HCIA INC
10-K, 1997-03-28
COMPUTER PROGRAMMING, DATA PROCESSING, ETC.
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                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549


                                    FORM 10-K

          [X]    ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
                 SECURITIES EXCHANGE ACT OF 1934 (FEE REQUIRED)

                   For the fiscal year ended December 31, 1996

                                       OR

        [ ]    TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
               SECURITIES EXCHANGE ACT OF 1934 (NO FEE REQUIRED)

                For the transition period from _______ to _______

                         Commission file number 0-25378

                                   HCIA Inc.
             (Exact name of registrant as specified in its charter)


           Maryland                                      52-1407998
(State or other jurisdiction of
incorporation or organization)              (I.R.S. employer identification no.)

300 East Lombard Street, Baltimore, MD                      21202
(Address of Principal executive offices)                  (Zip Code)

Registrant's telephone number, including area code (410) 895-7470

Securities registered pursuant to Section 12(b) of the Act:  None

Securities registered pursuant to Section 12(g) of the Act:



                          Common Stock, $.01 par value
                                (Title of class)

         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.   Yes  X     No
                                                ---       ---

<PAGE>

         Indicate by check mark if disclosure of delinquent  filers  pursuant to
Item 405 of Regulation S-K is not contained  herein,  and will not be contained,
to the best of  registrant's  knowledge,  in  definitive  proxy  or  information
statements  incorporated  by  reference  in Part  III of this  Form  10-K or any
amendment to this Form 10-K. [ ]

         The aggregate market value of the Common Stock, $.01 par value, held by
non-affiliates  of the registrant based on the closing sales price of the Common
Stock as quoted on the National Association of Securities Dealers, Inc. National
Market System as of February 28, 1997 was $396,075,220.

         The number of shares of the registrant's  Common Stock, $.01 par value,
outstanding as of February 28, 1997 was 11,833,656.

                       DOCUMENTS INCORPORATED BY REFERENCE

         Portions  of the  registrant's  Proxy  Statement  for the  1997  Annual
Meeting of Stockholders are incorporated by reference into Part III.

                                      -2-

<PAGE>

                                     PART I

Item 1.           Business.

Background

                  HCIA  Inc.  ("HCIA"  or the  "Company")  was  incorporated  in
Maryland in 1985.  In 1988,  all of the then  outstanding  capital  stock of the
Company  was  acquired by  Citicorp  Financial  Guaranty  Holdings,  Inc.  which
subsequently transferred the stock to AMBAC Inc. ("AMBAC").  AMBAC is a publicly
held holding company that through its affiliates  provides  financial  guarantee
insurance and financial  services to both public and private clients.  From 1988
until HCIA's initial public  offering,  AMBAC  provided  additional  capital and
financing  for  the  growth  of  the  Company.  In  March  1992,  HCIA  acquired
substantially  all of the  assets  of the  Information  Strategies  division  of
McGraw-Hill,  Inc. and certain assets of the commercial products division of the
SysteMetrics subsidiary of McGraw-Hill, Inc. (collectively, "MHI"). The business
of MHI  acquired by the  Company had revenue for the fiscal year ended  December
31, 1991 of approximately $4.8 million.  In April 1992, the Company acquired all
of the  outstanding  capital  stock  of  Healthcare  Knowledge  Resources,  Inc.
("HKR"),  a health care  information  company  with  revenue for the fiscal year
ended June 30, 1991 of  approximately  $12.2  million.  The  acquisition  of HKR
provided the Company with a perpetual and exclusive  license (subject to certain
conditions) to the International Classification of Clinical Services System (the
"ICCS System"), a proprietary  classification  system for tracking and measuring
the use of medical  resources,  and the database  developed by the Commission on
Professional  and  Hospital  Activities  ("CPHA").   See  "--  Decision  Support
Systems."  During the first quarter of 1995,  HCIA  completed an initial  public
offering of  approximately  2.0 million  newly  issued  shares of Common  Stock.
Subsequent  to the  offering,  in April 1995,  the Company  acquired  all of the
outstanding  capital  stock of Datis  Corporation,  a  health  care  information
company  with  revenue  for  the  twelve  months  ended  December  31,  1994  of
approximately  $6.9 million.  In August 1995, HCIA sold 1.5 million newly issued
shares and AMBAC sold approximately 1.1 million shares of Common Stock at $28.50
per share in a combined public offering.

                  In December 1995, the Company acquired the assets constituting
the CHAMP unit of William M. Mercer,  Incorporated  ("CHAMP"),  which provides a
database  service for the analysis of health care costs to employers,  for $17.5
million  in  cash.  In  May  1996,  the  Company  acquired  Response  Healthcare
Information  Management,  Inc. ("Response"),  a patient-centered data collection
company,  for  approximately  $6.3 million in cash. In August 1996,  the Company
acquired LBA Health Care  Management,  Inc.  ("LBA"),  a health care information
company combining data collection,  benchmarking and decision support tools with
a clinical  implementation  management team, for  approximately  $128.8 million,
$100.1  million of which was paid in cash and $28.7 million of which was paid by
the delivery of Common Stock. In December 1996, the Company  acquired all of the
capital stock of  HealthChex,  Inc.  ("HealthChex"),  which  provides  physician
profiling and medical claims review systems to health care providers and payors,
for $11.5 million in cash. In addition to the acquisitions  described above, the
Company has also  acquired a number of smaller  companies  and  business  lines,
including several acquisitions in Europe. During 1996, the Company completed two
additional  public  offerings.  In May 1996,  AMBAC sold the remaining shares of
Common  Stock it held,  and the Company  sold an  additional  261,951  shares of
Common Stock,  at a per share price of $51.00.  In August 1996, the Company sold
approximately  2.0  million  shares of  Common  Stock,  at a per share  price of
$54.125, to repay bank indebtedness  incurred in connection with the acquisition
of LBA.

                                      -3-

<PAGE>

General

                  HCIA is a leading health care information content company that
develops and markets integrated clinical  information systems and products.  The
Company's  systems and  products  range from  standardized  databases  to highly
focused  decision  support  systems that assist its customers in evaluating  the
efficacy  and  economics  of health  care  delivery.  HCIA  currently  sells its
decision  support  systems  to more  than 470  customers,  including  hospitals,
integrated delivery systems,  self-insured employers,  pharmaceutical  companies
and managed care  organizations.  The Company's  syndicated products are sold to
over 7,000  customers.  During 1996,  revenue from the sale of decision  support
systems  represented  82% of revenue and  syndicated  products  represented  the
remaining 18% of revenue.  As a result of its unique ability to integrate health
care data collected from numerous sources and across varied treatment  settings,
the Company believes that it is well positioned to offer the information systems
and  products  necessary  to continue to increase  average  revenue per customer
through  the  sale of more  sophisticated  and  comprehensive  decision  support
systems.

                  By  utilizing  its  core   collection  of   proprietary   data
standardization  methodologies,   value-added  clinical  measurement  tools  and
databases,  including the ICCS  System(TM),  HCIA creates  clinical  information
systems and products  from its many large and disparate  data streams.  The ICCS
System(TM)  allows for the  standardization  and comparison of detailed clinical
data across a broad range of data  sources.  The Company's  proprietary  disease
management  methodologies link the costs,  quality,  utilization and outcomes of
medical  services  delivered  to patients in various  clinical  settings.  These
methodologies  and technical  resources permit the Company to provide a level of
clinical  information  which  is  substantially  more  detailed  and  useful  in
modifying  clinical practice patterns than information  derived from traditional
health care data sources.

Decision Support Systems

                  HCIA offers a range of  decision  support  systems,  which are
utilized  by  each  of  the  three  major  health  care  market  constituencies.
Providers, such as hospitals,  physician groups and integrated delivery systems,
use the Company's  decision  support systems to measure and analyze the cost and
quality of medical  interventions.  The Company's  entry-level  systems  provide
customers  with  competitor  specific   information  such  as  market  share  by
specialty,  local market  utilization  rates compared with regional and national
norms and  customer  specific  analyses  of  product  line and  physician  level
resource consumption.  High-end decision support systems incorporate  benchmarks
for specific  medical  resource  consumption  and are designed to help providers
understand the best practice for a medical intervention. Buyers, such as managed
care organizations,  indemnity insurers and self-insured employers,  utilize the
information and analyses on medical resource usage and outcomes derived from the
Company's  decision  support  systems to select and monitor the  performance  of
network  providers,   channel  specific  types  of  patients  towards  the  most
clinically  effective  providers,  and  negotiate  fair  prices and  appropriate
utilization  criteria,  as well as to  manage  the  overall  health  status of a
covered population. Suppliers, such as pharmaceutical, biotechnology and medical
supply and device companies,  utilize the Company's  decision support systems in
market   analysis,    product   positioning   and   pharmacoeconomic   analysis.
Pharmacoeconomic  analysis provides suppliers with information needed to measure
the specific  benefit/cost and outcome of an individual product against those of
competing  products,  alternative  therapies  or,  in the  case of a new drug or
product, the status quo therapy.

                                      -4-

<PAGE>

                  The Company's  entry-level  systems are generally  priced from
$25,000  annually,  while high-end systems are generally priced from $250,000 to
more  than  $1.0  million  annually.  HCIA has  also  entered  into a number  of
strategic relationships with state hospital associations, business partners such
as HBO & Company ("HBOC") and Cerner Corporation ("Cerner"),  and large users of
data such as Cigna Healthcare, Amgen Inc. and Columbia/HCA.

                  Most  of  HCIA's  decision  support  systems  are  based  on a
combination  of the  Company's  Databridge(TM)  collection of databases and data
handling technologies,  Solesource(TM) desktop analytical software, and clinical
implementation management team.

                  Databridge(TM).   Databridge(TM)  is  HCIA's   collection   of
proprietary databases and data-handling technologies. A typical decision support
system  customer  submits data in an electronic,  computer-readable  format.  In
creating the interface for the customer's data stream, HCIA enables the transfer
of customer data and the  subsequent  application  of the Company's  proprietary
software algorithms and data-standardization  technologies to the incoming data,
transforming   the  data   into   HCIA's   proprietary   standardized   formats.
Databridge(TM) has several components, including:

                  Database.  A large number of the Company's  customers are also
its data  suppliers.  Most of the Company's  decision  support system  contracts
provide  that as the Company  extracts  data from the  customer  (as part of the
process of  delivering  a system to the  customer),  the data become part of the
Company's database.  The Company supplements its database with data it purchases
or licenses from federal and state governments,  trade groups and other industry
sources.  The Company  maintains  more than a terabyte of live health care data,
including data from medical records,  laboratory,  pharmacy, imaging, outpatient
clinics,  physician's  offices,  insurance  claims,  managed care encounters and
point-of-care  member  patient  surveys.  The  Company's  database  resides in a
relational  database structure that utilizes a network of large Sun Microsystems
servers.  The Company believes that its current software and hardware  platforms
are scaleable and provide it with a cost and flexibility advantage.  The Company
has made a significant  investment in an open-network  architecture  which links
its several  geographical  locations and provides customers with leased-line and
dial-up  access.  The Company  supports  most of the major  relational  database
platforms.  The  Company  has  personnel  drawn from  several  key  health  care
disciplines (e.g.,  pharmacists,  clinical nurses and medical technologists) who
are responsible for the auditing,  editing and standardizing of its database, as
well as the upgrading and  maintaining  of its core  methodologies.  The Company
believes that its database  provides more  clinical  detail and better  outcomes
measurement  capabilities than competitive  systems.  Furthermore,  the detailed
medical   content  of  the  data  and  HCIA's   experience  in  collecting   and
standardizing this information provide additional  competitive  advantages.  The
acquisitions of the CHAMP and Response databases have significantly expanded the
Company's   outpatient  and  episode-of-care   capabilities.   As  a  result  of
acquisitions and its internal growth, the Company believes that it has built one
of the  largest  and most  sophisticated  collections  of  integrated  clinical,
financial and labor/productivity data in the health care industry.

                  ICCS  System(TM). The Company  holds a perpetual and exclusive
license to the ICCS System(TM),  subject only to the Company's obligation to use
all commercially reasonable efforts to maintain and upgrade the system. The ICCS
System(TM)  assigns a discrete and  clinically  detailed  12-digit code to every
product and service consumed in the treatment of patients.  The Company believes
that the ICCS System(TM) is the health care  industry's most widely  implemented
uniform  classification  system for  tracking and  measuring  the use of medical
resources (e.g.,  drugs,  devices,  laboratory  tests,  blood units,  diagnostic
imaging and clinical services) across health care providers. The ICCS System(TM)
allows  for the  standardization  and  comparison  of  detailed  clinical  data,
regardless of the original source of the data (e.g., medical records,  insurance
claims,  laboratory  or pharmacy  systems).  The ICCS  System(TM) is used

                                      -5-

<PAGE>

by the Company to create the most  clinically  detailed  portion of its
database.  The Company develops a set of proprietary software interfaces with
each customer who is a supplier of such data.  The interfaces are built by a
series of proprietary "data-mapping" applications that incorporate the ICCS
System(TM) and a series of algorithms  that  allow the  mapping  applications
to  "learn"  each time a new clinical  item is  encountered.  In  doing  so,
the  applications  are  able to automatically  standardize  more data each time
a new interface is created.  Set forth below is an  illustration of the
application of the ICCS System(TM) to the delivery of a common anti-infective
drug.

ICCS Code             ICCS Structure                           Example

4                     Service Type                             Pharmacy
41                    General Therapeutic Category             Anti-infective
412                   Specific Therapeutic Category            Cephalosporin
412020                Generic Drug Type                        Cefazolin
412020.2              Route of Administration                  Parenteral
412020.232            Dosage Form                              IV Piggy Back
412020.23279          Dosage Strength                          500
412020.232792         Dosage Unit                              Milligrams


                  SoleSource(TM).  SoleSource(TM) is the  Company's  workstation
that provides customers with access to and analyses of information obtained with
a decision support system.  SoleSource(TM) utilizes Microsoft Foundation Classes
Software and accesses a variety of database configurations,  including Microsoft
SQL  Server,  Microsoft  Access and  Informix.  As the Company has worked with a
variety of different  health care  organizations  during the last several  years
(e.g., hospitals,  managed care organizations and pharmaceutical  companies), it
has  developed  an  extensive  library  of  proprietary   health  care  database
applications.  In addition, as a result of its recent acquisitions,  the Company
has  expanded,   and  will  continue  to  expand,  the  scope  of  its  database
applications.  Depending  on the  customer,  the  size of the  database  and the
sophistication  of the decision  support system,  the Company  licenses  various
SoleSource(TM) applications to customers as part of a decision support system.

                  Clinical Improvement  Methodology and Management.  In addition
to  providing  databases  and  application  software,  the  Company,   utilizing
proprietary methodologies, assists customers with the implementation of clinical
solutions.  The Company's  knowledge-based  clinical  improvement  methodologies
allow HCIA to leverage its ICCS-level  information and enable clients to realize
improved  clinical  outcomes and lower costs through the modification of medical
and behavioral  practice patterns.  The Company's  methodologies link the costs,
quality,  utilization and outcomes of medical services  delivered to patients in
various  clinical  settings  and focus on  episodes  of  illness  that offer the
greatest  opportunity  for improving  outcomes and reducing  costs.  The Company
utilizes  database   analyses,   clinical   improvement   methodologies  and  an
implementation management team to assist customers in reducing clinical resource
consumption and improving outcomes in major specialties, including:

   o  invasive cardiovascular                o  vascular
   o  orthopaedics                           o  neurosciences
   o  oncology                               o  pulmonary
   o  medical cardiology                     o  women's services

                                      -6-

<PAGE>

Syndicated Products

                  Syndicated  products  include  publications  and  standardized
databases  which are  generally  priced  between  $100 to $2,000,  with  certain
products priced up to $25,000. The products are developed from specific portions
of  the  Company's  database,  and  feature  particular  industry  niches.  Most
syndicated  products  are  sold  as  annually  renewable   subscriptions  or  as
multi-year contracts. Syndicated products range from database directories (e.g.,
health  care   industry   professionals,   nursing   homes  and   managed   care
organizations)  to more complex analyses (e.g.,  cost and outcome  summaries for
each U.S. hospital).  HCIA also markets to managed care clients a number of more
sophisticated  syndicated  products  containing  national and regional normative
data on length of stay, costs and medical  necessity.  The Company markets these
products  directly to managed care  organizations,  and through  alliances  with
information systems vendors,  third-party administrators and other entities that
process data streams for managed care organizations and payors. These syndicated
products generally are used for utilization management,  claims adjudication and
actuarial forecasting and generally result in annual revenue of $100,000 or more
per customer.

Customers

                  The Company's  customers include numerous health care industry
participants  located  throughout the United  States,  United Kingdom and Spain,
including major provider and provider groups,  managed care  organizations,  and
pharmaceutical,  biotechnology and medical device companies.  As of December 31,
1996, the Company had more than 470 decision  support system  customers and more
than 7,000 syndicated  product  customers.  In 1995 and 1996, no single customer
accounted for 10% or more of the Company's revenue. HCIA's ten largest customers
accounted  for  approximately  36% and 28% of its revenue  during 1995 and 1996,
respectively.

Sales and Marketing

                  HCIA markets its  information  systems and products  through a
variety  of  means  that are  designed  to  enhance  its  name  recognition  and
facilitate  the  marketing  of  additional  systems and products to its customer
base. The Company's marketing personnel are organized into market focused units.
The Company utilizes a direct sales approach with the existing  customer base to
market its  decision  support  systems  and seeks to present  proposals  to both
existing and potential clients in face-to-face  meetings at the executive level.
The Company's field sales force is highly  specialized  and frequently  draws on
the Company's  clinical  implementation  management team. In addition,  HCIA has
entered into  agreements  with  companies  such as HBOC,  Cerner and  Transition
Systems,  whereby the Company's  systems are marketed  through their  respective
sales   forces.   The  Company  also   approaches   each  of  the  major  market
constituencies  through the sale of lower-priced  syndicated  products.  Many of
these products,  such as the 100 Top Hospitals study, are specifically  designed
to  increase  the  visibility  of the Company as an  industry-leading  source of
health care  information.  The Company uses both  telemarketing  and direct-mail
efforts  in the  sales  of  its  syndicated  products.  HCIA  continually  seeks
opportunities  to create name  recognition as a leading  provider of health care
information.  As part of this  strategy,  the  Company  is widely  quoted in the
media,  including  publications  such as The  Wall  Street  Journal  and  Modern
Healthcare,  and its senior  officers are frequently  asked to speak at industry
conferences  and serve on the  editorial  boards  of  industry  newsletters  and
publications.

                                      -7-

<PAGE>

Competition

                  The market for health care  information  products and services
is intensely  competitive.  The Company believes that the principal  competitive
factors in the health  care  information  market are the  breadth and quality of
system  and  product   offerings,   access  to  proprietary  data,   proprietary
methodologies and technical resources,  price and the effectiveness of marketing
and sales efforts.  In addition,  the Company believes that the speed with which
information  companies can  anticipate  and respond to the evolving  health care
industry  structure and identify  information needs is an important  competitive
factor.  The Company believes that it competes favorably with respect to each of
these factors. Competitors vary in size and in the scope and breadth of products
and  services  offered,  and the  Company  competes  for the sale of systems and
products and the resulting  access to data with  different  companies in each of
its target markets. Many of the Company's competitors have significantly greater
financial,  technical,  product development,  marketing and other resources than
the  Company.  Furthermore,  other major  information  companies  not  presently
offering  clinical  health care  information  services  may enter the markets in
which  the  Company  competes.   The  Company's  potential  competitors  include
specialty health care information companies,  health care information system and
software  vendors and large data processing and information  companies.  Many of
these competitors have substantial  installed  customer bases in the health care
industry and the ability to fund significant product development and acquisition
efforts.

Intellectual Property

                  HCIA  considers  its  methodologies,   computer  software  and
databases  to be  proprietary.  The  Company  seeks to protect  its  proprietary
information through confidentiality agreements with its employees. The Company's
policy is to have employees  enter into  confidentiality  agreements  containing
provisions  prohibiting  the  disclosure of  confidential  information to anyone
outside the Company,  requiring  employees to  acknowledge,  and, if  requested,
assist in  confirming  the Company's  ownership of any new ideas,  developments,
discoveries or inventions conceived during employment,  and requiring assignment
to the Company of  proprietary  rights to such  matters  that are related to the
Company's  business.  The Company also relies on a combination  of trade secret,
copyright  and  trademark  laws,   contractual  provisions  in  agreements  with
customers and technical measures to protect its rights in various methodologies,
systems  and  products  and  databases.  The  Company  has only filed one patent
application,  and no copyright registration applications,  covering its software
technology. Due to the nature of its software applications, the Company believes
that  patent,   trade  secret  and  copyright   protection  are  generally  less
significant than the Company's  ability to further  develop,  enhance and modify
its current systems and products.

Government Regulation

                  The FDA has  promulgated a draft policy for the  regulation of
certain  computer  products as medical  devices.  Although it is not possible to
anticipate the final form of the FDA's policy with regard to computer  software,
the Company expects that, whether or not the draft policy is finalized,  the FDA
is likely to become  increasingly active in regulating computer software that is
intended for use in health care  settings.  The  Company's  products and product
development activities,  therefore, could become subject to extensive regulation
by the FDA. The FDA regulates the introduction of new medical devices as well as
activities such as manufacturing,  labeling and recordkeeping for such products.
To the extent that computer  software is a medical device under FDA  regulations
or policy,  the Company would be required,  depending on the product,  to comply
with regulations, to (i) register and list the product with

                                      -8-

<PAGE>

the FDA, (ii) notify the FDA and demonstrate  substantial equivalence to other
products on the market before  marketing  such  products or (iii) obtain FDA
approval by  demonstrating safety and effectiveness before marketing a product.
In addition,  such products would be subject to the FDA's general controls,
including those relating to good manufacturing practices and adverse experience
reporting.

         The process of obtaining  clearance from the FDA can be costly and time
consuming, and there can be no assurance that, if required, such clearance would
be granted for the  Company's  existing  and future  systems  and  products on a
timely basis,  if at all, or that FDA review will not include  delays that would
adversely affect the Company's  ability to market new systems and products or to
expand permitted uses of existing systems and products. The FDA could also limit
or prevent the manufacture or distribution of the Company's systems and products
and has the power to  require  the  recall of such  systems  and  products.  FDA
regulations depend heavily on administrative and scientific interpretation,  and
there can be no assurance that future  interpretations  made by the FDA or other
regulatory bodies, with possible prospective and retroactive  effects,  will not
adversely affect the Company.

         The  confidentiality  of patient  records and the  circumstances  under
which  records may be released  for  inclusion  in the  Company's  databases  is
subject to  substantial  regulation by state  governments.  These state laws and
regulations  govern both the disclosure and use of confidential  patient medical
record  information.  Although  compliance  with these laws and  regulations  is
principally the  responsibility of the hospital,  physician or other health care
provider  supplying the data to the Company,  the Company's  databases have been
designed to enable  health  care  providers  to comply with the  confidentiality
requirements of state law. The Company believes that its procedures  comply with
the  laws  and   regulations   regarding  the  collection  of  patient  data  in
substantially all jurisdictions.  However,  additional legislation governing the
dissemination of medical record  information has been proposed at both the state
and federal level.  This  legislation may require holders of such information to
implement  security  procedures  that may  result  in  substantial  costs to the
Company.  There can be no  assurance  that changes to state or federal laws will
not  materially  restrict  the  ability  of  health  care  providers  to  submit
information from patient records to the Company.

Employees

         As of December 31, 1996, the Company had 820  employees,  including 100
in sales and  marketing,  408 in health care data,  178 in technology and 134 in
finance and administration. None of the Company's employees are represented by a
union  or  other   collective   bargaining   group.  The  Company  believes  its
relationships with its employees to be satisfactory.

Risk Factors; Forward-Looking Statements

CERTAIN  STATEMENTS  CONTAINED HEREIN REGARDING  MATTERS THAT ARE NOT HISTORICAL
FACTS ARE FORWARD-LOOKING  STATEMENTS (AS SUCH TERM IS DEFINED IN THE SECURITIES
ACT OF 1933,  AS AMENDED (THE  "SECURITIES  ACT"),  AND BECAUSE SUCH  STATEMENTS
INVOLVE RISKS AND UNCERTAINTIES, ACTUAL RESULTS MAY DIFFER MATERIALLY FROM THOSE
EXPRESSED  OR IMPLIED BY SUCH  FORWARD-LOOKING  STATEMENTS.  FACTORS  THAT COULD
CAUSE ACTUAL RESULTS TO DIFFER MATERIALLY INCLUDE, BUT ARE NOT LIMITED TO, THOSE
DISCUSSED BELOW.

                  Acquisitions.  The Company  has, in large part,  expanded  its
systems  and  products  through  the  acquisition  of  health  care  information
companies, product lines and data resources. The Company intends to continue the
acquisition  of  methodological,  analytical  and technical  resources that will
further enhance and expand the Company's systems and products.

                                      -9-

<PAGE>

                  Acquisitions involve numerous risks, including difficulties in
the   assimilation   of  operations   and   products,   the  ability  to  manage
geographically remote units, the diversion of management's  attention from other
business  concerns,  the risks of  entering  markets  in which the  Company  has
limited or no direct  expertise and the  potential  loss of key employees of the
acquired  companies.  In addition,  acquisitions  may involve the expenditure of
significant funds and the incurrence of significant  charges associated with the
amortization  of goodwill or other  intangible  assets,  write-offs  of acquired
in-process  research and  development  costs and/or  future  write-downs  of the
recorded  values  of  assets  acquired.  There  can  be no  assurance  that  any
acquisition will result in long-term  benefits to the Company or that management
will be able to manage effectively the resulting business.

                  Management of Growth. The Company is currently  experiencing a
period of rapid growth and expansion  which could place a significant  strain on
the Company's  personnel and resources.  The Company's growth has resulted in an
increase in the level of  responsibility  for both  existing and new  management
personnel.  Many of the Company's  management  personnel  have had limited or no
experience in managing companies as large as the Company. The Company has sought
to manage  its  current  and  anticipated  growth  through  the  recruitment  of
additional management and technical personnel and the implementation of internal
systems and controls.  However,  the failure to manage growth  effectively could
materially and adversely affect the Company's operating results.

