QUINTILES TRANSNATIONAL CORP
10-Q, 1999-08-13
COMMERCIAL PHYSICAL & BIOLOGICAL RESEARCH
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<PAGE>   1

                       Securities and Exchange Commission
                             Washington, D.C. 20549

                                    FORM 10-Q


             Quarterly Report Pursuant to Section 13 or 15(d) of the
                        Securities Exchange Act of 1934


                  For the Quarterly Period Ended June 30, 1999
                                                 -------------

                        Commission file number 340-23520
                                               ---------

                          QUINTILES TRANSNATIONAL CORP.
- --------------------------------------------------------------------------------
             (Exact name of registrant as specified in its charter)


          North Carolina                                  56-1714315
- --------------------------------------------------------------------------------
(State or other jurisdiction of             (I.R.S. Employer Identification No.)
 incorporation or organization)

    4709 Creekstone Dr., Suite 200
              Durham, NC                                  27703-8411
- --------------------------------------------------------------------------------
(Address of principal executive offices)                  (Zip Code)


                                 (919) 998-2000
- --------------------------------------------------------------------------------
              (Registrant's telephone number, including area code)


                                      N/A
- --------------------------------------------------------------------------------
              (Former name, former address and former fiscal year,
                         if changed since last report)


Indicate by check mark whether the registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the preceding 12 months (or for such shorter period that the registrant was
required to file such reports), and (2) has been subject to such filing
requirements for the past 90 days. X  Yes     No
                                  ---     ---

The number of shares of Common Stock, $.01 par value, outstanding as of July 31,
1999 was 114,758,559.




<PAGE>   2

                 QUINTILES TRANSNATIONAL CORP. AND SUBSIDIARIES
                                      Index
                                                                           Page
                                                                           ----
Part I.   Financial Information

          Item 1.   Financial Statements (unaudited)

                    Condensed consolidated balance sheets -
                    June 30, 1999 and December 31, 1998                      3

                    Condensed consolidated statements of
                    operations - Three months ended June 30,
                    1999 and 1998; six months ended June 30,
                    1999 and 1998                                            4

                    Condensed consolidated statements of
                    cash flows - Six months ended
                    June 30, 1999 and 1998                                   5

                    Notes to condensed consolidated financial
                    statements - June 30, 1999                               6

          Item 2.   Management's Discussion and Analysis of
                    Financial Condition and Results of Operations           12

          Item 3.   Quantitative and Qualitative Disclosure about
                    Market Risk                                             20

Part II.  Other Information

          Item 1.   Legal Proceedings                                       20

          Item 2.   Changes in Securities                                   20

          Item 3.   Defaults upon Senior Securities - Not Applicable        --

          Item 4.   Submission of Matters to a Vote of Security
                    Holders                                                 21

          Item 5.   Other Information - Not Applicable                      --

          Item 6.   Exhibits and Reports on Form 8-K                        22

Signatures                                                                  23

Exhibit Index                                                               24



                                       2
<PAGE>   3


                 QUINTILES TRANSNATIONAL CORP. AND SUBSIDIARIES
                      CONDENSED CONSOLIDATED BALANCE SHEETS

<TABLE>
<CAPTION>
                                                              JUNE 30          DECEMBER 31
                                                               1999               1998
                                                           -----------         -----------
                                                           (unaudited)          (Note 1)
                                                                    (In thousands)
<S>                                                        <C>                 <C>
ASSETS
Current assets:
   Cash and cash equivalents                               $   140,735         $   156,977
   Accounts receivable and unbilled services                   415,578             363,163
   Investments in debt securities                              128,075              32,241
   Prepaid expenses                                             43,541              26,326
   Other current assets                                         21,957              24,112
                                                           -----------         -----------
         Total current assets                                  749,886             602,819

Property and equipment                                         510,391             430,408
Less accumulated depreciation                                 (184,119)           (156,763)
                                                           -----------         -----------
                                                               326,272             273,645
Intangibles and other assets:
   Goodwill, net                                               240,544             124,963
   Other intangibles, net                                       28,116              30,655
   Investments in debt securities                               85,157              65,456
   Investments in marketable equity securities                  14,765                --
   Deferred income taxes                                        71,192              71,401
   Deposits and other assets                                    46,595              41,984
                                                           -----------         -----------
                                                               486,369             334,459
                                                           -----------         -----------
         Total assets                                      $ 1,562,527         $ 1,210,923
                                                           ===========         ===========

LIABILITIES AND SHAREHOLDERS' EQUITY
Current liabilities:
   Lines of credit                                         $     6,268         $       921
   Accounts payable and accrued expenses                       190,895             161,548
   Credit arrangements, current                                104,988              33,818
   Unearned income                                             135,469             153,535
   Income taxes and other current liabilities                   24,550              13,558
                                                           -----------         -----------
        Total current liabilities                              462,170             363,380

Long-term liabilities:
   Credit arrangements, less current portion                   157,941             134,276
   Long-term obligations                                         2,777              23,830
   Deferred income taxes and other liabilities                  44,061              43,305
                                                           -----------         -----------
                                                               204,779             201,411
                                                           -----------         -----------
        Total liabilities                                      666,949             564,791

Shareholders' equity:
   Preferred stock, none and 3,264,800 shares
      issued and outstanding at June 30, 1999
      and December 31, 1998, respectively                         --                    33
   Common stock and additional paid-in capital,
      114,692,192 and 105,775,628 shares issued and
      outstanding at June 30, 1999 and December
      31, 1998, respectively                                   776,695             559,496
   Retained earnings                                           138,631              95,618
   Accumulated other comprehensive income                      (16,024)             (5,198)
   Other equity                                                 (3,724)             (3,817)
                                                           -----------         -----------
        Total shareholders' equity                             895,578             646,132
                                                           -----------         -----------
        Total liabilities and shareholders' equity         $ 1,562,527         $ 1,210,923
                                                           ===========         ===========
</TABLE>



The accompanying notes are an integral part of these consolidated condensed
statements.



                                       3
<PAGE>   4


                 QUINTILES TRANSNATIONAL CORP. AND SUBSIDIARIES
                 CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
                                   (unaudited)

<TABLE>
<CAPTION>
                                      Three Months Ended June 30      Six Months Ended June 30
                                      --------------------------      ------------------------
                                         1999           1998             1999            1998
                                      ---------       ---------       ---------       ---------
                                                           (in thousands)
<S>                                   <C>             <C>             <C>             <C>
Net revenue                           $ 456,413       $ 340,435       $ 869,727       $ 655,505

Costs and expenses:
   Direct                               232,166         175,938         444,924         338,491
   General and administrative           141,345         106,703         266,492         203,692
   Depreciation and amortization         24,015          22,903          49,351          44,971
                                      ---------       ---------       ---------       ---------
                                        397,526         305,544         760,767         587,154
                                      ---------       ---------       ---------       ---------
Income from operations                   58,887          34,891         108,960          68,351

Transaction costs                        (3,464)           (469)        (25,827)         (1,001)
Other income (expense)                    1,245            (266)          1,645            (555)
                                      ---------       ---------       ---------       ---------

Total other expense, net                 (2,219)           (735)        (24,182)         (1,556)
                                      ---------       ---------       ---------       ---------

Income before income taxes               56,668          34,156          84,778          66,795
Income taxes                             21,488          13,738          40,984          25,163
                                      ---------       ---------       ---------       ---------

Net income                            $  35,180       $  20,418       $  43,794       $  41,632
                                      =========       =========       =========       =========

Basic net income per share            $    0.31       $    0.20       $    0.39       $    0.40
                                      =========       =========       =========       =========

Diluted net income per share          $    0.30       $    0.18       $    0.38       $    0.38
                                      =========       =========       =========       =========
</TABLE>


The accompanying notes are an integral part of these consolidated condensed
statements.


                                       4
<PAGE>   5


                 QUINTILES TRANSNATIONAL CORP. AND SUBSIDIARIES
                 CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
                                   (unaudited)

<TABLE>
<CAPTION>
                                                                     SIX MONTHS ENDED JUNE 30
                                                                      1999              1998
                                                                   ---------         ---------
                                                                          (In thousands)
<S>                                                                <C>               <C>
OPERATING ACTIVITIES
Net income                                                         $  43,794         $  41,632
Adjustments to reconcile net income to net cash provided by
operating activities:
  Depreciation and amortization                                       49,351            44,971
  Non-recurring transaction costs                                     25,827              --
  Provision for (benefit from) deferred income tax expense             1,417            (2,686)
  Change in operating assets and liabilities                         (73,018)          (40,649)
  Other                                                                  582               560
                                                                   ---------         ---------
Net cash provided by operating activities                             47,953            43,828

INVESTING ACTIVITIES
Proceeds from disposition of property and equipment                    4,132             1,474
Acquisition of property and equipment                                (94,527)          (47,995)
Cash acquired in stock transactions, Note 2                           83,986            (6,901)
Payment of non-recurring transaction costs                           (22,755)             --
Payment of dividends by pooled entities                                 (761)           (2,078)
Purchases of debt securities, net                                    (32,753)          (13,734)
Purchases of equity securities, net                                  (10,640)             --
Other                                                                   (234)             --
                                                                   ---------         ---------
Net cash used in investing activities                                (73,552)          (69,234)

FINANCING ACTIVITIES
Increase in lines of credit, net                                       5,188            (3,657)
Principal payments on credit arrangements                             (4,336)           (9,340)
Issuance of common stock, net                                         11,709            11,309
Other                                                                    (29)             --
                                                                   ---------         ---------
Net cash provided by (used in) financing activities                   12,532            (1,688)

Effect of foreign currency exchange rate changes on cash              (3,175)           (1,048)
                                                                   ---------         ---------

Decrease in cash and cash equivalents                                (16,242)          (28,142)
Cash and cash equivalents at beginning of period                     156,977            93,195
                                                                   ---------         ---------
Cash and cash equivalents at end of period                         $ 140,735         $  65,053
                                                                   =========         =========
</TABLE>


The accompanying notes are an integral part of these consolidated condensed
statements.


                                       5
<PAGE>   6


                 QUINTILES TRANSNATIONAL CORP. AND SUBSIDIARIES


Notes to Condensed Consolidated Financial Statements
(unaudited)

June 30, 1999

1.       Basis of Presentation

The accompanying unaudited condensed consolidated financial statements have been
prepared in accordance with generally accepted accounting principles for interim
financial information and with the instructions to Form 10-Q and Article 10 of
Regulation S-X. Accordingly, they do not include all of the information and
footnotes required by generally accepted accounting principles for complete
financial statements. In the opinion of management, all adjustments (consisting
of normal recurring adjustments) considered necessary for a fair presentation
have been included. Operating results for the three and six month periods ended
June 30, 1999 are not necessarily indicative of the results that may be expected
for the year ended December 31, 1999. For further information, refer to the
Consolidated Financial Statements and Notes thereto included in the Current
Report on Form 8-K, dated July 15, 1999 of Quintiles Transnational Corp. (the
"Company").

The balance sheet at December 31, 1998 has been derived from the audited
consolidated financial statements of the Company. The financial statements do
not include all of the information and notes required by generally accepted
accounting principles for complete financial statements.

2.       Mergers and Acquisitions

On January 1, 1999, the Company acquired substantial assets of Hoechst Marion
Roussel's ("HMR") Kansas City-based Drug Innovation and Approval facility for
approximately $93 million in cash, most of which is expected to be paid in the
second half of 1999 when the acquisition of the physical facility is completed.
As a part of this transaction, the Company was awarded a $436 million contract
for continued support and completion of ongoing HMR development projects over a
five-year period. In addition, HMR will offer the Company the opportunity to
provide all U.S. outsourcing services up to an additional $144 million over the
same period.

On February 17, 1999, the Company acquired Oak Grove Technologies, Inc. ("Oak
Grove"), a leader in providing current Good Manufacturing Practice compliance
services to the pharmaceutical, biotechnology and medical device industries. The
Company acquired Oak Grove in exchange for 87,948 shares of the Company's Common
Stock. The acquisition of Oak Grove has been accounted for as a purchase. The
Company has evaluated the pro forma disclosure requirements for the Oak Grove
transaction and has determined that this transaction is immaterial and
therefore, no pro forma disclosures are required.

On March 29, 1999, the Company acquired Pharmaceutical Marketing Services Inc.
("PMSI") and its core company, Scott-Levin, a leader in pharmaceutical market
information and research services in the U.S. The Company acquired PMSI in
exchange for approximately 4,993,787 shares of the Company's Common Stock.



                                       6
<PAGE>   7

                 QUINTILES TRANSNATIONAL CORP. AND SUBSIDIARIES


Outstanding PMSI options became options to acquire approximately 440,426 shares
of the Company's Common Stock. In addition, the Company agreed to pay contingent
value payments to former PMSI stockholders who deferred receipt of one-half of
the shares of the Company's Common Stock they were entitled to receive in the
transaction until June 14, 1999. The right to receive contingent value payments
terminated in accordance with the merger agreement. Accordingly, no contingent
value payments were payable to any former PMSI shareholder. The total purchase
price of the PMSI acquisition approximates $201.8 million. The Company recorded
approximately $111.5 million related to the excess cost over the fair value of
net assets acquired, which amount is being amortized over 30 years. The
acquisition of PMSI has been accounted for as a purchase. For the periods
presented, the Company has evaluated the pro forma disclosure requirements for
the PMSI transaction and has determined that this transaction is immaterial and
therefore, no pro forma disclosures are required.

On March 30, 1999, the Company acquired ENVOY Corporation ("ENVOY"), a
Tennessee-based provider of healthcare electronic data interchange and data
mining services. The Company acquired ENVOY in exchange for approximately
28,465,160 shares of the Company's Common Stock. Outstanding ENVOY options
became options to acquire approximately 3,914,583 shares of the Company's Common
Stock. The acquisition of ENVOY has been accounted for as a pooling of
interests, and as such, all historical financial data have been restated to
include the historical financial data of ENVOY.

On March 31, 1999, the Company acquired Medlab Pty Ltd and the assets of the
Niehaus & Botha ("N & B") partnership, a South African based clinical
laboratory, in exchange for 271,146 shares of the Company's Common Stock. The
acquisition of N & B has been accounted for as a pooling of interests, and as
such, all historical financial data have been restated to include the historical
financial data of N & B.

On May 19, 1999, the Company acquired Minerva Medical plc ("Minerva"), a
Scotland-based clinical research organization, in exchange for 1,143,625 shares
of the Company's Common Stock. The acquisition of Minerva has been accounted for
as a pooling of interests, and as such, all historical data have been restated
to include the historical data of Minerva.

On June 3, 1999, the Company acquired SMG Marketing Group Inc. ("SMG"), a
Chicago-based leading healthcare market information company, in exchange for
1,170,291 shares of the Company's Common Stock. The acquisition of SMG has been
accounted for as a pooling of interests, and as such, all historical data have
been restated to include the historical data of SMG.

Reconciliation of results of operations previously reported by the separate
entities prior to the mergers and as restated for the combined company follows
(in thousands, except per share data):

<TABLE>
<CAPTION>
                                        Company(1)     Minerva      SMG      Consolidated
                                        ----------     -------    -------    ------------
<S>                                      <C>            <C>       <C>          <C>
     For the three months ended
        June 30, 1999:
     Net revenue                         $453,252       $ 655     $ 2,506      $456,413
     Net income (loss)                     34,154         619         407        35,180
     Basic net income per share              0.30                                  0.31
     Diluted net income per share        $   0.29                              $   0.30
</TABLE>


                                       7
<PAGE>   8

                 QUINTILES TRANSNATIONAL CORP. AND SUBSIDIARIES


<TABLE>
<CAPTION>
                                     Company        ENVOY         N & B        Minerva         SMG        Consolidated
                                    ----------     ---------     --------      --------      --------     -----------
<S>                                 <C>            <C>           <C>           <C>           <C>           <C>
For the three months ended
   June 30, 1998:
Net revenue                         $  289,991     $  42,949     $  2,981      $  1,248      $  3,266      $  340,435
Net income (loss)                       20,371           612          164        (1,133)          404          20,418
Basic net income per share                0.26                                                                   0.19
Diluted net income per share        $     0.26                                                             $     0.18

For the six months ended
   June 30, 1999:
Net revenue                         $  804,158     $  54,468     $  2,724      $  1,938      $  6,439      $  869,727
Net income (loss)(2)                    44,638        (3,316)         535           290         1,647          43,794
Basic net income per share(2)             0.45                                                                   0.39
Diluted net income per share(2)     $     0.47                                                             $     0.38

For the six months ended
   June 30, 1998:
Net revenue                         $  553,865     $  85,473     $  5,651      $  3,272      $  7,244      $  655,505
Net income (loss)                       39,273           687           59          (201)        1,814          41,632
Basic net income per share                0.51                                                                   0.40
Diluted net income per share        $     0.50                                                             $     0.38
</TABLE>

(1) Includes transaction costs and results of operations for Minerva and SMG
    since their respective dates of acquisitions.
(2) Includes transaction costs and amortization of certain acquired intangible
    assets.

