assurance can be given
that any  necessary  licenses  will be available  or that,  if  available,  such
licenses  can  be  obtained  on  commercially  reasonable  terms.   Furthermore,
litigation  may be  necessary  to enforce the  Company's  intellectual  property
rights,  to protect the Company's  trade secrets,  to determine the validity and
scope of the  proprietary  rights  of  others  or to  defend  against  claims of
infringement. Such litigation could result in substantial costs and diversion of
resources and could have a material  adverse  effect on the Company's  business,
financial condition and results of operations.

     The Company expects that software  developers will  increasingly be subject
to such claims as the number of products and competitors  providing software and
services to the  healthcare  industry  increases  and overlaps  occur.  Any such
claim, with or without merit, could result in costly litigation or might require
the Company to enter into  royalty or licensing  agreements,  any of which could
have a material adverse effect on the Company's  business,  financial  condition
and results of operations.  Such royalty or licensing  agreements,  if required,
may not be available on terms acceptable to the Company or at all.

                                       14

<PAGE>
RISK OF PRODUCT DEFECTS

     Products  such as those  offered  by the  Company  may  contain  errors  or
experience  failures,  especially when initially introduced or when new versions
are  released.  While the Company  conducts  extensive  testing to address these
errors  and  failures,  there can be no  assurance  that  errors or  performance
failures will not occur in products  under  development  or in  enhancements  to
current  products.  Any such errors or failures could result in loss of revenues
and clients,  delay in market  acceptance,  diversion of development  resources,
damage to the Company's  reputation  or increased  service  costs,  any of which
could  have a  material  adverse  effect on the  Company's  business,  financial
condition and results of operations.  To date,  the Company has not  experienced
any material product defects.

CONTROL BY EXISTING STOCKHOLDERS

   
     After the  Offering,  48.3% of the Common Stock will be owned by investment
funds affiliated with WCAS and 7.7% will be owned by investment funds affiliated
with WBCP. See "Principal  Shareholders"  and  "Description  of Capital Stock --
Recapitalization."  As a  result  of  this  concentration  of  ownership,  these
shareholders may be able to exercise control over matters requiring  shareholder
approval,  including  the  election of  directors  and  approval of  significant
corporate  transactions.  Such  control  may  have the  effect  of  delaying  or
preventing a change in control of the Company.  The Company's Board of Directors
currently  includes  Thomas E. McInerney and Anthony J. de Nicola,  designees of
WCAS, and Timothy M. Murray,  a designee of WBCP. The funds affiliated with WCAS
may be deemed to be controlled by their respective general partners, the general
partners  of each of which  include  some or all of the  following  individuals:
Thomas E. McInerney and Anthony J. de Nicola,  directors of the Company, Patrick
J. Welsh,  Russell L. Carson,  Bruce K.  Anderson,  Richard H. Stowe,  Andrew M.
Paul,  Robert A.  Minicucci,  Paul B. Queally and Laura M.  VanBuren.  The funds
affiliated with WBCP may be deemed to be controlled by their respective  general
partners,  the general  partners of which include William Blair & Company L.L.C.
and certain of its  employees,  including  Timothy E. Murray,  a director of the
Company.
    

NO PUBLIC MARKET FOR THE COMMON STOCK; PRICE AND MARKET VOLATILITY

     Prior to this  Offering,  there has been no public  market  for the  Common
Stock,  and there can be no assurance that an active trading market will develop
or be sustained after this Offering or that the market price of the Common Stock
will not decline below the initial  public  offering  price.  The initial public
offering price has been determined by  negotiations  between the Company and the
Representatives  of the  Underwriters  and may not be  indicative  of the market
price of the Common Stock in the future.  See "Underwriting" for a discussion of
the factors  considered in determining the initial public  offering  price.  The
stock  market  has  from  time to time  experienced  extreme  price  and  volume
fluctuations, particularly in the securities of technology companies, which have
often been  unrelated to the  operating  performance  of  individual  companies.
Announcements  of  technological  innovations  or new  and  enhanced  commercial
products by the Company or its competitors,  market  conditions in the industry,
developments or disputes  concerning  proprietary  rights,  changes in earnings,
economic  and other  external  factors,  political  and other  developments  and
period-to-period  fluctuations  in  financial  results of the Company may have a
significant impact on the market price and marketability of the Company's Common
Stock.  Fluctuations in the trading price of the Common Stock may also adversely
affect the liquidity of the trading market for the Common Stock.

POTENTIAL ADVERSE EFFECT OF ANTI-TAKEOVER PROVISIONS

     The  Company's  Board of Directors is  authorized  to issue up to 5,000,000
shares of Preferred  Stock and to determine the price,  rights,  preferences and
privileges  of those shares  without any further vote or action by the Company's
stockholders.  The rights of the holders of Common Stock will be subject to, and
may be  adversely  affected  by,  the  rights of the  holders  of any  shares of
Preferred  Stock  that may be issued in the  future.  While the  Company  has no
present  intention to issue shares of Preferred Stock, any such issuance,  while
providing  desirable  flexibility in connection with possible  acquisitions  and
other corporate purposes,  could have the effect of making it more difficult for
a third  party to  acquire a majority  of the  outstanding  voting  stock of the
Company. In addition, such Preferred Stock may have

                                       15

<PAGE>

other rights,  including  economic rights senior to the Common Stock,  and, as a
result,  the issuance thereof could have a material adverse effect on the market
value  of  the  Common  Stock.  Furthermore,  the  Company  is  subject  to  the
anti-takeover  provisions of Section 203 of the Delaware General Corporation Law
(the  "DGCL"),  which  prohibits  the  Company  from  engaging  in  a  "business
combination" with an "interested  stockholder" for a period of three years after
the date of the  transaction  in which such person first becomes an  "interested
stockholder,"  unless the  business  combination  is  approved  in a  prescribed
manner. The application of these provisions could have the effect of delaying or
preventing a change of control of the Company.  Certain other  provisions of the
Amended and Restated Certificate of Incorporation and the Company's Bylaws could
also have the effect of delaying or preventing  changes of control or management
of the Company,  which could adversely  affect the market price of the Company's
Common Stock.  See  "Description  of Capital  Stock -- Preferred  Stock" and "--
Delaware Laws and Certain Charter and Bylaw Provisions; Anti-Takeover Measures."

SHARES  ELIGIBLE FOR FUTURE SALE; POSSIBLE ADVERSE EFFECT ON FUTURE MARKET PRICE

   
     Sales of Common Stock  (including  Common Stock issued upon the exercise of
outstanding  stock  options)  in the public  market  after this  Offering  could
materially  adversely  affect the market  price of the  Common  Stock.  Upon the
completion  of this  Offering  and giving  effect to the  Recapitalization,  the
Company will have  12,613,084  shares of Common Stock  outstanding,  assuming no
exercise of stock  options and no exercise of the  Underwriters'  over-allotment
option. Of these  outstanding  shares of Common Stock, the 4,166,667 shares sold
in this  Offering  will be  freely  tradeable,  without  restriction  under  the
Securities Act of 1933, as amended (the "Securities  Act"),  unless purchased by
"affiliates"  of the  Company,  as that  term is  defined  in Rule 144 under the
Securities Act. The remaining  8,446,417 shares of Common Stock held by existing
stockholders  are  "restricted  securities"  as that term is defined in Rule 144
under the  Securities Act and were issued and sold by the Company in reliance on
exemptions  from the  registration  requirements  of the  Securities  Act. These
shares may be resold in the public  market only if  registered or pursuant to an
exemption  from  registration,  such as Rule 144 under the  Securities  Act. All
officers,  directors and certain holders of Common Stock beneficially owning, in
the  aggregate,  approximately  7,342,360  shares of Common Stock and options to
purchase  482,823  shares of Common  Stock,  have  agreed,  pursuant  to certain
lock-up agreements,  that they will not sell, offer to sell, solicit an offer to
purchase,  contract  to sell,  grant any option to sell,  pledge,  or  otherwise
transfer or dispose of, directly or indirectly, any shares of Common Stock owned
by them,  or that could be  purchased by them through the exercise of options to
purchase Common Stock of the Company, for a period of 180 days after the date of
this  Prospectus  without the prior written consent of Salomon Smith Barney Inc.
Upon expiration of the lock-up agreements,  all shares of Common Stock currently
outstanding will be immediately eligible for resale, subject to the requirements
of Rule 144.  The Company is unable to predict the effect that sales may have on
the then  prevailing  market  price of the  Common  Stock.  See  "Management  --
Employee Benefit Plans," "Description of Capital Stock" and "Shares Eligible for
Future Sale."
    

BENEFITS OF THE OFFERING TO CURRENT STOCKHOLDERS

   
     Prospective investors should be aware that current holders of the Company's
Common Stock and Preferred  Stock will benefit from the Offering.  Approximately
$25.2  million of the net  proceeds of the  Offering  will be used to prepay all
then outstanding  principal and accrued interest on a Senior  Subordinated  Note
(as herein defined) held by WCAS Capital Partners II, L.P., one of the Company's
principal  stockholders.  In addition,  approximately  $19.6  million of the net
proceeds will be used to reduce  outstanding  indebtedness  and accrued interest
under  the  Credit  Facility.  If  the  Underwriters'  overallotment  option  is
exercised,  the cash  realized by the Company  therefrom  will be applied to the
payment  of  accrued  dividends  on  the  Preferred  Stock  (which  amounted  to
$8,424,758 as of December 31, 1998) and the remainder of such accrued  dividends
would convert into Common Stock. The Credit Facility, which is guaranteed by the
Company's  four  principal  stockholders,  is expected to be replaced with a new
facility,  which will not be guaranteed by a third party.  See "Use of Proceeds"
and "Certain Transactions."
    

                                       16

<PAGE>

     After the  Offering,  all existing  stockholders  will benefit from certain
changes  including  the  creation of a public  market for the  Company's  Common
Stock.  Moreover, the current shareholders will realize an immediate increase in
market and tangible book value.  Assuming an initial  public  offering  price of
$12.00 per share, the aggregate  unrealized gain to current  stockholders of the
Company,  based on the  difference  between  such public  offering  price of the
Common Stock and the  acquisition  cost of their equity,  will be $72.4 million.
See "Dilution."

IMMEDIATE AND SUBSTANTIAL DILUTION

     Purchasers  of  Common  Stock in the  Offering  will  incur  immediate  and
substantial dilution in the net tangible book value per share of Common Stock in
the amount of $11.09 per share,  at an assumed  initial public offering price of
$12.00 per share.  To the extent that  outstanding  options to  purchase  Common
Stock are exercised, there will be further dilution. See "Dilution."

ABSENCE OF DIVIDENDS

   
     No  dividends  have  been  paid on the Common Stock to date and the Company
does  not  anticipate  paying  dividends  on the Common Stock in the foreseeable
future.  The  Credit  Facility  prohibits the payment of dividends on the Common
Stock.  Moreover, the terms of the proposed credit facility prohibit the Company
from paying dividends on the Common Stock. See "Dividend Policy."
    

RISKS ASSOCIATED WITH FORWARD-LOOKING STATEMENTS

     This  Prospectus  contains  certain  statements  that are  "forward-looking
statements," which include, among other things, the discussions of the Company's
business strategy and expectations concerning developments in the healthcare EDI
industry, the Company's market position, future operations,  transaction growth,
margins and profitability, and liquidity and capital resources. Investors in the
Common Stock offered  hereby are cautioned that such  forward-looking  statement
involves risks and  uncertainties,  and that although the Company  believes that
the assumptions on which the  forward-looking  statements  contained  herein are
reasonable,  any of those  assumptions  could prove to be  inaccurate,  and as a
result, the forward-looking  statements based on those assumptions also could be
incorrect.  The  uncertainties  in this regard include,  but are not limited to,
those  identified  in the risk factors  discussed  above.  In light of these and
other uncertainties,  the inclusion of a forward-looking statement herein should
not be regarded as a representation  by the Company that the Company's plans and
objectives will be achieved.

                                       17

<PAGE>

                                  THE COMPANY

   
     MEDE AMERICA is a leading  provider of EDI products and services to a broad
range of providers and payors in the healthcare industry.  The Company offers an
integrated suite of EDI solutions that allows hospitals, pharmacies, physicians,
dentists and other  healthcare  providers and provider groups to  electronically
edit, process and transmit claims, eligibility and enrollment data, track claims
submissions   throughout   the  claims   payment   process  and  obtain   faster
reimbursement  for their services.  In addition to offering  greater  processing
speed, the Company's EDI products reduce processing costs,  increase  collection
rates and result in more accurate data  interchange.  The Company maintains over
540 direct connections with insurance companies, Medicare and Medicaid agencies,
Blue Cross and Blue Shield systems and other third party payors, as well as over
500 indirect  connections with additional payors through claims  clearinghouses.
As of December 31, 1998, the Company processed over 900,000 transactions per day
for over 65,000 providers located in all 50 states.  The Company's mission is to
be  the  leading  provider  of  integrated  healthcare   transaction  processing
technology,  networks and databases, enabling its clients to improve the quality
and efficiency of their services.

     The  Company  was  formed  in March  1995  through  the  consolidation  and
subsequent spin-off of three subsidiaries of Card Establishment  Services,  Inc.
("CES"),  in connection with the  acquisition by First Data  Corporation of CES'
credit card processing  business.  The three subsidiaries,  MedE America,  Inc.,
Medical Processing Center, Inc. ("MPC") and Wellmark,  Inc. ("Wellmark"),  which
comprised  the heathcare  services  business of CES,  historically  provided EDI
services to  hospitals  and  physicians.  After the  spin-off,  the Company made
several strategic acquisitions to strengthen its core hospital/medical  business
and to expand into the  pharmaceutical  and dental  markets.  In March 1995, the
Company acquired General Computer Corporation, subsequently renamed MEDE AMERICA
Corporation  of Ohio  (referred  to herein as "MEDE  OHIO"),  a developer of EDI
systems  and  services  for the  pharmaceutical  industry,  and in June 1995 the
Company acquired Latpon Health Systems,  Incorporated ("Latpon"), a developer of
proprietary EDI claims processing  software for hospitals and physicians.  These
acquisitions  were followed by  acquisitions  of Electronic  Claims and Funding,
Inc. ("EC&F"), and Premier Dental Systems, Corp.  ("Premier"),  in October 1995.
These  companies were engaged in the EDI and management  software  businesses in
the dental market.  The Company  enhanced its presence in the pharmacy market by
acquiring  Time-Share  Computer Systems,  Inc. ("TCS"), in February 1997 and The
Stockton Group, Inc. ("Stockton") in November 1997. Healthcare Interchange, Inc.
("HII"),  a  provider  of  transaction  processing  services  to  hospitals  and
physician groups, was acquired in October 1998. See "Management's Discussion and
Analysis of Financial Condition and Results of Operations -- Overview."
    

     The Company's  executive  offices are located at 90 Merrick  Avenue,  Suite
501, East Meadow, New York 11554, and its telephone number is (516) 542-4500.

                                       18

<PAGE>

                                USE OF PROCEEDS

   
     The net proceeds to the Company from the sale of the shares of Common Stock
offered  hereby,  assuming an initial public offering price of $12.00 per share,
are  estimated  to  be  $44.8  million  ($51.8  million  if  the   Underwriters'
over-allotment  option is  exercised in full),  after  deducting  the  estimated
offering fees and expenses  payable by the Company.  The Company  intends to use
the net proceeds from the Offering as follows:  (i) approximately  $25.2 million
to prepay all then outstanding principal and accrued interest on its outstanding
10% Senior  Subordinated  Note due February  14, 2002 (the "Senior  Subordinated
Note")  and (ii)  the  balance  (approximately  $19.6  million)  to  reduce  the
outstanding  indebtedness and accrued  interest under the Credit Facility.  Cash
realized by the Company  upon any  exercise of the  Underwriters'  overallotment
option  would be applied to the payment of accrued  dividends  on the  Preferred
Stock and the  remainder of such  accrued  dividends  would  convert into Common
Stock. As of December 31, 1998, such accrued dividends totaled  $8,424,758.  See
"Certain Transactions." Pending application to the foregoing uses, such proceeds
will be invested in short-term, investment-grade, interest-bearing obligations.
    

                                DIVIDEND POLICY

   
     The Company has never  declared or paid any  dividends  on its Common Stock
and does not anticipate paying any cash dividends in the foreseeable future. The
Credit  Facility  prohibits  the  payment  of  dividends  on the  Common  Stock.
Moreover,  the terms of the proposed credit  facility  prohibit the Company from
paying  dividends on the Common Stock. The Company  currently  intends to retain
any earnings to fund future growth and the operation of its business.  See "Risk
Factors -- Absence of Dividends."
    

                                       19

<PAGE>

                                CAPITALIZATION

     The  following  table sets forth the  capitalization  of the  Company as of
September 30, 1998 on an actual basis and pro forma,  as adjusted to reflect (i)
the acquisition of HII in October 1998, (ii) the  Recapitalization and (iii) the
issuance  and sale by the Company of 4,166,667  shares of Common  Stock  offered
hereby,  assuming an initial public  offering  price of $12.00 per share,  after
deducting the estimated  offering fees and expenses payable by the Company,  and
the  application  of the  net  proceeds  thereof  as  described  under  "Use  of
Proceeds."  The  following  table  should  be  read  in  conjunction   with  the
Consolidated  Financial  Statements and the notes thereto and the "Unaudited Pro
Forma  Consolidated   Financial   Information"   appearing   elsewhere  in  this
Prospectus.

<TABLE>
<CAPTION>
   
                                                     AS OF SEPTEMBER 30, 1998
                                                  -----------------------------
                                                                   PRO FORMA,
                                                     ACTUAL      AS ADJUSTED(1)
                                                  -----------   ---------------
                                                         (IN THOUSANDS)
<S>                                               <C>           <C>
Long-term debt (including current portion)
 Senior Subordinated Note .....................    $  23,455       $      --
 Credit Facility ..............................       17,950          10,493
 Other debt ...................................        1,222           1,222
                                                   ---------       ---------
   Total long-term debt .......................       42,627          11,715
                                                   ---------       ---------
Redeemable cumulative preferred stock .........       31,823              --
                                                   ---------       ---------
Stockholders' (deficit) equity
 Common Stock(2) ..............................           57             127
 Additional paid-in capital ...................       27,521         104,074
 Accumulated deficit ..........................      (51,328)        (52,873)
                                                   ---------       ---------
 Total stockholders' (deficit) equity .........      (23,750)         51,328
                                                   ---------       ---------
 Total capitalization .........................    $  50,700       $  63,043
                                                   =========       =========
</TABLE>

- ----------
(1) As  adjusted  to  reflect  (i)  additional  borrowings  of $11.7  million in
    connection   with  the   acquisition  of  HII  in  October  1998,  (ii)  the
    Recapitalization  and (iii)  the sale of  4,166,667  shares of Common  Stock
    offered by the Company hereby at an assumed initial public offering price of
    $12.00  per share  and the  anticipated  application  of the  estimated  net
    proceeds therefrom.

(2) Excludes (i) 1,250,000 shares of Common Stock issuable pursuant to the Medic
    Warrant,  (ii) 84,050 shares of Common Stock  issuable  pursuant to the 1998
    Guaranty  Warrants and (iii)  482,823  shares of Common  Stock  reserved for
    issuance upon exercise of stock options  outstanding under the Stock Plan as
    of December  31, 1998,  at a weighted  average  exercise  price of $4.84 per
    share,  of which  233,668 were  exercisable  at such date.  See  "Prospectus
    Summary -- Recent  Developments"  and  "Management-Employee  Benefit Plans."
    Includes  59,926  shares of Common Stock  issuable  upon  exercise of Common
    Stock  purchase  warrants  as  contemplated  by  the  Recapitalization.  See
    "Description of Capital Stock."
    

                                       20

<PAGE>

                                   DILUTION

     The pro forma  deficit  in net  tangible  book  value of the  Company as of
September  30,  1998,   after  giving  effect  to  the   Recapitalization,   was
approximately  $(31.8)  million or $(3.79) per share of Common Stock.  Pro forma
net deficit in tangible  book value per share is  determined by dividing the net
tangible  deficit in book value of the Company (pro forma  tangible  assets less
total liabilities) by the number of shares of Common Stock outstanding. Dilution
per share  represents  the  difference  between  the  amount  per share  paid by
purchasers  of  shares  of Common  Stock in the  Offering  and the pro forma net
tangible book value per share of Common Stock  immediately  after  completion of
the  Offering.  Without  taking  into  account any changes in such pro forma net
tangible book value after  September 30, 1998,  other than to give effect to (i)
the sale of 4,166,667  shares of Common Stock by the Company in this Offering at
an assumed initial public offering price of $12.00 per share and after deducting
the estimated fees and offering expenses,  (ii) the application of the estimated
net  proceeds  therefrom  and  (iii)  the  Recapitalization,  the pro  forma net
tangible  book value of the  Company as of  September  30,  1998 would have been
approximately  $11.5  million or $0.91 per share.  This  represents an immediate
increase  in pro forma net  tangible  book value of $4.70 per share to  existing
stockholders  and an immediate  dilution in pro forma net tangible book value of
$11.09 per share to new investors. The following table illustrates this dilution
on a per share basis.

<TABLE>
<S>                                                                        <C>          <C>
   Assumed initial public offering price per share ......................               $ 12.00
     Pro forma net tangible book value per share before this Offering(1).  $(3.79)
     Increase per share attributable to new investors ...................    4.70
                                                                           ------
   Pro forma net tangible book value per share after this Offering ......                 0.91
                                                                                        -------
   Dilution per share to new investors(2) ...............................               $ 11.09
                                                                                        =======
</TABLE>

- ----------
(1) Pro forma net tangible book value per share of Common Stock is determined by
    dividing  the  Company's  pro forma  deficit in net  tangible  book value at
    September 30, 1998 of $(31.8) million,  by the pro forma number of shares of
    Common  Stock  outstanding,   in  each  case  after  giving  effect  to  the
    Recapitalization.

(2) Dilution per share to new investors is determined by  subtracting  pro forma
    net  tangible  book value per share  after this  Offering  from the  initial
    public offering price per share.

     The  following  table sets forth,  on a pro forma basis as of September 30,
1998,  after  giving  effect to the  Recapitalization,  the  number of shares of
Common Stock purchased from the Company,  the total  consideration  paid and the
average price per share paid by existing stockholders  (excluding the fair value
of companies  contributed in the March 1995 spin-off from CES) and to be paid by
new investors,  based on an assumed  initial public offering price of $12.00 per
share and before deducting estimated fees and expenses payable by the Company:

<TABLE>
<CAPTION>

                                      SHARES PURCHASED          TOTAL CONSIDERATION         AVERAGE
                                  ------------------------   --------------------------      PRICE
                                     NUMBER       PERCENT        AMOUNT        PERCENT     PER SHARE
                                  ------------   ---------   --------------   ---------   ----------
<S>                               <C>            <C>         <C>              <C>         <C>
Existing stockholders .........    8,396,299      66.8%      $28,349,000       36.2%      $ 3.38
New investors .................    4,166,667      33.2        50,000,004       63.8       12.00
                                   ---------     -----       -----------      -----
Total .........................   12,562,966     100.0%      $78,349,004      100.0%
                                  ==========     =====       ===========      =====
</TABLE>

     The foregoing tables assume no exercise of any outstanding stock options to
purchase Common Stock. At September 30, 1998 there were 482,823 shares of Common
Stock  issuable  upon  the  exercise  of stock  options  outstanding  under  the
Company's Stock Plans, of which 221,890 were currently exercisable. Such options
have a weighted  average  exercise price of $4.84 per share.  To the extent such
options are exercised,  there will be further dilution to the new investors. See
"Capitalization,"  "Management -- Employee  Benefit Plans" and  "Description  of
Capital Stock."

                                       21

<PAGE>

            UNAUDITED PRO FORMA CONSOLIDATED FINANCIAL INFORMATION

     The following  unaudited pro forma consolidated  financial  information has
been  prepared by the  Company's  management  from the  historical  Consolidated
Financial  Statements of the Company and the notes thereto included elsewhere in
this Prospectus.  The unaudited pro forma consolidated  statements of operations
for the year ended June 30, 1998 and the three months ended  September  30, 1998
include  adjustments  that give  effect to (i) the  acquisition  of  Stockton in
November  1997,  (ii)  the  acquisition  of  HII  in  October  1998,  (iii)  the
Recapitalization  and (iv) the  Offering,  as if they had occurred as of July 1,
1997.  The  unaudited pro forma  consolidated  balance sheet as of September 30,
1998  gives  effect to (i) the  acquisition  of HII in  October  1998,  (ii) the
Recapitalization and (iii) the Offering, as if they had occurred on such date.

     The pro forma adjustments are based upon available  information and certain
assumptions that the Company  believes are reasonable  under the  circumstances.
The unaudited pro forma  consolidated  financial  information  should be read in
conjunction with the historical  financial  statements of the Company,  Stockton
and HII and the respective notes thereto,  "Management's Discussion and Analysis
of  Financial  Condition  and  Results of  Operations"  and the other  financial
information  included  herein.  The unaudited pro forma  consolidated  financial
information is provided for information purposes only and does not purport to be
indicative of the results which would have been obtained had the acquisitions of
Stockton and HII, the  Recapitalization  and the Offering been  completed on the
dates indicated or which may be expected to occur in the future.

                                       22

<PAGE>

           UNAUDITED PRO FORMA CONSOLIDATED STATEMENTS OF OPERATIONS

                       FOR THE YEAR ENDED JUNE 30, 1998
                     (IN THOUSANDS, EXCEPT PER SHARE DATA)

<TABLE>
<CAPTION>
   
                                                          ACTUAL                   ADJUSTMENTS
                                            -----------------------------------  RELATING TO THE
                                             COMPANY(1)   STOCKTON(2)   HII(3)     ACQUISITIONS
                                            ------------ ------------- -------- -----------------
<S>                                         <C>          <C>           <C>      <C>
Revenues ..................................  $  42,290       $1,646     $4,944      $     --
Operating expenses:
 Operations ...............................     16,958          216      1,679            29 (4)
 Sales, marketing and client services......     10,765          298      1,313            --
 Research and development .................      3,941           43         --            --
 General and administrative ...............      4,865          161      1,001            --
 Depreciation and amortization ............      7,143           54        200         1,270 (5)
                                                                                         (22)(6)
                                                                                    --------
Total operating expenses ..................     43,672          772      4,193         1,277
                                             ---------       ------     ------      --------
Income (loss) from operations .............     (1,382)         874        751        (1,277)
Other (income) expense ....................        (12)          --         --            --
Interest expense (income), net ............      3,623           27        190           791 (7)
                                             ---------       ------     ------      --------
Income (loss) before provision for
 income taxes (Income from continu-
 ing operations as it relates to HII) .....     (4,993)         847        561        (2,068)
Provision for income taxes ................         42           --         --            --
                                             ---------       ------     ------      --------
Net income (loss) (Income from con-
 tinuing operations as it relates to
 HII) .....................................     (5,035)         847     $  561        (2,068)
                                                                        ======
Preferred stock dividends .................     (2,400)          --                       --
                                             ---------       ------                 --------
Net income (loss) applicable to
 common stockholders ......................  $  (7,435)      $  847                 $ (2,068)
                                             =========       ======                 ========
Basic and diluted net loss per common
 share ....................................  $   (1.31)
Weighted average common shares
 outstanding - Basic and diluted ..........      5,679           --


<CAPTION>
                                                ADJUSTMENTS
                                              RELATING TO THE                     OFFERING      PRO FORMA,
                                             RECAPITALIZATION    PRO FORMA      ADJUSTMENTS     AS ADJUSTED
                                            ------------------ ------------- ----------------- ------------
<S>                                         <C>                <C>           <C>               <C>
Revenues ..................................    $       --        $  48,880     $       --       $  48,880
Operating expenses:
 Operations ...............................            --           18,882             --          18,882
 Sales, marketing and client services......            --           12,376             --          12,376
 Research and development .................            --            3,984             --           3,984
 General and administrative ...............            --            6,027             --           6,027
 Depreciation and amortization ............            --            8,645             --           8,645
                                                       --
                                               ----------
Total operating expenses ..................            --           49,914             --          49,914
                                               ----------        ---------     ----------       ---------
Income (loss) from operations .............            --           (1,034)            --          (1,034)
Other (income) expense ....................            --              (12)            --             (12)
Interest expense (income), net ............            --            4,631         (3,992)(8)         639
                                               ----------        ---------     ----------       ---------
Income (loss) before provision for
 income taxes (Income from continu-
 ing operations as it relates to HII) .....            --           (5,653)         3,992          (1,661)
Provision for income taxes ................            --               42             --              42
                                               ----------        ---------     ----------       ---------
Net income (loss) (Income from con-
 tinuing operations as it relates to
 HII) .....................................            --           (5,695)         3,992 (9)      (1,703)
Preferred stock dividends .................         2,400 (10)          --             --              --
                                               ----------        ---------     ----------       ---------
Net income (loss) applicable to
 common stockholders ......................    $    2,400        $  (5,695)    $    3,992       $  (1,703)
                                               ==========        =========     ==========       =========
Basic and diluted net loss per common
 share ....................................                                                     $   (0.14)
Weighted average common shares
 outstanding - Basic and diluted ..........         2,462 (11)       8,141          4,167 (12)     12,308
</TABLE>
    
<PAGE>
                 FOR THE THREE MONTHS ENDED SEPTEMBER 30, 1998
                     (IN THOUSANDS, EXCEPT PER SHARE DATA)

   
<TABLE>
<CAPTION>
                                                   ACTUAL             ADJUSTMENTS
                                            ----------------------  RELATING TO THE
                                              COMPANY     HII(13)   HII ACQUISITION
                                           ------------- --------- -----------------
<S>                                        <C>           <C>       <C>
Revenues .................................   $  12,006    $1,312       $   --
Operating expenses:
 Operations ..............................       4,793       479           --
 Sales, marketing and client services.....       2,930       278           --
 Research and development ................       1,106        --           --
 General and administrative ..............       1,263       248           --
 Depreciation and amortization ...........       1,894        44          239 (5)
                                             ---------    ------       ------
Total operating expenses .................      11,986     1,049          239
                                             ---------    ------       ------
Income (loss) from operations ............          20       263         (239)
Other (income) expense ...................          --        --           --
Interest expense (income), net ...........       1,089        64          120 (7)
                                             ---------    ------       ------
Income (loss) before provision for
 income taxes ............................      (1,069)      199         (359)
Provision for income taxes ...............          16        --           --
                                             ---------    ------       ------
Net income (loss) ........................      (1,085)      199         (359)
Preferred stock dividends ................        (600)      (23)          23 (14)
                                             ---------    ------       ------
Net income (loss) applicable to
 common stockholders .....................   $  (1,685)   $  176       $ (336)
                                             =========    ======       ======
Basic and diluted net loss per common
 share ...................................   $   (0.30)
Weighted average common shares
 outstanding - Basic and diluted .........       5,685        --


<CAPTION>
                                               ADJUSTMENTS
                                             RELATING TO THE                     OFFERING      PRO FORMA,
                                            RECAPITALIZATION    PRO FORMA      ADJUSTMENTS     AS ADJUSTED
                                           ------------------ ------------- ----------------- ------------
<S>                                        <C>                <C>           <C>               <C>
Revenues .................................    $       --        $  13,318     $       --        $ 13,318
Operating expenses:
 Operations ..............................            --            5,272             --           5,272
 Sales, marketing and client services.....            --            3,208             --           3,208
 Research and development ................            --            1,106             --           1,106
 General and administrative ..............            --            1,511             --           1,511
 Depreciation and amortization ...........            --            2,177             --           2,177
                                              ----------        ---------     ----------        --------
Total operating expenses .................            --           13,274             --          13,274
                                              ----------        ---------     ----------        --------
Income (loss) from operations ............            --               44             --              44
Other (income) expense ...................            --               --             --              --
Interest expense (income), net ...........            --            1,273         (1,059)(8)         214
                                              ----------        ---------     ----------        --------
Income (loss) before provision for
 income taxes ............................            --           (1,229)         1,059            (170)
Provision for income taxes ...............            --               16             --              16
                                              ----------        ---------     ----------        --------
Net income (loss) ........................            --           (1,245)         1,059 (9)        (186)
Preferred stock dividends ................           600 (10)          --             --              --
                                              ----------        ---------     ----------        --------
Net income (loss) applicable to
 common stockholders .....................    $      600        $  (1,245)    $    1,059        $   (186)
                                              ==========        =========     ==========        ========
Basic and diluted net loss per common
 share ...................................                                                     $   (0.02)
Weighted average common shares
 outstanding - Basic and diluted .........         2,462 (11)       8,147          4,167 (12)     12,314
    
</TABLE>

                                       23

<PAGE>
DESCRIPTION OF ACQUISITIONS

STOCKTON

     The  acquisition of Stockton was accounted for using the purchase method of
   accounting  and,  accordingly,  the net assets acquired have been recorded at
   estimated fair value on the date of acquisition and the historical  statement
   of  operations  data of the Company  reflects  the results of  operations  of
   Stockton from its date of acquisition.  The purchase price and the allocation
   of the purchase price to the acquired assets are as follows (in thousands):


       Cash purchase price .......................    $10,674
                                                      =======
       Computer equipment ........................    $   260
       Purchased client lists ....................        903
       Purchased software and technology .........      1,230
       Goodwill ..................................      8,281
                                                      -------
                                                      $10,674
                                                      =======

     The Company is also contingently liable for additional  consideration of up
   to  $2,600,000  (plus  interest  at an annual  rate of  7.25%) if  Stockton's
   revenue  during the 12-month  period  ending  September  30, 1998 is at least
   $5,000,000.  Based  on  revenues  recorded  through  September  30,  1998  by
   Stockton,  the Company has accrued  additional  contingent  consideration  of
   $2,022,000 as of September 30, 1998 which was treated as additional  purchase
   price and was,  therefore,  included in goodwill (but is not reflected in the
   chart above).

     The purchased  client lists are being  amortized on a  straight-line  basis
   over five years and the purchased software and technology  generally is being
   amortized  on a  straight-line  basis  over  five  years.  Goodwill  is being
   amortized on a straight-line basis over 20 years. Computer equipment is being
   amortized on a straight-line basis over three years.

HII

     The  acquisition of HII will be accounted for using the purchase  method of
   accounting  and,  accordingly,  the net assets  acquired  will be recorded at
   estimated fair value on the date of  acquisition.  The allocation of purchase
   price is  preliminary  and  subject to change upon  review by  management  of
   additional  evidence  relating  to the fair  value  of  assets  acquired  and
   liabilities  assumed at the closing date.  Adjustments  to the purchase price
   allocation,  if any,  would likely  relate to amounts  assigned to intangible
   assets.  The purchase  price and the  allocation of the purchase price to the
   acquired net assets are as follows (in thousands):

         Cash purchase price .......................................    $11,600
         Acquisition related costs .................................        118
                                                                        -------
           Total estimated purchase price ..........................    $11,718
                                                                        =======
         Historical adjusted net book value at September 30, 1998 ..    $   856
         Write-off of inventory ....................................        (13)
         Goodwill ..................................................      8,250
         Purchased client lists ....................................      2,713
         Estimated liability for severence payments ................        (88)
                                                                        -------
           Net assets acquired .....................................    $11,718
                                                                        =======

     The purchased client lists will be amortized on a straight-line  basis over
   five years and goodwill  will be amortized on a  straight-line  basis over 20
   years.

   
     The Company's  acquisition of HII was  consummated on October 30, 1998. For
   the month of October 1998, HII reported a net loss of $653,000 (compared to a
   net loss of $104,000 for the corresponding  month of the prior year). For the
   month of October 1998, HII's loss from continuing  operations (which were the
   only  operations  of HII acquired by the  Company) was $653,000  (compared to
   income  of  $70,000  for the  corresponding  month of the  prior  year).  The
   decrease was primarily  attributable  to charges  incurred in connection with
   the  acquisition  of HII by the  Company,  including  $467,000 of banking and
   legal fees,  $74,000 of severance  payments and a $263,000 charge relating to
   the settlement of stock options owned by a terminated executive.
    

                                       24

<PAGE>
   
- ----------
 (1) As restated,  to adjust the write-off of acquired  in-process  research and
     development  and  the  amortization  of  goodwill  resulting  from  the TCS
     acquisition.  See Note 13 of Notes to Consolidated  Financial Statements of
     the Company.
    

 (2) Represents  the  historical  results of operations of Stockton from July 1,
     1997 through the date of acquisition by the Company in November 1997.

   
 (3) Represents  the historical  continuing  operations of HII for the 12 months
     ended  June  30,  1998.  Discontinued  operating  segments  of HII were not
     acquired by the Company. The loss from such discontinued  operations of HII
     for the 12 months ended June 30, 1998 was $4,395,000.
    

 (4) Represents rent expense  relating to a new operating lease for the Stockton
     facility.

 (5) Represents adjustments for amortization expense related to the acquisitions
     of Stockton and HII as if they had occurred July 1, 1997, as follows:

<TABLE>
<CAPTION>
                                                                                THREE MONTHS
                                                        YEAR ENDED                 ENDED
                                                      JUNE 30, 1998          SEPTEMBER 30, 1998
                                               ---------------------------- -------------------
                                                STOCKTON    HII     TOTAL           HII
                                               ---------- ------- --------- -------------------
                                                                (IN THOUSANDS)
<S>                                            <C>        <C>     <C>       <C>
   Purchased client lists ....................    $  67    $543    $  610           $136
   Purchased software and technology .........       92      --        92             --
   Goodwill ..................................      156     412       568            103
                                                  -----    ----    ------           ----
                                                  $ 315    $955    $1,270           $239
                                                  =====    ====    ======           ====
</TABLE>

 (6) Represents  the  elimination  of  depreciation  and  amortization  expenses
     relating to assets of Stockton that were not acquired.

 (7) The  interest  expense   adjustment   relating  to  the  Stockton  and  HII
     acquisitions is as follows:

<TABLE>
<CAPTION>
                                                                                                    THREE MONTHS
                                                                                   YEAR ENDED          ENDED
                                                                                 JUNE 30, 1998   SEPTEMBER 30, 1998
                                                                                --------------- -------------------
                                                                                          (IN THOUSANDS)
<S>                                                                             <C>             <C>
   Elimination of historical interest expense of Stockton .....................     $  (38)            $  --
   Elimination of historical interest expense of HII ..........................       (190)              (64)
   Interest  expense  on  borrowings  under  the  Credit  Facility  used to fund
    Stockton  acquisition at a composite interest rate of 6.93% (The effect of a
    .125% variance in the interest rate on the pro forma adjustment for the
    year ended June 30, 1998 would be $5) .....................................        290                --
   Interest expense on borrowings under the Credit Facility used to fund HII
    acquisition  at a  composite  interest  rate of 6.22% (The effect of a .125%
    variance in the interest rate on the pro forma adjustment for the year ended
    June 30, 1998 and the three months ended September 30, 1998
    would be $15 and $4, respectively).........................................        729               184
                                                                                    ------             -----
                                                                                    $  791             $ 120
                                                                                    ======             =====
</TABLE>

 (8) The interest expense adjustment relating to the Offering is as follows:

<TABLE>
<CAPTION>
                                                                                              THREE MONTHS
                                                                             YEAR ENDED          ENDED
                                                                           JUNE 30, 1998   SEPTEMBER 30, 1998
                                                                          --------------- -------------------
                                                                                    (IN THOUSANDS)
<S>                                                                       <C>             <C>
   Interest expense on Senior Subordinated Note including amortization of
    discount ............................................................    $ (2,859)         $   (721)
   Interest expense on borrowings under the Credit Facility .............      (1,133)             (338)
                                                                             --------          --------
                                                                             $ (3,992)         $ (1,059)
                                                                             ========          ========
</TABLE>
   
 (9) In  connection  with the  repayment of the Senior  Subordinated  Note,  the
     Company will record an  extraordinary  charge  relating to the write-off of
     the remaining  discount on the Senior  Subordinated Note. Such charge would
     have  approximated  $2,000,000  as of July 1,  1997.  Such  charge has been
     excluded from the pro forma statements of operations.

 (10)Represents the elimination of the dividends  accrued on the Preferred Stock
     due to the Recapitalization.

 (11)Represents  the  conversion  of the Preferred  Stock and accrued  dividends
     thereon into Common Stock due to the Recapitalization.

 (12)Represents  the sale by the Company of 4,166,667  shares of Common Stock in
     the Offering.

 (13)Represents  the  historical  continuing  operations  of HII for  the  three
     months ended September 30, 1998.

 (14)Represents  the  elimination  of the dividends  accrued on HII's  preferred
     stock.
    

                                       25

<PAGE>

                 UNAUDITED PRO FORMA CONSOLIDATED BALANCE SHEET

<TABLE>
<CAPTION>
                                                     AS OF SEPTEMBER 30, 1998
                                            --------------------------------------------
                                                     ACTUAL
                                            ------------------------     ADJUSTMENTS
                                                                       RELATING TO THE
                                               COMPANY      HII(1)     HII ACQUISITION
                                            ------------ ----------- -------------------
                                                          (IN THOUSANDS)
                   ASSETS
<S>                                         <C>          <C>         <C>
Current Assets:
 Cash and cash equivalents ................  $    3,551   $      38     $       --
 Accounts receivable, less allowance for
  doubtful accounts .......................       8,579         661             --
 Formulary receivables ....................       3,283          --             --
 Inventory ................................         250          13            (13)(2)
 Prepaid expenses and other current as-
  sets ....................................         668         260           (169)(3)
                                             ----------   ---------     ----------
  Total current assets ....................      16,331         972           (182)
Property and equipment-Net ................       4,885         577             --
Goodwill-Net ..............................      34,735          --          8,250 (4)
Other intangible assets-Net ...............       5,143          --          2,713 (5)
Other assets ..............................       3,632         202            (11)(3)
                                             ----------   ---------     ----------
Total .....................................  $   64,726   $   1,751     $   10,770
                                             ==========   =========     ==========
LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIT)
Current Liabilities:
 Accounts payable .........................  $    3,096   $   1,140     $   (1,131)(3)
 Accrued expenses and other current li-
  abilities ...............................      10,741         706             88 (7)
 Current portion of long-term debt ........         262       2,325         (2,325)(3)
                                             ----------   ---------     ----------
  Total current liabilities ...............      14,099       4,171         (3,368)
Long-term debt ............................      42,365          --         11,718 (10)
                                                                                --
Other long-term liabilities ...............         189          --             --
Redeemable cumulative preferred stock......      31,823          --             --
Stockholders' equity (deficit):
 Preferred Stock ..........................          --          63            (63)(12)
 Common Stock .............................          57          90            (90)(12)
 Additional paid-in capital ...............      27,521       2,993         (2,993)(12)
 Accumulated deficit ......................     (51,328)     (5,566)         5,566 (12)
                                             ----------   ---------     ----------
  Total stockholders' equity (deficit) .        (23,750)     (2,420)         2,420

                                             ----------   ---------     ----------
Total .....................................  $   64,726   $   1,751     $   10,770
                                             ==========   =========     ==========
</TABLE>
<PAGE>

<TABLE>
<CAPTION>
                                                                 AS OF SEPTEMBER 30, 1998
                                            ------------------------------------------------------------------
                                                 ADJUSTMENTS                      ADJUSTMENTS
                                               RELATING TO THE                    RELATING TO      PRO FORMA,
                                              RECAPITALIZATION    PRO FORMA      THE OFFERING      AS ADJUSTED
                                            -------------------- ----------- -------------------- ------------
                                                                      (IN THOUSANDS)
                   ASSETS
<S>                                         <C>                  <C>         <C>                  <C>
Current Assets:
 Cash and cash equivalents ................    $         --       $   3,589     $         --       $   3,589
 Accounts receivable, less allowance for
  doubtful accounts .......................              --           9,240               --           9,240
 Formulary receivables ....................              --           3,283               --           3,283
 Inventory ................................              --             250               --             250
 Prepaid expenses and other current as-
  sets ....................................              --             759               --             759
                                               ------------       ---------     ------------       ---------
  Total current assets ....................              --          17,121               --          17,121
Property and equipment-Net ................              --           5,462               --           5,462
Goodwill-Net ..............................              --          42,985               --          42,985
Other intangible assets-Net ...............              --           7,856               --           7,856
Other assets ..............................              --           3,823             (855)(6)       2,968
                                               ------------       ---------     ------------       ---------
Total .....................................    $         --       $  77,247     $       (855)      $  76,392
                                               ============       =========     ============       =========
LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIT)
Current Liabilities:
 Accounts payable .........................    $         --       $   3,105     $       (280)(6)   $   2,825
 Accrued expenses and other current li-
  abilities ...............................              --          11,535             (625)(8)      10,335
                                                                                        (575)(6)
 Current portion of long-term debt ........              --             262              404 (9)         666
                                               ------------       ---------     ------------       ---------
  Total current liabilities ...............              --          14,902           (1,076)         13,826
Long-term debt ............................              --          54,083          (44,175) (8)     11,049
                                                                                1,141  (9)
Other long-term liabilities ...............              --             189               --             189
Redeemable cumulative preferred stock......         (31,823)(11)         --               --              --
Stockholders' equity (deficit):
 Preferred Stock ..........................              --              --               --              --
 Common Stock .............................              27 (11)         85               42 (8)         127
                                                          1 (13)
 Additional paid-in capital ...............          31,796 (11)     59,316           44,758 (8)     104,074
                                                         (1)(13)
 Accumulated deficit ......................              --         (51,328)          (1,545)(10)    (52,873)
                                               ------------       ---------     ------------       ---------
  Total stockholders' equity (deficit) .             31,823           8,073           43,255          51,328
                                               ------------       ---------     ------------       ---------
Total .....................................    $         --       $  77,247     $       (855)      $  76,392
                                               ============       =========     ============       =========
</TABLE>

                                       26

<PAGE>
- ----------
(1) Represents the historical balance sheet of HII as of September 30, 1998.

(2) Represents the write-off of inventory.

(3) The following  adjustments to HII's  historical  balance sheet reflect those
    assets and  liabilities  excluded  from the entity being  acquired  prior to
    consummation of the acquisition (in thousands).

       Net assets of discontinued operations retained ..........    $    169
       Other assets retained ...................................          11
       Current portion of long-term debt retained ..............      (2,325)
       Accounts payable retained(*) ............................      (1,131)
                                                                    --------
                                                                    $ (3,276)
                                                                    ========

 *   The closing agreement requires working capital to be at least one dollar at
     closing.

 (4) Represents goodwill resulting from the HII acquisition.

 (5) Represents  the amount  allocated to purchased  client lists,  which is the
     estimated fair value of the asset acquired.

 (6) Represents the payment of accounts  payable and accrued  Offering  expenses
     and the reclassification of these costs to additional paid-in capital.

 (7) Represents an accrual for severence payments.

 (8) Represents  the sale by the Company of 4,166,667  shares of Common Stock at
     an assumed public offering price of $12.00 per share and the application of
     the net proceeds to the Company as follows (in thousands):

       PROCEEDS
        Gross proceeds from Offering ........................     $  50,000
        Underwriting discount and commissions ...............        (3,500)
        Estimated Offering expenses .........................        (1,700)
                                                                  ---------
         Net proceeds .......................................     $  44,800
                                                                  =========
       USES
        Repay Senior Subordinated Note ......................     $ (25,000)
        Repay borrowings under the Credit Facility ..........       (19,175)
        Repay accrued interest on Senior Subordinated Note ..          (625)
                                                                  ---------
         Total uses .........................................     $ (44,800)
                                                                  =========

 (9) Represents   the  write-off  of  the  remaining   discount  on  the  Senior
     Subordinated  Note of $1,545,000 which will be recorded as an extraordinary
     item upon the consummation of the Offering.

 (10)Represents  borrowings  under the Credit  Facility  used to finance the HII
     acquisition.

 (11)Represents the conversion of outstanding  Preferred Stock and $7,827,000 of
     accrued  dividends on the  Preferred  Stock into Common Stock in connection
     with the Recapitalization.

 (12)Represents the elimination of HII's historical stockholders' deficit.

   
 (13)Represents  the  exercise  of certain  Common  Stock  purchase  warrants in
     connection with the Recapitalization.
    

                                       27

<PAGE>
                     SELECTED CONSOLIDATED FINANCIAL DATA

     The statement of operations  data presented  below for the years ended June
30, 1996,  1997 and 1998 and the balance sheet data as of June 30, 1997 and 1998
are derived  from,  and  qualified  by  reference  to, the audited  consolidated
financial  statements of the Company included elsewhere herein. The statement of
operations  data for the year ended June 30, 1995 and the balance  sheet data as
of June 30, 1995 and 1996 are derived  from,  and qualified by reference to, the
audited  consolidated  financial  statements of the Company not included herein.
The statement of operations  data for the three months ended  September 30, 1997
and  1998 and the  balance  sheet  data as of  September  30,  1997 and 1998 are
derived  from,  and  qualified  by  reference  to,  the  unaudited  consolidated
financial statements of the Company. In the opinion of management, the unaudited
consolidated  financial  statements  have been prepared on the same basis as the
audited   consolidated   financial   statements  and  include  all  adjustments,
consisting  only  of  normal  recurring   adjustments,   necessary  for  a  fair
presentation  of the  financial  position  and  results of  operations  for such
periods.  The results for the interim period are not  necessarily  indicative of
the results for the full fiscal year. The selected  consolidated  financial data
should be read in  conjunction  with,  and is  qualified in its entirety by, the
Consolidated  Financial  Statements  of the Company,  the notes  thereto and the
other financial information included elsewhere in this Prospectus.

<TABLE>
<CAPTION>
                                                                              YEAR ENDED JUNE 30,
                                                       -----------------------------------------------------------------
                                                             1995             1996          1997(1)         1998(1)
                                                       ---------------- ---------------- ------------- -----------------
                                                                     (IN THOUSANDS, EXCEPT PER SHARE DATA)
<S>                                                    <C>              <C>              <C>           <C>
STATEMENT OF OPERATIONS DATA:
 Revenues(2) .........................................    $ 16,246         $ 31,768        $  35,279       $ 42,290
 Operating expenses:
  Operations .........................................       9,753           19,174           16,817         16,958
  Sales, marketing and client services ...............       3,615            7,064            8,769         10,765
  Research and development ...........................       2,051            2,132            3,278          3,941
  General and administrative .........................       3,119            6,059            5,263          4,865
  Depreciation and amortization ......................       2,995            5,176            5,460          7,143
  Write-down of intangible assets ....................       8,191 (3)        9,965 (4)           --             --
  Acquired in-process research and development (5) ...          --               --            1,556             --
  Other charges (6) ..................................       2,864              538            2,301             --
                                                          ---------        ---------       ---------       --------
 Total operating expenses ............................      32,588           50,108           43,444         43,672
                                                          ---------        ---------       ---------       --------
 Loss from operations ................................     (16,342)         (18,340)          (8,165)        (1,382)
 Other (income) expense ..............................          --              313             (893)           (12)
 Interest expense, net ...............................         189              584            1,504          3,623
                                                          ---------        ---------       ---------       --------
 Loss before provision for income taxes ..............     (16,531)         (19,237)          (8,776)        (4,993)
 Provision for income taxes ..........................          70               93               57             42
                                                          ---------        ---------       ---------       --------
 Net loss ............................................     (16,601)         (19,330)          (8,833)        (5,035)
 Preferred stock dividends ...........................         (27)          (2,400)          (2,400)        (2,400)
                                                          ---------        ---------       ---------       --------
 Net loss applicable to common stockholders ..........    $(16,628)        $(21,730)       $ (11,233)      $ (7,435)
                                                          =========        =========       =========       ========
 Basic and diluted net loss per common share .........    $  (3.17)        $  (4.14)       $   (2.07)      $  (1.31)(7)
 Weighted average common shares outstanding-
  Basic and diluted ..................................       5,238            5,245            5,425          5,679

</TABLE>
<PAGE>
<TABLE>
<CAPTION>
                                                               THREE MONTHS
                                                            ENDED SEPTEMBER 30,
                                                       -----------------------------
                                                         1997(1)          1998
                                                       ----------- -----------------
                                                         (IN THOUSANDS, EXCEPT PER
                                                                SHARE DATA)
<S>                                                        <C>            <C>  
STATEMENT OF OPERATIONS DATA:
 Revenues(2) .........................................  $  9,241       $ 12,006
 Operating expenses:
  Operations .........................................     4,285          4,793
  Sales, marketing and client services ...............     2,385          2,930
  Research and development ...........................       806          1,106
  General and administrative .........................     1,061          1,263
  Depreciation and amortization ......................     1,698          1,894
  Write-down of intangible assets ....................        --             --
  Acquired in-process research and development (5) ...        --             --
  Other charges (6) ..................................        --             --
                                                        --------       --------
 Total operating expenses ............................    10,235         11,986
                                                        --------       --------
 Loss from operations ................................      (994)            20
 Other (income) expense ..............................        --             --
 Interest expense, net ...............................       655          1,089
                                                        --------       --------
 Loss before provision for income taxes ..............    (1,649)        (1,069)
 Provision for income taxes ..........................        12             16
                                                        --------       --------
 Net loss ............................................    (1,661)        (1,085)
 Preferred stock dividends ...........................      (600)          (600)
                                                        --------       --------
 Net loss applicable to common stockholders ..........  $ (2,261)      $ (1,685)
                                                        ========       ========
 Basic and diluted net loss per common share .........  $  (0.40)      $  (0.30)(7)
 Weighted average common shares outstanding-
  Basic and diluted ..................................     5,674          5,685

</TABLE>
<TABLE>
<CAPTION>
                                                                       AS OF JUNE 30,                      AS OF SEPTEMBER 30,
                                                     -------------------------------------------------- -------------------------
                                                        1995        1996        1997(1)       1998(1)      1997(1)       1998
                                                     --------- ------------- ------------- ------------ ------------ ------------
                                                                                    (IN THOUSANDS)
<S>                                                  <C>       <C>           <C>           <C>          <C>          <C>
BALANCE SHEET DATA:
 Working capital ...................................  $   504    $  (4,207)    $  (2,567)   $   2,345         (378)   $   2,232
 Total assets ......................................   59,511       43,031        48,090       59,394       48,041       64,726
 Long-term debt, including current portion .........    5,805       11,601        25,161       41,324       27,995       42,627
 Redeemable cumulative preferred stock .............   24,023       26,423        28,823       31,223       29,423       31,823
 Stockholders' equity (deficit) ....................   12,942       (8,472)      (17,438)     (24,692)     (19,666)     (23,750)

</TABLE>

                                                   (Footnotes on following page)

                                       28

<PAGE>
<TABLE>
<CAPTION>
                                                                                                         THREE MONTHS
                                                               YEAR ENDED JUNE 30,                   ENDED SEPTEMBER 30,
                                              ----------------------------------------------------- ----------------------
                                                   1995          1996        1997(1)      1998(1)     1997(1)      1998
                                              ------------- ------------- ------------- ----------- ----------- ----------
                                                              (IN THOUSANDS, EXCEPT PER TRANSACTION DATA)
<S>                                           <C>           <C>           <C>           <C>         <C>         <C>
   
OTHER DATA:
 EBITDA (8) .................................   $ (13,347)    $ (13,164)    $  (2,705)   $   5,761   $    704    $ 1,914
 Adjusted EBITDA (8) ........................      (2,292)       (2,052)        2,211        5,761   $    704    $ 1,914
 Cash flows from operating activities .......      (3,561)       (1,653)       (4,020)      (2,500)    (1,616)       447
 Cash flows from investing activities .......     (22,074)       (4,919)      (12,221)     (12,104)      (519)      (869)
 Cash flows from financing activities .......      33,434           657        15,521       15,635      2,781      1,023
 Transactions processed (9)
  Pharmacy ..................................          --       107,030       126,211      188,114     38,513     53,466
  Medical ...................................          --        15,687        23,075       31,564      7,762      8,348
  Dental ....................................          --         6,021        12,188       14,681      3,546      4,135
                                                ---------     ---------     ---------    ---------   --------    -------
   Total transactions processed .............          --       128,738       161,474      234,359     49,821     65,949
 Transactions per FTE (9)(10) ...............          --           321           415          642        137        174
 Revenue per FTE (10) .......................   $      48     $      79     $      91    $     116   $     25    $    32
 Operating expenses per transaction (9) .....          --           0.39          0.27         0.19       0.21       0.18

</TABLE>
(1) As restated,  to adjust the  write-off of acquired  in-process  research and
    development  and  the  amortization  of  goodwill  resulting  from  the  TCS
    acquisition.  See Note 13 of Notes to Consolidated  Financial  Statements of
    the Company.
    

(2) During the periods presented,  the Company made a series of acquisitions and
    divested certain non-core or unprofitable operations.  Revenues attributable
    to these  divested  operations,  which  are  included  in the  statement  of
    operations  data,  were  $1,709,000,  $3,617,000,  $2,252,000,  $241,000 and
    $190,000 in the fiscal  years ended June 30, 1995,  1996,  1997 and 1998 and
    the three months ended September 30, 1997, respectively.

(3) Reflects the write-off of goodwill  related to the  acquisitions  of MPC and
    Wellmark.

(4) Reflects  the  write-down  of costs  relating  to client  lists and  related
    allocable goodwill obtained in the acquisition of MEDE OHIO.

(5) Reflects the write-off of acquired in-process research and development costs
    upon the consummation of the TCS acquisition.

(6) Reflects (i) expenses of $2,864,000  relating to the spin-off of the Company
    by CES in the fiscal  year ended June 30,  1995 and (ii)  expenses  recorded
    relating  to  contingent  consideration  paid to former  owners of  acquired
    businesses  of $538,000  and  $2,301,000  in the fiscal years ended June 30,
    1996 and 1997, respectively.

(7) Supplemental  net loss per  share,  giving  effect to the  Recapitalization,
    would be $(0.62) and $(0.13) for the fiscal year ended June 30, 1998 and the
    three months ended September 30, 1998, respectively.

(8) EBITDA  represents  net income (loss) plus  provision for income taxes,  net
    interest expense,  other (income) expense and depreciation and amortization.
    EBITDA  is not a  measurement  in  accordance  with GAAP and  should  not be
    considered an alternative to, or more meaningful than,  earnings (loss) from
    operations,  net earnings  (loss) or cash flow from operations as defined by
    GAAP or as a measure of the Company's  profitability  or liquidity.  Not all
    companies calculate EBITDA in the same manner and, accordingly, EBITDA shown
    herein may not be comparable to EBITDA shown by other companies. The Company
    has  included  information   concerning  EBITDA  herein  because  management
    believes  EBITDA  provides useful  information.  Adjusted EBITDA  represents
    EBITDA plus certain other charges as described  below.  The following  table
    summarizes EBITDA and adjusted EBITDA for all periods presented:

<TABLE>
<CAPTION>
                                                                                                                THREE MONTHS
                                                                        YEAR ENDED JUNE 30,                  ENDED SEPTEMBER 30,
                                                        ---------------------------------------------------- -------------------
                                                             1995           1996          1997        1998     1997      1998
                                                        -------------- -------------- ------------ --------- -------- ----------
                                                                                     (IN THOUSANDS)
<S>                                                     <C>            <C>            <C>          <C>       <C>      <C>
  EBITDA ..............................................   $  (13,347)    $  (13,164)    $ (2,705)   $5,761    $ 704    $ 1,914
  Contingent consideration paid to former owners of
   acquired businesses ................................           --            538        2,301        --       --         --
  Write-down of intangible assets .....................        8,191          9,965           --        --       --         --
  Acquired in-process research and development ........           --             --        1,556        --       --         --
  Expenses related to the CES spin-off ................        2,864             --           --        --       --         --
  Contract and legal settlement provisions ............           --            609        1,059        --       --         --
                                                          ----------     ----------     --------    ------    -----    -------
  Adjusted EBITDA .....................................   $   (2,292)    $   (2,052)    $  2,211    $5,761    $ 704    $ 1,914
                                                          ==========     ==========     ========    ======    =====    =======
</TABLE>

(9) Transaction  volumes  are not  available  for the fiscal year ended June 30,
    1995.