                  Dependence  on  Key  Personnel.   The  Company  depends  to  a
significant  extent on key management,  technical and marketing  personnel.  The
Company's  growth and future success will depend in large part on its ability to
attract,  motivate and retain highly qualified  personnel,  including management
personnel of acquired companies. Except for an agreement with George D. Pillari,
its Chairman of the Board,  President and Chief Executive  Officer,  the Company
does not have employment agreements with any of its executive officers. The loss
of key personnel or the inability to hire or retain  qualified  personnel  could
have a material adverse effect on the Company.

                  Variations in Quarterly  Results.  The Company has experienced
and expects to continue to experience  variations in quarterly  results.  Recent
quarterly variations are primarily due to the effect of one-time charges related
to acquired in-process research and development costs and the timing of contract
executions.  Quarterly  results are also  influenced by the timing of release of
certain  systems  and  products  as a result of the  annual  release  of certain
external  data  sources.  The  Company's  operating  results for any  particular
quarterly or annual period may not be indicative of results for future periods.

                  Dependence on Intellectual  Property  Rights.  The Company has
made  significant  investments in the  development  and  maintenance of its core
collection  of  proprietary  data  standardization  methodologies,   value-added
clinical  measurement  tools and technical  resources that are used to transform
its many large and disparate data streams into clinically  relevant  information
products.  The Company relies largely on its license  agreements  with customers
and  its  own  security   systems,   confidentiality   procedures  and  employee
nondisclosure  agreements  to  maintain  the trade  secrecy  of its  proprietary
information.   There  can  be  no  assurance  that  the  legal  protections  and
precautions taken by the Company will be adequate to prevent misappropriation of
the Company's  proprietary  information.  In addition,  these protections do not
prevent  independent  third-party  development  of  functionally  equivalent  or
superior systems, products or methodologies.

                  Competition.  The health care information  market is intensely
competitive and rapidly  changing.  The Company competes for the sale of systems
and products and the resulting  access to data with different  companies in each
of its target markets.  Competitors vary in size and in the scope and breadth of
the  products and  services  offered.  Many of the  Company's  competitors  have
significantly

                                      -10-

<PAGE>

greater financial,  technical,  product development and marketing resources than
the Company.  There can be no assurance that future  competition, or any
significant loss of access to data resulting  therefrom,  will not have a
material adverse effect on the Company.

                  Major  Customers.  During  1995 and 1996,  the  Company's  ten
largest customers accounted for approximately 36% and 28%, respectively,  of the
Company's  revenue.  Many of the  Company's  contractual  arrangements  with its
customers  are  subject  to  annual  renewal.  The  loss  of one or  more of the
Company's largest customers could have a material adverse effect on the Company.

                  Integrity  and  Reliability  of Data.  The  Company's  success
depends  significantly on the integrity of its data.  Although the Company tests
data for completeness and consistency, it does not conduct independent audits of
the information provided by its customers.  Moreover, while the Company believes
that the  benchmarking  and other  clinical,  cost and  performance  information
contained  in its  database  is  representative  of the  operational  aspects of
various  types of health care industry  participants,  there can be no assurance
that such  information is appropriate for  comparative  analysis in all cases or
that the databases  accurately  reflect general or specific trends in the health
care  market.  If the  information  contained  in the data were  found,  or were
perceived, to be inaccurate,  or if such information were generally perceived to
be unreliable,  the Company's business and operating results could be materially
and adversely affected.

                  Potential Cost of Performance  Guarantees.  As part of certain
of its decision  support  systems,  the Company  guarantees that a customer will
achieve or identify a certain  level of cost  savings at least equal to the fees
the  customer  pays for the  system.  To the extent  such cost  savings  are not
achieved,  the  Company  may be  subject to claims  related to such  guarantees.
Although the Company has never  incurred a claim under these  guarantees,  there
can be no assurance that this will continue to be the case.  Liabilities related
to such claims could have a material  adverse  effect on the Company's  business
and operating results.

                  Volatility of Stock Price.  The stock market  historically has
experienced volatility which has affected the market price of securities of many
companies and which has sometimes been unrelated to the operating performance of
such  companies.  The  trading  price of the  Common  Stock  may be  subject  to
significant fluctuations in response to general market conditions and to factors
specific to the Company,  such as variations in quarterly results of operations,
announcements  of  acquisitions,  new  systems or products by the Company or its
competitors, governmental regulatory action, other developments or disputes with
respect to proprietary rights, general trends in the industry and overall market
conditions, and other factors.

                  Changes in the Health Care Industry.  The health care industry
is subject to changing  political,  economic and regulatory  influences that may
affect  the  procurement   practices  and  operation  of  health  care  industry
participants  generally.  During the past several  years,  the U.S.  health care
industry has been subject to an increase in  governmental  regulation  of, among
other things,  reimbursement  rates and certain  capital  expenditures.  Various
programs have been proposed to reform the U.S. health care system. Many of these
programs contain proposals to increase governmental  involvement in health care,
lower reimbursement rates and otherwise change the operating environment for the
Company's  customers.  Health  care  industry  participants  may  react to these
proposals  and the  uncertainty  surrounding  such  proposals by  curtailing  or
deferring  investments,  including those for the Company's systems and products.
The Company cannot  predict what impact,  if any, such factors might have on its
business,  financial  condition  and results of  operations.  In addition,  many
health care  providers are  consolidating  to create larger health care delivery
enterprises  with greater  regional  market  power.  As a

                                      -11-

<PAGE>

result,  the remaining enterprises could have greater bargaining power, which
may lead to price erosion of the Company's systems and products.

                  Government  Regulation.  The U.S. Food and Drug Administration
(the "FDA") has promulgated a draft policy  addressing the regulation of certain
computer  products as medical devices under the Federal Food, Drug, and Cosmetic
Act.  The FDA could  determine in the future that  certain  applications  of the
Company's  systems and  products  are  clinical  decision  tools  subject to FDA
regulation as medical devices. In addition,  the Company could become subject to
future regulation of the manufacture and marketing of medical devices and health
care software  systems,  or to  legislation  or regulation  regarding the use of
patient  records  or of  access  to  health  care  data.  Compliance  with  such
legislation  and regulation  could be burdensome,  time consuming and expensive.
The  Company  cannot  predict  the effect of  possible  future  legislation  and
regulation.

WHEN USED IN THIS FORM 10-K, IN ANY FUTURE  FILINGS BY HCIA WITH THE  SECURITIES
AND EXCHANGE COMMISSION,  IN THE COMPANY'S PRESS RELEASES AND IN ORAL STATEMENTS
MADE WITH THE APPROVAL OF AN AUTHORIZED  EXECUTIVE OFFICER, THE WORDS OR PHRASES
"WILL LIKELY  RESULT,"  "ARE EXPECTED TO," "WILL  CONTINUE,"  "IS  ANTICIPATED,"
"ESTIMATE,"   "PROJECTED"  OR  SIMILAR  EXPRESSIONS  ARE  INTENDED  TO  IDENTIFY
"FORWARD-LOOKING  STATEMENTS"  WITHIN THE MEANING OF THE  SECURITIES  ACT.  SUCH
STATEMENTS  ARE  SUBJECT TO CERTAIN  RISKS AND  UNCERTAINTIES  THAT COULD  CAUSE
ACTUAL RESULTS TO DIFFER MATERIALLY FROM HISTORICAL EARNINGS AND THOSE PRESENTLY
ANTICIPATED  OR  PROJECTED.  HCIA  WISHES TO CAUTION  READERS NOT TO PLACE UNDUE
RELIANCE ON ANY SUCH FORWARD-LOOKING STATEMENTS, WHICH SPEAK ONLY AS OF THE DATE
MADE.  HCIA  UNDERTAKES  NO OBLIGATION  TO PUBLICLY  UPDATE ANY  FORWARD-LOOKING
STATEMENTS, WHETHER AS A RESULT OF NEW INFORMATION, FUTURE EVENTS OR OTHERWISE.

Item 2.           Properties.

                  The  Company's  executive  offices are  located in  Baltimore,
Maryland,  in approximately  65,000 square feet of leased office space,  under a
lease that  expires on December 31,  2002,  and which  includes an option for an
additional  term of up to five  years.  The Company  also  leases  approximately
46,500  square feet of office  space in Ann Arbor,  Michigan,  under leases that
expire on March 31,  2000,  and 42,000  square  feet of office  space in Denver,
Colorado,  under a lease that  expires  on August 31,  2001.  The  Company  also
maintains offices in Fairport,  New York,  Waltham,  Massachusetts,  Louisville,
Kentucky,  Concord,  California,  Olympia,  Washington,  East  Greenwich,  Rhode
Island,  Windsor,  Connecticut,   Deerfield,  Illinois,  Alcester,  England  and
Barcelona,  Spain. The Company believes that its facilities are adequate for its
current operations.

Item 3.           Legal Proceedings.

                  The  Company  is a  defendant  from  time to time in  lawsuits
incidental to its business. The Company is not currently a party to, and none of
its properties is subject to, any material legal proceedings.

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

                  Not applicable.

                                      -12-

<PAGE>


Item 4A. Executive Officers of the Company.

                  Executive  officers  are  elected  annually  by the  Board  of
Directors and serve at the  discretion  of the Board of  Directors.  Information
regarding  the  executive  officers of the Company who are not  directors  is as
follows:

       Name             Age                     Position
       ----             ---                     --------

Sachi J. Morishige       30      Senior Vice President-Corporate Development

Barry C. Offutt          35      Senior Vice President and Chief Financial
                                      Officer

Jean Chenoweth           50      Senior Vice President-Industry Relations

Charles A. Berardesco    38      Senior Vice President, General Counsel and
                                      Secretary

Donald S. Good, Jr.      34      Senior Vice President-Commercial Markets

EJay Lockwood            34      Senior Vice President-Managed Care Markets

Kevin J. Hicks           37      Senior Vice President-Provider Markets

                  Ms.  Morishige  has been  employed by the  Company in  various
capacities  since  its  founding in 1985,  and currently  serves as Senior  Vice
President-Corporate Development.

                  Mr.  Offutt served as a Vice  President  from April 1992 until
September 1995, when he was appointed a Senior Vice President, and has served as
Chief Financial  Officer since October 1992. He is a certified public accountant
and was  employed by Arthur  Andersen & Co. in various  capacities  from 1984 to
March 1992.

                  Ms.  Chenoweth  served as Vice President - Industry  Relations
from April 1992 until her  appointment  as Senior Vice  President  in  September
1995. She served in various senior management  positions,  including  President,
with HKR and its predecessor from 1989 through April 1992.

                  Mr. Berardesco  served as Vice President,  General Counsel and
Secretary  from May 1996 until  September  1996,  when he was appointed a Senior
Vice  President.  Prior  to May  1996,  he was a  partner  with  the law firm of
Whiteford, Taylor & Preston L.L.P., counsel to the Company.

                  Mr.  Good  served  as a Vice  President  from May  1996  until
September 1996, when he was appointed Senior Vice President-Commercial  Markets.
Prior to May 1996, he was a healthcare consultant with Arthur Andersen & Co.

                  Mr.  Lockwood has been  employed by the Company  since January
1996, having served as Vice  President-Commercial  Markets until his appointment
as a Senior Vice  President  in February  1996.  Prior to January  1996,  he was
employed by CIGNA Healthcare in various capacities.

                                      -13-

<PAGE>

                  Mr.  Hicks  has  served  as  Senior  Vice   President-Provider
Markets, since joining the Company in August 1996. Prior to that time, he served
in various senior management positions,  including chief executive officer, with
LBA.

                                      -14-

<PAGE>

                                     PART II

Item 5.           Market for the Company's Common Equity and Related Stockholder
                  Matters.

                  The  Company's  Common Stock has been  publicly  traded on the
NASDAQ  National  Market System since February 22, 1995 under the symbol "HCIA."
The following table sets forth, for the quarterly period indicated, the high and
low closing sale price per share of Common Stock as reported by NASDAQ:

                           1995                             1996
                      High        Low                High          Low
                    -------------------            ----------------------
First Quarter       $25         $17-5/8            $55-3/4       $41-7/8
Second Quarter       31-5/8      21                 67-7/8        45-5/8
Third Quarter        31-1/4      24-1/2             67-3/8        50-1/16
Fourth Quarter       46-3/4      22-3/4             36-1/8        23-1/4

                  As of February  28,  1997,  there were 72 holders of record of
the Company's Common Stock.  The number of record holders is not  representative
of the number of beneficial  holders since many shares are held by depositories,
brokers or other nominees.

Dividends

                  The  Company has never paid any cash  dividends  on its Common
Stock and does not anticipate  paying any cash dividends on the Common Stock for
the foreseeable future. The Company currently intends to retain future earnings,
if any, to fund the development and growth of its business.

Sales of Unregistered Securities

                  In connection  with the acquisition of LBA, the Company issued
a total of  492,961  shares of Common  Stock to the then  stockholders  of LBA's
parent company.  The foregoing issuances were exempt from registration  pursuant
to Section 4(2) of the Securities Act as they did not involve a public offering.
In issuing the shares,  the Company  relied upon the status of the  stockholders
(or their  representatives)  as officers or  directors  of LBA and that each had
such  knowledge  and  experience  in financial  and  business  matters that such
stockholder  was capable of evaluating  the merits and risks of an investment in
the Company's Common Stock.

Item 6.           Selected Financial Data.

<TABLE>
<CAPTION>
                                                                                      Year Ended December 31,
                                                                      1992        1993          1994      1995(1)       1996(1)
                                                                    -------      -------      -------     --------     --------
                                                                                  (in thousands, except per share data)
<S><C>
STATEMENTS OF OPERATIONS DATA:
  Revenue                                                           $19,470      $28,111      $30,711     $ 48,015     $ 73,520
  Salaries, wages and benefits                                        9,431       14,168       15,457       21,932       32,688
  Other operating expenses                                            7,499        8,611        8,625       12,055       17,058
  Depreciation and amortization                                       3,204        4,595        4,826        6,864       12,670
  Write-off of acquired in-process research and development costs        --           --           --       12,152       48,065
                                                                    -------      -------      -------     --------     --------
      Operating income (loss)                                          (664)         737        1,803       (4,988)     (36,961)
  Interest income                                                        --           --          111        1,290        1,110
  Interest expense                                                      625          111          131          187          530
                                                                    -------      -------      -------     --------     --------
      Income (loss) before income taxes, minority interest in
      loss (income) of consolidated subsidiaries and cumulative
      effect of change in accounting for income taxes                (1,289)         626        1,783       (3,885)     (36,381)
  Provision (benefit) for income taxes                                 (330)         362          759       (1,554)       5,886
  Minority interest in loss (income) of consolidated subsidiaries       (45)          90           (3)         (74)          --
                                                                    -------      -------      -------     --------     --------
      Income (loss) before cumulative effect of change in
      accounting for income taxes                                    (1,004)         354        1,021       (2,405)     (42,267)
  Cumulative effect of change in accounting for income taxes             --         (142)          --           --           --
                                                                    -------      -------      -------     --------     --------
      Net income (loss)                                             $(1,004)     $   212      $ 1,021     $ (2,405)     (42,267)
                                                                    =======      =======      =======     ========     ========
  Net income (loss) per share                                                                 $  0.19     $  (0.31)    $  (4.19)

  Shares used in per share calculation                                                          5,518        7,733       10,096
                                                                    =======      =======      =======     ========     ========

BALANCE SHEET DATA:
  Working capital                                                   $   454      $ 3,852      $ 5,620     $ 35,671     $ 36,996
  Total assets                                                       37,643       41,122       40,865      108,401      223,196
  Long-term liabilities, excluding current installments               1,298        2,136        1,835          699        2,305
  Stockholders' equity                                               28,907       32,762       34,371       98,044      202,407
</TABLE>

(1) In connection with various acquisitions, the Company has recorded charges
related to acquired in-process research and development costs. Exclusive of such
charges and related income tax effects, net income per share would have been
$0.60 and $0.68 for 1995 and 1996, respectively.


<PAGE>

Item 7.           Management's  Discussion  and Analysis of Financial  Condition
                  and Results of Operations.

OVERVIEW

HCIA Inc. ("HCIA" or the "Company") is a health care information content company
that develops and markets integrated clinical  information systems and products.
The Company's systems and products range from  standardized  databases to highly
focused  decision  support  systems that assist its customers in evaluating  the
efficacy and economics of health care delivery.  The Company's customers include
hospitals,  integrated delivery systems, self-insured employers,  pharmaceutical
companies  and  managed  care  organizations.  In 1991,  HCIA  began a series of
acquisitions  of  health  care  information  companies,  product  lines and data
resources.  In connection  with certain of these  acquisitions,  the Company has
recorded   one-time  charges  related  to  acquired   in-process   research  and
development  costs. Such charges totaled  approximately  $12.2 million and $48.1
million during 1995 and 1996,  respectively.  As a result of these charges,  the
Company  recorded net losses for each of these years.  The Company has accounted
for all of its  acquisitions  using  the  purchase  method  of  accounting  and,
accordingly, has included the results of the acquired entities since the date of
acquisition. See Note 1 of the Notes to Consolidated Financial Statements.

The Company has made a substantial investment in the acquisition and development
of  its  core  collection  of  methodologies,  clinical  measurement  tools  and
technical  resources.  The  Company's  strategy is to leverage  these  resources
across  substantially  all of its systems and  products,  thereby  giving it the
ability  to  increase   revenue   generated  from  these  resources   without  a
commensurate   increase  in  expenses.  In  addition  to  its  internal  product
development  efforts,  the Company  seeks to continue the  acquisition  of other
health care information companies, product lines and data resources, and intends
to integrate and leverage these assets into  product-line  extensions across its
markets.  The Company does not track profitability by product line since many of
the Company's resources are utilized throughout its systems and products.

The Company's internal product  development  efforts are generally in connection
with  customer  contracts,  and the related costs are included as a component of
operating expenses in the year incurred.  The Company  capitalizes costs related
to  internal  product  development  which is not in  connection  with a specific
customer  contract from the point of  technological  feasibility to the point of
general availability.

As a result of its  acquisitions of health care information  companies,  product
lines and data resources,  the Company has acquired  intangible assets, the cost
of which it amortizes  over various useful lives.  In addition,  the Company has
capitalized  internal  development  costs and  acquired  assets  relating to the
development  of   methodologies,   clinical   measurement  tools  and  technical
resources,  including  its  database,  of $3.4  million,  $6.9 million and $14.4
million during 1994, 1995 and 1996, respectively.  Consequently, the Company has
recorded  amortization  expense of $3.9 million,  $5.2 million and $10.1 million
during 1994, 1995 and 1996, respectively.  See Notes 1, 2, and 4 of the Notes to
Consolidated Financial Statements.

As a result of its unique  ability to integrate  health care data collected from
numerous sources and across varied treatment settings, the Company believes that
it is well positioned to offer the information systems and products necessary to
continue  to increase  average  revenue  per  customer  through the sale of more
sophisticated   and  comprehensive   systems  and  products.   With  respect  to
entry-level systems and products,  pricing is relatively fixed and is influenced
by  competitive  systems and  products.  With  respect to  high-end  systems and
products, pricing is often negotiated with the customer and is based on a number
of factors, including the value attributed by the customer to the system.


                                       8

<PAGE>



The Company's  revenue is comprised of both recurring revenue from the Company's
installed  customer base as well as from first-time  sales. The Company seeks to
generate  recurring  revenue from decision  support systems  through  multi-year
agreements (typically two to three years) and through renewals of its syndicated
products,  which are updated annually. The Company defines its recurring revenue
percentage  as revenue  recognized  during the period from a sale of a system or
product to a customer  who  purchased  a similar  system or product in the prior
period,  divided  by the  Company's  total  revenue  in  the  prior  period.  In
determining  its  recurring  revenue  percentage,  the  Company  includes in its
revenue  the  revenue  of  entities  acquired  during  the  period  as  if  such
acquisitions had occurred at the beginning of the prior period. The Company does
not classify revenue as recurring to the extent that it exceeds the revenue from
a  similar  system  or  product  purchase  in the prior  period.  The  Company's
recurring revenue percentage was 69% and 66% in 1995 and 1996, respectively.


RESULTS OF OPERATIONS

The following table sets forth, for the fiscal periods indicated,  certain items
from the  statements of  operations of the Company  expressed as a percentage of
revenue:

<TABLE>
<CAPTION>
                                                                                  YEAR ENDED DECEMBER 31,
                                                                             1994          1995        1996
                                                                            -----         ------      ------
<S><C>
Revenue                                                                      100%          100%        100%
Salaries, wages and benefits                                                  50            46          45
Other operating expenses                                                      28            25          23
Depreciation and amortization                                                 16            14          17
Write-off of acquired in-process research and development costs               --            25          65
  Operating income (loss)                                                      6           (10)        (50)
Net interest income                                                           --             2           1
  Income (loss) before income taxes and minority interest in loss (income)
     of consolidated subsidiaries                                              6            (8)        (49)
Provision (benefit) for income taxes                                           3            (3)          8
Net income (loss)                                                              3%           (5)%       (57)%
</TABLE>

                                       9

<PAGE>


1996 Compared to 1995

Revenue

Revenue for 1996 was $73.5  million,  an  increase of $25.5  million or 53% over
1995. The increase was the result of increased sales of the Company's decision
support systems.  Revenue from the sales of decision support systems
represented 82% of revenue  for 1996 and  syndicated  products  represented  the
remaining  18% of revenue.

The  decision  support  systems  revenue  increase was  primarily  the result of
increased  sales to providers  and managed  care  customers,  particularly  as a
result of acquisitions, as well as increased penetration of the supplier market.

Salaries, Wages and Benefits

Salaries,  wages and benefits  decreased to 45% of revenue for 1996 from 46% for
1995.  This decrease was a result of the  continued  leveraging of the Company's
historical  investments  in  technology  and  basic  infrastructure  as  revenue
increased.

Other Operating Expenses

Other  operating  expenses,  which  include  occupancy,   travel  and  marketing
expenses,  decreased to 23% of revenue for 1996 from 25% for 1995. This decrease
was a result of certain of these expenses growing at a slower rate than revenue.

Depreciation and Amortization

Depreciation and amortization increased to 17% of revenue for 1996 from 14% for
1995. This increase was a result of the additional  amortization associated with
certain  acquisitions  and  capitalized  internal  development  costs as well as
depreciation of other acquired assets.

Write-Off of Acquired In-Process Research and Development Costs

In connection with four acquisitions completed during 1995 and 1996, the Company
acquired  ongoing  research and  development  activities.  The Company  recorded
one-time  charges totaling $12.2 million and $48.1 million during 1995 and 1996,
respectively,  resulting from the write-off of the acquired  in-process research
and  development  costs.  The amount of the  one-time  charges  was equal to the
estimated current fair value, based on the discounted  risk-adjusted cash flows,
of specifically identified technologies for which technological  feasibility had
not yet been established pursuant to Statement of Financial Accounting Standards
No. 86,  "Accounting  for the Costs of Computer  Software to be Sold,  Leased or
Otherwise  Marketed," ("SFAS No. 86") and for which future  alternative uses did
not exist.

Interest Income and Expense

Net interest  income was $580,000 for 1996 compared with net interest  income of
$1.1 million for 1995. The decrease was the result of higher interest expense in
1996 related to debt incurred in connection with certain acquisitions.

Income Taxes

The Company's effective tax rate was 16% for 1996 compared with (39)% for 1995.
The  change  was  primarily  the  result  of  non-deductible  goodwill  and  the
non-deductible  write-off  of the  in-process  research  and  development  costs
resulting from certain acquisitions during 1996.


                                       10

<PAGE>


1995 Compared to 1994

Revenue

Revenue for 1995 was $48.0  million,  an  increase of $17.3  million or 56% over
1994.  The increase was  primarily  the result of a 77% increase in revenue from
the sale of decision support systems.  Revenue from the sale of decision support
systems represented 80% of revenue for 1995 and Syndicated Products  represented
the remaining 20% of revenue.

The  decision  support  systems  revenue  increase was  primarily  the result of
increased  sales of decision  support  systems to providers,  particularly  as a
result of acquisitions during the year, and to a lesser extent, due to increased
sales  through  CHKS  Ltd.,  the  Company's  English  subsidiary.  Sales  of the
Company's  systems to the supplier  market also  increased.  In particular,  the
Company met several  performance  milestones pursuant to its contract with CIGNA
Healthcare during the year.

Salaries, Wages and Benefits

Salaries,  wages and benefits  decreased to 46% of revenue for 1995 from 50% for
1994.  This decrease was a result of the leveraging of the Company's  historical
investments in technology and basic infrastructure as revenue increased.

Other Operating Expenses

Other  operating  expenses,  which  include  occupancy,   travel  and  marketing
expenses,  decreased to 25% of revenue for 1995 from 28% for 1994. This decrease
was a result of certain of these expenses growing at a slower rate than revenue.

Depreciation and Amortization

Depreciation and amortization decreased to 14% of revenue for 1995 from 16% of
revenue for 1994.  The  decrease  was the result of the fixed  nature of a large
component of the  depreciation and  amortization,  which was the result of prior
acquisitions, being measured against a larger revenue base.

Write-Off of Acquired In-Process Research and Development Costs

In connection  with an  acquisition  during 1995, the Company  acquired  ongoing
research and development activities. At the time of the acquisition, the Company
recorded a one-time  $12.2 million  charge  resulting  from the write-off of the
acquired  in-process  research and development costs. The amount of the one-time
charge was equal to the estimated current fair value, based on the risk-adjusted
cash flows,  of specifically  identified  technologies  for which  technological
feasibility had not yet been  established  pursuant to SFAS No. 86 and for which
future alternative uses did not exist.

Interest Income and Expense

Net interest income was $1.1 million for 1995 compared with net interest expense
of $20,000 for 1994.  The  increase in net  interest  income was the result of a
portion of the proceeds of the  Company's  public  offerings  being  utilized to
repay the amount due under the  Company's  credit  agreement  with the Company's
former majority stockholder,  AMBAC Inc.  (approximately $1.9 million), with the
balance being invested in cash equivalents and short-term investments.

Income Taxes

The Company's effective income tax rate was (39)% for 1995 compared with 43% for
1994. The change was a result of the Company recording a net loss in 1995.


                                       11

<PAGE>


LIQUIDITY AND CAPITAL RESOURCES

During 1995 and 1996,  the Company  completed  several  public  offerings of its
Common  Stock.  The  net  proceeds  to  the  Company  from  the  offerings  were
approximately $182.3 million.

