SIMIONE CENTRAL HOLDINGS INC
S-4/A, 2000-02-10
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As filed with the Securities and Exchange Commission on February 10, 2000
Registration No.  333-96529

SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C.  20549

Amendment No. 1 to
FORM S-4
REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933


SIMIONE CENTRAL HOLDINGS, INC.
(Exact name of registrant as specified in its charter)

DELAWARE
(State or other jurisdiction of incorporation or organization)
8082
(Primary Standard Industrial
Classification Code Number)
22-3209241
(I.R.S.  Employer Identification No.)

6600 Powers Ferry Road
Atlanta, Georgia  30339
(770) 644-6700
(Address, including zip code, telephone number, including area code, of
registrant's principal executive offices)

R. BRUCE DEWEY
President and Chief Executive Officer
6600 Powers Ferry Road
Atlanta, Georgia  30339
(770) 644-6700
(Name, address, including zip code, and telephone number, including area code,
of agent for service)

COPIES TO:

Robert F. Dow, Esq.
Arnall Golden & Gregory, LLP
2800 One Atlantic Center
1201 West Peachtree Street
Atlanta, Georgia 30309-3450
(404) 873-8500

Francis Fitzpatrick, Esq.
Baker & McKenzie
815 Connecticut Avenue
Suite 900
Washington, D.C. 20006
(202) 452-7051



APPROXIMATE  DATE OF  COMMENCEMENT  OF PROPOSED  SALE TO THE PUBLIC:  As soon as
practicable  after the  effective  date of the  Registration  Statement  and the
effective time of the merger of MCS, Inc., a Pennsylvania  corporation  ("MCS"),
with and into Simione Central Holdings,  Inc., a Delaware corporation ("Simione"
or the  "Registrant") as described in the Second Amended and Restated  Agreement
and Plan of Merger and Investment Agreement among Simione, MCS, Mestek, Inc. and
certain major  stockholders  of Mestek dated as of October 25, 1999 (the "Merger
Agreement"),  attached  as  Appendix A to the Joint  Proxy  Statement/Prospectus
forming  a  part  of  this  Registration  Statement.  If  the  securities  being
registered on this Form are being offered in connection  with the formation of a
holding  company and there is compliance  with General  Instruction G, 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,  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.[]

The Registrant  hereby amends this  registration 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 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.




PART II

INFORMATION NOT REQUIRED IN PROSPECTUS Item 20.  Indemnification of Officers and
Directors
 Simione is  organized  under the laws of the State of  Delaware.  The
Delaware  General  Corporation  Law, as amended (the  "DGCL"),  provides  that a
Delaware  corporation  has the  power  generally  to  indemnify  its  directors,
officers,  employees  and other  agents  (each,  a  "Corporate  Agent")  against
expenses and  liabilities  (including  amounts paid in settlement) in connection
with any  proceeding  involving  such  person by reason of his being a Corporate
Agent,  other than a proceeding by or in the right of the  corporation,  if such
person  acted in good faith and in a manner he  reasonably  believed to be in or
not opposed to the best  interests of the  corporation  and, with respect to any
criminal proceeding,  such person had no reasonable cause to believe his conduct
was  unlawful.  In the  case of an  action  brought  by or in the  right  of the
corporation,  indemnification of a Corporate Agent against expenses is permitted
if such person acted in good faith and in a manner he reasonably  believed to be
in or not  opposed  to  the  best  interests  of the  corporation;  however,  no
indemnification  is  permitted  in respect  of any claim,  issue or matter as to
which such  person  shall have been  adjudged  to be liable to the  corporation,
unless and only to the extent  that the Court of  Chancery or the court in which
such  proceeding was brought shall determine upon  application  that despite the
adjudication  of liability,  but in view of all the  circumstances  of the case,
such person is fairly and reasonably  entitled to such  indemnification.  To the
extent  that a  Corporate  Agent  has  been  successful  on the  merits  of such
proceeding,  whether  or not by or in the  right of the  corporation,  or in the
defense of any claim,  issue or matter  therein,  the corporation is required to
indemnify the Corporate  Agent for expenses in  connection  therewith.  Expenses
incurred by a Corporate Agent in connection with a proceeding may, under certain
circumstances, be paid by the corporation in advance of the final disposition of
the  proceeding as authorized by the board of directors.  The power to indemnify
and advance the expenses under the DGCL does not exclude other rights to which a
Corporate Agent may be entitled under the certificate of incorporation,  bylaws,
agreement, vote of stockholders or disinterested directors or otherwise.

Under the DGCL,  a Delaware  corporation  has the power to purchase and maintain
insurance on behalf of any  Corporate  Agent  against any  liabilities  asserted
against and incurred by him in such capacity, whether or not the corporation has
the power to indemnify him against such liabilities under the DGCL.