3.       Significant Customers

One customer accounted for 13.9% and 12.1% of consolidated net revenue for the
three and six months ended June 30, 1999, respectively. These revenues were
earned by the Company's product development and commercialization segments. No
customer accounted for greater than 10% of consolidated net revenue for the
three and six months ended June 30, 1998.

4.       Net Income Per Share

The following table sets forth the computation of basic and diluted net income
per share (in thousands, except per share data):

<TABLE>
<CAPTION>
                                      Three Months Ended June 30   Six Months Ended June 30
                                      --------------------------   ------------------------
                                          1999          1998          1999          1998
                                        --------      --------      --------      --------
<S>                                     <C>           <C>           <C>           <C>
Net income                              $ 35,180      $ 20,418      $ 43,794      $ 41,632
                                        ========      ========      ========      ========
Weighted average shares:
   Basic weighted average shares         114,451       104,656       112,004       104,239
   Effect of dilutive securities
       Stock options                       2,982         3,940         3,080         3,299
       Preferred stock                      --           3,264          --           3,264
                                        --------      --------      --------      --------
   Diluted weighted average shares       117,433       111,860       115,084       110,802
                                        ========      ========      ========      ========
Basic net income per share              $   0.31      $   0.20      $   0.39      $   0.40
Diluted net income per share            $   0.30      $   0.18      $   0.38      $   0.38
</TABLE>



                                       8
<PAGE>   9

                 QUINTILES TRANSNATIONAL CORP. AND SUBSIDIARIES


Options to purchase approximately 2.4 million and 2.2 million shares of common
stock with exercise prices ranging between $40.688 and $56.25 per share were
outstanding during the three and six months ended June 30, 1999, respectively,
but were not included in the computation of diluted net income per share because
the options' exercise price was greater than the average market price of the
common shares and, therefore, the effect would be antidilutive.

The conversion of the Company's 4.25% Convertible Subordinated Notes into
approximately 3.5 million shares of common stock was not included in the
computation of diluted net income per share because the effect would be
antidilutive.


5.       Comprehensive Income

The following table represents the Company's comprehensive income for the three
and six months ended June 30, 1999 and 1998 (in thousands):

<TABLE>
<CAPTION>
                                                            Three Months Ended June 30     Six Months Ended June 30
                                                            --------------------------     ------------------------
                                                               1999           1998           1999           1998
                                                             --------       --------       --------       --------
<S>                                                          <C>            <C>            <C>            <C>
Net income                                                   $ 35,180       $ 20,418       $ 43,794       $ 41,632
Other comprehensive income:
   Unrealized gain on marketable securities, net of tax         3,809            113          3,577             32
   Foreign currency adjustment                                 (5,162)        (2,590)       (14,274)        (1,643)
                                                             --------       --------       --------       --------
Comprehensive income                                         $ 33,827       $ 17,941       $ 33,097       $ 40,021
                                                             ========       ========       ========       ========
</TABLE>


6.       Credit Arrangements

As a result of the acquisition of PMSI, the Company has a forward sale
arrangement with CIBC Oppenheimer ("CIBC") pursuant to which the Company
transferred all of the IMS Health common stock in exchange for cash and a note
payable of $73.0 million. All of the Company's 1.2 million shares of IMS Health
common stock are being held by CIBC as collateral against the Company's
obligation to deliver these shares in August 1999.



                                       9
<PAGE>   10

                 QUINTILES TRANSNATIONAL CORP. AND SUBSIDIARIES


7.       Commitments and Contingencies

In February 1999, Kenneth Hodges ("Plaintiff") filed a civil lawsuit naming as
defendants Richard L. Borison, Bruce I. Diamond, 14 pharmaceutical companies and
Quintiles Laboratories Limited, a subsidiary of the Company. The complaint
alleges that certain drug trials conducted by Drs. Borison and Diamond in which
Plaintiff alleges he participated between 1988 and 1996 were not properly
conducted or supervised, that Plaintiff had violent adverse reactions to many of
the drugs and that his schizophrenia was aggravated by the drug trials.
Consequently, Plaintiff alleges that he was subject to severe mortification,
injured feelings, shame, public humiliations, victimization, emotional turmoil
and distress. The complaint alleges claims for battery, fraudulent inducement to
participate in the drug experiments, medical malpractice, negligence in
conducting the experiments, and intentional infliction of emotional distress.
Plaintiff seeks to recover his actual damages in unspecified amounts, medical
expenses, litigation costs, and punitive damages. Nowhere in the complaint are
found any specific allegations against Quintiles Laboratories Limited nor any
specific factual connection between the Company and the Plaintiff's claims. The
Company believes the claims alleged against it are vague and meritless, and the
recovery sought is baseless. The Company intends to vigorously defend itself
against these claims.

Three class action complaints were filed in 1998, and later consolidated into a
single action against ENVOY and certain of its executive officers. The complaint
asserts claims under Sections 10(b) and 20(a) of the Securities Exchange Act of
1934, as amended, and Rule 10b-5 promulgated thereunder, and also asserts
additional claims under Tennessee common law for fraud and negligent
misrepresentation. The complaint alleges, among other things, that ENVOY failed
to disclose that its financial statements were not prepared in accordance with
generally accepted accounting principles due to the improper write-off of
certain acquired in-process technology, resulting in ENVOY's stock trading at
allegedly artificially inflated prices. The Plaintiffs in this action seek
unspecified compensatory damages, attorney's fees and other relief. The Company
believes that these claims are without merit and intends to defend the
allegations vigorously. Neither the likelihood of an unfavorable outcome nor the
amount of the ultimate liability, if any, with respect to these claims can be
determined at this time.



                                       10
<PAGE>   11

                 QUINTILES TRANSNATIONAL CORP. AND SUBSIDIARIES


8.       Segments

The following table presents the Company's operations by reportable segment. The
Company is managed through three reportable segments, namely, the product
development service group, the commercialization service group and the
QUINTERNET(TM) informatics service group. Management has distinguished these
segments based on the normal operations of the Company. The product development
group is primarily responsible for all phases of clinical research and outcomes
research consulting. The commercialization group is primarily responsible for
sales force deployment and strategic marketing services. The QUINTERNET(TM)
informatics group is primarily responsible for electronic data interchange and
related informatics and includes primarily ENVOY, which was acquired in the
first quarter of 1999. The Company does not include non-recurring costs ($5.1
million for the three months ended June 30, 1998, and $3.7 million and $10.1
million for the six months ended June 30, 1999 and 1998, respectively), interest
income (expense) and income tax (benefit) in segment profitability. Overhead
costs are allocated based upon management's best estimate of efforts expended in
managing the segments. There are not any significant intersegment revenues.

<TABLE>
<CAPTION>
                                 Three Months Ended June 30    Six Months Ended June 30
                                 --------------------------    ------------------------
                                     1999          1998          1999          1998
                                   --------      --------      --------      --------
                                                    (in thousands)
<S>                                <C>           <C>           <C>           <C>
Net revenue:
   Product development             $242,981      $170,493      $468,477      $327,965
   Commercialization                146,686       123,727       276,102       234,823
   QUINTERNET(TM) informatics        66,746        46,215       125,148        92,717
                                   --------      --------      --------      --------
                                   $456,413      $340,435      $869,727      $655,505
                                   ========      ========      ========      ========

Income from operations:
   Product development             $ 30,426      $ 16,919      $ 58,057      $ 35,775
   Commercialization                 13,582        12,795        25,824        23,058
   QUINTERNET(TM) informatics        14,879        10,242        28,800        19,648
                                   --------      --------      --------      --------
                                   $ 58,887      $ 39,956      $112,681      $ 78,481
                                   ========      ========      ========      ========
</TABLE>

<TABLE>
<CAPTION>
                              As of June 30, 1999      As of December 31, 1998
                              -------------------      -----------------------
<S>                               <C>                       <C>
Total assets:
Product development               $  786,816                $  754,129
Commercialization                    249,389                   267,091
QUINTERNET(TM) informatics           526,322                   189,703
                                  ----------                ----------
                                  $1,562,527                $1,210,923
                                  ==========                ==========
</TABLE>

9.       Subsequent Events

On July 2, 1999, the Company acquired Medcom, Inc., a New Jersey-based provider
of physician meetings and educational events to help pharmaceutical companies
raise awareness of their products among healthcare professionals, for
approximately $2.5 million in cash. In addition, the Company agreed to pay the
former Medcom, Inc. owners earnout payments based on a multiple of 1999 profits
for Medcom as defined in the Medcom purchase agreement. The acquisition of
Medcom, Inc. will be accounted for as a purchase.



                                       11
<PAGE>   12

                 QUINTILES TRANSNATIONAL CORP. AND SUBSIDIARIES


On July 15, 1999, the Company acquired MediTrain, a Netherlands-based multimedia
pharmaceutical sales representative training company, in exchange for 19,772
shares of the Company's Common Stock. The acquisition of MediTrain will be
accounted for as a purchase.


Item 2.  Management's Discussion and Analysis of Financial Condition and
         Results of Operations

Results of Operations

The Company's consolidated financial data have been restated to include ENVOY,
N & B, Minerva and SMG.

Three Months Ended June 30, 1999 and 1998

Net revenue for the second quarter of 1999 was $456.4 million, an increase of
$116.0 million or 34.1% over the second quarter of 1998 net revenue of $340.4
million. Growth occurred across each of the Company's three segments. Factors
contributing to the growth included an increase of contract service offerings,
the provision of increased services rendered under existing contracts, the
initiation of services under contracts awarded subsequent to the second quarter
of 1998 and the Company's 1999 acquisitions accounted for under purchase
accounting which contributed approximately $9.9 million of net revenue for the
second quarter of 1999. Net revenue for the product development group increased
42.5% to $243.0 million for the second quarter of 1999 as compared to $170.5
million for the second quarter of 1998. Net revenue for the commercialization
group increased 18.6% to $146.7 million for the second quarter of 1999 as
compared to $123.7 million for the second quarter of 1998. Net revenue for the
QUINTERNET(TM) informatics group increased 44.4% to $66.7 million for the second
quarter of 1999 as compared to $46.2 million for the second quarter of 1998. The
net revenue for the second quarter of 1999 for the QUINTERNET(TM) informatics
group included approximately $8.4 million of net revenue contributed by a 1999
acquisition accounted for as a purchase. In addition, the QUINTERNET(TM)
informatics group continued to experience an increase in the volume of
transactions processed.

Direct costs, which include compensation and related fringe benefits for
billable employees, cost of communications and related electronic data
interchange ("EDI") and transaction processing expenses and other expenses
directly related to contracts, were $232.2 million or 50.9% of net revenue for
the second quarter of 1999 versus $175.9 million or 51.7% of net revenue for the
second quarter of 1998.

General and administrative expenses, which include compensation and fringe
benefits for administrative employees, non-billable travel, professional
services, advertising, computer and facility expenses, were $141.3 million or
31.0% of net revenue for the second quarter of 1999 versus $106.7 million or
31.3% of net revenue for the second quarter of 1998. The $34.6 million increase
in general and administrative expenses was primarily due to an increase in
personnel, facilities and locations and outside services resulting from the
Company's growth. Also included in the increase is approximately $1.1 million of
incremental costs related to the Company's Year 2000 Program.



                                       12
<PAGE>   13

                 QUINTILES TRANSNATIONAL CORP. AND SUBSIDIARIES


Depreciation and amortization were $24.0 million or 5.3% of net revenue for the
second quarter of 1999 versus $22.9 million or 6.7% of net revenue for the
second quarter of 1998. Included is amortization of certain acquired intangible
assets of $5.1 million for the three months ended June 30, 1998. These
intangible assets were fully amortized as of March 31, 1999. Excluding these
expenses, depreciation and amortization were $17.8 million or 5.2% of net
revenue for the second quarter of 1998. Excluding the amortization of certain
acquired intangible assets, amortization expense increased $1.9 million due to
the goodwill amortization resulting from the Company's 1999 acquisitions
accounted for under purchase accounting. The remaining $4.6 million increase is
primarily due to the increase in the capitalized asset base of the Company.

Income from operations was $58.9 million or 12.9% of net revenue for the second
quarter of 1999 versus $34.9 million or 10.2% of net revenue for the second
quarter of 1998. Excluding amortization of certain acquired intangible assets as
discussed above, income from operations was $40.0 million or 11.7% of net
revenue for the second quarter of 1998. Income from operations for the product
development group increased to $30.4 million or 12.5% of net revenue for the
second quarter of 1999 from $16.9 million or 9.9% of net revenue for the second
quarter of 1998. Income from operations for the commercialization group
decreased as a percentage of net revenue to $13.6 million or 9.3% of net revenue
for the second quarter of 1999 from $12.8 million or 10.3% of net revenue for
the second quarter of 1998. Excluding the amortization of certain acquired
intangible assets as discussed above, income from operations for the
QUINTERNET(TM) informatics group increased slightly to $14.9 million or 22.3% of
net revenue for the second quarter of 1999 from $10.2 million or 22.2% of net
revenue for the second quarter of 1998.

Other expense increased to $2.2 million for the second quarter of 1999 from
$735,000 for the second quarter of 1998. Excluding transaction costs, other
income was $1.2 million for the second quarter of 1999 versus other expense of
$266,000 for the second quarter of 1998. The $1.4 million change primarily
results from an increase in net interest income.

The effective tax rate for the second quarter of 1999 was 37.9% versus a 40.2%
effective tax rate for the second quarter of 1998. Excluding the amortization of
certain acquired intangible assets as discussed above and transaction costs
which are not generally deductible for tax purposes, the effective tax rate for
the second quarter of 1999 was 35.7% versus a 34.6% effective tax rate for the
second quarter of 1998. The effective tax rate increase resulted primarily from
profits generated in locations with higher tax rates. Since the Company conducts
operations on a global basis, its effective tax rate may vary.



                                       13
<PAGE>   14

                 QUINTILES TRANSNATIONAL CORP. AND SUBSIDIARIES


Six Months Ended June 30, 1999 and 1998

Net revenue for the six months ended June 30, 1999 was $869.7 million, an
increase of $214.2 million or 32.7% over the six months ended June 30, 1998 net
revenue of $655.5 million. Growth occurred across each of the Company's three
segments. Factors contributing to the growth included an increase of contract
service offerings, the provision of increased services rendered under existing
contracts, the initiation of services under contracts awarded subsequent to June
30, 1998 and the Company's 1999 acquisitions accounted for under purchase
accounting which contributed approximately $10.3 million of net revenue for the
six months ended June 30, 1999. Net revenue for the product development group
increased 42.8% to $468.5 million for the six months ended June 30, 1999 as
compared to $328.0 million for the six months ended June 30, 1998. Net revenue
for the commercialization group increased 17.6% to $276.1 million for the six
months ended June 30, 1999 as compared to $234.8 million for the six months
ended June 30, 1998. Net revenue for the QUINTERNET(TM) informatics group
increased 35.0% to $125.1 million for the six months ended June 30, 1999 as
compared to $92.7 million for the six months ended June 30, 1998. The net
revenue for the six months ended June 30, 1999 for the QUINTERNET(TM)
informatics group includes approximately $8.4 million of net revenue contributed
by a 1999 acquisition accounted for as a purchase. In addition, the
QUINTERNET(TM) informatics group experienced an increase in the volume of
transactions processed.

Direct costs, which include compensation and related fringe benefits for
billable employees, cost of communications and related EDI and transaction
processing expenses and other expenses directly related to contracts, were
$444.9 million or 51.2% of net revenue for the six months ended June 30, 1999
versus $338.5 million or 51.6% of net revenue for the six months ended June 30,
1998.

General and administrative expenses, which include compensation and fringe
benefits for administrative employees, non-billable travel, professional
services, advertising, computer and facility expenses, were $266.5 million or
30.6% of net revenue for the six months ended June 30, 1999 versus $203.7
million or 31.1% of net revenue for the six months ended June 30, 1998. The
$62.8 million increase in general and administrative expenses was primarily due
to an increase in personnel, facilities and locations and outside services
resulting from the Company's growth. Also included in the increase is
approximately $3.9 million of incremental costs related to the Company's Year
2000 Program.