(10)Full-time  equivalents  ("FTE") represents the number of full-time employees
    and part-time equivalents of full-time employees as of the end of the period
    shown.

                                       29

<PAGE>

                    MANAGEMENT'S DISCUSSION AND ANALYSIS OF
                 FINANCIAL CONDITION AND RESULTS OF OPERATIONS

     The  following  discussion  of  the  financial  condition  and  results  of
operations  of the  Company  should be read in  conjunction  with the  financial
statements,  including the notes thereto,  of the Company included  elsewhere in
this Prospectus. This Prospectus contains forward-looking statements relating to
future  events or  future  financial  performance  of the  Company.  Prospective
investors  are  cautioned  that  any  such  forward-looking  statements  are not
guarantees of future  performance  and involve risks and  uncertainties.  Actual
events  or  results  may  differ   materially   from  those   discussed  in  the
forward-looking  statements as a result of various  factors,  including the risk
factors  set  forth  under  "Risk  Factors"  and the  matters  set forth in this
Prospectus generally.

OVERVIEW

   
     MEDE AMERICA is a leading  provider of EDI products and services to a broad
range  of  providers  and  payors  in the  healthcare  industry.  The  Company's
integrated  suite of EDI solutions and services  allows  hospitals,  pharmacies,
physicians,  dentists and other  healthcare  providers  and  provider  groups to
electronically  edit,  process and transmit  claims,  eligibility and enrollment
data, track claims submissions  throughout the claims payment process and obtain
faster reimbursement for their services.  Currently,  the Company processes over
900,000  transactions per business day for over 65,000 providers  located in all
50 states.
    

     The  Company  was  formed  in March  1995  through  the  consolidation  and
subsequent  spin-off  of  three  subsidiaries  of CES,  in  connection  with the
acquisition by First Data  Corporation of CES' credit card processing  business.
The three subsidiaries,  MedE America,  Inc., MPC and Wellmark,  which comprised
the heathcare  services business of CES,  historically  provided EDI services to
hospitals and physicians. Their combined financial results were reflected in the
fiscal 1995 financial statements on a full year basis.

     Since its formation,  the Company has expanded both through internal growth
and the acquisition of six healthcare transaction processing businesses. As part
of its  strategy of  providing  an  integrated  suite of EDI products to a broad
range of  healthcare  providers,  the Company has focused on  acquisitions  that
provide  entry into new  markets  or expand the  Company's  product  suite.  All
acquisitions  have been  accounted for under the purchase  method of accounting.
The Company has actively pursued the integration of its acquisitions and, in the
process,  has either  divested,  closed or modified  various  operations  of the
acquired  entities in order to eliminate  non-core or redundant  operations  and
achieve cost savings and operating  efficiencies.  These integration  activities
impacted  the  Company's  financial  results in the fiscal  years ended June 30,
1995, 1996, 1997 and 1998 and are ongoing.

                                       30

<PAGE>

     The following  table  summarizes  the Company's  acquisitions  and divested
products and operations:

<TABLE>
<CAPTION>
- -----------------------------------------------------------------------------------------------------------
                                            PRIMARY PRODUCTS        DIVESTED PRODUCTS
                          DATE                         OF FOUNDING/             OF FOUNDING/      DATE
FOUNDING COMPANIES      ACQUIRED         MARKET      ACQUIRED COMPANY        ACQUIRED COMPANY    DIVESTED
- ------------------      --------         ------      ----------------        ----------------    --------
<S>                     <C>           <C>         <C>                         <C>                   <C>
MEDE AMERICA, Inc.      4/94(1)        Medical   Eligibility Verification,       --                 --
                                                 Enrollment
- -----------------------------------------------------------------------------------------------------------
MPC                     5/94(1)        Medical   Hospital Claims,            Data Entry               1/97
                                                 Physician Billing           Physician Billing       12/96
                                                                             Physician Billing        8/97
- -----------------------------------------------------------------------------------------------------------
Wellmark                5/94(1)        Medical   Hospital Claims,                --                 --
                                                 Physician Billing
- -----------------------------------------------------------------------------------------------------------
COMPANIES ACQUIRED BY
MEDE AMERICA
- -----------------------------------------------------------------------------------------------------------
MEDE OHIO              3/95            Pharmacy  Switching, PBM,             Practice Management      2/96
                                                 Third Party Billing         Software

                                                                             Practice Management     12/97
                                                                             Software
- -----------------------------------------------------------------------------------------------------------
Latpon                 6/95            Medical   Hospital Claims             Physician Billing        3/96
- -----------------------------------------------------------------------------------------------------------
EC&F/Premier          10/95            Dental    Dental Claims, Practice     Practice Management      3/97
                                                 Management Software         Software
- -----------------------------------------------------------------------------------------------------------
TCS                    2/97           Pharmacy/  PBM, Switching,             --                        --
                                       Medical   Eligibility Verification
- -----------------------------------------------------------------------------------------------------------
Stockton              11/97           Pharmacy   PBM                         --                        --
- -----------------------------------------------------------------------------------------------------------
HII                   10/98           Medical    Hospital Claims             --                        --
                                                 Physician Claims
- -----------------------------------------------------------------------------------------------------------
</TABLE>
 (1) Represents date acquired by CES.

     In March 1995, the largest  stockholder of the Company  acquired all of the
outstanding shares of MEDE OHIO (formerly known as General Computer Corporation)
for a cash purchase price of approximately  $22,593,000,  including  transaction
expenses.  The  largest  stockholder  subsequently  merged  MEDE  OHIO  into the
Company.  The  purchase  price paid by the  Company for MEDE OHIO to its largest
stockholder  was equal to the  purchase  price paid by the largest  stockholder.
MEDE OHIO develops EDI systems for the pharmacy market and provides  transaction
switching/routing  services. At the time of its acquisition,  MEDE OHIO had been
incurring  significant  losses for over two years and was in very poor financial
condition.  The  acquisition was accounted for under the purchase method and the
Company recorded total intangible assets of $25,814,000,  consisting of $892,000
of  software  (which  was  completed  and  not  in-process  at the  time  of the
acquisition),  $2,527,000 of client lists and  $22,395,000  of goodwill.  During
fiscal year 1996, the Company wrote-down  $9,965,000 of costs relating to client
lists and related  allocable  goodwill due to a loss of approximately 25% of the
acquired  MEDE OHIO client base.  The loss of this  significant  portion of MEDE
OHIO's client base was primarily due to problems  experienced  by the Company in
the  post-merger  integration  of MEDE  OHIO's  operations  into  the  Company's
operations.  This  post-merger  integration  process  took place during the same
general  time  period  in which  the  Company  was  spun-off  from CES and a new
management  team  was  installed  at  the  Company.  The  Company  generally  is
amortizing the software over three years and the remaining value of client lists
is being  amortized  over five years.  The goodwill is being  amortized  over 20
years.

     In June  1995,  the  Company  acquired  substantially  all of the assets of
Latpon  for  a  cash  purchase  price  of  approximately  $2,470,000,  plus  the
assumption of approximately  $963,000 of liabilities (primarily long-term debt).
Latpon,  a developer of claims  processing  software,  provided EDI  transaction
process-

                                       31

<PAGE>

ing services to  hospitals  and  hospital-based  physician  groups.  Latpon also
provided  electronic and manual business  office  administrative  services.  The
acquisition was accounted for under the purchase method and the Company recorded
total  intangible  assets of $2,291,000,  consisting of $993,000 of software and
client lists and $1,298,000 of goodwill. The Company generally is amortizing the
software  over five years and is  amortizing  the client lists and goodwill over
five years and 20 years, respectively.

     In October 1995, the Company acquired two commonly-owned  companies,  EC&F,
an all payor  EDI  dental  claims  processor,  and  Premier,  a dental  practice
management  software vendor.  The acquisitions  were funded with an initial cash
payment of $4,050,000,  including transaction expenses,  and contingent earn-out
payments  based on the  achievement of certain EBITDA growth targets by the EC&F
business over three  one-year  periods ending on September 30, 1998. The Company
recorded expenses of $538,000 during fiscal year 1996 relating to the first such
period and an aggregate $2,301,000 during fiscal year 1997 primarily relating to
the  second  and third such  periods.  The  Company  does not  believe  that any
additional  amounts will be payable pursuant to this earn-out  arrangement.  The
acquisitions  of EC&F and Premier were  accounted for under the purchase  method
and the Company  recorded total intangible  assets of $4,350,000,  consisting of
$764,000 of  software,  and  $3,586,000  of goodwill.  The Company  generally is
amortizing  the software over three years and is amortizing the goodwill over 20
years.  The Company sold Premier in January 1997 for a cash payment of $388,000.
There was no gain or loss on the sale of Premier.

   
     In February 1997, the Company acquired certain assets of TCS, a provider of
pharmacy  switching  and PBM  transaction  processing  systems and  services for
pharmacies and eligibility  verification  services for  physicians,  for a total
cash payment of $11,465,000, including transaction expenses. The acquisition was
accounted  for  under  the  purchase  method  and  the  Company  recorded  total
intangible  assets  of  $11,065,000,  consisting  of  $1,556,000  of  in-process
research and development,  $2,984,000 of software and $6,525,000 of goodwill. As
of the date of the  acquisition,  the Company wrote off the acquired  in-process
research and development which had not reached technological feasibility and had
no alternative future use. The Company generally is amortizing the software over
three years and is amortizing the goodwill over seven years.
    

     The  in-process  research and  development  acquired  from TCS consisted of
advanced  Windows  software  technology  for PC and client server  platforms for
healthcare EDI  transactions.  Products under development  included:  (1) a plan
member eligibility verification product for workers compensation;  (2) a medical
claims processing system to meet the HCFA 1500 EDI industry standard;  and (3) a
switching system for internet claims from retail pharmacies.  At the time of the
acquisition, the Company estimated that continued development activities for six
months to one year resulting in additional  estimated  research and  development
costs of $460,000 would be required in order to prove  feasibility and bring the
project to  commercial  viability.  It was the opinion of  management  that such
projects had an above average  probability  of successful  completion  and could
contribute to revenue, profit and cash flow within 18 to 24 months from the date
of  purchase.  At this time,  all three  projects  are  substantially  complete.
However,  any or all of these  projects  could fail to produce an economic gain.
Such failure,  if  encountered,  would not affect the Company's  current product
suite and financial results, but would decrease the Company's  opportunities for
growth.  Estimated  costs to  complete  the  acquired  in-process  research  and
development projects as of the date of acquisition were as follows:

           ESTIMATED RESEARCH AND DEVELOPMENT EXPENSE (IN THOUSANDS)

<TABLE>
<CAPTION>
                          WORKERS COMP.     HCFA 1500     PHARMACY     TOTAL
                         ---------------   -----------   ----------   ------
<S>                      <C>               <C>           <C>          <C>
Fiscal 1997 ..........         $ 58            $ 70         $ 65       $193
Fiscal 1998 ..........           80              97           90        267
                               ----            ----         ----       ----
 Total ...............         $138            $167         $155       $460
                               ====            ====         ====       ====

</TABLE>

     Prior to the consummation of the acquisition,  TCS had incurred development
costs  of  $67,000,  $125,000  and  $56,000,   respectively,   for  the  workers
compensation  eligibility  product,  HCFA 1500 and the internet  pharmacy claims
product, the three in-process research and development projects shown above.

                                       32

<PAGE>

     The Company determined the value of the purchased  in-process  technologies
by estimating  the  projected  net cash flows related to each of the  in-process
products.  The resulting net cash flows were then  discounted  back to their net
present  values.  The  amount  of  the  write-off  of  in-process  research  and
development costs was then limited to the portion  allocable to  pre-acquisition
development costs incurred by TCS versus  post-acquisition costs incurred by the
Company.  The net cash flows were based on  management's  estimates of the costs
necessary to complete the  development of the products,  the revenues that would
be earned after  commercial  availability and the estimated  operating  expenses
associated  therewith.  The  projections  were based on the following  principal
assumptions:

     For the workers  compensation  eligibility product, the projections assumed
commercial  availability  in January  1998 and revenue  growth from  $431,000 in
fiscal  1998 to $1.3  million  in  fiscal  2002,  an  annual  rate  increase  of
approximately   25%.  For  HCFA  1500,  the   projections   assumed   commercial
availability  in March 1998. It was assumed that revenues from the product would
grow from $1.4 million in fiscal 1998 to $5.5 million in fiscal 2002, increasing
at an annual rate of 50% in the first year of  commercial  availability,  35% in
the  second  year and at a rate of 25% per  year  thereafter.  For the  internet
pharmacy claims  product,  the projections  assumed  commercial  availability in
December  1997.  It was assumed that  revenues  from the product would grow from
$41,000 in fiscal 1997 to approximately $3.2 million in fiscal 2002,  increasing
at an  annual  rate  of  approximately  35%  in the  first  year  of  commercial
availability, 30% in the second year and at a rate of 25% per year thereafter.

   
     In all three cases,  post-development operating expenses,  including sales,
advertising and promotion and general and  administrative  costs, were projected
to  grow  at the  rate of 10%  per  annum  between  fiscal  1999  and  2002.  No
significant  synergies were projected for any of the three  in-process  products
because the Company had no comparable  products in the market or in  development
and no penetration in the products' prospective user bases.
    

     The projected net cash flows for the in-process products were discounted to
their  present  values  using a discount  rate of 18%.  Such  discount  rate was
composed of two  factors:  the  Company's  estimated  weighted  average  cost of
capital (the "WACC") (the rate of return an investment would have to generate in
order to  provide  the  required  rate of return  to the  Company's  equity  and
long-term debt capital),  which was calculated to be approximately 13%, and a 5%
risk factor  reflecting  the  uncertainty  of successful  completion  and market
acceptance of the in-process products.  Together, the WACC and risk factor yield
a discount  factor of 18%. A 13% discount rate factor was used by the Company to
value fully developed software,  as it faces substantially the same risks as the
business as a whole.  The 5% risk factor  reflected the fact that the in-process
products  did not involve  complex or  innovative  technologies,  and  primarily
reflected  the risk of  market  acceptance  once  the  developed  products  were
released to customers.

     Since  the  TCS  acquisition,  all  three  in-process  products  have  been
completed and two are in the early stages of commercialization.  As of September
30, 1998, none of these products had generated significant revenues,  and, given
the results of the Company's  marketing  efforts to date,  management  currently
believes that the revenues  derived from these three products will be lower than
projected.

   
     The market for the workers  compensation  eligibility product has been less
receptive  than had been  anticipated  and this  product  did not  generate  any
revenues as of September 30, 1998. However, the Company believes that, over time
and with  increased  marketing  effort,  this product  will  achieve  commercial
viability.
    

     The HCFA 1500  product  experienced  roll out delays and is  expected to be
commercially  introduced in the Spring of 1999.  The Company  believes  that, in
time, this product will achieve commercial viability.

   
     The  internet  pharmacy  product  is the only one of the  three  in-process
products  acquired  from TCS that had  generated  revenues  by the end of fiscal
1998.  However,  the revenues  produced were  approximately  22% of the revenues
projected for it at the time of the acquisition.  The commercial introduction of
this product was adversely affected by recent revisions in regulatory  standards
which limit the use of the internet to process pharmacy  claims.  The Company is
currently  processing  transactions  with  this  product  for a small  number of
pharmacy clients.

     Although any or all of these  projects  could fail to generate  significant
returns for the Company and such failure could render the TCS  acquisition  less
valuable to the Company than had been anticipated, such
    

                                       33

<PAGE>

failure  would  not  affect  the  Company's  current  suite of  products  or, in
management's  opinion,  have a  material  impact  on the  Company's  results  of
operations or overall financial condition.

   
     In November 1997, the Company  acquired  certain assets and assumed certain
liabilities of Stockton,  a provider of PBM transaction  processing  systems and
related services for the pharmacy market.  Stockton was purchased for an initial
cash payment of $10,674,000  including  transaction  expenses,  and a contingent
earnout payment based upon the achievement of certain revenue growth targets. If
such revenue targets are achieved over the 12-month period ending  September 30,
1998, a maximum payment of $2,600,000 (plus interest at an annual rate of 7.25%)
will be made. Based on revenues recorded through September 30, 1998 by Stockton,
the Company has accrued additional contingent  consideration of $2,022,000 as of
September  30,  1998 which was  treated as  additional  purchase  price and was,
therefore,  added to  goodwill.  The  acquisition  was  accounted  for under the
purchase method and the Company recorded total intangible assets of $10,414,000,
consisting  of  $2,133,000  of  software  and  client  lists and  $8,281,000  of
goodwill.  The Company  generally is amortizing the software over five years and
is  amortizing  the  client  lists and  goodwill  over five  years and 20 years,
respectively.

     In October 1998,  the Company  acquired HII, a provider of EDI  transaction
processing  services to hospitals and physician  groups in Missouri,  Kansas and
Illinois. Prior to the purchase of HII, Intercare and Telemedical, two unrelated
healthcare services divisions,  were divested from HII in separate transactions.
The Company did not acquire such businesses or any proceeds from the disposition
thereof.   HII  was  purchased  for  a  total  cash  payment  of   approximately
$11,718,000,  including transaction expenses.  The acquisition was accounted for
under the purchase method and the Company  recorded total  intangible  assets of
approximately  $11,013,000,   consisting  of  $2,713,000  of  client  lists  and
approximately $8,300,000 of goodwill. The Company is amortizing the client lists
over five years and goodwill over 20 years.
    

Revenues

     Revenues are derived from the sale of transaction  processing  products and
services  primarily  on  a  fee-for-transaction  basis.  Transaction  fees  vary
depending upon  transaction  type and service  provided.  The Company  currently
receives  fees from  providers  for the majority of its  transactions  including
claims processing,  eligibility verification,  claims switching, pharmacy script
processing and tracking and Medicaid enrollment.  The Company also receives fees
from payors for the  transmission  of electronic  claims and formulary  payments
from  pharmaceutical   manufacturers   relating  to  the  Company's  PBM  script
processing and management reporting services.  These transaction-based  revenues
comprise the predominant  portion of the Company's total revenues and tend to be
recurring.   Other  revenue  is  derived  from  one-time   payments  related  to
installation and implementation services,  software license fees and EDI systems
equipment sales. See "Business -- Suite of EDI Products and Services."

   
     Transaction-based  revenues  and related  formulary  services  revenues (if
applicable),  which collectively  constitute the majority of the Company's total
revenues,  are  recognized  at the time the  transactions  are processed and the
services  are  provided.   Revenues   associated   with  software   support  and
implementation  fees, each constituting  less than 3% of the Company's  revenues
for the  fiscal  year ended  June 30,  1998,  are  recognized  ratably  over the
contract  period or as the  service  is  provided.  Revenue  from  licensing  of
software,  which also  constitutes  less than 3% of the Company's total revenues
for the fiscal year ended June 30, 1998, is recognized  upon  installation if it
is determined  that the Company has no  significant  remaining  obligations  and
collectibility of the resulting receivable is considered probable.
    

Operating Expenses

     Operations   Expense.   Operations  expense  consists  of  data  and  voice
telecommunications  expense,  salaries and benefits for operations employees and
other costs  associated  with  transaction  processing and services  provided to
clients,  such  as  network  and   telecommunications,   maintenance,   computer
operations and systems administration,  facilities and other additional indirect
expenses.  Since  1996,  operations  expense as a  percentage  of  revenues  and
operations  expense per  transaction  have declined as a result of the Company's
integration  and  restructuring   efforts  and  increased   operating  leverage.
Restructuring  charges  recorded in connection  with the  Company's  integration
activities  have resulted in  variability in the Company's  quarterly  operating
results.

                                       34

<PAGE>

     Sales,  Marketing and Client Services Expense.  Sales, marketing and client
services  expense  consists  primarily of salaries,  benefits,  commissions  and
related  indirect costs and expenditures  for marketing  programs,  trade shows,
advertising,  help desk  software  and  related  client  communications.  As the
Company continues to implement its growth strategy,  sales, marketing and client
services expenses are expected to continue to increase.

   
     Research and Development Expense. Research and development expense consists
primarily of salaries,  benefits and related indirect  expenses  associated with
the design,  research  and  development  of new  products  and  enhancements  to
existing  current  products.  The  development  of  new  software  products  and
enhancements  to existing  software  products  are  expensed  as incurred  until
technological feasibility has been established.  After technological feasibility
has been established,  any additional software development costs are capitalized
in accordance with Statement of Financial  Accounting Standards ("SFAS") No. 86,
"Accounting  For the Cost of Computer  Software To Be Sold,  Leased or Otherwise
Marketed."  Amortization of purchased software and technology and of capitalized
software  development  costs is  provided on a  product-by-product  basis at the
greater of the amount  computed  using (a) the ratio of current  revenues  for a
product to the total of  current  and  anticipated  future  revenues  or (b) the
straight-line  method over the remaining estimated economic life of the product.
Generally,  an  original  estimated  economic  life of  three  to five  years is
assigned to purchased software and technology and an original estimated economic
life of five  years is  assigned  to  capitalized  software  development  costs.
Amortization  begins in the period in which the related product is available for
general release to customers. During the fiscal year ended June 30, 1998 and the
three months ended  September  30, 1998,  the Company  capitalized  $462,000 and
$239,000,  respectively,  of software  development  costs for projects for which
technological  feasibility  has been  established but were not yet available for
client  release.  Prior to July 1, 1997,  the Company did not have any  software
development  projects  for which  significant  development  costs were  incurred
between the  establishment  of  technological  feasibility  and  general  client
release of the product.  The Company  believes that the  development of enhanced
and new product offerings are essential to remaining  competitive and it expects
that development expenses will increase in the future.
    

     General and  Administrative  Expense.  General and  administrative  expense
primarily  consists of  salaries,  benefits and related  indirect  costs for the
administrative,  executive, finance, legal, human resources and internal systems
personnel,  as well as accounting and legal fees. As the Company  implements its
growth strategy, general and administrative expenses are expected to increase.

     Depreciation and Amortization  Expense. The Company depreciates the cost of
its tangible capital assets on a straight-line basis over the estimated economic
life of the asset:  three to five years for computer  equipment,  five years for
furniture  and  fixtures,  and 20 to 25 years for  buildings  and  improvements.
Acquisition-related  intangible assets,  which include the value of software and
client lists,  are amortized based on the estimated  useful economic life of the
asset at the time of  acquisition,  and therefore will vary among  acquisitions.
The  Company  recorded  amortization  expense  relating  to  goodwill  and other
intangible  assets of $3,708,000  and  $5,064,000  during the fiscal years ended
June 30, 1997 and 1998, respectively.

RESULTS OF OPERATIONS

     The following table sets forth,  for the periods  indicated,  certain items
from the  consolidated  statements of  operations of the Company  expressed as a
percentage of total revenues.

<TABLE>
<CAPTION>
                                                                            THREE MONTHS ENDED
                                                YEAR ENDED JUNE 30,           SEPTEMBER 30,
                                           ------------------------------   ------------------
                                             1996       1997       1998       1997       1998
                                           --------   --------   --------   --------   -------
<S>                                        <C>        <C>        <C>        <C>        <C>
Revenues ...............................      100%       100%       100%       100%      100%
Operating Expenses:
 Operations ............................       60         48         40         46        40
 Sales, marketing and client services.         22         25         25         26        24
 Research and development ..............        7          9          9          9         9
 General and administrative ............       19         15         12         11        11
 Depreciation and amortization .........       16         15         17         18        16
</TABLE>

                                       35

<PAGE>
   
     Subsequent  to  the  issuance  of  the  Company's   consolidated  financial
statements  for the fiscal year ended June 30, 1998,  the  Company's  management
determined  that it was  necessary to revise the  valuation of the  write-off of
in-process  research  and  development  incurred  in  connection  with  the  TCS
acquisition in February 1997. As a result,  the Company's  financial  statements
for the fiscal  years  ended June 30, 1997 and 1998 and the three  months  ended
September 30, 1997 have been restated  from the amounts  previously  reported in
order to reflect the effects of the  adjustment  to the  write-off of in-process
research development.  See Note 13 of Notes to Consolidated Financial Statements
of the Company.
    

THREE MONTHS ENDED SEPTEMBER 30, 1998 COMPARED TO THREE MONTHS ENDED
SEPTEMBER 30, 1997

Revenues

     Revenues for the three months ended  September  30, 1998 were $12.0 million
compared  to  $9.2  million  in  the   corresponding   period  of  fiscal  1998,
representing  an increase of 30%.  The increase was  primarily  attributable  to
growth of the existing business and to incremental  revenue from the acquisition
of Stockton  in November  1997,  partially  offset by the loss of revenues  from
operations that were divested.

   
     The Company  processed  66 million  transactions  in the three months ended
September  30,  1998,  compared  to 50  million  transactions  processed  in the
corresponding  period of fiscal  1998,  representing  an  increase  of 32%.  The
increase resulted from the addition of new clients, increased transaction volume
from existing  clients and to a lesser extent the  acquisition of Stockton.  The
average  price per  transaction  received by the Company  declined by 8% between
such periods,  as a result of a relatively  higher  proportion  of  lower-priced
Pharmacy  division  switching  transactions  compared  to the  other  divisions'
higher-priced  transactions,  and a greater  portion of  transactions  that were
processed under contracts with volume-based pricing terms.
    

Operating Expenses

     Operations  expense was $4.8 million for the three  months ended  September
30, 1998,  compared to $4.3 million in the corresponding  period of fiscal 1998,
representing an increase of 12%. As a percentage of revenues, operations expense
decreased  from 46% for the first  three  months  of  fiscal  1998 to 40% in the
corresponding  period of fiscal  1999.  The increase in  operations  expense was
primarily due to the acquisition of Stockton in November of 1997, the results of
which were included in the current  quarter but not in the prior year's quarter,
and to a lesser extent the higher volume of transactions processed. The decrease
in  operations  expense  as a  percentage  of  revenues  was  primarily  due  to
operations  leverage from systems  consolidation  for recent  acquisitions,  the
effects of  ongoing  cost  reduction  programs,  and the impact of the  divested
operations,  which  results  were  included  in the 1998 period but not the 1999
period.

     Sales, marketing and client services expense was $2.9 million for the three
months ended September 30, 1998,  compared to $2.4 million in the  corresponding
period of fiscal  1998,  representing  an increase of 23%.  As a  percentage  of
revenues,  sales,  marketing and client services expense  decreased from 26% for
the first  three  months of fiscal  1998 to 24% in the  corresponding  period of
fiscal 1999. The increase in sales,  marketing and client  services  expense was
primarily  due to the inclusion of the Stockton  acquisition,  the hiring of new
employees in sales and marketing to support expansion of the Company's  business
into new markets,  as well as client  support and help desk services to serve an
expanded customer base.

   
     Research  and  development  expense was $1.1  million for the three  months
ended September 30, 1998,  compared to $806,000 in the  corresponding  period of
fiscal  1998,  representing  an increase of 37%. As a  percentage  of  revenues,
research and  development  expense was 9% for each such period.  The increase in
research and development costs in the period was primarily due to development of
new and enhanced EDI transaction products and services,  development  associated
with major customer  contracts  currently  expected to roll out in calendar 1999
and the establishment of additional direct payor connections.  In addition, Year
2000  compliance  expenditures  amounted to $132,000  for the three months ended
September 30, 1998; there were no such expenditures in the corresponding  period
of fiscal 1998. The Company capitalized  $239,000 of software  development costs
in  the  first  three  months  of  fiscal  1999,  compared  to  $93,000  in  the
corresponding period of fiscal 1998.
    

                                       36

<PAGE>

     General and  administrative  expense was $1.3  million for the three months
ended September 30, 1998,  compared to $1.1 million in the corresponding  period
of fiscal 1998,  representing  an increase of 19%. As a percentage  of revenues,
general and administrative expense was 11% for each such period.

     Depreciation and amortization expense was $1.9 million for the three months
ended September 30, 1998,  compared to $1.7 million in the corresponding  period
of fiscal 1998,  representing  an increase of 12%. As a percentage  of revenues,
depreciation  and  amortization  expense  decreased from 18% for the first three
months of fiscal 1998 to 16% in the corresponding period of fiscal 1999.

YEAR ENDED JUNE 30, 1998 COMPARED TO YEAR ENDED JUNE 30, 1997

Revenues

     Revenues  for the  fiscal  year  ended  June 30,  1998 were  $42.3  million
compared to $35.3 million in fiscal 1997,  representing  an increase of 20%. The
increase was primarily attributable to incremental revenue from the acquisitions
of TCS and Stockton in February 1997 and November 1997, respectively, and to the
growth of the existing  business,  partially offset by the loss of revenues from
operations that were divested.

   
     The Company  processed  234 million  transactions  in the fiscal year ended
June 30, 1998,  compared to 161 million  transactions  processed in fiscal 1997,
representing an increase of 45%. The increase  resulted from the addition of new
clients, increased transaction volume from existing clients and the acquisitions
of TCS and Stockton.  The average price per transaction  received by the Company
in fiscal 1998 declined by 13% from 1997, as a result of the greater  proportion
of transactions  processed under contracts with  volume-based  terms and pricing
and a larger proportion of lower-priced eligibility verification transactions as
a result of the acquisition of TCS.
    

Operating Expenses

     Operations  expense  was $17.0  million  for the fiscal year ended June 30,
1998 compared to $16.8 million in fiscal 1997,  representing  an increase of 1%.
As a percentage of revenues,  operations  expense  decreased  from 48% in fiscal
1997 to 40% in fiscal 1998. The containment of operations expense in fiscal 1998
was a result of ongoing  cost  reduction  programs,  systems  consolidation  for
recent acquisitions and the impact of the divested operations, which results are
included in fiscal 1997 but not in fiscal 1998.

     Sales,  marketing  and client  services  expense was $10.8  million for the
fiscal  year ended  June 30,  1998  compared  to $8.8  million  in fiscal  1997,
representing an increase of 23%. As a percentage of revenues,  sales,  marketing
and client  services  expense was 25% for each such fiscal year. The increase in
such  expenses  was  primarily  due to the  inclusion of TCS and Stockton in the
results of  operations  for the fiscal year ended June 30, 1998 and, to a lesser
extent, increases in expenses relating to the hiring of new employees for client
support and help desk service,  the installation of help desk tracking  software
and resources devoted to telesales.

     Research and development expense was $3.9 million for the fiscal year ended
June 30, 1998 compared to $3.3 million in fiscal 1997,  representing an increase
of 20%. As a percentage of revenues, research and development expense was 9% for
each such fiscal year. The Company capitalized  $462,000 of software development
costs in fiscal 1998; however, no software development costs were capitalized in
fiscal  1997.  Prior to July 1,  1997,  the  Company  did not have any  software
development  projects for which significant  development costs had been incurred
between the  establishment  of  technological  feasibility  and  general  client
release of the product.

     General and  administrative  expense  was $4.9  million for the fiscal year
ended June 30, 1998  compared to $5.3  million in fiscal  1997,  representing  a
decrease of 8%. As a percentage of revenues,  general and administrative expense
decreased  from 15% in fiscal  1997 to 12% in fiscal  1998.  This  decrease  was
primarily  a result  of cost  controls  and the  consolidation  and  integration
activities related to the Company's recent acquisitions.

                                       37

<PAGE>

     Depreciation and amortization  expense was $7.1 million for the fiscal year
ended June 30, 1998  compared to $5.5  million in fiscal 1997,  representing  an
increase of 31%. As a percentage  of  revenues,  depreciation  and  amortization
expense increased from 15% in fiscal 1997 to 17% in fiscal 1998. These increases
reflect the increased amortization expense related to the acquisitions of TCS in
February 1997 and Stockton in November 1997.

   
     There were no  acquisition-related  expenses for the fiscal year ended June
30, 1998, as compared to $3.9 million of such expenses in fiscal 1997.  Included
in the amount for fiscal 1997 was a $1.6 million write-off related to in-process
research and development  from the acquisition of TCS (for software that had not
achieved technological feasibility and had no alternative use), and a contingent
earnout  charge of $2.3 million  recorded by the Company in connection  with the
EC&F purchase  agreement.  In addition,  in fiscal 1997, the Company  recorded a
gain of $885,000 from a sale of securities. See Note 12 of Notes to Consolidated
Financial Statements of the Company.
    

YEAR ENDED JUNE 30, 1997 COMPARED TO YEAR ENDED JUNE 30, 1996

Revenues

     Revenues  for the  fiscal  year  ended  June 30,  1997 were  $35.3  million
compared to $31.8 million in fiscal 1996,  representing  an increase of 11%. The
increase was primarily  attributable  to revenue from the  acquisition of TCS in
February 1997,  partially  offset by the loss of revenues from  operations  that
were divested. The increase was also due to the growth of the existing business.

     The Company  processed  161 million  transactions  in the fiscal year ended
June 30, 1997  compared to 129 million  transactions  processed  in fiscal 1996,
representing an increase of 25%. The increase  resulted from the addition of new
clients,  the growth of business from existing  clients and the TCS acquisition.
The average  price per  transaction  in fiscal  1997  declined by 4% from fiscal
1996,  primarily as a result of the divested  operations  having  higher  claims
pricing.

Operating Expenses

     Operations  expense  was $16.8  million  for the fiscal year ended June 30,
1997 compared to $19.2 million in fiscal 1996,  representing  a decrease of 12%.
As a percentage of revenues,  operations  expense  decreased  from 60% in fiscal
1996 to 48% in fiscal 1997. The operations  expense  improvement was a result of
ongoing cost reduction programs,  systems  consolidation for recent acquisitions
and the divestitures of non-core or unprofitable operations.

     Sales,  marketing  and client  services  expense  was $8.8  million for the
fiscal  year ended  June 30,  1997  compared  to $7.1  million  in fiscal  1996,
representing an increase of 24%. As a percentage of revenues,  sales,  marketing
and client  service  expense  increased from 22% in fiscal 1996 to 25% in fiscal
1997.  These  increases  reflect the  inclusion  of the TCS  acquisition  in the
results for five months and, to a lesser extent,  the addition of client support
personnel and the increase in help desk tracking software expenses.

     Research and development expense was $3.3 million for the fiscal year ended
June 30, 1997 compared to $2.1 million in fiscal 1996,  representing an increase
of 54%. As a percentage of revenues,  research and development expense increased
from 7% in fiscal 1996 to 9% in fiscal  1997.  These  increases  were due to the
hiring of new  employees  and other  expenses  related to the  expansion  of the
Company's   processing   capacity  and  the  implementation  of  new  technology
processing platforms throughout its data processing centers.

     General and  administrative  expense  was $5.3  million for the fiscal year
ended June 30, 1997  compared to $6.1  million in fiscal  1996,  representing  a
decrease of 13%. As a percentage of revenues, general and administrative expense
decreased  from 19% in fiscal 1996 to 15% in fiscal 1997.  These  decreases were
primarily a result of consolidation and integration activities.

     Depreciation  and  amortization  expense  was $5.5  million for fiscal year
ended June 30, 1997  compared to $5.2  million in fiscal 1996,  representing  an
increase of 5%. As a  percentage  of  revenues,  depreciation  and  amortization
expense decreased from 16% in fiscal 1996 to 15% in fiscal 1997.

                                       38

<PAGE>

   
     Acquisition-related  expenses  for the  fiscal  year  ended  June 30,  1997
included a $1.6 million write-off related to in-process research and development
from the  acquisition  of TCS (for software that had not achieved  technological
feasibility and had no alternative use) and a contingent  earnout charge of $2.3
million recorded by the Company in connection with the EC&F purchase  agreement.
In addition, in fiscal 1997, the Company recorded a gain of $885,000 from a sale
of securities.  See Note 12 of Notes to Consolidated Financial Statements of the
Company.

     During  the  fiscal  year  ended  June 30,  1996,  the  Company  wrote down
approximately  $10.0  million  of costs  relating  to client  lists and  related
allocable  goodwill  obtained in the  acquisition of MEDE OHIO.  Such intangible
assets were written down to the net present value of the  estimated  future cash
flows to be derived from these clients as of June 30, 1996.  The  write-down was
required due to a loss of  approximately  25% of the  acquired  MEDE OHIO client
base.  In  addition,  a  contingent  earnout  charge of $538,000 was recorded in
connection  with the EC&F purchase  agreement  during the fiscal year ended June
30, 1996.
    

QUARTERLY OPERATING RESULTS

<TABLE>
<CAPTION>
                                                           THREE MONTHS ENDED
                                           --------------------------------------------------
                                             9/30/96     12/31/96     3/31/97      6/30/97
                                           ----------- ------------ ----------- -------------
                                                             (IN THOUSANDS)
<S>                                        <C>         <C>          <C>         <C>
Revenues .................................  $  8,179     $  7,831    $  8,954     $10,315
Operating Expenses:
 Operations ..............................     4,298        3,683       4,123       4,713
 Sales, marketing and client services ....     1,925        1,957       2,261       2,626
 Research and development ................       783          754         918         823
 General and administrative ..............     1,042        1,171       1,127       1,923
 Depreciation and amortization ...........     1,102        1,044       1,423       1,891
 Acquired in-process research and
  development ............................        --           --       1,556          --
 Payment to former owners of
  acquired businesses ....................       330          330         330       1,311
                                            --------     --------    --------     -------
Total operating expenses .................     9,480        8,939      11,738      13,287
                                            --------     --------    --------     -------
Income (loss) from operations ............    (1,301)      (1,108)     (2,784)     (2,972)
Other (income) expense ...................        --           --        (885)           (8)
Interest expense, net ....................       150          202         427         725
                                            --------     --------    --------     ---------
Loss before provision for income taxes ...    (1,451)      (1,310)     (2,326)     (3,689)
Provision for income taxes ...............        14           14          15          14
                                            --------     --------    --------     ---------
Net loss .................................  $ (1,465)    $ (1,324)   $ (2,341)    $(3,703)
                                            ========     ========    ========     =========

<CAPTION>
                                                                THREE MONTHS ENDED
                                           -------------------------------------------------------------
                                             9/30/97     12/31/97     3/31/98     6/30/98      9/30/98
                                           ----------- ------------ ----------- ----------- ------------
                                                                  (IN THOUSANDS)
<S>                                        <C>         <C>          <C>         <C>         <C>
Revenues .................................  $  9,241     $  9,849    $ 11,099    $ 12,101     $ 12,006
Operating Expenses:
 Operations ..............................     4,285        3,942       4,258       4,473        4,793
 Sales, marketing and client services ....     2,385        2,432       2,952       2,996        2,930
 Research and development ................       806        1,059       1,021       1,055        1,106
 General and administrative ..............     1,061        1,107       1,139       1,558        1,263
 Depreciation and amortization ...........     1,698        1,698       1,852       1,895        1,894
 Acquired in-process research and
  development ............................        --           --          --          --           --
 Payment to former owners of
  acquired businesses ....................        --           --          --          --           --
                                            --------     --------    --------    --------     --------
Total operating expenses .................    10,235       10,238      11,222      11,977       11,986
                                            --------     --------    --------    --------     --------
Income (loss) from operations ............      (994)        (389)       (123)        124           20
Other (income) expense ...................        --           --          13         (25)          --
Interest expense, net ....................       655          915         900       1,153        1,089
                                            --------     --------    --------    --------     --------
Loss before provision for income taxes ...    (1,649)      (1,304)     (1,036)     (1,004)      (1,069)
Provision for income taxes ...............        12           12          13           5           16
                                            --------     --------    --------    --------     --------
Net loss .................................  $ (1,661)    $ (1,316)   $ (1,049)   $ (1,009)    $ (1,085)
                                            ========     ========    ========    ========     ========
</TABLE>

   
     The quarterly  operating results for the three months ended March 31, 1997,
June 30, 1997,  December  31,  1997,  March 31, 1998 and June 30, 1998 have been
restated in order to adjust the  write-off of acquired  in-process  research and
development  and  the  amortization  of the  goodwill  resulting  from  the  TCS
acquisition.  See Note 13 of Notes to Consolidated  Financial  Statements of the
Company.
    

                                       39

<PAGE>
LIQUIDITY AND CAPITAL RESOURCES

     Since inception, the Company has used capital from external sources to fund
its  internal  growth and  operations  and to make  acquisitions.  Such  capital
requirements   have  been   provided  by  (i)  the  Company's   four   principal
stockholders,  through  periodic  purchases  of the  Company's  debt and  equity
securities and (ii) the Credit Facility.  Since June 30, 1995 an investment fund
affiliated with WCAS has purchased a Senior  Subordinated  Note in the principal
amount of $25.0 million and 370,993  shares of Common Stock from the Company for
an aggregate $25.0 million, which was used in connection with the acquisition of
TCS, to repay  borrowings  under the Credit  Facility  and for  general  working
capital purposes. See "Certain Transactions."

   
     As of September 30, 1998, the Company had  outstanding  borrowings of $18.0
million under the Credit  Facility.  Such borrowings bore interest at a weighted
average rate of 6.97% per annum as of September 30, 1998. The Company was not in
compliance with the leverage and interest coverage covenants as of September 30,
1998. The lender has granted a waiver relating to the  noncompliance  with these
covenants  of  the  Credit  Facility  and  has  amended  these  covenants  on  a
prospective  basis such that the Company  anticipates  it will be in  compliance
with such  covenants at least through  September 30, 1999. In October 1998,  the
total availability under the Credit Facility was increased to $36.0 million, and
the Company drew down an additional  $13.2  million,  of which $11.7 million was
used to finance the HII  acquisition.  As of December 31, 1998,  the Company had
outstanding  borrowings  of  $31.1  million  under  the  Credit  Facility.  Such
borrowings  bore  interest at a weighted  average  rate of 6.41% per annum as of
December 31, 1998.  All  indebtedness  under the Credit  Facility has been,  and
currently is,  guaranteed  by the Company's  four  principal  stockholders.  See
"Certain   Transactions."   Covenants  under  the  existing  agreement  include:
customary  covenants and restrictions on additional  liabilities and disposition
of assets,  achieving Year 2000 compliance by August 1999, maintaining financial
records and reporting,  a maximum  quarterly  leverage ratio, a minimum interest
coverage  ratio,  restrictions  on the  payment of  dividends,  as well as prior
approval for acquisitions. See "Risk Factors -- Year 2000 Compliance."

     On January 8, 1999, the Company received a letter from the lender under the
Credit  Facility  undertaking to provide a new credit  facility in the amount of
$25 million (the "Proposed Credit  Facility")  subject to a number of conditions
including the satisfactory  completion by the lender of its due diligence review
of the Company's operations,  negotiation of mutually satisfactory documentation
and approval by the lender's commitment committee.  The letter contemplates that
the Proposed Credit Facility will not be guaranteed by any third party, but will
be secured by  substantially  all of the Company's assets including the stock of
the  Company's  subsidiaries.  The lender  under the Credit  Facility has waived
certain  provisions  of the  Credit  Facility  related  to  restrictions  on the
repayment  of  borrowings  and  payment of certain  dividends  and has amended a
provision  relating to minimum stock  ownership by the  guarantors of the Credit
Facility  in order to permit  the Credit  Facility  to remain  outstanding  upon
consummation  of the Offering and if the  Proposed  Credit  Facility is not made
available upon consummation of the Offering.

     The Proposed  Credit Facility is expected to contain  covenants  similar to
those  under  the  existing  agreement,   including  Year  2000  compliance  and
restrictions  on the payment of dividends  on the Common  Stock.  See  "Dividend
Policy." If the Proposed Credit Facility becomes available to the Company, which
will not occur prior to the consummation of the Offering, the Company intends to
borrow sufficient funds under the Proposed Credit Facility in order to repay all
amounts  outstanding  under the Credit Facility.  There can be no assurance that
the Proposed Credit Facility will become available on the terms  contemplated or
otherwise.  In the  event  that the  lender  does not make the  Proposed  Credit
Facility available,  the Company will need to obtain alternative financing prior
to October 29, 1999, when the Credit Facility  terminates.  See "Risk Factors --
Acquisition Strategy; Need for Additional Capital."
    

     As of September 30, 1998, the Company had cash and cash equivalents of $3.6
million and net working capital of $2.2 million. Net cash used in operations was
$1.7 million,  $4.0 million and $2.5 million for the fiscal years ended June 30,
1996, 1997 and 1998, respectively. Net cash provided by operating activities was
$447,000  for the three months ended  September  30, 1998.  The $2.5 million net
cash  used in  operations  for the  fiscal  year  ended  June 30,  1998 was used
primarily for contingent  earnout charges on  acquisitions  made in prior fiscal
years which resulted in a net decrease in accounts  payable 


                                       40

<PAGE>

   
and accrued expenses of $1.4 million. In addition,  $1.9 million of the net cash
used was attributable to an increase in formulary accounts  receivable  relating
to Stockton (formulary  receivables normally have a 7-12 month collection cycle)
and  $2.1  million  was  attributable  to an  increase  in  accounts  receivable
resulting  from an increase  in  revenues.  The  $447,000  net cash  provided by
operating  activities  for the three months ended  September  30, 1998  resulted
primarily  from the $1.1 million of income from  operations  (after  adding back
non-cash charges) resulting from increased  revenues and operating margins.  The
net cash  provided from  operations  also  reflected  increased  investments  in
accounts  receivable  ($729,000),  formulary  receivables  ($942,000)  and other
assets  ($625,000),  which were  partially  offset by an  increase  in  accounts
payable and accrued expenses ($1,853,000).
    

     Cash used for investment  purposes was $4.9 million,  $12.2 million,  $12.1
million and $869,000 for the fiscal years ended June 30, 1996, 1997 and 1998 and
the  three  months  ended  September  30,  1998,  respectively.  Cash  used  for
investment  purposes  during the fiscal year ended June 30,  1998 was  primarily
used to acquire Stockton for $10.7 million and also to fund capital expenditures
(predominantly  computer  and network  hardware  and  software) in the amount of
$913,000. Cash used for investment purposes for the three months ended September
30, 1998 was used to fund  capital  expenditures  of $466,000  and  additions to
intangible  assets of  $403,000.  The  Company  expects  to pay $1.7  million of
additional contingent  consideration relating to the Stockton acquisition by the
end of the March 31, 1999  quarter  and at least $2.0  million per annum for the
foreseeable  future for  capital  investment  to support  growth in  transaction
processing.

     Cash provided by financing  activities was $657,000,  $15.5 million,  $15.6
million and $1.0 million for the fiscal years ended June 30, 1996, 1997 and 1998
and the three months ended  September 30, 1998,  respectively.  Cash provided by
financing  activities  during the fiscal  year ended June 30, 1998 and the three
months ended September 30, 1998 was primarily provided from borrowings under the
Credit Facility which was partially  offset by principal  repayments of debt and
capital  lease  obligations.  In the fiscal year ended June 30,  1997,  cash was
provided by the issuance of a Senior  Subordinated  Note in the principal amount
of  $25,000,000  and 370,993  shares of Common Stock for  aggregate  proceeds of
$25.0  million,  which  proceeds  were  partially  offset  by the  repayment  of
outstanding  borrowings  under the Credit  Facility and principal  repayments of
debt and capital lease obligations.

   
     Approximately  $25.2  million of the net proceeds of the  Offering  will be
used to prepay all then outstanding principal and accrued interest on the Senior
Subordinated  Note and  approximately  $19.6 million of the net proceeds will be
used to reduce  outstanding  indebtedness  and accrued interest under the Credit
Facility.  In connection with the repayment of the Senior Subordinated Note, the
Company  will  record an  extraordinary  charge of  approximately  $1.4  million
relating to the write-off of the remaining  discount on the Senior  Subordinated
Note.  The Company  expects to use the Proposed  Credit  Facility to finance the
Company's  future  acquisitions  and general working  capital needs,  subject to
satisfaction  of covenants  set forth  therein.  See "Risk  Factors -- Year 2000
Complaince."  The  Company  also  expects to finance  acquisitions  through  the
issuance of additional equity and debt securities. The Company believes that the
proceeds  of the  Offering,  together  with  existing  cash  balances  and  cash
generated by operations in the near term, and the borrowings expected to be made
available under the Proposed Credit Facility,  will be sufficient to finance the
Company's  operations for at least 18 months.  However,  future acquisitions may
require  funding beyond the Company's  cash resources and currently  anticipated
capital or operating requirements could change, with the result that the Company
may be required to raise  additional funds through the public or private sale of
additional  securities.  See "Risk  Factors --  Acquisition  Strategy;  Need for
Additional Capital."
    

YEAR 2000 COMPLIANCE

     The Company has completed its  assessment of whether it will have to modify
or replace  portions of its  software  and its  products,  services and internal
systems so that they will  function  properly  with respect to dates in the year
2000 and thereafter. In addition to its general Year 2000 compliance review, the
Company  has  specifically  identified  several  areas  which  are not Year 2000
compliant as of November 30, 1998:  (i) the Company's  PBM system in Ohio,  (ii)
the UNIX  operating  platform  software  used in  connection  with the Company's
pharmacy  practice  management  system,  and (iii) the UNIX  operating  platform
software utilized in its pharmacy transaction  switching.  With the exception of
the Ohio PBM system, the Company believes its internally  developed software and
systems are Year 2000 compliant.

                                       41

<PAGE>

     The Company has  developed a  remediation  program to correct the Year 2000
problems it has identified.  PBM clients who utilize the Company's PBM system in
Ohio are being migrated to the PBM system acquired by the Company from Stockton,
which the Company  considers to be Year 2000 compliant.  A testing and migration
timetable for all such clients has been  developed,  with  migration  activities
scheduled for completion in mid-1999.  For retail pharmacy  practice  management
clients,  the  Company's  remediation  program  consists of  providing  software
upgrades,  with discounted  hardware  packages to enable such clients to utilize
Year 2000 compliant systems. The Company is currently contacting retail pharmacy
customers  and  expects  that the  implementation  of such  program  will extend
throughout calendar 1999. A version of the UNIX operating platform software used
in pharmacy transaction switching,  which the manufacturer represents to be Year
2000  compliant,  was  released  in  December  1998.  Testing of that  operating
platform  software  on the  Company's  hardware,  with  the  Company's  pharmacy
transaction switching software, is scheduled for January and February of 1999.

   
     In October 1998 the Company  acquired HII.  HII's EDI products and services
fall  into  three   categories:   physician   claims   processing   (small-  and
large-group),   hospital   claims   processing  and  claims  data   transmission
(extraction and transmission of claim data to a third party data analyst). Based
on its review at the time of the acquisition,  the Company  determined that none
of HII's products is Year 2000  compliant.  The Company  intends to modify HII's
common carrier and  Internet-based  claims processing system for small physician
groups to make it Year 2000 compliant.  The Company also intends to modify HII's
payor data  transmission  products to make such  products  Year 2000  compliant.
These  modifications  are scheduled to be completed by spring 1999.  The Company
intends to migrate HII's claims  processing  for  hospitals and large  physician
groups to the Company's MedE Claim product; this migration is scheduled to start
in spring 1999 and be  completed by  mid-1999.  The Company  can, if  necessary,
process  claims for  hospitals  and large  physician  groups  through its common
carrier and Internet-based claims processing system.

     Some or all of the Company's revenues from each of the three areas in which
Year 2000 problems have been identified,  as well as those of HII's clients, are
subject  to the risk of Year  2000  noncompliance.  The total  revenue  from the
Company's PBM services  clients was $6,491,000 in fiscal 1998. The total revenue
from Pharmacy retail system sales was $511,000 in fiscal 1998. The total revenue
derived from Pharmacy  switching was $8,183,000 in fiscal 1998. The total claims
and related  revenue derived from HII was $4,950,000 for the twelve months ended
June 30, 1998.

     Excluding  anticipated   expenditures   associated  with  ordinary  product
development,  the Company has budgeted approximately $1,210,000 through December
1999 for Year 2000 compliance  costs, of which  approximately  $512,000 had been
expended  through  December 31, 1998. The Company believes that this amount will
be sufficient to execute its plan and cover  contingency plan costs. The Company
believes that it has sufficient resources to implement its plan. However,  there
can be no assurance that expenditures  required to achieve  compliance with Year
2000 requirements will not exceed the budgeted amounts.
    

     The Company's client base consists of over 65,000 health-care providers and
over 1,000  payors.  While the Company has not attempted to assess the readiness
of each of these  entities,  the Company has begun to work with major  customers
and suppliers  to insure  that Year 2000  compliance  issues will not  interrupt
the  normal  activities   supported  by  these   relationships.   The  Company's
Medicare/Medicaid   Payors  are  subject  to  a  Year  2000  compliance  program
undertaken by the Health Care Financing Administration. Under the HCFA plan, all
mission critical systems have been identified,  and an Independent  Verification
and Validation  consultant has been retained to perform  inspections and testing
of all public  payors.  This plan includes both random and announced  system and
site testing.

   
     The Company  believes  that the most likely  worst case Year 2000  scenario
would include the following: (i) one or more parts of the Company's software and
operating systems would operate  incorrectly;  (ii) one or more of the Company's
payors  would be unable to  receive  transactions;  and (iii) one or more of the
Company's   providers/clients  would  not  have  completed  internal  Year  2000
conversions.  The Company has completed the assessment of its critical  hardware
and software and believes that the assessment has revealed all significant  Year
2000 problems,  that such problems will be capable of remediation,  and that the
Company's software and hardware will perform  substantially as planned when Year
2000 processing begins.
    

                                       42

<PAGE>

   
     As contingency  planning,  the Company has three  available  options should
certain  functions not operate  properly on January 1, 2000.  First, the Company
has developed its internal  systems in such a manner as to allow such systems to
accept non-Year 2000 compliant data, and convert such data based on defaults and
algorithms  developed in conjunction  with the providers to Year 2000 compatible
formats.  This methodology is applicable for claims,  eligibility and enrollment
transactions.  Second,  for payors, in the event a payor is unable to accept EDI
claims,  the Company currently has the capability,  internally and, if necessary
with support from an outside  vendor,  to print paper claims forms from supplied
provider data and to send those claims in paper form to non-Year 2000  compliant
payors.  Third,  for medical claims, a bulletin board system acquired in the HII
transaction could be utilized by clients,  with minimal programming set up, as a
means  of  transmitting  claims  to the  Company  via  common  carriers  and the
Internet. See "Risk Factors -- Year 2000 Compliance."
    

IMPACT OF INFLATION

     Inflation  has  not  had a  material  impact  on the  Company's  historical
operations or financial condition.

RECENT ACCOUNTING PRONOUNCEMENTS

     Recent  pronouncements  of  the Financial Accounting Standards Board, which
are  not  required  to be adopted at this date, include SFAS No. 130, "Reporting
Comprehensive   Income",  SFAS  No.  131,  "Disclosures  about  Segments  of  an
Enterprise  and  Related  Information",  SFAS  No.  132, "Employers' Disclosures
about  Pensions  and Other Postretirement Benefits" and SFAS No. 133 "Accounting
for  Derivative  Instruments  and  Hedging Activities". These pronouncements are
not expected to have a material impact on the Company's financial statements.

     In March 1998,  the  American  Institute of  Certified  Public  Accountants
issued  Statement  of  Position  98-1,  "Accounting  for the  Costs of  Computer
Software Developed or Obtained for Internal Use." This statement is not required
to be adopted at this date.  The Company is currently  evaluating  the impact of
this statement on its financial statements.

NET OPERATING LOSSES

   
     As of June 30, 1998, the Company had net operating loss  carryforwards  for
federal  income  tax  purposes  of  approximately   $36.4  million.   Such  loss
carryforwards  expire in the fiscal years 2005 through 2013.  Because of certain
changes in ownership,  as defined in the Internal  Revenue Code,  which occurred
during 1996 and 1995,  certain of these net  operating  loss  carryforwards  are
subject to annual  limitations.  See Note 7 of Notes to  Consolidated  Financial
Statements of the Company.
    

                                       43

<PAGE>
                                   BUSINESS

GENERAL

   
     MEDE AMERICA is a leading  provider of EDI products and services to a broad
range of providers and payors in the healthcare industry.  The Company offers an
integrated suite of EDI solutions that allows hospitals, pharmacies, physicians,
dentists and other  healthcare  providers and provider groups to  electronically
edit, process and transmit claims, eligibility and enrollment data, track claims
submissions   throughout   the  claims   payment   process  and  obtain   faster
reimbursement  for their services.  In addition to offering  greater  processing
speed, the Company's EDI products and services reduce processing costs, increase
collection  rates and result in more  accurate  data  interchange.  The  Company
maintains over 540 direct  connections  with insurance  companies,  Medicare and
Medicaid  agencies,  Blue Cross and Blue  Shield  systems  and other third party
payors, as well as over 500 indirect  connections with additional payors through
claims  clearinghouses.  As of December 31,  1998,  the Company  processed  over
900,000 transactions per day for over 65,000 providers located in all 50 states.
The Company's  mission is to be the leading  provider of  integrated  healthcare
transaction processing technology,  networks and databases, enabling its clients
to improve the quality and efficiency of their services.

     The  Company  was  formed  in March  1995  through  the  consolidation  and
subsequent  spin-off  of  three  subsidiaries  of CES,  in  connection  with the
acquisition by First Data  Corporation of CES' credit card processing  business.
The three subsidiaries,  MedE America, Inc., MPC, and Wellmark,  which comprised
the healthcare services business of CES,  historically  provided EDI services to
hospitals and  physicians.  Since its  formation,  the Company has expanded both
through  internal  growth  and the  acquisition  of six  healthcare  transaction
processing businesses.  As part of its strategy of providing an integrated suite
of EDI  products  and  services to a broad range of  healthcare  providers,  the
Company  has  focused on  acquisitions  that  provide  entry into new markets or
expand the  Company's  product  suite.  The  Company  has  actively  pursued the
integration of its acquisitions and, in the process, has either divested, closed
or  restructured  various  operations  of the  acquired  entities  in  order  to
eliminate  non-core  or  redundant  operations  and  achieve  cost  savings  and
operating efficiencies.
    

INDUSTRY OVERVIEW

     Innovations  over  the  past  decade  in  computer  and  telecommunications
technologies  have resulted in the development of EDI systems to  electronically
process  and  transmit   information  among  the  various  participants  in  the
healthcare  industry.   These  systems  were  designed  to  replace  paper-based
recording and transmission of information,  enabling greater  processing  speed,
reduced  processing  costs  and  more  accurate  data  interchange.   Electronic
processing   enables   providers  to  verify   patient   eligibility  or  obtain
authorization  for services at the time of  appointment,  registration or at the
time of claim submission.  The healthcare EDI processor then interfaces with the
payor  to  obtain  an  eligibility  or  authorization  confirmation,   which  is
transmitted  back to the  provider.  To obtain  payment,  providers  must submit
claims information in formats specified by the respective payors. Healthcare EDI
processors can facilitate this process by utilizing customized software programs
that can perform  "edits" to the data supplied by providers  and re-format  that
data to meet the  data  specifications  of  payors.  Electronically  transmitted
claims are sent either  directly from the provider to the payor,  or through the
healthcare  EDI  processor  (which  in turn  transmits  the  claims to the payor
directly  or through  one or more  intermediaries).  The claim is  received  and
reviewed by the payor and the remittance  response is communicated  (usually not
electronically)  back to the  provider.  Each of these  steps in the  healthcare
delivery process gives rise to a current or potential EDI transaction.