As  permitted  by the DGCL,  the  Simione's  Certificate  of  Incorporation,  as
amended,  and Bylaws,  as amended,  contain a provision which limit the personal
liability of directors for monetary damages for breach of their fiduciary duties
as directors  except to the extent such limitation of liability is prohibited by
the  DGCL.  In  accordance  with the  DGCL,  these  provisions  do not limit the
liability of any director  for any breach of the  director's  duty of loyalty to
the  Simione or its  stockholders;  for acts of  omissions  not in good faith or
which involve intentional  misconduct or a knowing violation of law; for certain
unlawful  payments of dividends or stock  repurchases  under  Section 174 of the
DGCL;  or for any  transaction  from  which the  director  derives  an  improper
personal  benefit.  These  provisions  do not limit the rights of Simione or any
stockholder to seek an injunction or any other non-monetary  relief in the event
of a breach of a director's fiduciary duty. In addition,  these provisions apply
only to claims  against a director  arising out of his role as a director and do
not relieve a director from  liability for  violations of statutory law, such as
certain liabilities imposes on a director under the federal securities laws.

In addition, Simione's Certificate of Incorporation,  as amended, and Bylaws, as
amended,  provide for the  indemnification of directors and officers for certain
fines,  liabilities,  costs and expenses incurred by them in connection with the
defense or settlement  of claims  asserted  against them in their  capacities as
directors and officers to the fullest extent authorized by the DGCL.

Item 21.  Exhibits and Financial Statement Schedules

        (a)     Exhibits
<TABLE>
<CAPTION>

<S>             <C>
                5.1*    Opinion of Arnall Golden & Gregory, LLP with respect to legality of the securities to be registered

                8.1*    Opinion of Baker & McKenzie regarding tax matters

                23.1*   Consent of Arthur Andersen LLP

                23.2 ** Consent of Ernst & Young LLP

                23.3*   Consent of Grant Thornton, LLP

                23.4    Consent of Arnall Golden & Gregory, LLP (included in the opinion filed as Exhibits 5.1 to this Registration
                        Statement)

                23.5    Consent of Baker & McKenzie (included in the opinion filed as Exhibit 8.1 to this Registration Statement)

                24.1    Powers of Attorney (inclFiled herewith.uded in the signature page of this Registration Statement)

                99.1    Second Amended and Restated Agreement and Plan of Merger, dated as of October 25, 1999, by and between
                          Simione, MCS, Inc., Mestek, Inc. and certain major stockholders of Mestek, Inc. (attached as Appendix
                          A to the Proxy Statement/Prospectus included as a part of this Registration Statement)

                99.2    Form of Warrant exercisable by Mestek, Inc. (incorporated herein by reference to Exhibit 10.2 to the
                         Registrant's Current report on Form 8-K filed on September 15, 1999)

                99.3    Form of Merger Option Agreement between Registrant and Mestek, Inc. (incorporated herein by reference to
                         Exhibit 10.2 to the Registrant's Current report on Form 8-K filed on September 15, 1999)

                99.4*   Form of Proxy Card for Simione Central Holdings Inc. Stockholders Meeting

                99.5*   Form of Proxy Card for MCS, Inc. Stockholders Meeting

</TABLE>
                _____________
                * Previously filed
                ** Filed herewith
        (b)     Financial Statement Schedules - None

Item 22. Undertakings

        (a)     The undersigned Registrant hereby undertakes as follows:

                1.      To file, during any period in which offers or sales are
                        being made, a post-effective amendment to this
                        registration statement:

                        (i)     To include any prospectus required by section
                               10(a)(3) of the Securities Act of 1933;

                        (ii)    To reflect in the prospectus any facts or events
                                arising after the effective date of the
                                registration statement (or the most recent post-
                                effective amendment thereof) which, individually
                                or in the aggregate, represent a fundamental
                                change in the information set forth in the
                                registration statement; and

                        (iii)   To include any material information with respect
                                to the plan of distribution not previously
                                disclosed in the registration statement or any
                                material change to such information in the
                                registration statement.

                2.      That, for the purpose of determining any liability under
                        the Securities Act of 1933, each such post-effective
                        amendment 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.

                3.      To remove from registration by means of a post-effective
                          amendment any of the securities being registered which
                         remain unsold at the termination of the offering.

                4.      That prior to any public reoffering of the securities
                        registered hereunder through the use of a prospectus
                        which is a part of this registration statement, by any
                        person or party who is deemed to be an underwriter
                        within the meaning of Rule 145(c), the Registrant
                        undertakes that such reoffering prospectus will contain
                       the information called for by the applicable registration
                        form with respect to reofferings by persons who may be
                        deemed underwriters, in addition to the information
                        called for by the other items of the applicable form.

5.   That  every  prospectus  (i)  that  is  filed  pursuant  to  the  paragraph
     immediately  preceding,  or (ii) that purports to meet the  requirements of
     Section  10(a)(3) of the  Securities  Act of 1933 and is used in connection
     with an offering of  securities  subject to Rule 415, will be filed as part
     of an amendment to the  registration  statement  and will not be used until
     such amendment is effective,  and that, for the purposes of determining any
     liability  under  the  Securities  Act of 1933,  each  such  post-effective
     amendment 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.