Depreciation and amortization were $49.4 million or 5.7% of net revenue for the
six months ended June 30, 1999 versus $45.0 million or 6.9% of net revenue for
the six months ended June 30, 1998. Included is amortization of certain acquired
intangible assets of $3.7 million and $10.1 million for the six months ended
June 30, 1999 and 1998, respectively. These intangible assets were fully
amortized as of March 31, 1999. Excluding these expenses, depreciation and
amortization were $45.6 million or 5.2% of net revenue for the six months ended
June 30, 1999 versus $34.8 million or 5.3% of net revenue for the six months
ended June 30, 1998. Excluding the amortization of certain acquired intangible
assets, amortization expense increased approximately $1.3 million due to the
goodwill amortization resulting from the Company's 1999 acquisitions accounted
for under purchase accounting. The remaining $9.5 million increase is primarily
due to the increase in the capitalized asset base of the Company.



                                       14
<PAGE>   15

                 QUINTILES TRANSNATIONAL CORP. AND SUBSIDIARIES


Income from operations was $109.0 million or 12.5% of net revenue for the six
months ended June 30, 1999 versus $68.4 million or 10.4% of net revenue for the
six months ended June 30, 1998. Excluding amortization of certain acquired
intangible assets as discussed above, income from operations was $112.7 million
or 13.0% of net revenue for the six months ended June 30, 1999 versus $78.5
million or 12.0% of net revenue for the six months ended June 30, 1998. Income
from operations for the product development group increased to $58.1 million or
12.4% of net revenue for the six months ended June 30, 1999 from $35.8 million
or 10.9% of net revenue for the six months ended June 30, 1998. Income from
operations for the commercialization group decreased slightly as a percentage of
net revenue to $25.8 million or 9.4% of net revenue for the six months ended
June 30, 1999 from $23.1 million or 9.8% of net revenue for the six months ended
June 30, 1998. Excluding the amortization of certain acquired intangible assets
as discussed above, income from operations for the QUINTERNET(TM) informatics
group increased to $28.8 million or 23.0% of net revenue for the six months
ended June 30, 1999 from $19.6 million or 21.2% of net revenue for the six
months ended June 30, 1998. This increase primarily results from the
efficiencies realized due to the increase in the volume of transactions
processed.

Other expense increased to $24.2 million for the six months ended June 30, 1999
from $1.6 million for the six months ended June 30, 1998. Excluding transaction
costs, other income was $1.6 million for the six months ended June 30, 1999
versus other expense of $555,000 for the six months ended June 30, 1998. The
$2.2 million change primarily results from an increase in net interest income.

The effective tax rate for the six months ended June 30, 1999 was 48.3% versus a
37.7% effective tax rate for the six months ended June 30, 1998. Excluding the
amortization of certain acquired intangible assets as discussed above and
transaction costs which are not generally deductible for tax purposes, the
effective tax rate for the six months ended June 30, 1999 was 35.8% as compared
to a 32.3% effective tax rate for the six months ended June 30, 1998. The
effective tax rate increase resulted primarily from profits generated in
locations with higher tax rates. Since the Company conducts operations on a
global basis, its effective tax rate may vary.


Liquidity and Capital Resources

Cash inflows from operations were $48.0 million for the six months ended June
30, 1999 versus $43.8 million for the comparable period of 1998. Investing
activities, for the six months ended June 30, 1999, consisted primarily of
capital asset purchases, investment security purchases and maturities and
payment of non-recurring transaction costs. Capital asset purchases required an
outlay of cash of $94.5 million for the six months ended June 30, 1999 compared
to an outlay of $48.0 million for the same period in 1998. Capital asset
expenditures for the six months ended June 30, 1999 included approximately $35
million in connection with the acquisition of the HMR Drug Innovation and
Approval Facility. The remainder of the purchase price, approximately $58
million, is expected to be paid in the second half of 1999 when the acquisition
of the physical facility is completed.



                                       15
<PAGE>   16

                 QUINTILES TRANSNATIONAL CORP. AND SUBSIDIARIES


As of June 30, 1999, total working capital was $287.7 million versus $239.4
million as of December 31, 1998. Net receivables from clients (accounts
receivable and unbilled services, net of unearned income) were $280.1 million at
June 30, 1999 as compared to $209.6 million at the end of 1998. As of June 30,
1999, accounts receivable were $262.0 million versus $212.7 million at December
31, 1998. Unbilled services were $153.6 million at June 30, 1999 versus $150.4
million at December 31, 1998, offset by unearned income balances of $135.5
million and $153.5 million, respectively. The number of days revenue outstanding
in accounts receivable and unbilled services, net of unearned income, was 49
days at June 30, 1999, as compared to 43 days at December 31, 1998. This
increase is due to the decrease in unearned income.

During the first six months of 1999, the Company had a (pound sterling) 15.0
million (approximately $24.3 million) unsecured line of credit with a U.K. bank
and a (pound sterling) 5.0 million (approximately $8.1 million) unsecured line
of credit with a second U.K. bank. In accordance with their terms, both of these
facilities expired in May 1999.

In May 1999, the Company entered into a (pound sterling) 10.0 million
(approximately $15.9 million) unsecured line of credit with a U.K. bank. The
Company also entered into a (pound sterling) 1.5 million (approximately $2.4
million) general banking facility with the same U.K. bank. At June 30, 1999, the
Company had (pound sterling) 7.5 million (approximately $12.0 million) available
under these arrangements.

The Company has a $150 million senior unsecured credit facility ("$150.0 million
facility") with a U.S. bank. At June 30, 1999, the Company had the full $150
million available under this credit facility. Based upon its current financing
plan, the Company believes the $150.0 million facility would be available to
retire long-term credit arrangements and obligations, if necessary.

Based on its current operating plan, the Company believes that its available
cash and cash equivalents and investments in marketable securities, together
with future cash flows from operations and borrowings under its line of credit
agreements will be sufficient to meet its foreseeable cash needs in connection
with its operations. As part of its business strategy, the Company reviews many
acquisition candidates in the ordinary course of business, and in addition to
acquisitions already made, the Company is continually evaluating new acquisition
and expansion possibilities. The Company may from time to time seek to obtain
debt or equity financing in its ordinary course of business or to facilitate
possible acquisitions or expansion.



                                       16
<PAGE>   17

                 QUINTILES TRANSNATIONAL CORP. AND SUBSIDIARIES


Impact of Year 2000 Issue

State of Readiness

The Company continues to implement its Year 2000 Program described in its
previous filings. Reference is made to the Company's Annual Report on Form 10-K
for the year ended December 31, 1998 for information relating to the Company's
staffing, framework and scope of its Year 2000 Program.

Current Status

The Company has addressed and substantially completed assessment, remediation,
testing and deployment of its systems relating to its commercialization service
group. The Company has successfully remediated, replaced and migrated a
substantial majority of systems in the Company's product development service
group, and anticipates that substantial completion of these systems will occur
by the end of the third quarter of 1999. The Company has evaluated the state of
readiness of its recent acquisitions, including ENVOY, PMSI and SMG, which form
the core of the Company's QUINTERNET(TM) informatics services, and has
integrated these acquisitions into its Year 2000 Program. The Company is
substantially complete with respect to the systems formerly owned by PMSI and
SMG, and it anticipates that remediation, internal testing and deployment of
former ENVOY systems will be substantially complete by the end of the third
quarter of 1999. The Company expects to complete the core components of its Year
2000 Program before there is a significant risk that internal Year 2000 problems
will have a material impact on its operations.

Although the Company cannot control whether and how third parties will address
the Year 2000 issue, the Company is conducting a limited evaluation of critical
services on which it is substantially dependent. For example, the Company
believes that among its most significant third party service providers are
physician investigators who participate as independent contractors in clinical
studies conducted through its contract research services and external
organizations (such as pharmacies, insurance providers and medical offices)
linked to the QUINTERNET(TM) informatics services; consequently, the Company is
developing a specialized process to assess and address Year 2000 issues arising
from these relationships. The Company does not plan to assess how its customers,
such as pharmaceutical and large biotechnology companies, are dealing with the
Year 2000 issue.



                                       17
<PAGE>   18

                 QUINTILES TRANSNATIONAL CORP. AND SUBSIDIARIES


Costs

The Company estimates that the aggregate costs of its Year 2000 Program,
including recent acquisitions, will be approximately $20.7 million, including
costs already incurred. A significant portion of these costs, approximately $8.1
million, are not likely to be incremental costs, but rather will represent the
redeployment of existing resources. This reallocation of resources is not
expected to have a significant impact on the Company's day-to-day operations.
The Company incurred total Year 2000 Program costs of $12.3 million through June
30, 1999, of which approximately $7.5 million represented incremental expense.
The Company's estimates regarding the cost, timing and impact of addressing the
Year 2000 issue are based on numerous assumptions of future events, including
the continued availability of certain resources, its ability to meet deadlines
and the cooperation of third parties. The Company cannot provide assurance that
its assumptions will be correct and that these estimates will be achieved.
Actual results could differ materially from the Company's expectations as a
result of numerous factors, including the availability and cost of personnel
trained in this area, unforeseen circumstances that would cause the Company to
allocate its resources elsewhere, costs relating to the Year 2000 compliance
status of acquired companies and similar uncertainties.

Contingencies

The Company is developing business continuity plans for each service area. These
plans are specifically created based on the unique characteristics of the
affected service group or business unit. The Company will continue to develop
and refine these plans through the fourth quarter of 1999.

Year 2000 Risks

The Company faces both internal and external risks from the Year 2000 issue. If
realized, these risks could have a material adverse effect on the Company's
business, results of operations or financial condition. The Company's primary
internal risk is that its systems will not be Year 2000 compliant on time. The
magnitude of this risk depends on the Company's ability to achieve compliance of
both internally and externally developed systems or to migrate to alternate
systems in a timely fashion.

The decentralized nature of the Company's business may compound this risk if it
is unable to coordinate efforts across its global operations on a timely basis.
The Company believes that its Year 2000 Program will successfully address these
risks, however, the Company cannot provide assurance that this program will be
completed in a timely manner. Notwithstanding its Year 2000 Program, the Company
also faces external risks that may be beyond its control. The Company's
international operations and its relationships with foreign third parties create
additional risks for the Company, as many countries outside the United States
have been less attuned to the Year 2000 issue. These risks include the
possibility that infrastructural systems, such as electricity, water, natural
gas or telephony, will fail in some or all of the regions in which the Company
operates, as well as the danger that the internal systems of its foreign
suppliers, service providers and customers will fail. The Company's business
also requires considerable travel, and its ability to perform services under its
customer contracts could be negatively affected if air travel is disrupted by
the Year 2000 issue.



                                       18
<PAGE>   19

                 QUINTILES TRANSNATIONAL CORP. AND SUBSIDIARIES


In addition, the Company's business depends heavily on the healthcare industry,
including third party physician investigators, pharmacies, insurance providers
and medical offices. The healthcare industry, and physicians' groups in
particular, to date may not have focused on the Year 2000 issue to the same
degree as some other industries, especially outside of major metropolitan
centers. As a result, the Company faces increased risk that its physician
investigators will be unable to provide it with the data that the Company needs
to perform under its contracts on time, if at all. Thus, the clinical study
involved could be slowed or brought to a halt. The failure due to a Year 2000
issue of an external organization on whose services Quintiles relies
significantly could also adversely impact the Company's ability to process
transactions in its informatics services. Also, the failure of its customers to
address the Year 2000 issue could negatively impact their ability to utilize the
Company's services. While it intends to develop contingency plans to address
certain of these risks, the Company cannot assure you that any developed plans
will sufficiently insulate it from the effects of these risks. Any disruptions
resulting from the realization of these risks would affect the Company's ability
to perform its services. If the Company is unable to receive or process
information, or if third parties are unable to provide information or services
to it, the Company may not be able to meet milestones or obligations under its
customer contracts, which could have a material adverse effect on its business
and financial results.


Cautionary Statement for Forward-Looking Information

Information set forth in this Form 10-Q, including Management's Discussion and
Analysis of Financial Condition and Results of Operations, contains various
"forward looking statements" within the meaning of Section 27A of the Securities
Act of 1933 and Section 21E of the Securities Act of 1934, which statements
represent the Company's judgement concerning the future and are subject to risks
and uncertainties that could cause the Company's actual operating results and
financial position to differ materially. Such forward looking statements can be
identified by the use of forward looking terminology such as "may," "will,"
"expect," "anticipate," "estimate," "believe," or "continue," or the negative
thereof or other variations thereof or comparable terminology.

The Company cautions that any such forward looking statements are further
qualified by important factors that could cause the Company's actual operating
results to differ materially from those in the forward looking statements,
including without limitation, the ability of the Company to integrate acquired
businesses with the Company's historical operations, the costs and impact of the
year 2000 issue, the actual costs of the combining of the acquired businesses,
actual operating performance, the ability to operate successfully in the lines
of business resulting from the ENVOY and PMSI transactions, the Company's
ability to introduce new service offerings and achieve commercial success for
those offerings, the ability to maintain large client contracts or to enter into
new contracts and the level of demand for services. See Exhibit 99.01 for
additional factors that could cause the Company's actual results to differ.



                                       19
<PAGE>   20

                 QUINTILES TRANSNATIONAL CORP. AND SUBSIDIARIES


Item 3.      Quantitative and Qualitative Disclosure About Market Risk

As a result of the acquisition of PMSI, the Company has a forward sale agreement
with CIBC pursuant to which the Company transferred all of the IMS Health common
stock, approximately 1.2 million shares, in exchange for cash and a note payable
of $73.0 million. As a result of this forward sale agreement, the Company has
mitigated its risk of a decrease in the market value of the IMS Health common
stock by agreeing to a pre-determined value with CIBC.

The Company did not have any other material changes in market risk from December
31, 1998.


PART II.     Other Information

Item 1.      Legal Proceedings

             The Company previously reported certain legal proceedings in its
             Form 10-K for the fiscal year ended December 31, 1998. There were
             no material developments in such matters since that report.

Item 2.      Changes in Securities

             On May 19, 1999, the Company completed the acquisition of Minerva,
             a Scotland-based clinical research organization. The Company issued
             1,143,625 shares of its Common Stock, par value $0.01 per share, in
             connection with the acquisition, which shares were received by the
             holders of all of the outstanding share capital of Minerva in
             exchange for such interests. The shares were issued in reliance on
             a claim of exemption pursuant to section 4(2) of the Securities Act
             of 1933, as amended, based on representations made by the
             recipients in the share acquisition agreement.

             On June 3, 1999, the Company completed the acquisition of SMG, a
             Chicago-based healthcare market information company. The Company
             issued 1,170,291 shares of its Common Stock, par value $0.01 per
             share, in connection with the acquisition, which shares were
             received by holders of all of the outstanding share capital of SMG
             in exchange for such interests. The shares were issued in reliance
             on a claim of exemption pursuant to Rule 506 of Regulation D and
             section 4(2) of the Securities Act of 1933, as amended, based on
             representations made by the recipients in the agreement relating to
             the purchase of such shares and assets.


Item 3.      Defaults upon Senior Securities -- Not applicable



                                       20
<PAGE>   21

                 QUINTILES TRANSNATIONAL CORP. AND SUBSIDIARIES


Item 4.      Submission of Matters to a Vote of Security Holders

             On June 14, 1999, the Company held its Annual Meeting of
             Shareholders during which the shareholders:

            (1)   Elected five nominees to serve as Class II directors with
                  terms continuing until the Annual Meeting of Shareholders in
                  2002. The votes were cast as follows:

<TABLE>
<CAPTION>
                                                                                        Broker
                                                   For             Withheld            Non-Vote
                                                ----------         --------            --------
<S>                                             <C>                <C>                 <C>
                 Vaughn D. Bryson               85,851,163         195,547               --
                 Rachel R. Selisker             85,864,687         182,023               --
                 Eric J. Topol, M.D.            85,860,263         186,447               --
                 Jim D. Kever                   85,851,764         194,946               --
                 William E. Ford                85,838,410         208,300               --
</TABLE>

            (2)   Elected one nominee to serve as Class III director with a term
                  continuing until the Annual Meeting of Shareholders in 2000.
                  The votes were cast as follows:

<TABLE>
<CAPTION>
                                                                                        Broker
                                                   For             Withheld            Non-Vote
                                                ----------         --------            --------
<S>                                             <C>                <C>                 <C>
                 Fred C. Goad, Jr.              85,739,694         307,016                --
</TABLE>

            (3)   Approved amendments to the Company's Equity Compensation Plan.
                  The votes were cast as follows:

<TABLE>
<CAPTION>
                                                                                                              Broker
                                                                 For             Against      Abstain        Non-Vote
                                                              ----------       ----------     -------        --------
<S>                                                           <C>              <C>            <C>            <C>
                 Approval of amendments to Company's
                     Equity Compensation Plan                 49,152,405       36,747,307     146,998           --
</TABLE>

            (4)   Ratified the appointment of Arthur Andersen LLP as independent
                  public accountants for the Company and its subsidiaries for
                  the fiscal year ending December 31, 1999. The votes were cast
                  as follows:

<TABLE>
<CAPTION>
                                                                                                              Broker
                                                                 For             Against      Abstain        Non-Vote
                                                              ----------       ----------     -------        --------
<S>                                                           <C>              <C>            <C>            <C>
                 Ratification of Arthur Andersen LLP          85,976,083          34,155       36,472            --
</TABLE>


Item 5.      Other Information -- Not applicable



                                       21
<PAGE>   22

                 QUINTILES TRANSNATIONAL CORP. AND SUBSIDIARIES


Item 6.      Exhibits and Reports on Form 8-K

             (a)   Exhibits

                   Exhibit       Description
                   -------       -----------

                   10.01         Amended and Restated Equity Compensation Plan

                   27.01         Financial Data Schedule for the
                                 Six Months Ended June 30, 1999

                   99.01         Risk Factors

             (b)   During the three months ended June 30, 1999, the Company
                   filed two reports on Form 8-K.