   
     Health Data Directory  estimates  that in 1998 over 4.4 billion  electronic
and paper claims will be paid in all sectors of the healthcare  services market,
and over the past five years  healthcare  claims increased at an average rate of
6.25% per year. The Company expects the volume of healthcare  claims to continue
to grow as the U.S.  population ages and life expectancy of the U.S.  population
increases.  The  increase in claims has been  accompanied  by an increase in the
proportion  of  claims  that are  electronically  processed.  From  1994 to 1998
(estimated),  the proportion of total healthcare claims that were electronically
processed  increased  from 47% to 62%.  During  such period the number of claims
pro-
    

                                       44

<PAGE>

cessed  electonically  increased at an average rate of 14% per year. The Company
expects the electronic  processing of healthcare  claims to continue to increase
as a result of increased reliance on electronic  commerce and increased emphasis
on cost containment in the healthcare industry.

   
     The penetration of electronic  processing  varies  significantly  among the
different  markets  within  the  healthcare  industry.   Health  Data  Directory
estimates that in 1998 electronic  processing will account for approximately 16%
of total dental claims,  38% of total  physician  medical  claims,  83% of total
hospital  medical  claims and 86% of total pharmacy  claims.  In addition to the
opportunity to convert remaining  paper-based  claims to electronic  processing,
the  Company  believes  that  there  is  significant  market  potential  for EDI
processing in the non-claim area, including eligibility verification, remittance
transactions  and other  data  exchange  transactions  such as claims  tracking,
referrals and physician scripting.  The Company believes that EDI penetration in
these  non-claim  transaction  categories  is  low,  and as a  result,  the  EDI
transaction  growth in these areas will exceed that of the EDI claims processing
market.
    

     As compared to claims  processing,  the electronic  processing of non-claim
information  transactions  in  the  healthcare  industry,  such  as  eligibility
inquiries,  enrollment in Medicare and Medicaid programs,  referrals,  formulary
inquiries to pharmacy benefit managers and  prescription  delivery,  has emerged
only  recently and is less  pervasive.  The Company  believes  that only a small
percentage of non-claim information transactions are managed electronically.  In
addition to opportunities to expand its claims processing business,  the Company
believes  that  there  are  significant   possibilities  to  expand   electronic
processing  to  non-claim  areas in the  healthcare  market,  for the  following
reasons:

   o  As advanced technology continues to penetrate the healthcare industry,  an
      increasing amount of healthcare data will be managed  electronically.  For
      example,   healthcare  providers  are  implementing   practice  management
      software  systems to manage the  clinical,  financial  and  administrative
      aspects  of  their  businesses.   Increasingly,   these  software  systems
      incorporate EDI processing capabilities.

   o  Efforts by government and private insurers to contain healthcare costs are
      expected to motivate hospitals and physicians to use EDI not only to lower
      costs, but also to improve operating  efficiencies and increase  accuracy.
      For example,  state Medicaid programs and some private insurance companies
      now encourage  providers to verify patients' medical benefits  eligibility
      electronically.

   o  As the healthcare industry continues to undergo consolidation,  the larger
      scale of the  resulting  entities  may result in  increased  EDI use.  For
      example,  various  managed care companies have  encouraged  their provider
      networks  to  utilize  EDI for  authorizations,  enrollment  verification,
      encounter reports and referrals.

     Currently,  the EDI market is fragmented and consists of several nationally
prominent  EDI claims  processors  and  several  hundred  regional  EDI  service
providers who occupy  selected  niches in specialized  markets and  geographical
sectors. Over the past several years, many of the regional EDI service providers
have  been  acquired  by  national  organizations.  The  Company  believes  that
competitive  conditions in the healthcare  information industry will continue to
favor consolidation as larger, more diversified organizations are able to reduce
costs and offer an integrated package of standardized products and services.

COMPETITIVE STRENGTHS

     The Company believes that it has several  competitive  strengths which will
enable  it  to  capitalize  on  the  significant  growth  opportunities  in  the
healthcare EDI marketplace.

     COMPREHENSIVE SUITE OF EDI PRODUCTS AND SERVICES.  The Company has followed
a strategy of  developing  or acquiring  EDI  products and services  that may be
provided  to a  broad  range  of  healthcare  clients.  The  Company's  products
incorporate open  architecture  designs and what the Company regards as "best of
breed"  technology  and may be  purchased  as modular  additions to the client's
existing data storage and retrieval  system,  or as part of a comprehensive  EDI
processing system.  These products also provide to the client the capability and
the  required  security  to  transmit  or receive  EDI  transactions  across the
Internet.  They are designed to be compatible  with a broad variety of hospital,
medical, pharmacy and dental practice manage-

                                       45

<PAGE>

ment and billing systems.  In addition,  new products can be added to respond to
changing  client  requirements,  and the  scalability of the Company's  products
permits  the  client  to  accommodate  increasing  transaction  volumes  without
requiring substantial new investments in software and hardware. Because of these
product  characteristics,  the Company  believes it is well  positioned  to take
advantage of the expected  growth of EDI in areas such as  eligibility,  managed
care transactions and pharmacy to physician scripting.

     BROAD AND  DIVERSIFIED  CLIENT BASE.  The Company  markets its products and
services to a broad range of healthcare  providers including the medical market,
comprised of hospitals,  clinics and physicians,  the dental market comprised of
small to medium-sized  dental practice groups,  and the pharmacy  market,  which
includes  retail  pharmacies  (independents  and  chains)  as well as  PBMs.  In
addition,  the Company has  relationships  through  practice  management  system
vendors and other intermediaries.  As of November 30, 1998, the Company's highly
diversified  client base consisted of  approximately  42,000  pharmacies,  8,000
dental offices, 1,100 hospitals and clinics and 14,000 physicians. The Company's
broad and diversified  client base provides it with  transaction-based  revenues
that  tend  to  be  recurring  and  positions  it to  capitalize  on  the  rapid
consolidation taking place within the healthcare industry.

     DIRECT  RELATIONSHIPS  WITH PROVIDERS AND PAYORS. The Company has developed
over 540 direct  connections  with  healthcare  payors  including  Medicare  and
Medicaid agencies,  Blue Cross and Blue Shield systems and commercial  insurance
companies,  and the Company is able to access over 500 additional payors through
contractual relationships with multiple claims clearinghouses. Additionally, the
Company  has direct  client  relationships  with  providers  such as  hospitals,
clinics, physicians and pharmacies. The range of MEDE AMERICA's services and the
extent of its  connectivity  with payors  provides  the  opportunity  to achieve
deeper  penetration of its provider  base,  while at the same time offering more
complete  solutions to new clients.  MEDE AMERICA  believes  that it is strongly
positioned to offer reliable, one-stop shopping to both providers and payors for
all their EDI needs.

     FOCUS ON CLIENT  SERVICE.  The Company has focused on  implementing  a wide
range of client service and support functions.  These support activities include
the use of automated client service tracking software, expanded client help desk
and  account  executive  support   functions,   and  extensive  client  feedback
mechanisms.  This focus has enhanced the Company's awareness of client needs and
improved the Company's  ability to respond to those needs.  As a result of these
activities,  of the clients that  contributed  to the Company's  revenues in the
1997 fiscal  year,  approximately  90%  continued  as clients of the Company and
contributed  to the  Company's  revenues  in the 1998 fiscal  year.  The Company
believes that its high quality client service  enhances the  satisfaction of its
clients  and  generates  new  revenue  opportunities  in the  form  of  expanded
transaction volume and sales of new products and services.

     LEADING  TECHNOLOGY  AND  PRODUCT  PLATFORMS.  The Company  recognizes  the
critical role of technology and telecommunications  platforms to ensure reliable
and high  quality  service.  Over the past two years,  MEDE AMERICA has invested
significant  capital  in new  hardware  and  software  systems  resulting  in an
estimated three-fold increase in transaction  processing  capacity.  The Company
has  designed  its  products  on  a  modular  client/server  model,  using  open
architecture  and  commonly  available  hardware,   with  redundant   processing
capabilities.  The  Company's  redundancies  in its  computing  capacity and its
dual-site  operations  enable it to provide  uninterrupted  processing  and data
transmission  with  little  if any  downtime.  As a  result  of such  technology
investments, MEDE AMERICA believes it is able to provide high quality service to
its  clients  in the  form  of  high  network  availability,  batch  transaction
reliability  and high  rates of  payor  claims  acceptance.  MEDE  AMERICA  also
believes  that its  technology  platform,  which is operating  at  approximately
one-third  of  its  total  capacity,  provides  it  with  substantial  operating
leverage.

     EXPERIENCED MANAGEMENT TEAM. Each member of the Company's senior management
team  has  over  15  years  of  experience  in the  information  technology  and
transaction  processing  industries and has extensive background in working with
emerging companies in the information  processing industry. The Company believes
that the range and depth of its senior  management  team  position it to address
the evolving  requirements  of its clients and to manage the growth  required to
meet its strategic goals.

                                       46

<PAGE>
GROWTH STRATEGY

     The  Company's  mission  is  to  be  the  leading  provider  of  integrated
healthcare transaction processing technology,  networks and databases,  enabling
its clients to improve the quality and efficiency of their services.  To achieve
this  objective,  the Company is  pursuing a growth  strategy  comprised  of the
following elements:

   o  PROVIDE COMPREHENSIVE SUITE OF EDI SOLUTIONS. The Company believes that it
      is critical to provide a full range of state of the art EDI  solutions  to
      clients at every stage of the healthcare transaction spectrum. The Company
      strives to develop fully modular products with open  architecture to allow
      for  easy  installation  and  integration  with  existing  systems.  These
      features enhance the ability of the Company to offer one-stop shopping for
      a client's EDI needs.

   o  FURTHER  PENETRATE  EXISTING  CLIENT BASE.  The Company  believes that the
      market  for EDI  transaction  processing  among its  current  clients  has
      significant  potential.  As EDI becomes more  widespread in the healthcare
      industry,   the  use  of  emerging  EDI  products  and  services  such  as
      eligibility,   enrollment,   electronic   credit  card   transactions  and
      electronic statement processing will become increasingly commonplace.  The
      Company  believes  that it is well  positioned to cross sell such emerging
      products and services to its existing client base.

   
   o  DEVELOP NEW EDI PRODUCTS AND SERVICES.  The Company intends to develop new
      EDI solutions to meet the evolving electronic transaction processing needs
      of its existing and future healthcare  clients.  The Company believes that
      the use of EDI will expand to  encompass an  increasing  range of services
      such as referrals, remittances and workers' compensation transactions. The
      Company has a team of 127 research and development  and technical  support
      professionals dedicated to developing,  supporting and commercializing new
      and enhanced EDI solutions.  In addition, the Company intends to undertake
      acquisitions in order to expand its suite of product offerings.
    

   o  UTILIZE  STRATEGIC  PARTNERSHIPS  TO EXPAND  CLIENT BASE.  MEDE  AMERICA's
      strategic  alliances  with vendors,  distributors  and dealers of practice
      management   software   have   played  an   important   role  in  building
      relationships  with small groups of physicians,  pharmacists and dentists.
      These companies  promote MEDE AMERICA's EDI products as a modular addition
      to their  practice  management  software.  The Company also has  strategic
      relationships with large hospital groups,  Medicaid  intermediaries,  PBMs
      and professional  organizations.  The Company believes that such strategic
      partnerships provide important  opportunities for increasing the Company's
      revenue base.

   o  PURSUE STRATEGIC ACQUISITIONS.  Currently, the EDI market includes several
      hundred  regional EDI service  providers  which occupy  selected niches in
      specialized  markets  and  geographical  areas.  The  Company  intends  to
      capitalize on the  fragmented  market for the provision of EDI services by
      aggressively pursuing consolidation opportunities in order to increase its
      client  and  revenue  base,  expand  its  product  suite,  enter  into new
      geographic markets,  utilize its operating leverage to increase efficiency
      and add new talent and  technical  capacity in  emerging  areas of the EDI
      processing industry.

SUITE OF EDI PRODUCTS AND SERVICES

     MEDE  AMERICA's  products and  services  enable its  healthcare  clients to
process and transmit  transactions  more  efficiently and  accurately,  reducing
costs and  increasing  overall  processing  speed.  The  Company's  EDI products
incorporate open  architecture  designs and what the Company regards as "best of
breed"  technology  and may be purchased as modular  additions to existing  data
storage  and  retrieval  systems or as part of a  comprehensive  EDI  processing
system.  They are designed to be  compatible  with a broad  variety of hospital,
medical,  pharmacy  and dental  practice  management  and  billing  systems.  In
addition,  new products can be added to respond to changing client requirements.
The  scalability  of the Company's  products  permits its clients to accommodate
increasing  transaction  volumes without substantial new investments in software
and  hardware.  The  following  table  illustrates  the breadth of the Company's
product and service offerings:

                                       47

<PAGE>

               MEDE AMERICA'S SUITE OF EDI PRODUCTS AND SERVICES

<TABLE>
<CAPTION>
- ----------------------------------------------------------------------------------------------------------------------------
  NAME OF PRODUCT/SERVICE                   DESCRIPTION OF
    AND MARKETS SERVED                 PRODUCT/SERVICE FEATURES                           CLIENT BENEFITS
- -------------------------- ----------------------------------------------- -------------------------------------------------
<S>                        <C>                                             <C>
HEALTHCARE CLAIM
 PROCESSING

MEDEClaim --                o Downloads  claims data from client soft-          o Accelerates  cash flow through  faster
 All  Markets                 ware  applications  and  provides  claims           claim  reimbursement.
                              data entry and correction capability. Ed-         o Increases cash flow through high level of
                              its, formats and screens transaction data           payor acceptance of edited claims.
                              to meet payor-specific requirements.              o Improves accounts receivables manage-
                                                                                  ment.

                                                                                o Reduces administrative expenses.
- ----------------------------------------------------------------------------------------------------------------------------
OTHER CLAIM SERVICES

MEDE Assist --             o Bills, on a batch basis, pharmacy pre-             o Improves accounts receivable manage-
  Pharmacy                   scriptions and performs non-electronic               ment and accelerates cash flow through
                             reconciliation and payor accounts re-                faster claim reimbursement.
                             ceivable management.                               o Reduces administrative expenses.

Claims Tracking --         o Tracks and provides a lock box service             o Improves accounts receivable manage-
  Dental                     for payor reimbursements.                            ment and accelerates cash flow.
- ----------------------------------------------------------------------------------------------------------------------------
ELIGIBILITY VERIFICATION

MEDE Eligibility --        o Verifies patients' eligibility for specific        o Reduces costs by minimizing fraud.
  All Markets                healthcare benefits for Medicaid and               o Ensures patient services are supported
                             commercial payors.                                   by a designated health benefit plan.
                                                                                o Reduces administrative expenses.
- ----------------------------------------------------------------------------------------------------------------------------
MEDICAID ENROLLMENT

Medicaid                   o Processes and tracks Medicaid enrollment           o Reduces expenses through on-line
  Enrollment Manage-         applications allowing for the verification           application process.
  ment System (MEMS)         and processing of Medicaid claims. Uti-            o Reduces application processing time.
  -- Medical                 lized by hospitals and government agen-            o Improves Medicaid claims billing and col-
                             cies in New York, New Jersey and                     lection.
                             California.                                        o Reduces bad debt.
- ----------------------------------------------------------------------------------------------------------------------------
TRANSACTION SWITCHING

MEDE Xchange --            o Routes real-time and batch transaction             o Reduces costs.
  All Markets                data from clients to facilitate transaction        o Increases network availability and
                             transmission to payors.                              reliability.
                           o Supports a broad array of access methods           o Provides extensive payor connectivity.
                             including dial-up, dial to packet, ISDN
                             and frame relay.
- ----------------------------------------------------------------------------------------------------------------------------

</TABLE>

                                       48

<PAGE>
<TABLE>
<CAPTION>
- ----------------------------------------------------------------------------------------------------------------------------
 NAME OF PRODUCT/SERVICE                  DESCRIPTION OF
   AND MARKETS SERVED               PRODUCT/SERVICE FEATURES                          CLIENT BENEFITS
- ------------------------- --------------------------------------------- --------------------------------------------
<S>                       <C>                                           <C>
   
REAL-TIME PHARMACY
 BENEFIT MANAGEMENT
 (PBM)

MEDE Select --            o Adjudicates on-line claims, incorporat-             o Accelerates cash flow through faster
  All Markets               ing patient eligibility and benefit review.           claim reimbursement.

                                                                                o Increases  cash flow  through high level
                                                                                  of payor acceptance of edited claims.
                                                                                o Improves accounts receivables management.
                                                                                o Reduces administrative expenses.
    
- ----------------------------------------------------------------------------------------------------------------------------
PHARMACY PRACTICE
 MANAGEMENT
 SYSTEMS (PPM)

Solution Plus --         o Facilitates dispensing, inventory and                o Expands drug pricing and coverage
  Pharmacy                 pricing of products for hospital, outpa-               capabilities.
                           tient and clinic pharmacies.                         o Improves cash flow through faster claim
                         o Provides on-line claims adjudication.                  reimbursement.
                                                                                o Improves efficiency of pharmacy
                                                                                  management and operations.
- ----------------------------------------------------------------------------------------------------------------------------
OTHER PRODUCTS AND
 SERVICES
Link --                  o Connects  physicians to pharmacies  for the          o Reduces costs related to  manual genera-
 Medical and Pharmacy      transmission of prescriptions and related              tion and transmission of prescriptions.
                           information and approvals.                           o Increases accuracy and transmission speed
                                                                                  of prescriptions.
Formulary                 o Administers and manages formulary pro-              o Reduces drug costs and increases PBM
  Management --             grams for PBMs.                                       revenue through manufacturer incentives,
  Pharmacy                o Promotes the usage by healthcare plans of           o Promotes compliance with payor formu-
                            designated drug products.                             laries.
Patient Statements --     o Facilitates patient statement billing.              o Reduces costs and improves patient
  All Markets                                                                     relations.
Credit/Debit Card and     o Assists patients in making co-payments or           o Reduces bad debt and enhances patient
  Check Guarantee --        paying other out-of-pocket charges.                   convenience.
  All Markets 
Additional EDI            o Processes data relating to referrals, en-           o Reduces practice expense and improves
  Transactions --           counters and benefit pre-certifications.              efficiency and patient relations.
  All Markets
- ----------------------------------------------------------------------------------------------------------------------------
</TABLE>

CLIENTS

     The Company  markets  its  products  primarily  to  hospitals,  pharmacies,
physicians,   dentists  and  other  healthcare  providers  and  provider  groups
(including HMOs, PPOs and healthcare  practice management vendors) and processes
transactions  for providers in all 50 states.  The Company believes it is one of
the largest pharmacy  transaction  routers in the U.S. (based on volume) serving
more than 42,000 pharmacies in various EDI capacities. MEDE AMERICA has a strong
presence in the medical market in New York, New

                                       49

<PAGE>

Jersey,  California,  Florida,  Minnesota,  and Ohio,  currently  providing  EDI
services to more than 1,100 hospitals and clinics, and 14,000 physicians. In the
dental  market,  MEDE AMERICA serves more than 8,000 dental  offices.  No single
client of the Company  accounted for more than 3% of the  Company's  revenues in
fiscal year 1998.

SALES, MARKETING AND CLIENT SERVICES

   
     The Company  markets its products  through a national  sales and  marketing
organization  consisting of 98 associates organized according to market,  client
type and product category.  The Company also has a client services  organization
consisting of 66 associates dedicated to help desk and client support functions.
A significant  component of compensation  for all sales personnel is performance
based,  although the Company  bases quotas and bonuses on a number of factors in
addition  to  actual  sales,  such as  client  satisfaction  and  collection  of
receivables.
    

     MEDE AMERICA's marketing efforts include direct sales, telesales, strategic
partnerships   with  healthcare   vendors,   trade  shows,   direct   marketing,
telemarketing,  the Internet,  and specific  advertising and marketing campaigns
where  appropriate.  In the medical and pharmacy markets,  the Company's current
strategic  business  alliances include  relationships with some of the country's
largest hospitals,  hospital  networks,  hospital  information  systems vendors,
practice management software vendors,  pharmacy chains, healthcare organizations
and payors.  The Company also maintains  strategic  alliances with certain state
Medicaid programs.

     MEDE AMERICA's strategic  alliances with vendors,  distributors and dealers
of  practice  management  software  have  played an  important  role in building
relationships  with  individual and small groups of  physicians,  pharmacies and
dentists.  These  companies  promote  MEDE  AMERICA's  EDI  products  as modular
additions  to their  practice  management  software.  MEDE  AMERICA has also won
endorsements from 18 state dental associations,  representing nearly half of all
dentists in practice  today.  The Company's  sales  channels  include  targeting
dental practice  management  companies and payor-driven  programs aimed at their
network  providers.  Recent  significant  expansion  of  MEDE  AMERICA's  direct
connectivity to dental payors has contributed to its ability to generate revenue
from this market  while at the same time  eliminating  its  dependence  on other
processors and clearinghouses.

RESEARCH AND DEVELOPMENT

   
     As of December  31,  1998,  the Company  employed 86 people in the areas of
product design, research and development,  and 41 people in the areas of quality
assurance and technical support.  The Company's product development  strategy is
focused on continuous  enhancement  of its existing  products to increase  their
functionality  and  ease  of  use,  and  the  development  of new  products  for
additional  EDI  transactions  and  telecommunications   offerings.   Particular
attention  is devoted to the  ongoing  integration  of  developed  and  acquired
systems and applications into a consolidated  suite of EDI product offerings and
supporting services for the markets served by the Company.
    

     In the Company's 1996, 1997 and 1998 fiscal years, research and development
expenditures  totaled  $2,132,000,  $3,278,000  and  $3,941,000,   respectively,
representing  approximately 7%, 9% and 9%, respectively,  of the Company's total
revenues.  See "Management's  Discussion and Analysis of Financial Condition and
Results of Operations."

TECHNOLOGY AND OPERATIONS

     MEDE   AMERICA    recognizes   the   crucial   role   of   technology   and
telecommunications  in the EDI marketplace.  Since the beginning of fiscal 1996,
the  Company  has  acquired  new  hardware  and  software  and made data  center
improvements  costing  more  than $5.0  million.  As a result,  the  Company  is
currently operating at approximately  one-third of its operating  capacity.  The
continuing  use of newer  emerging  technologies  and platforms has  contributed
significantly to the Company's current  operational  position.  Examples of such
innovations  include the use of Internet  technologies  for data  transmissions,
on-line transaction monitoring tools and development of Windows-based  front-end
applications for clients.

                                       50

<PAGE>
Advanced Open Architecture

     MEDE AMERICA's  products and applications  offer clients the benefits of an
"open  architecture"  EDI system.  As a result,  a client's system can expand or
change  without  incurring  significant  incremental  capital  expenditures  for
hardware or  software.  The open  architecture  of the  Company's  systems  also
improves reliability and connectivity, and facilitates the cross selling of MEDE
AMERICA's products, in part because of the following characteristics:

   o  SCALABILITY.  The Company's systems are designed to take full advantage of
      the client/server environment,  UNIX operating systems and Redundant Array
      of Inexpensive Disks ("RAID") technology, allowing clients to expand their
      processing   capacity  in  order  to  accommodate   the  growth  of  their
      businesses.

   o  MODULARITY.  The Company's  client/server systems have been developed with
      discrete functionality that can be replicated and utilized with additional
      hardware. This modularity enables MEDE AMERICA to optimize application and
      hardware performance.

   o  REDUNDANCY.  The implementation of a dual site,  geographically  dispersed
      On-Line  Transaction  Processing  ("OLTP")  switch  (Twinsburg,  Ohio  and
      Mitchel  Field,  New  York)  and  RAID  technology  for  batch  processing
      significantly  reduces  the risk of  business  interruption.  Each site is
      designed to be entirely self-supporting.

   o  OPEN SYSTEMS. Through the use of an open systems architecture MEDE AMERICA
      is able to add new functionality to applications  without re-designing its
      applications or architecture.

   o  INDUSTRY  STANDARDS.  Through  the  adoption  and active use of  pertinent
      standards for healthcare EDI  processing,  MEDE AMERICA can support client
      and payor processing requirements and provide standard interfaces to other
      EDI processing organizations.

   o  EASE OF USE. The Company's products are either  Windows-based or GUI-based
      and  function  in UNIX,  Novell  and  Windows NT  operating  environments,
      thereby enhancing ease of use by MEDE AMERICA's clients.

   o  TELECOMMUNICATIONS OFFERINGS. MEDE AMERICA is an early adopter of emerging
      telecommunications  systems  enabling  the  Company  to  migrate  to newer
      services,  such as ISDN,  dial to packet,  frame  relay,  virtual  private
      networks  and Internet  communications.  These new  offerings  provide the
      Company with a competitive  advantage  through  improved service levels or
      pricing. To ensure reliable  connectivity to its EDI clients,  the Company
      has established relationships with multiple telecommunications vendors.

COMPETITION

     Competition  in the market  for the  Company's  products  and  services  is
intense and is expected to increase.  The EDI market is characterized by rapidly
changing  technology,  evolving  user  needs and  frequent  introduction  of new
products.  Many of the  Company's  competitors  and potential  competitors  have
significantly greater financial,  technical, product development,  marketing and
other resources and market  recognition than the Company.  In addition,  many of
the  Company's  competitors  also  currently  have,  or may  develop or acquire,
substantial  installed client bases in the healthcare  industry.  As a result of
these factors, the Company's  competitors may be able to respond more quickly to
new or emerging  technologies,  changes in client  requirements  and  political,
economic or regulatory  changes in the healthcare  industry,  and may be able to
devote  greater  resources  to the  development,  promotion  and  sale of  their
products than the Company.

     The Company's  principal  competitors  include  National Data  Corporation,
Envoy   Corporation   and  SSI,  Inc.  in  claims   processing  and  eligibility
verification;  QuadraMed Corporation in claims processing; Medifax, Inc. and HDX
Healthcare  Data Exchange  Corporation  in eligibility  verification;  and Envoy
Corporation  in  the  dental  market.  MEDE  AMERICA  also  may  face  potential
competition from other companies not currently involved in healthcare electronic
data  transmission,  which may enter the market as EDI becomes more established.
The Company believes that existing and potential clients in the

                                       51

<PAGE>
healthcare  EDI  market  evaluate  the  products  and  services of competing EDI
providers  on  the  basis of the compatibility of the provider's software, cost,
ease  of  installation,  the  range  of  applications  available, the quality of
service   and   the   degree   of  payor  connectivity.  See  "Risk  Factors  --
Competition."

GOVERNMENT REGULATION

     The  healthcare  industry  in the  United  States is  subject  to  changing
political,  economic and regulatory  influences  that may affect the procurement
practices and  operations of healthcare  organizations.  During the past several
years,  the  healthcare  industry  has been  subject  to  increasing  levels  of
governmental regulation of, among other things,  reimbursement rates and certain
capital  expenditures.  For example,  legislation  has been  proposed that would
mandate  standards and impose  restrictions on the Company's ability to transmit
healthcare data and recently,  Congress has had under consideration proposals to
reform the healthcare system. While some of these proposals,  if enacted,  could
increase the demand for EDI products and services in the healthcare  industry by
emphasizing cost  containment,  they might change the operating  environment for
the Company's clients in ways that cannot be predicted. Healthcare organizations
could react to these proposals by curtailing or deferring investments, including
those for the Company's products and services.

     The  confidentiality  of patient records and the circumstances  under which
such  records may be released  for  inclusion  in the  Company's  databases  are
subject to substantial  regulation.  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  healthcare  provider,
regulations governing patient  confidentiality  rights are evolving rapidly. The
Health Insurance  Portability and Accountability  Act, passed in 1997,  mandates
the establishment of national standards for the confidentiality of patient data,
as well as record keeping,  data format and data security  obligations that will
apply to transaction processors,  among others. It is possible that standards so
developed  will  necessitate  changes to the  Company's  operations.  Additional
legislation  governing the dissemination of medical record  information has been
proposed at both the  federal and state  levels.  This  legislation  may require
holders of such  information  to implement  security  measures  that may require
substantial  expenditures by the Company. There can be no assurance that changes
to state or federal laws will not materially  restrict the ability of healthcare
providers  to submit  information  from  patient  records  using  the  Company's
products.   See  "Risk  Factors  --  Proposed  Healthcare  Data  Confidentiality
Legislation."

YEAR 2000 COMPLIANCE

     Many currently  installed  computer systems and software products are coded
to accept only two digit entries in the date code field.  These date code fields
will need to accept four digit  entries to  distinguish  21st century dates from
20th century  dates.  As a result,  prior to January 1, 2000,  computer  systems
and/or  software  used by many  companies may need to be upgraded to comply with
such "Year 2000"  requirements.  Significant  uncertainty exists in the software
industry concerning the potential consequences of the Year 2000 phenomenon.  The
Company  believes that some systems with which its own  computers  interact (for
example,  some  payor and  practice  management  systems)  are not yet Year 2000
compliant.  In addition,  certain of the Company's internally developed software
and software on which its systems operate are not yet Year 2000  compliant.  The
applications running on these systems are expected to be discontinued,  migrated
to other systems or corrected  before 2000.  See  "Management's  Discussion  and
Analysis  of  Financial  Condition  and  Results  of  Operations  --  Year  2000
Compliance." However,  there can be no assurance that the Company's systems will
achieve Year 2000 compliance in a timely manner, if at all. See "Risk Factors --
Year 2000 Compliance."

EMPLOYEES

   
     As of December 31, 1998, the Company employed 405 people,  including 110 in
operations, 98 in sales and marketing, 66 in client services, 86 in research and
development,  35 in finance and administration and ten in corporate. None of the
Company's  employees is  represented by a union or other  collective  bargaining
group.  The  Company  believes  its  relationship   with  its  employees  to  be
satisfactory.
    

FACILITIES

     The following chart  summarizes the Company's  facilities and their monthly
transaction capacities:

                                       52

<PAGE>
<TABLE>
<CAPTION>
   
                                                                            ESTIMATED
                                                                             MONTHLY
                                                                           TRANSACTION        OWNED/LEASE
           FACILITY             PERSONNEL         TRANSACTION TYPE           CAPACITY       EXPIRATION DATE
- ------------------------------ ----------- ------------------------------ ------------- ----------------------
<S>                            <C>         <C>                            <C>           <C>

Ohio (Primary Medical and          152     Eligibility                      2,000,000   Owned
 Pharmacy Data Center)                     Real-Time Benefit Management     6,000,000
                                           Switching                       48,000,000
                                           Claims                           3,000,000

New York (Secondary Medical         35     Eligibility                      2,000,000   January 2003
 and Pharmacy Data Center)                 Enrollment                          25,000

Georgia (Dental Data Center)        57     Dental Claims                    1,600,000   January 2001

Corporate Headquarters,            140     Real-Time Benefit Management     2,000,000   Various dates between
 Sales & Development                                                                    January 1999 and Feb-
 Offices (5 sites) and                                                                  ruary 2003.
 PBM Processing

St. Louis (HII Facility)            21     Claims                                N/A1   May 2005
</TABLE>
    

- ----------
1 All claims  of  this  facility  are  outsourced  to a  third  party  mainframe
  processor.

INTELLECTUAL PROPERTY

     The Company considers its methodologies,  computer software and many of its
databases  to be  proprietary.  The  Company  relies on a  combination  of trade
secrets,  copyright and trademark  laws,  contractual  provisions  and technical
measures to protect its rights in various methodologies,  systems,  products and
databases.  The Company has no patents covering its software technology.  Due to
the nature of its  application  software,  the Company  believes that patent and
trade secret  protection  are less  significant  than the  Company's  ability to
further  develop,  enhance  and  modify  its  current  products.   However,  any
infringement  or  misappropriation  of the  Company's  proprietary  software and
databases  could  disadvantage  the Company in its efforts to retain and attract
new clients in a highly  competitive  market and could cause the Company to lose
revenues or incur substantial  litigation expense.  The Company seeks to protect
its  proprietary   information   through   nondisclosure   agreements  with  its
consultants,   clients  and  potential  clients,   and  limits  access  to,  and
distribution of, its proprietary information. See "Risk Factors -- Dependence on
Intellectual Property; Risk of Infringement."

     Substantial litigation regarding intellectual property rights exists in the
software  industry,  and the  Company  expects  that  software  products  may be
increasingly  subject  to  third-party  infringement  claims  as the  number  of
competitors in the Company's  industry  segment grows and the  functionality  of
products  overlaps.  Although  the  Company  believes  that its  products do not
infringe on the  intellectual  rights of others,  there can be no assurance that
such a claim will not be asserted  against the Company in the future,  or that a
license or similar  agreement will be available on reasonable terms in the event
of an unfavorable  ruling on any such claim.  See "Risk Factors -- Dependence on
Intellectual Property; Risk of Infringement."

LEGAL PROCEEDINGS

     In June  1995,  the  Company  acquired  substantially  all of the assets of
Latpon for a purchase price of $2,470,000,  plus the assumption of approximately
$963,000 of  liabilities.  On June 6, 1998,  Curtis J. Oakley  filed a complaint
with the  Supreme  Court of the  State of New York,  County of Nassau  asserting
multiple causes of action against several  persons,  including a cause of action
naming the  Company as a  defendant,  based on his  alleged  ownership  of a 22%
interest in Latpon.  According to the complaint,  Mr. Oakley's claim against the
Company  is for $2  million or such  other  amount as may be  equivalent  to the
present value of his alleged  ownership  interest in Latpon's  predecessor.  The
Company  believes  that it is fully  indemnified  by the former owners of Latpon
under the Latpon acquisition agreement against any costs or damages arising from
this claim.  By letter dated July 10, 1998,  one of the former  owners of Latpon
confirmed  that he would  indemnify the Company in accordance  with the terms of
the  acquisition  agreement.  On August 25, 1998,  the Company filed a motion to
dismiss this claim. That motion is currently pending.

                                       53

<PAGE>

RECENT DEVELOPMENTS

   
     On July  17,  1998,  the  Company  entered  into a  Transaction  Processing
Agreement  (the  "Processing  Agreement")  with  Medic  Computer  Systems,  Inc.
("Medic"),  a subsidiary  of Misys plc that  develops and licenses  software for
healthcare  providers,   principally  physicians,   MSOs  and  PPMs.  Under  the
Processing  Agreement,  the Company will undertake certain software  development
obligations,  and on July  1,  1999,  it will  become  the  exclusive  processor
(subject  to certain  exceptions)  of medical  reimbursement  claims for Medic's
subscribers submitted to payors with whom MedE has or establishes  connectivity.
Under the Processing  Agreement,  the Company will be entitled to revenues to be
paid by payors (in respect of which a commission is payable to Medic) as well as
fees  to be  paid  by  Medic.  The  Processing  Agreement  sets  forth  detailed
performance criteria and development and implementation timetables; inability to
meet these  criteria may result in financial  penalties or give Medic a right to
terminate this agreement.  The Processing  Agreement is for a fixed term of five
years,  with  annual  renewals   thereafter   (unless  either  party  elects  to
terminate).

     Contemporaneously,  to  ensure a close  working  relationship  between  the
parties,  on July 19, 1998,  the Company  granted to Medic a warrant (the "Medic
Warrant") to acquire  1,250,000  shares of the Company's  Common Stock, at a per
share exercise price equal to the price of the Common Stock to the public in the
Offering or, in the event that an initial  public  offering is not  completed by
March 31, 1999, at an exercise  price equal to $8.00 per share.  The  difference
between  the  two  alternative  prices  reflects,  in the  Company's  view,  the
incremental value of a share of Common Stock resulting from the Offering and the
concurrent Recapitalization.  The Medic Warrant vests over a two year period and
may be  exercised  up to five  years from the date of grant.  The Medic  Warrant
contains customary weighted average antidilution provisions. The Company and the
principal stockholders  associated with WCAS and WBCP have agreed that following
the  completion of the Offering and until the earlier of the  termination of the
Processing  Agreement or the disposition by Medic and its affiliates of at least
25% of the shares of Common Stock issuable under the Medic Warrant,  Medic shall
have the right to designate one director to the Company's Board of Directors. As
of the date of this Prospectus, Medic has not named a designee.

     On October 30, 1998,  the Company  acquired all the  outstanding  shares of
stock of HII, a St. Louis, Missouri based provider of EDI transaction processing
services  to  hospitals  and  physician  groups  in the  midwest.  Prior to such
acquisition,  HII was a subsidiary  of  RightCHOICE  and General  American.  The
Company  acquired HII for a total cash payment of  approximately  $11.7 million,
including  transaction  expenses.  Immediately  prior to the acquisition,  HII's
"Intercare" and "Telemedical" businesses were divested in separate transactions.
The Company did not acquire such businesses or any proceeds from the disposition
thereof.

     The HII  acquisition  was financed by an  amendment to the Credit  Facility
increasing the facility to $36,000,000.  To induce  investment  funds affiliated
with WCAS and WBCP to guarantee this  increase,  on October 7, 1998, the Company
granted to such funds the 1998 Guaranty Warrants to purchase an aggregate 84,050
shares of the Company's  Common Stock at a per share exercise price equal to the
price of the Common Stock to the public in the Offering or, in the event that an
initial public offering is not completed by March 31, 1999, at an exercise price
equal to $8.00 per share. The difference between the two prices reflects, in the
Company's view, the incremental  value of a share of Common Stock resulting from
the Offering and the concurrent Recapitalization. The 1998 Guaranty Warrants are
immediately  exercisable  and may be exercised up to five years from the date of
grant.
    

                                       54

<PAGE>
                                  MANAGEMENT

DIRECTORS AND EXECUTIVE OFFICERS

     The directors and executive officers of the Company are as follows:

<TABLE>
<CAPTION>
               NAME                   AGE    POSITION
- ----------------------------------   -----   ------------------------------------------------------
<S>                                  <C>     <C>
Thomas E. McInerney(2) ...........    56     Chairman of the Board of Directors

Thomas P. Staudt .................    46     President and Chief Executive Officer, Director

Richard P. Bankosky ..............    56     Chief Financial Officer, Treasurer and Secretary

James T. Stinton .................    48     Chief Information Officer

William M. McManus ...............    43     Senior Vice President and General Manager -- Pharmacy

Linda K. Ryan ....................    51     Senior Vice President and General Manager -- Medical

Roger L. Primeau .................    55     Senior Vice President and General Manager -- Dental

Anthony J. de Nicola(1) ..........    34     Director

Timothy M. Murray(1)(2) ..........    46     Director
</TABLE>

- ----------
(1) Member of Audit Committee

(2) Member of Compensation Committee

     Set  forth  below is  information  about  each of the  Company's  executive
officers and directors.

     THOMAS E.  MCINERNEY  has been  Chairman of the Board of  Directors  of the
Company since March 1995 and a general partner of WCAS, an investment firm which
specializes  in the  acquisition  of companies in the  information  services and
healthcare  industries,  since  September  1986.  Prior  to  joining  WCAS,  Mr.
McInerney was President and Chief Executive  Officer of Dama  Telecommunications
Corporation,   a  voice  and  data  communications  services  company  which  he
co-founded  in 1982.  Mr.  McInerney  has also been  President of the  Brokerage
Services Division and later Group Vice President-Financial Services of ADP, with
responsibility  for the ADP divisions  that serve the  securities,  commodities,
bank,  thrift and electronic funds transfer  industries,  and has held positions
with the American Stock Exchange,  Citibank and American Airlines. Mr. McInerney
holds a B.A. degree from St. Johns University,  and attended New York University
Graduate  School  of  Business  Administration.  He  is  a  director  of  Aurora
Electronics, Inc., The BISYS Group, Inc. and several private companies.

     THOMAS  P. STAUDT has been a director and the President and Chief Executive
Officer  of  the  Company  since  March  1995.  He served as President and Chief
Operating  Officer  of  CES  from  May 1993, and as a director from August 1994,
until  the  sale  of  CES  to  First  Data  Corporation and the formation of the
Company  in  March  1995. At CES, Mr. Staudt was responsible for credit card and
healthcare  transaction  processing operations. Prior to joining CES, Mr. Staudt
was  President and Chief Operating Officer of Harbridge Merchant Services, Inc.,
which  he  joined in December 1991. Mr. Staudt has also held positions with A.C.
Nielsen,  a  subsidiary  of  Dun & Bradstreet Corporation, and Wells Fargo Bank.
Mr.  Staudt  holds  a B.S. degree from the U.S. Naval Academy and an M.B.A. from
San Francisco State University.

     RICHARD  P.  BANKOSKY  has  been  Chief  Financial  Officer,  Treasurer and
Secretary  of  the  Company since May 1996. He served as Chief Financial Officer
and  Treasurer  for TII Industries, Inc. from April 1995 to February 1996. Prior
to  joining TII, he was Chief Financial Officer, Treasurer and Secretary for TSI
International  Software  Ltd from February 1989 to April 1995. Mr. Bankosky also
served  as  Chief  Financial  Officer and Secretary for V Band Systems Inc., was
founder  and  Chief  Operating  Officer  of NCR Credit Corporation and served as
Director  of  Corporate Development at NCR Corporation. He holds a B.E.E. degree
in  Computers  and  Electrical Engineering from Rensselaer Polytechnic Institute
and an M.B.A. from Adelphi University.

                                       55

<PAGE>

     JAMES T. STINTON has been Chief  Information  Officer of the Company  since
October  1995.  He served as Release  Manager at Charles  Schwab & Company  from
April 1992 to  September  1995.  In that  position  he was  responsible  for the
development,  coordination,  testing and implementation for the Microsoft NT and
UNIX Client Server software.  Prior to joining Charles Schwab & Company,  he was
POS Systems  Architect and Vice President at Wells Fargo Bank from February 1982
to April 1992.  Mr. Stinton holds a degree from ONC Business  Studies,  Coventry
Technical College,  Coventry,  England, and a graduate certificate from Consumer
Banking Association,  Retail Banking Management, McIntire Business School of the
University of Virginia.

     WILLIAM M. MCMANUS has been Senior Vice  President  and General  Manager --
Pharmacy of the Company  since  February  1996.  From February 1996 through July
1998 he was Senior Vice  President and General  Manager -- Pharmacy and Medical,
and from April 1994 through  February 1996 he was head of pharmacy  system sales
for National Data  Corporation.  In that position he had overall  responsibility
for sales,  marketing and product management programs.  Prior to April 1994, Mr.
McManus  held senior  level  positions  at OmniSYS,  Inc.,  Healthcare  Computer
Corporation,  PDX, Inc., and the computer division of Foxmeyer Corporation.  Mr.
McManus holds a B.S. degree in Health and Physical Education from the University
of South Carolina and completed  postgraduate  courses in education and pharmacy
at the University of South Carolina.

     LINDA K. RYAN has been Senior Vice President and General Manager -- Medical
of the  Company  since July 1998.  In April 1995 she joined the  Company as Vice
President of Marketing and Product Management. From June 1990 through April 1995
she served as the Director of the Single Payor Demonstration  Program at the New
York State  Department of Health.  The program was  responsible  for introducing
healthcare  EDI in New York  State.  Ms. Ryan has also served as Director of New
York's  Community  Health  Management  Information  System and held  several key
positions in New York State's  Medicaid  program and as a health care researcher
at Johns Hopkins and Albany Medical College.  Ms. Ryan holds a Bachelor's Degree
from the  University at Stony Brook in New York and a Master of Arts degree from
the College of William and Mary in Virginia.

     ROGER  L.  PRIMEAU  has  been  Senior Vice President and General Manager --
Dental  of the Company since October 1996. From August 1989 through June 1996 he
was   Vice   President,   Administration  and  Customer  Relations  of  National
Electronic  Information Corporation ("NEIC"). Prior to joining NEIC, Mr. Primeau
worked  at Columbia Life Insurance Co. and Aetna Life & Casualty in a variety of
management  positions.  Mr.  Primeau  holds  a  B.S. degree in Biology from Holy
Cross College.

     ANTHONY  J.  DE  NICOLA has been a director of the Company since March 1995
and  has been a general partner of WCAS since April 1994. Prior to joining WCAS,
Mr.  de  Nicola  was  an  associate  at  William  Blair  &  Company,  L.L.C., an
investment   banking  firm  with  which  he  had  been  affiliated  since  1990.
Previously,  Mr.  de Nicola worked in the Mergers and Acquisitions Department of
Goldman  Sachs  &  Co.  and held positions at McKinsey & Company and IBM. Mr. de
Nicola  holds  a  B.A.  degree from DePauw University and an M.B.A. from Harvard
Business  School.  He  is  a  director  of  SEER  Technologies, Inc. and several
private companies.

     TIMOTHY  M.  MURRAY has been a director of the Company since March 1995 and
is  a  principal  of William Blair & Company, L.L.C., an investment banking firm
with  which  he  has  been  associated since 1979. He has also been the managing
partner  of William Blair Leveraged Capital Fund since its formation in 1988 and
is  a  Managing  Director  of  WBCP.  Mr.  Murray  holds a B.A. degree from Duke
University  and  an  M.B.A.  from the University of Chicago. He is a director of
Daisytek International Corporation and several private companies.

THE BOARD OF DIRECTORS

COMMITTEES OF THE BOARD OF DIRECTORS

     The only  standing  committees of the Board of Directors of the Company are
the Audit Committee and the Compensation Committee.  The Audit Committee reviews
the results  and scope of audits and other  services  provided by the  Company's
independent public accountants. Its members are Messrs. de

                                       56

<PAGE>

Nicola  and  Murray.  In  May  1998,  the  Board  of  Directors   constituted  a
Compensation  Committee  composed of Messrs.  McInerney and Murray which will be
responsible  for  making  recommendations   concerning  salaries  and  incentive
compensation for executive officers of the Company. Prior to May 1998, the Board
of  Directors  had  sole  responsibility  for  establishing   executive  officer
compensation.  Thomas E. Staudt,  the Company's  President  and Chief  Executive
Officer,  participated in the  deliberations of the Board  concerning  executive
compensation.

COMPENSATION OF DIRECTORS

     Prior  to  the  Offering,   the  directors  of  the  Company   received  no
compensation  in respect of their service on the Board of  Directors.  Following
the  Offering,  under the "New Stock Plan" (as defined  in, and  described  more
fully under, "-- Employee Benefit Plans"),  each director who is not an employee
of the Company or any parent,  subsidiary or affiliate of the Company and is not
(and is not  affiliated  with) a  beneficial  owner of 5% or more of the  voting
stock of the Company (a "non-employee director") will be paid an annual retainer
of  $7,500,  plus  $1,000  for each  Board of  Directors  or  committee  meeting
attended,  and will receive annually a non-qualified stock option to purchase up
to 1,000  shares of Common Stock at the fair market value of the Common Stock on
the date of grant.

     Directors are entitled to reimbursement for out-of-pocket expenses incurred
while attending meetings of the Board of Directors or committee meetings.

DESIGNATED DIRECTOR

     The Company and the principal  stockholders  associated  with WCAS and WBCP
have agreed that, following the completion of the Offering and until the earlier
of the  termination of the Processing  Agreement or the disposition by Medic and
its  affiliates of at least 25% of the shares of Common Stock issuable under the
Medic  Warrant,  Medic  shall have the right to  designate  one  director to the
Company's Board of Directors.  As of the date of this Prospectus,  Medic has not
named a designee.

EXECUTIVE COMPENSATION

     The  following  table  sets  forth  certain   information   concerning  the
compensation  paid by the Company to its Chief Executive Officer and each of the
four other most  highly  paid  executive  officers  of the  Company  (the "Named
Executive Officers") in the 1998 fiscal year:

                          SUMMARY COMPENSATION TABLE

<TABLE>
<CAPTION>
                                                                                       LONG-TERM
                                                                                      COMPENSATION
                                                    ANNUAL COMPENSATION                  AWARDS
                                        ------------------------------------------- ---------------
                                                                                       SECURITIES
                                                                     OTHER ANNUAL      UNDERLYING       ALL OTHER
NAME AND PRINCIPAL POSITION              SALARY($)   BONUS($)(1)   COMPENSATION($)   OPTIONS(#)(2)   COMPENSATION($)
- --------------------------------------- ----------- ------------- ----------------- --------------- ----------------
<S>                                     <C>         <C>           <C>               <C>             <C>
Thomas P. Staudt ......................  185,833       150,000              --          229,141            --
 President and Chief Executive
 Officer

Richard P. Bankosky ...................  136,969        55,000              --           34,915            --
 Chief Financial Officer, Treasurer
 and Secretary

William M. McManus ....................  133,269        55,000              --           39,279            --
 Senior Vice President and General
 Manager -- Pharmacy and Medical

Roger L. Primeau ......................  121,050        25,000          27,900           23,567            --
 Senior Vice President and General
 Manager -- Dental

James T. Stinton ......................  158,878        50,000              --           40,371            --
 Chief Information Officer ............
</TABLE>

                                       57

<PAGE>

- ----------
(1) Bonuses are granted under a bonus formula annually  established by the Board
    of Directors, based upon the performance (measured by EBITDA) of the Company
    (or certain operating divisions thereof).  Unless a specified  percentage of
    the EBITDA target is achieved, no bonus is paid. EBITDA targets are adjusted
    to reflect accounting changes, acquisitions and other significant,  one-time
    events.

(2) Total number granted through June 30, 1998 (exercised and unexercised).

OPTION GRANTS IN LAST FISCAL YEAR

     The following  table sets forth  certain  information  regarding  grants of
options to purchase  Common Stock in fiscal 1998 to each of the Named  Executive
Officers:

<TABLE>
<CAPTION>
                                                                                                 POTENTIAL
                                                                                                 REALIZABLE
                                                                                              VALUE AT ASSUMED
                                                                                              ANNUAL RATES OF
                                                                                                   STOCK
                                                                                             PRICE APPRECIATION
                                                    INDIVIDUAL GRANTS                        FOR OPTION TERM(1)
                              -------------------------------------------------------------- ------------------
                                    NUMBER OF          % OF TOTAL
                                   SECURITIES       OPTIONS GRANTED    EXERCISE
                               UNDERLYING OPTIONS   TO EMPLOYEES IN     PRICE     EXPIRATION
                                   GRANTED(#)        FISCAL YEAR(2)   ($/SHARE)      DATE      5%($)    10%($)
                              -------------------- ----------------- ----------- ----------- -------- ---------
<S>                           <C>                  <C>               <C>         <C>         <C>      <C>
Thomas P. Staudt ............         8,729               10.65%          5.73     3/5/08    31,424     79,696
Richard P. Bankosky .........         5,455                6.66%          5.73     3/5/08    19,638     49,804
William M. McManus ..........        12,001               14.65%          5.73          (3)  43,204    109,569
Roger L. Primeau ............         5,455                6.66%          5.73          (4)  19,638     49,804
James T. Stinton ............         5,455                6.66%          5.73     3/5/08    19,638     49,804
</TABLE>

- ----------
(1) Potential  realizable  value is based on the  assumption  that the price per
    share of  Common  Stock  appreciates  at the  assumed  annual  rate of stock
    appreciation  for the option  term.  The assumed 5% and 10% annual  rates of
    appreciation (compounded annually) over the term of the option are set forth
    in accordance with the rules and  regulations  adopted by the Securities and
    Exchange  Commission  and do not represent  the Company's  estimate of stock
    price appreciation.

(2) Based upon total grants of options to purchase  81,926 shares in fiscal year
    1998.

(3) Of such options,  2,182 expire July 31, 2007, 3,273 expire December 30, 2007
    and 6,546 expire March 5, 2008.

(4) Of  such options, 2,182 expire July 31, 2007 and 3,273 expire March 5, 2008.


AGGREGATED  OPTION  EXERCISES  IN  LAST  FISCAL  YEAR AND FISCAL YEAR-END 
OPTION VALUES

<TABLE>
<CAPTION>
                                NUMBER OF SECURITIES UNDERLYING        VALUE OF UNEXERCISED
                                    UNEXERCISED OPTIONS AT           IN-THE-MONEY OPTIONS AT
                                       JUNE 30, 1998(#)                  JUNE 30, 1998($)
                                -------------------------------   ------------------------------
                                 EXERCISABLE     UNEXERCISABLE     EXERCISABLE     UNEXERCISABLE
                                -------------   ---------------   -------------   --------------
<S>                             <C>             <C>               <C>             <C>
Thomas P. Staudt ............      109,551          97,767           $373,908        $322,136
Richard P. Bankosky .........            0          23,567                  0          72,286
William M. McManus ..........       15,711          23,568             45,688          68,544
Roger L. Primeau ............        3,622          19,945             11,976          60,310
James T. Stinton ............       13,529          26,842             45,732          83,486
</TABLE>

SEVERANCE AGREEMENTS

     The  Company  maintains  severance  agreements  with each of its  executive
officers  providing for salary  continuation  for a period of six months (twelve
months in the case of Mr.  Staudt) if the executive is terminated for any reason
other than malfeasance, misconduct or moral turpitude.

NON-COMPETITION, NON-SOLICITATION AND CONFIDENTIALITY AGREEMENTS

     Each  executive  officer and certain  other  employees  of the Company have
entered into a Non-Competition,  Non-Solicitation and Confidentiality  Agreement
with the  Company,  the terms of which are as  follows.  For a term of 12 months
following the cessation of such employee's employment with the

                                       58

<PAGE>

Company, the employee will neither compete with the Company in the United States
nor solicit any customer or employee of the Company.  In addition,  the employee
will not disclose  any trade  secrets (as defined in the  agreement)  and, for a
term of 12  months  following  the  cessation  of his or her  employment  by the
Company,  will not  disclose  any  confidential  information  (as defined in the
agreement).

EMPLOYEE BENEFIT PLANS

   
     Under the MEDE AMERICA  Corporation and its  Subsidiaries  Stock Option and
Restricted  Stock  Purchase  Plan (the "Stock  Plan"),  up to 655,000  shares of
Common Stock are  reserved  for  issuance to the  officers and  employees of the
Company. These shares may be issued either outright, as restricted stock awards,
or they may be issued pursuant to either "incentive stock options" under Section
422(b) of the  Internal  Revenue  Code of 1986,  as  amended  (the  "Code"),  or
"non-qualified"  stock options.  As of December 31, 1998, options to purchase up
to an  aggregate  482,823  shares of Common  Stock  were  outstanding,  of which
233,668 options were  exercisable.  The weighted  average exercise price for all
options granted under the Stock Plan is $4.84 per share. Following the Offering,
the Board of Directors has provided that no additional  grants or awards will be
made under the Stock Plan.
    

     Under the MEDE AMERICA  Corporation and its Subsidiaries  1998 Stock Option
and Restricted  Stock Purchase Plan (the "New Stock Plan"), a variety of awards,
including  incentive stock options  intended to qualify under Section 422 of the
Internal  Revenue Code of 1986, as amended (the "Code"),  "non-qualified"  stock
options, restricted stock awards and other stock-based awards, may be granted to
officers, employees, directors,  consultants and advisors of the Company and its
subsidiaries.  An  aggregate  1,500,000  shares  of Common  Stock are  currently
reserved for  issuance  under the New Stock Plan.  The Board of  Directors  will
initially administer the New Stock Plan, but may delegate such responsibility to
a committee of the Board (the "Plan Administrator").

     The terms  and  conditions  of  individual  awards  made to  employees  and
consultants and, except as described below,  non-employee  directors,  may vary,
subject to the following  guidelines:  (i) the exercise price of options may not
be less than 85% of the fair  market  value of the  Common  Stock on the date of
grant provided,  however, that neither (a) the exercise price of incentive stock
options nor (b) the exercise price of  non-qualified  stock options  intended to
qualify as  "performance-based  compensation" within the meaning of the Code may
be less than 100% of the fair  market  value of the Common  Stock on the date of
grant (or,  in the case of  incentive  stock  options  granted to a  stockholder
owning in excess of 10% of the total  combined  voting  power of all  classes of
Company stock, 110% of the fair market value); (ii) the maximum number of shares
of Common Stock which may be the subject of awards granted to any employee under
the New Stock Plan during any calendar  year may not exceed  300,000;  (iii) the
term of incentive stock options may not exceed ten years from the date of grant;
and (iv) no awards may be granted after June 30, 2008.

     Except as described below with respect to non-employee directors,  the Plan
Administrator  determines,  within the guidelines set forth above, the amount of
each award,  the  conditions  and  limitations  applicable to the exercise of an
option,  the exercise price therefor and the form of payment that may be used to
exercise the award,  which may include cash,  check,  shares of Common Stock and
promissory notes.

     Each  non-employee  director  automatically  receives  non-qualified  stock
options to purchase up to 1,000  shares of Common  Stock upon his or her initial
election to the Board of Directors and upon each anniversary  thereof upon which
he or she is still  serving  as a  director.  The  exercise  price for each such
option  is the fair  market  value on the date of grant.  Non-employee  director
options vest six months  after grant and the exercise  period may not exceed ten
years,  provided  that,  subject to certain  exceptions in the event of death or
disability,  no non-employee director options may be exercised more than 90 days
after such director ceases to serve as a director.

     The Board of Directors may grant restricted and  unrestricted  share awards
entitling  recipients to acquire shares of Common Stock, subject to the right of
the Company to repurchase  all or a part of such shares at their  purchase price
from  the  recipient  in  the  event  that  conditions  specified  by  the  Plan
Administrator  are not satisfied  prior to the end of the applicable  restricted
period.  Shares  of  restricted  stock may not be sold,  assigned,  transferred,
pledged or otherwise encumbered during the applicable

                                       59

<PAGE>

restricted period. The Plan Administrator may, in its sole discretion,  grant or
sell (at a  purchase  price per share  equal to at least 85% of the fair  market
value) shares of Common Stock free of any restrictions under the New Stock Plan.
In the event of a merger or sale of all or  substantially  all the assets of the
Company, the Board of Directors may, in its discretion,  take any one or more of
certain actions  including  accelerating  all unvested or  unrealizable  awards,
terminating  all  unexercised  options and requiring  the  acquiring  company to
assume all outstanding awards.

     While the Company  currently  anticipates  that most  grants  under the New
Stock Plan will consist of stock options,  the Company may also grant restricted
stock awards, which entitle recipients to acquire shares of Common Stock subject
to certain  conditions.  Options or other awards that are granted  under the New
Stock Plan but expire  unexercised  are available for future grants.  Vesting of
options  under  the New Stock  Plan  would be  subject  to  acceleration  at the
discretion of the Board of Directors under certain circumstances.

     Under the  Company's  1998  Employee  Stock  Purchase  Plan (the  "Purchase
Plan"),  employees  of the Company,  including  directors of the Company who are
employees,  are eligible to participate  in semi-annual  plan offerings in which
payroll  deductions may be used to purchase shares of Common Stock. The purchase
price of such shares is the lower of 85% of the fair market  value of the Common
Stock on the day the offering  commences and 85% of the fair market value of the
Common  Stock on the date the offering  terminates.  The first  offering  period
under the Purchase Plan will not commence until the completion of the Offering.