In August 1996,  the Company  obtained  from First Union  National Bank of North
Carolina ("First Union") a credit facility totaling $100 million,  consisting of
a $50 million term loan and a $50 million revolving line of credit.  The Company
incurred a one-time  facility fee of $520,000.  The Company  borrowed the entire
$50 million term loan and  approximately  $36 million of the  revolving  line of
credit in connection  with the  acquisition of LBA Healthcare  Management,  Inc.
("LBA") and repaid  such  borrowings  with a portion of the net  proceeds to the
Company from a public offering of the Company's common stock.

The Company  currently  maintains the $50 million (subject to certain  borrowing
limitations) revolving line of credit for general corporate purposes,  including
future   acquisitions   and  working   capital   requirements.   Borrowings  are
collateralized  by  substantially  all of the Company's  assets.  The Company is
required to pay a  commitment  fee on the average  daily  unused  portion of the
facility  at a rate  ranging  from 0.25% to 0.375% per annum,  depending  on the
Company's debt/cash flow ratio.  Borrowings bear interest at varying rates based
on an index tied to First  Union's  prime rate or LIBOR  (6.25% at December  31,
1996). The credit facility also contains financial covenants applicable to HCIA,
including a debt/cash  flow ratio and ratios of debt to capital.  As of December
31, 1996, the Company was in compliance  with all such  financial  covenants and
had a maximum  borrowing  capacity of $50 million,  and there were no borrowings
outstanding under the facility.  The credit facility reduces to $37.5 million in
July 1999, $25 million in July 2000 and expires on July 31, 2001.

During 1994,  1995 and 1996, the Company  generated net cash from  operations of
approximately $4.4 million, $3.1 million and $11.4 million, respectively. During
1995 and 1996,  approximately  $7.1 million and $12.1 million of cash  generated
from  operations  was used to fund the  increase  in  accounts  receivable.  The
increases in accounts receivable were primarily the result of revenue growth, as
well as the timing of receipt of payments from certain major customers. Net cash
provided by financing  activities  during 1994, 1995 and 1996 was  approximately
$568,000, $66.2 million and $143.6 million, respectively,  primarily as a result
of the Company's  public offerings of its common stock. The net cash provided by
operations and financing activities has been utilized primarily for acquisitions
and capital expenditures.

The Company made capital  expenditures  (including  capitalized leases) totaling
$1.6  million,  $3.1  million  and $6.4  million  during  1994,  1995 and  1996,
respectively.  As of December 31, 1996,  the Company had net working  capital of
$37.0 million,  including cash, cash  equivalents and short-term  investments in
the  amount of $13.8  million,  and did not have any  material  commitments  for
capital expenditures.


                                       12


<PAGE>

In April 1995, the Company  completed the  acquisition of all of the outstanding
capital stock of Datis Corporation ("Datis"). The purchase price for the capital
stock  of  Datis  was  approximately  $14.6  million  in  cash,  which  included
approximately  $14.25 million funded by the Company and $386,000 funded with the
proceeds  received from the exercise of certain options to purchase Datis stock.
In addition,  the Company repaid  approximately  $900,000 of outstanding debt of
Datis.  In  December  1995,  the Company  acquired  the CHAMP unit of William M.
Mercer,  Incorporated  ("CHAMP") for $17.5 million in cash and, in May 1996, the
Company completed the acquisition of Response Healthcare Information Management,
Inc.  ("Response") for  approximately  $6.3 million in cash. In August 1996, the
Company acquired LBA for a total purchase price of approximately $128.8 million,
$100.1  million of which was paid in cash and $28.7 million of which was paid by
the  delivery  of HCIA  common  stock.  The  Company  utilized  $86  million  in
borrowings  under the First Union credit  facility  discussed  above to fund the
cash  portion of the  purchase  price,  which was  subsequently  repaid from the
proceeds of a public  offering of Common Stock.  In December  1996,  the Company
acquired HealthChex,  Inc. ("HealthChex") from Equifax Inc. for $11.5 million in
cash.  Each of these  acquisitions  has been  accounted  for using the  purchase
method of  accounting  and,  accordingly,  the assets  have been valued at their
estimated fair market value.

The Company  expects to incur  additional  costs of $6 to $9 million to complete
the development  efforts related to systems and products  obtained in connection
with the acquisitions of CHAMP, Response,  LBA and HealthChex,  and to integrate
these  products with the Company's  other  products.  Such costs are expected to
consist  of direct  labor and  contracted  labor  costs and are  expected  to be
incurred over the next two to three years.

                                       13

<PAGE>

Item 8.           Financial Statements and Supplementary Data.

REPORT OF INDEPENDENT AUDITORS

THE BOARD OF DIRECTORS
HCIA INC.:

We have audited the  accompanying  consolidated  balance sheets of HCIA Inc. and
subsidiaries  as of  December  31, 1995 and 1996,  and the related  consolidated
statements of  operations,  changes in  stockholders'  equity and cash flows for
each of the years in the  three-year  period  ended  December  31,  1996.  These
consolidated  financial  statements  are  the  responsibility  of the  Company's
management.  Our  responsibility  is to express  an  opinion on these  financial
statements based on our audits.

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

In our opinion, the consolidated  financial statements referred to above present
fairly,  in all  material  respects,  the  financial  position of HCIA Inc.  and
subsidiaries  as of  December  31,  1995  and  1996,  and the  results  of their
operations and their cash flows for each of the years in the  three-year  period
ended  December  31,  1996 in  conformity  with  generally  accepted  accounting
principles.

                                                           KPMG PEAT MARWICK LLP

Baltimore, Maryland
January 23, 1997


                                       14

<PAGE>

CONSOLIDATED STATEMENTS OF OPERATIONS
YEARS ENDED DECEMBER 31, 1994, 1995 AND 1996
(in thousands, except per share data)

HCIA INC. AND SUBSIDIARIES

<TABLE>
<CAPTION>

                                                                                           1994          1995          1996
                                                                                         -------       -------       --------
<S><C>
Revenue                                                                                  $30,711       $48,015       $ 73,520
Salaries, wages and benefits                                                              15,457        21,932         32,688
Other operating expenses                                                                   8,625        12,055         17,058
Depreciation                                                                                 957         1,619          2,567
Amortization                                                                               3,869         5,245         10,103
Write-off of acquired in-process research and development costs                               --        12,152         48,065
                                                                                         -------       -------       --------
  Operating income (loss)                                                                  1,803        (4,988)       (36,961)
Interest income                                                                              111         1,290          1,110
Interest expense                                                                             131           187            530
                                                                                         -------       -------       --------
  Income (loss) before income taxes and minority interest in income of consolidated
     subsidiaries                                                                          1,783        (3,885)       (36,381)
Provision (benefit) for income taxes                                                         759        (1,554)         5,886
Minority interest in income of consolidated subsidiaries                                      (3)          (74)            --
                                                                                         -------       -------       --------
  Net income (loss)                                                                      $ 1,021       $(2,405)      $(42,267)
                                                                                         =======       =======       ========
Net income (loss) per share                                                              $  0.19       $ (0.31)      $  (4.19)
                                                                                         =======       =======       ========
Shares used in per share calculation                                                       5,518         7,733         10,096
                                                                                         =======       =======       ========
</TABLE>

See accompanying notes to consolidated financial statements.


                                       15

<PAGE>


CONSOLIDATED BALANCE SHEETS
DECEMBER 31, 1995 AND 1996
(in thousands)

HCIA INC. AND SUBSIDIARIES


<TABLE>
<CAPTION>
                                                                                                         1995               1996
                                                                                                       --------           --------
<S><C>
ASSETS
Current assets:
  Cash and cash equivalents                                                                            $  3,190           $ 13,302
  Short-term investments                                                                                 23,280                510
  Trade accounts receivable, net of allowance for doubtful accounts
     of $454 in 1995 and $1,042 in 1996                                                                  16,623             32,122
  Prepaid expenses and other current assets                                                               2,236              3,886
  Income tax receivable                                                                                      --                339
  Deferred compensation funds held in trust                                                                  --              5,321
                                                                                                       --------           --------
            Total current assets                                                                         45,329             55,480
Furniture and equipment, net                                                                              6,576             12,188
Computer software costs, net                                                                             11,012             20,425
Other intangible assets, net                                                                             42,338            115,601
Net deferred tax asset                                                                                    3,090             17,074
Other                                                                                                        56                123
Deferred compensation funds held in trust                                                                    --              2,305
                                                                                                       --------           --------
            Total assets                                                                               $108,401           $223,196
                                                                                                       ========           ========
LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities:
  Accounts payable                                                                                     $    732           $  1,315
  Accrued salaries, benefits and other liabilities                                                        4,222              7,957
  Capital lease obligations                                                                                 174                121
  Notes payable                                                                                           2,265              1,718
  Income taxes payable                                                                                    1,098                 --
  Deferred revenue                                                                                        1,167              2,052
  Acquired deferred compensation liability                                                                   --              5,321
                                                                                                       --------           --------
            Total current liabilities                                                                     9,658             18,484
Notes payable                                                                                               699                 --
Acquired deferred compensation liability                                                                     --              2,305
                                                                                                       --------           --------
            Total liabilities                                                                            10,357             20,789
                                                                                                       --------           --------
Stockholders' equity:
  Preferred stock--$0.01 par value; authorized 500,000 shares; no shares issued and outstanding              --                 --
  Common stock--$0.01 par value; authorized 50,000,000 shares; issued and
   outstanding 8,955,932 as of December 31, 1995 and 11,781,458 as of December 31, 1996                      90                118
  Additional paid-in capital                                                                            102,882            249,591
  Accumulated deficit                                                                                    (4,953)           (47,220)
  Cumulative unrealized appreciation of short-term investments                                               44                  4
  Cumulative effect of currency translation adjustment                                                      (19)               (86)
                                                                                                       --------           --------
            Total stockholders' equity                                                                   98,044            202,407
                                                                                                       --------           --------
 Total liabilities and stockholders' equity                                                            $108,401           $223,196
                                                                                                       ========           ========
</TABLE>

See accompanying notes to consolidated financial statements.


                                       16

<PAGE>

CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' EQUITY
YEARS ENDED DECEMBER 31, 1994, 1995 AND 1996
(in thousands)

HCIA INC. AND SUBSIDIARIES


<TABLE>
<CAPTION>
                                                                                                                     Cumulative
                                                                                                                     Unrealized
                                                                                                                    Appreciation/
                                 Preferred   Preferred  Preferred    Total             Additional                  (Depreciation)
                                   Stock       Stock      Stock    Preferred  Common    Paid-In     Accumulated    of Short-Term
                                 Series A    Series B   Series C     Stock     Stock    Capital       Deficit       Investments
                                 ---------   ---------  ---------  ---------  ------   ----------   -----------    --------------
<S><C>
BALANCE AT
  DECEMBER 31, 1993              $ 10,662    $ 5,500    $ 6,400    $ 22,562    $ 30    $ 11,319     $ (1,155)             --
Capital contributions                  --         --         --          --      --         605           --              --
Conversion of preferred stock     (10,662)    (5,500)    (6,400)    (22,562)     24      24,952       (2,414)             --
Net income                             --         --         --          --      --          --        1,021              --
Effect of currency
  translation adjustment               --         --         --          --      --          --           --              --
                                 --------    -------    -------    --------    ----    --------     --------            ----
BALANCE AT
  DECEMBER 31, 1994                    --         --         --          --      54      36,876       (2,548)             --
Sale of common stock
  to the public                        --         --         --          --      36      66,006           --              --
Net loss                               --         --         --          --      --          --       (2,405)             --
Effect of currency
  translation adjustment               --         --         --          --      --          --           --              --
Unrealized appreciation of
  short-term investments               --         --         --          --      --          --           --              44
                                 --------    -------    -------    --------    ----    --------     --------            ----
BALANCE AT
  DECEMBER 31, 1995                    --         --         --          --    $ 90    $102,882     $ (4,953)           $ 44
Exercise of stock options              --         --         --          --      --         638           --              --
Sale of common stock to
  the public                           --         --         --          --      23     116,233           --              --
Tax benefits related to exercise
  of stock options                     --         --         --          --      --       1,128           --              --
Issuance of stock in connection
  with an acquisition                  --         --         --          --       5      28,710           --              --
Net loss                               --         --         --          --      --          --      (42,267)             --
Effect of currency
  translation adjustment               --         --         --          --      --          --           --              --
Unrealized depreciation of
  short-term investments               --         --         --          --      --          --           --             (40)
                                 --------    -------    -------    --------    ----    --------     --------            ----
BALANCE AT
  DECEMBER 31, 1996              $     --    $    --    $    --    $     --    $118    $249,591     $(47,220)           $  4
                                 ========    =======    =======    ========    ====    ========     ========            ====
</TABLE>


                                            Cumulative
                                             Effect of
                                             Currency         Total
                                            Translation    Stockholders'
                                             Adjustment       Equity
                                            -----------    -------------
BALANCE AT
  DECEMBER 31, 1993                             $  6        $ 32,762
Capital contributions                             --             605
Conversion of preferred stock                     --              --
Net income                                        --           1,021
Effect of currency
  translation adjustment                         (17)            (17)
                                                ----        --------
BALANCE AT
  DECEMBER 31, 1994                              (11)         34,371
Sale of common stock
  to the public                                   --          66,042
Net loss                                          --          (2,405)
Effect of currency
  translation adjustment                          (8)             (8)
Unrealized appreciation of
  short-term investments                          --              44
                                                ----        --------
BALANCE AT
  DECEMBER 31, 1995                             $(19)       $ 98,044
Exercise of stock options                         --             638
Sale of common stock to
  the public                                      --         116,256
Tax benefits related to exercise
  of stock options                                --           1,128
Issuance of stock in connection
  with an acquisition                             --          28,715
Net loss                                          --         (42,267)
Effect of currency
  translation adjustment                         (67)            (67)
Unrealized depreciation of
  short-term investments                          --             (40)
                                                ----        --------
BALANCE AT
  DECEMBER 31, 1996                             $(86)       $202,407
                                                ====        ========

See accompanying notes to consolidated financial statements.



                                       17

<PAGE>

CONSOLIDATED STATEMENTS OF CASH FLOWS
YEARS ENDED DECEMBER 31, 1994, 1995 AND 1996
(in thousands)

HCIA INC. AND SUBSIDIARIES

<TABLE>
<CAPTION>

                                                                           1994             1995             1996
                                                                         --------        ---------        ----------
<S><C>
Cash flows from operating activities:
  Net income (loss)                                                      $ 1,021         $ (2,405)        $ (42,267)
  Adjustments to reconcile net income (loss) to net cash
    provided by operating activities:
      Depreciation and amortization                                        4,826            6,864            12,670
      Write-off of acquired in-process research and development costs         --           12,152            48,065
      Income tax benefit related to stock options                             --               --             1,128
      Deferred tax provision                                                (338)          (3,625)            5,606
      Changes in operating assets and liabilities:
         Accounts receivable                                                (349)          (7,078)          (12,057)
         Income taxes payable/receivable                                   1,097              973            (1,637)
         Prepaid expenses                                                   (234)          (1,505)             (328)
         Accounts payable                                                   (853)             215            (1,247)
         Accrued salaries, benefits and other liabilities                   (771)            (816)              812
         Deferred revenue                                                     40           (1,714)              674
         Minority interest                                                     3               75                --
                                                                         -------         --------         ---------
            Net cash provided by operating activities                      4,442            3,136            11,419
                                                                         -------         --------         ---------
Cash flows from investing activities:
  Purchases of furniture and equipment                                    (1,568)          (3,145)           (6,357)
  Cost of acquisitions, net of cash acquired                                  --          (35,271)         (146,765)
  Computer software costs purchased or capitalized                        (2,603)          (6,151)          (12,671)
  Other intangible assets purchased or capitalized                          (779)            (716)           (1,742)
  Purchases of short-term investments                                         --          (69,312)          (59,640)
  Proceeds from disposals of short-term investments                           --           46,077            82,370
  Payments on note receivable                                                108            1,551                --
  Other                                                                      (40)             104               (67)
                                                                         -------         --------         ---------
            Net cash used in investing activities                         (4,882)         (66,863)         (144,872)
                                                                         -------         --------         ---------
Cash flows from financing activities:
  Proceeds from exercise of stock options                                     --               --               638
  Proceeds from public offerings                                              --           66,042           116,256
  Proceeds from issuance of preferred stock                                  605               --                --
  Issuance of stock in connection with an acquisition                         --               --            28,715
  Acquisition related borrowings                                              --               --            86,000
  Repayment of acquisition related borrowings                                 --               --           (86,000)
  Fees paid to establish credit facilities                                    --               --              (520)
  Borrowing from related party                                             1,400            2,915                --
  Repayments of notes payable                                                 --             (513)           (1,246)
  Repayments of related party borrowings                                  (1,250)          (1,900)               --
  Principal payments on capital leases                                      (187)            (315)             (211)
                                                                         -------         --------         ---------
            Net cash provided by financing activities                        568           66,229           143,632
                                                                         -------         --------         ---------
Impact of currency fluctuations on cash and cash equivalents                 (17)              (8)              (67)
                                                                         -------         --------         ---------
Increase in cash and cash equivalents                                        111            2,494            10,112
Cash and cash equivalents -- beginning of year                               585              696             3,190
Cash and cash equivalents -- end of year                                 $   696         $  3,190         $  13,302
                                                                         =======         ========         =========
Supplemental cash flow information
           -- cash paid during the year for interest                     $   137         $     89         $     461
                                                                         =======         ========         =========
           -- cash paid during the year for income taxes                 $    --         $  1,088         $     790
                                                                         =======         ========         =========
</TABLE>

See accompanying notes to consolidated financial statements.

                                       18

<PAGE>


NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 1994, 1995, AND 1996

HCIA INC. AND SUBSIDIARIES

(1) BACKGROUND

(a) Description of Business
HCIA Inc. ("HCIA" or the "Company") is a health care information content company
that develops and markets integrated clinical  information systems and products.
The Company's systems and products range from  standardized  databases to highly
focused  decision  support  systems that assist its customers in evaluating  the
efficacy and economics of health care delivery.  The Company's customers include
hospitals,  integrated delivery systems, self-insured employers,  pharmaceutical
companies and managed care organizations.

(b) Public Offerings
During  February  1995,  the Company  completed  an initial  public  offering of
approximately 2.0 million shares of common stock at $14.00 per share.

In August 1995, the Company  completed a public  offering of  approximately  2.6
million  shares at $28.50 per share,  consisting of 1.5 million shares issued by
the Company and  approximately  1.1 million  shares sold by the  Company's  then
largest stockholder, AMBAC Inc. ("AMBAC").

In May 1996, approximately 4.2 million shares of the Company's common stock were
sold by AMBAC in a public offering.  In connection with the offering the Company
sold 261,951 shares of common stock at $51.00 per share.

In August 1996,  approximately  2.2 million shares of the Company's common stock
were sold at $54.125 per share in a public  offering.  Of these shares,  216,696
were sold by  certain  stockholders.  The  Company  did not  receive  any of the
proceeds from the sale of shares by the selling stockholders.

Net  proceeds  to  the  Company  from  the   offerings   discussed   above  were
approximately $182.3 million.

(c) Acquisitions
Certain  information  regarding the Company's major  acquisitions in the periods
covered by these financial statements is summarized below:

<TABLE>
<CAPTION>
                                   Datis                  CHAMP                Response                   LBA
                          ----------------------  ---------------------  ---------------------  -----------------------
                                        Life of                Life of               Life of                   Life of
                                         Asset                  Asset                 Asset                     Asset
                                        -------                -------               -------                   -------
<S><C>
Purchase Price            $14,250,000             $17,500,000            $6,261,000             $128,829,000
Assets Acquired
  Current Assets          $ 1,338,000             $   175,000            $1,274,000             $  4,681,000
  Furniture & Equipment   $ 1,092,000  3-5 years           --            $  293,000  3-5 years  $  1,533,000  3-5 years
  Other Assets                $25,000                      --                    --                       --
  Deferred tax asset               --                      --            $  221,000             $ 18,534,000
  Software                $   233,000    5 years  $   859,000   5 years  $  255,000    5 years            --
  Trade Name                       --             $ 1,266,000  12 years          --                       --
  Customer base                    --             $   595,000  12 years $   393,000   12 years  $  5,135,000   10 years
  Methodologies                    --                      --                    --             $ 12,843,000    6 years
  Assembled Workforce              --             $ 1,102,000  12 years $   133,000   12 years  $  4,080,000   10 years
  Goodwill                $16,503,000   20 years  $ 1,351,000  12 years $   304,000   15 years  $ 43,859,000   20 years
  In-process research
    & development                  --             $12,152,000           $ 4,309,000             $ 41,507,000
Liabilities assumed       $ 4,941,000                      --           $   921,000             $  3,343,000
</TABLE>


                                              HealthChex
                                        ----------------------
                                                      Life of
                                                       Asset
                                                      -------
Purchase Price                          $11,503,000
Assets Acquired
  Current Assets                        $   508,000
  Furniture & Equipment                 $   590,000  3-5 years
  Other Assets                                   --
  Deferred tax asset                    $   835,000
  Software                                       --
  Trade Name                                     --
  Customer base                         $   599,000   10 years
  Methodologies                         $ 1,628,000    5 years
  Assembled Workforce                   $   715,000   10 years
  Goodwill                              $ 5,107,000   20 years
  In-process research
    & development                       $ 2,249,000
Liabilities assumed                     $   728,000



                                       19


<PAGE>



NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

HCIA INC. AND SUBSIDIARIES

On April 28, 1995, the Company acquired all of the capital stock of Datis
Corporation ("Datis") for $14,250,000 in cash. Datis provided databases and
related analyses to hospitals and hospital systems. The goodwill amortization
period is based on the nature of Datis' products and markets and the historical
rates of change in the products and markets.

On December 15, 1995,  the Company  acquired the assets  constituting  the CHAMP
unit of William M. Mercer, Incorporated ("CHAMP") for $17,500,000 in cash. CHAMP
provides database and analytical reporting services to large employers to assist
them in the management of their healthcare costs.

On May 15, 1996, the Company  acquired all of the outstanding  stock of Response
Healthcare  Information  Management,  Inc.  ("Response") for $6,261,000 in cash.
Response  develops and markets  information  products  which capture and analyze
point-of-care,  patient-centered  data  relating  to  disease-specific  outcomes
measurement and member/patient satisfaction.

On  August  9,  1996,  the  Company  acquired  all of the  capital  stock of LBA
Holdings,  Inc. (formerly  HealthVision,  Inc.) and its operating subsidiary LBA
Health Care Management,  Inc. ("LBA"). The purchase price including  acquisition
expenses  was  $128,829,000,   of  which  $100,114,000  was  paid  in  cash  and
$28,715,000  was paid  through the delivery of 492,961  shares of the  Company's
common  stock.  LBA develops and markets  information  products that analyze and
benchmark detailed clinical and productivity  outcomes.  The cash portion of the
purchase  price was funded  primarily  through a credit  facility  obtained from
First Union  National Bank of North  Carolina  ("First  Union")  consisting of a
$50,000,000 term loan and a $36,000,000 draw on a $50,000,000  revolving line of
credit (see note 9). These loans were repaid with a portion of the proceeds from
the Company's August 1996 public offering.

On December 2, 1996,  the Company  purchased all of the capital stock of Equifax
Health Analytical  Services,  Inc.  ("HealthChex")  for $11,503,000 in cash. The
parties  have  agreed  to make an  election  under  Internal  Revenue  Code Sec.
338(h)(10)  to treat this  acquisition  as an asset  purchase for tax  purposes.
HealthChex  provides  physician  profiling and medical  claims review systems to
health care providers and payors.

The  values  and lives of the  intangible  assets and  in-process  research  and
development  costs  obtained  in  the  CHAMP,   Response,   LBA  and  HealthChex
acquisitions were determined by an independent  appraiser.  The lives and values
of the intangible assets were based on, among other things,  employee  retention
rates,  customer  retention  rates  and the  historical  rates of  change in the
products  and  markets.  The  current  fair  value of  in-process  research  and
development  costs was  determined,  based on the  risk-adjusted  cash flows (at
discount rates of 19% to 22%), of specifically identified technologies for which
technological  feasibility had not yet been established pursuant to Statement of
Financial  Accounting  Standards No. 86,  "Accounting  for the Costs of Computer
Software to be Sold, Leased or Otherwise Marketed" ("SFAS No. 86") and for which
future   alternative   uses  did  not  exist.   Consideration  of  technological
feasibility for purposes of these  calculations  was given on a basis consistent
with that normally utilized by the Company (see note 2d).  Non-recurring charges
to write off these costs were  recorded on the date of each  acquisition.  These
charges are  recorded as  operating  expenses on the  accompanying  consolidated
statements of operations.

During  November 1995,  the Company  acquired an additional 36% interest in CHKS
Limited ("CHKS").  As a result of this  acquisition,  CHKS became a wholly owned
subsidiary  of the  Company.  The  Company  issued  notes  payable to the former
shareholders  in the  principal  amount  of  $2,795,000.  This  acquisition  was
accounted for using the purchase method of accounting and resulted in additional
goodwill of  $2,709,000.  The  goodwill is being  amortized  over its  estimated
useful life of 15 years. The estimate of the amortization period is based on the
nature of the products and markets of CHKS and the historical  rate of change in
the products and markets.


                                       20



<PAGE>


NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

HCIA INC. AND SUBSIDIARIES

Also  during  1995,  the Company  acquired  certain  assets and assumed  certain
liabilities of John Froehlich  Associates,  MetriCor Inc. and MetaGenerics.  The
aggregate  purchase price for these  acquisitions was $1,677,000,  consisting of
cash of $1,166,000 and notes payable of $511,000. These acquisitions resulted in
increases in furniture and equipment of $75,000,  increases in other  intangible
assets of $1,938,000 and increases in current liabilities of $336,000. The other
intangible   assets  consist  of  goodwill   which  is  being   amortized  on  a
straight-line  basis over estimated useful lives of 10 to 15 years. The estimate
of each  amortization  period is based on the nature of the products and markets
of the acquired  entities and the historical  rate of change in the products and
markets.