                   The Company filed a Form 8-K, dated April 22, 1999, including
                   its press release announcing the Company's fiscal first
                   quarter 1999 earnings information.

                   The Company filed a Form 8-K, dated April 30, 1999, to
                   publish unaudited financial results covering 30 days of
                   combined operations of the Company and ENVOY following the
                   merger.

                   No other reports on Form 8-K were filed during the three
                   months ended June 30, 1999.



                                       22
<PAGE>   23

                 QUINTILES TRANSNATIONAL CORP. AND SUBSIDIARIES


                                   SIGNATURES



Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned thereunto duly authorized.


                         Quintiles Transnational Corp.
                         -----------------------------
                                   Registrant



Date August 13, 1999                             /s/ Dennis B. Gillings
    -----------------                -------------------------------------------
                                     Dennis B. Gillings, Chief Executive Officer



Date August 13, 1999                             /s/ Rachel R. Selisker
    -----------------                -------------------------------------------
                                     Rachel R. Selisker, Chief Financial Officer



                                       23
<PAGE>   24

                 QUINTILES TRANSNATIONAL CORP. AND SUBSIDIARIES


                                  EXHIBIT INDEX




                   Exhibit         Description
                   -------         -----------

                   10.01           Amended and Restated Equity Compensation Plan

                   27.01           Financial Data Schedule for the
                                   Six Months Ended June 30, 1999

                   99.01           Risk Factors





                                       24


<PAGE>   1








                          QUINTILES TRANSNATIONAL CORP.
                            EQUITY COMPENSATION PLAN

                     (As amended and restated June 14, 1999)



<PAGE>   2


                          QUINTILES TRANSNATIONAL CORP.
                            EQUITY COMPENSATION PLAN

                     (As amended and restated June 14, 1999)


                                TABLE OF CONTENTS


ARTICLE I - GENERAL PROVISIONS.................................................1
ARTICLE II - DEFINITIONS.......................................................2
ARTICLE III - ADMINISTRATION...................................................6
ARTICLE IV - INCENTIVE STOCK OPTIONS..........................................10
ARTICLE V - NONQUALIFIED STOCK OPTIONS........................................12
ARTICLE VI - STOCK APPRECIATION RIGHTS........................................13
ARTICLE VII - INCIDENTS OF STOCK OPTIONS AND STOCK RIGHTS.....................15
ARTICLE VIII - RESTRICTED STOCK...............................................17
ARTICLE IX - ACCELERATION EVENTS..............................................19
ARTICLE X - AMENDMENT AND TERMINATION.........................................21
ARTICLE XI - MISCELLANEOUS PROVISIONS.........................................22





<PAGE>   3

                          QUINTILES TRANSNATIONAL CORP.
                            EQUITY COMPENSATION PLAN

                         ARTICLE I - GENERAL PROVISIONS


1.1      The Plan is designed for the benefit of the executives, directors and
         key employees of the Corporation and its Subsidiaries; to attract and
         retain for the Corporation and its subsidiaries personnel of
         exceptional ability; to motivate such personnel through added
         incentives to make a maximum contribution to greater profitability; to
         develop and maintain a highly competent management team; and to be
         competitive with other companies with respect to executive
         compensation.

1.2      Awards under the Plan may be made to Participants in the form of (i)
         Incentive Stock Options; (ii) Nonqualified Stock Options; (iii) Stock
         Appreciation Rights; and (iv) Restricted Stock.

1.3      The Plan shall be effective February 21, 1994 (the "Effective Date"),
         subject to the approval of the Plan by a vote of a majority of the
         Board of Directors and by a majority of the votes cast by the holders
         of the Corporation's Common Stock that may be voted at the meetings of
         the Board of Directors and shareholders, respectively, scheduled for
         February 21, 1994.



                                       1


<PAGE>   4

                            ARTICLE II - DEFINITIONS


DEFINITIONS. Except where the context otherwise indicates, the following
definitions apply:

2.1      "Acceleration Event" means the occurrence of an event defined in
         Article IX of the Plan.

2.2      "Act" means the Securities Exchange Act of 1934, as now in effect or as
         hereafter amended. (All citations to sections of the Act or rules
         thereunder are to such sections or rules as they may from time to time
         be amended or renumbered.)

2.3      "Agreement" means the written agreement evidencing each Award granted
         to a Participant under the Plan.

2.4      "Award" means an award granted to a Participant in accordance with the
         provisions of the Plan, including, but not limited to, a Stock Option,
         Stock Right, Restricted Stock, or any combination of the foregoing.

2.5      "Board" means the Board of Directors of the Corporation.

2.6      "Board-Approved Change in Control" shall have the meaning set forth in
         Section 9.3 of the Plan.

2.7      "Change in Control" shall have the meaning set forth in Section 9.2 of
         the Plan.

2.8      "Change in Control Price" shall have the meaning set forth in Section
         9.8 of the Plan.

2.9      "Code" means the Internal Revenue Code of 1986, as now in effect or as
         hereafter amended. (All citations to sections of the Code are to such
         sections as they may from time to time be amended or renumbered.)

2.10     "Committee" means the Compensation Committee or such other committee
         consisting of three (3) or more members as may be appointed by the
         Board to administer this Plan pursuant to Article III. To the extent
         required by Rule 16b-3 under the Act, the Committee shall consist of
         individuals who are members of the Board and Non-Employee Directors.
         Committee members may also be appointed for such limited purposes as
         may be provided by the Board.

2.11     "Corporation" means Quintiles Transnational Corp., a North Carolina
         corporation, and its successors and assigns. "Corporation" also means
         Quintiles Transnational Corp. and its Subsidiaries, unless the context
         clearly indicates otherwise.

2.12     "Disability" means disability as determined under procedures
         established by the Committee or in any Award.

2.13     "Discount Stock Options" means the Nonqualified Stock Options that
         provide for an exercise price of less than the Fair Market Value of the
         Stock at the date of the Award.


                                       2

<PAGE>   5

2.14     "Early Retirement" means retirement from active employment with the
         Corporation or any Subsidiary, with the express consent of the
         Committee, pursuant to the early retirement provisions established by
         the Committee or in any Award.

2.15     "Effective Date" shall have the meaning set forth in Section 1.3 of the
         Plan.

2.16     "Eligible Participant" means any executive, key employee or director of
         the Corporation or its Subsidiaries, as shall be determined by the
         Committee, as well as any other person whose participation the
         Committee determines is in the best interest of the Corporation,
         subject to limitations as may be provided by the Code, the Act or the
         Committee.

2.17     "ERISA" means the Employee Retirement Income Security Act of 1974, as
         now in effect or as hereafter amended.

2.18     "Fair Market Value" means, with respect to any given day, the closing
         price of the Stock reported on the Nasdaq National Market for such day,
         or if the Stock is not traded on such day, then on the next day on
         which the Stock is traded, all as reported by such source as the
         Committee may select. The Committee may establish an alternative method
         of determining Fair Market Value.

2.19     "Incentive Stock Option" means a Stock Option granted under Article IV
         of the Plan, and as defined in Section 422 of the Code.

2.20     "Limited Stock Appreciation Rights" means a Stock Right that is
         exercisable only in the event of a Change in Control and/or a Potential
         Change in Control, as described in Section 6.8 of this Plan, that
         provides for an amount payable solely in cash, equal to the excess of
         the Stock Appreciation Right Fair Market Value of a share of Stock on
         the day the Stock Right is surrendered over the price at which a
         Participant could exercise a related Stock Option to purchase the share
         of Stock.

2.21     "Non-Employee Directors" shall have the meaning set forth under Rule
         16b-3(b)(3) of the Act.

2.22     "Nonqualified Stock Option" means a Stock Option granted under Article
         V of the Plan.

2.23     "Normal Retirement" means retirement from active employment with the
         Corporation or any Subsidiary on or after age 65, or pursuant to such
         other requirements as may be established by the Committee or in any
         Award.

2.24     "Option Grant Date" means, as to any Stock Option, the latest of:

         (a)      the date on which the Committee grants the Stock Option by
                  entering into an Award Agreement with the Participant;

         (b)      the date the Participant receiving the Stock Option becomes an
                  employee of the Corporation or its Subsidiaries, to the extent
                  employment status is a condition of the grant or a requirement
                  of the Code or the Act; or

         (c)      such other date (later than the dates described in (i) and
                  (ii) above) as the Committee may designate.

2.25     "Participant" means an Eligible Participant to whom an Award of
         equity-based compensation has been granted and who has entered into an
         Agreement evidencing the Award.


                                       3


<PAGE>   6

2.26     "Potential Change in Control" shall have the meaning set forth in
         Section 9.4 of the Plan.

2.27     "Plan" means the Quintiles Transnational Corp. Equity Compensation
         Plan, as amended from time to time.

2.28     "Restricted Stock" means an Award of Stock under Article VIII of the
         Plan, which Stock is issued with the restriction that the holder may
         not sell, transfer, pledge, or assign such Stock and with such other
         restrictions as the Committee, in its sole discretion, may impose
         (including, without limitation, any restriction on the right to vote
         such Stock, and the right to receive any cash dividends), which
         restrictions may lapse separately or in combination at such time or
         times, in installments or otherwise, as the Committee may deem
         appropriate.

2.29     "Restriction Period" means the period commencing on the date an Award
         of Restricted Stock is granted and ending on such date as the Committee
         shall determine.

2.30     "Retirement" means Normal or Early Retirement.

2.31     "Stock" means shares of Common Stock of the Corporation, as may be
         adjusted pursuant to the provisions of Section 3.11.

2.32     "Stock Appreciation Right" means a Stock Right, as described in Article
         VI of this Plan, that provides for an amount payable in Stock and/or
         cash, as determined by the Committee, equal to the excess of the Fair
         Market Value of a share of Stock on the day the Stock Right is
         exercised over the price at which the Participant could exercise a
         related Stock Option to purchase the share of Stock.

2.33     "Stock Appreciation Right Fair Market Value" means a value established
         by the Committee for the exercise of a Stock Appreciation Right or a
         Limited Stock Appreciation Right.

2.34     "Stock Option" means an Award under Article IV or V of the Plan of an
         option to purchase Stock. A Stock Option may be either an Incentive
         Stock Option or a Nonqualified Stock Option.

2.35     "Stock Right" means an Award under Article VI of the Plan. A Stock
         Right may be either a Stock Appreciation Right or a Limited Stock
         Appreciation Right.

2.36     "Subsidiary" or "Subsidiaries" means:

         (a)      for the purpose of an Incentive Stock Option, any corporation
                  (other than the Corporation) in an unbroken chain of
                  corporations beginning with the Corporation if, at the time of
                  the granting of the Option, each of the corporations other
                  than the last corporation in the unbroken chain owns stock
                  possessing fifty percent (50%)


                                       4


<PAGE>   7


                  or more of the total combined voting power of all classes of
                  stock in one of the other corporations in such chain; and

         (b)      for the purposes of all other types of equity-based
                  compensation provided for under the Plan, any corporation (or
                  partnership, joint venture, limited liability company, or
                  other enterprise) of which the Corporation owns or controls,
                  directly or indirectly, fifty percent (50%) or more of the
                  outstanding shares of stock normally entitled to vote for the
                  election of directors (or comparable equity participation and
                  voting power).

2.37     "Termination of Employment" means the discontinuance of employment of a
         Participant with the Corporation or its Subsidiaries for any reason
         other than a Transfer. The determination of whether a Participant has
         discontinued employment shall be made by the Committee in its
         discretion. In determining whether a Termination of Employment has
         occurred, the Committee may provide that service as a consultant or
         service with a business enterprise in which the Corporation has a
         significant ownership interest shall be treated as employment with the
         Corporation. The Committee shall have the discretion, exercisable
         either at the time the Award is granted or at the time the Participant
         terminates employment, to establish as a provision applicable to the
         exercise of one or more Awards that during the limited period of
         exercisability following Termination of Employment, the Award may be
         exercised not only with respect to the number of shares of Stock for
         which it is exercisable at the time of the Termination of Employment
         but also with respect to one or more subsequent installments for which
         the Award would have become exercisable had the Termination of
         Employment not occurred.

2.38     "Transfer" means a change of employment of a Participant within the
         group consisting of the Corporation and its Subsidiaries.


                                       5


<PAGE>   8

                          ARTICLE III - ADMINISTRATION

3.1      This Plan shall be administered by the Committee. The Committee, in its
         discretion, may delegate to one or more of its members, or to one or
         more officers of the Corporation, all or part of the Committee's
         authority and duties with respect to grants and awards to individuals
         who are not subject to the reporting and other provisions of Section 16
         of the Act; provided, however, that such persons must exercise any
         authority so delegated to them within any guidelines established by the
         Committee. The Committee may revoke or amend the terms of a delegation
         at any time but such action shall not invalidate any prior actions of
         the Committee's delegate or delegates that were consistent with the
         terms of the Plan. Members of the Committee shall be appointed
         originally, and as vacancies occur, by the Board, to serve at the
         pleasure of the Board. The Board may serve as the Committee, if by the
         terms of the Plan all Board members are otherwise eligible to serve on
         the Committee.

3.2      The Committee shall meet at such times and places as it determines. A
         majority of its members shall constitute a quorum, and the decision of
         a majority of those present at any meeting at which a quorum is present
         shall constitute the decision of the Committee. A memorandum signed by
         all of its members shall constitute the decision of the Committee
         without necessity, in such event, for holding an actual meeting.

3.3      The Committee shall have the exclusive right to interpret, construe and
         administer the Plan, to select the persons who are eligible to receive
         an Award, and to act in all matters pertaining to the granting of an
         Award and the contents of the Agreement evidencing the Award,
         including, without limitation, the determination of the number of Stock
         Options, Stock Rights, and shares of Restricted Stock subject to an
         Award and the form, terms, conditions and duration of each Award, and
         any amendment thereof consistent with the provisions of the Plan. All
         acts, determinations and decisions of the Committee made or taken
         pursuant to grants of authority under the Plan or with respect to any
         questions arising in connection with the administration and
         interpretation of the Plan, including the severability of any and all
         of the provisions thereof, shall be conclusive, final and binding upon
         all Participants, Eligible Participants and their beneficiaries.

3.4      The Committee may adopt such rules, regulations and procedures of
         general application for the administration of this Plan, as it deems
         appropriate.

3.5      Without limiting the foregoing Sections 3.1, 3.2, 3.3 and 3.4, and
         notwithstanding any other provisions of the Plan, the Committee is
         authorized to take such action as it determines to be necessary or
         advisable, and fair and equitable to Participants, with respect to an
         Award in the event of an Acceleration Event as defined in Article IX.
         Such action may include, but shall not be limited to, establishing,
         amending or waiving the forms, terms, conditions and duration of an
         Award and the Award Agreement, so as to provide for earlier, later,
         extended or additional times for exercise or payments, differing
         methods for calculating payments, alternate forms and amounts of
         payment, an accelerated release of restrictions or other modifications.
         The Committee may take such actions pursuant to this Section 3.5 by
         adopting rules and regulations of general applicability to all
         Participants or to certain categories of Participants, by including,
         amending or waiving terms and conditions in an Award and the Award
         Agreement, or by taking action with respect to individual Participants.