6.   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 foregoing  provisions,  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 Securities Act of 1933 and is,  therefore,  unenforceable.
     In the event that a claim for indemnification again 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  Securities  Act of 1933  and will be
     governed by the final adjudication of such issue.

7.   That, for purposes of determining any liability under the Securities Act of
     1933,  each filing of the  registrant's  annual report  pursuant to Section
     13(a) or 15(d) of the Securities  Exchange Act of 1934 that is incorporated
     by  reference  in the  registration  statement  shall be deemed to be a new
     registration  statement  relating to the securities offered herein, and the
     offering of such  securities at that time shall be deemed to be the initial
     bona fide offering thereof.

        (b)     The undersigned registrant hereby undertakes to respond to
           requests for information that is incorporated by reference into
           the prospectus pursuant to Items 4, 10(b), 11, or 13 of this Form,
           within one business day of receipt of such request, and to send the
           incorporated documents by first-class mail or other equally prompt
           means.  This includes information contained in documents filed
           subsequent to the effective date of the registration statement
           through the date of responding to the request.

        (c)     The undersigned registrant hereby undertakes to supply by means
 of a post-effective amendment all information concerning a transaction, and the
 company being acquired involved therein, that was not the subject of and
 included in the registration statement when it became effective.


SIGNATURES

     Pursuant to the  requirements of the Securities Act of 1933, the registrant
has duly caused this  Registration  Statement  to be signed on its behalf by the
undersigned,  thereunto  duly  authorized,  in the City of Atlanta  and State of
Georgia, on the tenth day of February, 2000.

                                                 Simione Central Holdings, Inc.

                                                 By:    /s/ George M. Hare
                                                          George M. Hare
                                                        Chief Financial Officer

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

SIGNATURE
TITLE
DATE



         *
R. Bruce Dewey
President and Chief Executive Officer (principal executive officer)
February 10, 2000



         *
Barrett C. O'Donnell
Chairman of the Board of Directors
February 10, 2000



/s/ George M. Hare
George M. Hare
Chief Financial Officer and Treasurer (principal financial and
 accounting officer)
February 10, 2000



          *
William J. Simione, Jr.
Executive Vice President
February 10, 2000



          *
Murali Anantharaman
Director
February 10, 2000



           *
Gary M. Bremer
Director
February 10, 2000



           *
James A. Gilbert
Director
February 10, 2000



           *
Greg Wilson
Director
February 10, 2000



           *
Daniel J. Mitchell
Director
February 10, 2000



           *
Jesse I. Treu
Director
February 10, 2000

*  By /s/ George M. Hare
        George M. Hare
        Attorney-in-Fact
        February 10, 2000

EXHIBIT INDEX


        (a)     Exhibits

<TABLE>
<CAPTION>
<S>             <C>
                5.1*    Opinion of Arnall Golden & Gregory, LLP with respect to legality of the securities to be registered

                8.1*    Opinion of Baker & McKenzie regarding tax matters

                23.1*   Consent of Arthur Andersen LLP

                23.2 ** Consent of Ernst & Young LLP

                23.3*   Consent of Grant Thornton, LLP

                23.4    Consent of Arnall Golden & Gregory, LLP (included in the opinion filed as Exhibits 5.1 to this Registration
                          Statement)

                23.5    Consent of Baker & McKenzie (included in the opinion filed as Exhibit 8.1 to this Registration Statement)

                24.1    Powers of Attorney (included in the signature page of this Registration Statement)

                99.1    Amended and Restated Agreement and Plan of Merger, dated as of October 25, 1999, by and between Simione,
                         MCS, Inc., Mestek, Inc. and certain major stockholders of Mestek, Inc. (attached as Appendix A to the Proxy
                         Statement/Prospectus included as a part of this Registration Statement)

                99.2    Form of Warrant exercisable by Mestek, Inc. (incorporated herein by reference to Exhibit 10.2 to the
                         Registrant's Current report on Form 8-K filed on September 15, 1999)

                99.3    Form of Merger Option Agreement between Registrant and Mestek, Inc. (incorporated herein by reference to
                         Exhibit 10.2 to the Registrant's Current report on Form 8-K filed on September 15, 1999)

                99.4*   Form of Proxy Card for Simione Central Holdings Inc. Stockholders Meeting

                99.5*   Form of Proxy Card for MCS, Inc. Stockholders Meeting

</TABLE>

                *   Previously filed
                ** Filed herewith.




EXHIBIT 23.2


CONSENT OF ERNST & YOUNG LLP, INDEPENDENT AUDITORS

We consent to the  reference to our firm under the caption  "Summary  Historical
Financial  Data" and "Experts" and to the use of our reports dated  February 23,
1998  pertaining  to Simione  Central  Holdings,  Inc.  and  February  26,  1999
pertaining to CareCentric  Solutions,  Inc., in the Registration Statement (Form
S-4 No. 333-96529) and related Prospectus of Simione Central Holdings,  Inc. for
the registration of 11,392,974 shares of its common stock.

/s/ Ernst & Young, LLP

Atlanta, Georgia
February 8, 2000







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