During 1996 the Company also acquired all of the stock of IASIST S.A. and all of
the interests in Managed  Marketing LLC. The aggregate  purchase price for these
acquisitions was $2,713,000 and was paid in cash. These acquisitions resulted in
increases in current  assets of $496,000,  furniture  and  equipment of $85,000,
software of $303,000 and  goodwill of  $2,159,000,  offset by increased  current
liabilities  of  $330,000.  The goodwill is being  amortized on a  straight-line
basis  over  its  estimated  useful  life  of 15  years.  The  estimate  of each
amortization  period is based on the nature of the  products  and markets of the
acquired  entities  and the  historical  rates of  change  in the  products  and
markets.

Unless  otherwise  noted,  funding  for the  acquisitions  discussed  above  was
provided  from the  proceeds of the  Company's  public  offerings.  All of these
acquisitions were accounted for using the purchase method of accounting.

Unaudited pro forma  combined  results of the  operations of the Company for the
years  ended  December  31,  1995 and 1996 are  presented  below  and have  been
prepared  assuming  that the  acquisitions  discussed  above had been made as of
January 1, 1995.

                                    1995               1996
                                  -------            -------
                                          (unaudited)

Revenue                           $79,456            $93,568
Net income                        $ 2,146            $ 7,192
Net income per share              $  0.20            $  0.59


The pro forma  results  include the  historical  accounts of the Company and the
acquired  entities  adjusted  to reflect  the  effects of the  depreciation  and
amortization of the acquired  identifiable  tangible and intangible assets based
on the new cost  basis  of the  assets  acquired,  additional  interest  expense
related to notes payable  issued in connection  with certain  acquisitions,  the
reversal of the  non-recurring  write-off  of acquired  in-process  research and
development  costs recorded in connection with certain  acquisitions and related
income tax effects.  The pro forma  results are not  necessarily  indicative  of
actual  results which might have occurred had the  operations  and management of
the Company and the acquired entities been combined in 1995 and 1996.



                                       21


<PAGE>

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(2) SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

(a) Principles of Consolidation
The accompanying  financial  statements  include the accounts of the Company and
its subsidiaries. The minority interest of CHKS for the periods before it became
wholly owned is stated separately on the financial statements. All significant
intercompany transactions have been eliminated in consolidation.

(b) Cash Equivalents and Short-Term Investments
Cash equivalents consist of highly liquid securities with original maturities of
three months or less at the date  acquired by the Company.  At December 31, 1995
and 1996,  the  Company's  short-term  investments,  which are  classified as an
available for sale securities portfolio, consist of the following:

<TABLE>
<CAPTION>

                                              1995                                 1996
                                 -----------------------------         -------------------------
                                   Fair Value          Cost            Fair Value         Cost
                                 -------------     -----------         ----------       --------
<S><C>
Auction Market Preferred Stock   $ 7,000,000       $ 7,000,000         $     --         $     --
Variable Rate Debentures           5,500,000         5,500,000               --               --
Municipal Bonds                   10,780,000        10,736,000          510,000          506,000
                                 -----------       -----------         --------         --------
     Total                       $23,280,000       $23,236,000         $510,000         $506,000
                                 ===========       ===========         ========         ========
</TABLE>


The portfolio is carried at fair value in accordance with Statement of Financial
Accounting  Standards No. 115,  "Accounting for Certain  Investments in Debt and
Equity  Securities." All securities  mature within one year.  Realized gains and
losses are recorded using the specific  identification basis to determine costs.
During 1995 and 1996,  proceeds from sales of the securities totaled $46,077,000
and $82,370,000,  respectively.  Gross realized gains and losses on sales of the
securities were immaterial in 1995 and 1996.

(c) Furniture and Equipment
Furniture and equipment are stated at cost.  Included in furniture and equipment
are computer hardware, furniture and fixtures and leasehold improvements.  These
costs are being  depreciated on the  straight-line  method over their  estimated
useful lives of three to five years.

(d) Computer Software Costs
Computer  software costs include the cost of internally  developed  software and
the fair  market  value  assigned  to  computer  software  obtained  in purchase
transactions.  Costs  for  internally  developed  software  are  capitalized  in
accordance  with SFAS No. 86.  These costs  relate  primarily to the building of
production  systems  and  extending  existing  applications  to new  markets  or
platforms  using existing  technologies  and  programming  methods.  The Company
capitalizes only those costs incurred after a detailed program design or, in the
absence of such, a working  prototype has been developed.  The Company generally
develops its applications in connection with customer contracts and includes the
related costs as a component of operating  expenses in the period incurred.  The
Company  capitalized  or  purchased  a  total  of  $2,603,000,   $7,260,000  and
$13,229,000  of computer  software costs in 1994,  1995 and 1996,  respectively,
including   $1,092,000  in  1995  and  $558,000  in  1996  related  to  business
acquisitions.

Capitalized costs are amortized,  beginning with market  availability,  over the
economic  useful life of the product.  Typically,  this life is five years.  The
annual amortization  expense is the greater of the amount computed using (a) the
ratio that current  gross  revenues for a product  bears to the total of current
and anticipated  future gross revenues for that product or (b) the straight-line
method over the remaining  estimated  economic life of the product including the
period  being  reported.   Amortization   expense  for  computer   software  was
$1,456,000,  $2,048,000 and $3,816,000 during 1994, 1995 and 1996, respectively.
Accumulated amortization for computer software was $6,510,000 and $10,326,000 at
December 31, 1995 and 1996, respectively.

The Company  evaluates,  on a quarterly basis, the recoverability of capitalized
software  costs on the basis of whether  such costs are fully  recoverable  from
projected  undiscounted  cash flows of individual  system and product lines.


                                       22



<PAGE>


NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(e) Revenue Recognition
Revenue  from  license  fees for  access to the  Company's databases is
recognized  when access to the  database is made  available to the customer.
Revenue from custom system or database development and implementation contracts
is  recognized  on  a  percentage  of  completion   basis  using  the
cost-to-cost method. This method of accounting has resulted in unbilled accounts
receivable  of  $3,073,000  and  $3,686,000  at  December  31,  1995  and  1996,
respectively.  On a quarterly  basis,  the Company  assesses whether the current
estimate of total contract costs for each of these contracts indicates a loss is
expected  and accrues any such  losses on the entire  contract in that  quarter.
Where the Company has  contracted  to provide both access to a Company  database
and development of a custom  database,  the contract value is segmented into its
discrete elements  according to their relative values, and revenue is recognized
separately on each element in accordance with the above.

Revenue from group data  contracts,  which obligate the Company to process data,
produce reports and update databases on periodic intervals, is recognized as the
contracted obligations are fulfilled.

Revenue  from  licensing  of software  products  is  recognized  upon  shipment,
provided that no vendor obligations remain outstanding. While the Company has no
significant  post-contract  support ("PCS") obligations,  any revenue related to
insignificant  PCS  obligations on software  licenses is deferred and recognized
over the  contract  term.  The  Company  determines  the  component  of  revenue
applicable to PCS  obligations  based upon its  experience  in  fulfilling  such
obligations.

Revenue on all other products is recognized when the product is shipped.

During  1994,  one  customer  accounted  for 12% of the  Company's  revenue.  At
December  31,  1994,  receivables  from  that  customer  represented  12% of the
Company's  trade  accounts  receivable.   Consistent  with  Company  policy,  no
collateral  or other  security  was held with  respect  to such  trade  accounts
receivable.  During 1995 and 1996, no single customer  accounted for 10% or more
of the Company's revenue or trade accounts receivable.

(f) Foreign Currency Translation
The assets and liabilities of the Company's foreign operations are translated at
year-end  exchange  rates,  while  revenue and expenses are  translated at rates
prevailing during the period.  Accordingly,  translation  adjustments that arise
due to  fluctuations  in exchange  rates are excluded  from  operations  and are
reported as a separate component of stockholders' equity.

(g) Income Taxes
Prior to the  completion of the Company's  initial  public  offering in February
1995,  the Company was party to a federal  tax-sharing  agreement with AMBAC and
was included in AMBAC's  consolidated federal income tax return. The tax-sharing
agreement  provided for the determination of tax expense or benefit based on the
contribution of the Company to AMBAC's tax liability,  computed substantially as
if the Company filed a separate  income tax return.  The tax liability due AMBAC
was settled quarterly,  with a final settlement taking place after the filing of
the consolidated  federal tax return.  Commencing February 22, 1995, the Company
was no longer  included on a consolidated  basis for tax purposes with AMBAC and
is responsible for filing its own federal income tax return.

The  Company  uses the asset and  liability  method  required  by  Statement  of
Financial  Accounting  Standards  No.  109,  "Accounting  For Income  Taxes," to
account for deferred income taxes. Under this method,  deferred income taxes are
recognized for temporary  differences  between the financial  reporting bases of
assets and liabilities and their respective tax bases and for operating loss and
tax credit  carryforwards  based on enacted rates  expected to be in effect when
such  amounts are  realized  or  settled.  The effects of changes in tax laws or
rates on deferred tax assets and  liabilities  are recognized in the period that
includes the enactment date.

(h) Earnings Per Share
Earnings per share has been calculated based upon the weighted average number of
shares  outstanding  and using the treasury stock method for  outstanding  stock
options.  The number of shares  used in this  calculation  has been  adjusted to
reflect a  one-for-three  reverse stock split and the  conversion of Class A and
Class B common  stock into a single  class of common  stock  (see note 10).  For
1994, the fair market value per share for the purpose of the  calculation of the
weighted  average  shares  outstanding  was assumed to be $11.00,  which was the
mid-point of the Company's initial public offering price range.


                                       23



<PAGE>

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(i) Accounting for Stock Options
The Company applies Accounting Principles Board Opinion No. 25, "Accounting for
Stock Issued to Employees," ("APB No. 25") in accounting for its stock options.
Additional information required by Statement of Financial Accounting Standards
No. 123, "Accounting for Stock-Based Compensation," ("SFAS No. 123") is
discussed in Note 10.

(j) Use Of Estimates
Management  of the  Company  has  made a number  of  estimates  and  assumptions
relating  to the  reporting  of assets and  liabilities  and the  disclosure  of
contingent  assets and  liabilities  to prepare  these  financial  statements in
conformity with generally accepted accounting  principles.  Actual results could
differ from those estimates.

(k) Reclassifications
Certain  amounts  for 1994 and 1995 have been  reclassified  to  conform  to the
presentation for 1996.

(3) FURNITURE AND EQUIPMENT

Furniture and equipment consist of the following at December 31:

                                          1995             1996
                                      ------------     ------------
Computer equipment                    $ 8,629,000      $15,274,000
Office furniture and equipment          1,398,000        1,881,000
Other                                     392,000          516,000
                                      -----------      -----------
                                       10,419,000       17,671,000
Less accumulated depreciation          (3,843,000)      (5,483,000)
                                      -----------      -----------
                                      $ 6,576,000      $12,188,000
                                      ===========      ===========

(4) OTHER INTANGIBLE ASSETS

Other intangible assets at December 31, 1996 consist of the following:

<TABLE>
<CAPTION>
                                       Capitalized    Accumulated     Carrying      Weighted
                                          Cost       Amortization      Value      Average Life
                                     -------------   ------------  -------------  ------------
<S><C>
Databases                            $  7,788,000    $ 4,778,000   $  3,010,000         5
CPHA license and prepaid royalties     14,031,000      3,886,000     10,145,000        17
Goodwill                               79,467,000      4,777,000     74,690,000        19
Customer bases                          6,722,000        290,000      6,432,000        10
Methodologies                          14,471,000        919,000     13,552,000         6
Assembled workforce                     6,030,000        276,000      5,754,000        10
Other                                   2,274,000        256,000      2,018,000        13
                                     ------------    -----------   ------------
                                     $130,783,000    $15,182,000   $115,601,000
                                     ============    ===========   ============
</TABLE>

Other intangible assets at December 31, 1995 consist of the following:

<TABLE>
<CAPTION>
                                       Capitalized   Accumulated      Carrying      Weighted
                                          Cost      Amortization       Value      Average Life
                                     -------------  ------------  -------------   ------------
<S><C>
Databases                             $ 5,888,000    $3,711,000    $ 2,177,000         5
CPHA license and prepaid royalties     14,031,000     3,061,000     10,970,000        17
Goodwill                               27,536,000     2,231,000     25,305,000        17
Customer bases                            595,000            --        595,000        12
Assembled workforce                     1,102,000            --      1,102,000        12
Other                                   2,274,000        85,000      2,189,000        13
                                      -----------    ----------    -----------
                                      $51,426,000    $9,088,000    $42,338,000
                                      ===========    ==========    ===========
</TABLE>

Databases  consist of the fair market value of various acquired  databases,  the
cost of acquiring data and internal  development costs (direct labor and related
overhead)  incurred  in  standardizing  data  for  use in  internally  developed
databases.  These assets are being amortized on a straight-line basis over their
estimated  useful lives of five years.  Amortization  expense for  databases was
approximately  $839,000,  $962,000 and  $1,067,000  during 1994,  1995 and 1996,
respectively.

                                       24


<PAGE>


NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

During 1992, the Company acquired an exclusive  license to access and  sell  the
databases  and  certain  other  assets  of  the   Commission  on Professional
and Hospital Activities ("CPHA").  This license was recorded at its estimated
fair  value of  $8,073,000  at the date of  acquisition  and is being amortized
on a straight-line  basis over 17 years. The  amortization  period was
determined to be the estimated  economic life cycle of the licensed  properties,
as corroborated by an independent appraisal,  and reflected the remainder of the
existing  term of the license at the date of  acquisition  plus one renewal term
provided under the terms of the agreement.  Under the terms of the license,  the
Company paid royalties to CPHA based on revenues  earned  utilizing the licensed
assets.  Subsequent to the acquisition,  the Company and CPHA entered into a new
license  agreement.  Under  the terms of the new  agreement,  the  Company  paid
$5,958,000  to CPHA in  lieu of  future  royalty  obligations.  The  payment  is
recorded as prepaid CPHA  royalties  and is being  amortized on a  straight-line
basis over 17 years, consistent with the estimated economic life of the licensed
properties.

Goodwill  represents the excess of the purchase price over the fair value of net
assets acquired. Goodwill is being amortized on a straight-line basis over 10 to
20 years.  Such  amortization  periods are estimated  based on the nature of the
products  and markets of the  acquired  companies  and the  historical  rates of
changes in these products and market areas.

Customer bases, methodologies and assembled workforces were obtained through the
CHAMP, Response, LBA and HealthChex acquisitions.  The values and lives of these
assets were  determined  by an  independent  appraiser  based on factors such as
going concern value, employee turnover and historical customer retention rates.

Other intangibles  consist of a trade name obtained in the CHAMP acquisition and
certain  non-competition  agreements.  The value and life of the  tradename  was
determined by an  independent  appraiser.  The  non-competition  agreements  are
amortized  over their 1 to 2 year terms  commencing  with the date the employees
are no longer employed by the Company.

(5) ACCRUED SALARIES, BENEFITS AND OTHER LIABILITIES

Accrued salaries, benefits and other liabilities consist of the following at
December 31:


                                          1995                1996
                                       ----------          ----------
Accrued salaries                       $1,108,000          $2,220,000
Accrued benefits                          304,000             477,000
Accrued vacation                          562,000             681,000
Other                                   2,248,000           4,579,000
                                       ----------          ----------
                                       $4,222,000          $7,957,000
                                       ==========          ==========

(6) LEASES

The Company leases office space and certain  equipment under  operating  leases.
Rent expense for these leases was  $1,527,000,  $2,286,000  and 3,563,000 net of
rental income of $0, $0 and $412,000 during 1994,  1995 and 1996,  respectively.
The  minimum  rental  commitments  under  noncancelable  operating  leases as of
December 31, 1996, are as follows:

Year Ending December 31:
  1997                                $ 4,619,000
  1998                                  4,042,000
  1999                                  3,910,000
  2000                                  2,906,000
  2001                                  2,274,000
  Thereafter                            1,400,000
                                      -----------
     Gross minimum payments required  $19,151,000
  Sublease Income                        (949,000)
                                      -----------
    Net minimum payments required     $18,202,000
                                      ===========

                                       25


<PAGE>


NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(7)  SAVINGS INCENTIVE PLAN

The Company  maintains the HCIA Inc.  Savings  Incentive  Plan, a profit sharing
plan qualified under Section 401(a) of the Internal  Revenue Code. All employees
of the  Company  who  have  completed  one  year  of  service  are  eligible  to
participate  in  the  Plan.   Subject  to  certain   limitations  on  individual
contributions   and  allocations  and  Company   deductions,   the  Plan  allows
participants to defer up to 15% of their pay on a pre-tax basis and up to 10% of
their pay on an after-tax basis.  The Company also makes matching  contributions
equal to 50% of the amount a  participant  defers up to 6% of the  participant's
pay. The Plan also provides for discretionary  contributions by the Company. All
participants  are  fully  vested  in all of  their  accounts  in the  Plan.  The
Company's   contributions   to  the  Plan  during  1994,   1995  and  1996  were
approximately $167,000, $194,000 and $397,000, respectively.

(8) INCOME TAXES

The income tax expense (benefit) relating to the operations of the Company
consists of the following:


<TABLE>
<CAPTION>
                                                  1994            1995             1996
                                              -----------     ------------      ----------
<S><C>
Federal and state:
  Current                                     $1,097,000      $ 2,071,000       $  280,000
  Deferred                                      (338,000)      (3,625,000)       5,606,000
                                              ----------      -----------       ----------
     Total income tax expense (benefit)       $  759,000      $(1,554,000)      $5,886,000
                                              ==========      ===========       ==========
</TABLE>


The  tax  provisions  in  the  accompanying  financial  statements  differ  from
prevailing federal corporate rates. A reconciliation of this difference follows:

<TABLE>
<CAPTION>

                                                      1994                     1995                        1996
                                                Amount      %          Amount         %            Amount          %
                                              -----------------    -----------------------     ------------------------
<S><C>
Computed expected tax expense
  (benefit) at statutory rate                 $623,000    35.0%    $(1,346,000)    (34.0)%     $(12,370,000)    (34.0)%
Goodwill amortization                           44,000     2.5         220,000       5.6            637,000       1.8
Tax-exempt interest                                 --      --        (234,000)     (5.9)          (216,000)     (0.6)
State tax, net of federal benefit               93,000     5.2        (224,000)     (5.7)        (1,609,000)     (4.4)
Acquired in-process research and development        --      --              --        --         19,226,000      52.8
Other, net                                      (1,000)     --          30,000       0.7            218,000       0.6
                                              ----------------     ---------------------       ----------------------
Provision (benefit) for income taxes          $759,000    42.7%    $(1,554,000)    (39.3)%     $  5,886,000      16.2%
                                              ================     =====================       ======================
</TABLE>

                                       26



<PAGE>

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

The tax effects of temporary differences that give rise to significant portions
of the deferred tax liabilities and deferred tax assets at December 31, 1995 and
1996, are presented below:

                                                    1995                1996
                                                 ----------         -----------

Deferred tax assets:
  Operating accruals                             $  403,000         $   881,000
  Basis difference in intangibles                 6,297,000          10,091,000
  Bonus accrual                                          --           2,005,000
  Net operating loss carryforwards                       --          11,457,000
                                                 ----------         -----------
  Gross deferred tax assets                       6,700,000          24,434,000
  Valuation allowance                                    --                  --
                                                 ----------         -----------
  Net deferred tax assets                         6,700,000          24,434,000
                                                 ----------         -----------
Deferred tax liabilities:
  Capitalized software                            3,005,000           6,226,000
  Fixed assets                                      605,000           1,134,000
                                                 ----------         -----------
Total deferred tax liabilities                    3,610,000           7,360,000
                                                 ----------         -----------

Net deferred tax assets                          $3,090,000         $17,074,000
                                                 ==========         ===========


The  valuation  allowance  for  deferred  tax  assets as of  January 1, 1995 and
December  31,  1995 and 1996 was $0.  Therefore,  there was no net change in the
valuation allowance for 1995 and 1996.

The Company has net operating loss  carryforwards of $41,600,000 at December 31,
1996, which expire between 2002 and 2011.

(9) CREDIT AGREEMENT

In August 1996 the Company  obtained a credit facility from First Union totaling
$100,000,000,  consisting of a $50,000,000 term loan and a $50,000,000 revolving
line of  credit.  The  Company  incurred  a one-time  facility  fee and  related
expenses of  $520,000  which is being  amortized  over the five year term of the
line of  credit.  The  Company  borrowed  the entire  $50,000,000  term loan and
approximately  $36,000,000  of the line of  credit  in  connection  with the LBA
acquisition  (see note 1(c)).  These  borrowings  were repaid by August 31, 1996
with a portion of the proceeds from the Company's August 1996 public offering of
its  common  stock  (see  note  1(b)).  The  Company  currently   maintains  the
$50,000,000  line of  credit  (subject  to  borrowing  limitations)  and made no
additional borrowings against it during 1996.

The line of credit bears interest at rates ranging from First Union's prime rate
to prime plus 0.5% or LIBOR (5.5% at December 31, 1996) plus 0.75% to LIBOR plus
1.75%,  depending on the Company's  debt to cash flow ratio.  The Company pays a
commitment fee on the unused portion of the line of credit at rates ranging from
0.25% to 0.375%  depending on the Company's debt to cash flow ratio. The line of
credit is subject to financial covenants including debt to cash flow and debt to
capital ratios.  As of December 31, 1996, the Company was in compliance with all
such covenants and had a maximum borrowing  capacity of $50,000,000.  The credit
facility  reduces  to  $37,500,000  in July 1999,  $25,000,000  in July 2000 and
expires on July 31, 2001.




                                       27


<PAGE>

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(10) STOCKHOLDERS' EQUITY

(a) Capital Amendment
Effective  February 14, 1995,  the Company filed an amendment to its articles of
incorporation which effected:  (i) a one-for-three reverse stock split; (ii) the
conversion of the Class A and Class B common stock into a single class of common
stock;  and (iii) the  authorization  of a total of 15,000,000  shares of common
stock and 500,000 shares of preferred stock, each having a par value of $.01 per
share.  All  references  to common  stock and stock  options in these  financial
statements have been adjusted to reflect the  one-for-three  reverse stock split
as if it had occurred prior to January 1, 1994.  Effective  August 12, 1996, the
Company  filed an  amendment  to its articles of  incorporation  increasing  the
authorized number of shares of common stock to 50,000,000.

(b) Common and Preferred Stock
The preferred stock may be issued from time to time by the board of directors as
shares of one or more series.  The  description  of the shares of each series of
preferred  stock is established by the board of directors  prior to the issuance
of the series of shares.

During  1994,  the Company  issued  2,378,672  shares of common stock to AMBACin
exchange for the 225,621 shares of preferred stock then outstanding.

During 1995, the Company issued  3,512,500  shares of common stock in connection
with its public offerings.

During 1996, the Company issued  2,261,591  shares of common stock in connection
with its public  offerings and 492,961 shares in connection with its acquisition
of LBA.

(c) Options
At December 31, 1994, 1995 and 1996, the Company had  outstanding  stock options
as follows:

Stock options outstanding pursuant to:

                                          1994            1995            1996
                                        -------         -------        ---------

HCIA Stock Option Plan                       --         169,933          956,266
Directors' Option Plan                       --          22,500           57,000
Other options                           374,226         507,800          451,111
                                        -------         -------        ---------
Total stock options outstanding         374,226         700,233        1,464,377
                                        =======         =======        =========



                                       28



<PAGE>

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

The HCIA Stock Option Plan provides  that up to 1,350,000  options may be issued
to employees of the Company. Options granted to date under this plan vest over a
period of three or four  years and  expire  ten  years  from date of grant.  The
Directors'  Option  Plan  provides  that up to 200,000  options may be issued to
outside  directors of the Company.  Options granted to date under this plan vest
over  periods  of one to two years and  expire ten years from the date of grant.
The Company has also issued  non-plan  options which generally vest over periods
of two or three  years  and  expire  six to ten years  from  date of  grant.  In
February  1995,  the  Company  issued a non-plan  option to its chief  executive
officer  which was fully  vested on the date of grant and expires ten years from
date of grant.  All stock  options  issued by the Company have been granted with
exercise  prices equal to or greater than the estimated fair market value of the
common stock on the date of grant.  Stock option  transactions are summarized as
follows:

<TABLE>
<CAPTION>
                                            1994                1995                  1996
                                     -----------------    -----------------  -------------------
                                              Weighted             Weighted             Weighted
                                               Average              Average              Average
                                              Exercise             Exercise             Exercise
                                      Shares    Price      Shares    Price     Shares     Price
                                     -------  --------    -------  --------  ---------  --------
<S><C>
Outstanding at beginning of year     164,997   $ 6.00     374,226   $ 8.62     700,233   $13.80
Granted                              217,563   $10.50     357,433   $18.99   1,524,000   $45.61
Exercised                                 --       --      (6,427)  $10.50     (62,605)  $ 9.27
Cancelled                             (8,334)  $ 6.00     (24,999)  $11.20    (697,251)  $58.35
Outstanding at end of year           374,226   $ 8.62     700,233   $13.80   1,464,377   $25.89
Options exercisable at end of year        --       --     186,867   $13.50     345,215   $13.13
</TABLE>

The  following  summarizes  information  about stock options  outstanding  as of
December 31, 1996:

<TABLE>
<CAPTION>
                                    Options Outstanding                            Options Exercisable
                      -----------------------------------------------         ---------------------------
                        Number        Weighted Avg.       Weighted              Number        Weighted
   Range of           Outstanding       Remaining          Average            Exercisable      Average
Exercise Prices       at 12/31/96   Contractual Life   Exercise Price         at 12/31/96  Exercise Price
- ---------------       -----------   ----------------   --------------         -----------  --------------
<S><C>
      $6                126,097            3.5           $ 6.00                 47,766         $ 6.00
  $10 to $15            367,848            7.8            12.43                265,215          12.83
  $25 to $30            797,932            9.7            28.30                 32,234          26.17
  $48 to $51             29,500            9.1            48.65                     --             --
    $59.88              143,000            9.6            59.88                     --             --
                      ---------            ---           ------                -------         ------
                      1,464,377            8.7           $25.89                345,215         $13.13
                      =========            ===           ======                =======         ======
</TABLE>

The Company applies APB No. 25 and related interpretations in accounting for its
stock  options.  Accordingly,  no  compensation  expense has been  recognized in
connection with its stock options.  Had  compensation  expense for the Company's
stock options been  determined  consistent  with SFASNo.  123, the Company's net
income and earnings  per share would have been reduced to the pro forma  amounts
indicated below:

                                          1994            1995            1996
                                         ------         --------       ---------
Net Income              As reported      $1,021         $(2,405)       $(42,267)
                          Pro forma      $  812         $(2,996)       $(43,795)
Earnings per share      As reported      $ 0.19         $ (0.31)       $  (4.19)
                          Pro forma      $ 0.15         $ (0.39)       $  (4.34)

The fair value of the options for purposes of the above pro forma disclosure was
calculated  using the  Black-Scholes  option  pricing  model  and the  following
assumptions:  a risk-free interest rate of 6.58%, weighted average expected life
of six to seven years, no dividend  payments and a volatility of 31.29% based on
the annualized 10 year industry average. The effects of applying SFAS No. 123 in
the pro forma net income and earnings per share for 1994,  1995 and 1996 may not
be representative of the effects on such pro forma information for future years.