     On July 23, 1998,  the Board of Directors  determined  to grant  options to
purchase an aggregate 400,000 shares of Common Stock under the New Stock Plan to
certain  employees  of the  Company  (including  the Named  Executive  Officers)
contingent upon consummation of the Offering.  Such options,  which include both
incentive and non-qualified stock options,  will have an exercise price equal to
the price to the public in the  Offering  and  generally  will vest ratably over
four years from the date of grant except that the initial installment of options
to be granted to  certain  executive  officers,  including  the Named  Executive
Officers, will vest immediately upon consummation of the Offering. The grants to
be  received by each of the Named  Executive  Officers  are as follows:  160,000
shares for Mr. Staudt,  40,000 shares for each of Messrs.  Bankosky and McManus,
16,000 shares for Mr. Primeau and 30,000 shares for Mr.

Stinton.

   
     On November 15, 1998,  the Board of Directors  determined  to grant options
(such  grant to be  effective  as of the date of the  Offering)  to  purchase an
aggregate  51,500  shares of Common  Stock  under the New Stock  Plan to certain
employees  of the  Company,  most of whom were  formerly  employed by HII.  Such
options will be incentive  stock  options,  will have an exercise price equal to
the price to the public in the  Offering  and  generally  will vest ratably over
four years from the date of grant.
    

                                       60

<PAGE>

                             CERTAIN TRANSACTIONS

     In June 1995, the Company acquired MEDE OHIO,  through a merger between the
Company  and the  parent of MEDE  OHIO  ("Parent").  Parent  was owned by Welsh,
Carson,  Anderson & Stowe V, L.P. ("WCAS V"), which had formed Parent to acquire
MEDE  OHIO in an all  cash  merger  that was  consummated  in  March  1995.  The
acquisition price of MEDE OHIO, including amounts required to finance the merger
and to provide MEDE OHIO with working capital and pre-merger  bridge  financing,
was approximately $22.6 million. The exchange ratio in the merger between Parent
and  the  Company  was  based  on the  acquisition  cost  of  MEDE  OHIO  and an
independent  valuation of the Company that was performed in connection  with the
spin-off of the  Company by CES.  In the merger and a related  offering to raise
working  capital for the  Company,  the Company  issued an  aggregate  1,772,351
shares of Common Stock and 171,889 shares of Preferred Stock to investment funds
and individuals  affiliated with WCAS, and an aggregate 189,465 shares of Common
Stock and 28,987 shares of Preferred Stock to investment  funds  affiliated with
WBCP.

   
     In October 1995, WCAS V and Welsh, Carson, Anderson & Stowe VI, L.P. ("WCAS
VI") each  advanced  the  Company  $1.75  million  as bridge  financing  for the
Company's acquisition of EC&F and Premier. The loan bore interest at the rate of
10% per annum and matured on December 31, 1995.  The Company  repaid the loan in
December 1995.
    

     On  December  18,  1995,   the  Company   issued  to  its  four   principal
stockholders,  WCAS V, WCAS VI, William Blair Capital  Partners V, L.P.  ("Blair
V"), and William Blair  Leveraged  Capital  Fund,  Limited  Partnership  ("Blair
LCF"),  warrants to purchase an  aggregate  52,532  shares of Common Stock at an
exercise  price of $4.58  per  share  in  connection  with  their  agreement  to
guarantee the Company's obligations under the Credit Facility.

   
     On  January  10,  1997,  the  Company  increased  the  amount of  available
borrowings under the Credit Facility, and in connection therewith,  WCAS V, WCAS
VI, Blair V and Blair LCF each agreed to  guarantee  payment of a portion of the
additional debt to be incurred under the increased credit line. In consideration
for such  guarantees,  the Company  issued to WCAS V, WCAS VI, Blair V and Blair
LCF  warrants  to purchase  an  aggregate  18,330  shares of Common  Stock.  The
warrants  have a ten-year  term and the exercise  price  thereunder is $5.73 per
share.
    

     On  October  31,  1997,  the  Company  increased  the  amount of  available
borrowings under the Credit Facility, and in connection therewith,  WCAS V, WCAS
VI, Blair V and Blair LCF each agreed to  guarantee  payment of a portion of the
additional debt to be incurred under the increased credit line. In consideration
for such  guarantees,  the Company  issued to WCAS V, WCAS VI, Blair V and Blair
LCF  warrants  to purchase  an  aggregate  34,200  shares of Common  Stock.  The
warrants  have a ten year term and the exercise  price  thereunder  is $5.73 per
share.

   
     On February 14, 1997, the Company issued a 10% Senior Subordinated Note due
February  14, 2002 in the  principal  amount of  $25,000,000,  plus an aggregate
370,993  shares of Common  Stock,  to WCAS Capital  Partners II, L.P.  ("WCAS CP
II"), for an aggregate purchase price of $25,000,000. WCAS CP II is an affiliate
of each of WCAS V and WCAS VI, and Thomas McInerney and Anthony de Nicola,  both
directors  of the Company,  are general  partners of the sole WCAS CP II general
partner.  The Company  intends to use the  proceeds of the  Offering to repay in
full the 10% Senior  Subordinated Note and to reduce the indebtedness  under the
Credit Facility.  See "Use of Proceeds." The Company does not anticipate further
borrowing  from or seeking  further  loan  guarantees  from any of the  entities
referred to above.
    

     In  connection  with the issuance  and sale of its 10% Senior  Subordinated
Note to WCAS CP II,  the  Company  granted  to  WCAS CP II  certain  demand  and
"piggyback"  registration  rights pursuant to a Registration  Rights  Agreement,
dated as of February  14, 1997  between the Company and WCAS CP II. In addition,
the Company has granted demand and piggyback  registration  rights to Medic with
respect  to the  shares of Common  Stock  issuable  upon  exercise  of the Medic
Warrant.

   
     On July 17, 1998, the Company granted to Medic the Medic Warrant to acquire
1,250,000  shares of the Company's Common Stock a per share exercise price equal
to the price of the Common  Stock to the public in the Offering or, in the event
that an initial public offering is not completed by March 31, 1999,
    

                                       61

<PAGE>

at an exercise price equal to $8.00 per share.  The  difference  between the two
alternative  prices reflects,  in the Company's view, the incremental value of a
share  of  Common  Stock   resulting   from  the  Offering  and  the  concurrent
Recapitalization.  The Medic  Warrant  vests  over a two year  period and may be
exercised  up to five  years  after  the  date of  grant.  The  Company  and the
principal stockholders associated with WCAS and WBCP have agreed that, following
the  completion of the Offering and until the earlier of the  termination of the
Processing  Agreement or the disposition by Medic and its affiliates of at least
25% of the shares of Common Stock issuable under the Medic Warrant,  Medic shall
have the right to designate one director to the Company's Board of Directors. As
of the date of this Prospectus, Medic has not named a designee.

   
     The  terms  of the  Preferred  Stock  have  been  amended  to  provide  for
conversion of the aggregate  liquidation  value of the Preferred Stock including
accrued but unpaid  dividends  into Common Stock at the price per share received
by the Company upon the  consummation of its initial public  offering;  provided
further,  however,  that cash  realized by the Company  upon any exercise of the
Underwriters'  overallotment  option  would be applied to the payment of accrued
dividends  in lieu of having  such  dividends  convert  into  Common  Stock.  In
addition,  in  connection  with the  Offering,  the  holders of the  outstanding
warrants (other than the Medic Warrant and the 1998 Guaranty Warrants) agreed to
exercise all such warrants by the net issuance  exercise method for an aggregate
59,926  shares of Common  Stock.  WCAS V, WCAS VI, Blair V and Blair LCF are the
owners of an  aggregate  193,100  shares of  Preferred  Stock,  and  warrants to
purchase  52,532 and 52,530 shares of Common Stock,  at exercise prices of $4.58
and $5.73 per share, respectively.
    

     On October 7, 1998,  in  connection  with their  agreement  to extend their
guaranty  of the  Company's  obligations  under the Credit  Facility to cover an
additional $16 million of indebtedness, the Company issued to WCAS V and Blair V
warrants to purchase an aggregate  84,050  shares of Common Stock at a per share
price equal to the price of the Common Stock to the public in the Offering,  or,
in the event that an initial public offering is not completed by March 31, 1999,
at an exercise  price equal to $8.00 per share.  The  warrants  are  immediately
exercisable and may be exercised up to five years from the date of grant.

     Blair  V  and Blair LCF, and Timothy Murray, a director of the Company, are
each  affiliates  of  William  Blair  &  Company,  L.L.C., an underwriter of the
Offering. See "Underwriting."

                            PRINCIPAL STOCKHOLDERS

   
     The following  table sets forth certain  information  regarding  beneficial
ownership of the Company's Common Stock as of December 31, 1998, and as adjusted
to reflect the sale of Common Stock offered hereby, by (i) each person (or group
of affiliated  persons) known by the Company to own beneficially  more than five
percent of the  outstanding  shares of Common Stock,  (ii) each of the Company's
directors, (iii) each of the Named Executive Officers and (iv) all directors and
executive  officers of the  Company as a group.  The numbers of shares set forth
below (i) give effect to the  Recapitalization and the Reverse Stock Split, (ii)
assume an Offering  price of $12.00 per share of Common Stock and (iii) assume a
sale of  4,166,667  shares of Common  Stock in the  Offering.  Unless  otherwise
indicated,  the  address for each  stockholder  is c/o the  Company,  90 Merrick
Avenue, Suite 501, East Meadow, New York 11554.
    

                                       62

<PAGE>

<TABLE>
<CAPTION>
   
                                                         SHARES BENEFICIALLY OWNED(1)
                                                    --------------------------------------
                                                                    PERCENTAGE OWNED(2)
                                                                  ------------------------
                                                                    BEFORE        AFTER
       NAME AND ADDRESS OF BENEFICIAL OWNER            NUMBER      OFFERING      OFFERING
- -------------------------------------------------   -----------   ----------   -----------
<S>                                                 <C>           <C>          <C>
Welsh, Carson, Anderson & Stowe (3) .............    6,153,182       72.27%        48.53%
 320 Park Avenue, 25th Floor
 New York, NY 10019

William Blair & Co., L.L.C. (4) .................      991,151       11.71%         7.85%
 222 West Adams Street
 Chicago, Illinois 60606

Southlake & Co., as Nominee .....................      656,881        7.78%         5.21%
 c/o State Street Bank & Trust Co.
 222 Franklin Street -- Concourse
 Boston, MA 02110 ...............................

Thomas P. Staudt (5) ............................      170,591        1.99%         1.34%

Richard P. Bankosky (6) .........................       12,873           -             -

James T. Stinton (7) ............................       21,603           -             -

William M. McManus (8) ..........................       22,256           -             -

Linda K. Ryan (9) ...............................        1,918           -             -

Roger L. Primeau (10) ...........................        8,334           -             -

Thomas E. McInerney (11) ........................    6,012,579       70.62%        47.42%
 320 Park Avenue, 25th Floor
 New York, NY 10019

Anthony J. de Nicola (12) .......................    5,987,212       70.32%        47.22%
 320 Park Avenue, 25th Floor
 New York, NY 10019

Timothy M. Murray (13) ..........................      987,806       11.67%         7.82%
 222 West Adams Street
 Chicago, Illinois 60606

All current directors and executive officers as a    7,243,635       83.28%        56.31%
 group (9 persons) ..............................
</TABLE>
    
- ----------
  -  Represents beneficial ownership of less than 1% of the Common Stock.

 (1) Gives effect to the  Recapitalization  and the Reverse Stock Split.  Unless
     otherwise indicated,  the entities and individuals identified in this table
     have sole voting and  investment  power with respect to all shares shown as
     beneficially  owned by them,  subject to  community  property  laws,  where
     applicable.

   
 (2) The  percentages  shown are  based on  8,446,417  shares  of  Common  Stock
     outstanding  on December 31, 1998,  plus, as to each entity or group listed
     unless  otherwise  noted, the number of shares of Common Stock deemed to be
     owned by such holder  pursuant to Rule 13d-3 under the  Exchange  Act as of
     such date,  assuming  exercise  of  options  held by such  holder  that are
     exercisable within 60 days of the date of this Prospectus.

 (3) Includes  2,731,420 shares of Common Stock held by WCAS V, 2,745,720 shares
     of Common Stock held by WCAS VI, 66,164 shares of Common Stock held by WCAS
     Information  Partners L.P. ("WCAS  Info."),  370,993 shares of Common Stock
     held by WCAS CP II,  171,645  shares of  Common  Stock  held by  individual
     partners of WCAS,  and  warrants to purchase up to 67,240  shares of Common
     Stock held by WCAS V. Such  partners are also  partners of the sole general
     partner  of each of the  foregoing  limited  partnerships.  The  respective
     general  partners of WCAS V, WCAS VI, WCAS Info.  and WCAS CP II are WCAS V
     Partners,  L.P., WCAS VI Partners,  L.P., WCAS INFO Partners and WCAS CP II
     Partners.  The individual  partners of each of these  partnerships  include
     some or all of Patrick J.  Welsh,  Russell L.  Carson,  Bruce K.  Anderson,
     Richard H. Stowe, Thomas E. McInerney, Andrew M. Paul, Robert A. Minicucci,
     Anthony J. de Nicola and Laura M.  VanBuren.  The  partners of WCAS who are
     also directors of the Company are Thomas E. McInerney (who is also Chairman
     of the Board of Directors) and Anthony J. de Nicola.  Each of the foregoing
     persons may be deemed to be the beneficial  owner of the Common Stock owned
     by WCAS.

 (4) Includes  637,814 shares of Common Stock held by Blair V, 333,182 shares of
     Common  Stock held by Blair LCF,  3,345  shares of Common  Stock held by an
     individual  affiliated  with WBCP,  and  warrants  to purchase up to 16,810
     shares of Common
    

                                       63

<PAGE>

     Stock held by Blair V.  Timothy  M.  Murray,  a partner of WBCP,  is also a
     director of the Company and may be deemed to be a  beneficial  owner of the
     Company's Common Stock owned by WBCP.

   
 (5) Includes options to purchase up to 111,732 shares of Common Stock.

 (6) Includes options to purchase up to 1,527 shares of Common Stock.

 (7) Includes options to purchase up to 21,603 shares of Common Stock.

 (8) Includes options to purchase up to 22,256 shares of Common Stock.

 (9) Includes options to purchase up to 1,613 shares of Common Stock.

(10) Includes options to purchase up to 8,334 shares of Common Stock.

(11) Includes  2,731,420 shares of Common Stock held by WCAS V, 2,745,720 shares
     of Common Stock held by WCAS VI, 66,164 shares of Common Stock held by WCAS
     Info.,  370,993  shares of Common Stock held by WCAS CP II, and warrants to
     purchase up to 67,240 shares of Common Stock held by WCAS V. Mr.  McInerney
     disclaims beneficial ownership of such shares.

(12) Includes  2,731,420 shares of Common Stock held by WCAS V, 2,745,720 shares
     of Common Stock held by WCAS VI, 66,164 shares of Common Stock held by WCAS
     Info.,  370,993  shares of Common Stock held by WCAS CP II, and warrants to
     purchase up to 67,240  shares of Common Stock held by WCAS V. Mr. de Nicola
     disclaims beneficial ownership of such shares.

(13) Includes  637,814 shares of Common Stock held by Blair V, 332,182 shares of
     Common  Stock held by Blair LCF,  and  warrants  to  purchase  up to 16,810
     shares of Common  Stock held by Blair V. Mr.  Murray  disclaims  beneficial
     ownership of such shares.
    

                                       64

<PAGE>

                         DESCRIPTION OF CAPITAL STOCK

   
     The Company's  authorized  capital stock  consists of 30,000,000  shares of
Common Stock, and 5,000,000  shares of Preferred Stock.  Upon completion of this
Offering,  and after giving effect to the Recapitalization and the Reverse Stock
Split, there will be 12,613,084 shares of Common Stock (13,238,084 shares if the
Underwriters'  over-allotment  option is  exercised)  and no shares of Preferred
Stock  outstanding.  As of  December  31,  1998,  before  giving  effect  to the
Recapitalization  but after giving effect to the Reverse Stock Split, there were
5,684,847  shares of Common Stock  outstanding  and 239,956  shares of Preferred
Stock  outstanding,  held of  record by 126  stockholders.  In  addition,  as of
December 31, 1998, before giving effect to the Recapitalization but after giving
effect to the Reverse Stock Split,  there were  outstanding  options to purchase
482,823 shares of Common Stock and warrants to purchase 105,062 shares of Common
Stock. Pursuant to the Recapitalization, all such warrants will be exercised (on
a "net  exercise"  basis) (for an aggregate  59,926  shares),  and all shares of
Preferred Stock will be converted into an aggregate  2,701,643  shares of Common
Stock (based on the aggregate  liquidation  preference of the Preferred Stock as
of December 31, 1998,  assuming no exercise of the Underwriters'  over-allotment
option) prior to the consummation of the Offering. On July 17, 1998, the Company
issued to Medic a warrant to purchase  1,250,000  shares of the Company's Common
Stock.  On October 7, 1998, the Company issued to WCAS V and Blair V warrants to
purchase an aggregate 84,050 shares of Common Stock. See "Prospectus  Summary --
Recent Developments."
    

COMMON STOCK

     The holders of Common Stock are entitled to one vote for each share held of
record on all matters submitted to a vote of stockholders. Subject to the rights
and preferences of the holders of any outstanding  Preferred  Stock, the holders
of Common Stock are entitled to receive  ratably such  dividends as are declared
by the Board of Directors out of funds legally available therefor.  In the event
of a liquidation,  dissolution  or winding up of the Company,  holders of Common
Stock have the right to a ratable portion of assets  remaining after the payment
of all debts and other  liabilities,  subject to the liquidation  preferences of
the holders of any  outstanding  Preferred  Stock.  Holders of Common Stock have
neither  preemptive  rights nor rights to convert  their  Common  Stock into any
other  securities  and are not  subject to future  calls or  assessments  by the
Company.  There are no redemption or sinking fund  provisions  applicable to the
Common Stock. All outstanding shares of Common Stock are, and the shares offered
hereby  upon  issuance  and sale will be,  fully  paid and  non-assessable.  The
rights,  preferences  and  privileges of the holders of Common Stock are subject
to, and may be  adversely  affected  by, the rights of the  holders of shares of
Preferred Stock that the Company may designate and issue in the future.

PREFERRED STOCK

   
     Upon  the  closing  of  this  Offering  and  assuming  no  exercise  of the
Underwriters'  over-allotment  option,  all of  the  outstanding  shares  of the
Preferred  Stock  together  with  accrued but unpaid  dividends  thereon will be
automatically  converted at the public  offering price into 2,701,643  shares of
Common Stock.

     The Board of  Directors  is  authorized,  subject  to  certain  limitations
prescribed by Delaware law, without further action by the stockholders, to issue
up to 5,000,000 shares of Preferred Stock, $.01 par value, in one or more series
and to  fix  the  rights,  preferences,  privileges  and  restrictions  thereof,
including  dividend  rights,   conversion  rights,   voting  rights,   terms  of
redemption, liquidation preferences, sinking fund terms and the number of shares
constituting any series or the designation of such series.  The Company believes
that the power to issue Preferred  Stock will provide  flexibility in connection
with possible corporate transactions.  The issuance of Preferred Stock, however,
could adversely  affect the voting power of holders of Common Stock and restrict
their rights to receive payments upon liquidation. It could also have the effect
of  delaying,  deferring or  preventing a change in control of the Company.  The
Company has no present plans to issue any shares of Preferred Stock.

WARRANTS
    

     On July 17, 1998, the Company granted to Medic the Medic Warrant to acquire
1,250,000  shares of the Company's  Common Stock,  at a per share exercise price
equal to the price of the Common Stock to

                                       65

<PAGE>

   
the public in the Offering or, in the event that an initial  public  offering is
not completed by March 31, 1999, at an exercise  price equal to $8.00 per share.
The Medic  Warrant  vests over a two year period and may be exercised up to five
years after the date of grant.

     On October 7, 1998,  in  connection  with their  agreement  to extend their
guaranty  of the  Company's  obligations  under the Credit  Facility to cover an
additional $16 million of  indebtedness,  the Company issued to WCAS V and Blair
V, the 1998 Guaranty  Warrants to purchase an aggregate  84,050 shares of Common
Stock at a per share price equal to the price of the Common  Stock to the public
in the  Offering,  or, in the  event  that an  initial  public  offering  is not
completed by March 31, 1999, at an exercise price equal to $8.00 per share.  The
1998 Guaranty  Warrants are  immediately  exercisable and may be exercised up to
five years from the date of grant.

     In addition to the Medic Warrant and the 1998 Guaranty Warrants referred to
above, as of December 31, 1998, four investors owned warrants to purchase 59,926
shares of Common Stock (on a "net exercise"  basis),  which will be exercised in
full upon the closing of this Offering.  The Medic Warrant and the 1998 Guaranty
Warrants will remain  outstanding  following  completion  of the  Offering.  See
"Certain Transactions."
    

DELAWARE LAWS AND CERTAIN CHARTER AND BYLAW PROVISIONS; ANTI-TAKEOVER MEASURES

     Upon the  consummation  of this Offering  made hereby,  the Company will be
subject to the provisions of Section 203 of the DGCL, an  anti-takeover  law. In
general,  Section  203  prohibits  a  publicly-held  Delaware  corporation  from
engaging in a "business  combination"  with an  "interested  stockholder"  for a
period of three  years  after the date of the  transaction  in which the  person
became an interested  stockholder,  unless the business  combination  is, or the
transaction in which the person became an interested  stockholder was,  approved
in a prescribed manner or another prescribed  exception applies. For purposes of
Section 203, a "business  combination"  is defined  broadly to include a merger,
asset  sale  or  other  transaction  resulting  in a  financial  benefit  to the
interested  stockholder,  and  subject to  certain  exceptions,  an  "interested
stockholder" is a person who, together with affiliates and associates,  owns (or
within  three  years  prior,  did own) 15% or more of the  corporation's  voting
stock.

     All directors  elected to the Company's  Board of Directors serve until the
next annual meeting of the  stockholders  and the election and  qualification of
their  successors or their earlier death,  resignation or removal.  The Board of
Directors is authorized to create new  directorships  and to fill such positions
so created.  The Board of Directors (or its remaining members,  even though less
than a quorum) is also  empowered  to fill  vacancies  on the Board of Directors
occurring  for  any  reason  for  the  remainder  of  the  term  of  the  vacant
directorship.

     The  Company's  Bylaws  provide  that,  for  nominations  to the  Board  of
Directors or for other business to be properly  brought by a stockholder  before
an annual meeting of stockholders,  the stockholder must first have given timely
notice  thereof in writing to the  Secretary  of the  Company.  To be timely,  a
stockholder's  notice generally must be delivered not less than 90 days nor more
than 120 days  prior to the  anniversary  of the  immediately  preceding  annual
meeting. The notice by a stockholder must contain,  among other things,  certain
information about the stockholder delivering the notice and a description of the
proposed business to be brought before the meeting.

     Certain of the  provisions  of the  Amended  and  Restated  Certificate  of
Incorporation and Bylaws discussed above could make more difficult or discourage
a proxy  contest  or  other  change  in the  management  of the  Company  or the
acquisition  or attempted  acquisition  of control by a holder of a  substantial
block of the Company's  stock. It is possible that such provisions could make it
more difficult to accomplish,  or could deter,  transactions  which stockholders
may otherwise consider to be in their best interests.

     As  permitted  by  the  DGCL,  the  Amended  and  Restated  Certificate  of
Incorporation  provides  that  Directors of the Company  shall not be personally
liable to the Company or its  stockholders  for  monetary  damages for breach of
their fiduciary duties as Directors,  except for liability (i) for any breach of
their duty of  loyalty to the  Company  and its  stockholders,  (ii) for acts or
omissions not in good faith or which involve

                                       66

<PAGE>

intentional  misconduct  or a  knowing  violation  of law,  (iii)  for  unlawful
payments of dividends or unlawful stock repurchases or redemptions,  as provided
in Section 174 or successor  provisions of the DGCL or (iv) for any  transaction
from which the Director derives an improper personal benefit.

     The Amended and Restated  Certificate of  Incorporation  and Bylaws provide
that the Company  shall  indemnify  its  Directors  and  officers to the fullest
extent permitted by Delaware law (except in some circumstances,  with respect to
suits  initiated  by the  Director  or  officer)  and  advance  expenses to such
Directors or officers to defend any action for which  rights of  indemnification
are provided. In addition, the Amended and Restated Certificate of Incorporation
and Bylaws also permit the  Company to grant such  rights to its  employees  and
agents. The Bylaws also provide that the Company may enter into  indemnification
agreements  with its Directors and officers and purchase  insurance on behalf of
any person whom it is required or permitted to indemnify.  The Company  believes
that these  provisions  will  assist the  Company in  attracting  and  retaining
qualified individuals to serve as Directors, officers and employees.

TRANSFER AGENT AND REGISTRAR

     The  transfer  agent and  registrar  for the  Common  Stock is  ChaseMellon
Shareholder Services.

                                       67

<PAGE>

                        SHARES ELIGIBLE FOR FUTURE SALE

   
     Prior to this Offering there has been no market for the Common Stock of the
Company. The Company can make no prediction as to the effect, if any, that sales
of shares or the  availability  of shares for sale will have on the market price
prevailing from time to time. Nevertheless,  sales of significant amounts of the
Common Stock in the public market,  or the perception that such sales may occur,
could adversely  affect  prevailing  market prices.  See "Risk Factors -- Shares
Eligible for Future Sale; Possible Adverse Effect on Future Market Price."

     Upon  completion of this Offering,  the Company  expects to have 12,613,084
shares of Common  Stock  outstanding  (excluding  482,823  shares  reserved  for
issuance  upon the  exercise of  outstanding  stock  options,  1,250,000  shares
reserved for issuance  upon the exercise of the Medic  Warrant and 84,050 shares
reserved  for  issuance  upon  the  exercise  of  the  1998  Guaranty  Warrants)
(13,238,084   shares  of  Common   Stock   outstanding   if  the   Underwriters'
over-allotment  option is exercised in full).  Of these  shares,  the  4,166,667
shares offered hereby will be freely  tradable  without  restrictions or further
registration  under the  Securities  Act,  except  for any shares  purchased  by
"affiliates"  of the  Company,  as that  term is  defined  in Rule 144 under the
Securities Act, which will be subject to the resale limitations  imposed by Rule
144, as described below.

     All of the remaining  8,446,417 shares of Common Stock  outstanding will be
"restricted  securities" within the meaning of Rule 144 and may not be resold in
the absence of registration  under the Securities Act, or pursuant to exemptions
from such registration  including,  among others, the exemption provided by Rule
144 under the Securities Act. Of the restricted  securities,  626,758 shares are
eligible for sale in the public market  immediately after this Offering pursuant
to Rule  144(k)  under  the  Securities  Act.  A total of  7,819,659  additional
restricted  securities  will be  eligible  for  sale  in the  public  market  in
accordance with Rule 144 or 701 under the Securities Act beginning 90 days after
the date of this Prospectus. Taking into consideration the effect of the lock-up
agreements described below and the provisions of Rules 144 and 144(k), 1,083,546
restricted  shares will be eligible  for sale in the public  market  immediately
after  this  Offering,  20,511  restricted  shares  will be  eligible  for  sale
beginning  90  days  after  the  date  of this  Prospectus,  and  the  remaining
restricted  shares will be eligible for sale upon the  expiration of the lock-up
agreements 180 days after the date of this Prospectus, subject to the provisions
of Rule 144 under the Securities Act.

     In general, under Rule 144 as currently in effect,  beginning 90 days after
the date of this  Prospectus,  a person (or persons whose shares are required to
be aggregated)  whose  restricted  securities have been outstanding for at least
one year,  including a person who may be deemed an  "affiliate"  of the Company,
may only sell a number of shares  within any  three-month  period which does not
exceed the  greater of (i) one  percent  of the then  outstanding  shares of the
Company's  Common Stock  (approximately  126,131  shares after this Offering) or
(ii) the average weekly trading volume in the Company's Common Stock in the four
calendar weeks  immediately  preceding such sale.  Sales under Rule 144 are also
subject  to  certain  requirements  as to the  manner  of sale,  notice  and the
availability of current public  information  about the Company.  A person who is
not an  affiliate of the issuer,  has not been an affiliate  within three months
prior to the sale and has owned the restricted securities for at least two years
is entitled to sell such shares under Rule 144(k)  without  regard to any of the
limitations described above.
    

     In  addition,  the Company has granted  demand and  piggyback  registration
rights to WCAS CP II with respect to 370,993 shares of Common Stock and to Medic
with respect to 1,250,000  shares of Common Stock  issuable upon the exercise of
the Medic  Warrant.  All or part of such shares may be sold in the public market
following  the  exercise  of such  rights  subject to the  lock-up  arrangements
described  below  with  respect  to  WCAS  CP II and  to  vesting  and  exercise
requirements with respect to the Medic Warrant.

   
     All officers,  directors and certain  holders of Common Stock  beneficially
owning,  in the  aggregate,  7,342,360  shares of Common  Stock and  options  to
purchase  482,823  shares of Common  Stock,  have  agreed,  pursuant  to certain
lock-up agreements,  that they will not sell, offer to sell, solicit an offer to
purchase,  contract  to sell,  grant any option to sell,  pledge,  or  otherwise
dispose of, directly or indirectly, any shares of Common Stock owned by them, or
that could be  purchased  by them  through  the  exercise of options to purchase
Common Stock of the Company, for a period of 180 days after the date of this
    

                                       68

<PAGE>

Prospectus  without the prior written  consent of Salomon Smith Barney Inc. Upon
expiration  of the  lock-up  agreements,  all shares of Common  Stock  currently
outstanding will be immediately eligible for resale, subject to the requirements
of Rule 144.  The Company is unable to predict the effect that sales may have on
the then  prevailing  market  price of the  Common  Stock.  See  "Management  --
Employee Benefit Plans" and "Description of Capital Stock."

                                       69

<PAGE>

                                 UNDERWRITING

     Under the terms and subject to the conditions contained in the Underwriting
Agreement,  dated the date hereof,  each  Underwriter  named below has severally
agreed to  purchase,  and the  Company  has agreed to sell to such  Underwriter,
shares of Common  Stock which equal the number of shares set forth  opposite the
name of such Underwriter below.


   
UNDERWRITER                                    NUMBER OF SHARES
- --------------------------------------------- -----------------
   Salomon Smith Barney Inc. ................
   Bear, Stearns & Co. Inc. .................
   William Blair & Company, L.L.C. ..........








      Total .................................
                                                   ============
    

     The  Underwriters  are  obligated  to take and pay for all shares of Common
Stock  offered  hereby (other than those  covered by the  over-allotment  option
described below) if any such shares are taken.

   
     The Underwriters,  for whom Salomon Smith Barney Inc., Bear,  Stearns & Co.
Inc. and William  Blair & Company,  L.L.C.  are acting as  representatives  (the
"Representatives"),  propose  initially  to offer  part of the  shares of Common
Stock directly to the public at the public offering price set forth on the cover
page hereof and part to certain  dealers at a price that represents a concession
not in excess of $ per share under the public offering price.  The  Underwriters
may allow,  and such  dealers may reallow,  a concession  not in excess of $ per
share to other  Underwriters  or to certain  other  dealers.  After the  initial
public  offering,  the public offering price and such concessions may be changed
by the  Underwriters.  The  Representatives  have  informed the Company that the
Underwriters do not intend to confirm sales to accounts over which they exercise
discretionary authority.
    

     The Company has granted to the  Underwriters an option,  exercisable for 30
days from the date of this Prospectus, to purchase up to an aggregate of 625,000
additional  shares of Common Stock at the public offering price set forth on the
cover page hereof less underwriting discounts and commissions.  The Underwriters
may exercise such option to purchase additional shares solely for the purpose of
covering  over-allotments,  if any,  incurred in connection with the sale of the
shares offered hereby. To the extent such option is exercised,  each Underwriter
will become obligated,  subject to certain conditions, to purchase approximately
the same  percentage of such  additional  shares as the number set forth next to
such  Underwriter's  name in the  preceding  table bears to the total  number of
shares in such table.

     The  Company  and the  Underwriters  have  agreed to  indemnify  each other
against certain liabilities, including liabilities under the Securities Act.

     The Company and its  executive  officers and  directors  and certain  other
holders  of Common  Stock and  securities  convertible  into or  exercisable  or
exchangeable  for Common  Stock have  agreed that for a period of 180 days after
the date of this Prospectus they will not,  without the prior written consent of
Salomon Smith Barney Inc.,  sell,  offer to sell,  solicit an offer to purchase,
contract  to sell,  grant any  option to sell,  pledge or  otherwise  dispose of
Common Stock or any securities  convertible  into or exercisable or exchangeable
for Common Stock except in certain limited  circumstances.  See "Shares Eligible
for Future Sale."

                                       70

<PAGE>

   
     At the Company's  request,  the Underwriters  have reserved up to 5% of the
shares of Common Stock (the  "Directed  Shares") for sale at the initial  public
offering  price to persons  who are  directors,  officers  or  employees  of, or
otherwise  associated  with, the Company and its affiliates and who have advised
the Company of their desire to purchase  shares of Common  Stock.  The number of
shares of Common Stock  available for sale to the general public will be reduced
to the extent of sales of  Directed  Shares to any of the  persons for whom they
have been reserved.  Any shares of Common Stock not so purchased will be offered
by the  Underwriters  on the same  basis as all other  shares  of  Common  Stock
offered hereby. The Company has agreed to indemnify those  Underwriters  against
certain  liabilities and expenses,  including  liabilities  under the Securities
Act, in connection with the sales of the Directed Shares.
    

     In connection  with this Offering and in accordance with applicable law and
industry practice,  the Underwriters may over-allot or effect transactions which
stabilize,  maintain or otherwise affect the market price of the Common Stock at
levels above those which might otherwise  prevail in the open market,  including
by entering  stabilizing  bids,  effecting  syndicate  covering  transactions or
imposing  penalty bids. A  stabilizing  bid means the placing of any bid, or the
effecting of any purchase, for the purpose of pegging, fixing or maintaining the
price of a security.  A syndicate covering  transaction means the placing of any
bid on behalf of the underwriting  syndicate or the effecting of any purchase to
reduce a short position  created in connection with the offering.  A penalty bid
means an  arrangement  that  permits  Salomon  Smith  Barney  Inc.,  as managing
underwriter,  to  reclaim  a  selling  concession  from a  syndicate  member  in
connection with the Offering when shares of Common Stock  originally sold by the
syndicate  member  are  purchased  in  syndicate  covering  transactions.   Such
transactions   may  be  effected  on  the  Nasdaq   National   Market,   in  the
over-the-counter  market,  or otherwise.  The  Underwriters  are not required to
engage in any of these  activities.  Any such activities,  if commenced,  may be
discontinued at any time.

     Prior to this  Offering,  there has been no public  market  for the  Common
Stock. Consequently,  the initial public offering price for the Common Stock has
been  determined by  negotiations  between the Company and the  Representatives.
Among the factors  considered in determining  the initial public  offering price
were the history of, and the  prospects  for,  the  Company's  business  and the
industry in which it competes,  an assessment of the Company's  management,  its
past and present  operations,  the past and present results of operations of the
Company and the trend of such results of operations,  the prospects for earnings
of the Company,  the present  state of the  Company's  development,  the general
condition of the  securities  market at the time of this Offering and the market
prices  of  similar  securities  of  comparable  companies  at the  time of this
Offering.

     William  Blair  &  Company,  L.L.C.,  one  of  the  Representatives  of the
Underwriters,  is  affiliated  with Blair V and Blair LCF, two of the  Company's
principal  stockholders  and, by virtue of such  affiliation,  is,  prior to the
Offering,  an  "affiliate" of the Company within the meaning of Rule 2720 of the
Conduct  Rules  of  the  National   Association  of  Securities  Dealers,   Inc.
Accordingly,  the Offering is being made in conformity  with certain  applicable
provisions of Rule 2720. Salomon Smith Barney Inc.,  another  Underwriter of the
Offering (the "Independent  Underwriter"),  will act as a "qualified independent
underwriter,"  as defined in Rule 2720,  in connection  with the  Offering.  The
Independent Underwriter,  in its role as qualified independent underwriter,  has
performed  due diligence  investigations  and reviewed and  participated  in the
preparation  of this  Prospectus  and the  Registration  Statement of which this
Prospectus  forms a part.  The  Independent  Underwriter  will not  receive  any
additional fees for serving as a qualified independent underwriter in connection
with the  Offering.  The price of shares of Common Stock sold to the public will
be no higher than that recommended by the Independent Underwriter.

     Timothy M.  Murray,  a director of the Company,  is a managing  director of
WBCP and a principal of William Blair & Company, L.L.C.

                                 LEGAL MATTERS

     The validity of the Common Stock offered hereby will be passed upon for the
Company by Reboul, MacMurray, Hewitt, Maynard & Kristol and for the Underwriters
by Dewey Ballantine LLP, New York, New York.

                                       71

<PAGE>

                                    EXPERTS

     The  consolidated  financial  statements of the Company as of June 30, 1997
and 1998 and for each of the  three  years in the  period  ended  June 30,  1998
included  in this  Prospectus,  and the  related  financial  statement  schedule
included elsewhere in this Registration Statement, have been audited by Deloitte
& Touche LLP, independent  auditors, as stated in their reports appearing herein
and  elsewhere  in the  Registration  Statement,  and have been so  included  in
reliance  upon such report given upon their  authority as experts in  accounting
and auditing.

     The  statement of  operations  of Stockton for the year ended June 30, 1997
included  in this  Prospectus  has  been  audited  by  Deloitte  &  Touche  LLP,
independent auditors, as stated in their report appearing herein and has been so
included in reliance  upon such report given upon their  authority as experts in
accounting and auditing.

   
     The consolidated financial statements of Healthcare  Interchange,  Inc. and
subsidiary  as of June 30,  1998 and for the  nine-month  period  ended June 30,
1998,  included  herein and elsewhere in the  registration  statement  have been
audited and reported upon by KPMG LLP, independent certified public accountants.
Such  financial  statements  have been included  herein and in the  registration
statement in reliance upon the report of KPMG LLP,  appearing  herein,  and upon
the authority of said firm as experts in accounting and auditing.
    

                            ADDITIONAL INFORMATION

     The Company has filed with the  Securities  and  Exchange  Commission  (the
"Commission"),  Washington,  D.C.  20549, a Registration  Statement on Form S-1,
including   amendments  thereto  (the  "Registration   Statement"),   under  the
Securities Act with respect to the shares of Common Stock offered  hereby.  This
Prospectus,  which  constitutes  part of the  Registration  Statement,  does not
contain all of the information set forth in the  Registration  Statement and the
exhibits and  schedules  filed  therewith,  certain  portions of which have been
omitted as permitted by the rules and regulations of the Commission. For further
information  with  respect to the Company and the Common Stock  offered  hereby,
reference is hereby made to such Registration  Statement and to the exhibits and
schedules filed therewith. Statements contained in this Prospectus regarding the
contents of any  contract  or other  document  referred  to are not  necessarily
complete, and in each instance reference is made to the copy of such contract or
other  document  filed as an exhibit to the  Registration  Statement,  each such
statement  being deemed to be qualified in its entirety by such  reference.  The
Registration  Statement,  including all exhibits and schedules  thereto,  may be
inspected  without charge at the principal  office of the Commission,  450 Fifth
Street, N.W.,  Washington,  D.C. 20549, and at the following regional offices of
the  Commission:  the New York regional  office located at 7 World Trade Center,
Suite 1300, New York, New York 10048, and the Chicago regional office located at
the Citicorp  Center,  500 West Madison Street,  Suite 1400,  Chicago,  Illinois
60661-2511.  Copies of this material may also be obtained from the  Commission's
Public Reference Section at 450 Fifth Street, N.W.,  Washington,  D.C. 20549, at
prescribed rates. In addition, such material may also be accessed electronically
at the Commission's Internet home page: (http:// www.sec.gov).

     The  Company  intends to  furnish  its  stockholders  with  annual  reports
containing  financial  statements audited by its independent public accountants,
and will make available  quarterly  reports for the first three quarters of each
fiscal year containing  unaudited financial  information and such other periodic
reports as the Company may determine to be  appropriate or as may be required by
law.

                                       72

<PAGE>
                         INDEX TO FINANCIAL STATEMENTS

<TABLE>
<CAPTION>
                                                                                            PAGE
                                                                                            -----
<S>                                                                                          <C>
MEDE AMERICA CORPORATION:
 Independent Auditors' Report ............................................................    F-2
 Consolidated Balance Sheets as of June 30, 1997 and 1998 and September 30, 1998
   (Unaudited) ...........................................................................    F-3
 Consolidated Statements of Operations for the Years Ended June 30, 1996, 1997 and 1998
   and the Three Months Ended September 30, 1997 (Unaudited) and 1998 (Unaudited) ........    F-4
 Consolidated Statements of Stockholders' Equity (Deficit) for the Years Ended June 30,
   1996, 1997 and 1998 and the Three Months Ended September 30, 1998 (Unaudited) .........    F-5
 Consolidated Statements of Cash Flows for the Years Ended June 30, 1996, 1997 and 1998
   and the Three Months Ended September 30, 1997 (Unaudited) and 1998 (Unaudited) ........    F-6
 Notes to Consolidated Financial Statements ..............................................    F-7

THE STOCKTON GROUP, INC.:
 Independent Auditors' Report ............................................................   F-21
 Statements of Income for the Year Ended June 30, 1997 and the Three Months Ended
   September 30, 1997 (Unaudited) ........................................................   F-22
 Notes to Financial Statement ............................................................   F-23

   
HEALTHCARE INTERCHANGE, INC.:
 Independent Auditors' Report ............................................................   F-25
 Consolidated Balance Sheets as of June 30, 1998 and September 30, 1998 (Unaudited) ......   F-26
 Consolidated Statements of Operations for the Nine Month Period Ended June 30, 1998
   and the Three Month Period Ended September 30, 1998 (Unaudited) .......................   F-27
 Consolidated Statements of Stockholders' Equity (Deficit) for the Nine Month Period Ended
   June 30, 1998 and the Three Month Period Ended September 30, 1998 (Unaudited) .........   F-28
 Consolidated Statements of Cash Flows for the Nine Month Period Ended June 30, 1998 and
   the Three Month Period Ended September 30, 1998 (Unaudited) ...........................   F-29
 Notes to Consolidated Financial Statements ..............................................   F-30
</TABLE>
    

                                      F-1

<PAGE>

                         INDEPENDENT AUDITORS' REPORT

To the Board of Directors and Stockholders of
MEDE America Corporation

We have audited the  accompanying  consolidated  balance  sheets of MEDE America
Corporation and  subsidiaries  (the "Company") as of June 30, 1997 and 1998, and
the  related  consolidated   statements  of  operations,   stockholders'  equity
(deficit)  and cash flows for each of the three  years in the period  ended June
30, 1998.  These financial  statements are the  responsibility  of the Company's
management.  Our  responsibility  is to express  an  opinion on these  financial
statements based on our audits.

We  conducted  our  audits  in  accordance  with  generally   accepted  auditing
standards.  Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material
misstatement.  An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements.  An audit also includes
assessing the  accounting  principles  used and  significant  estimates  made by
management,  as well as evaluating the overall financial statement presentation.
We believe that our audits provide a reasonable basis for our opinion.

In our opinion,  such consolidated  financial  statements present fairly, in all
material  respects,  the  financial  position of MEDE  America  Corporation  and
subsidiaries  as of June 30, 1997 and 1998, and the results of their  operations
and their  cash flows for each of the three  years in the period  ended June 30,
1998 in conformity with generally accepted accounting principles.

As discussed in Note 13, the accompanying 1997 and 1998  consolidated  financial
statements have been restated.

DELOITTE & TOUCHE LLP

   
Jericho, New York
August 5, 1998
(October 7, 1998 as to Note 6.b., December 11, 1998 as to Note 13 
and January 8, 1999 as to Note 14)
    

                                      F-2

<PAGE>
                   MEDE AMERICA CORPORATION AND SUBSIDIARIES
                          CONSOLIDATED BALANCE SHEETS
                             JUNE 30, 1997 AND 1998
                       AND SEPTEMBER 30, 1998 (UNAUDITED)
                    (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)

<TABLE>
<CAPTION>
                                                                                                                  PRO FORMA
                                                                                                                STOCKHOLDERS'
                                                                                                                   EQUITY
                                                                             JUNE 30,           SEPTEMBER 30,   SEPTEMBER 30,
                                                                     ------------------------- --------------- --------------
                                                                         1997         1998           1998           1998
                                                                     ------------ ------------ --------------- --------------
                                                                           (AS RESTATED,         (UNAUDITED)     (UNAUDITED)
                                                                           SEE NOTE 13)                          (NOTE 1.P.)
<S>                                                                  <C>          <C>          <C>             <C>
   
ASSETS
CURRENT ASSETS:
 Cash and cash equivalents .........................................  $   1,919    $   2,950      $   3,551
 Accounts receivable, less allowance for doubtful accounts of
   $1,716, $997 and $983, respectively..............................      6,318        7,920          8,579
 Formulary receivables .............................................        405        2,341          3,283
 Inventory .........................................................        172          211            250
 Prepaid expenses and other current assets .........................        486          537            668
                                                                      ---------    ---------      ---------
   Total current assets ............................................      9,300       13,959         16,331
PROPERTY AND EQUIPMENT -- Net (Notes 3 and 6) ......................      5,517        4,711          4,885
GOODWILL -- Net (Notes 1 and 2) ....................................     27,465       34,753         34,735
OTHER INTANGIBLE ASSETS -- Net (Notes 1 and 4) .....................      5,357        5,501          5,143
OTHER ASSETS (Note 11) .............................................        451          470          3,632
                                                                      ---------    ---------      ---------
TOTAL ..............................................................  $  48,090    $  59,394      $  64,726
                                                                      =========    =========      =========
LIABILITIES AND STOCKHOLDERS' (DEFICIT)
 EQUITY
CURRENT LIABILITIES:
 Accounts payable ..................................................  $   2,134    $   3,630      $   3,096
 Accrued expenses and other current liabilities (Note 5) ...........      9,195        7,715         10,741
 Current portion of long-term debt (Note 6) ........................        538          269            262
                                                                      ---------    ---------      ---------
   Total current liabilities .......................................     11,867       11,614         14,099
                                                                      ---------    ---------      ---------
LONG-TERM DEBT (Note 6) ............................................     24,623       41,055         42,365
                                                                      ---------    ---------      ---------
OTHER LONG-TERM LIABILITIES ........................................        215          194            189
                                                                      ---------    ---------      ---------
SERIES A REDEEMABLE CUMULATIVE PREFERRED
 STOCK:
 $.01 par  value;  250 shares  authorized;  240  shares  issued and  
   outstanding (aggregate liquidation value of $23,996 plus ac-
   crued dividends) (Notes 8 and 9) ................................     28,823       31,223         31,823      $      --
                                                                      ---------    ---------      ---------      ---------
COMMITMENTS AND CONTINGENCIES (Note 10)
    

STOCKHOLDERS' (DEFICIT) EQUITY:
 Common stock, $.01 par value; 6,329 shares authorized; 5,671,
   5,685 and 5,685 shares issued and outstanding, respectively.              57           57             57             84
 Additional paid-in capital ........................................     27,713       25,584         27,521         59,317
 Accumulated deficit ...............................................    (45,208)     (50,243)       (51,328)       (51,328)
 Deferred compensation (Note 8) ....................................         --          (90)            --             --
                                                                      ---------    ---------      ---------      ---------
   Total stockholders' (deficit) equity ............................    (17,438)     (24,692)       (23,750)     $   8,073
                                                                      ---------    ---------      ---------      ---------
TOTAL ..............................................................  $  48,090    $  59,394      $  64,726
                                                                      =========    =========      =========
</TABLE>

                See notes to consolidated financial statements.

                                      F-3

<PAGE>
                   MEDE AMERICA CORPORATION AND SUBSIDIARIES
                     CONSOLIDATED STATEMENTS OF OPERATIONS
                    YEARS ENDED JUNE 30, 1996, 1997 AND 1998
             AND THREE MONTHS ENDED SEPTEMBER 30, 1997 (UNAUDITED)
                              AND 1998 (UNAUDITED)
                    (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)

<TABLE>
<CAPTION>
                                                                                                        THREE MONTHS ENDED
                                                                      YEAR ENDED JUNE 30,                  SEPTEMBER 30,
                                                            --------------------------------------- ---------------------------
                                                                1996          1997         1998          1997          1998
                                                            ------------ ------------- ------------ -------------- ------------
                                                                               (AS RESTATED,         (AS RESTATED,
                                                                                SEE NOTE 13)         SEE NOTE 13)
                                                                                                            (UNAUDITED)
<S>                                                         <C>          <C>           <C>          <C>            <C>
REVENUES ..................................................  $  31,768     $  35,279     $ 42,290      $  9,241      $ 12,006

OPERATING EXPENSES:
 Operations ...............................................     19,174        16,817       16,958         4,285         4,793
 Sales, marketing and client services .....................      7,064         8,769       10,765         2,385         2,930
 Research and development (Note 1) ........................      2,132         3,278        3,941           806         1,106
 General and administrative ...............................      6,059         5,263        4,865         1,061         1,263
 Depreciation and amortization ............................      5,176         5,460        7,143         1,698         1,894
 Contingent consideration paid to former owners of
   acquired businesses (Note 2) ...........................        538         2,301           --            --            --
 Write-down of intangible assets (Note 1) .................      9,965            --           --            --            --
 Acquired in-process research and development (Note 2).....         --         1,556           --            --            --
                                                             ---------     ---------     --------      --------      --------
 Total operating expenses .................................     50,108        43,444       43,672        10,235        11,986
                                                             ---------     ---------     --------      --------      --------

(LOSS) INCOME FROM OPERATIONS .............................    (18,340)       (8,165)      (1,382)         (994)           20

OTHER (INCOME) EXPENSE (Note 12) ..........................        313          (893)         (12)           --            --

INTEREST EXPENSE, Net .....................................        584         1,504        3,623           655         1,089
                                                             ---------     ---------     --------      --------      --------
LOSS BEFORE PROVISION FOR INCOME
 TAXES ....................................................    (19,237)       (8,776)      (4,993)       (1,649)       (1,069)

PROVISION FOR INCOME TAXES (Note 7) .......................         93            57           42            12            16
                                                             ---------     ---------     --------      --------      --------

NET LOSS ..................................................    (19,330)       (8,833)      (5,035)       (1,661)       (1,085)

PREFERRED STOCK DIVIDENDS .................................     (2,400)       (2,400)      (2,400)         (600)         (600)
                                                             ---------     ---------     --------      --------      --------
NET LOSS APPLICABLE TO COMMON
 STOCKHOLDERS .............................................  $ (21,730)    $ (11,233)    $ (7,435)     $ (2,261)     $ (1,685)
                                                             =========     =========     ========      ========      ========
BASIC AND DILUTED NET LOSS PER COMMON
 SHARE ....................................................  $   (4.14)    $   (2.07)    $  (1.31)     $  (0.40)     $  (0.30)
                                                             =========     =========     ========      ========      ========
WEIGHTED AVERAGE COMMON SHARES
 OUTSTANDING -- BASIC AND DILUTED .........................      5,245         5,425        5,679         5,674         5,685
                                                             =========     =========     ========      ========      ========
</TABLE>

                See notes to consolidated financial statements.

                                      F-4

<PAGE>

                   MEDE AMERICA CORPORATION AND SUBSIDIARIES
           CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY (DEFICIT)
                    YEARS ENDED JUNE 30, 1996, 1997 AND 1998
             AND THREE MONTHS ENDED SEPTEMBER 30, 1998 (UNAUDITED)
                                 (IN THOUSANDS)

<TABLE>
<CAPTION>
                                                   COMMON STOCK     ADDITIONAL                                    TOTAL
                                                 -----------------    PAID-IN    ACCUMULATED     DEFERRED     STOCKHOLDERS'
                                                  SHARES   AMOUNT     CAPITAL      DEFICIT     COMPENSATION  EQUITY (DEFICIT)
                                                 -------- -------- ------------ ------------- ------------- -----------------
<S>                                              <C>      <C>      <C>          <C>           <C>           <C>
BALANCE, JULY 1, 1995 ..........................  5,237   $ 52       $ 29,935     $ (17,045)     $   --         $  12,942
 Net loss ......................................     --     --             --       (19,330)         --           (19,330)
 Preferred stock dividends .....................     --     --         (2,400)           --          --            (2,400)
 Issuance of warrants ..........................     --     --            121            --          --               121
 Exercise of stock options .....................     43      1            194            --          --               195
                                                  -----   ----       --------     ---------      ------         ---------
BALANCE, JUNE 30, 1996 .........................  5,280     53         27,850       (36,375)         --            (8,472)
 Net loss (as restated, see Note 13) ...........     --     --             --        (8,833)         --            (8,833)
 Preferred stock dividends .....................     --     --         (2,400)           --          --            (2,400)
 Issuance of common stock ......................    371      4          2,121            --          --             2,125
 Issuance of warrants ..........................     --     --             52            --          --                52
 Exercise of stock options .....................     20     --             90            --          --                90
                                                  -----   ----       --------     ---------      ------         ---------
BALANCE, JUNE 30, 1997 (as restated, see
 Note 13) ......................................  5,671     57         27,713       (45,208)         --           (17,438)
 Net loss (as restated, see Note 13) ...........     --     --             --        (5,035)         --            (5,035)
 Preferred stock dividends .....................     --     --         (2,400)           --          --            (2,400)
 Issuance of warrants ..........................     --     --             98            --          --                98
 Exercise of stock options .....................     14     --             65            --          --                65
 Issuance of stock options (Note 8) ............     --     --            108            --        (108)               --
 Amortization of deferred compensation .........     --     --             --            --          18                18
                                                  -----   ----       --------     ---------      ------         ---------
BALANCE, JUNE 30, 1998 (as restated, see
 Note 13) ......................................  5,685     57         25,584       (50,243)        (90)          (24,692)
 Net loss (unaudited) ..........................     --     --             --        (1,085)         --            (1,085)
 Preferred stock dividends (unaudited) .........     --     --           (600)           --          --              (600)
 Issuance of warrants (unaudited) (Note 11).....     --     --          2,537            --          --             2,537
 Amortization of deferred compensation
   (unaudited) (Note 8) ........................     --     --             --            --          90                90
                                                  -----   ----       --------     ---------      ------         ---------
BALANCE, SEPTEMBER 30, 1998
 (UNAUDITED) ...................................  5,685   $ 57       $ 27,521     $ (51,328)     $   --         $ (23,750)
                                                  =====   ====       ========     =========      ======         =========
</TABLE>

                See notes to consolidated financial statements.

                                      F-5

<PAGE>

                   MEDE AMERICA CORPORATION AND SUBSIDIARIES
                     CONSOLIDATED STATEMENTS OF CASH FLOWS
        YEARS ENDED JUNE 30, 1996, 1997 AND 1998 AND THREE MONTHS ENDED
              SEPTEMBER 30, 1997 (UNAUDITED) AND 1998 (UNAUDITED)
                                 (IN THOUSANDS)

<TABLE>
<CAPTION>
                                                                                          YEAR ENDED JUNE 30,
                                                                               ------------------------------------------
                                                                                    1996           1997          1998
                                                                               ------------- --------------- ------------
                                                                                                    (AS RESTATED,
                                                                                                     SEE NOTE 13)
<S>                                                                            <C>           <C>             <C>
CASH FLOWS FROM OPERATING ACTIVITIES:
 Net loss ....................................................................   $ (19,330)     $ (8,833)     $  (5,035)
 Adjustments to reconcile net loss to net cash provided by (used
  in) operating activities:
  Depreciation and amortization ..............................................       5,176         5,585          7,502
  Provision for doubtful accounts ............................................         406           316            464
  Write-down of intangible assets ............................................       9,965            --             --
  Acquired in-process research and development ...............................          --         1,556             --
  (Gain) loss on sale of assets ..............................................         313              (8)          13
  Non-cash compensation expense ..............................................          --            --             18
  Changes in  operating  assets and  liabilities  net of  effects of  businesses
   acquired:
   Accounts receivable .......................................................         977          (861)        (2,065)
   Formularly receivables ....................................................         (74)         (331)        (1,936)
   Inventory .................................................................         262           (45)           (40)
   Prepaid expenses and other current assets .................................        (179)          175            (51)
   Other assets ..............................................................         243            13             19
   Accounts payable and accrued expenses and other current liabilities .......         997          (629)        (1,368)
   Other long-term liabilities ...............................................        (409)         (958)           (21)
                                                                                 ---------      ----------    ---------
    Net cash provided by (used in) operating activities ......................      (1,653)       (4,020)        (2,500)
                                                                                 ---------      ----------    ---------
CASH FLOWS FROM INVESTING ACTIVITIES:
 Business acquisitions, net of cash acquired .................................      (3,648)      (11,450)       (10,674)
 Purchases of property and equipment .........................................      (1,271)       (1,477)          (913)
 Additions to goodwill and other intangible assets ...........................          --          (143)          (699)
 Proceeds from sale of property and equipment ................................          --           461            182
 Proceeds from sale of net assets of Premier .................................          --           388             --
                                                                                 ---------      ----------    ---------
    Net cash used in investing activities ....................................      (4,919)      (12,221)       (12,104)
                                                                                 ---------      ----------    ---------
CASH FLOWS FROM FINANCING ACTIVITIES:
 Due to stockholders .........................................................      (4,484)           --             --
 Issuance of Senior Subordinated Note ........................................          --        22,875             --
 Issuance of common stock ....................................................          --         2,125             --
 Net proceeds (repayments) under Credit Facility .............................       8,250        (8,250)        16,725
 Principal repayments of debt ................................................      (2,852)         (801)          (588)
 Principal repayments of capital lease obligations ...........................        (452)         (518)          (567)
 Exercise of stock options ...................................................         195            90             65
                                                                                 ---------      ----------    ---------
    Net cash provided by financing activities ................................         657        15,521         15,635
                                                                                 ---------      ----------    ---------
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS..........................      (5,915)         (720)         1,031
CASH AND CASH EQUIVALENTS, BEGINNING OF PERIOD ...............................       8,554         2,639          1,919
                                                                                 ---------      ----------    ---------
CASH AND CASH EQUIVALENTS, END OF PERIOD .....................................   $   2,639      $  1,919      $   2,950
                                                                                 =========      ==========    =========
SUPPLEMENTAL DISCLOSURES OF CASH FLOW
 INFORMATION:
 Cash paid during the period for:
  Interest ...................................................................   $     394      $  1,541      $   3,018
                                                                                 =========      ==========    =========
  Income taxes ...............................................................   $      69      $    111      $     102
                                                                                 =========      ==========    =========
 Non-cash investing and financing activities:

  Assets acquired under capital leases or by incurring debt ..................   $     205      $    129      $     278
                                                                                 =========      ==========    =========
  Issuance of warrants .......................................................   $     121      $     52      $      98
                                                                                 =========      ==========    =========

</TABLE>

<PAGE>
<TABLE>
<CAPTION>

                                                                                    THREE MONTHS ENDED
                                                                                       SEPTEMBER 30,
                                                                               -----------------------------
                                                                                    1997           1998
                                                                               -------------- --------------
                                                                                (AS RESTATED,
                                                                                SEE NOTE 13)
                                                                                        (UNAUDITED)

<S>                                                                            <C>            <C>
CASH FLOWS FROM OPERATING ACTIVITIES:
 Net loss ....................................................................    $(1,661)       $(1,085)
 Adjustments to reconcile net loss to net cash provided by (used
  in) operating activities:
  Depreciation and amortization ..............................................      1,784          1,990
  Provision for doubtful accounts ............................................         57             70
  Write-down of intangible assets ............................................         --             --
  Acquired in-process research and development ...............................         --             --
  (Gain) loss on sale of assets ..............................................         --             --
  Non-cash compensation expense ..............................................         --             90
  Changes in operating assets and liabilities net of effects of businesses
   acquired:
   Accounts receivable .......................................................       (464)          (729)
   Formularly receivables ....................................................         (9)          (942)
   Inventory .................................................................        (21)           (39)
   Prepaid expenses and other current assets .................................         13           (131)
   Other assets ..............................................................        (60)          (625)
   Accounts payable and accrued expenses and other current liabilities .......     (1,254)         1,853
   Other long-term liabilities ...............................................         (1)            (5)
                                                                                  ----------     ----------
    Net cash provided by (used in) operating activities ......................     (1,616)           447
                                                                                  ---------      ---------
CASH FLOWS FROM INVESTING ACTIVITIES:
 Business acquisitions, net of cash acquired .................................         --             --
 Purchases of property and equipment .........................................       (212)          (466)
 Additions to goodwill and other intangible assets ...........................       (307)          (403)
 Proceeds from sale of property and equipment ................................         --             --
 Proceeds from sale of net assets of Premier .................................         --             --
                                                                                  ---------      ---------
    Net cash used in investing activities ....................................       (519)          (869)
                                                                                  ---------      ---------
CASH FLOWS FROM FINANCING ACTIVITIES:
 Due to stockholders .........................................................         --             --
 Issuance of Senior Subordinated Note ........................................         --             --
 Issuance of common stock ....................................................         --             --
 Net proceeds (repayments) under Credit Facility .............................      3,025          1,225
 Principal repayments of debt ................................................       (172)           (83)
 Principal repayments of capital lease obligations ...........................       (105)          (119)
 Exercise of stock options ...................................................         33             --
                                                                                  ---------      ---------
    Net cash provided by financing activities ................................      2,781          1,023
                                                                                  ---------      ---------
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS..........................        646            601
CASH AND CASH EQUIVALENTS, BEGINNING OF PERIOD ...............................      1,919          2,950
                                                                                  ---------      ---------
CASH AND CASH EQUIVALENTS, END OF PERIOD .....................................    $ 2,565        $ 3,551
                                                                                  =========      =========
SUPPLEMENTAL DISCLOSURES OF CASH FLOW
 INFORMATION:
 Cash paid during the period for:
  Interest ...................................................................    $   641        $ 1,075
                                                                                  =========      =========
  Income taxes ...............................................................    $    10        $     7
                                                                                  =========      =========
 Non-cash investing and financing activities:
  Assets acquired under capital leases or by incurring debt ..................         --        $   184
                                                                                  =========      =========
  Issuance of warrants .......................................................         --        $ 2,537
                                                                                  =========      =========
</TABLE>

                See notes to consolidated financial statements.