3.6      The maximum aggregate number of shares of Stock subject to Awards under
         the Plan


                                       6


<PAGE>   9

         shall be five million eight hundred forty-one thousand three hundred
         and nineteen (5,841,319) shares, plus an annual increase to be added as
         of January 1 of each year, beginning January 1, 2000, equal to the
         lesser of (i) five hundred thousand (500,000) shares, (ii) five percent
         (5%) of any increase, other than any increase due to Awards under this
         Plan or any other similar plan of the Corporation, in the number of
         authorized and issued shares (on a fully diluted basis) above the
         number of authorized and outstanding shares as of the preceding January
         1, or (iii) a lesser number determined by the Board.

         (a)      If, for any reason, any shares of Stock awarded or subject to
                  purchase under the Plan are not delivered or purchased, or are
                  reacquired by the Corporation, for reasons including, but not
                  limited to, a forfeiture of Restricted Stock or termination,
                  expiration or cancellation of a Stock Option or Stock Right,
                  or any other termination of an Award without payment being
                  made in the form of Stock (whether or not Restricted Stock),
                  such shares of Stock shall not be charged against the
                  aggregate number of shares of Stock available for Award under
                  the Plan, and shall again be available for Award under the
                  Plan.

         (b)      To the extent a Stock Right granted in connection with a Stock
                  Option is exercised without payment being made in the form of
                  Stock (whether or not Restricted Stock), the shares of Stock
                  that otherwise would have been issued upon the exercise of
                  such related Stock Option shall not be charged against the
                  aggregate number of shares of Stock subject to an Award under
                  the Plan, and shall again be available for Award under the
                  Plan.

3.7      Each Award granted under the Plan shall be evidenced by a written Award
         Agreement. Each Award Agreement shall be subject to and incorporate (by
         reference or otherwise) the applicable terms and conditions of the
         Plan, and any other terms and conditions (not inconsistent with the
         Plan) required by the Committee.

3.8      The Corporation shall not be required to issue or deliver any
         certificates for shares of Stock prior to:

         (a)      the listing of such shares on any stock exchange or the
                  national market system on which the Stock may then be listed;
                  and

         (b)      the completion of any registration or qualification of such
                  shares of Stock under any federal or state law, or any ruling
                  or regulation of any government body that the Corporation
                  shall, in its discretion, determine to be necessary or
                  advisable.

3.9      All certificates for shares of Stock delivered under the Plan shall
         also be subject to such stop-transfer orders and other restrictions as
         the Committee may deem advisable under the rules, regulations, and
         other requirements of the Securities and Exchange Commission, any stock
         exchange or the national market system upon which the Stock is then
         listed and any applicable federal or state laws, and the Committee may
         cause a legend or legends to be placed on any such certificates to make
         appropriate reference to such restrictions. In making such
         determination, the Committee may rely upon an opinion of counsel for
         the Corporation.

3.10     Subject to the restrictions on Restricted Stock, as provided in Article
         VIII of the Plan and in the Restricted Stock Award Agreement, each
         Participant who receives an Award of Restricted Stock shall have all of
         the rights of a shareholder with respect to such shares of Stock,
         including the right to vote the shares to the extent, if any, such
         shares possess voting


                                       7


<PAGE>   10

         rights and receive dividends and other distributions. Except as
         provided otherwise in the Plan or in an Award Agreement, no Participant
         awarded a Stock Option or Stock Right shall have any right as a
         shareholder with respect to any shares of Stock covered by his or her
         Stock Option or Stock Right prior to the date of issuance to him or her
         of a certificate or certificates for such shares of Stock.

3.11     If any reorganization, recapitalization, reclassification, stock
         split-up, stock dividend, or consolidation of shares of Stock, merger
         or consolidation of the Corporation or its subsidiaries or sale or
         other disposition by the Corporation or its Subsidiaries of all or a
         portion of its assets, any other change in the Corporation's or its
         Subsidiaries' corporate structure, or any distribution to shareholders
         other than a cash dividend results in the outstanding shares of Stock,
         or any securities exchanged therefor or received in their place, being
         exchanged for a different number or class of shares of Stock or other
         securities of the Corporation, or for shares of Stock or other
         securities of any other corporation; or new, different or additional
         shares or other securities of the Corporation or of any other
         corporation being received by the holders of outstanding shares of
         Stock, then equitable adjustments shall be made by the Committee in:

         (a)      the limitation of the aggregate number of shares of Stock that
                  may be awarded as set forth in Section 3.6 of the Plan;

         (b)      the number and class of Stock that may be subject to an Award
                  and that have not been issued or transferred under an
                  outstanding Award;

         (c)      the purchase price to be paid per share of Stock under
                  outstanding Stock Options and the number of shares of Stock to
                  be transferred in settlement of outstanding Stock Rights; and

         (d)      the terms, conditions or restrictions of any Award and Award
                  Agreement, including the price payable for the acquisition of
                  Stock; provided, however, that all adjustments made as the
                  result of the foregoing in respect of each Incentive Stock
                  Option shall be made so that such Stock Option shall continue
                  to be an Incentive Stock Option, as defined in Section 422 of
                  the Code.

3.12     In addition to such other rights of indemnification as they may have as
         directors or as members of the Committee, the members of the Committee
         shall be indemnified by the Corporation against reasonable expenses,
         including attorney's fees, actually and necessarily incurred in
         connection with the defense of any action, suit or proceeding, or in
         connection with any appeal therein, to which they or any of them may be
         a party by reason of any action taken or failure to act under or in
         connection with the Plan or any Award granted thereunder, and against
         all amounts paid by them in settlement thereof (provided such
         settlement is approved by independent legal counsel selected by the
         Corporation) or paid by them in satisfaction of a judgment or
         settlement in any such action, suit or proceeding, except as to matters
         as to which the Committee member has been negligent or engaged in
         misconduct in the performance of his duties; provided, that within
         sixty (60) days after institution of any such action, suit or
         proceeding, a Committee member shall in writing offer the Corporation
         the opportunity, at its own expense, to handle and defend the same.

3.13     The Committee may require each person purchasing shares of Stock
         pursuant to a Stock Option or other Award under the Plan to represent
         to and agree with the Corporation in writing that he is acquiring the
         shares of Stock without a view to distribution thereof. The
         certificates for such shares of Stock may include any legend that the
         Committee deems


                                       8


<PAGE>   11

         appropriate to reflect any restrictions on transfer.

3.14     The Committee shall be authorized to make adjustments in the terms and
         conditions of Awards in recognition of unusual or nonrecurring events
         affecting the Corporation (or any Subsidiary, if applicable) or its
         financial statements or changes in applicable laws, regulations or
         accounting principles. The Committee may correct any defect, supply any
         omission or reconcile any inconsistency in the Plan or any Award
         Agreement in the manner and to the extent it shall deem desirable to
         carry it into effect. If the Corporation (or any Subsidiary, if
         applicable) shall assume outstanding employee benefit awards or the
         right or obligation to make future such awards in connection with the
         acquisition of another corporation or business entity, the Committee
         may, in its discretion, make such adjustments in the terms of Awards
         under the Plan as it shall deem appropriate.

3.15     The Committee shall have full power and authority to determine whether,
         to what extent and under what circumstances, any Award shall be
         canceled or suspended. In particular, but without limitation, all
         outstanding Awards to any Participant shall be canceled if (a) the
         Participant, without the consent of the Committee, while employed by
         the Corporation or any Subsidiary or after termination of such
         employment, becomes associated with, employed by, renders services to,
         or owns any interest in (other than any nonsubstantial interest, as
         determined by the Committee), any business that is in competition with
         the Corporation or with any business in which the Corporation and/or
         its Subsidiaries have a substantial interest as determined by the
         Committee; or (b) is terminated for cause as determined by the
         Committee.

3.16     The following limitations shall apply to grants of Options:

         (a)      No Eligible Participant shall be granted, in any fiscal year
                  of the Company, Options to purchase more than 500,000 shares
                  of Stock.

         (b)      In connection with his or her initial service, an Eligible
                  Participant may be granted Options to purchase up to an
                  additional 200,000 shares that shall not count against the
                  limit set forth in subsection (a) above.

         (c)      The foregoing limitations shall be adjusted proportionately in
                  connection with any change in the Company's capitalization as
                  described in Section 3.11.

         (d)      If an Option is cancelled in the same fiscal year of the
                  Company in which it was granted (other than in connection with
                  a transaction described in Article IX of the Plan), the
                  cancelled Option will be counted against the limits set forth
                  in subsections (a) and (b) above. For this purpose, if the
                  exercise price of an Option is reduced, the transaction will
                  be treated as a cancellation of the Option and the grant of a
                  new Option.


                                       9


<PAGE>   12

                      ARTICLE IV - INCENTIVE STOCK OPTIONS


4.1      Each provision of this Article IV and of each Incentive Stock Option
         granted hereunder shall be construed in accordance with the provisions
         of Section 422 of the Code, and any provision hereof that cannot be so
         construed shall be disregarded. Incentive Stock Options shall be
         granted only to Eligible Participants, each of whom may be granted one
         or more such Incentive Stock Options at such time or times determined
         by the Committee following the Effective Date until February 21, 2004,
         subject to the following conditions:

         (a)      The Incentive Stock Option price per share of Stock shall be
                  set in the Award Agreement, but shall not be less than one
                  hundred percent (100%) of the Fair Market Value of the Stock
                  at the time of the Option Grant Date.

         (b)      The Incentive Stock Option and its related Stock Right, if
                  any, may be exercised in full or in part from time to time
                  within ten (10) years from the Option Grant Date, or such
                  shorter period as may be specified by the Committee in the
                  Award; provided, that in any event, the Incentive Stock Option
                  and related Stock Right shall lapse and cease to be
                  exercisable upon, or within such period following, a
                  Termination of Employment as shall have been determined by the
                  Committee and as specified in the Incentive Stock Option Award
                  Agreement or its related Stock Right Award Agreement;
                  provided, however, that such period following a Termination of
                  Employment shall not exceed three (3) months unless employment
                  shall have terminated:

                  (i)      as a result of death or Disability, in which event
                           such period shall not exceed one year after the date
                           of death or Disability; and

                  (ii)     as a result of death, if death shall have occurred
                           following a Termination of Employment and while the
                           Incentive Stock Option or Stock Right was still
                           exercisable, in which event such period shall not
                           exceed one year after the date of death;

                  provided further, that such period following a Termination of
                  Employment shall in no event extend the original exercise
                  period of the Incentive Stock Option or any related Stock
                  Right.

         (c)      The aggregate Fair Market Value, determined as of the Option
                  Grant Date, of the shares of Stock with respect to which
                  Incentive Stock Options are first exercisable during any
                  calendar year by any Eligible Participant shall not exceed one
                  hundred thousand dollars (100,000); provided, however, to the
                  extent permitted under Section 422 of the Code:

                  (i)      if a Participant's employment is terminated by reason
                           of death, Disability or Retirement and the portion of
                           any Incentive Stock Option that is otherwise
                           exercisable during the post-termination period
                           applied without regard to the one hundred thousand
                           dollar (100,000) limitation contained in Section 422
                           of the Code is greater than the portion of such
                           option that is immediately exercisable as an
                           Incentive Stock Option during such post-termination


                                       10

<PAGE>   13

                           period under Section 422, such excess shall be
                           treated as a Nonqualified Stock Option; and

                  (ii)     if the exercise of an Incentive Stock Option is
                           accelerated by reason of an Acceleration Event, any
                           portion of such Award that is not exercisable as an
                           Incentive Stock Option by reason of the one hundred
                           thousand dollar ($100,000) limitation contained in
                           Section 422 of the Code shall be treated as a
                           Nonqualified Stock Option.

         (d)      Incentive Stock Options shall be granted only to Eligible
                  Participants who, at the time of the Option Grant Date, do not
                  own stock possessing more than ten percent (10%) of the total
                  combined voting power of all classes of stock of the
                  Corporation, unless the Incentive Stock Option Price per share
                  of Stock shall not be less than one hundred and ten percent
                  (110%) of the Fair Market Value of the Stock at the time of
                  the Option Grant Date and the Incentive Stock Options by their
                  terms are not exercisable after the expiration of five (5)
                  years from the Option Grant Date.

         (e)      The Committee may adopt any other terms and conditions that it
                  determines should be imposed for Incentive Stock Options to
                  qualify under Section 422 of the Code, as well as any other
                  terms and conditions not inconsistent with this Article IV, as
                  determined by the Committee.

4.2      The Committee may at any time offer to buy out for a payment in cash,
         Stock, or Restricted Stock an Incentive Stock Option previously
         granted, based on such terms and conditions as the Committee shall
         establish and communicate to the Participant at the time that such
         offer is made.

4.3      If the Incentive Stock Option Award Agreement so provides, the
         Committee may require that all or part of the shares of Stock to be
         issued upon the exercise of an Incentive Stock Option shall take the
         form of Restricted Stock, which shall be valued on the date of
         exercise, as determined by the Committee, on the basis of the Fair
         Market Value of such Restricted Stock determined without regard to the
         forfeiture restrictions involved.


                                       11


<PAGE>   14

                     ARTICLE V - NONQUALIFIED STOCK OPTIONS


5.1      One or more Stock Options may be granted as Nonqualified Stock Options
         to Eligible Participants to purchase shares of Stock at such time or
         times determined by the Committee, following the Effective Date,
         subject to the terms and conditions set forth in this Article V.

5.2      The Nonqualified Stock Option price per share of Stock shall be
         established in the Award Agreement and may be less than one hundred
         percent (100%) of the Fair Market Value at the time of the grant.

5.3      The times and conditions upon which a Nonqualified Stock Option and its
         related Stock Right, if any, will terminate where a Participant to whom
         such an option and related right has been granted under the Plan
         terminates, or the Corporation terminates, his or her employment,
         consultant, or service relationship with the Corporation shall be
         determined by the Committee when the option and any related right are
         granted; provided, however, that in no event shall an option or related
         right be exercisable more than ten (10) years from the date it was
         granted. Nothing in the Plan or in any option or related right granted
         pursuant to the Plan shall (a) confer on any individual any right to
         continue in the employ of the Corporation or to continue any consultant
         or service relationship with the Corporation or (b) interfere in any
         way with the Corporation's right to terminate such individual's
         employment, consultant or service relationship at any time.

5.4      The Nonqualified Stock Option Award Agreement may include any other
         terms and conditions not inconsistent with this Article V or Article
         VII below, as determined by the Committee.


                                       12


<PAGE>   15

                     ARTICLE VI - STOCK APPRECIATION RIGHTS


6.1      A Stock Appreciation Right may be granted to an Eligible Participant in
         connection with an Incentive Stock Option or a Nonqualified Stock
         Option granted under Article IV or Article V of this Plan, or may be
         granted independent of any related Stock Option.

6.2      A related Stock Appreciation Right shall entitle a holder of a Stock
         Option, within the period specified for the exercise of the Stock
         Option, to surrender the unexercised Stock Option (or a portion
         thereof) and to receive in exchange therefor a payment in cash or
         shares of Stock having an aggregate value equal to the amount by which
         the Fair Market Value of each share of Stock exceeds the Stock Option
         price per share of Stock, times the number of shares of Stock under the
         Stock Option, or portion thereof, that is surrendered.

6.3      Each related Stock Appreciation Right granted hereunder shall be
         subject to the same terms and conditions as the related Stock Option,
         including limitations on transferability, and shall be exercisable only
         to the extent such Stock Option is exercisable and shall terminate or
         lapse and cease to be exercisable when the related Stock Option
         terminates or lapses. The grant of Stock Appreciation Rights related to
         Incentive Stock Options must be concurrent with the grant of the
         Incentive Stock Options. With respect to Nonqualified Stock Options,
         the grant either may be concurrent with the grant of the Nonqualified
         Stock Options or in connection with Nonqualified Stock Options
         previously granted under Article V, which are unexercised and have not
         terminated or lapsed.

6.4      The Committee shall have sole discretion to determine in each case
         whether the payment with respect to the exercise of a Stock
         Appreciation Right will be in the form of all cash, all Stock, or any
         combination thereof. If payment is to be made in Stock, the number of
         shares of Stock shall be determined based on the Fair Market Value of
         the Stock on the date of exercise. If the Committee elects to make full
         payment in Stock, no fractional shares of Stock shall be issued and
         cash payments shall be made in lieu of fractional shares.

6.5      The Committee shall have sole discretion as to the timing of any
         payment made in cash, Stock, or a combination thereof, upon exercise of
         Stock Appreciation Rights. Payment may be made in a lump sum, in annual
         installments or may be otherwise deferred; and the Committee shall have
         sole discretion to determine whether any deferred payments may bear
         amounts equivalent to interest or cash dividends.

6.6      Upon exercise of a Stock Appreciation Right, the number of shares of
         Stock subject to exercise under any related Stock Option shall
         automatically be reduced by the number of shares of Stock represented
         by the Stock Option or portion thereof that is surrendered.