                                       29


<PAGE>

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(11) DISCLOSURES ABOUT FAIR VALUE OF FINANCIAL INSTRUMENTS

The carrying  amount of cash and cash  equivalents,  trade accounts  receivable,
other  current  assets,  accounts  payable,  accrued  expenses and capital lease
obligations  approximates fair value because of the short-term maturity of these
instruments.  The fair value of  short-term  investments  is estimated  based on
quoted  market  prices for these or similar  investments.  The Company has notes
payable to individuals relating to certain of its business  acquisitions.  It is
not  practicable  to  estimate  the fair value of these notes since they are not
traded, no quoted values are readily available for similar financial instruments
and the Company believes it is not cost-effective to have valuations  performed.
However,  management  believes  that there has been no  permanent  change in the
value of such notes.


                                       30



<PAGE>

Item 9.           Changes in and  Disagreements  with  Accountants on Accounting
                  and Financial Disclosure.

                  Not applicable.

                                      -16-

<PAGE>

                                    PART III

Item 10. Directors and Executive Officers.

                  The  information  required  by this Item is  contained  in the
Company's Proxy Statement for the 1997 Annual Meeting of Stockholders  under the
headings  "Election of Directors" and  "Additional  Information -- Section 16(a)
Beneficial Ownership Reporting Compliance," and in Item 4A of this Form 10-K.

Item 11. Executive Compensation.

                  The  information  required  by this Item is  contained  in the
Company's Proxy Statement for the 1997 Annual Meeting of Stockholders  under the
heading "Executive Compensation and Other Information."

Item 12. Security Ownership of Certain Beneficial Owners and Management.

                  The  information  required  by this Item is  contained  in the
Company's Proxy Statement for the 1997 Annual Meeting of Stockholders  under the
heading "Security Ownership of Management and Certain Beneficial Owners."

Item 13. Certain Relationships and Related Transactions.

                  The  information  required  by this Item is  contained  in the
Company's Proxy Statement for the 1997 Annual Meeting of Stockholders  under the
heading "Certain Transactions."

                                      -17-

<PAGE>

                                     PART IV

Item 14. Exhibits, Financial Statements Schedules and Reports on Form 8-K.

         (a)      The following documents are filed as a part of this Report:

                  1. The following report and financial  statements are included
in Item 8 of this Report:


                     Independent Auditors' Report
                     Consolidated Balance Sheets
                     Consolidated Statements of Operations
                     Consolidated Statements of Changes in Stockholders' Equity
                     Consolidated Statements of Cash Flows
                     Notes to Consolidated Financial Statements

         (b)      Form 8-Ks:

                  1. On October 1, 1996,  the Company filed a Form 8-K enclosing
a press  release  announcing  the  preliminary  results  for the  quarter  ended
September 30, 1996.

                  2. On October 23, 1996,  the Company  filed a Form 8-K/A-2 (i)
enclosing a press release  announcing the results for the quarter ended June 30,
1996 and (ii)  including  the  following  financial  statements  relating to the
previously announced acquisition of LBA:

                     Financial Statements of Datis Corporation
                     Financial Statements of William M. Mercer, Incorporated
                        National Health Analysis Unit (CHAMP)
                     Financial Statements of HealthVISION, Inc.
                     Financial Statements of LBA Health Care Management, Inc.
                     Pro Forma Financial Statements

         (c)      Financial Statement Schedules:

                     Independent Auditors' Report on Schedule
                     Schedule II -- Valuation and Qualifying Accounts

                  All other  schedules  to the  financial  statements  for which
provision  is made  in the  accounting  regulations  of the  Commission  are not
applicable,  not  required  or the  information  is  included  in the  financial
statements or notes thereto and therefore have been omitted.

         (d)      Exhibits:

                                      -18-

<PAGE>

<TABLE>
<CAPTION>
       Exhibit
        Number                                   Description
       -------                                   -----------
<S> <C>
          3.1       ***      Articles of Incorporation of the Registrant, as amended to date.
          3.2                Bylaws of the Registrant, as amended to date.
         10.1       *        Employment Agreement dated as of January 1, 1995 by and between the
                             Registrant and George D. Pillari.
        10.1.1               First Amendment to Employment Agreement.
         10.2                HCIA Inc. 1994 Stock and Incentive Plan, as amended to date.
         10.3       **       Agreement dated December 4, 1992 by and among Healthcare Knowledge
                             Resources, Inc., the Registrant and the Commission on Professional and
                             Hospital Activities.
         10.4                HCIA Inc. 1995 Non-Employee Directors Stock Option Plan, as amended to
                             date.
         10.5       **       Tax Sharing Agreement by and among AMBAC Inc., AMBAC Indemnity
                             Corporation,   American   Municipal   Bond  Holding
                             Company  and the  Registrant  dated  as of July 18,
                             1991.
         10.6       ***      Form of Management Retention Agreement.
         10.7       *        Registration Rights Agreement, dated August 10, 1995, by and among the
                             Registrant, George D. Pillari, AMBAC Inc. and AMBAC Indemnity
                             Corporation.
         10.8       ***      Registration Rights Agreement, dated August 9, 1996, by and among the
                             Registrant and certain stockholders.
         10.9       ***      Credit Agreement,  dated August 8, 1996, by and
                             between   First  Union   National   Bank  of  North
                             Carolina, as Agent, and the Registrant.
         11.1                Statement regarding Computation of Per Share Earnings.
         21.1                Subsidiaries of the Registrant.
         23.1                Consent of KPMG Peat Marwick LLP.
         27.1                Financial Data Schedule
</TABLE>

- ------------
*        Incorporated by reference to the Registrant's Registration Statement on
         Form S-1. (File No. 33-94946).
**       Incorporated by reference to the Registrant's Registration Statement on
         Form S-1. (File No. 33-88226).
***      Incorporated by reference to the Registrant's Registration Statement on
         Form S-3. (File No. 333-08639).

                                      -19-

<PAGE>

                                   SIGNATURES

                  Pursuant  to the  requirements  of  Section 13 or 15(d) 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.

                                       HCIA INC.


                                       By:  /s/ George D. Pillari
                                            ----------------------------------
                                            George D. Pillari
                                            Chairman of the Board, President &
                                            CEO

                  Pursuant to the requirements of the Securities Exchange Act of
1934,  this report has been signed below by the  following  persons on behalf of
the registrant in the capacities and on the dates indicated.

         Signature                     Title                           Date
         ---------                     -----                           ----

/s/ George D. Pillari          Chairman of the Board,             March 28, 1997
- ---------------------------    President and Chief
George D. Pillari              Executive Officer
                               (principal executive
                                officer)

/s/ Barry C. Offutt            Senior Vice President              March 28, 1997
- ---------------------------    and Chief Financial Officer
Barry C. Offutt                (principal financial and]
                                accounting officer)

/s/ Phillip B. Lassiter        Director                           March 28, 1997
- ---------------------------
Phillip B. Lassiter

/s/ Richard Dulude             Director                           March 28, 1997
- ---------------------------
Richard Dulude

/s/ Richard Berman             Director                           March 28, 1997
- ---------------------------
Richard Berman

/s/ W. Grant Gregory           Director                           March 28, 1997
- ---------------------------
W. Grant Gregory

/s/ Mark C. Rogers             Director                           March 28, 1997
- ---------------------------
Mark C. Rogers

/s/ Carl J. Schramm            Director                           March 28, 1997
- ---------------------------
Carl J. Schramm


<PAGE>

                                  Exhibit Index

<TABLE>
<CAPTION>
                                                                                             Page No.
<S> <C>
3.1  ***      Articles of Incorporation of the Registrant, as amended to date................
3.2           Bylaws of the Registrant, as amended to date...................................
10.1 *        Employment Agreement dated as of January 1, 1995 by and between the
              Registrant and George D. Pillari...............................................
10.1.1        First Amendment to Employment Agreement........................................
10.2          HCIA Inc. 1994 Stock and Incentive Plan, as amended to date....................
10.3 **       Agreement dated December 4, 1992 by and among Healthcare Knowledge
              Resources, Inc., the Registrant and the Commission on Professional and
              Hospital Activities............................................................
10.4          HCIA Inc. 1995 Non-Employee Directors Stock Option Plan, as amended to date....
10.5 **       Tax Sharing  Agreement by and among AMBAC Inc., AMBAC Indemnity
              Corporation,  American  Municipal  Bond  Holding  Company  and the
              Registrant dated as of July 18, 1991...........................................
10.6 ***      Form of Management Retention Agreement.........................................
10.7 *        Registration Rights Agreement, dated August 10, 1995, by and among the
              Registrant, George D. Pillari, AMBAC Inc. and AMBAC Indemnity Corporation......
10.8 ***      Registration Rights Agreement, dated August 9, 1996, by and among the
              Registrant and certain stockholders............................................
10.9 ***      Credit Agreement, dated August 8, 1996, by and between First Union National
              Bank of North Carolina, as Agent, and the Registrant...........................
11.1          Statement regarding Computation of Per Share Earnings..........................
21.1          Subsidiaries of the Registrant.................................................
23.1          Consent of KPMG Peat Marwick LLP...............................................
27.1          Financial Data Schedule........................................................
</TABLE>

*        Incorporated by reference to the Registrant's Registration Statement on
         Form S-1 (File No. 33-94946).
**       Incorporated by reference to the Registrant's Registration Statement on
         Form S-1. (File No. 33-88226).
***      Incorporated by reference to the Registrant's Registration Statement on
         Form S-3. (File No. 333-08639).


<PAGE>

                          Independent Auditors' Report




The Board of Directors and Stockholders
HCIA Inc.:

Under date of January 23, 1997, we reported on the  consolidated  balance sheets
of HCIA Inc. and Subsidiaries  (the  Company) as of December  31, 1995 and 1996,
and the related consolidated  statements of operations, stockholders' equity and
cash  flows  for  each  of the years in the three-year period ended December 31,
1996, as contained in the annual  report on  Form 10-K  for  the year  1996.  In
connection  with  our  audits  of  the  aforementioned   consolidated  financial
statements,  we  also  audited  the  related  consolidated  financial  statement
schedule  in  the  Form  10-K.  This  financial   statement   schedule   is  the
responsibility of the Company's  management. Our  responsibility  is to  express
an  opinion  on  this  consolidated  financial  statement  schedule based on our
audits.

In our opinion, such consolidated financial statement schedule,  when considered
in relation to the basic  consolidated  financial  statements  taken as a whole,
presents fairly, in all material respects, the information set forth therein.

                                       KPMG PEAT MARWICK LLP

Baltimore, Maryland
January 23, 1997


<PAGE>

                SCHEDULE II --- VALUATION AND QUALIFYING ACCOUNTS

                                 (In thousands)

<TABLE>
<CAPTION>
                                      Balance at    Charged to    Deductions    Balance
                                      Beginning     Costs and                      at
Description                           of Period      Expenses                    End of
<S> <C>                                                                          Period
Allowance for Doubtful Accounts
    Year ended December 31, 1994.....    $499           $87       $(227)(A)        $359
    Year ended December 31, 1995.....     359           214        (119)(A)         454
    Year ended December 31, 1996.....     454           560          28 (A)       1,042
</TABLE>


(A)      Accounts receivable write-offs and recoveries


                                                                     Exhibit 3.2


                           AMENDED AND RESTATED BYLAWS
                                       OF
                                    HCIA INC.

                                    ARTICLE I

                                  STOCKHOLDERS

         Section 1. Annual  Meeting.  The annual meeting of  stockholders of the
Corporation  shall be held each year at the principal  office of the Corporation
in the State of Maryland,  or at such other place, during the month of April, at
such date,  hour and place  within or  without  the State as may be fixed by the
Board  of  Directors  for the  purpose  of  election  of  Directors  and for the
transaction of such other business as may properly come before the meeting.

         Section 2. Special  Meeting.  A special meeting of stockholders  may be
called by the Board of Directors or by the President to be held at the principal
office of the Corporation in the State of Maryland or at such other place as may
be  determined  by the Board of Directors  when such meeting is called.  Special
meetings of stockholders  shall also be called by the Secretary upon the written
request of the  holders of shares  entitled to cast not less than 25% of all the
votes entitled to be cast at such meeting;  provided,  however, unless requested
by stockholders  entitled to cast a majority of all votes entitled to be cast at
such  meeting,  a  special  meeting  need  not be  called  for  the  purpose  of
considering any matter which is  substantially  the same as a matter voted on at
any special  meeting of the  stockholders  held during the  preceding 12 months.
Such  request  shall state in general  terms the purpose of such meeting and the
matters proposed to be acted on at such meeting. The Secretary shall inform such
stockholders of the reasonably estimated cost of preparing and mailing notice of
the meeting and, upon payment to the  Corporation  of such costs,  the Secretary
shall give notice to each stockholder entitled to notice of the meeting.  Notice
of such special  meeting shall be given in the same manner as is provided in the
case of annual meetings.

         Section 3.  Notice.  Not less than 10 nor more than 90 days before each
meeting of stockholders,  the Secretary shall give to each stockholder  entitled
to vote at such  meeting  and to each  stockholder  not  entitled to vote who is
entitled to notice of the meeting,  written or printed  notice  stating the time
and place of the meeting  and, in the case of a special  meeting or as otherwise
may be required by statute, the purpose for which the meeting is called,  either
by mail or by presenting it to such  stockholder  personally or by leaving it at
his residence or usual place of business. If mailed, such notice shall be deemed
to be  given  when  deposited  in  the  United  States  mail  addressed  to  the
stockholder  at his post  office  address as it  appears  on the  records of the
Corporation, with postage thereon prepaid.


<PAGE>

         Section  4. Scope of  Notice.  No  business  shall be  transacted  at a
special  meeting of  stockholders  except that  designated  in the  notice.  Any
business of the  Corporation  may be  transacted at the annual  meeting  without
being specifically designated in the notice, except such business as is required
by statute to be stated in such notice.

         Section 5.  Quorum.  At any meeting of  stockholders,  the  presence in
person or by proxy of stockholders  entitled to cast a majority of all the votes
entitled to be cast at such meeting shall constitute a quorum;  but this section
shall not affect any  requirement  under any statute or the Charter for the vote
necessary for the adoption of any measure. If, however, such quorum shall not be
present at any meeting of the stockholders, the stockholders entitled to vote at
such meeting, present in person or by proxy, shall have the power to adjourn the
meeting  from time to time to a date not more than 120 days  after the  original
record date without  notice other than  announcement  at the meeting  until such
quorum shall be present.  At such  adjourned  meeting at which a quorum shall be
present,  any business may be transacted which might have been transacted at the
meeting as originally notified.

         Section  6.  Voting.  A  majority  of the votes  cast at a  meeting  of
stockholders duly called and at which a quorum is present shall be sufficient to
approve any matter which may properly come before the meeting,  unless more than
a majority of the votes cast is required  by statute or by the  Charter.  Unless
otherwise provided in the Charter,  each outstanding share of stock,  regardless
of class,  shall be entitled to one vote on each matter submitted to a vote at a
meeting of stockholders.

         Section 7. Proxies. A stockholder may vote the shares of stock owned of
record  by him,  either  in  person  or by  proxy  executed  in  writing  by the
stockholder  or by his duly  authorized  attorney  in fact.  Such proxy shall be
filed  with  the  Secretary  of the  Corporation  before  or at the  time of the
meeting.  No proxy  shall  be valid  after  eleven  months  from the date of its
execution, unless otherwise provided in the proxy.

         Section 8. Voting of Shares by Certain  Holders.  Shares  registered in
the name of another  corporation,  if entitled to be voted,  may be voted by the
President,  a  Vice-President  or  a  proxy  appointed  by  the  President  or a
Vice-President of such other corporation,  unless some other person who has been
appointed to vote such shares  pursuant to a bylaw or a resolution  of the Board
of Directors of such other  corporation  presents a certified copy of such bylaw
or resolution, in which case such person may vote such shares. Any fiduciary may
vote shares  registered  in his name as such  fiduciary,  either in person or by
proxy.

         Shares  of  its  own  stock  directly  or  indirectly   owned  by  this
Corporation  shall  not be voted at any  meeting  and shall  not be  counted  in
determining  the total number of

                                      -2-

<PAGE>

outstanding  shares entitled to be voted at any given time,  unless they are
held by it in a fiduciary  capacity,  in which case they may be voted and  shall
be  counted  in  determining  the  total  number of outstanding shares at any
given time.

         The Board of Directors  may adopt by  resolution a procedure by which a
stockholder may certify in writing to the  Corporation  that any shares of stock
registered  in the  name  of the  stockholder  are  held  for the  account  of a
specified person other than the stockholder.  The resolution shall set forth the
class of stockholders who may certify,  the purpose for which the  certification
may be made, the form of  certification  and the  information to be contained in
it; if the  certification  is with  respect  to a record  date or closing of the
stock  transfer  books,  the time after the record  date or closing of the stock
transfer  books  within  which  the  certification   must  be  received  by  the
Corporation;  and any other  provisions  with respect to the procedure which the
Board  of  Directors  considers  necessary  or  desirable.  On  receipt  of such
certification,  the person specified in the certification  shall be regarded as,
for the purposes set forth in the  certification,  the  stockholder of record of
the specified stock in place of the stockholder who makes the certification.

         Section 9. Inspectors. At any meetings of stockholders, the chairman of
the meeting may, or upon the request of any  stockholder  shall,  appoint one or
more persons as inspectors for such meeting. Such inspectors shall ascertain and
report  the  number  of shares  represented  at the  meeting  based  upon  their
determination of the validity and effect of proxies, count all votes, report the
results and perform  such other acts as are proper to conduct the  election  and
voting with impartiality and fairness to all the stockholders.

         Each report of an inspector shall be in writing and signed by him or by
a majority of them if there be more than one  inspector  acting at such meeting.
If there is more  than one  inspector,  the  report of a  majority  shall be the
report of the  inspectors.  The report of the  inspector  or  inspectors  on the
number of shares  represented at the meeting and the results of the voting shall
be prima facie evidence thereof.

         Section 10.  Informal  Action by  Stockholders.  Any action required or
permitted  to be taken at a  meeting  of  stockholders  may be taken  without  a
meeting if a consent in writing,  setting  forth such action,  is signed by each
stockholder entitled to vote on the matter and any other stockholder entitled to
notice of a meeting  of  stockholders  (but not to vote  thereat)  has waived in
writing any right to dissent from such  action,  and such consent and waiver are
filed with the minutes of proceedings of the stockholders.

                                      -3-

<PAGE>

         Section 11. Voting by Ballot. Voting on any question or in any election
may be viva voce unless the  presiding  officer  shall order or any  stockholder
shall demand that voting be by ballot.

         Section 12.  Nominations and Stockholder Business.

         (a) Annual  Meetings of  Stockholders.  (1)  Nominations of persons for
election to the Board of Directors and the proposal of business to be considered
by the  stockholders  may be made  at an  annual  meeting  of  stockholders  (i)
pursuant to the Corporation's notice of meeting,  (ii) by or at the direction of
the Board of Directors or (iii) by any  stockholder of the Corporation who was a
stockholder  of record at the time of  giving  of  notice  provided  for in this
Section 12(a),  who is entitled to vote at the meeting and who complied with the
notice procedures set forth in this Section 12(a).

                           (2) For  nominations or other  business to be
properly  brought before an annual meeting by a  stockholder  pursuant to clause
(iii) of paragraph  (a)(1) of this Section 12, the  stockholder  must have given
timely  notice  thereof in writing to the Secretary of the  Corporation.  To be
timely,  a  stockholder's  notice shall be delivered to the Secretary at the
principal executive offices of the Corporation not less than 60 days nor more
than 90 days  prior to the first  anniversary  of the preceding year's annual
meeting;  provided,  however, that in the event that the date of the annual
meeting is  advanced  by more than 30 days or delayed by more than 60 days from
such  anniversary  date,  notice by the stockholder to be timely must be so
delivered  not earlier than the 90th day prior to such annual meeting  and not
later than the close of  business  on the later of the 60th day prior to such
annual  meeting or the tenth day following the day on which public announcement
of the date of such  meeting  is first  made.  Such  stockholder's notice  shall
set forth (i) as to each person whom the  stockholder  proposes to nominate for
election or  reelection as a director all  information  relating to such person
that is required to be  disclosed  in  solicitations  of proxies for election
of  directors,  or is  otherwise  required,  in each case  pursuant to
Regulation  14A under the  Securities  Exchange  Act of 1934,  as  amended  (the
"Exchange Act")  (including such person's  written consent to being named in the
proxy  statement as a nominee and to serving as a director if elected);  (ii) as
to any other business that the stockholder proposes to bring before the meeting,
a brief  description  of the business  desired to be brought before the meeting,
the  reasons for  conducting  such  business  at the  meeting  and any  material
interest in such business of such  stockholder  and of the beneficial  owner, if
any,  on whose  behalf the  proposal  is made;  and (iii) as to the  stockholder
giving  the  notice  and the  beneficial  owner,  if any,  on whose  behalf  the
nomination or proposal is made, (x) the name and address of such stockholder, as
they appear on the Corporation's books, and of such beneficial owner and (y) the
number  of  shares  of each  class of stock of the

                                      -4-

<PAGE>

Corporation  which are owned beneficially and of record by such stockholder and
such beneficial owner.

                  (3)  Notwithstanding   anything  in  the  second  sentence  of
paragraph  (a)(2) of this  Section  12 to the  contrary,  in the event  that the
number of directors  to be elected to the Board of  Directors  is increased  and
there is no public  announcement  naming all of the  nominees  for  director  or
specifying the size of the increased  Board of Directors made by the Corporation
at least 70 days prior to the first  anniversary of the preceding  year's annual
meeting,  a  stockholder's  notice  required by this Section 12(a) shall also be
considered  timely,  but only with  respect to  nominees  for any new  positions
created by such  increase,  if it shall be  delivered  to the  Secretary  at the
principal  executive  offices  of the  Corporation  not later  than the close of
business on the tenth day following the day on which such public announcement is
first made by the Corporation.

         (b) Special Meetings of Stockholders.  Only such business as shall have
been brought before the meeting pursuant to the Corporation's  notice of meeting
shall be conducted at a special meeting of stockholders.  Nominations of persons
for  election  to the Board of  Directors  may be made at a special  meeting  of
stockholders  at  which  directors  are  to be  elected:  (i)  pursuant  to  the
Corporation's  notice of meeting;  (ii) by or at the  direction  of the Board of
Directors;  or (iii)  provided that the Board of Directors has  determined  that
directors  shall be elected at such special  meeting,  by any stockholder of the
Corporation  who is a  stockholder  of  record  at the time of  giving of notice
provided for in this Section  12(b),  who is entitled to vote at the meeting and
who complied with the notice  procedures set forth in this Section 12(b). In the
event the Corporation calls a special meeting of stockholders for the purpose of
electing one or more directors to the Board of Directors,  any such  stockholder
may  nominate  a person or  persons  (as the case may be) for  election  to such
position  as  specified  in  the  Corporation's   notice  of  meeting,   if  the
stockholder's  notice containing the information required by paragraph (a)(2) of
this Section 12 shall be delivered to the Secretary at the  principal  executive
offices of the  Corporation  not earlier than the 90th day prior to such special
meeting  and not later than the close of  business  on the later of the 60th day
prior to such special meeting or the tenth day following the day on which public
announcement  is  first  made of the  date  of the  special  meeting  and of the
nominees proposed by the Board of Directors to be elected at such meeting.

         (c) General. (1) Only such persons who are nominated in accordance with
the  procedures  set  forth in this  Section  12 shall be  eligible  to serve as
directors and only such business shall be conducted at a meeting of stockholders
as shall have been brought before the meeting in accordance  with the procedures
set forth in this Section 12. The  presiding  officer of the meeting  shall have
the power and duty to determine whether a nomination or any business proposed to
be brought  before the meeting was

                                      -5-

<PAGE>

made in accordance  with the  procedures  set forth in this Section 12 and, if
any proposed  nomination  or business is not in compliance  with this Section
12, to declare that such  defective  nomination or proposal be disregarded.

                  (2) For  purposes of this  Section 12,  "public  announcement"
shall mean disclosure in a press release reported by the Dow Jones News Service,
Associated  Press or comparable news service or in a document  publicly filed by
the Corporation with the Securities and Exchange  Commission pursuant to Section
13, 14 or 15(d) of the Exchange Act.

                  (3) Notwithstanding  the foregoing  provisions of this Section
12, a stockholder  shall also comply with all applicable  requirements  of state
law and of the  Exchange  Act and the  rules  and  regulations  thereunder  with
respect to the matters set forth in this Section 12.  Nothing in this Section 12
shall be deemed to affect any rights of  stockholders  to request  inclusion  of
proposals in the Corporation's  proxy statement pursuant to Rule 14a-8 under the
Exchange Act.

                                   ARTICLE II

                               BOARD OF DIRECTORS

         Section 1. Powers. The business and affairs of the Corporation shall be
managed  under  the  direction  of its  Board of  Directors.  All  powers of the
Corporation may be exercised by or under the authority of the Board of Directors
except as conferred on or reserved to the stockholders by law, by the Charter or
by these Bylaws.  A Director need not be a  stockholder.  The Board of Directors
shall  keep  minutes  of  its  meetings  and  full  and  fair  accounts  of  its
transactions.

         Section  2.  Number and Term of Office.  The Board of  Directors  shall
consist of such number of Directors as the Board of  Directors  shall  designate
from time to time.  The  members of the Board of  Directors  shall be elected to
serve for terms of three (3) years.  Unless otherwise provided in the applicable
resolution electing the Director,  a Director shall hold office until the annual
meeting  for the year in which  his term  expires  and until  his  successor  is
elected and qualifies, or until his death,  resignation or removal in the manner
provided in Section 9 of this Article II.