                                      F-6

<PAGE>

                   MEDE AMERICA CORPORATION AND SUBSIDIARIES
                  NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

                    YEARS ENDED JUNE 30, 1996, 1997 AND 1998
               AND THREE MONTHS ENDED SEPTEMBER 30, 1997 AND 1998
(INFORMATION  AS  IT  RELATES  TO  THE THREE MONTHS ENDED SEPTEMBER 30, 1997 AND
                              1998 IS UNAUDITED)

1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

a. Description of Business -- MEDE America  Corporation  and  subsidiaries  (the
   "Company")  is a leading  provider of  electronic  data  interchange  ("EDI")
   products  and  services  to a broad  range of  providers  and  payors  in the
   healthcare  industry.  The  Company's  integrated  suite of EDI  products and
   services  permits  hospitals,  pharmacies,  physicians,  dentists,  and other
   healthcare  providers and provider groups to electronically edit, process and
   transmit claims,  eligibility and enrollment  data, track claims  submissions
   through the claims payment process and obtain faster  reimbursement for their
   services.

   The accompanying  consolidated  financial  statements include the accounts of
   MEDE America  Corporation and its  wholly-owned  subsidiaries:  MEDE America,
   Inc. ("MEDE"), Medical Processing Center, Inc. ("MPC"), Wellmark Incorporated
   ("Wellmark"),  Electronic Claims and Funding,  Inc. ("EC&F"),  Premier Dental
   Systems Corp. ("Premier"),  and MEDE America Corporation of Ohio, Inc. ("MEDE
   OHIO")  (formerly  General Computer  Corporation).  MPC,  Wellmark,  and MEDE
   formerly  constituted the healthcare  information  services  business unit of
   Card  Establishment  Services ("CES").  On March 9, 1995, CES was acquired by
   First Data Corporation.  Prior to this transaction,  the former owners of CES
   spun off the healthcare  information  services business unit as a new company
   with MEDE  America  Corporation  formed to serve as the holding  company (the
   "Spin-off").  Because  there was no change in  ownership  as a result of this
   Spin-off,  the accompanying  consolidated  financial statements accounted for
   MEDE, MPC, and Wellmark on an historical cost basis.  Effective July 1, 1997,
   MEDE, MPC, Wellmark and EC&F were merged into MEDE America Corporation.

   
   The Company has  instituted  certain  cost  reduction  programs.  The Company
   anticipates  that these programs,  when coupled with the Company's  revolving
   credit facility,  will enable the Company to satisfy its short-term cash flow
   and working capital requirements at least through fiscal 1999.  Additionally,
   the Company has received support from certain of its stockholders in the past
   and believes that  continued  support would be available if necessary to meet
   cash flow and working capital  requirements.  However,  such stockholders are
   under no legal  obligation to provide such support and, if the IPO (as herein
   defined) is consummated as proposed, such stockholders may elect not to do so
   (see Note 8).
    

b. Principles of Consolidation -- All significant intercompany  transactions and
   balances are eliminated in consolidation.

c. Revenue  Recognition -- Transaction and related formularly  services revenues
   (if applicable) are recognized at the time the transactions are processed and
   the services are rendered.  Other service revenues  (including  post-contract
   customer  support)  and  other  revenues   (including  revenues  relating  to
   insignificant  obligations  at the time sales are  recorded)  are  recognized
   ratably  over  applicable  contractual  periods or as  service  is  provided.
   Revenue  from the  licensing  of  software  is  recognized  only  after it is
   determined that the Company has no significant remaining obligations and that
   collectibility of the resulting receivable is probable. Revenue from hardware
   sales is recognized when the hardware is shipped.

d. Cash  and  Cash  Equivalents  -- The  Company  considers  all  highly  liquid
   instruments  with  original  maturity  dates  of three  months  or less to be
   components of cash and cash equivalents.

e. Accounts  Receivable -- Accounts  receivable are due primarily from companies
   in the healthcare industry.  Credit is extended based on an evaluation of the
   customer's financial condition, and generally collateral is not required.

                                      F-7

<PAGE>

               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

f. Formularly  Receivables -- Formularly  receivables  represent amounts due for
   pharmacy related services  provided to Practice  Benefit  Management  ("PBM")
   clients.  Services include prescription  processing from EDI transactions and
   collecting  and  distributing   pharmaceutical  company  fees  for  sponsored
   programs  to the PBM  client.  The  Company  submits  processed  transactions
   qualifying for formulary  incentive fees to various  intermediaries  who have
   PBM  program  services  contracts  with  pharmaceutical  manufacturers  on  a
   quarterly  basis,  in  arrears.  The  intermediaries   consolidate  formulary
   transactions  from various  processors and, in turn, submit such transactions
   to the pharmaceutical  manufacturers for payment.  The additional  processing
   and  reconciliation  time of the consolidators and  pharmaceutical  companies
   results in a collection cycle for the Company of 7-12 months.

g. Inventory -- Inventory is stated at the lower of cost  (first-in,  first-out)
   or market.

h. Property  and  Equipment  -- Property  and  equipment  is stated at cost less
   accumulated  depreciation  and  amortization,  and is  depreciated  using the
   straight-line method over the estimated useful lives of the related assets.

i. Goodwill -- Goodwill represents the excess of cost over the fair value of net
   assets acquired and is amortized on a straight-line basis over 7 to 20 years.
   Accumulated amortization amounted to $3,451,000 and $5,864,000 as of June 30,
   1997 and 1998, respectively.

j. Other Intangible  Assets -- Other intangible  assets include purchased client
   lists,   purchased   software  and  technology,   and  capitalized   software
   development  costs.  Purchased  client lists are amortized on a straight-line
   basis  over three to five  years.  Amortization  of  purchased  software  and
   technology and of  capitalized  software  development  costs is provided on a
   product-by-product  basis at the greater of the amount computed using (a) the
   ratio  of  current  revenues  for a  product  to the  total  of  current  and
   anticipated  future  revenues  or  (b)  the  straight-line  method  over  the
   remaining  estimated  economic  life of the product.  Generally,  an original
   estimated  economic  life of three to five  years is  assigned  to  purchased
   software and technology and an original estimated economic life of five years
   is assigned to capitalized software development costs. Amortization begins in
   the period in which the related  product is available for general  release to
   customers.

k. Software  Development  Costs -- The development of new software  products and
   enhancements  to existing  software  products are expensed as incurred  until
   technological   feasibility  has  been   established.   After   technological
   feasibility  is  established,   any  additional   costs  are  capitalized  in
   accordance with Statement of Financial  Accounting Standards ("SFAS") No. 86,
   "Accounting For the Cost of Computer Software To Be Sold, Leased or Otherwise
   Marketed."  During the year  ended June 30,  1998,  the  Company  capitalized
   $462,000 of software  development costs on a project for which  technological
   feasibility  had been  established  but was not yet  available  for  customer
   release.  Prior to July 1,  1997,  the  Company  did not  have  any  software
   development  projects for which  significant  development costs were incurred
   between the  establishment of technological  feasibility and general customer
   release of the product.

l. Impairment  of  Long-Lived   Assets  --  In  accordance  with  SFAS  No.  121
   "Accounting for the Impairment of Long-Lived Assets and for Long-Lived Assets
   to Be Disposed  Of," the Company  continually  evaluates  whether  events and
   circumstances have occurred that indicate the remaining estimated useful life
   of goodwill and/or other  intangible  assets may warrant revision or that all
   or a portion of the remaining balance may not be recoverable.

   As a result of this evaluation process, during the fiscal year ended June 30,
   1996, the Company  wrote-down  approximately  $9,965,000 of costs relating to
   client lists and related  allocable  goodwill  obtained in the acquisition of
   MEDE OHIO. Such intangible  assets were written down to the net present value
   of the  estimated  future cash flows to be derived  from these  clients as of
   June 30, 1996. The write-down was required due to a loss of approximately 25%
   of the acquired MEDE OHIO client base.

                                      F-8

<PAGE>

               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

m. Income  Taxes -- The Company  accounts  for income  taxes under SFAS No. 109,
   "Accounting  For Income  Taxes," which  requires  recognition of deferred tax
   assets and  liabilities  for the expected  future tax  consequences of events
   that have been included in the Company's financial statements or tax returns.
   Under this method,  deferred tax assets and liabilities are determined  based
   on the differences  between the financial  accounting and tax bases of assets
   and  liabilities  using enacted tax rates in effect for the year in which the
   differences are expected to reverse.

n. Use  of  Estimates  in  the  Preparation  of  Financial   Statements  --  The
   preparation of financial  statements in conformity  with  generally  accepted
   accounting  principles  requires management to make estimates and assumptions
   that affect the reported  amounts of assets and liabilities and disclosure of
   contingent assets and liabilities at the date of the financial statements and
   the reported  amounts of revenues and expenses  during the reporting  period.
   Actual results could differ from those estimates.

o. Unaudited Interim Financial  Statements -- In the opinion of management,  the
   unaudited  consolidated  financial  statements  for the  three  months  ended
   September  30, 1997 and 1998 are  presented  on a basis  consistent  with the
   audited  consolidated  financial  statements  and  reflect  all  adjustments,
   consisting  of  only  normal  recurring  adjustments,  necessary  for a  fair
   presentation  of the results  thereof.  The results of operations for interim
   periods are not necessarily  indicative of the results to be expected for the
   entire year.

   
p. Pro  Forma  Stockholders'  Equity  -- Pro  forma  stockholders'  equity as of
   September  30, 1998 reflects the  conversion  of 239,956  shares of preferred
   stock plus $7,827,000 of accrued  preferred stock dividends into common stock
   at the assumed initial public offering ("IPO") price of $12.00 per share. See
   Note 8.
    

q. Reclassifications  -- Certain  amounts in prior years'  financial  statements
   have been reclassified to conform with the 1998 presentation.

2. ACQUISITIONS

a. EC&F  and  Premier  -- In  October  1995,  the  Company  acquired  all of the
   outstanding shares of EC&F and Premier, which companies had common ownership,
   for a cash purchase price of approximately $4,050,000,  including transaction
   expenses.  The  transaction  was financed  through  loans  obtained  from the
   Company's  majority  stockholder.  Such loans were  subsequently  repaid with
   borrowings  under the  Company's  Credit  Facility  (as herein  defined).  In
   addition, the Company is contingently liable for additional  consideration if
   certain  earnings levels are attained  relating to EC&F during the three-year
   period following the  consummation of the transaction.  At June 30, 1996, the
   Company accrued $538,000 in connection with the contingent liability relating
   to earnings  levels  attained  during the first year.  At June 30, 1997,  the
   Company accrued a settlement  totaling  $2,216,000 relating to the contingent
   liability  for the  second  and third  years.  Such  accruals  of  contingent
   considerations  were  recorded as  compensation  expense as these  contingent
   payments  were  made to  former  shareholders  of EC&F and  Premier  who were
   required by the stock  purchase  agreement to remain in the Company's  employ
   during the  period in which the  contingent  consideration  was to be earned.
   Purchased  software and  technology  was valued at $764,000 and  generally is
   being  amortized  over  three  years.  EC&F and  Premier  are  developers  of
   electronic  systems  which  provide EDI services to the dental  industry.  In
   March  1997,  the  Company  sold the  operating  net  assets of  Premier  for
   $540,000,   including   the  buyer's   assumption   of  $152,000  of  Premier
   liabilities. There was no gain or loss on the sale of such net assets.

b. TCS -- In February 1997, the Company  purchased  certain assets of Time-Share
   Computer  Systems,  Inc.  ("TCS")  for  $11,465,000,   including  transaction
   expenses.  Purchased  in-process  research  and  development,  which  had not
   reached technological  feasibility and had no alternative future use amounted
   to  $1,556,000  and  was  charged  to  operations  at the  acquisition  date.
   Purchased  software and  technology was valued at $2,984,000 and generally is
   being amortized over three years. TCS provides data pro-

                                      F-9

<PAGE>

               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                 CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

   cessing and  information  management  services to  healthcare  providers  and
   pharmacies  through  integrated  electronic  data  interchange  systems.  The
   acquisition  was  financed  by a  portion  of the  proceeds  from the  Senior
   Subordinated Note and Share Purchase Agreement (as hereinafter defined) (Note
   6).

c. Stockton  -- In  November  1997,  the Company  purchased  certain  assets and
   assumed certain  liabilities of The Stockton Group,  Inc.  ("Stockton") for a
   cash  purchase  price of  $10,674,000,  including  transaction  expenses.  In
   addition, the Company is contingently liable for additional  consideration of
   up to  $2,600,000  (plus  interest at an annual rate of 7.25%) if  Stockton's
   revenue  during the  12-month  period  ended  September  30, 1998 is at least
   $5,000,000.  Based  on  revenues  recorded  through  September  30,  1998  by
   Stockton,  the Company has accrued  additional  contingent  consideration  of
   $2,022,000 as of September 30, 1998, which was treated as additional purchase
   price  and  was,  therefore,  added  to  goodwill.   Purchased  software  and
   technology   and  client  lists  were  valued  at  $1,230,000  and  $903,000,
   respectively,  and generally are being amortized over five years. Stockton is
   engaged in the business of providing EDI and transaction  processing services
   to the healthcare  industry.  The transaction was financed through borrowings
   under the Company's Credit Facility.

These  acquisitions  were recorded using the purchase  method of accounting and,
accordingly,  the results of operations of these acquired companies are included
in the  consolidated  results of  operations  of the Company  since the dates of
their respective  acquisitions.  The purchase price of each acquisition has been
allocated to the  respective  net assets  acquired based upon their fair values.
Goodwill,  which  represents the excess of cost over the estimated fair value of
the net  assets  acquired,  for these  transactions  were as  follows:  EC&F and
Premier -- $3,586,000; TCS -- $6,525,000 and Stockton -- $8,281,000. Goodwill is
being  amortized  over 20 years except for the goodwill  recorded in  connection
with the acquisition of TCS which is being amortized over seven years.

The following  unaudited pro forma  information for the year ended June 30, 1997
and 1998 includes the operations of the Company,  inclusive of the operations of
both TCS and Stockton as if the  acquisitions had occurred at July 1, 1996. This
pro forma information gives effect to the amortization  expense  associated with
goodwill and other intangible assets acquired,  adjustments  related to the fair
market value of the assets and liabilities  acquired,  interest expense relating
to financing the acquisitions, and related income tax effects.

<TABLE>
<CAPTION>
                                                     1997           1998
                                                 ------------   ------------
                                                       (IN THOUSANDS)

<S>                                              <C>            <C>
Revenues .....................................    $  41,824       $ 43,936
                                                  =========       ========
Loss from operations .........................    $  (8,855)      $   (430)
                                                  =========       ========
Net loss .....................................    $ (11,206)      $ (4,320)
                                                  =========       ========
Net loss applicable to common stock ..........    $ (13,606)      $ (6,720)
                                                  =========       ========
Basic and diluted net loss per share .........    $   (2.51)      $  (1.18)
                                                  =========       ========
</TABLE>

3. PROPERTY AND EQUIPMENT

<TABLE>
<CAPTION>

                                                           USEFUL LIVES
                                                             (IN YEARS)      1997        1998
                                                           -------------   --------   ---------
                                                                              (IN THOUSANDS)

<S>                                                        <C>             <C>        <C>
Land ...................................................                    $  210     $   104
Building and improvements ..............................       20-25         2,190       2,193
Furniture and fixtures .................................           5         1,150       1,240
Computer equipment .....................................         3-5         5,696       6,747
                                                                            ------     -------
                                                                             9,246      10,284

Less accumulated depreciation and amortization .........                     3,729       5,573
                                                                            ------     -------
Property and equipment -- net ..........................                    $5,517     $ 4,711
                                                                            ======     =======
</TABLE>

                                      F-10

<PAGE>

               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

4. OTHER INTANGIBLE ASSETS

Other intangible assets consist of the following:

<TABLE>
<CAPTION>

                                                            1997        1998    
                                                         ---------   ---------  
                                                            (IN THOUSANDS)      
                                                                                
<S>                                                      <C>         <C>        
Purchased client lists ....................               $2,989      $3,893    
Less, accumulated amortization ............                1,518       2,220    
                                                          ------      ------    
                                                           1,471       1,673    
                                                          ------      ------    
Purchased software and technology .........                6,859       8,288    
Less, accumulated amortization ............                2,973       4,922    
                                                          ------      ------    
                                                           3,886       3,366    
                                                          ------      ------    

Software development costs ................                   --         462    
                                                          ------      ------    
Other intangible assets -- net ............               $5,357      $5,501    
                                                          ======      ======    
</TABLE>                                                 

Subsequent  to the  issuance  of the June 30,  1997  financial  statements,  the
Company's  management  determined  that a lower  discount  rate should have been
utilized  to  value  purchased  software  and  technology  acquired  in the  TCS
acquisition.  As a result,  the Company  reclassified  $343,000 from goodwill to
purchased software and technology.

5. ACCRUED EXPENSES AND OTHER CURRENT LIABILITIES

Accrued expenses and other current liabilities consist of the following:

<TABLE>
<CAPTION>
                                                           1997        1998
                                                        ---------   ---------
                                                            (IN THOUSANDS)
<S>                                                     <C>         <C>
Accrued wages and related employee benefits .........    $1,010      $1,609
Rebate liability ....................................       488         291
Pharmacy claims liability ...........................       576         604
Accrued professional fees ...........................       795         364
Deferred revenue ....................................       749         614
Accrued reorganization costs (a) ....................     1,005          --
Due to former owners of acquired business ...........     2,216       1,945
Accrued litigation settlement .......................       860          --
Accrued interest ....................................         5         864
Other ...............................................     1,491       1,424
                                                         ------      ------
Total ...............................................    $9,195      $7,715
                                                         ======      ======
</TABLE>

- ----------
(a) As a  result  of the  Spin-off  (Note  1),  the  Company  recorded  a charge
    amounting to  $2,864,000  during the year ended June 30,  1995.  Such charge
    represented  amounts to be paid to former stockholders of MedE (who remained
    as executives of MedE) pursuant to contractual agreements which require such
    payments  to be made  upon a change in  control.  The net  present  value of
    remaining  payments  totaled  $1,005,000  as of June  30,  1997,  which  was
    included in accrued reorganization costs.

                                      F-11

<PAGE>

               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                 CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

6. LONG-TERM DEBT

Long-term debt consists of the following:

<TABLE>
<CAPTION>
                                                                                         1997         1998
                                                                                      ----------   ----------
                                                                                          (IN THOUSANDS)
<S>                                                                                   <C>          <C>
Senior subordinated note less unamortized discount of $2,000,000 and $1,641,000
 at June 30, 1997 and 1998, respectively (a) ......................................    $23,000      $23,359
Credit Facility (b) ...............................................................         --       16,725
Obligations under capital leases (c) ..............................................        769          436
Loan payable relating to an acquisition, collateralized by $224,000 of certifi-
 cates of deposits at June 30, 1998 due in quarterly payments ranging from
 $15,000 to $25,000 through February 2002, interest at 6.7 percent.................        342          271
Note payable, in connection with the sale of certain assets due in monthly
 installments of $6,000 through January 2000, interest at 6.8 percent..............        180          114
Notes payable to former shareholders of EC&F, repaid in 1998 ......................         95           --
Note payable, collateralized by land and building of MEDE OHIO, due in
 monthly installments of $19,000 through July 2000, interest at 12.5 percent.......        592          419
Note payable to bank, repaid in 1998 ..............................................        173           --
Other .............................................................................         10           --
                                                                                       -------      -------
                                                                                        25,161       41,324

Less current portion ..............................................................        538          269
                                                                                       -------      -------
Total .............................................................................    $24,623      $41,055
                                                                                       =======      =======
</TABLE>

(a) On  February  14,  1997,  the  Company  entered  into an  agreement  with an
    affiliate  of certain  shareholders  of the Company  under which the Company
    issued a  $25,000,000  senior  subordinated  note (the "Senior  Subordinated
    Note")  and  370,993  shares  of  its  common  stock  valued  at  $2,125,000
    (representing  the  estimated  fair  value of the  common  stock)  for total
    consideration  of  $25,000,000  (the  "Senior  Subordinated  Note and  Share
    Purchase Agreement").  The $2,125,000 relating to the shares of common stock
    was  recorded  as a discount  on the Senior  Subordinated  Note and is being
    amortized  over  the  term  of the  Senior  Subordinated  Note.  The  Senior
    Subordinated  Note  bears  interest  at the rate of 10% per  annum,  payable
    quarterly.  One half of the principal  sum is due on February 14, 2001,  and
    the  second  half is due on  February  14,  2002.  The  terms of the  Senior
    Subordinated  Note and Share Purchase  Agreement  place  restrictions on the
    consolidation, merger, or sale of the Company, indebtedness, and the payment
    of any cash dividends.

   
(b) The  revolving  line of  credit  from a bank  (the  "Credit  Facility"),  as
    currently  amended on October 7, 1998,  provides for maximum  borrowings  of
    $36,000,000 and expires on October 29, 1999.  Borrowings under the agreement
    bear  interest at either the bank's base rate,  as defined,  plus .25% or an
    offshore rate, as defined, plus 1.25%. The weighted average interest rate on
    outstanding  borrowings  at  October  31,  1998 was  6.41%.  The  Company is
    required to pay a commitment fee of .375% per annum on the unused portion of
    the Credit  Facility.  All borrowings  under the agreement are guaranteed by
    certain  stockholders of the Company.  In consideration  for the granting of
    such guarantees,  the  stockholders  were issued warrants to purchase 52,530
    shares  (valued at $121,000),  18,330 shares  (valued at $52,000) and 34,200
    shares  (valued at $98,000) of the  Company's  common stock during the years
    ended  June  30,  1996,  1997  and  1998,  respectively.  In  addition,  the
    stockholders  were issued  warrants to purchase  84,050 shares on October 7,
    1998 in  consideration  for the  granting of the most recent  guaranty.  All
    warrants  issued were valued using the  Black-Scholes  Option Pricing Model.
    The  aggregate  fair value of these  warrants is recorded in other assets as
    deferred  financing  costs  and is  being  amortized  over  the  life of the
    agreement. The terms of the agreement, among
    

                                      F-12

<PAGE>

               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                 CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

   other matters,  require the Company to maintain certain leverage and interest
   coverage   ratios  and  place   restrictions   on   additional   investments,
   indebtedness and the payment of any cash dividends.

   The Company was not in  compliance  with the leverage  and interest  coverage
   covenants as of September 30, 1998. The bank has granted a waiver relating to
   the  noncompliance  with these covenants and has amended these covenants on a
   prospective basis such that the Company  anticipates it will be in compliance
   with such covenants at least through September 30, 1999.

(c) The Company leases certain computer and office equipment under capital lease
    arrangements  expiring  through July 2000.  The gross value of the equipment
    held under capital  leases was $2,110,000 and $2,406,000 as of June 30, 1997
    and  1998,  respectively,  and  the  related  accumulated  amortization  was
    $1,524,000 and $2,211,000, respectively.

Maturities of long-term debt as of June 30, 1998 are as follows:

<TABLE>
<CAPTION>
                                      DISCOUNT
 YEAR ENDING JUNE 30,      GROSS      ON NOTE       NET
- ----------------------   ---------   ---------   ---------
                                  (IN THOUSANDS)
<S>                      <C>         <C>         <C>
1999 .................    $   664     $  395      $   269
2000 .................     17,164        437       16,727
2001 .................     12,594        483       12,111
2002 .................     12,543        326       12,217
                          -------     ------      -------
Total ................    $42,965     $1,641      $41,324
                          =======     ======      =======
</TABLE>

Based upon the borrowing rates currently available to the Company for loans with
similar terms,  the fair value of the Company's debt  approximates  the carrying
amounts.

7. INCOME TAXES

The  provision  for income taxes for the fiscal years ended June 30, 1996,  1997
and 1998 consists entirely of current state income taxes.

The provision  for income taxes varies from the amount  computed by applying the
statutory U.S.  Federal income tax rate to the loss before  provision for income
taxes as a result of the following:

<TABLE>
<CAPTION>
                                                             1996           1997           1998
                                                         ------------   ------------   ------------
                                                                       (IN THOUSANDS)
<S>                                                      <C>            <C>            <C>
       U.S. Federal statutory rate ...................     $ (6,541)      $ (2,984)      $ (1,698)
       Increases (reductions) due to:
        Nondeductible expenses .......................        3,674            293            238
        State taxes ..................................           93             57             42
        Net operating losses not producing current tax
          benefits ...................................        2,867          2,691          1,460
                                                           --------       --------       --------
        Total ........................................     $     93       $     57       $     42
                                                           ========       ========       ========
</TABLE>

The net deferred tax asset is comprised of the following:

<TABLE>
<CAPTION>

                                                                      1997           1998
                                                                  ------------   ------------
                                                                          (IN THOUSANDS)
<S>                                                               <C>            <C>
       Accounts receivable ....................................    $     685      $     399
       Property and equipment .................................          (61)           176
       Goodwill ...............................................        2,488          2,786
       Other intangible assets ................................          366            459
       Accrued expenses and other current liabilities .........        1,264            617
       Net operating loss carryforwards .......................       12,656         14,552
                                                                   ---------      ---------
                                                                      17,398         18,989
       Less valuation allowance ...............................      (17,398)       (18,989)
                                                                   ---------      ---------
       Total ..................................................    $      --      $      --
                                                                   =========      =========
</TABLE>

                                      F-13

<PAGE>

               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                 CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

The valuation  allowance increased during the years ended June 30, 1997 and 1998
primarily as a result of additional  net operating  loss  carryforwards  and net
deductible temporary differences, for which realization was not considered to be
more  likely  than  not.  In the event  that the tax  benefits  relating  to the
valuation  allowance  are  subsequently  realized,  approximately  $5,600,000 of
benefits would reduce goodwill.

As of June 30, 1998, the Company had Federal net operating loss carryforwards of
approximately  $36,380,000.  Such loss carryforwards  expire in the fiscal years
2005  through  2013.  Because  of the  changes in  ownership,  as defined in the
Internal  Revenue  Code,  which  occurred  during  1995 and  1996,  certain  net
operating loss carryforwards are subject to annual limitations.

8. STOCKHOLDERS' EQUITY

a. Stock Option and Restricted Stock Purchase Plan -- In March 1995, the Company
   established  a stock option and  restricted  stock  purchase plan (the "Stock
   Plan").  The Stock Plan permits the  granting of any or all of the  following
   types of awards: incentive stock options ("ISOs"); nonqualified stock options
   ("NQSO");  or restricted  stock.  The Stock Plan  authorizes  the issuance of
   655,000 shares of common stock.  ISOs may not be granted at a price less than
   the fair market value of the Company's  common stock on the date of grant (or
   110  percent  of the fair  market  value in the case of persons  holding  ten
   percent or more of the voting  stock of the Company) and expire not more than
   ten years from the date of grant (five  years in the case of ISOs  granted to
   persons holding ten percent or more of the voting stock of the Company).  The
   vesting period relating to the ISOs is determined by the Option  Committee of
   the Board of Directors at the date of grant.  The exercise price,  expiration
   date,  and  vesting  period  relating to NQSOs are  determined  by the Option
   Committee of the Board of Directors at the date of grant.

   The table below summarizes the activity of the Stock Plan for the years ended
   June 30, 1996, 1997 and 1998.

<TABLE>
<CAPTION>
                                                                           WEIGHTED
                                           NUMBER          EXERCISE        AVERAGE
                                             OF             PRICE          EXERCISE
                                           SHARES           RANGE           PRICE
                                        ------------   ---------------   -----------
<S>                                     <C>            <C>               <C>
     Balance, July 1, 1995 ..........      480,316          $4.58          $4.58 
       Options granted ..............      117,950          $4.58          $4.58 
       Options exercised ............      (42,556)         $4.58          $4.58 
       Canceled/lapsed ..............      (91,217)         $4.58          $4.58 
                                           -------     ------------      -------
     Balance, June 30, 1996 .........      464,493          $4.58          $4.58
       Options granted ..............       51,059      $4.58-$5.73        $5.17
       Options exercised ............      (19,642)         $4.58          $4.58
       Canceled/lapsed ..............      (65,684)         $4.58          $4.58
                                           -------     ------------      -------
     Balance, June 30, 1997 .........      430,226      $4.58-$5.73        $4.64
       Options granted ..............       81,926          $5.73          $5.73
       Options exercised ............      (14,054)     $4.58-$5.73        $4.62
       Canceled/lapsed ..............      (15,057)     $4.58-$5.73        $4.62
                                           -------     ------------      -------
     Balance, June 30, 1998 .........      483,041      $4.58-$5.73        $4.84
                                           =======     ============      =======
</TABLE>

   During March 1998, the Company granted 47,565 options at an exercise price of
   $5.73 per share. The Company later determined that the value of the Company's
   stock at the date of grant was $8.00.  As a result,  the  Company  recorded a
   deferred  compensation  charge of $108,000  relating to the granting of these
   options,  of which $18,000 was amortized during the year ended June 30, 1998.
   Effective  August 31,  1998,  the  Company  accelerated  the vesting of these
   options and, therefore, amortized the remaining balance.

                                      F-14

<PAGE>
               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                 CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

   Significant  option groups  outstanding at June 30, 1998 and related weighted
   average price and life information were as follows:

<TABLE>
<CAPTION>
                                      WEIGHTED
                                       AVERAGE       WEIGHTED                     WEIGHTED
                                      REMAINING       AVERAGE                     AVERAGE
    RANGE OF           NUMBER        CONTRACTUAL     EXERCISE        NUMBER       EXERCISE
 EXERCISE PRICE     OUTSTANDING     LIFE (YEARS)       PRICE      EXERCISABLE      PRICE
- ----------------   -------------   --------------   ----------   -------------   ---------
<S>                <C>             <C>              <C>          <C>             <C>
$  4.58              375,804       7.4              $ 4.58          202,069      $ 4.58
$  5.73              107,237       9.6              $ 5.73           10,689      $ 5.73
                     -------                                        -------
                     483,041       7.9              $ 4.84          212,758      $ 4.64
                     =======                                        =======
</TABLE>

   The  Company  applies  APB  opinion  No. 25 and  related  interpretations  in
   accounting for its Option Plan.  Accordingly,  no compensation  cost has been
   recognized.  If  compensation  cost for the Company's  stock options had been
   determined   consistent  with  SFAS  No.  123,  "Accounting  for  Stock-Based
   Compensation,"  the  Company's  net loss and net loss per share for the years
   ended June 30, 1996, 1997 and 1998 would have been as follows:

<TABLE>
<CAPTION>
                                                              1996           1997           1998
                                                         -------------   ------------   ------------
                                                            (IN THOUSANDS, EXCEPT PER SHARE DATA)
<S>                                                      <C>             <C>            <C>
   Net loss -- as reported ...........................     $ (19,330)      $ (8,833)      $ (5,035)
   Net loss -- pro forma .............................       (19,345)        (8,887)        (5,105)
   Basic and diluted net loss per share -- as reported         (4.14)         (2.07)         (1.31)
   Basic and diluted net loss per share -- pro forma.          (4.15)         (2.08)         (1.32)

</TABLE>

   The weighted  average  fair value of the options  granted for the years ended
   June 30, 1996, 1997, and 1998 is estimated at $1.56,  $1.83, and $1.92 on the
   date of grant  (using  the  minimum  value  option  pricing  model)  with the
   following  weighted  average  assumptions  for the years ended June 30, 1996,
   1997, and 1998, respectively:  a risk-free interest rate of 5.93%, 6.39%, and
   5.86%; an expected  option life of seven years and no expected  volatility or
   dividend  yield.  As  required  by SFAS No.  123,  the impact of  outstanding
   nonvested  stock options granted prior to July 1, 1995 has been excluded from
   the pro forma  calculation;  accordingly,  the 1996,  1997 and 1998 pro forma
   adjustments  are not indicative of future period pro forma  adjustments  when
   the calculation will apply to all applicable stock options.

b. Net income  (loss) per share -- In 1997,  the Company  adopted  SFAS No. 128,
   "Earnings  Per  Share."  Basic  income per share is  determined  by using the
   weighted  average  number of shares of common stock  outstanding  during each
   period.  Diluted  income per share  further  assumes  the  issuance of common
   shares for all dilutive  outstanding stock options and warrants as calculated
   using the treasury stock method. Basic and diluted earnings per share are the
   same  for all of the  periods  presented  because  the  effect  of  including
   outstanding  options and warrants would be antidilutive.  The calculation for
   the years  ended  June 30,  1996,  1997 and 1998 and the three  months  ended
   September 30, 1997 and 1998 was as follows:

<TABLE>
<CAPTION>
                                                              YEAR ENDED JUNE 30,
                                                     1996                              1997
                                      ---------------------------------- ---------------------------------
                                                              PER-SHARE                         PER-SHARE
                                           LOSS      SHARES     AMOUNT       LOSS      SHARES     AMOUNT
                                      ------------- -------- ----------- ------------ -------- -----------
                                                     (IN THOUSANDS, EXCEPT PER SHARE DATA)
<S>                                   <C>           <C>      <C>         <C>          <C>      <C>
   Net loss .........................   $ (19,330)                        $  (8,833)
   Less: Preferred dividends ........      (2,400)                           (2,400)
                                        ---------                         ---------
   Basic and diluted net loss per
     share ..........................   $ (21,730)   5,245   $(4.14)      $ (11,233)   5,425   $(2.07)
                                        =========    =====   ======       =========    =====   ======

<CAPTION>
                                            YEAR ENDED JUNE 30,
                                                    1998
                                      --------------------------------
                                                            PER SHARE
                                           LOSS     SHARES    AMOUNT
                                      ------------ -------- ----------
                                      (IN THOUSANDS, EXCEPT PER SHARE
                                                    DATA)
<S>                                   <C>          <C>      <C>
   Net loss .........................   $ (5,035)
   Less: Preferred dividends ........     (2,400)
                                        --------
   Basic and diluted net loss per
     share ..........................   $ (7,435)   5,679   $(1.31)
                                        ========    =====   ======
</TABLE>

                                      F-15

<PAGE>

               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                 CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

<TABLE>
<CAPTION>
                                                                    THREE MONTHS ENDED SEPTEMBER 30,
                                                              1997                                    1998
                                              -------------------------------------   ------------------------------------
                                                                         PER-SHARE                               PER-SHARE
                                                  LOSS        SHARES       AMOUNT         LOSS        SHARES      AMOUNT
                                              ------------   --------   -----------   ------------   --------   ----------
                                                                 (IN THOUSANDS, EXCEPT PER SHARE DATA)
<S>                                           <C>            <C>        <C>           <C>            <C>        <C>
   Net loss ...............................     $ (1,661)                               $ (1,085)
   Less: Preferred dividends ..............         (600)                                   (600)
                                                --------                                --------
   Basic and diluted net loss per share....     $ (2,261)     5,674     $(0.40)         $ (1,685)     5,685     $(0.30)
                                                ========      =====     ======          ========      =====     ======

</TABLE>

c. Proposed Public  Offering -- In 1998, the Company  determined to work towards
   an IPO of the Company's common stock on a firm commitment basis. The proposed
   IPO  contemplates  that a total of  4,166,667  shares of common stock will be
   offered at a price between  $11.00 and $13.00 per share.  The net proceeds of
   the IPO will be used to retire its Senior  Subordinated Note and a portion of
   borrowings  outstanding  under its Credit  Facility plus any related  accrued
   interest.

   
d. Reverse  Stock Split and Increase in  Authorized  Common Stock and  Preferred
   Stock -- In  anticipation  of the proposed  IPO, on July 27, 1998 the Company
   amended and  restated its  certificate  of  incorporation  in order to, among
   other  things,  effect a reverse  stock  split of all issued and  outstanding
   common  shares at the rate of 1 for  4.5823,  which  decreased  the number of
   issued  and  outstanding  shares  as of  June  30,  1998  from  approximately
   26,050,000   to   approximately   5,685,000.   This  stock   split  has  been
   retroactively  reflected in the  accompanying  financial  statements  for all
   periods  presented.  The  Company  also  increased  the  number  of shares of
   authorized  common stock to 30,000,000 and the number of shares of authorized
   preferred stock to 5,000,000, of which 250,000 were designated as relating to
   Series A redeemable cumulative preferred stock (Note 9).

e. Recapitalization  -- In conjunction with the proposed IPO and as provided for
   in the Company's July 27, 1998 amendment and  restatement of its  certificate
   of incorporation,  the Company contemplates a recapitalization of its capital
   stock (the "Recapitalization").  The Recapitalization involves the conversion
   of all outstanding  preferred stock into common stock (based upon liquidation
   value as  defined in Note 9) and the  exercise  of all  outstanding  warrants
   other than the Medic  Warrant (as herein  defined)  and  warrants to purchase
   84,050  shares of common  stock  issued on October 7, 1998.  (See Note 6.b.).
   However,  cash realized by the Company upon any exercise of the underwriters'
   overallotment  option would be applied to the payment of accrued dividends on
   the preferred stock and the remainder of such accrued dividends would convert
   into common stock. The preferred stock conversion will be effected based upon
   the IPO price per  share.  Assuming  an IPO price of $12.00  per share and no
   exercise of the  underwriters'  overallotment,  the  preferred  stock will be
   converted into  approximately  2,652,000 shares of common stock. The warrants
   will be converted,  in a cashless exercise,  into approximately 60,000 shares
   of common stock.
    

f. Stock  Purchase  Plan -- In  anticipation  of the proposed IPO, the Board has
   approved  the 1998  Employee  Stock  Purchase  Plan  (the  "Purchase  Plan").
   Employees  of the  Company,  including  directors  of  the  Company  who  are
   employees,  are eligible to  participate in quarterly plan offerings in which
   payroll  deductions  may be used to  purchase  shares  of common  stock.  The
   purchase  price of such  shares is the lower of 85 percent of the fair market
   value of the common stock on the day the offering commences and 85 percent of
   the  fair  market  value  of the  common  stock  on  the  date  the  offering
   terminates.  The  first  offering  period  under the  Purchase  Plan will not
   commence until the completion of the IPO.

   
g. New Stock Option and Restricted Stock Purchase Plan -- In anticipation of the
   proposed  IPO, the Board has  approved  the 1998 Stock Option and  Restricted
   Stock  Purchase Plan (the "New Stock  Plan").  The New Stock Plan permits the
   granting  of any or all of the  following  types of awards:  incentive  stock
   options;  nonqualified stock options;  restricted stock; or other stock-based
   awards, to officers,  employees,  directors,  consultants and advisors of the
   Company.  To date,  no options  have been  granted  under the New Stock Plan;
   however,  the Board  determined  to grant  options to purchase  an  aggregate
   400,000 shares of common stock pursuant to the New Stock Plan to certain
    

                                      F-16

<PAGE>

               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                 CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

   employees of the Company  (including certain executive  officers)  contingent
   upon consummation of the IPO. Such options,  which include both incentive and
   non-qualified  stock options,  will have an exercise price equal to the price
   to the public in the IPO and generally will vest ratably over four years from
   the date of grant  except  that the  initial  installment  of  options  to be
   granted to certain executive officers will vest immediately upon consummation
   of the IPO.

   
h.  On November 15, 1998,  the Board  determined to grant options (such grant to
    be  effective  as of the date of the IPO) to  purchase an  aggregate  51,500
    shares of common stock under the New Stock Plan to certain  employees of the
    Company,  most of whom were  formerly  employed by HII. Such options will be
    incentive  stock options,  will have an exercise price equal to the price to
    the public in the IPO and  generally  will vest ratably over four years from
    the date of grant.

9. SERIES A REDEEMABLE CUMULATIVE PREFERRED STOCK
    

As of June 30,  1997 and 1998,  the Company had  outstanding  239,956  shares of
preferred stock.  The preferred stock is subject to mandatory  redemption in two
equal installments on May 31, 2001 and 2002; however, the Company may redeem the
preferred stock in whole at any time or in part from time to time at its option.
The  Company  would also be  required to redeem the  preferred  stock  should it
consummate a public  offering of its common stock  pursuant to which the Company
receives aggregate net proceeds of at least $15,000,000. (See Note 8).

The redemption  price,  as well as liquidation  value, of the preferred stock is
$100  per  share  plus any  accrued  but  unpaid  dividends.  Dividends  on this
preferred  stock,  which are cumulative,  are payable,  if declared,  at $10 per
share per annum. No dividends have been declared or paid. At September 30, 1998,
cumulative  undeclared  and unpaid  dividends on this  preferred  stock  totaled
$7,827,000.

10. COMMITMENTS AND CONTINGENCIES

a. Leases -- The Company leases certain  offices and equipment  under  operating
   leases.  The  minimum   noncancelable  lease  payments  are  as  follows  (in
   thousands):

<TABLE>
<CAPTION>
YEAR ENDING JUNE 30,
- -----------------------------------------------
<S>                                               <C>
   
         1999 .................................    $1,405
         2000 .................................     1,351
         2001 .................................       919
         2002 .................................       654
         Thereafter ...........................       348
                                                   ------
         Total minimum lease payments .........    $4,677
                                                   ======
</TABLE>
    

   Rent expense for the years ended June 30, 1996,  1997 and 1998 was  $853,000,
   $1,309,000, and $1,307,000, respectively.

b. Litigation  -- The Company is engaged in various  litigation  in the ordinary
   course of business. Management, based upon the advice of legal counsel, is of
   the opinion that the amounts  which may be awarded or assessed in  connection
   with  these  matters,  if  any,  will  not  have  a  material  effect  on the
   consolidated financial position or results of operations.

c. Employment  Contracts -- The Company has employment contracts with certain of
   its  employees  with annual  remuneration  ranging  from $95,000 to $110,000.
   Future minimum payments under these contracts are as follows (in thousands):

<TABLE>
<CAPTION>
YEAR ENDING JUNE 30,
- -----------------------
<S>                       <C>
   
  1999 ................    $206
  2000 ................      79
                           ----
                           $285
                           ====
</TABLE>
    

                                      F-17

<PAGE>

               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                 CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

d. Defined   Contribution   Plans  --  The  Company   maintained   four  defined
   contribution  plans (the "Plans") for all eligible  employees,  as defined by
   the Plans until April 1, 1996.  On April 1, 1996,  the Company  combined  the
   Plans  into one  defined  contribution  plan (the "New  Plan").  The  Company
   previously made matching contributions at various percentages to three of the
   Plans in accordance  with the respective  Plan documents and currently  makes
   matching contributions to the New Plan in an amount equal to fifty percent of
   the employee salary  deductions to a maximum of four percent of the employees
   salary  in  accordance  with  the New Plan  document.  The  Company  incurred
   $197,000,  $227,000, and $194,000 for employer contributions to the Plans/New
   Plan for the years ended June 30, 1996, 1997 and 1998, respectively.

   
e. Service  Agreements -- The Company has entered into service  agreements  with
   telecommunications  providers  which  require the Company to utilize  certain
   minimum levels of the services of such  providers.  These  agreements  expire
   through  November 2001. The Company was in compliance with the terms of these
   agreements  as of June 30,  1998.  The  minimum  annual  amounts  under these
   agreements are as follows (in thousands):
    

<TABLE>
<CAPTION>
YEAR ENDING JUNE 30,
- ------------------------
<S>                        <C>
  1999 .................    $ 1,795
  2000 .................      1,497
  2001 .................      1,429
  2002 .................        543
                            -------
  Total ................    $ 5,264
                            =======
</TABLE>

11. TRANSACTION PROCESSING AGREEMENT

On July 17, 1998, the Company  entered into a transaction  processing  agreement
(the "Processing  Agreement") with Medic Computer  Systems,  Inc.  ("Medic"),  a
subsidiary  of Misys plc that  develops  and licenses  software  for  healthcare
providers,   principally  physicians,   MSOs  and  PPMs.  Under  the  Processing
Agreement,  the Company will undertake certain software development obligations,
and on July 1, 1999 it will become the exclusive  processor  (subject to certain
exceptions) of medical reimbursement claims for Medic's subscribers submitted to
payors  with whom MedE has or  establishes  connectivity.  Under the  Processing
Agreement,  the  Company  will be  entitled to revenues to be paid by payors (in
respect of which a commission is payable to Medic) as well as fees to be paid by
Medic.  The Processing  Agreement sets forth detailed  performance  criteria and
development and implementation timetables.  Inability to meet these criteria may
result in financial penalties or give Medic a right to terminate this agreement.
The Processing Agreement is for a fixed term of five years, with annual renewals
thereafter (unless either party elects to terminate).

Contemporaneously,  to ensure a close working  relationship between the parties,
on July 17, 1998 the Company granted to Medic a warrant (the "Medic Warrant") to
acquire  1,250,000 shares of the Company's common stock, at a per share exercise
price equal to the price of the common stock to the public in the IPO or, in the
event that the IPO is not completed by March 31, 1999 at an exercise price equal
to $8 per  share.  The Medic  Warrant  vests  over a two year  period and may be
exercised  up to five years  after  issuance.  The Medic  Warrant  was valued at
$2,537,000 using the Black-Scholes Option Pricing Model and is recorded in other
assets.  The Medic Warrant is being  amortized  over the life of the  Processing
Agreement,  five years.  The Medic Warrant contains  customary  weighted average
antidilution  provisions.  The Company and certain  principal  stockholders have
agreed that  following  the  completion  of the IPO and until the earlier of the
termination  of the  Processing  Agreement or the  disposition  by Medic and its
affiliates  of at least 25% of the  shares of common  stock  issuable  under the
Medic  Warrant,  Medic  shall have the right to  designate  one  director to the
Company's Board of Directors. Medic has not yet named a designee.

                                      F-18

<PAGE>

               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                 CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

12. OTHER INCOME

In February 1997, the Company exercised 26,712 options to purchase common shares
of First Data Corporation and subsequently sold the common shares resulting in a
pre-tax  gain of $885,000.  Such options were issued to former  employees of the
Company  prior to the Spin-off but reverted to the Company upon the  termination
of these employees.

13. RESTATEMENT

Subsequent to the issuance of the Company's  consolidated  financial  statements
for the fiscal year ended 1998, the Company's management  determined that it was
necessary to revise the valuation of the  write-off of  in-process  research and
development incurred in connection with the TCS acquisition in February 1997. As
a result, the Company's financial statements for the fiscal years ended June 30,
1997 and 1998 have been restated from the amounts  previously  reported in order
to reflect the effects of the adjustment to the write-off of in-process research
and development.  Such write-off,  which occurred during the year ended June 30,
1997,  was reduced from  $4,354,000  to  $1,556,000.  As a result,  goodwill was
increased by $2,798,000. The effect of the restatement is as follows:

<TABLE>
<CAPTION>
                                                                 1997                             1998
                                                    -------------------------------   -----------------------------
                                                     AS PREVIOUSLY                     AS PREVIOUSLY
                                                        REPORTED       AS RESTATED       REPORTED       AS RESTATED
                                                    ---------------   -------------   --------------   ------------
                                                                 (IN THOUSANDS, EXCEPT PER SHARE DATA)
<S>                                                 <C>               <C>             <C>              <C>
   
AT JUNE 30:
 Goodwill .......................................      $  24,834        $  27,465       $  32,522       $  34,753
 Accumulated deficit ............................        (47,839)         (45,208)        (52,474)        (50,243)

FOR THE YEAR ENDED JUNE 30:
 Depreciation and amortization ..................          5,293            5,460           6,743           7,143
 Acquired in-process research and development              4,354            1,556              --              --
 Net loss .......................................        (11,464)          (8,833)         (4,635)         (5,035)
 Net loss applicable to common stockholders .....        (13,864)         (11,233)         (7,035)         (7,435)
 Basic and diluted net loss per common share.....      $   (2.56)       $   (2.07)      $   (1.24)      $   (1.31)
</TABLE>
    

14. SUBSEQUENT EVENTS

   
a. Acquisition  -- In October  1998,  the Company  acquired all the  outstanding
   shares of capital stock of Healthcare  Interchange  Inc. ("HII") a St. Louis,
   Missouri-based  provider of EDI transaction  processing services to hospitals
   and  physician  groups  in  Missouri,  Kansas  and  Illinois.  Prior  to  the
   acquisition of HII, two unrelated  healthcare services  divisions,  Intercare
   and  Telemedical,  were divested from HII in separate  transactions.  HII was
   purchased for a total cash payment of  approximately  $11,718,000,  including
   transaction  expenses  and was  financed  with  borrowings  under the  Credit
   Facility.  The acquisition will be accounted for under the purchase method of
   accounting.
    

   The  following  unaudited pro forma  information  for the year ended June 30,
   1998 includes the  operations of the Company,  inclusive of the operations of
   both Stockton and HII as if the acquisitions had occurred as of July 1, 1997.
   The pro forma  information  for the three  months  ended  September  30, 1998
   includes the operations of the Company, inclusive of the operations of HII as
   if the acquisition  had occurred at July 1, 1997. This pro forma  information
   gives effect to the amortization  expense  associated with goodwill and other
   intangible assets acquired,  adjustments  related to the fair market value of
   the assets and liabilities acquired interest expense related to financing the
   acquisitions,  and related income tax effects. The allocation of the purchase
   price is  preliminary  and  subject to change upon  review by  management  of
   additional  evidence  relating  to the fair  value  of  assets  acquired  and
   liabilities  assumed at the closing date.  Adjustments  to the purchase price
   allocation,  if any,  would likely  relate to amounts  assigned to intangible
   assets.

                                      F-19

<PAGE>

               MEDE AMERICA CORPORATION AND SUBSIDIARIES NOTES TO
                 CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

<TABLE>
<CAPTION>
                                                      YEAR ENDED      THREE MONTHS ENDED
                                                    JUNE 30, 1998     SEPTEMBER 30, 1998
                                                   ---------------   --------------------
                                                               (IN THOUSANDS)
<S>                                                <C>               <C>
   
  Revenues .....................................      $ 48,880             $ 13,318
                                                      ========             ========
  Income (loss) from operations ................        (1,034)                  44
                                                      ========             ========
  Net loss .....................................        (5,695)              (1,245)
                                                      ========             ========
  Net loss applicable to common stock ..........        (8,095)              (1,845)
                                                      ========             ========
  Basic and diluted net loss per share .........         (1.43)               (0.32)
                                                      ========             ========
</TABLE>
b. Proposed Credit Facility -- On January 8, 1999, the Company received a letter
   from the lender under the Credit Facility undertaking to provide a new credit
   facility  in the  amount of $25  million  (the  "Proposed  Credit  Facility")
   subject to a number of conditions  including the  satisfactory  completion by
   the  lender  of  its  due  diligence  review  of  the  Company's  operations,
   negotiation  of  mutually  satisfactory  documentation  and  approval  by the
   lender's  commitment  committee.  The letter  contemplates  that the Proposed
   Credit  Facility  will not be  guaranteed  by any  third  party,  but will be
   secured by  substantially  all of the Company's assets including the stock of
   the Company's subsidiaries.
    

                                      F-20

<PAGE>

                         INDEPENDENT AUDITORS' REPORT

To the Board of Directors and Stockholder of
The Stockton Group, Inc.:

We have audited the accompanying statement of income of The Stockton Group, Inc.
(the  "Company") for the year ended June 30, 1997.  This financial  statement is
the responsibility of the Company's management. Our responsibility is to express
an opinion on this financial statement based on our audit.

We conducted our audit in accordance with generally accepted auditing standards.
Those standards  require that we plan and perform the audit to obtain reasonable
assurance   about   whether  the   statement  of  income  is  free  of  material
misstatement.  An audit includes examining, on a test basis, evidence supporting
the amounts and  disclosures in the statement of income.  An audit also includes
assessing the  accounting  principles  used and  significant  estimates  made by
management,  as well as evaluating the overall statement of income presentation.
We believe that our audit of the statement of income provides a reasonable basis
for our opinion.

In our  opinion,  such  statement  of income  presents  fairly,  in all material
respects,  the results of  operations of the Company for the year ended June 30,
1997 in conformity with generally accepted accounting principles.



DELOITTE & TOUCHE LLP



Charlotte, North Carolina
October 7, 1997

                                      F-21

<PAGE>

                           THE STOCKTON GROUP, INC.
                              STATEMENTS OF INCOME
                 YEAR ENDED JUNE 30, 1997 AND THE THREE MONTHS
                     ENDED SEPTEMBER 30, 1997 (UNAUDITED)

<TABLE>
<CAPTION>
                                                      YEAR ENDED      THREE MONTHS ENDED
                                                    JUNE 30, 1997     SEPTEMBER 30, 1997
                                                   ---------------   -------------------
                                                                         (UNAUDITED)

<S>                                                <C>               <C>
REVENUES .......................................    $  3,801,953         $1,056,748
OPERATING EXPENSES:
 Operations ....................................        (563,295)          (137,495)
 Sales, marketing, and client services .........        (899,366)          (203,133)
 Research and development ......................        (103,153)           (24,405)
 General and administrative ....................        (159,517)           (72,425)
 Non-cash stock compensation (Note 4) ..........      (1,280,000)                --
 Depreciation and amortization .................        (109,336)           (37,411)
                                                    ------------         ----------
   Total operating expenses ....................      (3,114,667)          (474,869)
                                                    ------------         ----------
INCOME FROM OPERATIONS .........................         687,286            581,879
INTEREST EXPENSE ...............................        (111,260)           (22,574)
OTHER INCOME ...................................          11,229              8,020
                                                    ------------         ----------
NET INCOME (Note 1) ............................    $    587,255         $  567,325
                                                    ============         ==========
</TABLE>

                       See notes to financial statement.

                                      F-22

<PAGE>

                            THE STOCKTON GROUP, INC.
                         NOTES TO FINANCIAL STATEMENT

              YEAR ENDED JUNE 30, 1997 AND THE THREE MONTHS ENDED
                         SEPTEMBER 30, 1997 (UNAUDITED)
(INFORMATION  AS  IT  RELATES  TO  THE  THREE MONTHS ENDED SEPTEMBER 30, 1997 IS
                                  UNAUDITED)

1. DESCRIPTION OF BUSINESS AND SUMMARY OF SIGNIFICANT
   ACCOUNTING POLICIES

Description  of  Business -- The  Stockton  Group,  Inc.  (the  "Company"),  was
incorporated  as an S Corporation  in the State of South  Carolina in July 1993.
The Company  provides  computer-based  prescription  drug claims  processing  to
Pharmaceutical  Benefit  Managers  ("PBMs"),  Health  Maintenance  Organizations
("HMOs"),   Preferred  Provider  Organizations  ("PPOs"),  insurance  companies,
Third-Party  Administrators  ("TPAs"),  self-insured employers, and Taft-Hartley
Funds.  The Company's  services  range from claims  processing  to  full-service
program  management,  including  eligibility  verification,  drug  coverages and
exclusions,  concurrent  utilization review, drug pricing  verification,  supply
limitations and other applicable plan design requirements.  The Company supports
a network of over 40,000 pharmacies nationwide.

In addition to claims  processing fees, the Company receives rebate revenue from
drug manufacturers for prescription drug transactions that are processed through
the Company's system.

Use of Estimates in the  Preparation of Financial  Statements -- The preparation
of  financial  statements  in  conformity  with  generally  accepted  accounting
principles requires management to make estimates and assumptions that affect the
reported  amounts of assets and liabilities and disclosure of contingent  assets
and liabilities at the date of the financial statements and the reported amounts
of revenues and expenses  during the  reporting  period.  Actual  results  could
differ from those estimates.

Major Customers -- For the year ended June 30, 1997,  three customers  accounted
for approximately 15%, 12% and 10%, respectively, of total revenues.

Revenue Recognition -- Revenue from prescription drug claims processing services
and  rebates  from drug  manufacturers  are  recognized  when the  services  are
delivered.

Property  and  Equipment  -- Property and  equipment  is  depreciated  using the
double-declining  balance method over the estimated  useful lives of the related
assets.  Assets under capital  leases are  depreciated  using the  straight-line
method over the lease term.