6.7      The Committee, in its sole discretion, may also provide that, in the
         event of a Change in Control and/or a Potential Change in Control, the
         amount to be paid upon the exercise of a Stock Appreciation Right or
         Limited Stock Appreciation Right shall be based on the Change in
         Control Price, subject to such terms and conditions as the Committee
         may specify at grant.

6.8      In its sole discretion, the Committee may grant Limited Stock
         Appreciation Rights under this Article VI. Limited Stock Appreciation
         Rights become exercisable only in the event of a Change in Control
         and/or a Potential Change in Control, subject to such terms and
         conditions as the Committee, in its sole discretion, may specify at
         grant. Such Limited Stock Appreciation Rights shall be settled solely
         in cash. A Limited Stock Appreciation


                                       13


<PAGE>   16

         Right shall entitle the holder of the related Stock Option to surrender
         such Stock Option, or any portion thereof, to the extent unexercised in
         respect of the number of shares of Stock as to which such Limited Stock
         Appreciation Right is exercised, and to receive a cash payment equal to
         the difference between (a) the Stock Appreciation Right Fair Market
         Value (at the date of surrender) of a share of Stock for which the
         surrendered Stock Option or portion thereof is then exercisable, and
         (b) the price at which a Participant could exercise a related Stock
         Option to purchase the share of Stock. Such Stock Option shall, to the
         extent so surrendered, thereupon cease to be exercisable.


                                       14


<PAGE>   17

            ARTICLE VII - INCIDENTS OF STOCK OPTIONS AND STOCK RIGHTS


7.1      Each Stock Option and Stock Right shall be granted subject to such
         terms and conditions, if any, not inconsistent with this Plan, as shall
         be determined by the Committee, including any provisions as to
         continued employment as consideration for the grant or exercise of such
         Stock Option or Stock Right and any provisions that may be advisable to
         comply with applicable laws, regulations or rulings of any governmental
         authority.

7.2      A Stock Option or Stock Right shall not be transferable by the
         Participant other than by will or by the laws of descent and
         distribution and shall be exercisable during the lifetime of the
         Participant only by him or by his guardian or legal representative.

7.3      Shares of Stock purchased upon exercise of a Stock Option shall be paid
         for in such amounts, at such times and upon such terms as shall be
         determined by the Committee, subject to limitations set forth in the
         Stock Option Award Agreement. Without limiting the foregoing, the
         Committee may establish payment terms for the exercise of Stock Options
         that permit the Participant to deliver shares of Stock (or other
         evidence of ownership of Stock satisfactory to the Corporation) with a
         Fair Market Value equal to the Stock Option price as payment.

7.4      No cash dividends shall be paid on shares of Stock subject to
         unexercised Stock Options. The Committee may provide, however, that a
         Participant to whom a Stock Option has been granted that is exercisable
         in whole or in part at a future time for shares of Stock shall be
         entitled to receive an amount per share equal in value to the cash
         dividends, if any, paid per share on issued and outstanding Stock, as
         of the dividend record dates occurring during the period between the
         date of the grant and the time each such share of Stock is delivered
         pursuant to exercise of such Stock Option or the related Stock Right.
         Such amounts (herein called "dividend equivalents") may, in the
         discretion of the Committee, be:

         (a)      paid in cash or Stock either from time to time prior to, or at
                  the time of the delivery of, such Stock, or upon expiration of
                  the Stock Option if it shall not have been fully exercised; or

         (b)      converted into contingently credited shares of Stock (with
                  respect to which dividend equivalents may accrue) in such
                  manner, at such value, and deliverable at such time or times,
                  as may be determined by the Committee.

         Such Stock (whether delivered or contingently credited) shall be
         charged against the limitations set forth in Section 3.6.

7.5      The Committee, in its sole discretion, may authorize payment of
         interest equivalents on dividend equivalents that are payable in cash
         at a future time.

7.6      In the event of death or Disability, the Committee, with the consent of
         the Participant or his legal representative, may authorize payment, in
         cash or in Stock, or partly in cash and partly in Stock, as the
         Committee may direct, of an amount equal to the difference at the time
         between the Fair Market Value of the Stock subject to a Stock Option
         and the Option price in consideration of the surrender of the Stock
         Option.

7.7      If a Participant is required to pay to the Corporation an amount with
         respect to income and employment tax withholding obligations in
         connection with exercise of a Nonqualified


                                       15



<PAGE>   18

         Stock Option, and/or with respect to certain dispositions of Stock
         acquired upon the exercise of an Incentive Stock Option, the Committee,
         in its discretion and subject to such rules as it may adopt, may permit
         the Participant to satisfy the obligation, in whole or in part, by
         making an irrevocable election that a portion of the total Fair Market
         Value of the shares of Stock subject to the Nonqualified Stock Option
         and/or with respect to certain dispositions of Stock acquired upon the
         exercise of an Incentive Stock Option, be paid in the form of cash in
         lieu of the issuance of Stock and that such cash payment be applied to
         the satisfaction of the withholding obligations. The amount to be
         withheld shall not exceed the statutory minimum federal and state
         income and employment tax liability arising from the Stock Option
         exercise transaction.

7.8      The Committee may permit the voluntary surrender of all or a portion of
         any Stock Option granted under the Plan to be conditioned upon the
         granting to the Participant of a new Stock Option for the same or a
         different number of shares of Stock as the Stock Option surrendered, or
         may require such voluntary surrender as a condition precedent to a
         grant of a new Stock Option to such Participant. Subject to the
         provisions of the Plan, such new Stock Option shall be exercisable at
         the same price, during such period and on such other terms and
         conditions as are specified by the Committee at the time the new Stock
         Option is granted. Upon surrender, the Stock Option surrendered shall
         be canceled and the shares of Stock previously subject to it shall be
         available for the grant of other Stock Options.


                                       16


<PAGE>   19

                         ARTICLE VIII - RESTRICTED STOCK


8.1      Restricted Stock Awards may be made to certain Participants as
         incentives for the performance of future services that will contribute
         materially to the successful operation of the Corporation and its
         Subsidiaries. Awards of Restricted Stock may be made either alone, in
         addition to or in tandem with other Awards granted under the Plan
         and/or cash payments made outside of the Plan.

8.2      With respect to Awards of Restricted Stock, the Committee shall:

         (a)      determine the purchase price, if any, to be paid for such
                  Restricted Stock, which may be equal to or less than par value
                  and may be zero, subject to such minimum consideration as may
                  be required by applicable law;

         (b)      determine the length of the Restriction Period;

         (c)      determine any restrictions applicable to the Restricted Stock
                  such as service or performance, other than those set forth in
                  this Article VIII;

         (d)      determine if the restrictions shall lapse as to all shares of
                  Restricted Stock at the end of the Restriction Period or as to
                  a portion of the shares of Restricted Stock in installments
                  during the Restriction Period; and

         (e)      determine if dividends and other distributions on the
                  Restricted Stock are to be paid currently to the Participant
                  or withheld by the Corporation for the account of the
                  Participant.

8.3      Awards of Restricted Stock must be accepted within a period of sixty
         (60) days (or such shorter periods as the Committee may specify at
         grant) after the Award date, by executing a Restricted Stock Award
         Agreement and paying whatever price (if any) is required.

         The prospective recipient of a Restricted Stock Award shall not have
         any rights with respect to such Award, unless such recipient has
         executed a Restricted Stock Award Agreement and has delivered a fully
         executed copy thereof to the Committee, and has otherwise complied with
         the applicable terms and conditions of such Award.

8.4      Except when the Committee determines otherwise, or as otherwise
         provided in the Restricted Stock Award Agreement, if a Participant
         terminates employment with the Corporation or its Subsidiaries for any
         reason before the expiration of the Restriction Period, all shares of
         Restricted Stock still subject to restriction shall be forfeited by the
         Participant and shall be reacquired by the Corporation.

8.5      Except as otherwise provided in this Article VIII, no shares of
         Restricted Stock received by a Participant shall be sold, exchanged,
         transferred, pledged, hypothecated or otherwise disposed of during the
         Restriction Period.

8.6      To the extent not otherwise provided in a Restricted Stock Award
         Agreement, in cases of death, Disability or Retirement or in cases of
         special circumstances, the Committee, if it


                                       17


<PAGE>   20

         finds that a waiver would be appropriate, may elect to waive any or all
         remaining restrictions with respect to such Participant's Restricted
         Stock.

8.7      In the event of hardship or other special circumstances of a
         Participant whose employment with the Corporation or any Subsidiary is
         involuntarily terminated (other than for cause), the Committee may
         waive in whole or in part any or all remaining restrictions with
         respect to any or all of the Participant's Restricted Stock, based on
         such factors and criteria as the Committee may deem appropriate.

8.8      The certificates representing shares of Restricted Stock may either:

         (a)      be held in custody by the Corporation until the Restriction
                  Period expires or until restrictions thereon otherwise lapse,
                  and the Participant shall deliver to the Corporation a stock
                  power endorsed in blank relating to the Restricted Stock;
                  and/or

         (b)      be issued to the Participant and registered in the name of the
                  Participant, and shall bear an appropriate restrictive legend
                  and shall be subject to appropriate stop-transfer orders.

8.9      Except as provided in this Article VIII, a Participant receiving a
         Restricted Stock Award shall have, with respect to the shares of
         Restricted Stock covered by any Award, all of the rights of a
         shareholder of the Corporation, including the right to vote the shares
         to the extent, if any, such shares possess voting rights, and the right
         to receive any dividends; provided, however, the Committee may require
         that any dividends on such shares of Restricted Stock shall be
         automatically deferred and reinvested in additional Restricted Stock
         subject to the same restrictions as the underlying Award, or may
         require that dividends and other distributions on Restricted Stock
         shall be withheld by the corporation for the account of the
         Participant. The Committee shall determine whether interest shall be
         paid on amounts withheld, the rate of any such interest, and the other
         terms applicable to such withheld amounts.

8.10     If and when the Restriction Period expires without a prior forfeiture
         of the Restricted Stock subject to such Restriction Period,
         unrestricted certificates for such shares shall be delivered to the
         Participant.

8.11     In order to better ensure that Award payments actually reflect the
         performance of the Corporation and its Subsidiaries and the service of
         the Participant, the Committee may provide, in its sole discretion, for
         a tandem performance-based or other Award designed to guarantee a
         minimum value, payable in cash or Stock to the recipient of a
         Restricted Stock Award, subject to such performance, future service,
         deferral and other terms and conditions as may be specified by the
         Committee.


                                       18


<PAGE>   21

                        ARTICLE IX - ACCELERATION EVENTS


9.1      For the purposes of the Plan, an Acceleration Event shall occur in the
         event of a "Potential Change in Control," or "Change in Control" or a
         "Board-Approved Change in Control", as those terms are defined below.

9.2      A "Change in Control" shall be deemed to have occurred if:

         (a)      Any "Person" as defined in Section 3(a)(9) of the Act,
                  including a "group" (as that term is used in Sections 3(d)(3)
                  and 14(d)(2) of the Act), but excluding the Corporation and
                  any Subsidiary and any employee benefit plan sponsored or
                  maintained by the Corporation and any Subsidiary (including
                  any trustee of such plan acting as trustee) or Dennis B.
                  Gillings, Ph.D.
                  individually, who:

                  (i)      makes a tender or exchange offer for any shares of
                           the Corporation's Stock (as defined below) pursuant
                           to which any shares of the Corporation's Stock are
                           purchased (an "Offer"); or

                  (ii)     together with its "affiliates" and "associates" (as
                           those terms are defined in Rule 12b-2 under the Act)
                           becomes the "Beneficial Owner" (within the meaning of
                           Rule 13d-3 under the Act) of at least twenty percent
                           (20%) of the Corporation's Stock (an "Acquisition");

         (b)      The shareholders of the Corporation approve a definitive
                  agreement or plan to merge or consolidate the Corporation with
                  or into another corporation, to sell or otherwise dispose of
                  all or substantially all of its assets, or to liquidate the
                  Corporation (individually, a "Transaction"); or

         (c)      When, during any period of twenty-four (24) consecutive months
                  during the existence of the Plan, the individuals who, at the
                  beginning of such period, constitute the Board (the "Incumbent
                  Directors") cease for any reason other than death to
                  constitute at least a majority thereof; provided, however,
                  that a director who was not a director at the beginning of
                  such twenty-four (24) month period shall be deemed to have
                  satisfied such twenty-four (24) month requirement (and be an
                  Incumbent Director) if such director was elected by, or on the
                  recommendation of or with the approval of, at least two-thirds
                  of the directors who then qualified as Incumbent Directors
                  either actually (because they were directors at the beginning
                  of such twenty-four (24) month period) or by prior operation
                  of this Section 9.2(c).

9.3      A "Board-Approved Change in Control" shall be deemed to have occurred
         if the Offer, Acquisition or Transaction, as the case may be, is
         approved by a two-thirds (2/3) majority of the Directors serving as
         members of the Board at the time of the Potential Change in Control or
         Change in Control.

9.4      A "Potential Change in Control" means the happening of any one of the
         following:

         (a)      The approval by shareholders of an agreement by the
                  Corporation, the consummation of which would result in a
                  Change in Control of the Corporation, as defined in Section
                  9.2; or

         (b)      The acquisition of Beneficial Ownership, directly or
                  indirectly, by any entity, person


                                       19

<PAGE>   22



                  or group (other than the Corporation or any Subsidiary or any
                  Corporation or Subsidiary employee benefit plan (including any
                  trustee of such plan acting as such trustee) or Dennis B.
                  Gillings, Ph.D. individually), of securities of the
                  Corporation representing ten percent (10%) or more of the
                  combined voting power of the Corporation's outstanding
                  securities and the adoption by the Board of a resolution to
                  the effect that a Potential Change in Control of the
                  Corporation has occurred for the purposes of this Plan.

9.5      Upon the occurrence of an Acceleration Event, subject to the approval
         of the Committee if the Acceleration Event results from a
         Board-Approved Change in Control, the Committee in its discretion may
         declare any or all then outstanding Stock Options (and any or all
         related Stock Rights outstanding for at least six (6) months) not
         previously exercisable and vested as immediately exercisable and fully
         vested, in whole or in part.

9.6      Upon the occurrence of an Acceleration Event, subject to the approval
         of the Committee if the Acceleration Event results from a
         Board-Approved Change in Control, the Committee in its discretion, may
         declare the restrictions applicable to Awards of Restricted Stock to
         have lapsed, in which case the Corporation shall remove all restrictive
         legends and stop-transfer orders applicable to the certificates for
         such shares of Stock, and deliver such certificates to the Participants
         in whose names they are registered.

9.7      The value of all outstanding Stock Options, Stock Rights, and
         Restricted Stock, in each case to the extent vested, shall, unless
         otherwise determined by the Committee in its sole discretion at or
         after grant but prior to any Change in Control, be cashed out on the
         basis of the "Change in Control Price," as defined in Section 9.8 as of
         the date such Change in Control or such Potential Change in Control is
         determined to have occurred or such other date as the Committee may
         determine prior to the Change in Control.

9.8      For purposes of Section 9.7, "Change in Control Price" means the
         highest price per share of Stock paid in any transaction reported on
         the Nasdaq National Market or paid or offered in any bona fide
         transaction related to a Potential or actual Change in Control of the
         Corporation at any time during the sixty (60) day period immediately
         preceding the occurrence of the Change in Control (or, where
         applicable, the occurrence of the Potential Change in Control event),
         in each case as determined by the Committee except that, in the case of
         Incentive Stock Options and Stock Appreciation Rights (or Limited Stock
         Appreciation Rights) relating to such Incentive Stock Options, such
         price shall be based only on transactions reported for the date on
         which the optionee exercises such Stock Appreciation Rights (or Limited
         Stock Appreciation Rights).


                                       20



<PAGE>   23

                      ARTICLE X - AMENDMENT AND TERMINATION


10.1     The Board, upon recommendation of the Committee, or otherwise, at any
         time and from time to time (subject to the provisions of Section 9.7),
         may amend or terminate the Plan as may be necessary or desirable to
         implement or discontinue this Plan or any provision thereof. To the
         extent required by Rule 16b-3 under the Act, no amendment, without
         approval by the Corporation's shareholders, shall:

         (a)      alter the group of persons eligible to participate in the
                  Plan;

         (b)      except as provided in Section 3.6, increase the maximum number
                  of shares of Stock or Stock Options or Stock Rights that are
                  available for Awards under the Plan;

         (c)      extend the period during which Incentive Stock Option Awards
                  may granted beyond February 21, 2004;

         (d)      limit or restrict the powers of the Committee with respect to
                  the administration of this Plan;

         (e)      change the definition of an Eligible Participant for the
                  purpose of an Incentive Stock Option or increase the limit or
                  the value of shares of Stock for which an Eligible Participant
                  may be granted an Incentive Stock Option;

         (f)      materially increase the benefits accruing to Participants
                  under this Plan;

         (g)      materially modify the requirements as to eligibility for
                  participation in this Plan; or

         (h)      change any of the provisions of this Article X.