         Section 3.  Election  of  Directors.  The Board of  Directors  shall be
divided  into  three  classes.  Each  such  class  shall  consist,  as nearly as
possible,  of  one-third  of the total number of  Directors,  and any  remaining
Directors  shall be  included  within each such class or classes as the Board of
Directors shall designate. At each annual meeting of stockholders, successors to
the class of  Directors  whose term  expires  at that  annual

                                      -6-

<PAGE>

meeting  shall be elected  for a term of  three  years.  In the  event  of the
failure  to  elect Directors  at an annual  meeting  of the  stockholders,  then
Directors  may be elected at any regular or special meeting of  stockholders
entitled to vote for the election of  Directors,  provided  that notice of such
meeting shall contain mention of such purpose. If the number of Directors is
changed,  any increase or decrease shall be apportioned  among the classes so as
to maintain the number of Directors  in each  class as  nearly  equal as
possible.  Except  as  otherwise provided in the Charter, at each meeting of the
stockholders for the election of directors,  provided  a quorum is  present,
the  Directors  shall be chosen and elected by a plurality of the votes validly
cast at such election.

                   Section 4.  Vacancies.  If the  office of a Director  becomes
vacant for any reason  other than  removal or increase in the size of the Board,
such  vacancy  may be filled by the Board by a vote of a majority  of  Directors
then in office, although such majority is less than a quorum.

                   Section 5.  Annual  Meetings.  An annual  meeting of the
Board of  Directors  shall  immediately follow the  annual  meeting  of
stockholders  each  year.  No notice of the  annual  meeting  need be given to
the Directors.

                   Section 6. Special Meetings. Special Meetings of the Board of
Directors may be called at any time by the President,  Chairman of the Board or
by any two Directors, to be held at the principal office of the Corporation in
the State of Maryland,  or at such other  place or places as the  Directors  may
from time to time  designate.  Notice of special  meetings of the Board of
Directors shall be given to each  Director at least  twenty four (24) hours
prior to the meeting by service to the Director by  telegram,  letter or by
personal  notice,  including telephone notice.

                   Section 7. Quorum.  A quorum for the  transaction  of
business at every meeting of the Board of  Directors  shall  consist of a
majority of the Board of Directors,  and the vote of a majority of those
present at a meeting at which a quorum is present shall be required to pass any
measure or  resolution  unless a greater  number is required by statute or by
the Charter or by these Bylaws.  If less than a quorum of  Directors is present
at said  meeting,  a majority of the Directors  present may adjourn the  meeting
from time to time  without  further notice.  The  Directors  present  at a
meeting  which has been duly  called  and convened may continue to transact
business until  adjournment,  notwithstanding the withdrawal of enough Directors
to leave less than a quorum.

                   Section 8.  Telephone  Meetings.  Members of the Board of
Directors may participate  in  a  meeting  by  means  of a  conference
telephone  or  similar communications  equipment if all persons  participating
in the meeting can hear each other at the same time.

                                      -7-

<PAGE>

Participation  in a meeting by these  means  shall constitute presence in person
at the meeting.

         Section  9.  Informal  Action by  Directors.  Any  action  required  or
permitted  to be taken at any  meeting  of the Board of  Directors  may be taken
without a meeting,  if an unanimous  written consent which sets forth the action
is signed  by each  Director  and such  consent  is filed  with the  minutes  of
proceedings of the Board of Directors.

         Section 10. Compensation. Directors shall not receive any stated salary
for their services as Directors but, by resolution of the Board of Directors,  a
fixed sum and expenses of  attendance,  if any, may be allowed to Directors  for
attendance at each annual,  regular or special meeting of the Board of Directors
or of any committee thereof;  but nothing herein contained shall be construed to
preclude any Director  from serving the  Corporation  in any other  capacity and
receiving compensation therefor.

         Section 11. Removal of Directors.  Any Director of the  Corporation may
be removed  with cause by the  affirmative  vote of the holders of  seventy-five
percent  (75%)  of all the  votes  entitled  to be  cast  for  the  election  of
Directors,  but no Director may be removed by the  stockholders  without  cause.
Except as otherwise provided by contract,  any vacancy in the Board of Directors
caused by any such removal may be filled at such meeting or any  adjournment  of
such  meeting by the  holders of shares of stock of all classes  representing  a
majority of the aggregate  number of votes of the shares of stock of all classes
then issued,  outstanding and entitled to vote for the election of Directors. If
such stockholders do not fill such vacancy at such meeting,  such vacancy may be
filled in any other manner permitted by law.

                                   ARTICLE III

                                   COMMITTEES

         Section 1. Number,  Tenure and  Qualifications.  The Board of Directors
may appoint from among its members an Executive  Committee and other committees,
composed  of two or more  Directors,  to serve at the  pleasure  of the Board of
Directors.

         Section 2. Powers.  The Board of Directors  may delegate to committees
appointed  under Section 1 of this Article any of the powers of the Board of
Directors except as prohibited by law.

         Section  3.  Meetings.  In the  absence  of  any  member  of  any  such
committee,  the  members  thereof  present at any  meeting,  whether or not they
constitute  a quorum,  may appoint a Director to act in the place of such absent
member.

                                      -8-

<PAGE>

         Section 4. Telephone  Meetings.  Members of a committee of the Board of
Directors  may  participate  in a meeting by means of a conference  telephone or
similar communications equipment if all persons participating in the meeting can
hear each other at the same  time.  Participation  in a meeting  by these  means
shall constitute presence in person at the meeting.

         Section  5.  Informal  Action by  Committees.  Any action  required  or
permitted  to be taken at any meeting of a committee  of the Board of  Directors
may be taken  without a meeting,  if an unanimous  consent  which sets forth the
action is signed by each member of the  committee and such consent is filed with
the minutes of the proceedings of such committee.

         Section 6. Minutes of Meetings.  The minutes of any meeting of a
committee  shall be  distributed  to each member of the Board of Directors.

                                   ARTICLE IV

                                    OFFICERS

         Section 1. General  Provisions.  The officers of the Corporation  shall
consist of a President,  Secretary and Treasurer and also may consist of a Chief
Executive Officer, Chief Operating Officer, Chief Financial Officer, Chairman of
the Board, a Vice Chairman of the Board, additional Vice Presidents, one or more
Assistant Treasurers,  one or more Assistant Secretaries and such other officers
as the Board may determine  from time to time.  The officers of the  Corporation
shall be elected  annually by the Board of Directors at the first meeting of the
Board of  Directors  held after each  annual  meeting  of  stockholders.  If the
election of officers  shall not be held at such meeting,  such election shall be
held as soon  thereafter  as may be  convenient.  Each officer shall hold office
until  his  successor  is  duly  elected  and  qualifies  or  until  his  death,
resignation  or  removal  in the manner  hereinafter  provided.  Any two or more
offices except  President and Vice President may be held by the same person.  In
its  discretion,  the Board of Directors may leave vacant any office except that
of President,  Treasurer and Secretary. Election or appointment of an officer or
agent shall not in itself create  contract  rights between the  Corporation  and
such officer or agent.

         Section 2.  Removal.  Any  officer or agent of the  Corporation  may be
removed by the Board of Directors  if in its judgment the best  interests of the
Corporation would be served thereby, but such removal shall be without prejudice
to the contract rights, if any, of the person so removed.

                                      -9-

<PAGE>

         Section 3.  Vacancies.  A vacancy in any office may be filled by the
Board of Directors.

         Section 4.  President.  The  President  shall in general  supervise and
control all of the business and affairs of the Corporation. Unless the President
is not a member of the Board of  Directors,  in the absence of both the Chairman
and the  Vice-Chairman  of the Board,  he shall  preside at all  meetings of the
Board of Directors and of the stockholders at which he shall be present.  In the
absence of a designation of a Chief Executive Officer by the Board of Directors,
the  President  shall be the Chief  Executive  Officer and shall be ex officio a
member of all  committees  that may,  from time to time, be  constituted  by the
Board of Directors.  He may execute any deed, mortgage,  bond, contract or other
instrument  which the Board of Directors has authorized to be executed except in
cases where the execution  thereof shall be expressly  delegated by the Board of
Directors or by these Bylaws to some other  officer or agent of the  Corporation
or shall be  required  by law to be  otherwise  executed;  and in general  shall
perform all duties  incident to the office of President and such other duties as
may be prescribed by the Board of Directors from time to time.

         Section 5. Vice  Presidents.  In the absence of the President or in the
event of a vacancy in such office,  the Vice President (or in the event there be
more than one Vice President, the Vice Presidents in the order designated at the
time of their election or, in the absence of any designation,  then in the order
of their  election) shall perform the duties of the President and when so acting
shall have all the powers of and be  subject  to all the  restrictions  upon the
President;  and  shall  perform  such  other  duties as from time to time may be
assigned  to him by the  President  or by the Board of  Directors.  The Board of
Directors  may designate  one or more Vice  Presidents  as executive,  senior or
Assistant  Vice  President  or  as  Vice  President  for  particular   areas  of
responsibility.

         Section 6. Secretary.  The Secretary shall: (a) keep the minutes of the
proceedings  of the  stockholders,  the Board of Directors and committees of the
Board in one or more books  provided for that purpose;  (b) see that all notices
are duly given in accordance  with the provisions of these Bylaws or as required
by  law;  (c) be  custodian  of the  corporate  records  and of the  seal of the
Corporation,  if the  Corporation  shall have a seal; (d) keep a register of the
post  office  address  of each  stockholder  which  shall  be  furnished  to the
Secretary by such  stockholder;  (e) have general  charge of the stock  transfer
books of the  Corporation;  and (f) in general perform such other duties as from
time  to  time  may be  assigned  to him by the  President  or by the  Board  of
Directors.

         Section 7.  Treasurer.  The  Treasurer  shall  have the  custody of the
corporate  funds and  securities  and shall keep full and  accurate  accounts of
receipts  and  disbursements  in books  belonging to the  Corporation  and shall
deposit all moneys and other  valuable

                                      -10-

<PAGE>

effects in the name and to the credit of the  Corporation  in such  depositories
as may be  designated  by the  Board of Directors.

         He shall disburse the funds of the Corporation as may be ordered by the
Board of Directors,  taking proper  vouchers for such  disbursements,  and shall
render to the President and Board of Directors,  at the regular  meetings of the
Board or whenever  they may require  it, an account of all his  transactions  as
Treasurer and of the financial condition of the Corporation.

         If required by the Board of Directors,  he shall give the Corporation a
bond in such sum and with such surety or sureties  as shall be  satisfactory  to
the Board of Directors for the faithful  performance of the duties of his office
and for the restoration to the Corporation,  in case of his death,  resignation,
retirement or removal from office, all books, papers,  vouchers, money and other
property of whatever kind in his  possession  or under his control  belonging to
the Corporation.

         Section  8.  Chief  Executive  Officer.  The  Board  of  Directors  may
designate  a  Chief  Executive  Officer,   who  shall  have  responsibility  for
implementation of the policies of the Corporation, as determined by the Board of
Directors,   and  for  the   administration  of  the  business  affairs  of  the
Corporation.

         Section  9.  Chief  Operating  Officer.  The  Board  of  Directors  may
designate a Chief Operating  Officer,  who shall have the  responsibilities  and
duties as set forth by the Board of Directors or the Chief Executive Officer.

         Section  10.  Chief  Financial  Officer.  The  Board of  Directors  may
designate a Chief Financial  Officer,  who shall have the  responsibilities  and
duties as set forth by the Board of Directors or the Chief Executive Officer.

         Section 11. Chairman and  Vice-Chairman  of the Board.  The Chairman of
the Board,  if one is elected,  shall  preside over the meetings of the Board of
Directors and of the  stockholders at which he shall be present.  In the absence
of the Chairman of the Board,  the  Vice-Chairman  of the Board shall preside at
such  meetings at which he shall be present.  The  Chairman of the Board and the
Vice-Chairman of the Board shall, respectively, perform such other duties as may
be assigned to him or them by the Board of Directors.

         Section  12.  Assistant  Secretaries  and  Assistant  Treasurers.   The
Assistant Secretaries and Assistant Treasurers,  in general,  shall perform such
duties as shall be assigned to them by the Secretary or Treasurer, respectively,
or by the President or the Board of Directors.  The Assistant  Treasurers shall,
if required by the Board of Directors,

                                      -11-

<PAGE>

give bonds for the faithful  performance of their duties in such sums and with
such sureties as shall be  satisfactory to the Board of Directors.

         Section 13.  Compensation.  The  compensation  of the officers shall be
fixed  from  time to time by the  Board of  Directors  and no  officer  shall be
prevented from receiving such compensation by reason of the fact that he is also
a Director of the Corporation.

                                    ARTICLE V

                      CONTRACTS, LOANS, CHECKS AND DEPOSITS

         Section 1. Contracts.  The Board of Directors may authorize any officer
or agent to enter into any contract or to execute and deliver any  instrument in
the name of and on behalf of the  Corporation  and such authority may be general
or confined to specific instances.

         Section 2. Checks and Drafts.  All checks,  drafts or other  orders for
the payment of money,  notes or other  evidences of  indebtedness  issued in the
name of the  Corporation  shall be signed by such officer or officers,  agent or
agents  of the  Corporation  and in such  manner  as shall  from time to time be
determined by the Board of Directors.

         Section  3.  Deposits.  All  funds  of the  Corporation  not  otherwise
employed shall be deposited  from time to time to the credit of the  Corporation
in such banks,  trust companies or other  depositories as the Board of Directors
may designate.

                                   ARTICLE VI

                                 SHARES OF STOCK

         Section 1. Certificates of Stock. Each stockholder shall be entitled to
a certificate or  certificates  which shall  represent and certify the number of
shares of each class of stock held by him in the  Corporation.  Each certificate
shall be signed by the  President or  Vice-President  and  countersigned  by the
Secretary or an Assistant  Secretary or the Treasurer or an Assistant  Treasurer
and may be sealed with the corporate  seal.  The signatures may be either manual
or  facsimile.   Certificates  shall  be  consecutively  numbered;  and  if  the
Corporation shall, from time to time, issue several classes of stock, each class
may have its own number series. A certificate is valid and may be issued whether
or not an  officer  who signed it is still an  officer  when it is issued.  Each
certificate  representing stock which is restricted as to its transferability or
voting  powers,  which is preferred or limited as to its  dividends or as to its
share of the assets upon liquidation or which is redeemable at the option of the
Corporation, shall have a statement of such restriction,  limitation, preference

                                      -12-

<PAGE>

or  redemption  provision,   or  a  summary  thereof,   plainly  stated  on  the
certificate. In lieu of such statement of summary, the Corporation may set forth
upon the face or back of the certificate a statement that the  Corporation  will
furnish to any stockholder, upon request and without charge, a full statement of
such information.

         Section 2. Transfers of Stock. Upon surrender to the Corporation or the
transfer  agent of the  Corporation  of a certificate  of stock duly endorsed or
accompanied  by proper  evidence  of  succession,  assignment  or  authority  to
transfer,  the Corporation  shall issue a new certificate to the person entitled
thereto, cancel the old certificate and record the transaction upon its books.

         The Corporation  shall be entitled to treat the holder of record of any
share or shares of stock as the holder in fact thereof and,  accordingly,  shall
not be bound to  recognize  any  equitable or other claim to or interest in such
share on the part of any other  person,  whether or not it shall have express or
other notice thereof,  except as otherwise  provided by the laws of the State of
Maryland.

         Section 3. Lost  Certificate.  The Board of Directors  may direct a new
certificate to be issued in place of any  certificate  previously  issued by the
Corporation alleged to have been lost, stolen or destroyed upon the making of an
affidavit  of that fact by the person  claiming the  certificate  of stock to be
lost, stolen or destroyed. When authorizing such issue of a new certificate, the
Board of Directors may, in its  discretion  and as a condition  precedent to the
issuance  thereof,   require  the  owner  of  such  lost,  stolen  or  destroyed
certificate or his legal  representative to advertise the same in such manner as
it shall require and/or to give bond, with sufficient surety, to the Corporation
to  indemnify  it against  any loss or claim  which may arise as a result of the
issuance of a new certificate.

         Section 4.  Closing of  Transfer  Books or Fixing of Record  Date.  The
Board of  Directors  may set,  in  advance,  a record  date for the  purpose  of
determining  stockholders  entitled  to notice of or to vote at any  meeting  of
stockholders, or stockholders entitled to receive payment of any dividend or the
allotment  of  any  other  rights,  or in  order  to  make  a  determination  of
stockholders for any other proper purpose.  Such date, in any case, shall not be
prior to the close of  business on the day the record date is fixed and shall be
not more than 90 days,  and in the case of a meeting  of  stockholders  not less
than 10  days,  before  the date on  which  the  meeting  or  particular  action
requiring such determination of stockholders is to be held or taken.

         In lieu of fixing a record  date,  the Board of  Directors  may provide
that the stock transfer books shall be closed for a stated period but not longer
than 20 days.  If the  stock  transfer  books  are  closed  for the  purpose  of
determining  stockholders  entitled  to  notice  of

                                      -13-

<PAGE>

or to vote at a  meeting  of stockholders, such books shall be closed for at
least 10 days before the date of such meeting.

         If no record date is fixed and the stock  transfer books are not closed
for the determination of stockholders, (a) the record date for the determination
of  stockholders  entitled to notice of or to vote at a meeting of  stockholders
shall be at the close of  business  on the day on which the notice of meeting is
mailed or the 30th day before the  meeting,  whichever is the closer date to the
meeting; and (b) the record date for the determination of stockholders  entitled
to receive  payment of a dividend or an  allotment  of any other rights shall be
the  close  of  business  on the day on which  the  resolution  of the  Board of
Directors, declaring the dividend or allotment of rights, is adopted.

         When a determination of stockholders entitled to vote at any meeting of
stockholders has been made as provided in this section, such determination shall
apply to any adjournment  thereof,  except where the determination has been made
through the closing of the stock transfer books and the stated period of closing
has expired.

         Section  5.  Stock  Ledger.  The  Corporation  shall  maintain  at  its
principal office or at the office of its counsel, accountants or transfer agent,
an original or duplicate  stock ledger  containing  the name and address of each
stockholder  and the  number  of  shares  of  stock of each  class  held by such
stockholder.

                                   ARTICLE VII

                                    DIVIDENDS

         Section 1.  Declaration.  Dividends  upon the shares of stock of the
Corporation  may be  declared by the Board of  Directors,  subject to the
provisions of law and the Charter of the  Corporation.  Dividends may be paid in
cash,  property  or  shares  of the  Corporation,  subject  to the  provisions
of law and the  Charter  of the Corporation.

         Section 2. Contingencies. Before payment of any dividends, there may be
set aside out of any funds of the  Corporation  available for dividends such sum
or sums as the  Board of  Directors  may  from  time to  time,  in its  absolute
discretion,  think proper as a reserve fund for  contingencies,  for  equalizing
dividends,  for repairing or maintaining  any property of the Corporation or for
such other purpose or purposes as the Board of Directors  shall  determine to be
in the best interest of the  Corporation,  and the Board of Directors may modify
or abolish any such reserve in the manner in which it was created.

                                      -14-

<PAGE>


                                  ARTICLE VIII

                                      SEAL

         Section 1. Seal. The corporate seal, if the Corporation shall decide to
have a seal, shall have inscribed thereon the name of the Corporation,  the year
of its  organization  and the  word  "Maryland".  The  Board  of  Directors  may
authorize one or more duplicate seals and provide for the custody thereof.

         Section 2. Affixing Seal. Whenever the Corporation is required to place
its  corporate  seal  to  a  document,  it  shall  be  sufficient  to  meet  the
requirements  of any law,  rule or  regulation  relating to a corporate  seal to
place the word "(SEAL)"  adjacent to the  signature of the person  authorized to
execute the document on behalf of the Corporation.

                                   ARTICLE IX

                                   FISCAL YEAR

         The  fiscal  year  of the  Corporation  shall  end on the  31st  day of
December of each year unless otherwise provided by the Board of Directors.

                                    ARTICLE X

                                 INDEMNIFICATION

         Section 1. General. The Corporation shall indemnify: (i) any individual
who is a present or former Director or officer of the  Corporation;  or (ii) any
individual who serves or has served in another corporation,  partnership,  joint
venture,  trust,  employee benefit plan or any other enterprise as a director or
officer,  or as a partner or trustee of such  partnership  or  employee  benefit
plan,  at the  request of the  Corporation  and who by reason of service in that
capacity was, is or is threatened to be made a party to any threatened,  pending
or completed action, suit or proceeding, whether civil, criminal, administrative
or  investigative,  to the full  extent  permitted  under the  Maryland  General
Corporation  Law.  The  Corporation  may,  with  the  approval  of its  Board of
Directors,  provide  such  indemnification  for a person who  formerly  served a
predecessor of the Corporation in any of the capacities described in (i) or (ii)
above and for any employee or agent of the  Corporation  or a predecessor of the
Corporation.

         Section 2. Advancement of Expenses.  Reasonable  expenses incurred by a
Director  or  officer  who  is or is  threatened  to be  made  a  party  to  any
threatened,  pending or completed  action,  suit or  proceeding,  whether civil,
criminal,  administrative or

                                      -15-

<PAGE>

investigative,  shall be paid or reimbursed by the Corporation in advance of the
final  disposition of the proceeding  upon receipt by  the  Corporation  of:
(i)  a  written  affirmation  by  the  party  seeking indemnification  that he
has a good faith  belief  that the  standard of conduct necessary for
indemnification  by the Corporation as authorized herein has been met;  and (ii)
a  written  undertaking  by or on  behalf  of the  party  seeking
indemnification  to repay the amount if it shall  ultimately be determined  that
the standard of conduct has not been met.

                                   ARTICLE XI

                                WAIVER OF NOTICE

         Whenever any notice is required to be given  pursuant to the Charter or
Bylaws of the  Corporation  or pursuant to applicable  law, a waiver  thereof in
writing, signed by the person or persons entitled to such notice, whether before
or after the time stated  therein,  shall be deemed  equivalent to the giving of
such  notice.  Neither the business to be  transacted  at nor the purpose of any
meeting need be set forth in the waiver of notice,  unless specifically required
by statute.  The  attendance  of any person at any meeting  shall  constitute  a
waiver of notice of such meeting, except where such person attends a meeting for
the express  purpose of  objecting  to the  transaction  of any  business on the
ground that the meeting is not lawfully called or convened.

                                   ARTICLE XII

                               AMENDMENT OF BYLAWS

         Any  provision of these  Bylaws may be altered,  amended or repealed at
any regular or special meeting of the  stockholders or of the Board of Directors
by vote of not  less  than a  majority  of the  aggregate  number  of the  votes
entitled to be cast  thereon,  except that Sections 2, 3 and 9 of ARTICLE II and
this ARTICLE XII may be altered, amended or repealed, and any bylaw or provision
of the  Charter  of the  Corporation  inconsistent  with  Sections  2, 3 or 9 of
ARTICLE II or this ARTICLE XII may be adopted,  only by the authorization of not
less  than  seventy-five  percent  (75%) of the  aggregate  number  of the votes
entitled  to be cast  thereon  by either  the  stockholders  of the  Corporation
(considered for this purpose as a single class) or by the Board of Directors, as
applicable.

                                      -16-

<PAGE>


         The foregoing  are certified as the Amended and Restated  Bylaws of the
Corporation as of January 1, 1997.



                                             /s/ Charles A. Berardesco
                                             --------------------------------
                                             Charles A. Berardesco, Secretary


                                                                  Exhibit 10.1.1

                    FIRST AMENDMENT TO EMPLOYMENT AGREEMENT

         THIS FIRST  AMENDMENT TO  EMPLOYMENT  AGREEMENT is dated as of November
13, 1996, by and between HCIA INC., a Maryland  corporation  (the "Company") and
GEORGE D. PILLARI (the "Executive").

                                 R E C I T A L S

         WHEREAS,  the  Company and the  Executive  entered  into an  Employment
Agreement, dated as of January 1, 1995 (the "Employment Agreement"), pursuant to
which the  Executive  serves as the Chairman of the Board,  President  and Chief
Executive Officer of the Company.

         WHEREAS,  the Company and the Executive  desire to amend the Employment
Agreement  to  provide  for  certain  additional  terms  as  further  set  forth
hereinbelow.

         NOW,  THEREFORE,  in  consideration  of the  premises  and  the  mutual
covenants herein contained, the parties hereto agree as follows:

         1.       Definitions.  Except as otherwise  defined herein,  any
capitalized  term used herein shall have the meaning set forth in the Employment
Agreement.

         2.       Amendment to Section  4(b)(i).  Section 4(b)(i) of the
Employment  Agreement is hereby amended by deleting the penultimate sentence
thereof and inserting the following in lieu thereof:

                  "(i) As used herein,  the  "Severance  Amount"  shall mean two
times the sum of (x) the  Executive's  highest Salary and (y) the highest Target
Bonus  percentage paid or payable to the Executive at any time prior to the date
of such  termination or  resignation  (such sum being not less than 140% of such
salary).  (For purposes of calculating  the Severance  Amount,  the Target Bonus
shall include cash bonuses and the value on the grant date, as determined by the
Compensation  Committee of the Board of Directors,  of any restrictive  stock or
restrictive  stock units or other awards  granted in lieu of cash, but excluding
the value of any stock options)."