Income Taxes -- The Company has elected to be taxed as an S Corporation,  and as
such its income is included in the current  taxable  income of its  stockholder.
Accordingly, no provision has been made in the accompanying financial statements
for federal or state income taxes.

Unaudited  Interim  Financial  Statement  -- In the opinion of  management,  the
unaudited  statement of income for the three months ended  September 30, 1997 is
presented  on a basis  consistent  with the  audited  statement  of  income  and
reflects  all  adjustments,  consisting  of only normal  recurring  adjustments,
necessary  for a fair  presentation  of the  results  thereof.  The  results  of
operations  for the three months  ended  September  30, 1997 is not  necessarily
indicative of the results to be expected for the entire year.

2. NOTE PAYABLE TO STOCKHOLDER

The Company had a note  payable to  stockholder  with an  outstanding  principal
balance of $359,621 at June 30, 1997.  The note bore interest at a rate of prime
plus .25% (8.75% at June 30, 1997).

3. LEASE COMMITMENTS

The Company leased certain  equipment under operating leases expiring at various
dates  through  April  2000.  Rent  expense for the year ended June 30, 1997 was
approximately $12,000.

                                      F-23

<PAGE>

                            THE STOCKTON GROUP, INC.
                   NOTES TO FINANCIAL STATEMENT - (CONTINUED)

In addition,  the Company  leased its office  facility and certain  computer and
office  equipment under capital lease  arrangements  with interest rates ranging
from 14.5% to 25%,  expiring  through July 2011. The lease  arrangement  for the
office  facility was with a corporation in which the Company's sole  stockholder
holds an ownership interest.

4. STOCK-BASED COMPENSATION ARRANGEMENTS

During 1994,  the Company  granted a key  employee  the right to acquire  common
stock equivalent to a 25% equity ownership in the Company at no cost. The shares
have not yet  been  issued.  At the  date of the  grant,  the  Company  recorded
compensation  cost equal to the fair market value of shares to be awarded to the
executive.

During 1997, the Company  entered into an employment  agreement with another new
key executive. Among other things, the agreement granted the executive the right
to acquire a 10% equity  ownership  in the Company at a nominal cost ($1.00) or,
if the Company is sold within one year, to receive 10% of the sales  proceeds as
defined.  Accordingly, the Company has recorded compensation cost in 1997, equal
to the estimated  cash  settlement  to be paid to the  executive  based upon the
anticipated proceeds from the sale of the Company. (See Note 5).

5. SUBSEQUENT EVENT

In November 1997, the Company sold certain computer equipment, intangible assets
and the operations of the Company to MEDE America Corporation.  All other assets
and liabilities remained with the Company. The purchase price was $10,400,000 in
cash. In addition,  the purchase agreement requires additional  consideration of
up to  $2,600,000  (plus  interest  at an  annual  rate of  7.25%) to be paid if
Stockton's  revenue  during the 12-month  period ended  September 30, 1998 is at
least $5,000,000.

                                    ******

                                      F-24

<PAGE>

                         INDEPENDENT AUDITORS' REPORT

The Board of Directors
Healthcare Interchange, Inc.:

We have  audited  the  accompanying  consolidated  balance  sheet of  Healthcare
Interchange,  Inc. and subsidiary (Company) as of June 30, 1998, and the related
consolidated statements of operations,  stockholders' equity (deficit), and cash
flows  for the  nine-month  period  ended  June  30,  1998.  These  consolidated
financial  statements are the  responsibility of the Company's  management.  Our
responsibility  is  to  express  an  opinion  on  these  consolidated  financial
statements based on our audit.

We conducted our audit in accordance with generally accepted auditing standards.
Those standards  require that we plan and perform the audit to obtain reasonable
assurance  about  whether  the  consolidated  financial  statements  are free of
material  misstatement.  An audit includes examining,  on a test basis, evidence
supporting  the amounts and  disclosures in the financial  statements.  An audit
also includes assessing the accounting principles used and significant estimates
made by  management,  as well as  evaluating  the  overall  financial  statement
presentation.  We believe  that our audit  provides a  reasonable  basis for our
opinion.

As described in notes 3 and 15, on October 30, 1998,  the Company  completed the
sale of it financial  transactions  business to MEDE America and the disposal of
the  assets  and  operations  of  the  discontinued  Telemedical  and  Intercare
segments.

In our opinion, the consolidated  financial statements referred to above present
fairly,  in  all  material  respects,   the  financial  position  of  Healthcare
Interchange,  Inc. and  subsidiary as of June 30, 1998, and the results of their
operations and their cash flows for the  nine-month  period ended June 30, 1998,
in conformity with generally accepted accounting principles.

   
                                                           KPMG Peat Marwick LLP
    

St. Louis, Missouri
September 8, 1998, except as to notes 3 and 15,
which is as of October 30, 1998

                                      F-25

<PAGE>

                   HEALTHCARE INTERCHANGE, INC. AND SUBSIDIARY
                           CONSOLIDATED BALANCE SHEETS

<TABLE>
<CAPTION>
                                                                                 JUNE 30,       SEPTEMBER 30,
                                                                                   1998             1998
                                                                             ---------------   --------------
                                                                                                 (UNAUDITED)
<S>                                                                          <C>               <C>
ASSETS
Current assets:
 Cash and cash equivalents ...............................................    $    140,042      $     38,083
 Service accounts receivable, less allowance for doubtful accounts of
   $30,709 and $32,207 (unaudited), respectively..........................         616,044           556,025
 Due from stockholders ...................................................         105,483           104,505
 Inventories .............................................................          13,286            12,822
 Net current assets of discontinued operations ...........................         236,772           243,960
 Prepaid expenses ........................................................          62,472            16,929
                                                                              ============      ============
      Total current assets ...............................................       1,174,099           972,324
Property, equipment and computer software, net ...........................         611,578           576,559
Other assets .............................................................          26,246            25,537
Net non-current assets of discontinued operations ........................         176,455           176,455
                                                                              ============      ============
                                                                              $  1,988,378         1,750,875
                                                                              ============      ============
LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIT)
Current liabilities:
 Revolving credit facilities .............................................    $  2,260,000      $  2,260,000
 Notes payable ...........................................................          73,751            64,701
 Accounts payable ........................................................       1,162,125           956,320
 Accounts payable to stockholders ........................................         151,705           183,376
 Dividends payable .......................................................          70,313            93,750
 Accrued expenses and other liabilities ..................................         865,935           612,745
                                                                              ============      ============
      Total current liabilities ..........................................       4,583,829         4,170,892
                                                                              ============      ============
Stockholders' equity (deficit):
 Cumulative redeemable convertible preferred stock, $1 par value; ........
   62,500 shares authorized, issued, and outstanding .....................          62,500            62,500
   Common stock:
    Class A - $1 par value; 66,250 shares authorized, 35,000 shares
      issued and outstanding .............................................          35,000            35,000
    Class B - $1 par value; 66,250 shares authorized, 35,000 shares
      issued and outstanding .............................................          35,000            35,000
    Class C - $1 par value; 30,000 shares authorized, 20,001 shares
      issued and outstanding .............................................          20,001            20,001
    Additional paid-in capital ...........................................       3,016,898         2,993,461
    Accumulated deficit ..................................................      (5,764,850)       (5,565,979)
                                                                              ============      ============
      Total stockholders' equity (deficit) ...............................      (2,595,451)       (2,420,017)
                                                                              ============      ============
                                                                              $  1,988,378      $  1,750,875
                                                                              ============      ============
</TABLE>

         See accompanying notes to consolidated financial statements.

                                      F-26
<PAGE>

                  HEALTHCARE INTERCHANGE, INC. AND SUBSIDIARY
                     CONSOLIDATED STATEMENTS OF OPERATIONS
<TABLE>
<CAPTION>
                                                                            NINE-MONTH         THREE-MONTH
                                                                           PERIOD ENDED        PERIOD ENDED
                                                                          JUNE 30, 1998     SEPTEMBER 30, 1998
                                                                         ---------------   -------------------
                                                                                               (UNAUDITED)
<S>                                                                      <C>               <C>
Revenues:
 Claims service revenue ..............................................    $  2,814,030         $1,032,672
 Claim service revenue from stockholders .............................         843,787            258,506
 Other revenue .......................................................          69,137             20,597
                                                                          ------------         ----------
                                                                             3,726,954          1,311,775
                                                                          ------------         ----------
Operating expenses:
 Operating expenses ..................................................       1,285,832            479,003
 Sales, marketing and client service .................................         993,512            263,320
 General and administrative ..........................................         752,033            248,032
 Depreciation and amortization .......................................         131,806             43,761
 Provision for doubtful accounts .....................................           2,000             14,896
                                                                          ------------         ----------
                                                                             3,165,183          1,049,012
                                                                          ------------         ----------
   Operating income ..................................................         561,771            262,763
Interest expense .....................................................         148,213             63,892
                                                                          ------------         ----------
   Income from continuing operations .................................         413,558            198,871
Discontinued operations:
 Loss from operations of discontinued segments .......................      (2,026,784)                --
 Loss on disposal of segments (including $342,971 for operating losses
   during phase-out period) ..........................................      (2,073,601)                --
                                                                          ------------         ----------
   Net income (loss) .................................................      (3,686,827)           198,871
   Preferred stock dividends declared ................................         (70,313)           (23,437)
                                                                          ------------         ----------
   Net income (loss) attributable to common stockholders .............    $ (3,757,140)        $  175,434
                                                                          ============         ==========
</TABLE>
          See accompanying notes to consolidated financial statements.

                                      F-27
<PAGE>

                  HEALTHCARE INTERCHANGE, INC. AND SUBSIDIARY
           CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY (DEFICIT)
                   NINE-MONTH PERIOD ENDED JUNE 30, 1998 AND
            THREE-MONTH PERIOD ENDED SEPTEMBER 30, 1998 (UNAUDITED)

<TABLE>
<CAPTION>
                                                                COMMON STOCK
                                               PREFERRED -----------------------------
                                                STOCK     CLASS A   CLASS B   CLASS C
                                             ----------- --------- --------- ---------
<S>                                          <C>         <C>       <C>       <C>
Balance, September 30, 1997 ................   $62,500    $35,000   $35,000   $20,001
Preferred stock dividends declared .........        --         --        --        --
Net loss ...................................        --         --        --        --
                                               -------    -------   -------   -------
Balance, June 30, 1998 .....................    62,500     35,000    35,000    20,001
Preferred stock dividends declared
 (unaudited) ...............................        --         --        --        --
Net income (unaudited) .....................        --         --        --        --
                                               -------    -------   -------   -------
Balance, September 30, 1998 (unaudited)        $62,500    $35,000   $35,000   $20,001
                                               =======    =======   =======   =======

<CAPTION>
                                                                                  TOTAL
                                               ADDITIONAL                     STOCKHOLDERS'
                                                PAID-IN       ACCUMULATED        EQUITY
                                                CAPITAL         DEFICIT         (DEFICIT)
                                             ------------- ---------------- ----------------
<S>                                          <C>           <C>              <C>
Balance, September 30, 1997 ................  $3,087,211     $ (2,078,023)    $  1,161,689
Preferred stock dividends declared .........     (70,313)              --          (70,313)
Net loss ...................................          --       (3,686,827)      (3,686,827)
                                              ----------     ------------     ------------
Balance, June 30, 1998 .....................   3,016,898       (5,764,850)      (2,595,451)
Preferred stock dividends declared
 (unaudited) ...............................     (23,437)              --          (23,437)
Net income (unaudited) .....................          --          198,871          198,871
                                              ----------     ------------     ------------
Balance, September 30, 1998 (unaudited)       $2,993,461     $ (5,565,979)    $ (2,420,017)
                                              ==========     ============     ============
</TABLE>

          See accompanying notes to consolidated financial statements.

                                      F-28

<PAGE>

                   HEALTHCARE INTERCHANGE, INC. AND SUBSIDIARY
                      CONSOLIDATED STATEMENTS OF CASH FLOWS

<TABLE>
<CAPTION>
                                                                            NINE-MONTH         THREE-MONTH
                                                                           PERIOD ENDED        PERIOD ENDED
                                                                          JUNE 30, 1998     SEPTEMBER 30, 1998
                                                                         ---------------   -------------------
                                                                                               (UNAUDITED)
<S>                                                                      <C>               <C>
Cash flows from operating activities:
 Net income (loss) ...................................................    $ (3,686,827)        $  198,871
 Loss on disposal of segments ........................................       2,073,601                 --
 Adjustments to reconcile  net income  (loss) to net cash  provided by 
   (used in) operating activities:
   Depreciation and amortization .....................................         390,821             43,761
   Provision for doubtful accounts ...................................          40,013             14,896
   Increase (decrease) in cash from changes in assets and liabilities:
    Service accounts receivable ......................................         523,789             37,935
    Due from stockholders ............................................         181,781                978
    Inventories ......................................................         (19,378)               464
    Prepaid expenses .................................................          32,102             45,543
    Accounts payable .................................................         819,323           (197,571)
    Accrued expenses and other liabilities ...........................          45,013           (229,753)
                                                                          ------------         ----------
      Net cash provided by (used in) operating activities ............         400,238            (84,876)
                                                                          ------------         ----------
Cash flows from investing activities:
 Purchases of property and equipment .................................        (276,548)            (8,742)
 Capitalized software development expenditures .......................        (293,442)                 -
 Other non-current assets ............................................           1,297                709
                                                                          ------------         ----------
      Net cash used in investing activities ..........................        (568,693)            (8,033)
                                                                          ------------         ----------
Cash flows from financing activities:
 Advances on revolving credit facilities .............................         350,000                 --
 Payments on notes payable ...........................................         (71,490)            (9,050)
 Dividends paid on cumulative convertible preferred stock ............         (23,437)                --
                                                                          ------------         ----------
      Net cash provided by (used in) financing activities ............         255,073             (9,050)
                                                                          ------------         ----------
      Net increase (decrease) in cash and cash equivalents ...........          86,618           (101,959)
Cash and cash equivalents, beginning of period .......................          53,424            140,042
                                                                          ------------         ----------
Cash and cash equivalents, end of period .............................    $    140,042         $   38,083
                                                                          ============         ==========
Noncash investing activities:
 Write-offs of long-term assets due to disposal of segments ..........    $  1,208,989         $       --
 Accrual for operating losses of discontinued segments during
   phase-out period ..................................................         342,971                 --
                                                                          ============         ==========
Supplemental disclosure of cash flow information - cash paid for
 interest ............................................................    $    148,212         $   55,448
                                                                          ============         ==========
</TABLE>

         See accompanying notes to consolidated financial statements.

                                      F-29

<PAGE>

                   HEALTHCARE INTERCHANGE, INC. AND SUBSIDIARY
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

                      JUNE 30, 1998 AND FOR THE NINE-MONTH
                           PERIOD ENDED JUNE 30, 1998

1. ORGANIZATION AND BUSINESS

Healthcare  Interchange,  Inc. was  incorporated in 1991 and began operations in
1992. Healthcare  Interchange,  Inc. and subsidiary (Company) is in the business
of providing  electronic  health data network  services to a national  clientele
through three operating segments; financial transactions, medical televideo, and
intercare.  The financial  transactions  segment processes electronic claims for
health care  providers.  The medical  televideo  segment  develops,  sells,  and
services   televideo  and  minor  medical   equipment  through  a  wholly  owned
subsidiary,   HII  Telemedical  Corp.   (Telemedical).   The  Intercare  segment
(Intercare)  began  operations  in  fiscal  1997,  providing  electronic  claims
processing  and data  analysis  for health care  providers.  Prior to October 1,
1996, Intercare was a development stage enterprise.

   
The consolidated  financial  statements at June 30, 1998 include the accounts of
Healthcare  Interchange,  Inc. and its wholly owned  domestic  subsidiary  after
elimination of intercompany accounts and transactions. The Company's fiscal year
end is September 30.
    

Unaudited Interim Consolidated  Financial Statements -- The consolidated balance
sheet of the  Company as of  September  30,  1998 and the  related  consolidated
statements of operations,  changes in  stockholders'  equity  (deficit) and cash
flows for the  three-month  period  ended  September  30,  1998  included in the
accompanying consolidated financial statements, which are unaudited, include the
accounts of Healthcare Interchange,  Inc. and its wholly-owned  subsidiary.  All
significant intercompany accounts have been eliminated in consolidation.  In the
opinion of management, all adjustments necessary for a fair presentation of such
financial  statements  have been  included.  Adjustments  consist only of normal
recurring items.

2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

a. Cash and Cash  Equivalents -- The Company  considers  cash  equivalents to be
   securities  held for cash management  purposes having original  maturities of
   three months or less at the time of investment.

b. Inventories -- Inventories are stated at the lower of cost or market. Cost is
   determined principally using the specific identification method.  Inventories
   at June 30, 1998 are comprised principally of raw materials.

c. Property, Equipment and Computer Software -- Property, equipment and computer
   software are carried at cost.  Depreciation  and  amortization  is calculated
   using the straight-line method over the estimated useful lives of the assets.
   Leasehold  improvements  are amortized  over the shorter of the lease term or
   estimated  useful  life of the  asset.  Costs  associated  with the  internal
   development  of  software  are  capitalized   once  the   marketability   and
   technological feasibility of the software have been established.

   The  property,  equipment  and  computer  software  are  depreciated  on  the
   straight-line basis over the following useful lives:

<TABLE>
<CAPTION>
                                                               YEARS
                                                               ------
<S>                                                            <C>
            Building .......................................     28
            Leasehold improvements .........................     10
            Furniture ......................................      7
            Communications equipment .......................      5
            Computers and data handling equipment ..........      5
            Purchased computer software ....................      5
            Developed computer software ....................      3
</TABLE>

                                      F-30

<PAGE>

                   HEALTHCARE INTERCHANGE, INC. AND SUBSIDIARY
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

d. Income Taxes -- Deferred tax assets and  liabilities  are  recognized for the
   estimated  future tax  consequences  attributable to differences  between the
   financial  statement  carrying amounts of existing assets and liabilities and
   their respective tax bases.  Deferred tax assets and liabilities are measured
   using enacted tax rates in effect for the year in which those differences are
   expected to be recovered or settled.

e. Revenue  Recognition -- The Company  recognizes  revenue from the sale of its
   services in the period that the services are delivered or provided.  Unearned
   income on service contracts is amortized by the straight-line method over the
   term of the contracts.

   Revenue from the sale of the  Company's  products is recognized in the period
   that the products are shipped to the customers.

f. Stock-Based  Compensation  -- The Company  uses the  intrinsic  value  method
   prescribed by Accounting  Principles  Board  Opinion No. 25,  Accounting  for
   Stock Issued to Employees (APB 25), and related interpretations in accounting
   for its stock options. The Company has adopted the pro forma disclosures-only
   provisions  of Statement of Financial  Accounting  Standards  (SFAS) No. 123,
   Accounting for Stock-Based Compensation.

g. Use of Estimates -- The  preparation  of financial  statements  in conformity
   with generally accepted  accounting  principles  requires  management to make
   estimates  and  assumptions  that affect the  reported  amounts of assets and
   liabilities  and disclosure of contingent  assets and liabilities at the date
   of the financial  statements.  Estimates also affect the reported  amounts of
   revenues and expenses during the period. Actual results may differ from those
   estimates.

3. DISCONTINUED OPERATIONS

   In  fiscal  1999,  the  Company's  Board  of  Directors  approved  a plan  to
   discontinue the operations of its Televideo and Intercare operating segments;
   and on September  17, 1998,  signed a letter of intent to sell  substantially
   all the  assets  of the  financial  transactions  business  to  MEDE  America
   Corporation (MEDE America). See note 15.

   The Company's  consolidated  financial statements as of June 30, 1998 and for
   the  nine-month  period then ended  include a charge of $2,073,601 to provide
   for an  after-tax  loss  on the  disposal  of  the  discontinued  operations,
   including estimated operating losses of $342,971 through the expected date of
   disposal.

   Operating results for the nine-month period ended June 30, 1998 and financial
   position  as of June 30, 1998 of the  discontinued  segments  are  summarized
   below:

   Results of operations:

                                                    NINE-MONTH PERIOD
                                                   ENDED JUNE 30, 1998
                                                  --------------------
      Net revenues ..............................     $    528,552
      Loss from discontinued operations .........       (4,100,385)
                                                      ============

     Financial position:

                                                          AS OF
                                                      JUNE 30, 1998
                                                      --------------
       Current:
        Accounts receivable, net ................        $ 162,271
        Inventories .............................           74,501
                                                         ---------
                                                         $ 236,772
                                                         =========
        Non-current - property, equipment and            $ 176,455
        computer software, net .........                 =========


                                      F-31

<PAGE>

                   HEALTHCARE INTERCHANGE, INC. AND SUBSIDIARY
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)


4. SERVICE ACCOUNTS RECEIVABLE

A summary of activity in the allowance for doubtful  accounts of the  continuing
operations  of the  Company  for the  nine-month  period  ended June 30, 1998 is
summarized as follows:

<TABLE>
<S>                                                <C>
       Balance at beginning of period ..........    $  52,238
       Provision for doubtful accounts .........        2,000
       Accounts written-off ....................      (23,529)
                                                    ---------
       Balance at end of period ................    $  30,709
                                                    =========
</TABLE>

5. PROPERTY, EQUIPMENT AND COMPUTER SOFTWARE

   Property, equipment and computer software of the continuing operations of the
   Company as of June 30, 1998 are as follows:

<TABLE>
<S>                                                               <C>
       Land ...................................................   $   7,652
       Building ...............................................      30,610
       Leasehold improvements .................................      64,220
       Furniture ..............................................     453,499
       Communications equipment ...............................     165,127
       Computers and data handling equipment ..................     436,435
       Computer software ......................................     160,724
                                                                  ---------
                                                                  1,318,267
       Less accumulated depreciation and amortization .........     706,689
                                                                  ---------
                                                                  $ 611,578
                                                                  =========
</TABLE>

6. REVOLVING CREDIT FACILITIES

On November 4, 1996, the Company entered into a revolving credit facility with a
local bank which allows the Company to borrow up to a maximum of  $750,000.  The
revolving  credit facility bears interest at a fixed prime plus 1% (9.5% at June
30,  1998)  and  requires  monthly  payments  of  interest.  The due date on the
revolving credit facility has been extended from the original  December 31, 1997
due date and is now due on October 31, 1998. The average outstanding  borrowings
on the revolving credit facility  arrangement was $750,000 at a weighted average
interest  weight of 9.6% for the  nine-month  period  ended June 30,  1998.  The
revolving credit facility had a balance of $750,000 at June 30, 1998.

On November 4, 1996, the Company entered into a revolving credit facility with a
local bank which allows the Company to borrow up to a maximum of  $500,000.  The
revolving  credit  facility  bears  interest at a fixed prime less 0.5% (8.0% at
June 30, 1998) and requires monthly  payments of interest,  with the balance due
on November 4, 1998. The average outstanding  borrowings on the revolving credit
facility  was  $500,000 at a weighted  average  interest  weight of 8.1% for the
nine-month  period  ended June 30, 1998.  The  revolving  credit  facility had a
balance of $500,000 at June 30, 1998.

On June 4, 1997,  the Company  entered into a revolving  credit  facility with a
local bank which allows the Company to draw up to a maximum of  $2,500,000.  The
revolving  credit facility bears an interest rate of prime less 0.625% (7.88% at
June 30,  1998),  requires  monthly  payments  of  interest,  and is  secured by
substantially  all assets of the Company  with the  balance due on December  31,
1999. The average out-

                                      F-32

<PAGE>

                   HEALTHCARE INTERCHANGE, INC. AND SUBSIDIARY
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

standing borrowings on the revolving credit facility was approximately  $877,000
at a weighted average interest rate of 8.0% for the nine-month period ended June
30, 1998. The revolving  credit facility had a balance of $1,010,000 at June 30,
1998.

As of June 30,  1998,  the  carrying  value of the  Company's  revolving  credit
facilities   approximated  fair  value  based  upon  borrowing  rates  currently
available for debt instruments with similar remaining terms and maturities.  The
Company's  $750,000  revolving  credit facility and notes payable are secured by
substantially  all of the  Company's  assets.  Additionally,  the  $500,000  and
$2,500,000  revolving  credit  facilities are guaranteed by two of the Company's
stockholders.

The Company's commitment agreement with the local bank for the notes payable and
revolving credit  facilities  contains  restrictive  covenants which include the
maintenance of minimum  tangible net worth,  as defined,  and certain  financial
ratios.  The Company  failed to meet  certain  covenant  requirements  which has
placed  the  Company  in  technical  default.   Consequently,  the  Company  has
classified the entire outstanding  balance of borrowings under the notes payable
and revolving credit facilities as a current liability.

7. NOTES PAYABLE

On February 28, 1995,  the Company  entered into a $300,000  note payable with a
local bank.  The note was paid in full by the Company in February 1998. The note
payable accrued  interest at a fixed rate of 9.0% and required  monthly payments
of principal and interest.

On May 30, 1995,  the Company  entered into a $170,000 note payable with a local
bank.  The note  bears  interest  at a fixed  rate of  9.75%,  requires  monthly
payments of principal and interest, with the balance due on May 30, 2000, and is
secured  by  substantially  all  assets of the  Company.  The note is payable on
demand, and accordingly,  is classified as a current  liability.  The balance at
June 30, 1998 was $73,751.

8. RELATED PARTY TRANSACTIONS

During the  nine-month  period ended June 30, 1998,  two  stockholders  provided
network  and other  services  to the  Company.  Total  expenses  incurred by the
Company for these  services  totaled  approximately  $116,000 for the nine-month
period ended June 30, 1998.  At June 30,  1998,  the Company owed  approximately
$152,000, to these stockholders for such services.

Revenue received from services  provided to stockholders  totaled  approximately
$844,000 for the nine-month  period ended June 30, 1998.  Due from  stockholders
represents amounts receivable for services provided to the stockholders.

9. LEASE COMMITMENTS

The Company  leases  certain  office space and  equipment  under  various  lease
agreements.  Rent expense of the  continuing  operations of the Company  totaled
$183,291 for the nine-month period ended June 30, 1998.

Future  minimum  lease  payments  under  noncancellable  operating  leases  with
maturities  in  excess  of one year  related  to  continuing  operations  are as
follows:
                                                 
                     1999 ...........    $238,240
                     2000 ...........     240,133
                     2001 ...........     212,320
                     2002 ...........     208,969
                     2003 ...........     199,460
                     Thereafter .....     395,841
                                          =======
                              
                                      F-33

<PAGE>

                   HEALTHCARE INTERCHANGE, INC. AND SUBSIDIARY
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
                              

10. STOCKHOLDERS' EQUITY

Each share of cumulative  convertible preferred stock (Preferred Stock) held and
issuable to common holders requires a $1.50 annual dividend.  Preferred Stock is
redeemable,  at the option of the Company, for cash of $24 per share plus unpaid
dividends quarterly. Each share of Preferred Stock is convertible, at the option
of the  holder,  into a share of common  stock  (the  class of common  stock the
holder  already  owns)  upon  change  in  control  of the  Company  or  sale  of
substantially all the Company's assets, as defined in the Company's  Articles of
Incorporation.  The Company has  reserved  31,250  shares of Class A and Class B
common stock for the purpose of effecting the conversion of the Preferred Stock.

Pursuant to an agreement between all stockholders and the Company, all preferred
and common stock  outstanding is subject to certain  restrictions on disposition
and transfer.  The stockholder  agreement  requires that stockholders must first
offer shares to be sold or transferred to other stockholders  and/or the Company
in accordance with terms specified in the stockholder agreement.

11. EMPLOYEE STOCK OPTION PLANS

1994 Stock  Option  Plan -- On March 22,  1994,  the Board of  Directors  of the
Company  adopted  the 1994 Stock  Option  Plan  (1994  Plan)  pursuant  to which
incentive stock options may be granted to employees or directors. Under the 1994
Plan,  options to purchase  12,000 shares of Class C common stock may be granted
for a term not to exceed 10 years (five years with respect to a stockholder  who
owns more than 10% of the  capital  stock of the  Company)  and must be  granted
within 10 years from the date of adoption of the 1994 Plan.  The exercise  price
of all stock  options  must be at least equal to the fair market  value (110% of
fair market value for a stockholder  who owns more than 10% of the capital stock
of the Company) of the shares on the date granted.

1997 Stock Option Plan -- On October 30, 1997, the Company's  Board of Directors
adopted a second stock option plan, the 1997 Stock Option Plan (1997 Plan).  The
purpose of the 1997 Plan is to provide additional employee incentives. Under the
1997 Plan, up to 24,000 options to purchase Class C common stock may be granted.
The other significant  provisions under the 1997 Plan are similar to those under
the 1994 Plan, as described above.

Aggregate  information relating to stock option activity under the 1994 Plan and
1997 Plan for the nine-month period ended June 30, 1998 is as follows:

<TABLE>

<S>                                                    <C>
       Number of shares under stock options:
        Outstanding at beginning of period .........       9,999
        Granted ....................................      12,850
                                                          ------
        Outstanding at end of period ...............      22,849
                                                          ======
        Exercisable at end of period ...............       9,999
                                                          ======
       Weighted average exercise price:
        Granted ....................................    $    100
        Outstanding at end of period ...............        66.74
        Exercisable at end of period ...............        24.00
                                                        =========
</TABLE>

Aggregate  information  relating to stock options  outstanding and stock options
exercisable at June 30, 1998 is a follows:

                                      F-34

<PAGE>

                   HEALTHCARE INTERCHANGE, INC. AND SUBSIDIARY
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

OPTIONS OUTSTANDING:

<TABLE>
<CAPTION>
                                       WEIGHTED AVERAGE
                    OUTSTANDING AT        REMAINING
 EXERCISE PRICE      JUNE 30, 1998     CONTRACTUAL LIFE
- ----------------   ----------------   -----------------
<S>                <C>                <C>
    $   24               9,999                6.25
       100              12,850                9.25
    ======              ======                ====
                        22,849
                        ======
</TABLE>

OPTIONS EXERCISABLE:

<TABLE>
<CAPTION>
                                       WEIGHTED AVERAGE
                    OUTSTANDING AT        REMAINING
 EXERCISE PRICE      JUNE 30, 1998     CONTRACTUAL LIFE
- ----------------   ----------------   -----------------
<S>                <C>                <C>
    $   24                  9,999                 3.72
    ======                  =====                 ====
</TABLE>

No  compensation  expense  relating to stock  option  grants was recorded in the
nine-month  period ended June 30, 1998 as the option  exercise prices were equal
to the estimated fair value at the dates of grant.

Pro forma information  regarding loss and loss per share is required by SFAS No.
123,  and has been  determined  as if the  Company had  accounted  for its stock
options under the fair value method of SFAS No. 123. However, the full impact of
calculating  compensation  cost for  stock  options  under  SFAS No.  123 is not
reflected in the pro forma net loss amounts presented below as compensation cost
does not reflect  options granted prior to October 1, 1996 which vest subsequent
to that date. The fair value for options granted in the nine-month  period ended
June 30, 1998 was  estimated at the date of grant using a  Black-Scholes  option
pricing model with the following weighted average assumptions:

<TABLE>
<CAPTION>
                                                      NINE-MONTH PERIOD
                                                    ENDED JUNE 30, 1998
                                                    --------------------
<S>                                                         <C>     
         Risk-free interest rate ................           8.5%    
         Dividend yield .........................           0.0%    
         Volatility factor ......................           0.0%    
         Weighted average expected life .........           10 years
</TABLE>

The Company's pro forma net loss compared to reported amounts are as follows:

<TABLE>
<CAPTION>
                                                                    NINE-MONTH PERIOD
                                                                   ENDED JUNE 30, 1998
                                                                  --------------------
<S>                                                               <C>
       Net loss:
        As reported ...........................................      $  (3,686,827)
        Pro forma .............................................         (3,783,647)
       Weighted average fair value per share of options granted
        during the year .......................................               56.31
</TABLE>

12. EMPLOYEE BENEFIT PLAN

The Company  maintains a qualified,  contributory,  401(k)  profit-sharing  plan
covering  substantially  all  employees.  Employees  are  allowed to  contribute
between  1% and  15% of  their  compensation  to the  plan,  not to  exceed  the
statutory maximum.  The plan provides for contributions by the Company of 50% of
the  first 6% of an  employee's  salary  deferral.  The plan also  provides  for
discretionary contributions

                                      F-35

<PAGE>

                   HEALTHCARE INTERCHANGE, INC. AND SUBSIDIARY
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

by the Company in such amounts as the Board of Directors may annually determine.
There were no discretionary  contributions  made in the nine-month  period ended
June 30, 1998. Expense associated with the plan for continuing operations of the
Company totaled $39,371 for the nine-month period ended June 30, 1998.

13. INCOME TAXES

No provision for income taxes was recorded for the nine-month  period ended June
30,  1998,  as  substantially  all income tax  attributable  to  continuing  and
discontinued  operations  was offset by the  utilization  of net operating  loss
carryforwards.

The  difference  between the  effective  income tax rate  applied to income from
continuing  operations  for financial  statement  purposes and the U.S.  federal
income  tax rate of 34% for the  nine-month  period  ended  June 30,  1998 is as
follows:

<TABLE>
<S>                                                      <C>
         Expected provision at statutory rate ..........  $  140,610
         Nondeductible meals and entertainment .........       9,894
         State income taxes ............................       5,624
         Change in valuation allowance .................    (156,128)
                                                          ----------
                                                          $       --
                                                          ==========
</TABLE>

The tax effects of  temporary  differences  that give rise to the  deferred  tax
assets and liability as of June 30, 1998 are as follows:

<TABLE>
<CAPTION>
                                                                  CURRENT         NONCURRENT
                                                               -------------   ---------------
<S>                                                            <C>             <C>
     Deferred tax assets:
       Net operating loss carryforwards ....................    $       --      $  1,362,687
       Provision for doubtful accounts .....................        11,669                --
       Deferred income .....................................        21,563                --
       Loss on discontinued operations .....................       787,968                --
       Other ...............................................         2,949                --
                                                                ----------      ------------
                                                                   824,149         1,362,687
       Less valuation allowance ............................      (824,149)       (1,332,185)
                                                                ----------      ------------
                                                                        --            30,502
       Deferred tax liability - excess of tax over financial
        statement fixed assets .............................            --           (30,502)
                                                                ----------      ------------
       Net deferred tax asset (liability) ..................    $       --                --
                                                                ==========      ============
</TABLE>

   
SFAS No. 109 requires that a valuation allowance be established for deferred tax
assets if, based on the weight of evidence, it is more likely than not that some
portion or all of the  deferred  tax asset will not be  realized.  The  ultimate
realization  of deferred tax assets is dependent  upon the  generation of future
taxable income during the periods in which those  temporary  differences  become
deductible.   Management  considers  the  scheduled  reversal  of  deferred  tax
liabilities,  projected  future taxable income,  and tax planning  strategies in
making  this  assessment.  The  Company  has  approximately  $3,500,000  of  net
operating loss carryforwards for income tax purposes, which will begin to expire
in the year 2009.
    

14. YEAR 2000

The Year 2000 issue is the result of computer  programs  being written using two
digits  rather than four to define the  applicable  year.  Any of the  Company's
computer programs that have  date-sensitive  software may recognize a "00" date"
as the year 1900 rather than the year 2000. This could result in computer

                                      F-36

<PAGE>

                   HEALTHCARE INTERCHANGE, INC. AND SUBSIDIARY
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)

system failures or miscalculations causing disruptions of operations, including,
among other things, a temporary  inability to process  transactions or engage in
normal business  activities.  The Company has developed a Year 2000  remediation
plan and has begun testing and converting its computer  systems and applications
in order to identify and solve  significant Year 2000 issues.  In addition,  the
Company is  discussing  with its vendors the  possibility  of any  communication
difficulties or other disruptions that may affect the Company.

15. EVENTS SUBSEQUENT TO BALANCE SHEET DATE

Sale of Company's  Capital Stock -- On October 30, 1998,  the Company  completed
the  sale  of  its  financial   transactions  business  to  MEDE  America.  This
transaction was effected through the sale of the Company's capital stock to MEDE
America for cash of $11.6 million. Proceeds from the sale were used as follows:

<TABLE>
<S>                                                                          <C>
     Repayment of borrowings under revolving credit facilities and
       notes payable, including accrued interest .........................    $  2,339,990
     Payment of certain accrued expenses and other liabilities ...........       1,299,982
     Deposit into escrow account related to post-sale contingencies ......         400,000
     Distributions to stockholders .......................................       7,560,028
                                                                              ------------
                                                                              $ 11,600,000
                                                                              ============
</TABLE>

   
Disposition of Discontinued  Operations -- Prior to the closing of the sale, the
Company disposed of the assets and operations of the discontinued  Televideo and
Intercare  segments.  Substantially  all assets and a contract of Televideo were
transferred to a former employee in settlement of a legal action,  and the stock
of the Televideo subsidiary was distributed to the Company's  stockholders.  The
assets and operations of Intercare were sold to Providers Edge  Incorporated,  a
corporation formed by certain former Intercare employees.  The accounts payable,
accrued  liabilities,  and  borrowings  related to Televideo and Intercare  were
retained by the Company.
    

                                      F-37

<PAGE>
<TABLE>
<S>                                                                                  <C>
   
===============================================================================================================
NO  DEALER,  SALESPERSON  OR OTHER  PERSON  HAS BEEN
AUTHORIZED  TO GIVE ANY  INFORMATION  OR TO MAKE ANY
REPRESENTATIONS CONTAINED IN THIS PROSPECTUS AND, IF
GIVEN OR MADE, SUCH  INFORMATION OR  REPRESENTATIONS                                  4,166,667 SHARES
NOT  CONTAINED  HEREIN  MUST NOT BE  RELIED  UPON AS
HAVING BEEN  AUTHORIZED  BY THE COMPANY,  ANY OF THE
UNDERWRITERS OR BY ANY OTHER PERSON. THIS PROSPECTUS                                  [GRAPHIC OMITTED]       
DOES  NOT   CONSTITUTE   AN  OFFER  TO  SELL,  OR  A                                                          
SOLICITATION  OF AN  OFFER  TO BUY,  ANY  SECURITIES                                                          
OTHER  THAN  THE  SHARES  OF  COMMON  STOCK  OFFERED                                                          
HEREBY, NOR DOES IT CONSTITUTE AN OFFER TO SELL OR A                                      MEDE AMERICA        
SOLICITATION   OF  AN   OFFER  TO  BUY  ANY  OF  THE                                      CORPORATION         
SECURITIES  OFFERED  HEREBY,  TO ANY  PERSON  IN ANY                                                          
JURISDICTION IN WHICH IT IS UNLAWFUL TO MAKE SUCH AN                                                          
OFFER OR  SOLICITATION  TO SUCH PERSON.  NEITHER THE                                                          
DELIVERY  OF  THIS  PROSPECTUS  NOR  ANY  SALE  MADE                                                          
HEREUNDER SHALL, UNDER ANY CIRCUMSTANCES  CREATE ANY                              
IMPLICATION THAT THE INFORMATION CONTAINED HEREIN IS                              
CORRECT  AS OF  ANY  DATE  SUBSEQUENT  TO  THE  DATE                              
HEREOF.                                                                           
                                                                                  
                                                                                  
       --------------------------------------                                     
                  TABLE OF CONTENTS                                                      COMMON STOCK         
                                                                                                              
                                                 PAGE                                                         
                                                 ----                               
                                                                                    
Prospectus Summary ............................    3                                
Risk Factors ..................................   10                                
The Company ...................................   18 
Use Of Proceeds ...............................   19                                
Dividend Policy ...............................   19                                
Capitalization ................................   20                                
Dilution ......................................   21                                
Unaudited Pro Forma Consolidated Financial                                          
   Information ................................   22                                
Selected Consolidated Financial Data ..........   28                                
Management's Discussion And Analysis Of                                             
   Financial Condition And Results Of                                             --------------------------  
   Operations .................................   30                                  P R O S P E C T U S   
Business ......................................   44                                             , 1999     
Management ....................................   55                              --------------------------
Certain Transactions ..........................   61                                                        
Principal Stockholders ........................   62                                                        
Description Of Capital Stock ..................   65                                                        
Shares Eligible For Future Sale ...............   68                                                        
Underwriting ..................................   70                                                        
Legal Matters .................................   71                                                        
Experts .......................................   72                               
Additional Information ........................   72                               
Index To Financial Statements .................  F-1                                 SALOMON SMITH BARNEY   
                                                                                    BEAR, STEARNS & CO. INC.
                                                                                    WILLIAM BLAIR & COMPANY 
                  -----------------
    

     UNTIL , 1999  (25 DAYS  AFTER  THE DATE OF THIS
PROSPECTUS)  ALL DEALERS  EFFECTING  TRANSACTIONS IN
THE COMMON STOCK,  WHETHER OR NOT  PARTICIPATING  IN
THIS  DISTRIBUTION,  MAY BE  REQUIRED  TO  DELIVER A
PROSPECTUS. THIS DELIVERY REQUIREMENT IS IN ADDITION
TO THE OBLIGATION OF DEALERS TO DELIVER A PROSPECTUS
WHEN  ACTING AS  UNDERWRITERS  AND WITH  RESPECT  TO
THEIR   UNSOLD    ALLOTMENTS    OR    SUBSCRIPTIONS.
===============================================================================================================
</TABLE>
<PAGE>

                                    PART II
                  INFORMATION NOT REQUIRED IN THE PROSPECTUS

ITEM 13.  OTHER EXPENSES OF ISSUANCE AND DISTRIBUTION

     The following table sets forth the Registrant's expenses in connection with
the issuance and distribution of the securities being registered. Except for the
SEC Registration Fee and the National  Association of Securities  Dealers,  Inc.
("NASD") Filing Fee, the amounts listed below are estimates:

<TABLE>
<S>                                                     <C>
       SEC Registration Fee .........................    $   18,320
       NASD Filing Fee ..............................         6,710
       Nasdaq Listing Fees ..........................             *
       Legal Fees and Expenses ......................       500,000
       Blue Sky Fees and Expenses ...................        10,000
       Accounting Fees and Expenses .................       800,000
       Printing and Engraving .......................       300,000
       Transfer Agent and Register Fees and Expenses.             *
       Miscellaneous ................................             *
                                                         ----------
       Total ........................................    $1,700,000
                                                         ==========
</TABLE>

- ----------
* To be filed by Amendment.

ITEM 14.  INDEMNIFICATION OF DIRECTORS AND OFFICERS

     The  Company's  Amended and  Restated  Certificate  of  Incorporation  (the
"Restated  Certificate") and By-laws provide that the Company shall indemnify to
the fullest extent authorized by the Delaware General  Corporation Law ("DGCL"),
each person who is involved in any litigation or other  proceeding  because such
person is or was a director or officer of the Company or is or was serving as an
officer or director of another entity at the request of the Company, against all
expense,  loss or  liability  reasonably  incurred  or  suffered  in  connection
therewith.  The  Restated  Certificate  and  By-laws  provide  that the right to
indemnification includes the right to be paid expenses incurred in defending any
proceeding in advance of its final  disposition;  provided,  however,  that such
advance  payment  will  only  be  made  upon  delivery  to  the  Company  of  an
undertaking, by or on behalf of the director or officer, to repay all amounts so
advanced if it is  ultimately  determined  that such director is not entitled to
indemnification.  If the Company does not pay a proper claim for indemnification
in full  within  60 days  after a  written  claim  for such  indemnification  is
received by the Company,  the Restated Certificate and Restated Bylaws authorize
the  claimant  to bring  an  action  against  the  Company  and  prescribe  what
constitutes a defense to such action.

     Section 145 of the DGCL permits a corporation  to indemnify any director or
officer  of  the  corporation  against  expenses  (including  attorney's  fees),
judgments, fines and amounts paid in settlement actually and reasonably incurred
in connection with any action,  suit or proceeding brought by reason of the fact
that such person is or was a director or officer of the  corporation,  and, with
respect  to any  criminal  action or  proceeding,  if he or she had no reason to
believe his or her conduct was  unlawful.  In a derivative  action,  (i.e.,  one
brought by or on behalf of the  corporation),  indemnification  may be made only
for  expenses,  actually and  reasonably  incurred by any director or officer in
connection  with the defense or  settlement  of such an action or suit,  if such
person acted in good faith and in a manner that he reasonably believed to be in,
or not  opposed  to,  the best  interests  of the  corporation,  except  that no
indemnification  shall be made if such  person  shall have been  adjudged  to be
liable to the corporation, unless and only to the extent that the court in which
the action or suit was brought shall  determine that the defendant is fairly and
reasonably  entitled to indemnity for such expenses despite such adjudication of
liability.

                                      II-1

<PAGE>

     Pursuant  to  Section  102(b)(7)  of the  DGCL,  the  Restated  Certificate
eliminates the liability of a director to the  corporation  or its  stockholders
for monetary damages for such breach of fiduciary duty as a director, except for
liabilities arising (i) from any breach of the director's duty of loyalty to the
corporation or its  stockholders,  (ii) from acts or omissions not in good faith
or which involve  intentional  misconduct or a knowing  violation of law,  (iii)
under  Section  174 of the DGCL,  or (iv) from any  transaction  from  which the
director derived an improper personal benefit.

     The  Company  expects  to obtain  primary  and  excess  insurance  policies
insuring the directors and officers of the Company against  certain  liabilities
that they may incur in their  capacity as  directors  and  officers.  Under such
policies, the insurers, on behalf of the Company, may also pay amounts for which
the Company has granted indemnification to the directors or officers.

     Additionally,  reference  is made to the  Underwriting  Agreement  filed as
Exhibit 1.1 hereto,  which provides for  indemnification  by the Underwriters of
the Company, its directors and officers who sign the Registration  Statement and
persons who control the Company, under certain circumstances.

ITEM 15. RECENT SALES OF UNREGISTERED SECURITIES

     In the three years preceding the filing of this Registration Statement, the
Corporation has sold the following securities that were not registered under the
Securities  Act  (share  data  prior to July 1,  1998 do not give  effect to the
Reverse Stock Split):

(a) Issuances of Capital Stock

     On June 27, 1995, in connection  with the  acquisition by the Registrant of
MEDE Ohio and a related  offering,  the Registrant  issued an aggregate  239,956
shares  of  Preferred  Stock  and  13,999,538  shares  of  Common  Stock  to the
stockholders  of the  parent  company  of  MEDE  Ohio  and  stockholders  of the
Registrant.

     On December 18, 1995, in connection  with their  agreement to guarantee the
Registrant's  obligations  under a credit  agreement  between the Registrant and
Bank of America Illinois (the "Credit Facility"),  the Registrant issued to WCAS
V, WCAS VI,  Blair V and Blair LCF  warrants to purchase  an  aggregate  240,720
shares of Common Stock at an exercise price of $1.00 per share.

     On July 18, 1996,  the Company  issued 500 shares of Common Stock to Sharon
Hallberg, an employee of the Company, as a performance bonus.

     On January 10,  1997,  in  connection  with their  agreement  to  guarantee
additional  obligations  of the  Registrant  under and  amendment  to the Credit
Facility,  the Company issued to WCAS V, WCAS VI, Blair V and Blair LCF warrants
to purchase an aggregate 84,000 shares,  of Common Stock at an exercise price of
$1.25 per share.

     On February  14,  1997,  the  Company  issued to WCAS CP II, for a purchase
price of $25 million,  (i) a 10% Senior  Subordinated Note due February 14, 2002
in the aggregate  principal  amount of $25,000,000 and (ii) 1,700,000  shares of
Common Stock.

     On September 9, 1997,  the Company  issued 500 shares of Common Stock to Ed
Feltner, an employee of the Company, as a performance bonus.

     On October 31,  1997,  in  connection  with their  agreement  to  guarantee
additional obligations of the Registrant under the amended Credit Agreement, the
Company issued to WCAS VI and Blair V warrants to purchase an aggregate  156,720
shares, of Common Stock at an exercise price of $1.25 per share.

     On July 17, 1998, the Company granted to Medic the Medic Warrant to acquire
1,250,000  shares of Common Stock,  at a per share  exercise  price equal to the
price of the Common Stock to the public in the Offering or, in the event that an
initial public offering is not completed by March 31, 1999, at an exercise price
equal to $8.00 per share.  The  difference  between the two  alternative  prices
reflects,  in the Company's  view,  the  incremental  value of a share of Common
Stock resulting from the Offering and the concurrent Recapitalization. The Medic
Warrant vests over a two year period and may be exercised up to five years after
the date of grant.

                                      II-2

<PAGE>

     On October 7, 1998,  in  connection  with their  agreement  to extend their
guaranty of the Registrant's  obligations  under the Credit Facility to cover an
additional  $16 million of  indebtedness,  the  Registrant  issued to WCAS V and
Blair V warrants to purchase an aggregate 84,050 shares of Common Stock at a per
share price equal to the price of the Common Stock to the public in the Offering
or, in the event that an initial  public  offering is not completed by March 31,
1999,  at an  exercise  price  equal  to  $8.00  per  share.  The  warrants  are
immediately  exercisable  and may be exercised up to five years from the date of
grant.

(b) Certain Grants and Exercises of Stock Options

     The  MEDE  America  Corporation  and  its  Subsidiaries  Stock  Option  and
Restricted  Stock  Purchase  Plan  was  adopted  by the  Registrant's  Board  of
Directors on March 22, 1995.  As of November 30, 1998 and prior to giving effect
to the Reverse  Stock Split,  options to purchase up to an  aggregate  3,351,000
shares of Common Stock,  had been granted to employees of the Registrant and its
subsidiaries  thereunder,  of  which  options  to  purchase  up to an  aggregate
2,212,600  shares of Common Stock, at a weighted average exercise price of $1.09
per share, were outstanding as of such date. The Company has issued an aggregate
349,400 shares of Common Stock upon the exercise of such options.

     The securities  issued in the foregoing  transactions in paragraphs (a) and
(b) above were offered and sold in reliance upon  exemptions from Securities Act
registration set forth in Section 4(2) of the Securities Act, or any regulations
promulgated  thereunder,  relating to sales by an issuer not  involving a public
offering. No underwriters were involved in the foregoing sales of securities.

     The sale and issuance of the above securities were deemed to be exempt from
registration  under  the  Securities  Act in  reliance  on  Section  4(2) of the
Securities Act, or Regulation D promulgated thereunder,  or Rule 701 promulgated
under  Section  3(b) of the  Securities  Act, as  transactions  by an issuer not
involving a public  offering or transactions  pursuant to  compensatory  benefit
plans and contracts  relating to  compensation  as provided under such Rule 701.
The  recipients  of  securities  in  each  such  transaction  represented  their
intention to acquire the securities  for investment  only and not with a view to
or for sale in connection with any distribution  thereof and appropriate legends
were  affixed  to  the  share   certificates  and  instruments  issued  in  such
transactions.  All recipients had adequate access,  through their  relationships
with the Company, to information about the Registrant.

ITEM 16.  EXHIBITS AND FINANCIAL STATEMENT SCHEDULES

(a) Exhibits

<TABLE>
<CAPTION>

 EXHIBIT
  NUMBER                         DESCRIPTION
  ------                         -----------
<S>       <C>  <C>

1.1+      --   Form of Underwriting Agreement.
2.1+      --   Asset  Purchase  Agreement  among  MEDE  AMERICA  Corporation,
               General Computer Corporation, Time-Share Computer Systems, et al,
               dated as of February 3, 1997.
2.2+      --   Asset  Purchase  Agreement  among  MEDE  AMERICA  Corporation,
               General Computer Corporation, The Stockton Group, et al, dated as
               of October 20, 1997.
3.1+      --   Certificate of Incorporation of the Registrant as amended.
3.2+      --   Amended and Restated Certificate of Incorporation of the Registrant.
3.3+      --   Amended Bylaws of the Registrant.
3.4+      --   Agreement and Plan of Merger, dated as of May 17, 1995, between MEDE AMERICA
               Corporation and GENCC Holdings Corporation.
4.1+      --   Specimen certificate for shares of Common Stock.
4.2+      --   Note  and  Share   Purchase   Agreement   between   MEDE  AMERICA
               Corporation  and WCAS  Capital  Partners  II,  L.P.,  dated as of
               February 14, 1997.
4.3+      --   Warrant Agreement dated as of October 31, 1997 among MEDE AMERICA Corporation,
               Welsh, Carson, Anderson & Stowe V, L.P., Welsh, Carson Anderson & Stowe VI, L.P.,
               William Blair Leveraged Capital Fund Limited Partnership and William Blair Capital Part-
               ners V, L.P., and Warrants issued thereunder.
</TABLE>

                                      II-3

<PAGE>

<TABLE>
<CAPTION>
  EXHIBIT
   NUMBER                        DESCRIPTION
   ------                        -----------
<S>        <C> <C>

   
 4.4 +     --  Warrant Agreement dated as of January 10, 1997 among MEDE AMERICA
               Corporation,  Welsh,  Carson,  Anderson & Stowe V,  L.P.,  Welsh,
               Carson Anderson & Stowe VI, L.P., William Blair Leveraged Capital
               Fund Limited  Partnership and William Blair Capital Part- ners V,
               L.P., and Warrants issued thereunder.
 4.5 +     --  Warrant  Agreement  dated as of  December  18,  1995  among  MEDE
               AMERICA Corpora- tion, Welsh,  Carson,  Anderson & Stowe V, L.P.,
               Welsh,  Carson Anderson & Stowe VI, L.P., William Blair Leveraged
               Capital  Fund  Limited  Partnership  and  William  Blair  Capital
               Partners V, L.P., and Warrants issued thereunder.
 4.6 +     --  Registration  Rights  Agreement,  dated as of  February  14, 1997
               between MEDE AMERICA  Corporation  and WCAS Capital  Partners II,
               L.P.
 4.7 +     --  Warrant,  dated  as of July  17,  1998,  issued  by MEDE  AMERICA
               Corporation to Medic Computer Systems, Inc.
 4.8 +     --  Registration Rights Agreement,  dated as of July 17, 1998 between
               MEDE AMERICA Cor- poration and Medic Computer Systems, Inc.
 4.9 +     --  Stockholders  Agreement,  dated as of July 17,  1998 among  Medic
               Computer Systems, Inc., Welsh, Carson,  Anderson & Stowe V, L.P.,
               Welsh,  Carson,  Anderson & Stowe VI, L.P., William Blair Capital
               Partners V, L.P.,  WCAS Capital  Partners  II, L.P.,  and William
               Blair Leveraged Capital Fund Limited Partnership.
 4.10+     --  Investment  Agreement,  dated as of July 17,  1998  between  MEDE
               AMERICA Corporation and Medic Computer Systems, Inc.
 4.11+     --  Warrant  Agreement  dated as of  October 7, 1998 among MEDE
               AMERICA  Corporation,  Welsh, Carson Anderson & Stowe VI, L.P.,
               William Blair  Leveraged  Capital Fund Limited  Partnership and
               William  Blair Capital  Partners  V.I.P.,  and Warrants  issued
               thereunder.
 5.1*      --  Opinion of Reboul,  MacMurray,  Hewitt,  Maynard & Kristol,  with
               respect to the legality of securities being registered.
10.1 +     --  MEDE AMERICA  Corporation and Its  Subsidiaries  Stock Option and
               Restricted Stock Purchase Plan as amended.
10.2 +     --  Credit  Agreement  between MEDE AMERICA  Corporation  and Bank of
               America  Illinois dated as of December 18, 1995 as amended,  with
               accompanying guarantees.
10.3 +     --  Form  of   Indemnification   Agreement   between   MEDE   AMERICA
               Corporation and Directors thereof.
10.4 +     --  Agreement  of Lease  dated as of October 15,  1991  between  HMCC
               Associates and MedE America, Inc.
10.5 +     --  Lease  Agreement  dated as of July 10, 1995 as amended January 3,
               1997  between  T&J Enter-  prises,  LLC and  Electronic  Claims &
               Funding, Inc.
10.6       --  Letter  dated  January  8, 1999  from  Nationsbank  N.A.  to MEDE
               AMERICA Corporation, re- garding the proposed credit facility.
10.7 +     --  Form of  Non-Competition,  Non-Solicitation  and  Confidentiality
               Agreement between MEDE AMERICA Corporation and Employees.
10.8 +     --  MEDE AMERICA  Corporation and Its Subsidiaries  1998 Stock Option
               and Restricted Stock Purchase Plan.
10.9**     --  Transaction  Processing  Agreement,  dated  as of July  17,  1998
               between MEDE AMERICA Cor-  poration and Medic  Computer  Systems,
               Inc.
10.10+     --  MEDE AMERICA Corporation 1998 Employee Stock Purchase Plan.
10.11+     --  Fifth  Amendment To Credit  Agreement dated as of October 7, 1998
               between MEDE  AMERICA  Corporation  and Bank of America  National
               Trust and Savings Association.
10.12+     --  Sixth Amendment to Credit Agreement dated as of December 15,
               1998  between  MEDE  AMERICA  Corporation  and Bank of  America
               National Trust and Savings Association.
10.13+     --  Stock Purchase Agrement,  dated as of October 20, 1998 among MEDE
               AMERICA   Corporation   and  the   Stockholders   of   Healthcare
               Interchange, Inc. named in Schedule I thereto.
10.14      --  Letter Agreement dated as of January 8, 1999 between MEDE AMERICA
               Corporation and Bank of America Illinois.
 21.1+      --  Subsidiaries of the Company.
 23.1      --  Consent of Deloitte & Touche LLP, independent accountants.
 23.2      --  Consent of Deloitte & Touche LLP, independent accountants.
    
</TABLE>

                                      II-4

<PAGE>

<TABLE>
<CAPTION>

  EXHIBIT
  NUMBER                         DESCRIPTION
  ------                         -----------
<S>        <C>  <C>
   
 23.3      --  Consent of KPMG LLP, independent accountants.
 23.4*     --  Consent  of Reboul,  MacMurray,  Hewitt,  Maynard & Kristol  (see
               Exhibit 5.1).
 24.1+     --  Power of Attorney.
 27.1+     --  Financial Data Schedule.
    
</TABLE>

- ----------
 * To be filed by amendment.
** Confidential treatment requested.
 + Previously filed.

(b) Financial Statement Schedules
Schedule II -- Valuation and Qualifying Accounts

ITEM 17.  UNDERTAKINGS

     (a) Insofar as indemnification for liabilities arising under the Securities
Act of 1933 may be permitted to directors,  officers and controlling  persons of
the   registrant   pursuant   to   the   provisions    described   under   "Item
14-Indemnification   of  Directors  and  Officers"  above,  or  otherwise,   the
Registrant  has been advised that in the opinion of the  Securities and Exchange
Commission such indemnification is against public policy as expressed in the Act
and is, therefore,  unenforceable. In the event that a claim for indemnification
against such  liabilities  (other than the payment by the Registrant of expenses
incurred or paid by a director,  officer or controlling person of the registrant
in the successful defense of any action, suit or proceeding) is asserted by such
director,  officer or controlling person in connection with the securities being
registered, the Registrant will, unless in the opinion of its counsel the matter
has been  settled by  controlling  precedent,  submit to a court of  appropriate
jurisdiction the question whether such  indemnification  by it is against public
policy as expressed in the Act and will be governed by the final adjudication of
such issue.