10.2     No amendment to or discontinuance of this Plan or any provision thereof
         by the Board or the shareholders of the Corporation shall, without the
         written consent of the Participant, adversely affect, as shall be
         determined by the Committee, any Award theretofore granted to such
         Participant under this Plan; provided, however, the Committee retains
         the right and power to:

         (a)      annul any Award if the Participant is terminated for cause as
                  determined by the Committee;

         (b)      provide for the forfeiture of shares of Stock or other gain
                  under an Award as determined by the Committee for competing
                  against the Corporation or any Subsidiary; and

         (c)      convert any outstanding Incentive Stock Option to a
                  Nonqualified Stock Option.

10.3     If an Acceleration Event has occurred, no amendment or termination
         shall impair the rights of any person with respect to an outstanding
         Award as provided in Article IX.


                                       21


<PAGE>   24

                      ARTICLE XI - MISCELLANEOUS PROVISIONS


11.1     Nothing in the Plan or any Award granted hereunder shall confer upon
         any Participant any right to continue in the employ of the Corporation
         or its Subsidiaries (or to serve as a director thereof) or interfere in
         any way with the right of the Corporation or its subsidiaries to
         terminate his or her employment at any time. Unless specifically
         provided otherwise, no Award granted under the Plan shall be deemed
         salary or compensation for the purpose of computing benefits under any
         employee benefit plan or other arrangement of the Corporation or its
         Subsidiaries for the benefit of its employees unless the Corporation
         shall determine otherwise. No Participant shall have any claim to an
         Award until it is actually granted under the Plan. To the extent that
         any person acquires a right to receive payments from the Corporation
         under the Plan, such right shall, except as otherwise provided by the
         Committee, be no greater than the right of an unsecured general
         creditor of the Corporation. All payments to be made hereunder shall be
         paid from the general funds of the Corporation, and no special or
         separate fund shall be established and no segregation of assets shall
         be made to assure payment of such amounts, except as provided in
         Article VIII with respect to Restricted Stock and except as otherwise
         provided by the Committee.

11.2     The Corporation may make such provisions and take such steps as it may
         deem necessary or appropriate for the withholding of any taxes that the
         Corporation or any Subsidiary is required by any law or regulation of
         any governmental authority, whether federal, state or local, domestic
         or foreign, to withhold in connection with any Stock Option or the
         exercise thereof, any Stock Right or the exercise thereof, or in
         connection with any Restricted Stock, including, but not limited to,
         the withholding of payment of all or any portion of such Award or
         another Award under this Plan until the Participant reimburses the
         Corporation or its Subsidiaries for the amount the Corporation or its
         Subsidiaries is required to withhold with respect to such taxes, or
         canceling any portion of such Award or another Award under this Plan in
         an amount sufficient to reimburse itself for the amount it is required
         to so withhold, or selling any property contingently credited by the
         Corporation for the purpose of paying such Award or another Award under
         this Plan, in order to withhold or reimburse itself for the amount it
         is required to so withhold.

11.3     The Plan and the grant of Awards shall be subject to all applicable
         federal and state laws, rules, and regulations and to such approvals by
         any government or regulatory agency as may be required.

11.4     The terms of the Plan shall be binding upon the Corporation, its
         Subsidiaries, and their successors and assigns.

11.5     Neither a Stock Option, Stock Right, nor any Restricted Stock shall be
         transferable except as provided for herein or in an Award Agreement. If
         any Participant makes such a transfer in violation hereof, any
         obligation of the Corporation shall forthwith terminate.


                                       22



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<ARTICLE> 5
<MULTIPLIER> 1,000

<S>                             <C>
<PERIOD-TYPE>                   6-MOS
<FISCAL-YEAR-END>                          DEC-31-1999
<PERIOD-START>                             JAN-01-1999
<PERIOD-END>                               JUN-30-1999
<CASH>                                         140,735
<SECURITIES>                                   128,075
<RECEIVABLES>                                  415,578
<ALLOWANCES>                                         0
<INVENTORY>                                          0
<CURRENT-ASSETS>                               749,886
<PP&E>                                         510,391
<DEPRECIATION>                                 184,119
<TOTAL-ASSETS>                               1,562,527
<CURRENT-LIABILITIES>                          462,170
<BONDS>                                        160,718
                                0
                                          0
<COMMON>                                         1,146
<OTHER-SE>                                     894,432
<TOTAL-LIABILITY-AND-EQUITY>                 1,562,527
<SALES>                                              0
<TOTAL-REVENUES>                               869,727
<CGS>                                                0
<TOTAL-COSTS>                                  760,767
<OTHER-EXPENSES>                                16,860
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                               7,322
<INCOME-PRETAX>                                 84,778
<INCOME-TAX>                                    40,984
<INCOME-CONTINUING>                             43,794
<DISCONTINUED>                                       0
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<NET-INCOME>                                    43,794
<EPS-BASIC>                                       0.39
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</TABLE>

<PAGE>   1

                                  RISK FACTORS

================================================================================
In addition to the other information provided or incorporated by reference in
our reports, you should consider the following factors carefully in evaluating
us and our business. Additional risks and uncertainties not presently known to
us, that we currently deem immaterial or that are similar to those faced by
other companies in our industry or business in general, such as competitive
conditions, may also impair our business operations. If any of the following
risks occur, our business, financial condition, or results of operations could
be materially adversely affected.
================================================================================

CHANGES IN OUTSOURCING TRENDS IN THE PHARMACEUTICAL AND BIOTECHNOLOGY INDUSTRIES
COULD ADVERSELY AFFECT OUR OPERATING RESULTS

     Economic factors and industry trends that affect our primary customers,
     pharmaceutical and biotechnology companies, also affect our business. For
     example, the practice of many companies in these industries has been to
     hire outside organizations such as ours to conduct large clinical research
     and sales and marketing projects. This practice has grown substantially in
     the 1990s, and we have benefited from this trend. If this trend were to
     change and companies in these industries reduced their tendency to
     outsource those projects, our operations and financial condition could be
     materially and adversely affected. In addition, numerous governments have
     undertaken efforts to control growing healthcare costs through legislation,
     regulation and voluntary agreements with medical care providers and
     pharmaceutical companies. If future regulatory cost containment efforts
     limit the profits which can be derived on new drugs, our customers may
     reduce their research and development spending which could reduce the
     business they outsource to us. We cannot predict the likelihood of any of
     these events or the effects they would have on our business, results of
     operations or financial condition.

WE MAY NOT BE ABLE TO SUCCESSFULLY INTEGRATE PMSI AND ENVOY INTO OUR BUSINESS

     In March 1999 we completed the acquisitions of Pharmaceutical Marketing
     Services, Inc. and ENVOY Corporation. ENVOY is the largest acquisition we
     have completed to date, and PMSI is one of the largest we have ever
     completed. We may not achieve the intended benefits of the mergers with
     PMSI and ENVOY if we are unable to integrate these businesses with our own
     successfully. The PMSI and ENVOY acquisitions have expanded our lines of
     business and thus involve new risks. ENVOY is a provider of electronic data
     interchange (or "EDI") and data analysis services; PMSI provides market
     research audits and other studies for the pharmaceutical industry. If
     either of these acquisitions fails to meet our performance expectations,
     our results of operation and financial condition could be materially
     adversely affected. We could encounter a number of difficulties in the
     integration of these businesses, such as:

          -    retaining PMSI's customers among pharmaceutical companies;

          -    retaining ENVOY's EDI customers among pharmacies, health
               insurance companies, hospitals and other healthcare providers;

          -    maintaining and increasing PMSI's and ENVOY's competitive
               presence in the healthcare industry;


<PAGE>   2

          -    the ability to operate and expand the data analysis portion of
               ENVOY's business;

          -    continuing to operate each of PMSI's and ENVOY's businesses
               efficiently; or

          -    retaining key PMSI and ENVOY employees.

     For example, if either acquired company's current customers are uncertain
     about our commitment to support their existing products and services, they
     could cancel or refuse to renew current contracts. In addition, the
     combined company may be unsuccessful in expanding or retaining its
     competitive position in the current and new sectors of the healthcare
     industry in which it now operates as a result of factors such as its
     inability to properly market either acquired company's services and
     products. Furthermore, the successful integration of PMSI and ENVOY depends
     on the contribution of certain key PMSI and ENVOY employees. The loss of
     any key personnel could result in less efficient business operations for
     the combined company and could seriously harm its business.

IF COMPANIES WE ACQUIRE DO NOT PERFORM AS EXPECTED OR IF WE ARE UNABLE TO MAKE
STRATEGIC ACQUISITIONS, OUR BUSINESS COULD BE ADVERSELY AFFECTED

     A key element of our growth strategy depends on our ability to complete
     acquisitions that complement or expand our business and successfully
     integrate the acquired companies into our operations. If we are unable to
     successfully execute our acquisition strategy, there could be a material
     adverse effect on our business, results of operations and financial
     condition. In the past, some of our acquisitions performed below our
     expectations in the short term, but we experienced no impact to our
     expectations for our overall results, due in part to the size of such
     acquisitions and the performance of other areas of our business. In the
     future, if we are unable to operate the business of an acquired company so
     that its results meet our expectations, those results could have a negative
     impact on our results as a whole. The risk that our results may be affected
     if we are unable to successfully operate the businesses we acquire may
     increase in proportion with (1) the size of the businesses we acquire, (2)
     the lines of business we acquire and (3) the number of acquisitions we
     complete in any given time period.

     In 1998, we completed 11 acquisitions and announced agreements to acquire
     PMSI and ENVOY. As of June 30, 1999, we have completed another 6
     acquisitions, including PMSI and ENVOY. In addition, we are currently
     reviewing many acquisition candidates and continually evaluating and
     competing for new acquisition opportunities. Other risk factors we face as
     a result of our aggressive acquisition strategy include the following:

          -    the ability to achieve anticipated synergies from combined
               operations;

          -    integrating the operations and personnel of acquired companies,
               especially those in lines of business that differ from our
               current lines of business;

          -    the ability of acquired companies to meet anticipated revenue and
               net income targets;


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<PAGE>   3

          -    potential loss of the acquired companies' key employees;

          -    the possibility that we may be adversely affected by risk factors
               present at the acquired companies, including Year 2000 risks;

          -    potential losses resulting from undiscovered liabilities of
               acquired companies that are not covered by the indemnification we
               may obtain from the sellers;

          -    risks of assimilating differences in foreign business practices
               and overcoming language barriers (for acquisitions of foreign
               companies); and

          -    risks experienced by companies in general that are involved in
               acquisitions.

     Due to these risks, we may not be able to successfully execute our
     acquisition strategy.

IF WE ARE UNABLE TO SUCCESSFULLY DEVELOP AND MARKET POTENTIAL NEW SERVICES, OUR
GROWTH COULD BE ADVERSELY AFFECTED

     Another key element of our growth strategy is the successful development
     and marketing of new services which complement or expand our existing
     business. If we are unable to succeed in (1) developing new services and
     (2) attracting a customer base for those newly developed services, we will
     not be able to implement this element of our growth strategy, and our
     future business, results of operations and financial condition could be
     adversely affected.

     For example, as a result of our acquisition of ENVOY, we are expanding our
     pharmaceutical and healthcare information and market research services.
     Providers of these services analyze healthcare information to study aspects
     of current healthcare products and procedures for use in producing new
     products and services or in analyzing sales and marketing of existing
     products. We believe that the healthcare information ENVOY processes in its
     current business could be utilized to create new data analysis services. In
     addition to the other difficulties associated with the development of any
     new service, our ability to develop this line of service may be limited
     further by contractual provisions limiting our use of the healthcare
     information or the legal rights of others that may prevent or impair our
     use of the healthcare information. Due to these and other limitations, we
     cannot assure you that we will be able to develop this type of service
     successfully. Our inability to develop new products or services or any
     delay in development may adversely affect our ability to realize some of
     the synergies we anticipate from the acquisition of ENVOY and to maintain
     our rate of growth in the future.

OUR RESULTS COULD BE ADVERSELY AFFECTED BY THE POTENTIAL LOSS OR DELAY OF OUR
LARGE CONTRACTS

     Many of our contract research customers can terminate our contracts upon
     15-90 days' notice. In the event of termination, our contracts often
     provide for fees for winding down the project. Still, the loss or delay of
     a large contract or the loss or delay of multiple contracts could adversely
     affect our future net revenue and profitability. In addition, EDI customers
     under certain circumstances may enter into contracts with other providers
     which lessen the number of transactions processed by or under our
     contracts.


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<PAGE>   4

OUR BACKLOG MAY NOT BE INDICATIVE OF FUTURE RESULTS

     We report backlog based on anticipated net revenue from uncompleted
     projects that a customer has authorized. Backlog does not include
     anticipated net revenue from our transaction processing services since the
     contracts do not quantify the volume of transactions processed. We cannot
     assure you that the backlog we have reported will be indicative of our
     future results. A number of factors may affect our backlog, including:

          -    the variable size and duration of projects (some are performed
               over several years);

          -    the loss or delay of projects; and

          -    a change in the scope of work during the course of a project.

WE FACE RISKS CONCERNING THE YEAR 2000 ISSUE

     If We or Our Vendors Do Not Adequately Prepare for the Year 2000 Issue, Our
     Operations Could be Disrupted

     We are continuing to implement our Year 2000 Program described in our
     previous filings with the Securities and Exchange Commission, and we refer
     you to our Form 10-K for the fiscal year ended December 31, 1998 for
     information relating to the staffing, framework and scope of our Year 2000
     Program. We have addressed and substantially completed our assessment,
     remediation, testing and deployment of our systems relating to our
     commercialization service group. We have successfully remediated, replaced
     and migrated a substantial majority of systems in our product development
     service group and anticipate that substantial completion of these systems
     will occur by the end of the third quarter of 1999. We have evaluated the
     state of readiness of our recent acquisitions, including ENVOY, PMSI and
     SMG Marketing Group, Inc., which form the core of our QUINTERNET(TM)
     informatics services, and have integrated these acquisitions into our Year
     2000 Program. We are substantially complete with respect to the systems
     formerly owned by PMSI and SMG and anticipate that remediation, internal
     testing and deployment of former ENVOY systems will be substantially
     complete by the end of the third quarter of 1999. We expect to complete the
     core components of our Year 2000 Program before there is a significant risk
     that internal Year 2000 problems will have a material impact on our
     operations.

     Although we cannot control whether and how third parties will address the
     Year 2000 issue, we are conducting a limited evaluation of critical
     services on which we are substantially dependent. For example, we believe
     that among our most significant third party service providers are physician
     investigators who participate as independent contractors in clinical
     studies conducted through our contract research services and external
     organizations (such as pharmacies, insurance providers and medical offices)
     linked to our QUINTERNET(TM) informatics services; consequently we are
     developing a specialized process to assess and address Year 2000 issues
     arising from these relationships. We do not plan to assess how our
     customers, such as pharmaceutical and large biotechnology companies, are
     dealing with the Year 2000 issue.


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<PAGE>   5


     If Our Costs of Addressing the Year 2000 Issue Exceed Our Estimates, Our
     Net Income Could Be Adversely Affected

     We estimate that the aggregate costs of our Year 2000 Program, including
     recent acquisitions, will be approximately $20.7 million, including costs
     already incurred. A significant portion of these costs, approximately $8.1
     million, are not likely to be incremental costs, but rather will represent
     the redeployment of existing resources. This reallocation of resources is
     not expected to have a significant impact on our day-to-day operations. We
     incurred total Year 2000 Program costs of $12.3 million through June 30,
     1999, of which approximately $7.5 million represented incremental expense.
     Our estimates regarding the cost, timing and impact of addressing the Year
     2000 issue are based on numerous assumptions of future events, including
     the continued availability of certain resources, our ability to meet
     deadlines and the cooperation of third parties. We cannot assure you our
     assumptions will be correct and that these estimates will be achieved.
     Actual results could differ materially from our expectations as a result of
     numerous factors, including the availability and cost of personnel trained
     in this area, unforeseen circumstances that would cause us to allocate our
     resources elsewhere, costs relating to the Year 2000 compliance status of
     acquired companies and similar uncertainties.

     We are developing business continuity plans for each service area. These
     plans are specifically created based on the unique characteristics of the
     affected service group or business unit. We will continue to develop and
     refine these plans through the fourth quarter of 1999.