         3.       Amendment  to  Section  6(a)  of  the  Employment  Agreement.
Section  6(a)  of  the  Employment Agreement is hereby amended by adding the
following after subparagraph (iv) therein:

                  "(v) the Executive shall be fully vested in all stock options,
restrictive stock,  restrictive stock units and other awards theretofore awarded
under the Company's 1994 Stock and Incentive Plan, as amended,  or any successor
thereto;

                  (vi) for the purposes of calculating the  Executive's  benefit
under any in force retirement plan (the "Retirement  Plan"), the Executive shall
receive an additional two (2) years of credited service;

<PAGE>

                  (vii) within five  business  days  following  the  Executive's
termination  of  employment,  the  Company  shall make a lump sum payment to the
Executive  equal to the amount that the Company would have  contributed  for the
Executive's account under the Company's Savings Incentive Plan (or any successor
plan) (the "SIP") in respect of the two years following the date of termination,
based on (A) the formula for determining employer contributions in effect on the
date of  termination  and (B) the  Executive's  Salary and Target Bonus used for
purposes of determining  the Severance  Amount,  and  calculated  without giving
effect to the  limitations  provided for in Sections  401(a)(17)  and 415 of the
Internal  Revenue  Code of 1986,  as  amended  (the  "Code"),  or any  successor
provisions thereto;

                  (viii)  within  five  business  days  following  the  date  of
termination of employment, the Executive shall receive a lump sum payment of his
account balance as of the date of termination of any non-qualified plan, if any,
maintained by the Company or any of its affiliates to provide benefits in excess
of those  permitted  under the Code to be provided by the  Retirement  Plan. The
Company shall remain obligated to pay to the Executive or his  beneficiaries any
benefits  to which he or they  may be  entitled  under  any  non-qualified  plan
maintained by the Company or any of its affiliates  providing benefits in excess
of those permitted under the Code to be provided by the Retirement Plan, if any;
such  payments  shall be made in  accordance  with the terms of such plans,  and
benefits  thereunder shall take account of the two years of additional  credited
service provided for in subclause (vii) above;

                  (ix)  for  a  period  of  two  years  following  the  date  of
termination of employment  (the  "Continuation  Period"),  the Executive and his
dependents, if any, shall continue to participate (at no greater expense to them
then was the case for such coverage  prior to his  termination)  in the employee
benefit  arrangements  described in Section 3(d) hereunder;  provided,  however,
that the benefits shall cease to the extent the Executive  begins coverage under
the plans of a subsequent employer;

                  (x) at the end of the Continuation  Period,  the Executive and
his dependents shall be entitled to, for the remainder of his life,  medical and
dental benefits under any applicable  plans and programs of the Company as if he
retired  on the last day of the  Continuation  Period,  with  such  benefits  to
commence  immediately at the end of the Continuation  Period and with the amount
of  contributions  by the  Executive  to be no  greater  than  that of any other
employee  of the  Company  who had  retired on the last day of the  Continuation
Period  (it being  understood  and  agreed  that the  contribution  rates may be
changed, and the terms of such benefits may be modified, to the extent permitted
under the relevant plans, from those in effect on the date thereof);

                  (xi) during the Continuation Period, the Company shall provide
the Executive with appropriate  individual  outplacement  services and financial
planning at the Company's expense;

                                      -2-

<PAGE>

                  (xii)  the  Executive  shall  be  fully  vested  in all  stock
options,  restrictive  stock,  restrictive  stock  units  and any  other  awards
theretofore awarded to him under the Company's 1994 Stock and Incentive Plan, as
amended, and any successor thereto; and

                  (xiii) the  Executive  shall  receive  all  amounts due to him
under any  compensatory  plan or arrangement of the Company and not specifically
addressed  above,  in  accordance  with  the  terms  of  the  relevant  plan  or
arrangement."

         4.       Amendment to Section 6.

                  Section  6 is  hereby  amended  by adding  the  following  new
subsection 6(c) thereto:

                  "(c) Upon any Change in Control,  the Executive shall be fully
vested in all stock options,  restrictive stock, restrictive stock units and any
other  awards  therefore  awarded  to him under  the  Company's  1994  Stock and
Incentive Plan, as amended, or any successor thereto."

         5.       Amendment to Section  10(b)(i).  Section  10(b)(i)  is  hereby
amended to change the  addressee of notices to the Company as follows:

                  "(i)     To the Company:

                                    HCIA Inc.
                                    300 East Lombard Street
                                    Baltimore, Maryland 21202
                                    Attention:  General Counsel"

         6.       Other  Provisions.  Except as amended  hereby,  the Employment
Agreement  shall continue in full force and  effect  in   accordance   with  its
terms.  This  First  Amendment  shall be  construed  and  enforced in accordance
with the laws of the State of Maryland, exclusive of its conflicts of laws
provision.

         IN WITNESS  WHEREOF,  the parties have executed this First Amendment as
of the date first set forth hereinabove.

                                  HCIA INC.

                                  By:  /s/ Charles A. Berardesco
                                       _______________________________________
                                       Charles A. Berardesco
                                       Senior Vice President & General Counsel

                                  EXECUTIVE:

                                       /s/ George D. Pillari
                                       _______________________________________
                                       George D. Pillari





                                                                    Exhibit 10.2
                                    HCIA INC.

                          1994 STOCK AND INCENTIVE PLAN

                      As Amended Through November 13, 1996


Section 1.        Purpose

                  The  purpose of the HCIA Inc.  1994 Stock and  Incentive  Plan
(the "Plan") is to attract and retain  outstanding  individuals as Key Employees
of HCIA Inc. (the "Company") and its Affiliates,  as hereinafter defined, and to
motivate  such  individuals  to achieve the long-term  performance  goals of the
Company  by  providing  incentives  to such  individuals  in the  form of  stock
ownership or monetary  payments  based on the value of the capital  stock of the
Company or its financial  performance,  or both, on the terms and conditions set
forth herein.


Section 2.        Definitions

                  As used in the Plan and unless the context  clearly  indicates
otherwise,  the  following  terms shall have the  respective  meanings set forth
below:

                  (a)      "Affiliate"  shall  mean  any  entity  that, directly
or  indirectly,  controls  or is controlled by the Company.

                  (b)      "Award" shall mean  any  Option,  Stock  Appreciation
Right,  Restricted Stock,  Restricted Stock Unit or  Performance  Award  granted
under the Plan.

                  (c)  "Award  Agreement"  shall  mean  any  written  agreement,
contract or other instrument or document  evidencing any Award granted under the
Plan.

                  (d)  "Beneficiary"  shall  mean the person  designated  by the
Participant,  on a form provided by the Company,  to exercise the  Participant's
rights in accordance with Section 7(h) of the Plan in the event of death, or, if
no such person is  designated,  the estate or personal  representatives  of such
Participant.

                  (e)      "Board   of   Directors"   shall  mean  the  Board of
Directors of the Company.

                  (f)      "Code" shall mean the Internal Revenue Code of  1986,
as amended.

                  (g)      "Commission"  shall mean the United States Securities
and Exchange  Commission or any successor agency.


<PAGE>

                  (h) "Committee"  shall mean the Compensation  Committee of the
Board of Directors.  The Committee  shall be composed of two or more  directors,
all of whom shall be  "disinterested  persons"  within the meaning of Rule 16b-3
and "outside  directors" within the meaning of Section  162(m)(4)(C) of the Code
and any regulations issued thereunder.

                  (i) "Disability"  shall mean a total and permanent  disability
within the meaning of the Company's  long-term  disability plan, as amended from
time to time.

                  (j)      "Exchange Act" shall mean the Securities Exchange Act
of 1934, as amended.

                  (k) "Fair Market  Value" shall mean the average of the highest
and lowest selling prices of the Shares as reported on the National  Association
of Securities Dealers Automated  Quotation System National Market System or such
other national  securities exchange as may be designated by the Committee or, in
the event that the Shares  are not listed for  trading on a national  securities
exchange,  the average of the highest and lowest  quoted  selling  prices of the
Shares as reported by the National  Association of Securities  Dealers Automated
Quotation System  ("NASDAQ") or, if not listed on NASDAQ,  the fair market value
of the  Shares as  determined  in good  faith by the Board of  Directors  or the
Committee, in any such case as of the valuation date.

                  (l) "Incentive Stock Option" shall mean a stock option granted
under  Section  7(a) of the Plan that is  intended to meet the  requirements  of
Section 422 of the Code or any successor provision thereto.

                  (m)      "Key  Employee"  shall  mean  any  officer  or  other
employee  of the  Company  or any Affiliate who is described in Section 6 of the
Plan.

                  (n)  "Non-Qualified  Stock  Option"  shall mean a stock option
granted  under  Section 7(a) of the Plan that is not intended to be an Incentive
Stock Option.

                  (o)      "Option" shall mean an Incentive Stock  Option  or  a
Non-Qualified Stock Option.

                  (p)      "Participant"  shall  mean  a  Key  Employee  who  is
designated  to be  granted  or has received an Award under the Plan.

                  (q)      "Performance Award"  shall  mean  any  Award  granted
under Section 7(d) of the Plan.

                  (r)   "Person"   shall  mean  any   individual,   corporation,
partnership, limited liability company, association, joint-stock company, trust,
unincorporated organization or government or political subdivision thereof.

                                      -2-

<PAGE>

                  (s) "Released  Securities"  shall mean  Restricted  Stock with
respect  to which  all  applicable  restrictions  have  expired,  lapsed or been
waived.

                  (t)      "Restricted  Stock" shall mean any Shares granted and
issued under  Section 7(c) of the Plan.

                  (u) "Restricted Stock Unit" shall mean any Award granted under
Section 7(c) of the Plan that is denominated in Shares.

                  (v)   "Restriction   Period"  shall  mean,   with  respect  to
Restricted  Stock or Restricted  Stock Units,  that period of time determined by
the Committee pursuant to Section 7(c) of the Plan.

                  (w)  "Retirement"  shall mean  termination of a  Participant's
employment  with the Company or any  Affiliate at his or her "normal  retirement
date" as defined in the Company's Savings Incentive Plan or any successor plan.

                  (x) "Termination" shall mean any resignation or discharge from
employment with the Company or any Affiliate  except in the event of Disability,
Retirement or death.

                  (y) "Rule  16b-3"  shall  mean Rule 16b-3  promulgated  by the
Commission under the Exchange Act or any successor rule or regulation thereto.

                  (z) "Shares" shall mean shares of the common stock,  par value
$.01 per share,  of the  Company  and such other  securities  or property as may
become  the  subject  of Awards  or become  subject  to  Awards  pursuant  to an
adjustment made under Section 8 of the Plan.

                  (aa)     "Stock  Appreciation  Right"  shall  mean  any  Award
granted under Section 7(b) of the Plan.


Section 3.        Effective Date; Stockholder Approval; Termination

                  (a)      Effective  Date and  Stockholder  Approval.   Subject
to the  approval of the Plan by the  stockholders  of the  Company in accordance
with the  provisions  of Rule 16b-3,  the Plan shall be effective as of December
22, 1994.

                  (b)  Termination.  No Award  shall be  granted  under the Plan
after December 31, 2004; provided,  however, that any Award granted on or before
December  31,  2004 may  extend  beyond  such  date  unless  expressly  provided
otherwise herein or in the applicable Award Agreement;  provided further, to the
extent set forth in Section 8 hereof,  the  authority of the Committee to amend,
alter,  adjust,  suspend,  discontinue  or  terminate  any Award or to waive any
conditions or restrictions  with respect to any Award,  and the authority of the
Board of Directors to amend the Plan, shall extend beyond such date.

                                      -3-

<PAGE>


Section 4.        Administration

                  (a) The Plan shall be administered by the Committee; provided,
however,  that if at any time  the  Committee  shall  not be in  existence,  the
functions of the  Committee as specified in the Plan shall be exercised by those
members of the Board of Directors who qualify as  "disinterested  persons" under
Rule 16b-3 and as "outside directors" under Section 162(m)(4)(C) of the Code and
any regulations issued thereunder.

                  Subject  to the  terms  of the Plan and  applicable  law,  the
Committee  shall  have  full  power  and  authority  with  respect  to the Plan,
including, without limitation, the power to:

                           (i) designate Participants;

                           (ii) determine the types of Awards to  be  granted to
each Participant under the Plan;

                           (iii)  determine  the  number of Shares to be covered
by (or  with  respect  to  which  payments,  rights  or  other matters are to be
calculated in connection with) Awards;

                           (iv) determine the terms and conditions of any Award;

                           (v)  determine  whether,  to what  extent, under what
circumstances  and the method by  which  Awards may  be settled or  exercised in
cash,  Shares,  other  securities, other Awards or other property,  or canceled,
forfeited or suspended;

                           (vi) determine whether, to what extent and under what
circumstances  cash,  Shares, other  securities,  other Awards,  other  property
and  other  amounts  payable  with  respect to an Award shall be deferred either
automatically or at the election of the holder thereof or of the Committee;

                           (vii)  interpret and  administer  the  Plan  and  any
instrument  or  agreement  relating  to,  and  any  Award  made  under, the Plan
(including, without limitation, any Award Agreement);

                           (viii) establish, amend, suspend and waive such rules
and regulations and appoint such  agents  as  it  shall deem appropriate for the
proper administration of the Plan; and

                           (ix) make any other  determination and take any other
action that the  Committee  deems necessary or desirable for the  administration
of the Plan.

                  Unless   otherwise   expressly   provided  in  the  Plan,  all
designations, determinations,  interpretations and other decisions under or with
respect to the Plan,  or any Award,  shall be within the sole  discretion of the
Committee,  may be made at any time and shall be final,  conclusive  and

                                      -4-

<PAGE>

binding upon all Persons, including the Company, any Affiliate, any Participant,
any holder or Beneficiary of any Award, any stockholder and any employee  of the
Company or any Affiliate.

                  The  Committee  shall not have the  authority to (i) amend the
exercise  price  of  any   outstanding   Option  without  the  approval  of  the
stockholders  of the  Company  or (ii) grant an Award of  Restricted  Stock or a
Restricted  Stock  Unit  which  has a  vesting  period  of  less  than 3  years.
Notwithstanding  the foregoing,  the Committee shall have the authority to amend
the exercise  price of  outstanding  Options  and/or grant Awards of  Restricted
Stock or  Restricted  Stock  Units  with  vesting  periods  of less than 3 years
provided that the aggregate  number of shares subject to such amended Options or
Awards does not exceed 10% of the  aggregate  number of shares  with  respect to
which Awards may be granted under the Plan.

                  (b) No member of the Committee  shall be liable for any action
or  determination  made in good faith, and the members of the Committee shall be
entitled to  indemnification  and  reimbursement  in the manner  provided in the
Company's Charter and Bylaws, as amended from time to time.

                  (c) The Committee may designate persons other than its members
to carry out its responsibilities under such conditions or limitations as it may
set,  except that the Committee may not delegate:  (i) its authority with regard
to Awards  (including  decisions  concerning  the timing,  pricing and amount of
Awards)  granted to Key  Employees who are officers or directors for purposes of
Section 16(b) of the Exchange  Act; or (ii) its authority  pursuant to Section 8
to amend the Plan.


Section 5.        Grants of Awards; Shares Available for Award

                  (a) The Committee may, from time to time,  grant Awards to one
or more Key Employees; provided, however, that:

                           (i)  subject  to any  adjustment  pursuant to Section
8, (x) the  aggregate  number of Shares  available  with respect to which Awards
may be granted  under the Plan shall be 1,350,000 and (y) the  aggregate  number
of  Shares  with  respect  to  which  Awards may be made to any one Key Employee
during any single fiscal year of the Company may not exceed 250,000.

                           (ii) to  the  extent  that  any  Shares covered by an
Award  granted  under the Plan,  or to  which any Award relates,  are forfeited,
or if an Award  otherwise  terminates, expires  or  is  canceled  prior  to  the
delivery  of  all  of  the Shares or of other consideration  issuable or payable
pursuant  to such Award,  then the number of Shares  counted  against the number
of Shares available  under  the Plan in connection with the grant of such Award,
to the extent of any such  forfeiture, termination,  expiration or cancellation,
shall be available  for granting of Awards under the Plan;

                           (iii)  Shares which have been  issued,  or any  other
shares of the capital  stock of the Company,  which a Participant tenders to the
Company in  satisfaction of income and payroll

                                      -5-

<PAGE>

tax  withholding  obligations  or  in  satisfaction of the exercise price of any
Award shall be available for granting of Awards under the Plan;

                           (iv)  notwithstanding  anything  herein to the
contrary,  the  Committee  may limit the application  of Sections  5(a)(ii) and
5(a)(iii) in any manner that it considers necessary or appropriate to ensure
that the Plan complies with the  requirements of Rule 16b-3 under the Exchange
Act or any successor provision; and

                           (v) notwithstanding  anything  herein to the
contrary,  any Shares ceasing to be subject to an Award  due to the  exercise
of an Award or  expiration  of a  Restriction Period shall no longer be
available for granting of Awards under the Plan.

                  (b) For purpose of this Section 5:

                           (i) if an Award is  denominated  in Shares,  the
number of Shares covered by such Award, or to which  such Award  relates,  shall
be counted on the date of grant of such Award  against the number of Shares
available  for granting of Awards under the Plan; and

                           (ii) if an Award is not  denominated  in Shares,  the
number of Shares  shall be counted on the date of grant of such Award  against
the number of Shares  available  for granting  Awards  under the Plan equal to
the  quotient of the Fair Market Value (calculated  as of the date of  grant) of
the  maximum  amount of cash or other consideration  payable pursuant to such
Award,  divided by the Fair Market Value of one Share on the date of grant.

                  (c) Any Shares  delivered by the Company  pursuant to an Award
may  consist,  in whole or in part,  of  authorized  and  unissued  Shares or of
treasury  Shares.  In determining the size of any Award,  the Committee may take
into account a Participant's responsibility level, performance,  potential, cash
compensation level, the Fair Market Value of the Shares at the time of the Award
and such other considerations as it deems appropriate.


Section 6.        Eligibility

                  Any   employee,    including   any   executive    officer   or
employee-director  of the Company or any  Affiliate,  who is not a member of the
Committee and who, in the opinion of the Committee, contributes to the continued
growth,  development and financial  success of the Company or an Affiliate shall
be eligible to be designated as a Participant.


Section 7.        Awards

                  (a)  Options.  The  Committee  is hereby  authorized  to grant
Options to  Participants  in the form of either  Non-Qualified  Stock Options or
Incentive  Stock Options with the terms and conditions set forth in this Section
7 and with such additional terms and conditions, in either case not inconsistent
with the provisions of the Plan, as the Committee shall determine.

                                      -6-

<PAGE>

                           (i)      Limitations on Incentive Stock Options.

                           (A)      In the event the Committee  grants Incentive
                                    Stock  Options,  the  aggregate  Fair Market
                                    Value  (determined at the time the Incentive
                                    Stock  Options  are  granted)  of the Shares
                                    underlying any such Incentive Stock Options,
                                    together  with  the  shares  underlying  any
                                    incentive   stock  options  (as  defined  in
                                    Section  422 of the  Code)  under  any other
                                    plans of the Company or any Affiliate, which
                                    shall  be  first   exercisable  by  any  one
                                    Participant  shall not,  during any calendar
                                    year,   exceed   $100,000,   or  such  other
                                    limitation as may be provided in the Code.

                           (B)      The  grant  of   Incentive   Stock   Options
                                    hereunder  shall be  subject  to  guidelines
                                    adopted by the Committee with respect to the
                                    timing and size of Incentive Stock Options.

                           (C)      The  terms  of any  Incentive  Stock  Option
                                    granted  under the Plan shall  comply in all
                                    respects with the  provisions of Section 422
                                    of  the  Code,  or any  successor  provision
                                    thereto,  and  any  regulations  promulgated
                                    thereunder.

                           (ii)     Exercise  Price.  The  exercise  price  per
Share  purchasable  under an Option shall be  determined by the  Committee;
provided,  however,  that such exercise price  shall  not be less than the Fair
Market  Value of a Share on the date of grant of the Option  (or, if the
Committee  so  determines,  in the case of any Option  granted  in tandem  with
or in  substitution  for  another  Award or any outstanding  award granted
under any other plan of the Company,  on the date of grant of such other Award
or award).

                           (iii)    Option  Term.  The  term  of each  Option
shall  be  fixed  by the  Committee; provided,  however, that in no event shall
the term of an Incentive Stock Option exceed a period of ten years from the date
of its grant.

                           (iv)  Exercisability  and Method of Exercise.  Except
for such limitations as may be set forth herein, an Option shall become
exercisable in such manner and within such period  or  periods  and in such
installments  as  shall be  determined  by the Committee  and set forth in the
Award  Agreement  evidencing  the  Option.  The Committee also shall  determine
the method or methods by which,  and the form or forms in which,  payment of the
exercise price with respect to any Option may be made or deemed to have been
made.

                  (b)  Stock  Appreciation   Rights.  The  Committee  is  hereby
authorized to grant Stock  Appreciation  Rights to Participants.  Subject to the
terms of the Plan and any applicable Award Agreement, a Stock Appreciation Right
granted  under the Plan shall  confer on the holder  thereof a right to receive,
upon exercise thereof,  the difference of (i) the Fair Market Value of one Share
on the date of exercise or, if the  Committee  shall so determine in the case of
any such right

                                      -7-

<PAGE>

other than one related to any Incentive Stock Option, at any time during a
specified  period  before or after the date of exercise,  less (ii) the grant
price of the right as specified by the Committee,  which shall not be less than
the Fair  Market  Value  of one  Share  on the date of grant of the  Stock
Appreciation Right (or, if the Committee so determines, in the case of any Stock
Appreciation  Right granted in tandem with or in substitution  for another Award
or any  outstanding  award granted  under any other plan of the Company,  on the
date of grant of such other  Award or  award).  Subject to the terms of the Plan
and any applicable Award Agreement,  the grant price, term, methods of exercise,
methods  of  settlement  and  any  other  terms  and  conditions  of  any  Stock
Appreciation  Right shall be as determined by the  Committee.  The Committee may
impose such conditions or restrictions on the exercise of any Stock Appreciation
Right as it may deem appropriate, including, without limitation, restricting the
time of exercise of the Stock  Appreciation Right to specified periods as may be
necessary to satisfy the requirements of Rule 16b-3.

                  (c)      Restricted Stock and Restricted Stock Units.

                           (i)      Issuance.  The  Committee is hereby
authorized  to grant Awards of  Restricted Stock and Restricted  Stock Units to
Participants,  such Awards,  including the total  number of Shares  to which
they  pertain,  to be  evidenced  by an Award Agreement.

                           (ii)     Restrictions.  Shares of Restricted  Stock
and Restricted  Stock Units shall be issued in the name of the  Participant
without  payment of  consideration,  and shall be subject to such  restrictions
as the Committee may impose  (including, without limitation,  a Restriction
Period, any limitation on the right to vote a Share of Restricted Stock or the
right to receive any dividend or other right or property),  which  restrictions
may lapse  separately or in combination at such time or times,  in such
installments  or  otherwise,  as the Committee may deem appropriate.  Different
Restricted  Stock or Restricted  Stock Unit Awards may, among other things, have
different Restriction Periods.

                           (iii)  Registration.  Any  Restricted  Stock  granted
under the Plan may be evidenced in such  manner  as  the  Committee  may  deem
appropriate,   including,   without limitation,  book-entry  registration  or
issuance  of a stock  certificate  or certificates. In the event any stock
certificate is issued to evidence Shares of Restricted Stock granted under the
Plan, such certificate shall be registered in the name of the Participant and
shall bear an appropriate  legend (as determined by the Committee) referring to
the terms, conditions and restrictions applicable to such Restricted Stock. Upon
completion of the applicable  Restriction Period, the related  restriction  or
restrictions  upon the Award shall  expire and new certificates  representing
the Award  shall be issued  without  the  applicable restrictive  legend
described  herein.   Such  Shares  shall  be  delivered  in accordance with the
terms and conditions of such Participant's Award Agreement.

                  (d) Other Stock or Stock-Based  Awards. An Award other than as
described in (a) through (c) above may be granted  pursuant to which Shares are,
or in the future may be acquired,  or which is valued or  determined in whole or
in part by reference to, or otherwise based upon, Shares.

                                      -8-

<PAGE>

                  (e) Code Section  162(m)  Requirements.  The  Committee in its
sole discretion  shall determine  whether Awards made pursuant to the Plan shall
be designed to meet the requirements of  performance-based  compensation  within
the meaning of Section 162(m) of the Code and any regulations issued thereunder.

                  (f)  Termination of Employment.  The Agreement  relating to an
Award will set forth  provisions  governing the  disposition  of an Award in the
event  of  the  retirement,   disability,   death  or  other  termination  of  a
Participant's employment.

                  (g) Election to Recognize  Income.  If a Participant  makes an
election in a timely  manner  pursuant to Section 83(b) of the Code to recognize
income for tax  purposes  when an Award is first  made,  the  Participant  shall
notify the Company within 10 days of the making of such election.

                  (h)      General.

                           (i)      Award  Agreements.  Each Award  granted
under the Plan shall be evidenced by an Award Agreement in such form as shall
have been approved by the Committee.

                           (ii)     Awards May Be Granted  Separately  or
Together.  Awards may be granted  either alone or in addition to, in tandem
with, or in substitution  for any other Award or any award  granted  under any
other  plan of the  Company  or any  Affiliate. Awards granted in addition to or
in tandem with other Awards,  or in addition to or in tandem  with  awards
granted  under any other plan of the  Company or any Affiliate, may be granted
either at the same time as or at a different time from the grant of such other
Awards or awards.

                           (iii)  Forms  of  Payment  Under  Awards.  Subject
to the  terms of the Plan and of any applicable Award  Agreement,  payments or
transfers to be made by the Company or any  Affiliate  upon the grant,  exercise
or payment of an Award may be made in such  form  or  forms  as the  Committee
shall  determine,  including,  without limitation,  cash, Shares, other
securities,  other Awards or other property, or any  combination  thereof,  and
may be made in a single payment or transfer,  in installments  or on a deferred
basis, in each case in accordance with the rules and  procedures  established
by the  Committee.  Such rules and  procedures may include, without limitation,
provisions for the payment or crediting of interest in installments or deferred
payments.

                           (iv)     Limits on  Transfer  of Awards.  No Award
(other  than  Released  Securities), except as otherwise  provided by the
Committee in its  discretion,  and no right under any such Award, shall be
assignable,  alienable,  saleable or transferable by a  Participant  otherwise
than  by  will  or by  the  laws  of  descent  and distribution or pursuant to a
qualified  domestic  relations order as defined in the Code or Title I of ERISA
(or, in the case of an Award of  Restricted  Stock, to the Company);  provided,
however, that, if so determined by the Committee, a Participant  may,  in the
manner  established  by the  Committee,  designate  a Beneficiary  to  exercise
the rights of the  Participant,  and to  receive  any property  distributable
with  respect  to  any  Award  upon  the  death  of the Participant.  Each
Award, and each right under any Award,  shall be exercisable, during the
Participant's  lifetime,  only by the Participant or, if permissible under
applicable law, by the

                                      -9-

<PAGE>

Participant's guardian or legal representative.  No Award (other than Released
Securities),  and no right under any such Award, may be pledged,  alienated,
attached or  otherwise  encumbered,  and any  purported pledge,  alienation,
attachment  or  encumbrance  thereof  shall  be  void  and unenforceable against
the Company or any Affiliate.