     (b) The undersigned Registrant hereby undertakes that:

         (1) For purposes of determining  any liability under the Securities Act
     of 1933, the information  omitted from the form of prospectus filed as part
     of this registration  statement in reliance upon Rule 430A and contained in
     a form of prospectus filed by the Registrant  pursuant to Rule 424(b)(1) or
     (4) or 497(h) under the  Securities  Act shall be deemed to be part of this
     registration statement as of the time it was declared effective.

         (2) For the purpose of determining  any liability  under the Securities
     Act of  1933,  each  post-effective  amendment  that  contains  a  form  of
     prospectus shall be deemed to be a new registration  statement  relating to
     the securities offered therein, and the offering of such securities at that
     time shall be deemed to be the initial bona fide offering thereof.

     (c)  The  undersigned  Registrant  hereby  undertakes  to  provide  to  the
underwriter   at  the  closing   specified  in  the   underwriting   agreements,
certificates in such  denominations  and registered in such names as required by
the underwriter to permit prompt delivery to each purchaser.

                                      II-5

<PAGE>

                                  SIGNATURES

   
     Pursuant to the  requirements of the Securities Act of 1933, the Registrant
has duly caused this Amendment to the Registration Statement to be signed on its
behalf by the undersigned thereunto duly authorized, on January 11, 1999.
    

                                             MEDE AMERICA CORPORATION

                                             By: THOMAS P. STAUDT
                                                 ------------------------------
                                                 Thomas P. Staudt
                                                 President and
                                                 Chief Executive Officer

     Pursuant  to  the   requirements  of  the  Securities  Act  of  1933,  this
Registration  Statement  has  been  signed  by  the  following  persons  in  the
capacities held on the dates indicated.

<TABLE>
<CAPTION>
         SIGNATURES                            TITLE                           DATE
         ----------                            -----                           ----
<S>                           <C>                                       <C>
   
      THOMAS P. STAUDT        President and Chief Executive             January 11, 1999
- -------------------------       Officer (Principal executive officer);
      Thomas P. Staudt          Director

      THOMAS P. STAUDT*       Chief Financial Officer (Principal        January 11, 1999
- -------------------------       financial and accounting officer)
    Richard P. Bankosky

       THOMAS P. STAUDT*      Director                                  January 11, 1999
- -------------------------
     Thomas E. McInerney

      THOMAS P. STAUDT*       Director                                  January 11, 1999
- -------------------------
     Anthony J. de Nicola

       THOMAS P. STAUDT*      Director                                  January 11, 1999
- -------------------------
       Timothy M. Murray

    

</TABLE>

- ----------
* As attorney-in-fact.

                                      II-6

<PAGE>

                                                                    SCHEDULE II

                    MEDE AMERICA CORPORATION AND SUBSIDIARIES
                SCHEDULE II -- VALUATION AND QUALIFYING ACCOUNTS

<TABLE>
<CAPTION>
             COLUMN A                  COLUMN B              COLUMN C                 COLUMN D         COLUMN E
- ----------------------------------   ------------   --------------------------   -----------------   -----------
                                                            ADDITIONS
                                                    --------------------------
                                                                    CHARGED TO
                                      BALANCE AT     CHARGED TO       OTHER                           BALANCE AT
                                       BEGINNING      COST AND      ACCOUNTS-        DEDUCTIONS         END OF
           DESCRIPTIONS                OF PERIOD      EXPENSES       DESCRIBE        -DESCRIBE          PERIOD
- ----------------------------------   ------------   ------------   -----------   -----------------   -----------
                                                                   (IN THOUSANDS)
<S>                                  <C>            <C>            <C>           <C>                 <C>
Year ended June 30, 1996 -
 Allowance for bad debts .........      $1,386          $406           $--           $    392 (1)       $1,400
                                        ======          ====           ===           ========           ======
Year ended June 30, 1997 -
 Allowance for bad debts .........      $1,400          $316           $--           $    -- (1)        $1,716
                                        ======          ====           ===           ========           ======
Year ended June 30, 1998 -
 Allowance for bad debts .........      $1,716          $464           $--           $  1,183 (1)       $  997
                                        ======          ====           ===           ========           ======
</TABLE>

- ----------
(1)  Amounts written off.

                                      S-1

<PAGE>

                                 EXHIBIT INDEX

<TABLE>
 EXHIBIT
  NUMBER                         DESCRIPTION
  ------                         -----------
<S>       <C>  <C>
   
1.1+      --   Form of Underwriting Agreement.
2.1+      --   Asset  Purchase  Agreement  among  MEDE  AMERICA  Corporation,
               General Computer Corporation, Time-Share Computer Systems, et al,
               dated as of February 3, 1997.
2.2+      --   Asset  Purchase  Agreement  among  MEDE  AMERICA  Corporation,
               General Computer Corporation, The Stockton Group, et al, dated as
               of October 20, 1997.
3.1+      --   Certificate of Incorporation of the Registrant as amended.
3.2+      --   Amended and Restated Certificate of Incorporation of the Registrant.
3.3+      --   Amended Bylaws of the Registrant.
3.4+      --   Agreement and Plan of Merger, dated as of May 17, 1995, between MEDE AMERICA
               Corporation and GENCC Holdings Corporation.
4.1+      --   Specimen certificate for shares of Common Stock.
4.2+      --   Note  and  Share   Purchase   Agreement   between   MEDE  AMERICA
               Corporation  and WCAS  Capital  Partners  II,  L.P.,  dated as of
               February 14, 1997.
4.3+      --   Warrant Agreement dated as of October 31, 1997 among MEDE AMERICA Corporation,
               Welsh, Carson, Anderson & Stowe V, L.P., Welsh, Carson Anderson & Stowe VI, L.P.,
               William Blair Leveraged Capital Fund Limited Partnership and William Blair Capital Part-
               ners V, L.P., and Warrants issued thereunder.
 4.4 +     --  Warrant Agreement dated as of January 10, 1997 among MEDE AMERICA
               Corporation,  Welsh,  Carson,  Anderson & Stowe V,  L.P.,  Welsh,
               Carson Anderson & Stowe VI, L.P., William Blair Leveraged Capital
               Fund Limited  Partnership and William Blair Capital Part- ners V,
               L.P., and Warrants issued thereunder.
 4.5 +     --  Warrant  Agreement  dated as of  December  18,  1995  among  MEDE
               AMERICA Corpora- tion, Welsh,  Carson,  Anderson & Stowe V, L.P.,
               Welsh,  Carson Anderson & Stowe VI, L.P., William Blair Leveraged
               Capital  Fund  Limited  Partnership  and  William  Blair  Capital
               Partners V, L.P., and Warrants issued thereunder.
 4.6 +     --  Registration  Rights  Agreement,  dated as of  February  14, 1997
               between MEDE AMERICA  Corporation  and WCAS Capital  Partners II,
               L.P.
 4.7 +     --  Warrant,  dated  as of July  17,  1998,  issued  by MEDE  AMERICA
               Corporation to Medic Computer Systems, Inc.
 4.8 +     --  Registration Rights Agreement,  dated as of July 17, 1998 between
               MEDE AMERICA Cor- poration and Medic Computer Systems, Inc.
 4.9 +     --  Stockholders  Agreement,  dated as of July 17,  1998 among  Medic
               Computer Systems, Inc., Welsh, Carson,  Anderson & Stowe V, L.P.,
               Welsh,  Carson,  Anderson & Stowe VI, L.P., William Blair Capital
               Partners V, L.P.,  WCAS Capital  Partners  II, L.P.,  and William
               Blair Leveraged Capital Fund Limited Partnership.
 4.10+     --  Investment  Agreement,  dated as of July 17,  1998  between  MEDE
               AMERICA Corporation and Medic Computer Systems, Inc.
 4.11+     --  Warrant  Agreement  dated as of  October 7, 1998 among MEDE
               AMERICA  Corporation,  Welsh, Carson Anderson & Stowe VI, L.P.,
               William Blair  Leveraged  Capital Fund Limited  Partnership and
               William  Blair Capital  Partners  V.I.P.,  and Warrants  issued
               thereunder.
 5.1*      --  Opinion of Reboul,  MacMurray,  Hewitt,  Maynard & Kristol,  with
               respect to the legality of securities being registered.
10.1 +     --  MEDE AMERICA  Corporation and Its  Subsidiaries  Stock Option and
               Restricted Stock Purchase Plan as amended.
10.2 +     --  Credit  Agreement  between MEDE AMERICA  Corporation  and Bank of
               America  Illinois dated as of December 18, 1995 as amended,  with
               accompanying guarantees.
    


<PAGE>
10.3 +     --  Form  of   Indemnification   Agreement   between   MEDE   AMERICA
               Corporation and Directors thereof.
10.4 +     --  Agreement  of Lease  dated as of October 15,  1991  between  HMCC
               Associates and MedE America, Inc.
10.5 +     --  Lease  Agreement  dated as of July 10, 1995 as amended January 3,
               1997  between  T&J Enter-  prises,  LLC and  Electronic  Claims &
               Funding, Inc.
   
10.6       --  Letter  dated  January  8, 1999  from  Nationsbank  N.A.  to MEDE
               AMERICA Corporation, re- garding the proposed credit facility.
10.7 +     --  Form of  Non-Competition,  Non-Solicitation  and  Confidentiality
               Agreement between MEDE AMERICA Corporation and Employees.
10.8 +     --  MEDE AMERICA  Corporation and Its Subsidiaries  1998 Stock Option
               and Restricted Stock Purchase Plan.
10.9**     --  Transaction  Processing  Agreement,  dated  as of July  17,  1998
               between MEDE AMERICA Cor-  poration and Medic  Computer  Systems,
               Inc.
10.10+     --  MEDE AMERICA Corporation 1998 Employee Stock Purchase Plan.
10.11+     --  Fifth  Amendment To Credit  Agreement dated as of October 7, 1998
               between MEDE  AMERICA  Corporation  and Bank of America  National
               Trust and Savings Association.
10.12+     --  Sixth Amendment to Credit Agreement dated as of December 15,
               1998  between  MEDE  AMERICA  Corporation  and Bank of  America
               National Trust and Savings Association.
10.13+     --  Stock Purchase Agrement,  dated as of October 20, 1998 among MEDE
               AMERICA   Corporation   and  the   Stockholders   of   Healthcare
               Interchange, Inc. named in Schedule I thereto.
10.14      --  Letter Agreement dated as of January 8, 1999 between MEDE AMERICA
               Corporation and Bank of America Illinois.
 21.1+     --  Subsidiaries of the Company.
 23.1      --  Consent of Deloitte & Touche LLP, independent accountants.
 23.2      --  Consent of Deloitte & Touche LLP, independent accountants.
 23.3      --  Consent of KPMG LLP, independent accountants.
    
 23.4*     --  Consent  of Reboul,  MacMurray,  Hewitt,  Maynard & Kristol  (see
               Exhibit 5.1).
 24.1+     --  Power of Attorney.
 27.1+     --  Financial Data Schedule.
</TABLE>

- ----------
 * To be filed by amendment.
** Confidential treatment requested.
 + Previously filed.








                                   
                                                                     EXHIBIT 1.1

                            MedE America Corporation

                                4,166,667 Shares
                                  Common Stock
                                ($.01 par value)

                             Underwriting Agreement

                                                              New York, New York
                                                                          , 1999

Salomon Smith Barney Inc.
Bear, Stearns & Co. Inc.
William Blair & Company, L.L.C.,

As Representatives of the several Underwriters,
     c/o Salomon Smith Barney Inc.
     388 Greenwich Street
     New York, New York 10013

Ladies and Gentlemen:

                  MedE  America   Corporation,   a  Delaware   corporation  (the
"Company"),  proposes  to sell to the several  underwriters  named in Schedule I
hereto (the "Underwriters"),  for whom you (the "Representatives") are acting as
representatives,  4,166,667  shares of  common  stock,  $.01 par value  ("Common
Stock") of the Company  (said shares to be issued and sold by the Company  being
hereinafter called the "Underwritten Securities").  The Company also proposes to
grant to the Underwriters an option to purchase up to 625,000  additional shares
of Common Stock to cover  over-allotments (the "Option  Securities";  the Option
Securities,  together with the Underwritten Securities, being hereinafter called
the "Securities").  To the extent there are no additional Underwriters listed on
Schedule I other than you,  the term  Representatives  as used herein shall mean
you, as Underwriters,  and the terms Representatives and Underwriters shall mean
either the singular or plural as the context requires. Certain terms used herein
are defined in Section 17 hereof.

                  As  part  of the  offering  contemplated  by  this  Agreement,
Salomon Smith Barney has agreed to reserve out of the Shares set forth  opposite
its name on the  Schedule  I to this  Agreement,  up to  5% of the  Underwritten
Securities,  for sale to the Company's  employees,  officers,  and directors and
other parties associated with the Company (collectively, "Participants"), as set
forth in the Prospectus  under the heading  "Underwriting"  (the "Directed Share
Program").  The  Shares  to be sold by  Salomon


<PAGE>

Smith Barney pursuant to the Directed Share Program (the "Directed Shares") will
be sold by  Salomon  Smith  Barney  pursuant  to this  Agreement  at the  public
offering  price.  Any Directed  Shares not orally  confirmed for purchase by any
Participants  by the end of the business day on which this Agreement is executed
will be  offered  to the  public  by  Salomon  Smith  Barney as set forth in the
Prospectus.

     1. Representations and Warranties.  The Company represents and warrants to,
and agrees with, each Underwriter as set forth below in this Section 1.

     (a) The Company has prepared and filed with the  Commission a  registration
statement (file number 333-55977) on Form S-1,  including a related  preliminary
prospectus,  for  registration  under  the Act of the  offering  and sale of the
Securities.  The Company has filed one or more amendments  thereto,  including a
related preliminary  prospectus,  each of which has previously been furnished to
you.  The  Company  will next file with the  Commission  either (1) prior to the
Effective  Date of such  registration  statement,  a further  amendment  to such
registration statement (including the form of final prospectus) or (2) after the
Effective Date of such registration  statement, a final prospectus in accordance
with Rules 430A and 424(b).  In the case of clause (2), the Company has included
in  such  registration   statement,  as  amended  at  the  Effective  Date,  all
information (other than Rule 430A Information) required by the Act and the rules
thereunder to be included in such registration statement and the Prospectus.  As
filed,  such amendment and form of final  prospectus,  or such final prospectus,
shall contain all Rule 430A  Information,  together with all other such required
information,  and,  except to the  extent  the  Representatives  shall  agree in
writing to a modification (which agreement shall not be unreasonably  withheld),
shall be in all  substantive  respects in the form furnished to you prior to the
Execution  Time or, to the extent not  completed at the  Execution  Time,  shall
contain only such specific additional information and other changes (beyond that
contained in the latest Preliminary  Prospectus) as the Company has advised you,
prior to the Execution Time, will be included or made therein.

     (b) On the Effective Date, the Registration Statement did or will, and when
the  Prospectus is first filed (if required) in accordance  with Rule 424(b) and
on the  Closing  Date  (as  defined  herein)  and on any  date on  which  Option
Securities  are  purchased,  if such date is not the Closing Date (a "settlement
date"),  the  Prospectus  (and any  supplements  thereto)  will,  comply  in all
material  respects  with the  applicable  requirements  of the Act and the rules
thereunder;  on the Effective Date and at the Execution  Time, the  Registration
Statement did not or will not contain any untrue statement of a material fact or
omit to state any material  fact  required to be stated  therein or necessary in
order to make the  statements  therein  not  misleading,  except  for Rule  430A
pricing  information;  and, on the Effective Date, the Prospectus,  if not filed
pursuant to Rule  424(b),  will not,  and on the date of any filing  pursuant to
Rule 424(b) and on the Closing  Date and any  settlement  date,  the  Prospectus
(together with any supplement thereto) will not, include any untrue statement of
a material fact or omit to state a material fact  necessary in order to make the
statements  therein,  in the light of the


                                       2


<PAGE>


circumstances  under which they were made, not  misleading;  provided,  however,
that the Company makes no  representations  or warranties as to the  information
contained in or omitted from the Registration  Statement,  or the Prospectus (or
any  supplement  thereto) in reliance  upon and in conformity  with  information
furnished herein or in writing to the Company by or on behalf of any Underwriter
through the  Representatives  specifically  for  inclusion  in the  Registration
Statement or the Prospectus (or any supplement thereto).

     (c) Each of the Company and its  Subsidiaries  (as defined herein) has been
duly  incorporated  and is validly  existing as a  corporation  in good standing
under the laws of the  jurisdiction  in which it is chartered or organized  with
full corporate  power and authority to own or lease,  as the case may be, and to
operate its properties and conduct its business as described in the  Prospectus,
and is duly  qualified  to do business as a foreign  corporation  and is in good
standing under the laws of each jurisdiction which requires such  qualification,
except where the failure as to due qualification to do business would not have a
material  adverse effect on the condition  (financial or otherwise),  prospects,
earnings, business or properties of the Company and the Subsidiaries, taken as a
whole,  whether or not  arising  from  transactions  in the  ordinary  course of
business, except as set forth in or contemplated in the Prospectus (exclusive of
any supplement thereto) (a "Material Adverse Effect");

     (d) All the outstanding  shares of capital stock of the  Subsidiaries  have
been  duly  and   validly   authorized   and  issued  and  are  fully  paid  and
nonassessable,  and,  except  as  otherwise  set  forth in the  Prospectus,  all
outstanding shares of capital stock of the Subsidiaries are owned by the Company
directly free and clear of any perfected security interest or any other security
interests, claims, liens or encumbrances;

     (e) The Company's  authorized equity  capitalization is as set forth in the
Prospectus;  the capital stock of the Company conforms in all material  respects
to the description  thereof contained in the Prospectus;  the outstanding shares
of Common Stock have been duly and validly  authorized  and issued and are fully
paid and  nonassessable;  the Securities have been duly and validly  authorized,
and, when issued and delivered to and paid for by the  Underwriters  pursuant to
this Agreement,  will be fully paid and  nonassessable;  the Securities are duly
listed,  and admitted and authorized for trading,  subject to official notice of
issuance  and  evidence of  satisfactory  distribution,  on the Nasdaq  National
Market;  the  certificates  for the Securities are in valid and sufficient form;
the  holders of  outstanding  shares of  capital  stock of the  Company  are not
entitled to preemptive or other rights to subscribe  for the  Securities  except
for such rights of WCAS  Capital  Partners  II,  L.P.  as have been  effectively
waived;  and,  except as set forth in the  Prospectus,  no options,  warrants or
other rights to purchase, agreements or other obligations to issue, or rights to
convert any  obligations  into or exchange any securities for, shares of capital
stock of or ownership interests in the Company are outstanding;


                                       3


<PAGE>


     (f)  There is no  franchise,  contract  or other  document  of a  character
required to be described in the Registration  Statement or Prospectus,  or to be
filed as an exhibit  thereto,  which is not described or filed as required;  and
the  statements in the  Prospectus  under the headings "Risk Factors -- Proposed
Healthcare   Data   Confidentiality   Legislation,"   "Business  --   Government
Regulation"  and "Business -- Legal  Proceedings"  fairly  summarize the matters
therein described.

     (g) This Agreement has been duly authorized,  executed and delivered by the
Company  and  constitutes  a  valid  and  binding   obligation  of  the  Company
enforceable  in  accordance  with its terms,  except as rights to indemnity  and
contribution  hereunder may be limited by federal and state  securities  laws or
principles  of  public  policy  and  subject  to  the  qualification   that  the
enforceability  of  the  Company's  obligations  hereunder  may  be  limited  by
bankruptcy, fraudulent conveyance,  insolvency,  reorganization,  moratorium and
other laws relating to or affecting  creditors'  rights generally and by general
principles of equity.

     (h) The Company is not and, after giving effect to the offering and sale of
the Securities and the  application of the proceeds  thereof as described in the
Prospectus,  will not be an  "investment  company" as defined in the  Investment
Company Act of 1940, as amended.

     (i) No consent, approval, authorization,  filing with or order of any court
or governmental  agency or body is required in connection with the  transactions
contemplated herein, except such as have been obtained under the Act and such as
may be required under the blue sky laws of any  jurisdiction  in connection with
the purchase and  distribution  of the  Securities  by the  Underwriters  in the
manner contemplated herein and in the Prospectus.

     (j) Neither the issue and sale of the  Securities nor the  consummation  of
any other of the  transactions  herein  contemplated  nor the fulfillment of the
terms  hereof will  conflict  with,  result in a breach or  violation  of or the
imposition of any lien, charge or encumbrance upon any property or assets of the
Company  or the  Subsidiaries  pursuant  to,  (i) the  charter or by-laws of the
Company or the Subsidiaries,  (ii) the terms of any indenture,  contract, lease,
mortgage,  deed of trust,  note  agreement,  loan agreement or other  agreement,
obligation,  condition,  covenant  or  instrument  to which the  Company  or the
Subsidiaries  are a party or bound or to which its or their property is subject,
or  (iii)  any  statute,  law,  rule,  regulation,  judgment,  order  or  decree
applicable to the Company or the  Subsidiaries,  of any court,  regulatory body,
administrative  agency,  governmental body, arbitrator or other authority having
jurisdiction  over  the  Company  or the  Subsidiaries  or  any of its or  their
properties,  except as to clauses (ii) and (iii) where such  breach,  violation,
lien,   charge  or  encumbrance  would  not  have  a  Material  Adverse  Effect,
individually or in the aggregate.

                                       4


<PAGE>


     (k) No holders of securities of the Company have rights to the registration
of such securities  under the  Registration  Statement except for such rights of
WCAS Capital Partners II, L.P. as have been effectively waived.

     (l) The consolidated  historical  financial statements and schedules of the
Company and its  consolidated  Subsidiaries  included in the  Prospectus and the
Registration  Statement  present  fairly in all material  respects the financial
condition,  results of operations  and cash flows of the Company as of the dates
and for the periods indicated,  comply as to form with the applicable accounting
requirements  of the Act and have been  prepared in  conformity  with  generally
accepted  accounting  principles  applied on a consistent  basis  throughout the
periods  involved  (except as otherwise noted therein).  The selected  financial
data set forth under the caption "Selected  Consolidated  Financial Data" in the
Prospectus and Registration Statement fairly present, on the basis stated in the
Prospectus and the Registration Statement, the information included therein. The
pro forma financial  statements  included in the Prospectus and the Registration
Statement include assumptions that provide a reasonable basis for presenting the
significant  effects  directly  attributable  to  the  transactions  and  events
described therein,  the related pro forma adjustments give appropriate effect to
those assumptions,  and the pro forma adjustments reflect the proper application
of those  adjustments to the historical  financial  statement amounts in the pro
forma  financial  statements  included in the  Prospectus  and the  Registration
Statement. The pro forma financial statements included in the Prospectus and the
Registration  Statement  comply  as to form in all  material  respects  with the
applicable  accounting  requirements of Regulation S-X under the Act and the pro
forma  adjustments have been properly  applied to the historical  amounts in the
compilation of those statements.

     (m) No action,  suit or proceeding  by or before any court or  governmental
agency,  authority  or body  or any  arbitrator  involving  the  Company  or the
Subsidiaries  or its or their  property is pending or, to the best  knowledge of
the Company, threatened that (i) could reasonably be expected to have a material
adverse effect on the  performance of this Agreement or the  consummation of any
of the transactions  contemplated hereby or (ii) could reasonably be expected to
have a Material Adverse Effect.

     (n)  Each of the  Company  and the  Subsidiaries  owns or  leases  all such
properties  as are  necessary  to the  conduct of its  operations  as  presently
conducted.

     (o) Neither the Company nor the  Subsidiaries is in violation or default of
(i) any  provision  of its charter or bylaws,  (ii) the terms of any  indenture,
contract,  lease,  mortgage,  deed of trust,  note agreement,  loan agreement or
other agreement, obligation,  condition, covenant or instrument to which it is a
party or bound or to which its property is subject,  or (iii) any statute,  law,
rule,  regulation,  judgment,  order or decree of any  court,  regulatory  body,
administrative  agency,  governmental body, arbitrator or other authority having
jurisdiction  over  the  Company  or the  Subsidiaries  or  any of its or  their
properties,  as  applicable,  except


                                       5


<PAGE>


as to clauses (ii) and (iii) where such  violation  or default  would not have a
Material Adverse Effect, individually or in the aggregate.

     (p)  Deloitte & Touche  LLP and KPMG Peat  Marwick  LLP,  each of whom have
certified  certain  financial  statements  of the Company  and its  consolidated
Subsidiaries   and   delivered   their  reports  with  respect  to  the  audited
consolidated financial statements and schedules included in the Prospectus, each
are  independent  public  accountants  with  respect to the  Company  within the
meaning  of  the  Act  and  the  applicable   published  rules  and  regulations
thereunder.

     (q) There are no  transfer  taxes or other  similar  fees or charges  under
Federal  law or the laws of any state,  or any  political  subdivision  thereof,
required  to be paid in  connection  with the  execution  and  delivery  of this
Agreement  or the  issuance  by the  Company  or  sale  by  the  Company  of the
Securities.

     (r) The Company has filed all foreign, federal, state and local tax returns
that are required to be filed or has requested extensions thereof (except in any
case in which the failure so to file would not have a Material  Adverse  Effect)
and has paid all taxes required to be paid by it and any other assessment,  fine
or penalty levied against it, to the extent that any of the foregoing is due and
payable, except for any such assessment, fine or penalty that is currently being
contested in good faith or as would not have a Material Adverse Effect.

     (s) No labor  problem or dispute  with the  employees of the Company or the
Subsidiaries  exists or is threatened or imminent,  and the Company is not aware
of any existing or imminent labor  disturbance by the employees of any of its or
the Subsidiaries' principal suppliers, contractors or customers, that could have
a Material Adverse Effect.

     (t) The Company and the  Subsidiaries are insured by insurers of recognized
financial  responsibility  against  such losses and risks and in such amounts as
are prudent and  customary  in the  businesses  in which they are  engaged;  all
policies of insurance  and fidelity or surety bonds  insuring the Company or the
Subsidiaries or their respective  businesses,  assets,  employees,  officers and
directors are in full force and effect;  the Company and the Subsidiaries are in
compliance  with the terms of such  policies  and  instruments  in all  material
respects;  and there are no claims by the Company or the Subsidiaries  under any
such policy or instrument as to which any insurance company is denying liability
or defending  under a reservation of rights clause;  neither the Company nor the
Subsidiaries have been refused any insurance coverage sought or applied for; and
neither the Company nor the Subsidiaries have any reason to believe that it will
not be able to renew its existing  insurance  coverage as and when such coverage
expires or to obtain similar  coverage from similar insurers as may be necessary
to  continue  its  business  at a cost that  would not have a  Material  Adverse
Effect.


                                       6


<PAGE>


     (u) The Subsidiaries are not currently prohibited,  directly or indirectly,
from paying any dividends to the Company,  from making any other distribution on
the  Subsidiaries'  capital  stock,  from  repaying  to the Company any loans or
advances to the  Subsidiaries  from the Company or from  transferring any of the
Subsidiaries'  property  or assets to the  Company,  except as  described  in or
contemplated by the Prospectus.

     (v) The Company and the  Subsidiaries  possess all licenses,  certificates,
permits and other  authorizations  issued by the appropriate  federal,  state or
foreign regulatory authorities necessary to conduct their respective businesses,
and  neither  the  Company  nor the  Subsidiaries  have  received  any notice of
proceedings  relating to the revocation or modification of any such certificate,
authorization or permit which, singly or in the aggregate,  if the subject of an
unfavorable decision, ruling or finding, would have a Material Adverse Effect.

     (w)  The  Company  and the  Subsidiaries  maintain  a  system  of  internal
accounting  controls  sufficient  to  provide  reasonable   assurance  that  (i)
transactions  are executed in accordance with  management's  general or specific
authorizations;   (ii)   transactions   are  recorded  as  necessary  to  permit
preparation  of financial  statements  in  conformity  with  generally  accepted
accounting  principles  and to maintain  asset  accountability;  (iii) access to
assets is permitted  only in accordance  with  management's  general or specific
authorization;  and (iv) the recorded accountability for assets is compared with
the existing assets at reasonable intervals and appropriate action is taken with
respect to any differences.

     (x) The Company has not taken, directly or indirectly,  any action designed
to or which has  constituted  or which might  reasonably be expected to cause or
result, under the Exchange Act or otherwise, in stabilization or manipulation of
the price of any security of the Company to facilitate the sale or resale of the
Securities.

     (y) The Company and the Subsidiaries are (i) in compliance with any and all
applicable foreign,  federal,  state and local laws and regulations  relating to
the protection of human health and safety, the environment or hazardous or toxic
substances or wastes,  pollutants or contaminants  ("Environmental  Laws"), (ii)
have  received  and are in  compliance  with  all  permits,  licenses  or  other
approvals required of them under applicable  Environmental Laws to conduct their
respective  businesses  and (iii)  have not  received  notice  of any  actual or
potential  liability for the  investigation  or  remediation  of any disposal or
release of hazardous or toxic substances or wastes,  pollutants or contaminants,
except where such  non-compliance  with  Environmental  Laws, failure to receive
required  permits,   licenses  or  other  approvals,  or  liability  would  not,
individually or in the aggregate,  have a Material Adverse Effect. Except as set
forth in the  Prospectus,  neither the Company  nor the  Subsidiaries  have been
named as a "potentially responsible party" under the Comprehensive Environmental
Response, Compensation, and Liability Act of 1980, as amended.


                                       7


<PAGE>


     (z) In the  ordinary  course  of its  business,  the  Company  periodically
reviews  the  effect  of  Environmental  Laws on the  business,  operations  and
properties  of the  Company  and the  Subsidiaries,  in the  course  of which it
identifies and evaluates  associated costs and liabilities  (including,  without
limitation, any capital or operating expenditures required for clean-up, closure
of properties or compliance with Environmental  Laws, or any permit,  license or
approval,  any related  constraints  on operating  activities  and any potential
liabilities  to third  parties).  On the basis of such  review,  the Company has
reasonably  concluded  that such  associated  costs and  liabilities  would not,
singly or in the aggregate, have a Material Adverse Effect.

     (aa)  Each  of  the  Company  and  the   Subsidiaries   has  fulfilled  its
obligations,  if any, under the minimum funding  standards of Section 302 of the
United States Employee  Retirement Income Security Act of 1974 ("ERISA") and the
regulations and published interpretations thereunder with respect to each "plan"
(as  defined  in  Section  3(3) of ERISA  and  such  regulations  and  published
interpretations)  in which  employees  of the Company and the  Subsidiaries  are
eligible to  participate  and each such plan is in  compliance  in all  material
respects with the presently applicable  provisions of ERISA and such regulations
and  published  interpretations.  The  Company  and the  Subsidiaries  have  not
incurred any unpaid liability to the Pension Benefit Guaranty Corporation (other
than for the  payment of premiums  in the  ordinary  course) or to any such plan
under Title IV of ERISA.

     (ab) MedE America of Ohio,  an Ohio  corporation,  Healthcare  Interchange,
Inc.  and  Wellmark,   Incorporated,   a  Delaware  corporation,  are  the  only
subsidiaries of the Company (the "Subsidiaries").

     (ac) The Company and the Subsidiaries own,  possess,  license or have other
rights to use, on reasonable terms, all patents, patent applications,  trade and
service marks, trade and service mark  registrations,  trade names,  copyrights,
licenses, inventions, trade secrets, technology, know-how and other intellectual
property (collectively,  the "Intellectual Property") material to the conduct of
the Company's  business as now conducted or as proposed in the  Prospectus to be
conducted.   Except  as  set  forth  in  the   Prospectus   under  the   caption
"Business--Intellectual  Property"  or as  would  not  have a  Material  Adverse
Effect,  (a) other than rights granted by the Company in its ordinary  course of
business, there are no rights of third parties in Intellectual Property owned by
the  Company;  (b) there is no  material  infringement  by third  parties  as to
Intellectual  Property owned by the Company;  (c) there is no pending or, to the
Company's knowledge,  threatened action,  suit,  proceeding or claim against the
Company  by  others   challenging  the  Company's  rights  in  or  to  any  such
Intellectual  Property, and the Company is unaware of any facts which would form
a  reasonable  basis for any such claim  against  the  Company;  (d) there is no
pending or, to the Company's knowledge,  threatened action, suit,  proceeding or
claim by  others  challenging  the  validity  or scope of any such  Intellectual
Property,  and the Company is unaware of any facts which would form a reasonable
basis  for any  such  claim;  (e)  there  is no  pending


                                       8


<PAGE>


or, to the Company's  knowledge,  threatened action,  suit,  proceeding or claim
against the Company by others that the Company  infringes or otherwise  violates
any patent,  trademark,  copyright,  trade secret or other proprietary rights of
others,  and the  Company  is  unaware  of any other  fact  which  would  form a
reasonable  basis for any such claim;  (f) there is no U.S.  patent or published
U.S. patent  application which contains claims that dominate or may dominate any
Intellectual  Property described in the Prospectus as being owned by the Company
or that interferes  with the issued or pending patents to any such  Intellectual
Property;  and (g) there is no prior art of which the  Company is aware that may
render  any  U.S.  patent  held  by  the  Company  invalid  or any  U.S.  patent
application held by the Company unpatentable which has not been disclosed to the
U.S. Patent and Trademark Office.

     (ad) The statements  contained in the  Prospectus  under the captions "Risk
Factors--Dependence   on   Intellectual   Property;   Risk   of   Infringement,"
"Business--Intellectual  Property" and "Business -- Legal Proceedings,"  insofar
as  such  statements  summarize  legal  matters,   agreements,   documents,   or
proceedings  discussed  therein,  are accurate and fair  summaries of such legal
matters, agreements, documents or proceedings.

     (ae) Except as disclosed in the Registration  Statement and the Prospectus,
the Company (i) does not have any material  lending or other  relationship  with
any bank or lending  affiliate of an Underwriter and (ii) does not intend to use
any of the  proceeds  from the sale of the  Securities  hereunder  to repay  any
outstanding debt owed to any affiliate of an Underwriter.

     (af) The statements  contained in the  Prospectus  under the captions "Risk
Factors--Year  2000  Compliance,"   "Management's  Discussion  and  Analysis  of
Financial  Condition  and  Results  of  Operations--Year  2000  Compliance"  and
"Business--Year  2000  Compliance,"  are  accurate  and  fair  summaries  of the
Company's  efforts to address the risk that the  computer  hardware and software
used by them may be unable to  recognize  and  properly  execute  date-sensitive
functions involving certain dates prior to and any dates after December 31, 1999
(the "Year 2000  Problem") and the Company is in compliance  with the directives
of the Commission's Release No. 33-7558 relating to Year 2000 compliance.

     (ag) Any certificate  signed by any officer of the Company and delivered to
the  Representatives  or counsel for the  Underwriters  in  connection  with the
offering of the Securities shall be deemed a representation  and warranty by the
Company, as to matters covered thereby, to each Underwriter.

     Furthermore,  the Company  represents  and warrants to Salomon Smith Barney
that  (i)  the  Registration  Statement,  the  Prospectus  and  any  preliminary
prospectus  comply,  and any further  amendments  or  supplements  thereto  will
comply,  with any applicable  laws or regulations  of foreign  jurisdictions  in
which the Prospectus or any


                                       9


<PAGE>


preliminary  prospectus,  as  amended  or  supplemented,   if  applicable,   are
distributed  in connection  with the Directed  Share  Program,  and that (ii) no
authorization,  approval, consent, license, order, registration or qualification
of or with any government,  governmental  instrumentality  or court,  other than
such as  have  been  obtained,  is  necessary  under  the  securities  laws  and
regulations of foreign  jurisdictions  in which the Directed  shares are offered
outside the United States.

     2. Purchase and Sale.

          (a)  Subject  to the terms and  conditions  and in  reliance  upon the
     representations and warranties herein set forth, the Company agrees to sell
     to  each  Underwriter,  and  each  Underwriter  agrees,  severally  and not
     jointly,  to purchase from the Company, at a purchase price of $ per share,
     the  amount  of  the  Underwritten   Securities  set  forth  opposite  such
     Underwriter's name in Schedule I hereto.

          (b)  Subject  to the terms and  conditions  and in  reliance  upon the
     representations  and warranties herein set forth, the Company hereby grants
     an  option to the  several  Underwriters  to  purchase,  severally  and not
     jointly,  up to 625,000  Option  Securities at the same purchase  price per
     share as the Underwriters shall pay for the Underwritten  Securities.  Said
     option may be exercised  only to cover  over-allotments  in the sale of the
     Underwritten  Securities by the Underwriters.  Said option may be exercised
     in whole or in part at any time (but not more than  once) on or before  the
     30th day after  the date of the  Prospectus  upon  written  or  telegraphic
     notice by the  Representatives  to the Company  setting forth the number of
     shares of the Option  Securities as to which the several  Underwriters  are
     exercising  the  option  and the  settlement  date.  The  number  of Option
     Securities to be purchased by each Underwriter shall be the same percentage
     of the total number of shares of the Option  Securities  to be purchased by
     the  several   Underwriters  as  such  Underwriter  is  purchasing  of  the
     Underwritten  Securities,  subject  to  such  adjustments  as you  in  your
     absolute discretion shall make to eliminate any fractional shares.

     3.  Delivery  and  Payment.  Delivery of and  payment for the  Underwritten
Securities and the Option Securities (if the option provided for in Section 2(b)
hereof shall have been  exercised  on or before the third  Business Day prior to
the  Closing  Date)  shall be made at 10:00 AM, New York City  time,  on_______,
1999, or at such time on such later date not more than three Business Days after
the foregoing date as the Representatives  shall designate,  which date and time
may be postponed by agreement between the  Representatives and the Company or as
provided in Section 9 hereof (such date and time of delivery and payment for the
Securities being herein called the "Closing  Date").  Delivery of the Securities
shall be made to the  Representatives for the respective accounts of the several
Underwriters   against   payment  by  the  several   Underwriters   through  the
Representatives  of the  purchase  price  thereof  to or upon  the  order of the
Company by wire transfer  payable in same-day  funds to an account  specified by
the Company.  Delivery of the Underwritten  Securities and the Option Securities
shall be


                                       10


<PAGE>


made  through  the  facilities  of  The  Depository  Trust  Company  unless  the
Representatives shall otherwise instruct.

     If the option  provided for in Section  2(b) hereof is exercised  after the
third  Business  Day prior to the Closing  Date,  the Company  will  deliver the
Option Securities (at the expense of the Company) to the  Representatives on the
date  specified by the  Representatives  (which date shall be reasonably  agreed
upon by the  Company  and the  Representative,  but in any  event  within  three
Business Days after exercise of said option) for the respective  accounts of the
several  Underwriters,  against payment by the several  Underwriters through the
Representatives  of the  purchase  price  thereof  to or upon  the  order of the
Company by wire transfer  payable in same-day  funds to an account  specified by
the Company.  If settlement for the Option  Securities  occurs after the Closing
Date, the Company will deliver to the Representatives on the settlement date for
the Option  Securities,  and the obligation of the  Underwriters to purchase the
Option Securities shall be conditioned upon receipt of,  supplemental  opinions,
certificates and letters  confirming as of such date the opinions,  certificates
and letters delivered on the Closing Date pursuant to Section 6 hereof.

     4. Offering by Underwriters. It is understood that the several Underwriters
propose  to offer  the  Securities  for sale to the  public  as set forth in the
Prospectus.

     5. Agreements. The Company agrees with the several Underwriters that:

          (a) The Company  will use its best  efforts to cause the  Registration
     Statement,  if not  effective  at the  Execution  Time,  and any  amendment
     thereof,  to become effective.  Prior to the termination of the offering of
     the Securities, the Company will not file any amendment of the Registration
     Statement or supplement to the  Prospectus or any Rule 462(b)  Registration
     Statement unless the Company has furnished you a copy for your review prior
     to filing and will not file any such  proposed  amendment or  supplement to
     which you  reasonably  object.  Subject to the foregoing  sentence,  if the
     Registration  Statement  has become or becomes  effective  pursuant to Rule
     430A, or filing of the Prospectus is otherwise  required under Rule 424(b),
     the  Company  will  cause  the  Prospectus,  properly  completed,  and  any
     supplement  thereto  to be  filed  with  the  Commission  pursuant  to  the
     applicable  paragraph of Rule 424(b) within the time period  prescribed and
     will provide evidence  satisfactory to the  Representatives  of such timely
     filing. The Company will promptly advise the  Representatives  (1) when the
     Registration  Statement, if not effective at the Execution Time, shall have
     become  effective,  (2) when the  Prospectus,  and any supplement  thereto,
     shall have been filed (if required)  with the  Commission  pursuant to Rule
     424(b) or when any Rule 462(b) Registration Statement shall have been filed
     with the Commission,  (3) when, prior to termination of the offering of the
     Securities,  any amendment to the  Registration  Statement  shall have been
     filed or become  effective,  (4) of any  request by the  Commission  or its
     staff for any amendment of the Registration  Statement,  or any Rule 462(b)
     Registration  Statement, or for any supplement to the Prospectus or


                                       11


<PAGE>


     for any  additional  information,  (5) of the issuance by the Commission of
     any stop order suspending the  effectiveness of the Registration  Statement
     or the  institution  or  threatening of any proceeding for that purpose and
     (6) of the receipt by the Company of any  notification  with respect to the
     suspension  of  the  qualification  of  the  Securities  for  sale  in  any
     jurisdiction  or the  institution or threatening of any proceeding for such
     purpose.  The Company  will use its best efforts to prevent the issuance of
     any such stop order or the  suspension  of any such  qualification  and, if
     issued, to obtain as soon as possible the withdrawal thereof.

          (b) If, at any time when a prospectus  relating to the  Securities  is
     required to be  delivered  under the Act,  any event  occurs as a result of
     which  the  Prospectus  as  then  supplemented  would  include  any  untrue
     statement of a material fact or omit to state any material  fact  necessary
     to make the  statements  therein  in the light of the  circumstances  under
     which they were made not  misleading,  or if it shall be necessary to amend
     the Registration  Statement or supplement the Prospectus to comply with the
     Act or the rules  thereunder,  the  Company  promptly  will (1)  notify the
     Representatives   of  any  such  event;  (2)  prepare  and  file  with  the
     Commission, subject to the second sentence of paragraph (a) of this Section
     5, an amendment or supplement which will correct such statement or omission
     or effect such compliance;  and (3) supply any  supplemented  Prospectus to
     you in such quantities as you may reasonably request.

          (c) As soon as practicable,  the Company will make generally available
     to its security holders and to the Representatives an earnings statement or
     statements  of the  Company  and the  Subsidiaries  which will  satisfy the
     provisions of Section 11(a) of the Act and Rule 158 under the Act.

          (d) The Company  will furnish to the  Representatives  and counsel for
     the  Underwriters  signed copies of the Registration  Statement  (including
     exhibits  thereto) and to each other Underwriter a copy of the Registration
     Statement  (without  exhibits  thereto)  and,  so  long  as  delivery  of a
     prospectus by an  Underwriter or dealer may be required by the Act, as many
     copies of each Preliminary Prospectus and the Prospectus and any supplement
     thereto as the Representatives may reasonably request.

          (e) The Company will arrange,  if necessary,  for the qualification of
     the  Securities  for  sale  under  the  laws of such  jurisdictions  as the
     Representatives  may designate and will  maintain  such  qualifications  in
     effect so long as required for the distribution of the Securities; provided
     that in no event shall the Company be  obligated  to qualify to do business
     in any jurisdiction  where it is not now so qualified or to take any action
     that would  subject  it to  service  of process in suits,  other than those
     arising out of the offering or sale of the Securities,  in any jurisdiction
     where it is not now so subject.

          (f) The Company will not, without the prior written consent of Salomon
     Smith  Barney  Inc.,  sell,  offer to sell,  solicit an offer to  purchase,
     contract to sell, grant any option to sell, pledge or otherwise dispose of,
     or file (or


                                       12


<PAGE>


     participate  in the  filing  of) a  registration  statement  (other  than a
     Registration Statement on Form S-8 or S-4) with the Securities and Exchange
     Commission  in  respect  of, or  establish  or  increase  a put  equivalent
     position or liquidate  or decrease a call  equivalent  position  within the
     meaning of Section 16 of the  Securities  Exchange Act of 1934, as amended,
     and the rules and  regulations of the  Securities  and Exchange  Commission
     promulgated  thereunder with respect to, any shares of capital stock of the
     Company or any securities  convertible  into or exercisable or exchangeable
     for such  capital  stock,  or publicly  announce an intention to effect any
     such  transaction,  for a period  of 180 days  after  the date of the Final
     Prospectus,  other than  shares of Common  Stock  disposed  of as bona fide
     gifts  approved by Salomon  Smith  Barney Inc.

          (g) The  Company  will not take,  directly or  indirectly,  any action
     designed to or which has constituted or which might  reasonably be expected
     to cause or result,  under the Exchange Act or otherwise,  in stabilization
     or  manipulation  of the price of any security of the Company to facilitate
     the sale or resale of the Securities.

          (h) The Company  agrees to pay the costs and expenses  relating to the
     following matters: (i) the preparation, printing or reproduction and filing
     with the  Commission of the  Registration  Statement  (including  financial
     statements  and  exhibits  thereto),  each  Preliminary   Prospectus,   the
     Prospectus,  and each  amendment  or  supplement  to any of them;  (ii) the
     printing (or reproduction)  and delivery  (including  postage,  air freight
     charges and  charges  for  counting  and  packaging)  of such copies of the
     Registration Statement,  each Preliminary Prospectus,  the Prospectus,  and
     all  amendments  or  supplements  to any of them,  as may, in each case, be
     reasonably  requested for use in  connection  with the offering and sale of
     the Securities; (iii) the preparation, printing,  authentication,  issuance
     and delivery of  certificates  for the  Securities,  including any stamp or
     transfer  taxes in  connection  with the original  issuance and sale of the
     Securities;  (iv) the  printing  (or  reproduction)  and  delivery  of this
     Agreement,  any blue sky memorandum  and all other  agreements or documents
     printed (or  reproduced)  and delivered in connection  with the offering of
     the Securities;  (v) the  registration of the Securities under the Exchange
     Act and the listing of the Securities on the Nasdaq National  Market;  (vi)
     any  registration  or  qualification  of the  Securities for offer and sale
     under the  securities  or blue sky laws of the  several  states  (including
     filing  fees  and the  reasonable  fees and  expenses  of  counsel  for the
     Underwriters  relating to such registration and  qualification);  (vii) any
     filings  required to be made with the National  Association  of  Securities
     Dealers,  Inc.  (including filing fees and the reasonable fees and expenses
     of counsel  for the  Underwriters  relating  to such  filings);  (viii) the
     transportation  and other  expenses  incurred  by or on  behalf of  Company
     representatives in connection with presentations to prospective  purchasers
     of the Securities;  (ix) the fees and expenses of the Company's accountants
     and the fees and expenses of counsel  (including local and special counsel)
     for the  Company;  and (x) all other  costs and  expenses  incident  to the
     performance by the Company of its obligations hereunder.


                                       13


<PAGE>


          (i) In connection  with the Directed Share  Program,  the Company will
     ensure that the Directed  Shares will be restricted to the extent  required
     by the National Association of Securities Dealers, Inc. (the "NASD") or the
     NASD rules from sale, transfer,  assignment,  pledge or hypothecation for a
     period  of three  months  following  the date of the  effectiveness  of the
     Registration Statement.  Salomon Smith Barney will notify the Company as to
     which  Participants will need to be so restricted.  The Company will direct
     the transfer restrictions upon such period of time.

          (j) The Company  agrees to pay all fees and  disbursements  of counsel
     incurred by the  Underwriters in connection with the Directed Share Program
     and stamp duties,  similar taxes or duties or other taxes, if any, incurred
     by the Underwriters in connection with the Directed Share Program.

     6.  Conditions to the Obligations of the  Underwriters.  The obligations of
the  Underwriters  to  purchase  the  Underwritten  Securities  and  the  Option
Securities,  as the  case  may be,  shall  be  subject  to the  accuracy  of the
representations and warranties on the part of the Company contained herein as of
the Execution Time, the Closing Date and any settlement date pursuant to Section
3  hereof,  to  the  accuracy  of the  statements  of the  Company  made  in any
certificates  pursuant  to the  provisions  hereof,  to the  performance  by the
Company of its obligations hereunder and to the following additional conditions:

          (a) If the  Registration  Statement has not become  effective prior to
     the Execution Time, unless the Representatives  agree in writing to a later
     time, the  Registration  Statement will become effective not later than (i)
     6:00 PM New York  City  time on the  date of  determination  of the  public
     offering price, if such  determination  occurred at or prior to 3:00 PM New
     York City time on such date or (ii) 9:30 AM on the Business  Day  following
     the  day on  which  the  public  offering  price  was  determined,  if such
     determination  occurred  after 3:00 PM New York City time on such date;  if
     filing of the Prospectus,  or any supplement  thereto, is required pursuant
     to Rule 424(b), the Prospectus,  and any such supplement,  will be filed in
     the manner and within the time period required by Rule 424(b);  and no stop
     order suspending the effectiveness of the Registration Statement shall have
     been issued and no proceedings  for that purpose shall have been instituted
     or threatened.

          (b) The Company shall have caused Reboul, MacMurray, Hewitt, Maynard &
     Kristol,  counsel for the Company, to have furnished to the Representatives
     their opinion, dated the Closing Date and addressed to the Representatives,
     to the effect that:

               (i)  each of the  Company  and the  Subsidiaries  has  been  duly
          incorporated and is validly existing as a corporation in good standing
          under  the  laws of the  jurisdiction  in  which  it is  chartered  or
          organized, with full corporate power and authority to own or lease, as
          the case  may be,  and to  operate  its  properties  and  conduct  its
          business as described in


                                     14


<PAGE>


          the  Prospectus,  and is duly  qualified  to do  business as a foreign
          corporation   and  is  in  good  standing   under  the  laws  of  each
          jurisdiction  which  requires  such  qualification,  except  where the
          failure  as to due  qualification  to do  business  would  not  have a
          Material Adverse Effect, individually or in the aggregate.

               (ii) all the  outstanding  shares of capital stock of each of the
          Subsidiaries have been duly and validly  authorized and issued and are
          fully paid and  nonassessable,  and,  except as otherwise set forth in
          the  Prospectus,  all  outstanding  shares  of  capital  stock  of the
          Subsidiaries  are owned by the Company  directly free and clear of any
          perfected  security  interest  and, to the  knowledge of such counsel,
          after  due  inquiry,  any  other  security  interest,  claim,  lien or
          encumbrance;

               (iii) the Company's  authorized  equity  capitalization is as set
          forth in the Prospectus;  the capital stock of the Company conforms in
          all  material  respects to the  description  thereof  contained in the
          Prospectus;  the outstanding shares of Common Stock have been duly and
          validly  authorized  and issued and are fully paid and  nonassessable;
          the Securities have been duly and validly authorized, and, when issued
          and  delivered  to and paid for by the  Underwriters  pursuant to this
          Agreement,  will be fully paid and  nonassessable;  the Securities are
          duly  listed,  and  admitted and  authorized  for trading,  subject to
          official notice of issuance and evidence of satisfactory distribution,
          on the Nasdaq National Market; the certificates for the Securities are
          in valid and sufficient  form;  the holders of  outstanding  shares of
          capital  stock of the Company are not entitled to  preemptive or other
          rights to subscribe  for the  Securities  from the Company  except for
          such rights of WCAS Capital Partners II, L.P. as have been effectively
          waived;  and,  except  as set  forth in the  Prospectus,  no  options,
          warrants or other rights to purchase,  agreements or other obligations
          to issue,  or rights to convert any  obligations  into or exchange any
          securities for,  shares of capital stock of or ownership  interests in
          the Company are outstanding;

               (iv) to the  knowledge  of such  counsel,  there is no pending or
          threatened  action,  suit or  proceeding  by or  before  any  court or
          governmental agency, authority or body or any arbitrator involving the
          Company or the  Subsidiaries  or its or their  property of a character
          required to be disclosed in the  Registration  Statement  which is not
          adequately  disclosed in the Prospectus,  and to the knowledge of such
          counsel,  there  is no  franchise,  contract  or other  document  of a
          character  required to be described in the  Registration  Statement or
          Prospectus,  or to be  filed  as an  exhibit  thereto,  which  is  not
          described or filed as  required;  and the  statements  included in the
          Prospectus  under the headings  "Risk  Factors -- Proposed  Healthcare
          Data  Confidentiality   Legislation,"  "Risk   Factors--Dependence  on
          Intellectual Property; Risk of Infringement,"  "Business -- Government
          Regulation," "Business -- Legal Proceedings" and "Business-


                                       15


<PAGE>


          -Intellectual  Property"  fairly  summarize the legal matters  therein
          described;

               (v) the  Registration  Statement has become  effective  under the
          Act;  any  required  filing  of the  Prospectus,  and any  supplements
          thereto,  pursuant  to Rule  424(b)  has been made in the  manner  and
          within the time period  required by Rule 424(b);  to the  knowledge of
          such  counsel,  no stop  order  suspending  the  effectiveness  of the
          Registration  Statement  has  been  issued,  no  proceedings  for that
          purpose  have  been  instituted  or  threatened  and the  Registration
          Statement and the Prospectus (other than the financial  statements and
          other  financial  information  contained  therein,  as to  which  such
          counsel  need  express no opinion)  comply as to form in all  material
          respects with the applicable requirements of the Act and the rules and
          regulations thereunder; and such counsel has no reason to believe that
          on the  Effective  Date  or at the  Execution  Time  the  Registration
          Statement contained any untrue statement of a material fact or omitted
          to state any material fact required to be stated  therein or necessary
          to make the statements therein not misleading,  or that the Prospectus
          as of its date and on the Closing Date included or includes any untrue
          statement  of a material  fact or omitted or omits to state a material
          fact  necessary to make the  statements  therein,  in the light of the
          circumstances  under  which they were made,  not  misleading  (in each
          case,  other  than  the  financial   statements  and  other  financial
          information  contained therein,  as to which such counsel need express
          no opinion);

               (vi)  this  Agreement  has been  duly  authorized,  executed  and
          delivered by the Company;

               (vii) the Company is not and, after giving effect to the offering
          and sale of the Securities and the application of the proceeds thereof
          as described in the Prospectus,  will not be, an "investment  company"
          as defined in the Investment Company Act of 1940, as amended;

               (viii) no consent, approval, authorization,  filing with or order
          of any court or governmental  agency or body is required in connection
          with the transactions  contemplated  herein,  except such as have been
          obtained  under the Act and such as may be required under the blue sky
          laws  of  any   jurisdiction  in  connection  with  the  purchase  and
          distribution  of the  Securities  by the  Underwriters  in the  manner
          contemplated  in this  Agreement and in the  Prospectus and such other
          approvals (specified in such opinion) as have been obtained;

               (ix)  neither  the  issue  and  sale of the  Securities,  nor the
          consummation of any other of the transactions  herein contemplated nor
          the  fulfillment of the terms hereof will conflict  with,  result in a
          breach  or  violation  of  or  imposition  of  any  lien,   charge  or
          encumbrance  upon  any  property  or  assets  of  the  Company  or its
          subsidiaries pursuant to, (i) the


                                       16


<PAGE>


          charter or by-laws of the Company or the Subsidiaries,  (ii) the terms
          of any  indenture,  contract,  lease,  mortgage,  deed of trust,  note
          agreement, loan agreement or other agreement,  obligation,  condition,
          covenant or instrument to which the Company or the  Subsidiaries are a
          party or bound or to which its or their property is subject,  however,
          the opinion in this section  (ix)(ii) may be based upon the  knowledge
          of such  counsel  with  respect  to any  such  agreement,  obligation,
          condition, covenant or instrument which is not otherwise disclosed in,
          or filed as an exhibit to, the  Registration  Statement,  or (iii) any
          statute, law, rule, regulation,  judgment,  order or decree applicable
          to the  Company or the  Subsidiaries  of any court,  regulatory  body,
          administrative   agency,   governmental  body,   arbitrator  or  other
          authority having  jurisdiction over the Company or the Subsidiaries or
          any of their properties; and

               (x) to the knowledge of such counsel, no holders of securities of
          the Company have rights to the  registration of such securities  under
          the  Registration  Statement  except for such  rights of WCAS  Capital
          Partners  II, L.P. as have been  effectively  waived and the rights of
          Medic Computer Systems, Inc., which rights will not be effective until
          the  exercise of its warrant at least 180 days  following  the sale of
          the Securities to the Underwriters.

     In  rendering  such  opinion,  such  counsel  may  rely  (A) as to  matters
     involving the application of laws of any jurisdiction other than the States
     of Delaware and New York or the Federal laws of the United  States,  to the
     extent they deem proper and specified in such opinion,  upon the opinion of
     other counsel of good standing whom they believe to be reliable and who are
     satisfactory to counsel for the Underwriters and (B) as to matters of fact,
     to the extent they deem proper, on certificates of responsible  officers of
     the Company and public  officials.  References  to the  Prospectus  in this
     paragraph (b) include any supplements thereto at the Closing Date.

          (c) The Representatives shall have received from Dewey Ballantine LLP,
     counsel for the Underwriters,  such opinion or opinions,  dated the Closing
     Date and addressed to the Representatives, with respect to the issuance and
     sale  of  the  Securities,   the  Registration  Statement,  the  Prospectus
     (together  with any  supplement  thereto) and other related  matters as the
     Representatives  may  reasonably  require,   and  the  Company  shall  have
     furnished to such counsel such documents as they request for the purpose of
     enabling them to pass upon such matters.

          (d)  The  Company  shall  have  furnished  to  the  Representatives  a
     certificate  of the  Company,  signed by the  Chairman  of the Board or the
     President and the principal financial or accounting officer of the Company,
     dated the Closing Date, to the effect that the signers of such  certificate
     have carefully  examined the Registration  Statement,  the Prospectus,  any
     supplements to the Prospectus and this Agreement and that:


                                       17


<PAGE>


               (i) the  representations  and  warranties  of the Company in this
          Agreement  are true and correct in all material  respects on and as of
          the Closing  Date with the same effect as if made on the Closing  Date
          and the Company has complied with all the agreements and satisfied all
          the conditions on its part to be performed or satisfied at or prior to
          the Closing Date;

               (ii)  no  stop  order   suspending  the   effectiveness   of  the
          Registration  Statement  has been issued and no  proceedings  for that
          purpose  have  been   instituted  or,  to  the  Company's   knowledge,
          threatened; and

               (iii)  since  the date of the most  recent  financial  statements
          included in the  Prospectus  (exclusive  of any  supplement  thereto),
          there has been no Material Adverse Effect.

          (e) The  Representatives  shall have received letters addressed to you
     dated the date hereof and the Closing  Date from  Deloitte & Touche LLP and
     KPMG Peat Marwick  LLP,  each  independent  certified  public  accountants,
     substantially in the forms heretofore approved by you.