     Our Business Could Be Adversely Affected if Year 2000 Issues Are Not
     Adequately Addressed in Other Parts of the World or by Companies With Which
     We Do Business

     We face both internal and external risks from the Year 2000 issue. If
     realized, these risks could have a material adverse effect on our business,
     results of operations or financial condition. Our primary internal risk is
     that our systems will not be Year 2000 compliant on time. The magnitude of
     this risk depends on our ability to achieve compliance of both internally
     and externally developed systems or to migrate to alternate systems in a
     timely fashion. The decentralized nature of our business may compound this
     risk if we are unable to coordinate efforts across our global operations on
     a timely basis. We believe that our Year 2000 Program will successfully
     address these risks, however, we cannot assure you that this program will
     be completed in a timely manner. Notwithstanding our Year 2000 Program, we
     also face external risks that may be beyond our control. Our international
     operations and our relationships with foreign third parties create
     additional risks for us, as many countries outside the United States have
     been less attuned to the Year 2000 issue. These risks include the
     possibility that infrastructural systems, such as electricity, water,
     natural gas or telephony, will fail in some or all of the regions in which
     we operate, as well as the danger that the internal systems of our foreign
     suppliers, service providers and customers will fail. Our business also
     requires considerable travel, and our ability to perform services under our
     customer contracts could be negatively affected if air travel is disrupted
     by the Year 2000 issue.

     In addition, our business depends heavily on the healthcare industry,
     including third party physician investigators, pharmacies, insurance
     providers and medical offices. The healthcare industry, and physicians'
     groups in particular, to date may not have focused on the Year 2000 issue
     to the same degree as some other industries, especially outside of major
     metropolitan centers. As a result, we face increased risk that our
     physician investigators will be unable to provide us with the data that we
     need to perform under our contracts on time, if at all. Thus, the clinical
     study involved could be slowed or brought to a halt. The failure due to a
     Year 2000 issue of an external organization on whose services we rely
     significantly could also impact our ability to process transactions in our
     informatics services. Also,


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<PAGE>   6

     the failure of our customers to address the Year 2000 issue could
     negatively impact their ability to utilize our services. While we intend to
     develop contingency plans to address certain of these risks, we cannot
     assure you that any developed plans will sufficiently insulate us from the
     effects of these risks. Any disruptions resulting from the realization of
     these risks would affect our ability to perform our services. If we are
     unable to receive or process information, or if third parties are unable to
     provide information or services to us, we may not be able to meet
     milestones or obligations under our customer contracts, which could have a
     material adverse effect on our business, results of operations and
     financial condition.

IF WE LOSE THE SERVICES OF DENNIS GILLINGS OR OTHER KEY PERSONNEL, OUR BUSINESS
COULD BE ADVERSELY AFFECTED

     Our success substantially depends on the performance, contributions and
     expertise of our senior management team, led by Dennis B. Gillings, Ph.D.,
     our Chairman of the Board of Directors and Chief Executive Officer. We
     maintain key man life insurance on Dr. Gillings in the amount of $3
     million. Our performance also depends on our ability to attract and retain
     qualified management and professional, scientific and technical operating
     staff, as well as our ability to recruit qualified representatives for our
     contract sales services. The departure of Dr. Gillings, or any key
     executive, or our inability to continue to attract and retain qualified
     personnel could have a material adverse effect on our business, results of
     operations or financial condition.

OUR PRODUCT DEVELOPMENT SERVICES CREATE A RISK OF LIABILITY FROM CLINICAL TRIAL
PARTICIPANTS

     We contract with physicians to serve as investigators in conducting
     clinical trials to test new drugs on human volunteers. Such testing creates
     risk of liability for personal injury to or death of volunteers,
     particularly to volunteers with life-threatening illnesses, resulting from
     adverse reactions to the drugs administered during testing. It is possible
     third parties could claim that we should be held liable for losses arising
     from any professional malpractice of the investigators with whom we
     contract or in the event of personal injury to or death of persons
     participating in clinical trials. We do not believe we are legally
     accountable for the medical care rendered by third party investigators, and
     we would vigorously defend any such claims. Nonetheless, it is possible we
     could be found liable for those types of losses.

     In addition to supervising such tests, we also own a number of labs where
     Phase I clinical trials are conducted. Phase I clinical trials involve
     testing a new drug on a limited number of healthy individuals, typically 20
     to 80 persons, to determine the drug's basic safety. We also could be
     liable for the general risks associated with ownership of such a facility.
     These risks include, but are not limited to, adverse events resulting from
     the administration of drugs to clinical trial participants or the
     professional malpractice of Phase I medical care providers.

RELAXATION OF GOVERNMENT REGULATION COULD DECREASE THE NEED FOR THE SERVICES WE
PROVIDE

     Governmental agencies throughout the world, but particularly in the United
     States, highly regulate the drug development/approval process. A large part
     of our business involves helping pharmaceutical and biotechnology companies
     through the regulatory drug approval process. Any relaxation in regulatory
     approval standards could eliminate or substantially reduce the need for our
     services, and, as a result, our business, results of operations and
     financial condition could be materially adversely affected. Potential
     regulatory changes under consideration in the United States and elsewhere
     include mandatory substitution of generic drugs for patented drugs,
     relaxation in the scope of


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<PAGE>   7

     regulatory requirements or the introduction of simplified drug approval
     procedures. These and other changes in regulation could have an impact on
     the business opportunities available to us.

FAILURE TO COMPLY WITH EXISTING REGULATIONS COULD RESULT IN A LOSS OF REVENUE

     Any failure on our part to comply with applicable regulations could result
     in the termination of ongoing clinical research or sales and marketing
     projects or the disqualification of data for submission to regulatory
     authorities, either of which could have a material adverse effect on us.
     For example, if we were to fail to verify that informed consent is obtained
     from patient participants in connection with a particular clinical trial,
     the data collected from that trial could be disqualified, and we could be
     required to redo the trial under the terms of our contract at no further
     cost to our customer, but at substantial cost to us.

PROPOSED REGULATIONS MAY INCREASE THE COST OF OUR BUSINESS OR LIMIT OUR SERVICE
OFFERINGS

     Certain of our current services relate to the diagnosis and treatment of
     disease. The confidentiality of patient-specific information and the
     circumstances under which such patient-specific records may be released for
     inclusion in our databases or used in other aspects of our business, are
     subject to substantial government regulation. Additional legislation
     governing the possession, use and dissemination of medical record
     information and other personal health information has been proposed at both
     the state and federal levels. This legislation may (1) require us to
     implement security measures that may require substantial expenditures or
     (2) limit our ability to offer some of our products and services. These and
     other changes in regulation could limit our ability to offer some of our
     products or have an impact on the business opportunities available to us.

INDUSTRY REGULATION MAY RESTRICT OUR ABILITY TO ANALYZE AND DISSEMINATE
PHARMACEUTICAL AND HEALTHCARE DATA

     As described above, the pharmaceutical industry is subject to extensive
     regulations at the federal, state and international levels, including
     limitations on the prices drug companies may charge. Such regulations may
     cause our pharmaceutical company clients to revise or reduce their
     marketing programs. In addition, we are directly subject to certain
     restrictions on the collection and use of data. Laws relating to the
     collection and use of data are evolving, as are contractual rights. We
     cannot assure you that contractual restrictions imposed by our customers,
     legislation or regulations will not, now or in the future, directly or
     indirectly restrict the analysis or dissemination of the type of
     information we gather and therefore materially adversely affect our
     operations.

CONSOLIDATION IN THE HEALTHCARE INDUSTRY MAY ADVERSELY AFFECT OUR BUSINESS

     Many healthcare providers and payors are consolidating to create larger
     healthcare organizations. This consolidation reduces the number of
     potential customers for our EDI and data analysis services, and the
     increased bargaining power of these organizations could lead to reductions
     in the amounts paid for such services. For example, payors and other
     healthcare information companies, such as billing services and practice
     management vendors, which currently utilize our EDI services, have
     developed or acquired transaction processing and networking capabilities
     and may cease utilizing our EDI services in the future. Industry
     developments are increasing the amount of capitation-based care and
     reducing the need for providers to make claims or reimbursements for
     products or services. The impact of these developments in the healthcare
     EDI and transaction processing industry, as well as the import for the
     development of new data analysis products, is difficult to predict and
     could materially adversely affect our business.


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<PAGE>   8

OUR SERVICES ARE SUBJECT TO EVOLVING INDUSTRY STANDARDS AND RAPID TECHNOLOGICAL
CHANGES

     The markets for our services, particularly our QUINTERNET(TM) informatics
     services, which include our EDI and data analysis services, are
     characterized by rapidly changing technology, evolving industry standards
     and frequent introduction of new and enhanced services. To succeed, we must
     continue to:

          -    enhance our existing services;

          -    introduce new services on a timely and cost-effective basis to
               meet evolving customer requirements;

          -    achieve market acceptance for new services; and

          -    respond to emerging industry standards and other technological
               changes.

     Particularly, the current industry standard EDI platform for processing
     transactions could be replaced or supplemented by an internet platform to
     handle these transactions. Some of our competitors in the EDI business are
     beginning to implement such a platform. If others succeed in implementing
     an internet platform and are able to gain market acceptance of that
     platform, whether or not we develop and execute an internet platform, our
     EDI business could be materially adversely affected.

EXCHANGE RATE FLUCTUATIONS MAY AFFECT OUR RESULTS OF OPERATIONS AND FINANCIAL
CONDITION

     We derive a large portion of our net revenue from international operations;
     for example, we derived approximately 44.3% of our 1998 net revenue from
     outside the United States. Our financial statements are denominated in U.S.
     dollars; thus, factors associated with international operations, including
     changes in foreign currency exchange rates, could significantly affect our
     results of operations and financial condition. Exchange rate fluctuations
     between local currencies and the U.S. dollar create risk in several ways,
     including:

          -    Foreign Currency Translation Risk. The revenue and expenses of
               our foreign operations are generally denominated in local
               currencies.

          -    Foreign Currency Transaction Risk. Our service contracts may be
               denominated in a currency other than the currency in which we
               incur expenses related to such contracts.

     We try to limit these risks through exchange rate fluctuation provisions
     stated in our service contracts, or we may hedge our transaction risk with
     foreign currency exchange contracts or options. Despite these efforts, we
     may still experience fluctuations in financial results from our operations
     outside the United States, and we cannot assure you that we will be able to
     favorably reduce our currency transaction risk associated with our service
     contracts.

     On January 1, 1999, a new currency, the euro, became the legal currency for
     11 of the 15 member countries of the European Economic Community. Between
     January 1, 1999 and January 1, 2002, governments, companies and individuals
     may conduct business in these countries in both the euro and existing
     national currencies. On January 1, 2002, the euro will become the sole
     currency in these countries. We are evaluating the impact conversion to the
     euro will have on our business. In


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<PAGE>   9

     particular we are reviewing (1) whether we may have to change the prices of
     our services in the different countries because they will now be dominated
     in the same currency in each country and (2) whether we will have to change
     the terms of any financial instruments in connection with our hedging
     activities described above. Based on current information and our initial
     evaluation, we do not expect the cost of any necessary corrective action to
     seriously harm our business. However, we will continue to evaluate the
     impact of these and other possible effects of the conversion to the euro on
     our business. We cannot assure you that the costs associated with the
     conversion to the euro will not in the future seriously harm our business,
     results of operations or financial condition.

WE MAY BE ADVERSELY AFFECTED BY CUSTOMER CONCENTRATION

     We have one customer that accounted for 10% of our revenues for the three
     months ended March 31, 1999. These revenues resulted from services provided
     by our product development and commercialization service groups. If this or
     any future customer of similar size decreases or terminates its
     relationship with us, our business, results of operations or financial
     condition could be materially adversely affected.

WE RELY ON SPECIFIC DATA CENTERS FOR OUR EDI BUSINESS

     Our EDI business relies on a host computer system to perform real-time EDI
     transaction processing. This host computer system is contained in a single
     data facility. The host computer system does not have a remote backup data
     center. Although the host computer system is insured, if there is a fire or
     other disaster at the data facility, our EDI business could be materially
     adversely affected.

     Our EDI business also relies on a data center operated by a third party to
     perform many of our other healthcare EDI transaction processing services.
     The facility is located in Tampa, Florida and is operated by GTE Data
     Services Incorporated, with whom we have contracted for such processing
     services. Our EDI business relies primarily on this facility to process
     batch claims and other medical EDI transaction sets. Our contract with GTE
     requires GTE to maintain continuous processing capability and a "hot site"
     disaster recovery system. This contract expires in December 2003. If the
     GTE facility's services are disrupted or delayed, our EDI business could be
     materially adversely affected.

WE CANNOT PREDICT THE NEED FOR INDEPENDENT HEALTHCARE EDI PROCESSING

     Our EDI business strategy anticipates that providers of healthcare services
     and payors will increase their use of electronic processing of healthcare
     transactions in the future. The development of the business of
     electronically transmitting healthcare transactions is affected, and
     somewhat hindered, by the complex nature and types of transactions that
     must be processed. Furthermore, while the wide variety of processing forms
     used by different payors has fostered the need for healthcare EDI and
     transaction processing clearinghouses such as ENVOY to date, if such forms
     become standardized, through consolidation of payors or otherwise, then the
     need for independent third party healthcare EDI processing could become
     less prevalent. We cannot assure you that the electronic processing of
     healthcare transactions will increase or that our EDI business will grow.

DIRECT LINKS MAY BYPASS NEED FOR OUR EDI SERVICES

     Some third party payors provide electronic data transmission systems to
     healthcare providers, thereby directly linking the payor to the provider.
     These direct links bypass third party processors like us. An


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     increase in the use of direct links between payors and providers would
     materially adversely affect our EDI business.

INCREASED COMPETITION IN THE HEALTHCARE EDI BUSINESS COULD ADVERSELY IMPACT OUR
RESULTS

     Increased competition in the healthcare EDI and transaction processing
     business could force us to reduce, or even eliminate, per transaction fees,
     which could adversely affect our results of operations. Our EDI services
     face different types of competition, any or all of which could affect our
     EDI business. Some of our competitors are similarly specialized, such as
     former regional partners of ENVOY that have direct provider relationships,
     and others are involved in more highly developed areas of the business. In
     addition, some vendors of provider information management systems include
     or may include, in their offered products, their own electronic transaction
     processing systems. If electronic transaction processing becomes the
     standard method of processing healthcare claims and information, other
     companies with significant capital resources could enter the industry.

NEW HEALTHCARE LEGISLATION OR REGULATION COULD RESTRICT OUR EDI BUSINESS

     The Health Insurance Portability and Accountability Act of 1996 requires
     the use of standard transactions, standard identifiers, security and other
     administrative simplification provisions and instructs the Secretary of
     Health and Human Services to promulgate regulations regarding these
     standards. The Act also requires the Secretary of Health and Human Services
     to develop recommendations regarding the privacy of individually
     identifiable health information. On September 11, 1997, the Secretary
     presented her recommendations, which, among other things, advise that
     patient information should not be disclosed except when authorized by the
     patient. This Act further establishes an August 1999 deadline for Congress
     to enact privacy legislation. If Congress does not meet this deadline, the
     Secretary is directed to issue regulations setting privacy standards to
     protect health information that is transmitted electronically. Such changes
     could occur as early as the year 2000, and their impact cannot be
     predicted. Such legislation or regulations could materially affect our EDI
     business. This Act also specifically names clearinghouses as the compliance
     facilitators for providers and payors, and permits clearinghouses to
     convert non-standard transactions to standard transactions on behalf of
     their clients. We are preparing to comply with the mandated standards
     within three to six months after they are published. Whether we are
     successful in complying with these standards may depend on whether
     providers, payors and others are also successful in complying with the
     standards.

     In addition, broad-based health information privacy legislation which may
     restrict third-party processors from using, transmitting or disclosing
     certain patient data without specific patient consent has recently been
     introduced in the United States Congress. If this legislation is adopted,
     it could inhibit third party processors in using, transmitting or
     disclosing certain treatment and clinical data, or make such activities
     more expensive to undertake, and hence less profitable to the EDI business.
     It is difficult to predict the impact of the legislation described above,
     but such legislation could materially adversely affect our EDI business.

UNAUTHORIZED ACCESS TO DATA CENTERS COULD ADVERSELY AFFECT OUR EDI BUSINESS

     Unauthorized access to our EDI data centers and misappropriation of our
     proprietary information could have a material adverse effect on our EDI
     business and financial results. While we believe our current security
     measures and the security measures used by third parties for whom we
     process or transmit healthcare information are adequate, such unauthorized
     access or misappropriation could occur.


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