          (f) Subsequent to the Execution  Time or, if earlier,  the dates as of
     which information is given in the Registration  Statement (exclusive of any
     amendment  thereof)  and  the  Prospectus   (exclusive  of  any  supplement
     thereto), there shall not have been (i) any change or decrease specified in
     the letter or letters  referred to in  paragraph  (e) of this  Section 6 or
     (ii) any change, or any development  involving a prospective  change, in or
     affecting the condition  (financial or  otherwise),  earnings,  business or
     properties of the Company and the Subsidiaries taken as a whole, whether or
     not arising from transactions in the ordinary course of business, except as
     set forth in or contemplated in the Prospectus (exclusive of any supplement
     thereto) the effect of which, in any case referred to in clause (i) or (ii)
     above,  is, in the sole  judgment of the  Representatives,  so material and
     adverse  as to make it  impractical  or  inadvisable  to  proceed  with the
     offering or delivery of the Securities as contemplated by the  Registration
     Statement   (exclusive  of  any  amendment   thereof)  and  the  Prospectus
     (exclusive of any supplement thereto).

          (g) The Securities  shall have been listed and admitted and authorized
     for trading on the Nasdaq National Market and satisfactory evidence of such
     actions shall have been provided to the Representatives.

          (h)  At or  prior  to the  Execution  Time,  the  Company  shall  have
     furnished  to the  Representatives  a letter  substantially  in the form of
     Exhibit A hereto from each officer,  director and certain  stockholders  of
     the Company,  whose  aggregate  holdings of Common Stock  represent  ______
     shares  of  Common  Stock  (___% of the total  outstanding  Common  Stock),
     addressed to the Representatives.


                                       18


<PAGE>


          (i) The Company shall have provided evidence to the  Underwriters,  in
     form and substance  satisfactory to the Representatives,  that concurrently
     with the Closing (i) the Senior  Subordinated  Note and the Credit Facility
     (as such terms are defined in the Prospectus) will be repaid in full in the
     manner set forth in the Prospectus  under the heading "Use of Proceeds" and
     (ii) the Recapitalization (as defined in the Prospectus) will be completed.

          (j) The Company shall have provided evidence to the  Underwriters,  in
     form and substance  satisfactory to the  Representatives,  that the Amended
     Credit Facility has been executed on the terms set forth in the Prospectus.

          (k) The Company shall have provided evidence to the  Underwriters,  in
     form and substance satisfactory to the Representatives,  that the Company's
     Certificate of  Incorporation  has been amended to provide for the issuance
     of up to 5,000,000 shares of Preferred Stock as set forth in the Prospectus
     under the headings "Risk Factors--Potential Adverse Effect of Anti-Takeover
     Provisions,"  "Description  of Capital Stock" and  "Description  of Capital
     Stock--Preferred Stock."

          (l) Prior to the Closing Date, the Company shall have furnished to the
     Representatives such further information, certificates and documents as the
     Representatives may reasonably request.

          If any of the  conditions  specified  in this Section 6 shall not have
     been  fulfilled  in all  material  respects  when and as  provided  in this
     Agreement,  or if any of the opinions and  certificates  mentioned above or
     elsewhere  in  this  Agreement  shall  not  be  in  all  material  respects
     reasonably  satisfactory in form and substance to the  Representatives  and
     counsel for the  Underwriters,  this  Agreement and all  obligations of the
     Underwriters  hereunder  may be  canceled  at, or at any time prior to, the
     Closing Date by the  Representatives.  Notice of such cancelation  shall be
     given to the Company in writing or by telephone  or facsimile  confirmed in
     writing.

          The  documents  required to be  delivered  by this  Section 6 shall be
     delivered  at  the  office  of  Dewey   Ballantine  LLP,  counsel  for  the
     Underwriters,  at 1301 Avenue of the Americas,  New York,  New York, on the
     Closing Date.

          7.  Reimbursement  of  Underwriters'  Expenses.  If  the  sale  of the
     Securities  provided for herein is not consummated because any condition to
     the  obligations of the  Underwriters  set forth in Section 6 hereof is not
     satisfied,  because  of any  termination  pursuant  to Section 10 hereof or
     because of any refusal,  inability or failure on the part of the Company to
     perform any agreement herein or comply with any provision hereof other than
     by  reason  of a  default  by any of the  Underwriters,  the  Company  will
     reimburse the Underwriters severally through Salomon Smith Barney on demand
     for all out-of-pocket expenses (including reasonable fees and disbursements
     of counsel) that shall have been  incurred by them in  connection  with the
     proposed purchase and sale of the Securities.


                                       19


<PAGE>


          8. Indemnification and Contribution.

          (a)  The  Company   agrees  to  indemnify   and  hold   harmless  each
     Underwriter,  the  directors,   officers,  employees  and  agents  of  each
     Underwriter and each person who controls any Underwriter within the meaning
     of either the Act or the Exchange  Act against any and all losses,  claims,
     damages or liabilities,  joint or several, to which they or any of them may
     become  subject  under the Act, the Exchange Act or other  Federal or state
     statutory law or  regulation,  at common law or otherwise,  insofar as such
     losses,  claims,  damages or  liabilities  (or actions in respect  thereof)
     arise out of or are based  upon any  untrue  statement  or  alleged  untrue
     statement of a material fact  contained in the  registration  statement for
     the  registration of the Securities as originally filed or in any amendment
     thereof,  or in any  Preliminary  Prospectus or the  Prospectus,  or in any
     amendment thereof or supplement  thereto, or arise out of or are based upon
     the omission or alleged  omission to state therein a material fact required
     to be stated  therein  or  necessary  to make the  statements  therein  not
     misleading,  and  agrees to  reimburse  each  such  indemnified  party,  as
     incurred,  for any legal or other expenses  reasonably  incurred by them in
     connection with  investigating or defending any such loss,  claim,  damage,
     liability or action; provided, however, that the Company will not be liable
     in any such  case to the  extent  that  any such  loss,  claim,  damage  or
     liability  arises  out of or is based  upon any such  untrue  statement  or
     alleged  untrue  statement or omission or alleged  omission made therein in
     reliance upon and in conformity with written  information  furnished to the
     Company  by or on behalf of any  Underwriter  through  the  Representatives
     specifically for inclusion therein;  provided further, that with respect to
     any untrue  statement or omission of material fact made in any  Preliminary
     Prospectus,  the indemnity  agreement  contained in this Section 8(a) shall
     not inure to the benefit of any Underwriter  from whom the person asserting
     any  such  loss,  claim,  damage  or  liability  purchased  the  securities
     concerned,  to the extent that any such loss, claim, damage or liability of
     such  Underwriter  occurs under the  circumstance  where it shall have been
     determined by a court of competent  jurisdiction by final and nonappealable
     judgment  that (w) the  Company  had  previously  furnished  copies  of the
     Prospectus  to the  Representatives,  (x)  delivery of the  Prospectus  was
     required by the Act to be made to such person,  (y) the untrue statement or
     omission of a material fact  contained in the  Preliminary  Prospectus  was
     corrected  in the  Prospectus  and (z)  there was not sent or given to such
     person,  at or  prior  to the  written  confirmation  of the  sale  of such
     securities  to  such  person,  a copy  of the  Prospectus.  This  indemnity
     agreement  will be in  addition  to any  liability  which the  Company  may
     otherwise have.

          (b) The Company  agrees to indemnify and hold  harmless  Salomon Smith
     Barney and each person,  if any, who controls  Salomon  Smith Barney within
     the meaning of either Section 15 of the Securities Act or Section 20 of the
     Exchange Act ("Salomon  Smith Barney  Entities"),  from and against any and
     all losses, claims, damages and liabilities (including, without limitation,
     any  legal  or  other  expenses  reasonably  incurred  in  connection  with
     defending  or  investigating  any such  action or claim)  (i) caused by any
     untrue  statement or alleged untrue


                                       20


<PAGE>


     statement of a material fact contained in the prospectus  wrapper  material
     prepared by or with the consent of the Company for  distribution in foreign
     jurisdictions in connection with the Directed Share Program attached to the
     Prospectus  or any  preliminary  prospectus,  or caused by any  omission or
     alleged  omission to state  therein a material  fact  required to be stated
     therein or necessary to make the  statement  therein,  when  considered  in
     conjunction with the Prospectus or any applicable  preliminary  prospectus,
     not  misleading;  (ii) caused by the failure of any  Participant to pay for
     and accept delivery of the shares which immediately following the effective
     of  the  Registration  Statement,  were  subject  to a  properly  confirmed
     agreement  to  purchase;  or  (iii)  related  to,  arising  out  of,  or in
     connection  with the Directed  Share  Program,  provided  that, the Company
     shall not be  responsible  under this  subparagraph  (iii) for any  losses,
     claim,  damages or  liabilities  (or expenses  relating  thereto)  that are
     finally judicially  determined to have resulted from the bad faith or gross
     negligence of Salomon Smith Barney Entities.

          (c) Each Underwriter severally and not jointly agrees to indemnify and
     hold harmless the Company, each of its directors,  each of its officers who
     signs the Registration Statement,  and each person who controls the Company
     within  the  meaning  of either the Act or the  Exchange  Act,  to the same
     extent as the foregoing indemnity from the Company to each Underwriter, but
     only with  reference to written  information  relating to such  Underwriter
     furnished  to the Company by or on behalf of such  Underwriter  through the
     Representatives  specifically for inclusion in the documents referred to in
     the foregoing  indemnity.  This indemnity  agreement will be in addition to
     any  liability  which any  Underwriter  may  otherwise  have.  The  Company
     acknowledges  that the  statements  set forth in the last  paragraph of the
     cover  page  regarding  delivery  of the  Securities,  the  legend in block
     capital  letters on page 2 related  to  stabilization,  syndicate  covering
     transactions  and penalty  bids and,  under the heading  "Underwriting"  or
     "Plan of  Distribution,"  (i) the  sentences  related  to  concessions  and
     reallowances  and (ii) the paragraph  related to  stabilization,  syndicate
     covering  transactions  and penalty bids in any Preliminary  Prospectus and
     the Prospectus  constitute the only information  furnished in writing by or
     on behalf of the several  Underwriters  for  inclusion  in any  Preliminary
     Prospectus or the Prospectus.

          (d) The Company  hereby  confirms  that at its request  Salomon  Smith
     Barney  has   without   compensation   acted  as   "qualified   independent
     underwriter" (in such capacity,  the "QIU") within the meaning of Rule 2720
     of the Conduct Rules of the National  Association  of  Securities  Dealers,
     Inc.  ("Rule  2720")  in  connection  with  the  offering  of  the  Offered
     Securities.  The Company agrees to indemnify and hold harmless the QIU, the
     directors,  officers,  employees  and agents of the QIU and each person who
     controls  the QIU within the meaning of either the Act or the  Exchange Act
     against  any and all  losses,  claims,  damages  or  liabilities,  joint or
     several, to which they or any of them may become subject under the Act, the
     Exchange Act or other  Federal or state  statutory  law or  regulation,  at
     common  law or  otherwise,  insofar  as such  losses,  claims,  damages  or
     liabilities (or actions in respect  thereof) arise out of or are based upon
     any


                                       21


<PAGE>


     untrue  statement or alleged untrue  statement of a material fact contained
     in the  registration  statement for the  registration  of the Securities as
     originally  filed  or in  any  amendment  thereof,  or in  any  Preliminary
     Prospectus or the  Prospectus,  or in any  amendment  thereof or supplement
     thereto, or arise out of or are based upon the omission or alleged omission
     to state therein a material fact required to be stated therein or necessary
     to make the statements therein not misleading, and agrees to reimburse each
     such  indemnified  party,  as  incurred,  for any  legal or other  expenses
     reasonably  incurred by them in connection with  investigating or defending
     any such loss, claim, damage, liability or action; provided,  however, that
     the Company will not be liable in any such case to the extent that any such
     loss,  claim,  damage or liability  arises out of or is based upon any such
     untrue  statement  or  alleged  untrue  statement  or  omission  or alleged
     omission  made  therein in reliance  upon and in  conformity  with  written
     information furnished to the Company by or on behalf of the QIU through the
     Representatives   specifically  for  inclusion   therein.   This  indemnity
     agreement  will be in  addition  to any  liability  which the  Company  may
     otherwise have.

          (e) Promptly after receipt by an indemnified  party under this Section
     8 of notice of the commencement of any action, such indemnified party will,
     if a claim in respect thereof is to be made against the indemnifying  party
     under this  Section  8,  notify  the  indemnifying  party in writing of the
     commencement  thereof;  but the failure so to notify the indemnifying party
     (i) will not relieve it from liability under paragraph (a), (b), (c) or (d)
     above  unless and to the extent it did not  otherwise  learn of such action
     and such failure  results in the  forfeiture by the  indemnifying  party of
     substantial  rights and defenses  and (ii) will not, in any event,  relieve
     the indemnifying  party from any obligations to any indemnified party other
     than the indemnification  obligation provided in paragraph (a), (b), (c) or
     (d) above. The  indemnifying  party shall be entitled to appoint counsel of
     the  indemnifying  party's choice at the  indemnifying  party's  expense to
     represent the indemnified party in any action for which  indemnification is
     sought  (in which  case the  indemnifying  party  shall not  thereafter  be
     responsible for the fees and expenses of any separate  counsel  retained by
     the  indemnified  party or parties  except as set forth  below);  provided,
     however,  that such counsel shall be satisfactory to the indemnified party.
     Notwithstanding  the  indemnifying  party's  election to appoint counsel to
     represent the indemnified  party in an action,  the indemnified party shall
     have the right to employ separate counsel  (including  local counsel),  and
     the  indemnifying  party shall bear the reasonable fees, costs and expenses
     of  such  separate  counsel  if  (i)  the  use  of  counsel  chosen  by the
     indemnifying  party to represent  the  indemnified  party would,  under any
     applicable   standard  of  professional   conduct  as  determined  by  such
     indemnified party,  present such counsel with a conflict of interest,  (ii)
     the  actual or  potential  defendants  in, or targets  of, any such  action
     include  both the  indemnified  party  and the  indemnifying  party and the
     indemnified  party shall have reasonably  concluded that there may be legal
     defenses  available  to it  and/or  other  indemnified  parties  which  are
     different from or additional to those available to the indemnifying  party,
     (iii) the indemnifying  party shall not have employed counsel  satisfactory
     to the  indemnified  party to  represent  the  indemnified  party  within a


                                       22


<PAGE>


     reasonable  time after notice of the institution of such action or (iv) the
     indemnifying party shall authorize the indemnified party to employ separate
     counsel at the expense of the  indemnifying  party. An  indemnifying  party
     will not,  without the prior written  consent of the  indemnified  parties,
     settle or  compromise  or consent to the entry of any judgment with respect
     to any pending or threatened claim,  action,  suit or proceeding in respect
     of which  indemnification  or contribution may be sought hereunder (whether
     or not the  indemnified  parties  are actual or  potential  parties to such
     claim or action) unless such settlement,  compromise or consent includes an
     unconditional  release of each indemnified party from all liability arising
     out of such claim, action, suit or proceeding.  It is understood,  however,
     that the Company shall,  in connection with any one such action or separate
     but  substantially  similar  or related  actions  in the same  jurisdiction
     arising out of the same general allegations or circumstances, be liable for
     the fees and expenses of only one separate  firm of attorneys  (in addition
     to any local counsel) at any time for all such Underwriters and controlling
     persons, which firm shall be designated in writing by Salomon Smith Barney.
     Notwithstanding anything contained herein to the contrary, if indemnity may
     be sought  pursuant  to Section  8(b)  hereof in respect of such  action or
     proceeding,  then in addition  to such  separate  firm for the  indemnified
     parties, the indemnifying party shall be liable for the reasonable fees and
     expenses  of not more  than one  separate  firm (in  addition  to any local
     counsel) for Salomon  Smith  Barney for the defense of any losses,  claims,
     damages and liabilities arising out of the Directed Share Program,  and all
     persons,  if any, who control  Salomon  Smith Barney  within the meaning of
     either Section 15 of the Act or Section 20 of the Exchange Act.

          (f) In the event that the  indemnity  provided in paragraph  (a), (b),
     (c) or (d) of this  Section 8 is  unavailable  to or  insufficient  to hold
     harmless  an  indemnified  party  for  any  reason,  the  Company  and  the
     Underwriters severally agree to contribute to the aggregate losses, claims,
     damages  and  liabilities  (including  legal or other  expenses  reasonably
     incurred in connection with investigating or defending same)  (collectively
     "Losses") to which the Company and one or more of the  Underwriters  may be
     subject  in such  proportion  as is  appropriate  to reflect  the  relative
     benefits received by the Company on the one hand and by the Underwriters on
     the other from the offering of the Securities;  provided,  however, that in
     no case  shall  (i)  any  Underwriter  (except  as may be  provided  in any
     agreement among underwriters relating to the offering of the Securities) be
     responsible  for any  amount  in  excess of the  underwriting  discount  or
     commission  applicable  to the  Securities  purchased  by such  Underwriter
     hereunder  or  (ii)  the  QIU in its  capacity  as  "qualified  independent
     underwriter"  (within  the  meaning  of Rule 2720) be  responsible  for any
     amount in excess of the compensation received by the QIU for acting in such
     capacity.  If the allocation provided by the immediately preceding sentence
     is unavailable for any reason,  the Company and the Underwriters  severally
     shall  contribute in such  proportion as is appropriate to reflect not only
     such  relative  benefits but also the relative  fault of the Company on the
     one hand  and of the  Underwriters  on the  other  in  connection  with the
     statements or omissions  which resulted in such Losses as well as any


                                       23


<PAGE>


     other relevant equitable  considerations.  Benefits received by the Company
     shall be deemed to be equal to the total  net  proceeds  from the  offering
     (before  deducting  expenses)  received by it, and benefits received by the
     Underwriters  shall  be  deemed  to be  equal  to  the  total  underwriting
     discounts and  commissions,  in each case as set forth on the cover page of
     the Prospectus.  Benefits received by the QIU in its capacity as "qualified
     independent  underwriter"  shall be deemed to be equal to the  compensation
     received by the QIU for acting in such  capacity.  Relative  fault shall be
     determined by reference  to, among other things,  whether any untrue or any
     alleged  untrue  statement  of a material  fact or the  omission or alleged
     omission to state a material  fact relates to  information  provided by the
     Company on the one hand or the Underwriters on the other, the intent of the
     parties and their relative knowledge, access to information and opportunity
     to correct or prevent such untrue  statement  or omission.  The Company and
     the  Underwriters  agree  that  it  would  not be  just  and  equitable  if
     contribution  were determined by pro rata allocation or any other method of
     allocation  which  does not take  account of the  equitable  considerations
     referred to above. Notwithstanding the provisions of this paragraph (f), no
     person  guilty of  fraudulent  misrepresentation  (within  the  meaning  of
     Section 11(f) of the Act) shall be entitled to contribution from any person
     who was not guilty of such  fraudulent  misrepresentation.  For purposes of
     this Section 8, each person who controls an Underwriter  within the meaning
     of either the Act or the Exchange Act and each director,  officer, employee
     and agent of an Underwriter  shall have the same rights to  contribution as
     such  Underwriter,  and each person who  controls  the  Company  within the
     meaning of either the Act or the Exchange  Act, each officer of the Company
     who shall have signed the  Registration  Statement and each director of the
     Company shall have the same rights to contribution as the Company,  subject
     in each case to the applicable terms and conditions of this paragraph (f).

          9. Default by an Underwriter.  If any one or more  Underwriters  shall
     fail to purchase and pay for any of the  Securities  agreed to be purchased
     by such Underwriter or Underwriters  hereunder and such failure to purchase
     shall  constitute a default in the performance of its or their  obligations
     under  this  Agreement,  the  remaining  Underwriters  shall  be  obligated
     severally to take up and pay for (in the respective  proportions  which the
     amount of Securities  set forth  opposite  their names in Schedule I hereto
     bears to the aggregate amount of Securities set forth opposite the names of
     all  the  remaining  Underwriters)  the  Securities  which  the  defaulting
     Underwriter  or  Underwriters  agreed  but  failed to  purchase;  provided,
     however,  that in the event that the aggregate  amount of Securities  which
     the defaulting  Underwriter or  Underwriters  agreed but failed to purchase
     shall  exceed  10% of the  aggregate  amount  of  Securities  set  forth in
     Schedule  I hereto,  the  remaining  Underwriters  shall  have the right to
     purchase all, but shall not be under any obligation to purchase any, of the
     Securities,  and if such nondefaulting Underwriters do not purchase all the
     Securities,   this  Agreement  will  terminate  without  liability  to  any
     nondefaulting  Underwriter or the Company. In the event of a default by any
     Underwriter  as set forth in this  Section  9, the  Closing  Date  shall be
     postponed  for such  period,  not  exceeding  five  Business  Days,  as the
     Representatives  shall determine in order that the required  changes in the
     Registration  Statement  and the  Prospectus  or in any


                                       24


<PAGE>


     other documents or arrangements may be effected.  Nothing contained in this
     Agreement  shall relieve any defaulting  Underwriter  of its liability,  if
     any,  to  the  Company  and  any  nondefaulting   Underwriter  for  damages
     occasioned by its default hereunder.

          10. Termination. This Agreement shall be subject to termination in the
     absolute discretion of the Representatives,  by notice given to the Company
     prior to delivery of and payment for the  Securities,  if at any time prior
     to such time (i)  trading in the  Company's  Common  Stock  shall have been
     suspended by the  Commission  or the Nasdaq  National  Market or trading in
     securities  generally on the New York Stock Exchange or the Nasdaq National
     Market shall have been  suspended  or limited or minimum  prices shall have
     been  established  on such  Exchange  or  National  Market,  (ii) a banking
     moratorium  shall  have been  declared  either by Federal or New York State
     authorities  or (iii) there shall have  occurred any outbreak or escalation
     of hostilities, declaration by the United States of a national emergency or
     war, or other  calamity or crisis the effect of which on financial  markets
     is  such  as to make  it,  in the  sole  judgment  of the  Representatives,
     impractical  or inadvisable to proceed with the offering or delivery of the
     Securities as contemplated  by the Prospectus  (exclusive of any supplement
     thereto).

          11.   Representations  and  Indemnities  to  Survive.  The  respective
     agreements,  representations,  warranties, indemnities and other statements
     of the Company or its officers and of the Underwriters set forth in or made
     pursuant to this Agreement will remain in full force and effect, regardless
     of any investigation made by or on behalf of any Underwriter or the Company
     or any of the officers,  directors or  controlling  persons  referred to in
     Section  8  hereof,  and  will  survive  delivery  of and  payment  for the
     Securities.  The  provisions  of Sections 7 and 8 hereof shall  survive the
     termination or cancelation of this Agreement.

          12.  Notices.  All  communications  hereunder  will be in writing  and
     effective  only on receipt,  and, if sent to the  Representatives,  will be
     mailed,  delivered or telefaxed to the Salomon Smith Barney General Counsel
     (fax no.:  (212)  816-7912) and confirmed to the General  Counsel,  Salomon
     Smith  Barney,  at  388  Greenwich  Street,  New  York,  New  York,  10013,
     Attention:  General  Counsel;  or, if sent to the Company,  will be mailed,
     delivered or telefaxed to (516)  542-4508 and confirmed to it at 90 Merrick
     Avenue,  Suite 501,  East  Meadow,  New York 11554,  attention of the Legal
     Department.

          13.  Successors.  This  Agreement  will inure to the benefit of and be
     binding upon the parties  hereto and their  respective  successors  and the
     officers and directors  and  controlling  persons  referred to in Section 8
     hereof, and no other person will have any right or obligation hereunder.

          14.  Applicable  Law. This Agreement will be governed by and construed
     in  accordance  with  the  laws of the  State  of New  York  applicable  to
     contracts made and to be performed within the State of New York.


                                       25


<PAGE>


          15.  Counterparts.  This  Agreement  may be  signed  in  one  or  more
     counterparts,  each of which shall  constitute an original and all of which
     together shall constitute one and the same agreement.

          16.  Headings.  The section  headings used herein are for  convenience
     only and shall not affect the construction hereof.

          17. Definitions.  The terms which follow, when used in this Agreement,
     shall have the meanings indicated.

          "Act" shall mean the Securities Act of 1933, as amended, and the rules
     and regulations of the Commission promulgated thereunder.

          "Business Day" shall mean any day other than a Saturday, a Sunday or a
     legal holiday or a day on which banking institutions or trust companies are
     authorized or obligated by law to close in New York City.

          "Commission" shall mean the Securities and Exchange Commission.

          "Effective  Date" shall mean each date and time that the  Registration
     Statement,  any post-effective amendment or amendments thereto and any Rule
     462(b) Registration Statement became or become effective.

          "Exchange  Act" shall mean the  Securities  Exchange  Act of 1934,  as
     amended,  and the  rules  and  regulations  of the  Commission  promulgated
     thereunder.

          "Execution  Time" shall mean the date and time that this  Agreement is
     executed and delivered by the parties hereto.

          "Preliminary   Prospectus"  shall  mean  any  preliminary   prospectus
     referred to in paragraph 1(a) above and any preliminary prospectus included
     in the  Registration  Statement at the Effective  Date that omits Rule 430A
     Information.

          "Prospectus" shall mean the prospectus relating to the Securities that
     is first filed  pursuant to Rule 424(b) after the Execution  Time or, if no
     filing  pursuant to Rule 424(b) is  required,  shall mean the form of final
     prospectus   relating  to  the  Securities  included  in  the  Registration
     Statement at the Effective Date.

          "Registration   Statement"  shall  mean  the  registration   statement
     referred to in  paragraph  1(a) above,  including  exhibits  and  financial
     statements,  as amended at the Execution  Time (or, if not effective at the
     Execution Time, in the form in which it shall become effective) and, in the
     event any post-effective  amendment thereto or any Rule 462(b) Registration
     Statement becomes effective prior to the Closing Date, shall also mean such
     registration  statement  as so  amended  or such Rule  462(b)  Registration
     Statement,  as the case may be.  Such  term  shall  include


                                       26


<PAGE>


     any Rule 430A  Information  deemed to be included  therein at the Effective
     Date as provided by Rule 430A.

          "Rule  424",  "Rule 430A" and "Rule 462" refer to such rules under the
     Act.

          "Rule 430A  Information"  shall mean  information  with respect to the
     Securities  and the  offering  thereof  permitted  to be  omitted  from the
     Registration Statement when it becomes effective pursuant to Rule 430A.

          "Rule  462(b)  Registration   Statement"  shall  mean  a  registration
     statement and any amendments thereto filed pursuant to Rule 462(b) relating
     to the  offering  covered  by the  registration  statement  referred  to in
     Section 1(a) hereof.

          "Salomon Smith Barney" shall mean Salomon Smith Barney Inc.


                                       27


<PAGE>



          If the  foregoing  is in  accordance  with your  understanding  of our
     agreement,  please  sign and return to us the  enclosed  duplicate  hereof,
     whereupon  this  letter  and your  acceptance  shall  represent  a  binding
     agreement among the Company and the several Underwriters.

                                                     Very truly yours,

                                                     MedE America Corporation

                                                     By:         
                                                       -------------------------
                                                       Name:
                                                       Title:


<PAGE>



The  foregoing   Agreement  is
hereby  confirmed and accepted
as of  the  date  first  above
written.

Salomon Smith Barney Inc.
Bear, Stearns & Co. Inc.
William Blair & Company, L.L.C.

By: Salomon Smith Barney Inc.

    By:
      --------------------------------
      Name:
      Title:

For  themselves  and the other
several  Underwriters named in
Schedule  I to  the  foregoing
Agreement.


                                       29


<PAGE>




                                   SCHEDULE I

                                                                Number of 
                                                         Underwritten Securities
Underwriters                                                 to be Purchased
- ------------                                                 ---------------
Salomon Smith Barney Inc.............................
Bear, Stearns & Co. Inc. ............................
William Blair & Company, L.L.C.......................


                                                         -----------------------

                  Total..............................    -----------------------

                                                         

<PAGE>



[Form of Lock-Up Agreement]                                            EXHIBIT A


               [Letterhead of officer, director or shareholder of
                                  Corporation]

                            MEDE AMERICA CORPORATION
                     Initial Public Offering of Common Stock

                                                                  June ___, 1998

Smith Barney Inc.
William Blair & Company, L.L.C.
Volpe Brown Whelan & Company, LLC
  c/o Smith Barney Inc.
  388 Greenwich Street
  New York, New York 10013

Ladies and Gentlemen:

          This letter is being  delivered to you in connection with the proposed
Underwriting  Agreement  (the  "Underwriting  Agreement"),  between MEDE AMERICA
Corporation,  a  Delaware  corporation  (the  "Company"),  and  each  of  you as
Underwriters named therein,  relating to an underwritten initial public offering
of Common Stock, $.01 par value (the "Common Stock"), of the Company.

          In order to induce  you and the other  Underwriters  to enter into the
Underwriting  Agreement,  the  undersigned  will not,  without the prior written
consent of Smith Barney Inc., sell, offer to sell, solicit an offer to purchase,
contract to sell, grant any option to sell,  pledge or otherwise  dispose of, or
file  (or  participate  in the  filing  of) a  registration  statement  with the
Securities and Exchange Commission in respect of, or establish or increase a put
equivalent  position or liquidate or decrease a call equivalent  position within
the meaning of Section 16 of the  Securities  Exchange Act of 1934,  as amended,
and  the  rules  and  regulations  of the  Securities  and  Exchange  Commission
promulgated  thereunder  with  respect  to, any  shares of capital  stock of the
Company or any securities  convertible  into or exercisable or exchangeable  for
such  capital  stock,  or  publicly  announce  an  intention  to effect any such
transaction,  for a period of 180 days  after the date of the Final  Prospectus,
other than shares of Common  Stock  disposed  of as bona fide gifts  approved by
Smith Barney Inc.






<PAGE>

          If for any reason the Underwriting Agreement shall be terminated prior
to the Closing Date (as defined in the  Underwriting  Agreement),  the agreement
set forth above shall likewise be terminated.

                                       Yours very truly,

                                       ----------------------------------
                                       Stockholder Name

                                       By: ------------------------------
                                           Name:
                                           Title:
                                           Address:





                                                                    EXHIBIT 10.6

January 8, 1999                                                    CONFIDENTIAL

                            MEDE AMERICA CORPORATION
                            ------------------------
                  $25,000,000 SENIOR SECURED CREDIT FACILITIES
                  --------------------------------------------
                               COMMITMENT LETTER
                               -----------------

MedE America Corporation
90 Merrick Avenue, Suite 501
East Meadow, NY 11554

Attention: Mr. Richard Bankosky

Ladies and Gentlemen:

NationsBank  N.A.  ("NationsBank")  is pleased to advise you that it is willing,
subject to credit  approval,  and to the terms and conditions  contained in this
letter and in the attached  Summary of Terms and Conditions  (the "Term Sheet"),
to commit up to $25,000,000 of senior  secured  credit  facilities  (the "Senior
Facilities").

It is agreed that NationsBank will act as the sole and exclusive  Administrative
Agent for the Senior  Facilities.  You agree that no other agents,  co-agents or
arrangers will be appointed, no other titles will be awarded and no compensation
(other  than that  expressly  contemplated  by the Term  Sheet)  will be paid in
connection with the Senior Facilities unless you and we shall so agree.

In addition to the  conditions to funding or closing set forth herein and in the
Term Sheet,  NationsBank's  commitment to provide financing hereunder is subject
to, among other conditions,  (i) approval of the credit facility by NationsBank;
(ii)  satisfactory  completion of due diligence  with respect to the  borrower's
operations and business affairs by NationsBank in its sole discretion; (iii) the
negotiation  and  execution  of  a  definitive  credit  agreement  (the  "Credit
Agreement")  and other related  documentation  satisfactory to the Lenders' (iv)
there being no material adverse change in the reasonable  opinion of NationsBank
in the financial condition, business, operations, properties or prospects of the
Borrower  and  its  consolidated  subsidiaries  from  the  date  of the  audited
financial  statements most recently provided prior to the date hereof; (v) there
be no competing  offering,  placement,  or arrangement of any debt securities or
bank  financial  by or on  behalf of the  Borrower,  until  the  closing  of the
transaction.

Whether  or not  the  transactions  contemplated  hereby  are  consummated,  the
Borrower  hereby agrees to indemnify and hold  harmless  NationsBank,  and their
respective directors,  officers, employees and affiliates (each, an "indemnified
person") from and against any and all losses, claims,  damages,  liabilities (or
actions or other  proceedings  commenced or threatened  in respect  thereof) and
expenses that arise out of, result from or in any way related to this commitment
letter,  or the  providing  of the  Senior  Facilities,  and to  reimburse  each
indemnified  person, upon its demand, for any legal or other expenses (including
the  allocated   cost  of  in-house   counsel)   incurred  in  connection   with
investigating,  defending  or  participating  in any such loss,  claim,  damage,
liability or action or other proceeding  (whether or not such indemnified person
is a party to any action or proceeding  out of which any such  expenses  arise),
other than any of the foregoing claimed by any indemnified  person to the extent
incurred by reason of the gross negligence or willful misconduct of such person.
Neither NationsBank, nor any of their affiliates, shall be responsible or liable
to the Borrower or any other person for any  consequential  damages which may be
alleged.

<PAGE>

MedE America Corporation
January 8, 1999

Page 2

In addition,  the Borrower hereby agrees to reimburse  NationsBank  from time to
time upon demand for their reasonable  out-of-pocket costs and expenses incurred
at any time,  including  (i)  attorneys'  fees and  allocated  costs of internal
counsel (without duplication) in connection with the preparation and delivery of
the Credit Agreement and all related  documents,  and (ii) costs and expenses in
connection with due diligence and the negotiation,  closing,  and enforcement of
the Senior  Facilities,  regardless of whether the Senior  Facilities close. The
Borrower  shall  also pay all costs and  expenses  of the  Administrative  Agent
associated  with amendments and other charges to the Credit  Agreement,  and all
costs and expenses of the Lenders in the  collection of the  obligations  of the
Borrower (including  reasonable  attorney's fees and allocated costs of internal
counsel).

Upon your  delivery to us of a signed  copy of this  letter,  this letter  shall
become a  binding  agreement  under  New  York  law as of the date so  accepted.
NationsBank's  commitment  hereunder  shall remain in effect until 5:00 p.m. New
York time, on February 15, 1999 when, if not to accepted, NationsBank commitment
hereunder will  terminate.  This commitment will expire on March 31, 1999 if the
Senior Facilities have not closed on or before that date.

We are  pleased  to have the  opportunity  to work  with  you on this  important
financing.

Very truly yours,

NATIONSBANK N.A.

By:  /s/
   ------------------------------
Title: Attorney-in-fact

   ------------------------------

ACCEPTED AND AGREED TO:

MEDE AMERICA CORPORATION

THIS 8TH DAY OF JANUARY, 1999

By:  
   ----------------------------
   
Title:
      -------------------------
<PAGE>

CONFIDENTIAL                                            MEDE AMERICA CORPORATION
- --------------------------------------------------------------------------------
                      SUMMARY OF TERMS AND CONDITIONS (1)

                            MEDE AMERICA CORPORATION
                  $25,000,000 SENIOR SECURED CREDIT FACILITIES


BORROWER:          MEDE AMERICA CORPORATION ("MedE" or the "Borrower").

GUARANTORS:        All material operating  subsidiaries and holding companies of
                   the Borrower.

ADMINSTRATIVE      NationsBank   N.A.  (in  such   capacity   "NationsBank"   or
                   "Administrative Agent")

FACILITIES:        Senior Secured Credit Facility (the "Senior  Facility") up to
                   $25,000,000 consisting of a two year non amortizing Revolving
                   Credit Facility.

LENDERS:           NationsBank   N.A.,   and   other   financial    institutions
                   satisfactory to NationsBank.

PURPOSE:           Senior  Facility  will be used for working  capital,  general
                   corporate  purposes and acquisitions.  All acquisitions shall
                   be subject to the approval of the  Administrative  Agent, and
                   be in a similar  line of  business,  and there shall exist no
                   Default or Event of Default under the Senior Facility.

AVAILABILITY:      Senior  Facility will be available on a revolving basis after
                   the  closing  ("Closing  Date")  and  prior  to the  maturity
                   thereof.

MATURITY DATE:     Two year  anniversary  of the Closing Date, but no later than
                   February 28, 2001.

MANDATORY          
PREPAYMENTS/       
COMMITMENT         
REDUCTIONS:        The Senior Credit Facility will be prepaid by an amount equal
                   to (i) 100% of the net cash  proceeds  of all asset  sales by
                   the

                            
- ---------------------
(1) Unless otherwise  defined herein,  capitalized  terms used herein shall have
    the respective  meanings set forth in  the  Commitment  Letter to which this
    Exhibit A is attached.

                               Page 1                            January 8, 1999
- --------------------------------------------------------------------------------
BANK OF AMERICA

<PAGE>
CONFIDENTIAL                                            MEDE AMERICA CORPORATION
- --------------------------------------------------------------------------------

<TABLE>
<S>                 <C>
                   Company net of all selling  expenses  and taxes to the extent
                   that taxes are paid;

                   (ii) 100% of the net cash  proceeds  of the  issuance  of any
                   debt;  and 
                   (iii) 50% of the net cash  proceeds  of the  issuance  of any
                   equity.

                   Senior  Facility  will  be  required  to be  prepaid  or cash
                   collateralized,   as   appropriate,   if  at  any   time  the
                   outstanding amount thereof exceeds the total commitments, and
                   the Senior Facility will terminate,  upon the occurrence of a
                   change of control (to be defined) of the Borrower.

COLLATERAL:        Substantially  similar to that in existing credit  agreement,
                   including, but not limited to:

                   (1) A first lien on all the present and future  assets of the
                       Company and its subsidiaries.
                   (2) Stock of all present and future subsidiaries.

BORROWING
OPTIONS:           At the Borrower's option, interest on borrowings shall accrue
                   on the following indexes plus the applicable spreads.

                   Eurodollar Rate: The Interbank  Offered Rate (IBOR) for 1, 2,
                   3, 6 month  dollar  deposits  as offered  by  NationsBank  to
                   prime  international  banks in the offshore  dollar market at
                   11:00  a.m.  New York  time two  business  days  prior to the
                   borrowing date, adjusted for reserve requirements.

                   Base Rate:  The higher of (a) the rate as publicly  announced
                   from time to time by NationsBank  as its "Reference  Rate" or
                   (b)  Federal  Funds Rate plus  one-half  of one  percent  per
                   annum.  Any change in the Base Rate shall take  effect at the
                   opening  of  business  on the date  specified  in the  public
                   announcement  of such change in the case of clause (a) above,
                   or on a daily basis in the case of clause (b) above.

BORROWING RATE:    Initial  pricing with respect to Base Rate Loans will be Base
                   Rate + 75 bps with a Pricing Grid to be determined.

                   Initial  pricing  with  respect to  Eurodollar  Loans will be
                   LIBOR + 175 bps with a Pricing Grid to be determined.

                   Interest on Base Rate borrowings are to accrue based on a 365
                   (6)-day year and actual days elapsed.  Interest on Eurodollar

                               Page 2                            January 8, 1999
- --------------------------------------------------------------------------------
BANK OF AMERICA


<PAGE>
CONFIDENTIAL                                            MEDE AMERICA CORPORATION
- --------------------------------------------------------------------------------

                   borrowings and all fees are to accrue based on a 360-day year
                   and actual days elapsed.

INTEREST PAYMENTS: Interest on Base Rate advances shall be payable  quarterly in
                   arrears.  In the case of Eurodollar Loans, the earlier of the
                   end of  each  applicable  interest  period  or  quarterly  in
                   arrears.

UPFRONT FEE:       2.0% of the total amount of the Senior Facilities.

COMMITMENT FEE:    Commitment  Fee  equal to 0.50%  per  annum  times  the total
                   amount  of the  Senior  Facility.  Commitment  Fees  shall be
                   payable quarterly in arrears.

ADMINISTRATIVE 
AGENT FEE:         $25,000  payable at closing  and on each  annual  anniversary
                   date therafter.

DEFAULT RATE:      2.00%  above  the rate  otherwise  applicable  rate of Senior
                   Facility.

DRAWDOWNS:         Revolver  drawdowns are at the Borrower's option with one day
                   advance  notice (by 11:00  a.m.  New York time) for Base Rate
                   Loans and three  business days advance  notice (by 11:00 a.m.
                   New York time) for Eurodollar Loans, in minimum amounts to be
                   determined.

VOLUNTARY
PREPAYMENTS:       Base Rate may be  prepaid  at any time,  with same day notice
                   (by  11:00  a.m.  New York  time).  Eurodollar  Loans  may be
                   prepaid at any time with at least three business days advance
                   notice (by 11:00 a.m. New York time), subject to compensating
                   the Lenders for any  funding  losses and related  expenses in
                   connection  with any prepayment  made on a day other than the
                   last day of an interest period applicable thereto.  Voluntary
                   prepayments  shall  be  subject  to  minimum  amounts  to  be
                   determined.

TERMINATION OR
VOLUNTARY REDUCTION
OF THE FACILITIES: The Borrower may irrevocably  reduce  the  commitments  under
                   the Senior Facility in amounts of at least  $1,000,000 at any
                   time on three business days advance notice.

DOCUMENTATION:     The Senior  Facility  will be subject to the  execution  of a
                   credit agreement (the "Credit Agreement") containing suitable
                   provisions  mutually  acceptable  to  the  Borrower  and  the
                   Administrative   Agent,   including,    without   limitation,
                   representations  and   warranties,  conditions  precedent  to
                   effectiveness,   conditions  precedent  to  


                               Page 3                            January 8, 1999
- --------------------------------------------------------------------------------
BANK OF AMERICA

<PAGE>
CONFIDENTIAL                                            MEDE AMERICA CORPORATION
- --------------------------------------------------------------------------------

                   making  advances,  affirmative  and negative  convenants  and
                   events of default, as outlined below.

REPRESENTATIONS    
AND WARRANTIES:    Those  customarily  found in credit  agreements  for  similar
                   financings and such additional representations and warranties
                   as are appropriate under the circumstances, including but not
                   limited to  representations  related to corporate  existence,
                   financial  condition,   litigation,  no  default,   corporate
                   authority,  subsidiaries,  copyrights, binding effect, ERISA,
                   taxes, Investment Company Act, and other material agreements,
                   investments,  compliance  with  laws  and  regulations,  full
                   disclosure,  assets, solvency,  labor matters,  environmental
                   manners,  proprietary  rights,  real property,  insurance and
                   Year 2000 compliance.


CONDITIONS TO
CLOSING:           Those  customarily  found in credit  agreements  for  similar
                   financings and such additional  conditions as are appropriate
                   under the circumstances, including but not limited to:

                       o  MedE's  IPO  occurs on or before  March 31,  1999; 
                       o  Repayment  and  cancellation  of existing  bank credit
                          facilities and other indebtedness;
                       o  All documents and agreements signed and delivered;
                       o  No Default or Event of Default; 
                       o  All  representations and warranties are true as of the
                          date of each advance;
                       o  The Bank having  completed (and being  satisfied with)
                          its  business,  legal,  accounting  and  financial due
                          diligence  with respect to the operations and business
                          affairs of the Borrower and its  subsidiaries and with
                          respect to the Senior Facility;
                       o  No material  adverse  change in operations , business,
                          properties,  condition  (financial  or  otherwise)  or
                          prospects of the  Borrower or any of its  subsidiaries
                          taken as a whole ("Material Adverse Change");
                       o  No  material  adverse  effect  in the  ability  of the
                          Borrower or any of its  subsidiaries  to perform their
                          obligations under the Senior Facilities;
                       o  No material adverse litigation
                       o  Collaterial documents


CONDITIONS TO EACH
ADVANCE (INCLUDING
INITIAL ADVANCE)     o No default or event of default under the Senior Facility.
                     o Continued  accuracy  in  all  material  respects  of  the
                       representations and warranties.

</TABLE>

                               Page 4                            January 8, 1999
- --------------------------------------------------------------------------------
BANK OF AMERICA

<PAGE>
CONFIDENTIAL                                            MEDE AMERICA CORPORATION
- --------------------------------------------------------------------------------
<TABLE>
<S>                <C>
AFFIRMATIVE              
COVENANTS:         Standards for the  Administrative  Agent's similar financings
                   and such others as the Administrative Agent deems appropriate
                   in the context of the  proposed  Transaction,  including  the
                   obtaining of interest  rate  protection  in amounts,  and for
                   periods, to be determined.

FINANCIAL 
COVENANTS:         Usual and customary for  transactions  of this type including
                   but not limited to:

                   (i)   Maximum Leverage Ratio of 2.0x:
                   (ii)  Minimum Interest Coverage RAtio of 3.0x;
                   (iii) Minimum EBITDA TBD;
                   (iv)  Minimum Net Worth TBD

NEGATIVE           
COVENANTS:         Standard for the  Administrative  Agent's similar  financings
                   and such others as the Administrtive  Agent deems appropriate
                   in the context of the proposed  Senior  Facility,  including,
                   but not limited to:

                   o   Year 2000 Compliance required by 9/30/99
                   o   Change of control
                   o   Restrictions on lines of business.
                   o   Limitations  on  additional   indebtedness   and  leasing
                       obligations.
                   o   Restrictions on liens.
                   o   Limitations on investments.
                   o   Limitations  on dividends  and repayment of certain other
                       indebtedness.
                   o   Restrictions  on  consolidations,  mergers,  acquisitons,
                       dissolutions, etc.
                   o   Restrictions on asset dispostions.
                   o   Restrictions on sale-leaseback transactions.
                   o   Loan proceeds no to be used in violation of Regulation U.
                   o   Restrictions on transactions with affiliates.
                   o   Restrictions on the payment of management fees.

</TABLE>

                                     Page 5
- --------------------------------------------------------------------------------
BANK OF AMERICA

<PAGE>
CONFIDENTIAL                                            MEDE AMERICA CORPORATION
- --------------------------------------------------------------------------------

<TABLE>

<S>                         <C>
EVENTS OF
DEFAULT:           Standard for the  Administrative  Agent's similar  financings
                   and such others as the Agent deems appropriate in the context
                   of the proposed Senior Facility.

INCREASED COSTS/
CHANGES OF 
CIRCUMSTANCES/
CAPITAL ADQUACY/
INDEMNITIES:       The  Credit  Agreement  shall  contain  customary  provisions
                   protecting  and  indemnifying  the  Lenders  in the  event of
                   unavailability  of  funding,  illegality,   increased  costs,
                   capital  adequacy  charges  and  funding  losses,  and  shall
                   provide  for  a  withholding   tax   gross-up,   and  general
                   indemnification of the Administrative Agent, by the Borrower.

EXPENSES:          The Borrower will pay all costs and expenses  incurred at any
                   time  by  the   Administrative   Agent  (including,   without
                   duplication,  reasonable  attorneys' fees and allocated costs
                   of internal  counsel) in connection  with the preparation and
                   delivery of the Credit  Agreement and all related  documents,
                   and in  the  negotiation,  closing,  and  enforcement  of the
                   Facility,  regardless  of whether  the  Facility closes.  The
                   Borrower  shall  also  pay  all  costs  and  expenses  of the
                   Administrative  Agent  associated  with  amendments and other
                   changes to the Credit  Agreement,  and all costs and expenses
                   of the Lenders in the  collection of the  obligations  of the
                   Borrower (including  reasonable attorneys' fees and allocated
                   costs  of  internal  counsel).  


DOCUMENTATIONS:    Closing is subject to (among other conditions  precedent) the
                   receipt by the  Administrative  Agent and the Lenders of loan
                   documentation in form and substance satisfactory to them.

GOVERNING LAW:     State of New York.

</TABLE>

This  Summary of Terms and  Conditions  (the "Term  Share")  does not attempt to
describe  all of the terms and  conditions  that  would  pertain  to the  Senior
Facility,  nor do its terms  suggest  the  specific  phrasing  of  documentation
clauses.  This term  sheet is not a  commitment  to  provide,  close or fund the
Senior Facility.  Instead,  it is intended to outline certain points of business
understanding  around which the Senior Facility will be structured.  The closing
of any financial transaction relating to the Senior Facility would be subject to
definitive  loan  documentation  manually  acceptable  to the  Borrower  and the
Administrative Agent and would include various conditions  precedent,  including
without limitations the conditions set forth above.


                                     Page 6
- --------------------------------------------------------------------------------
BANK OF AMERICA





                                                                   EXHIBIT 10.14


                           LETTER WAIVER


                                                     Dated as of January 8, 1999



Bank of America Illinois
Nine West 57th Street, 43rd Floor
New York, New York 10019


Ladies and Gentlemen:


                  We refer to the  Credit  Agreement  dated as of  December  18,
1995,  and  amendments  thereto  dated as of January  10,  1997,  April 4, 1997,
October 30, 1997, December 29, 1997, October 7, 1998 and December 15, 1998 (such
Credit Agreement,  as so amended,  the "CREDIT AGREEMENT") among the undersigned
and you.  Capitalized  terms not  otherwise  defined in this Letter Waiver shall
have the same meanings as specified therefor in the Credit Agreement.

                  We intend to issue up to 4,791,667 shares of our common stock,
par value $.01 per share (the  "SHARES"),  in an initial  public  offering  (the
"IPO").  Upon consummation of the IPO, (i) the Guarantors will own approximately
56% of the  voting  stock  of  the  Company  (assuming  that  the  underwriters'
overallotment option has not been exercised) and (ii) we expect to receive up to
$56,231,254 (the  "PROCEEDS"),  after deduction for underwriting  fees and other
costs and expenses incurred in connection therewith.

                  We hereby  request that you waive,  solely with respect to the
IPO and the transactions contemplated thereby, the requirements of Sections 7.11
and 8.01(k) of the Credit Agreement in order to permit us to consummate the IPO,
and to enable us to use the Proceeds to (x) prepay all outstanding  Indebtedness
under  and in  respect  of the 10%  Subordinated  Note  issued  to WCAS  Capital
Partners II, L.P. pursuant to the Note and Share Purchase  Agreement dated as of
February 14, 1997 between  WCAS Capital  Partners II, L.P. and the Company,  and
(y) only to the  extent of any  Proceeds  received  from  Shares  sold under the
underwriters'  overallotment  option, to pay accrued and unpaid dividends on the
Company's preferred stock, par value $.01 per share; provided, however, that (i)
the  Proceeds  remaining,  if any,  after such  prepayment  and such  payment of
dividends,  if any, has been made shall be applied to prepay amounts outstanding
under and in respect of the Credit  Agreement  in  accordance  with the terms of
Section 2.06 thereof and (ii) after the IPO, the  Guarantors  continue to own at
least 35% of the voting stock of the Company.  A breach of the conditions in the
proviso  to the  immediately  preceding  sentence  will  constitute  an Event of
Default under the Credit  Agreement.  Unless the IPO shall have been consummated
on or prior to March 31, 1999 (the  "WAIVER  TERMINATION  DATE"),  on the Waiver
Termination  Date,  without any further action by the Bank, all of the terms and
provisions set forth in the Loan  Documents with respect to Defaults  thereunder
that are waived  hereunder  and not cured prior to the Waiver  Termination  Date
shall  have the same  force and  effect as if this  Letter  Waiver  had not been
entered  into by the parties  hereto,  and the Bank shall have all of the rights
and remedies  afforded to it under the Loan  Documents  with respect to any such
Defaults as though no waiver had been granted by them hereunder.

                  This Letter Waiver shall become effective as of the date first
above  written  when,  and only when the Bank shall have  executed  this  Letter
Waiver and shall have received  counterparts  of this Letter Waiver  executed by
us, and the consents  attached hereto  executed by each of the  Guarantors.  The
effectiveness  of this Letter  Waiver is  conditioned  upon the  accuracy of the
factual  matters  described  herein.  This  Letter  Waiver  is  subject  to  the
provisions of Section 9.01 of the Credit Agreement.

                  The  Credit  Agreement,  the Notes and each of the other  Loan
Documents,  except to the extent of the waiver specifically  provided above, are
and shall continue to be in full force and effect and are hereby in all respects
ratified and confirmed. The execution, delivery and effectiveness of this Letter
Waiver shall not, except as expressly  provided  herein,  operate as a waiver of
any  right,  power or remedy of the Bank  under any of the Loan  Documents,  nor
constitute a waiver of any provision of any of the Loan Documents.

                  If you  agree  to the  terms  and  provisions  of this  Letter
Waiver,  please  evidence such agreement by executing and returning at least two
counterparts of this Letter Waiver to Shearman & Sterling, 599 Lexington Avenue,
New York, New York 10022, Attention: Douglas Buffone.

                  This   Letter   Waiver  may  be  executed  in  any  number  of
counterparts and by different parties hereto in separate  counterparts,  each of
which when so executed  shall be deemed to be an original and all of which taken
together shall  constitute one and the same  agreement.  Delivery of an executed
counterpart  of a signature  page to this Letter Waiver by  telecopier  shall be
effective as delivery of a manually executed counterpart of this Letter Waiver.


<PAGE>



                  This Letter  Waiver  shall be governed  by, and  construed  in
accordance with, the laws of the State of New York.


                                                       Very truly yours,

                                                       MEDE AMERICA CORPORATION


                                                       By 
                                                          ----------------------
                                                          Name:
                                                          Title:


Agreed as of the date first above written:

BANK OF AMERICA ILLINOIS


By
   ----------------------
   Name:
   Title:



<PAGE>



                                     CONSENT



                                      Dated as of January 8, 1999

                  The undersigned,  Welsh,  Carson,  Anderson & Stowe V, L.P., a
Delaware limited  partnership,  as a Guarantor under the Guaranty dated December
18,  1995 (the  "GUARANTY")  in favor of the Bank party to the Credit  Agreement
referred  to in the  foregoing  Letter  Waiver,  hereby  consents to such Letter
Waiver and hereby confirms and agrees that  notwithstanding the effectiveness of
such Letter Waiver, the Guaranty is, and shall continue to be, in full force and
effect and is hereby ratified and confirmed in all respects.



                                       WELSH, CARSON, ANDERSON & STOWE V, L.P.


                                       By   WCAS V Partners, its General Partner


                                       By
                                          --------------------------------------
                                          Name:
                                          Title: General Partner

<PAGE>



                                     CONSENT



                                       Dated as of January 8, 1999


                  The undersigned,  Welsh, Carson,  Anderson & Stowe VI, L.P., a
Delaware limited  partnership,  as a Guarantor under the Guaranty dated December
18,  1995 (the  "GUARANTY")  in favor of the Bank party to the Credit  Agreement
referred  to in the  foregoing  Letter  Waiver,  hereby  consents to such Letter
Waiver and hereby confirms and agrees that  notwithstanding the effectiveness of
such Letter Waiver, the Guaranty is, and shall continue to be, in full force and
effect and is hereby ratified and confirmed in all respects.

                                      WELSH, CARSON, ANDERSON & STOWE VI, L.P.


                                      By   WCAS VI Partners, its General Partner


                                      By
                                         ---------------------------------------
                                         Name:
                                         Title: General Partner


<PAGE>



                                     CONSENT



                                       Dated as of January 8, 1999


                  The undersigned,  William Blair Leveraged Capital Fund Limited
Partnership,  a Delaware limited partnership,  as a Guarantor under the Guaranty
dated  December  18,  1995 (the  "GUARANTY")  in favor of the Bank  party to the
Credit Agreement referred to in the foregoing Letter Waiver,  hereby consents to
such  Letter  Waiver and hereby  confirms  and agrees that  notwithstanding  the
effectiveness of such Letter Waiver,  the Guaranty is, and shall continue to be,
in full force and effect and is hereby ratified and confirmed in all respects.

                          WILLIAM BLAIR LEVERAGED CAPITAL FUND
                          LIMITED PARTNERSHIP


                          By   William Blair Leveraged Capital Management, L.P.,
                                 its General Partner


                          By  William Blair & Company, its General Partner


                          By
                            ----------------------------------------------------
                            Name:
                            Title:




<PAGE>


                                     CONSENT

                                       Dated as of January 8, 1999

                  The  undersigned,  William Blair  Capital  Partners V, L.P., a
Delaware limited  partnership,  as a Guarantor under the Guaranty dated December
18,  1995 (the  "GUARANTY")  in favor of the Bank party to the Credit  Agreement
referred  to in the  foregoing  Letter  Waiver,  hereby  consents to such Letter
Waiver and hereby confirms and agrees that  notwithstanding the effectiveness of
such Letter Waiver, the Guaranty is, and shall continue to be, in full force and
effect and is hereby ratified and confirmed in all respects.

                                       WILLIAM BLAIR CAPITAL PARTNERS V, L.P.

                                       By   William Blair Capital Partners, LLC,
                                                its General Partner

                                       By
                                         ---------------------------------------
                                         Name:
                                         Title:




                                                                   EXHIBIT 23.1

             INDEPENDENT AUDITORS' CONSENT AND REPORT ON SCHEDULE

MEDE America Corporation
East Meadow, New York

We consent to the use in Amendment No. 6 to Registration Statement No. 333-55977
of MEDE  America  Corporation  on Form S-1 of our  report  dated  August 5, 1998
(October 7, 1998 as to Note 6.b., December 11, 1998 as to Note 13 and January 8,
1999 as to Note 14) (which  expresses  an  unqualified  opinion and  includes an
explanatory paragraph relating to the restatement described in Note 13) relating
to the consolidated  financial statements of MEDE America Corporation as of June
30, 1997 and 1998 and for each of the three  years in the period  ended June 30,
1998  appearing  in  the  Prospectus,  which  is a  part  of  this  Registration
Statement,  and to the  reference  to us under  the  heading  "Experts"  in such
Prospectus.

Our audits of the consolidated  financial statements of MEDE America Corporation
referred to in our aforementioned  report also included the financial  statement
schedule  of MEDE  America  Corporation  listed in Part II at Item  16(b).  This
financial statement schedule is the responsibility of the Company's  management.
Our  responsibility is to express an opinion based on our audits. In our opinion
such  financial  statement  schedule,  when  considered in relation to the basic
financial  statements  taken  as a  whole,  presents  fairly,  in  all  material
respects, the information set forth therein.

DELOITTE & TOUCHE LLP

Jericho, New York
January 11, 1999


                                                                   EXHIBIT 23.2

                         INDEPENDENT AUDITORS' CONSENT

MEDE America Corporation
East Meadow, New York

We consent to the use in Amendment No. 6 to Registration Statement No. 333-55977
of MEDE  America  Corporation  on Form S-1 of our report  dated  October 7, 1997
relating to the  statement  of income of The Stockton  Group,  Inc. for the year
ended  June  30,  1997,  appearing  in the  Prospectus,  which is a part of this
Registration  Statement,  and to the reference to us under the heading "Experts"
in such Prospectus.

DELOITTE & TOUCHE LLP

Charlotte, North Carolina
January 11, 1999


                                                                    EXHIBIT 23.3

                         INDEPENDENT AUDITORS' CONSENT

The Board of Directors
HealthCare Interchange, Inc.:

We  consent  to the use,  in  Amendment  No.  6 to  registration  statement  No.
333-55977 on Form S-1 of MEDE America  Corporation,  of our audit report,  dated
September  8, 1998,  except as to notes 3 and 15,  which are as of  October  30,
1998, on the  consolidated  balance sheet of  HealthCare  Interchange,  Inc. and
subsidiary  as of June  30,  1998 and the  related  consolidated  statements  of
operations,  stockholders'  equity (deficit),  and cash flows for the nine-month
period ended June 30, 1998, which report appears in the Form S-1 of MEDE America
Corporation  dated  January 11, 1999 and to the  reference to our firm under the
heading "Experts" in the prospectus.

                                                                        KPMG LLP

St. Louis, Missouri
January 11, 1999


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