                           (v)      Term of Awards.  Except as otherwise
provided  herein,  the term of each Award shall be for such period as may be
determined by the Committee.

                           (vi) Share  Certificates  and  Representation  by
Participants.  All  certificates  for Shares or other securities delivered under
the Plan pursuant to any Award or the exercise  thereof  shall be  subject  to
such  stop  transfer  orders  and other restrictions  as the Committee may deem
advisable  under the Plan or the rules, regulations  and other  requirements  of
the  Commission,  any stock exchange or other  market  upon which such  Shares
or other  securities  are then  listed or traded,  and any applicable  federal
or state securities laws, and the Committee may cause a legend or legends to be
inscribed  upon any such  certificate(s)  to make appropriate reference to such
restrictions.  The Committee may require each Participant or other Person who
acquires  Shares or other  securities  under the Plan to  represent  to the
Company in writing  that such  Participant  or other Person  is  acquiring  the
Shares  or other  securities  without  a view to the distribution thereof.


Section 8.        Amendment and Termination; Adjustments; Corrections

                  (a)  Amendments to the Plan. The Committee may, at any time or
from time to time, amend, alter,  suspend,  discontinue or terminate the Plan in
whole or in part; provided, however, that no amendment, alteration,  suspension,
discontinuation  or  termination  of the Plan  shall in any  manner  (except  as
otherwise  provided  in this  Section  8)  adversely  affect  the  rights of any
Participant under any Award granted and then outstanding under the Plan, without
the consent of the respective Participant;  provided further,  however, that any
amendment which under the requirements of applicable law must be approved by the
stockholders  of the  Company  shall not be  effective  unless  and  until  such
stockholder  approval  has been  obtained  in  compliance  with  such  law,  and
provided,  further, that any amendment that must be approved by the stockholders
of the  Company in order to maintain  the  continued  qualification  of the Plan
under Rule 16b-3 under the Exchange Act, or any successor  provision,  shall not
be effective  unless and until such  stockholder  approval has been  obtained in
compliance with such rule. No termination or amendment of the Plan may,  without
the  consent of the  Participant  to whom an Award has been  granted,  adversely
affect the rights of such Participant under such Award.

                  (b)      Certain Adjustments of Awards.

                           (i)      In the event the Company or any  Affiliate
shall assume  outstanding  employee awards or the right or obligation to make
future such awards in connection  with the acquisition of another business or
business  entity,  the Committee may make such adjustments in the terms of
Awards,  not inconsistent with the terms of the Plan, as it shall deem
appropriate in

                                      -10-

<PAGE>

order to achieve reasonable  comparability or other  equitable relationship
between  the  assumed  awards  and the Awards granted under the Plan, as so
adjusted.

                           (ii)     In the event that the  Committee  shall
determine  that any  dividend or other distribution  (whether in the form of
cash,  Shares,  other  securities or other property),  recapitalization,  stock
split, reverse stock split, reorganization, merger, consolidation,  split-up,
spin-off, combination,  repurchase or exchange of Shares or other  securities
of the  Company,  issuance  of warrants or other rights to purchase Shares or
other  securities of the Company,  or other similar corporate  transaction,
change in  applicable  laws,  regulations  or financial accounting principles or
other event affects the Shares, such that an adjustment is determined by the
Committee to be appropriate in order to prevent dilution or enlargement of the
benefits or potential  benefits intended to be made available under the Plan,
then the Committee may, in such manner as it may deem equitable, adjust any or
all of: (A) the number and type of Shares (or other  securities or property)
which thereafter may be made the subject of Awards under the Plan; (B) the
number  and type of Shares  (or other  securities  or  property)  subject to
outstanding  Awards; and (C) the grant,  purchase or exercise price with respect
to any Award,  or, if deemed  appropriate,  make provision for a cash payment to
the holder of an outstanding Award;  provided,  however, in each case, that with
respect  to Awards of  Incentive  Stock  Options,  no such  adjustment  shall be
authorized  to the extent  that such  authority  would cause the Plan to violate
Section  422(b)(1)  of the Code or any  successor  provision  thereto;  provided
further,  that the number of Shares  subject to any Award  denominated in Shares
shall always by a whole number. The foregoing adjustments shall be determined by
the Committee in its sole discretion.

                  (c)      Correction  of Defects,  Omissions  and
Inconsistencies.  The Committee may correct any defect,  supply any omission or
reconcile any  inconsistency  in any Award or Award  Agreement in the manner and
to the extent it shall deem desirable to carry the Plan into effect.


Section 9.        General Provisions

                  (a) No Rights to Awards. No Key Employee, Participant or other
Person shall have any claim to be granted any Award under the Plan, and there is
no obligation  for  uniformity of treatment of Key  Employees,  Participants  or
holders or  Beneficiaries  of Awards under the Plan. The terms and conditions of
Awards need not be the same with respect to each Participant.

                  (b) Withholding.  No later than the date as of which an amount
first becomes includable in the gross income of a Participant for federal income
tax purposes with respect to any Award under the Plan, the Participant shall pay
to the Company,  or make arrangements  satisfactory to the Company regarding the
payment of, any federal,  state,  local or foreign taxes of any kind required by
law to be withheld with respect to such amount.  Unless otherwise  determined by
the Committee,  withholding obligations arising with respect to Awards under the
Plan may be settled with Shares (other than Restricted Stock),  including Shares
that are part of, or are received upon exercise of, the Award that gives rise to
the withholding requirement. The obligations of the Company under the Plan shall
be  conditioned  on  such  payment  or  arrangements,  and the  Company  and any
Affiliate  shall,  to the extent  permitted by law, have the right to deduct any
such taxes from

                                      -11-

<PAGE>

any payment otherwise due to the Participant.  The Committee may establish  such
procedures  as  it  deems   appropriate  for  the  settling  of withholding
obligations  with  Shares,  including,   without  limitation,   the
establishment of such procedures as may be necessary to satisfy the requirements
of Rule 16b-3.

                  (c) Acceleration.  Except as otherwise provided hereunder, the
Committee  may,  in  its  discretion,  (i)  accelerate  the  time  at  which  an
outstanding  Award  granted  hereunder  may be  exercised  and (ii)  extend  the
post-termination  of employment  exercise period of any outstanding  Award. With
respect to  Restricted  Stock,  in the event of a public tender offer for all or
any portion of the Shares of the  Company,  or in the event that any proposal to
merge or  consolidate  the  Company  with  another  entity is  submitted  to the
stockholders of the Company for a vote, the Committee,  in its sole  discretion,
may  shorten  or  eliminate  the  Restriction  Period  consistent  with the best
interests of the Company.

                  (d) No Right to Employment. The grant of an Award shall not be
construed as giving a Participant  the right to be retained in the employ of the
Company or any Affiliate.  Further, the Company or any Affiliate may at any time
dismiss a  Participant  from  employment,  free from any  liability or any claim
under the Plan, unless otherwise  expressly provided in the Plan or in any Award
Agreement.

                  (e) Unfunded Status of the Plan.  Unless otherwise  determined
by the  Committee,  the Plan  shall be  unfunded  and  shall not  create  (or be
construed  to  create) a trust or a separate  fund or funds.  The Plan shall not
establish any fiduciary  relationship between the Company and any Participant or
other Person. To the extent any Person holds any right by virtue of the grant of
an Award  under  the  Plan,  such  right  (unless  otherwise  determined  by the
Committee)  shall be no greater than the right of an unsecured  general creditor
of the Company.

                  (f)  Government and Other  Regulations.  The obligation of the
Company to make payment of Awards in Shares or otherwise shall be subject to all
applicable laws, rules and regulations,  and to such approvals by any government
agencies  as may  be  required.  If  Shares  awarded  hereunder  may in  certain
circumstances be exempt from  registration  under the Securities Act of 1933, as
amended,  the  Company  may  restrict  its  transfer  in such manner as it deems
advisable to ensure such exempt status.

                  (g) No  Restriction  on Right of Company  to Effect  Corporate
Changes.  The Plan shall not affect in any way the right or power of the Company
or  its   stockholders   to  make   or   authorize   any  or  all   adjustments,
recapitalizations,  reorganizations  or other changes in the  Company's  capital
structure or its business, or any merger or consolidation of the Company, or any
issue of stock or options,  warrants  or rights to  purchase  stock or of bonds,
debentures, preferred or prior preference stocks whose rights are superior to or
affect  the  Shares  or the  rights  thereof  or which are  convertible  into or
exchangeable  for the Shares,  or dissolution or liquidation of the Company,  or
any sale or transfer of all or any part of its assets or business,  or any other
corporate act or proceeding, whether of a similar character or otherwise.

                                      -12-

<PAGE>

                  (h)      Governing  Law. The  validity,  construction  and
effect of the Plan,  and any rules and regulations  relating  to the Plan,
shall be  determined  in  accordance  with the laws of the State of  Maryland,
exclusive of its conflicts of law provisions, and applicable Federal law.

                  (i)  Severability.  If any  provision  of the Plan,  any Award
Agreement  or any Award is or  becomes  or is deemed to be  invalid,  illegal or
unenforceable  in any  jurisdiction,  or as to any  Person  or  Award,  or would
disqualify  the Plan,  any Award  Agreement  or any Award  under any law  deemed
applicable by the Committee, such provision shall be construed or deemed amended
to  conform  to  applicable  laws,  or, if it cannot be so  construed  or deemed
amended without, in the determination of the Committee,  materially altering the
intent of the Plan, the Award  Agreement or the Award,  such provision  shall be
stricken as to such  jurisdiction,  Person or Award,  and the  remainder  of the
Plan, such Award Agreement and such Award shall remain in full force and effect.

                  (j) No Fractional Shares. No fractional Shares shall be issued
or delivered  pursuant to the Plan,  any Award  Agreement or any Award,  and the
Committee shall determine whether cash, other securities or other property shall
be paid  or  transferred  in lieu of any  fractional  Shares,  or  whether  such
fractional  Shares  or any  rights  thereto  shall be  canceled,  terminated  or
otherwise eliminated.

                  (k)   Headings.   Headings  are  given  to  the  sections  and
subsections  of the Plan solely as a convenience to facilitate  reference.  Such
headings shall not be deemed in any way material or relevant to the construction
or interpretation of the Plan or any provision thereof.

                                      -13-



                                                                    Exhibit 10.4
                                   HCIA INC.

                 1995 NON-EMPLOYEE DIRECTORS STOCK OPTION PLAN

                       As Amended Through August 7, 1996


         1.       Definitions

                  For purposes of the Plan:

                           (a)      "Annual  Award"  means  an  award of Options
pursuant to Section 5(b) of the Plan.

                           (b)      "Annual Meeting" means an annual meeting  of
the Company's stockholders.

                           (c)      "Board" means the Board of Directors of  the
Company.

                           (d)      Change in Control" means

                                    (i)     the  acquisition by  an  individual,
entity or group (within the meaning of  Section  13(d)(3) of the Exchange  Act),
other  than (A)  an  employee  benefit  plan  (or  related  trust)  sponsored or
maintained by the Company or any of its affiliates or (B) AMBAC Inc., a Delaware
corporation ("AMBAC"), AMBAC Indemnity Corporation, a Wisconsin  stock insurance
corporation  ("AIC")  or  any  of  their  respective  affiliates,  of beneficial
ownership (within  the  meaning  of Rule 13d-3 promulgated  under  the  Exchange
Act) of 30% or more of the  then  outstanding  voting  securities of the Company
entitled to vote generally in the election of directors  or of equity securities
having a value  equal to 30% or more of the total value of all equity securities
of the Company, provided, however, that any  securities of the Company  acquired
by any individual,  entity or group directly from AMBAC,  AIC  or  any  of their
respective  affiliates,  or  from  an  underwriter or placement  agent (or other
person or entity  performing  similar  services)  who  acquired such  securities
directly from AMBAC,  AIC or any of their  respective  affiliates,  shall not be
included  in the  number of shares acquired  by such individual, entity or grou
for  purposes  of  determining  whether a Change in Control has occurred; or

                                    (ii)    individuals  who as of the  Offering
Date constitute the Board, and subsequently elected  members  of the Board whose
election  is  approved  or recommended by at least  a  majority  of such current
members or their  successors whose  election  was so  approved  or  recommended,
cease  for  any  reason  to constitute at least a majority of such Board.

                           (e)      "Code" means the Internal  Revenue  Code  of
1986, as amended.

<PAGE>

                           (f)      "Committee"  means the committee  designated
by the Board  pursuant to Section 3(c) of the Plan.

                           (g)      "Common  Stock"  means the  Common  Stock of
the  Company,  par value  $.01 per share, or such other class or kind of  shares
or other  securities  as may be applicable under Section 12.

                           (h)      "Company"  means  HCIA  Inc.,   a   Maryland
corporation,  or any  successor  to substantially all its business.

                           (i)      "ERISA" means the Employee Retirement Income
Security Act of 1974, as amended.

                           (j)      "Exchange Act" means the Securities Exchange
Act of 1934, as amended.

                           (k)      "Fair Market Value" means the average of the
highest and the lowest  quoted selling  prices of the Common Stock  as  reported
on the National Association of Securities  Dealers  Automated  Quotation  System
National Market System or such  other  national  securities  exchange  as may be
designated by the Committee or, in  the  event  that  the  Common  Stock  is not
listed  for  trading  on a  national securities exchange,  the  average  of  the
highest and lowest quoted selling prices of the Common  Stock as reported by the
National  Association  of   Securities  Dealers   Automated   Quotation   System
("NASDAQ"),  in any  such  case  for  the applicable valuation date or, if there
were no sales on such valuation date, for the most recent day  for  which  there
was such a sale.

                           (l)      "Initial Award" means an  award  of  Options
pursuant to Section 5(a) of the Plan.

                           (m)      "Non-Employee  Director"  means a member  of
the Board who is not an employee of the Company or any of its  subsidiaries  and
is not an employee of AMBAC, AIC or any of their  respective subsidiaries  while
AMBAC  and AIC  maintain,  in the aggregate,  an equity  interest in the Company
representing 25% or more of the voting power of the Company's outstanding voting
stock.

                           (n)      "Offering  Date"  means  the  effective date
of  the  Company's  registration statement no. 33-88226 relating to  the initial
public offering of the Common Stock.

                           (o)      "Option"  means an option to purchase shares
of  Common  Stock  awarded  to a Non-Employee Director pursuant to the Plan.

                           (p)      "Option  Shares" means the shares of  Common
stock  issuable upon exercise of an Option.

                                      -2-

<PAGE>

                           (q)      "Permanent  Disability"  means a physical or
mental  impairment  rendering  a Non-Employee Director  substantially unable  to
function as a member of the Board for  any  period  of  six  consecutive months.
Any  dispute  as to  whether  a Non-Employee  Director  is Permanently  Disabled
shall  be  resolved  by  a  physician  mutually  acceptable  to the Non-Employee
Director and the Company, whose decision shall be final  and  binding  upon  the
Non-Employee Director and the Company.

                           (r)      "Plan" means the HCIA Inc. 1995 Non-Employee
Directors  Stock Option Plan as described herein.

                           (s)      "Retirement"  means a  Non-Employee Director
ceasing  to be a  member  of the Board as a result of retirement from the  Board
in accordance with the retirement policy then applicable to Board members.

                           (t)      "1933 Act" means the Securities Act of 1933,
as amended.

         2.       Purpose

                  The purpose of the Plan is to retain the services of qualified
persons  who are not  employees  of the Company to serve as members of the Board
and to secure  for the  Company  the  benefits  of the  incentives  inherent  in
increased Common Stock ownership by Non-Employee  Directors, by granting to such
person options to purchase shares of Common Stock.

         3.       Shares Available; Administration

                  (a) Subject to the  provisions of Section 12 of the Plan,  the
maximum  number of shares of  Common  Stock  which may be issued  under the Plan
shall not exceed 200,000 shares. Either authorized and unissued shares of Common
Stock or treasury  shares may be  delivered  upon  exercise  of Options  awarded
pursuant to the Plan.

                  (b) If Options have been forfeited to the Company as described
in Section  6(d),  the Options  Shares  underlying  such Options  shall again be
available for issuance in connection with future awards under the Plan.

                  (c) The Plan will be administered by a committee designated by
the  Board  and  composed  exclusively  of  members  of the  Board  who  are not
Non-Employee  Directors  (the  "Committee").  The  Committee may adopt rules and
regulations  necessary  to  carry  out  the  Plan's  purposes.  The  Committee's
interpretation  and  construction  of any Plan  provision  shall  be  final  and
conclusive.

         4.       Eligibility

                  Options awarded  pursuant to the Plan shall be granted only to
Non-Employee Directors.

                                      -3-

<PAGE>

         5.       Awards

                  (a) Initial Award.  On the date of a  Non-Employee  Director's
initial  election or  appointment to the Board (or in the case of a Non-Employee
Director who is a member of the Board as of the Offering  Date,  on the Offering
Date), such Non-Employee Director (including any Non-Employee Director reelected
or reappointed after a period of at least 12 calendar months during which he did
not serve on the  Board)  shall be granted an  Initial  Award  consisting  of an
Option to purchase  5,000 shares of Common  Stock.  Such Option shall have a per
share  exercise  price equal to the Fair Market Value of the Common Stock on the
date of award and shall be  subject  to the  vesting  schedule  provided  for in
Section 6(a) and the other terms and conditions provided for herein.

                  (b) Annual Awards. At each Annual Meeting, commencing with the
Annual Meeting held in 1995 subsequent to the Offering Date, each person who has
served as a member of the Board during the period elapsed since the  immediately
preceding  Annual  Meeting (or in the case of the Annual  Meeting  held in 1995,
each  person who has served as a member of the Board since the  Offering  Date),
and who has,  during  all or a  portion  of such  service,  been a  Non-Employee
Director for purposes of the Plan shall be granted as of the date of such Annual
Meeting an Annual  Award  consisting  of an Option to purchase  5,000  shares of
Common  Stock  (or such  lesser  number  determined  by  multiplying  5,000 by a
fraction,  the numerator of which is the number of full or partial  months since
the  immediately  preceding  Annual  Meeting (or Offering  Date, if  applicable)
during which such person  served on the Board in the capacity of a  Non-Employee
Director,  and the  denominator of which is the number of full or partial months
since  the   immediately   preceding   Annual  Meeting  (or  Offering  Date,  if
applicable)).  Such Option  shall have a per share  exercise  price equal to the
Fair Market  Value of the Common Stock on the date of award and shall be subject
to the vesting  schedule  provided  for in Section  6(b) and the other terms and
conditions provided for herein.

         6.       Vesting

                  (a)      Vesting  of  Initial  Awards.  Initial  Awards  shall
vest and  become  exercisable  as follows:

                           (i)    An Initial Award made other than in connection
with a Non-Employee  Director's initial  election  to the  Board  at  an  Annual
Meeting  shall  vest and  become exercisable in two equal installments as of the
first  and  second  anniversaries  of  the  date  of  grant,  provided  that the
Non-Employee Director remains in service  as  a  member  of  the Board until the
relevant vesting date.

                           (ii)     An Initial  Award made in connection  with a
Non-Employee Director's initial election to the Board at an Annual Meeting shall
vest  and  become  exercisable as  to 50% of the Options  Shares  subject to the
Option  constituting  such Initial Award as of the  date  of  the  first  Annual
Meeting  following  the date of  award,  and  as  to  the  remaining  50% of the
Option  Shares  subject to such  Option  as  of  the  date  of the second Annual
Meeting following the date of award,  provided the Non-Employee Director to whom
such Annual Award was made

                                      -4-

<PAGE>

continues in service as a member of the Board until the  relevant  vesting  date
(whether  or not the Non-Employee  Director is  nominated for  reelection at the
Annual Meeting held on either vesting date, and whether or not, if nominated, he
is reelected).

                  (b) Vesting of Annual Awards. Each Annual Award shall vest and
become exercisable as of the date of the first Annual Meeting following the date
of award,  provided the Non-Employee Director to whom such Annual Award was made
continues in service as a member of the Board until the vesting date (whether or
not the Non-Employee  Director is nominated for reelection at the Annual Meeting
held on such vesting date, and whether or not, if nominated, he is reelected).

                  (c)  Accelerated  Vesting.  Notwithstanding  anything  to  the
contrary in Sections  6(a) and 6(b),  an Option  shall  become  fully vested and
exercisable upon the first to occur of (i) a Non-Employee ceasing to be a member
of the Board as a result of death, Permanent Disability or Retirement, or (ii) a
Change in Control of the Company.

                  (d)  Forfeiture.  In the  event of a  Non-Employee  Director's
termination of service as a member of the Board for any reason other than death,
Permanent  Disability or  Retirement  prior to the  satisfaction  of any vesting
period  requirement  hereof,  the unvested portion of any Options awarded to the
Non-Employee  Director  shall  be  forfeited  to the  Company  as of the date of
termination  of service,  and the  Non-Employee  Director  shall have no further
right or interest therein.

         7.       Term of Options

                  (a)      Ten-Year  Term.  Each Option shall  expire ten  years
from its date of award,  subject to earlier termination as provided herein.

                  (b) Exercise Following Certain  Terminations of Service.  If a
Non-Employee  Director's  service  as a member of the Board  terminates  for any
reason other than death,  Permanent  Disability or Retirement,  the Non-Employee
Director shall have the right,  subject to the terms and conditions  hereof,  to
exercise  the  Option,  to the  extent  it has  vested  as of the  date  of such
termination  of service,  at any time  within six months  after the date of such
termination,  subject to the  earlier  expiration  of the Option as  provided in
Section 7(a). At the end of such six-month period the Option shall expire.

                  (c) Exercise  Following  Termination  of Service Due to Death,
Permanent  Disability or Retirement.  If a Non-Employee  Director's service as a
member of the Board  terminates  by reason  of death,  Permanent  Disability  or
Retirement,  all Options awarded to such Non-Employee  Director may be exercised
by such Non-Employee Director, or by his or her estate,  personal representative
or  beneficiary,  as the case may be, at any time within one year after the date
of  termination of service,  subject to the earlier  expiration of the Option as
provided in Section 7(a).  At the end of such  one-year  period the Option shall
expire.

                                      -5-

<PAGE>

                 (d)  Exercise  Following  Termination  of  Service  Subject  to
Company  Policies and Procedures on Insider  Trading.  Any exercise of an Option
pursuant  to  Section  7(b)  or 7(c)  following  termination  of a  Non-Employee
Director's  service  as a member of the Board for any  reason  other  than death
shall be subject to, and shall be  permitted  only to the extent  such  exercise
complies  with, the policies and  procedures of the Company  concerning  insider
trading that were  applicable to the  Non-Employee  Director on the date of such
termination  of service (as such policies and  procedures  may be amended by the
Company during the period  provided in Section 7(b) or 7(c), as the case may be,
for exercise of the Option).

         8.       Time and Manner of Exercise

                  (a)  Notice  of  Exercise.  Subject  to the  other  terms  and
conditions  hereof,  a  Non-Employee  Director  may exercise any Options (to the
extent vested) by giving  written  notice of exercise to the Company,  provided,
however,  that no less than 10 Option Shares may be purchased  upon any exercise
of the Option unless the number of Option  Shares  purchased at such time is the
total number of Option Shares in respect of which an Option is then exercisable,
and provided,  further,  that in no event shall an Option be  exercisable  for a
fractional  share.  The date of exercise of an Option  shall be the later of (i)
the date on which the Company  receives such written  notice or (ii) the date on
which the conditions provided in Section 8(b) are satisfied. Notwithstanding any
other  provision  of the Plan or of the  notice of award  relating  to an Option
provided  for in Section 9, no Option may be  exercised,  whether in whole or in
part,  and no Option Shares will be issued by the Company in respect of any such
attempted  exercise,  at any time when such  exercise is  prohibited  by Company
policy then in effect concerning  transactions by a Non-Employee Director in the
Company's  securities.  In the event that a Non-Employee  Director gives written
notice of exercise to the Company at a time when such  exercise is prohibited by
such policy,  the Company in its sole  discretion  may disregard  such notice of
exercise or may  consider  such notice to be delivered as of the first date that
the  Non-Employee  Director is permitted to exercise  such option in  accordance
with such Company policy.

                  (b) Payment.  Prior to the issuance of a certificate  pursuant
to Section 8(e) hereof evidencing the Option Shares in respect of which all or a
portion of an Option shall have been  exercised,  a Non-Employee  Director shall
have paid to the  Company  the  Option  Price for all  Option  Shares  purchased
pursuant to the exercise of such Option.  Payment may be made by personal check,
bank  draft or  postal  or  express  money  order  (such  modes of  payment  are
collectively  referred to as "cash") payable to the order of the Company in U.S.
dollars or in shares of Common Stock already owned by the Non-Employee  Director
valued at their Fair Market Value as of the last business day preceding the date
of exercise,  or in any  combination of cash or such shares as the  compensation
committee  of the  Board  in it sole  discretion  may  approve.  Payment  of the
exercise  price in shares of Common  Stock  shall be made by  delivering  to the
Company the share  certificate(s)  representing  the required  number of shares,
with  the  Non-Employee  Director  signing  his or her name on the  back,  or by
attaching executed stock powers (the signature of the Non-Employee Director must
be guaranteed in either case).

                                      -6-

<PAGE>


                  (c) Stockholder Rights. A Non-Employee  Director shall have no
rights as a stockholder with respect to any shares of Common Stock issuable upon
exercise of an Option until a certificate evidencing such shares shall have been
issued to the Non-Employee  Director pursuant to Section 8(e), and no adjustment
shall be made for dividends or  distributions  or other rights in respect of any
share for which the record date is prior to the date upon which the Non-Employee
Director shall become the holder of record thereof.

                  (d)  Limitation  on Exercise.  No Option shall be  exercisable
unless the Common Stock subject thereto has been registered under the Securities
Act and qualified under  applicable state "blue sky" laws in connection with the
offer and sale thereof,  or the Company has  determined  that an exemption  from
registration  under the Securities Act and from  qualification  under such state
"blue sky" laws is available.

                  (e) Issuance of Shares.  Subject to the foregoing  conditions,
as soon as is  reasonably  practicable  after its receipt of a proper  notice of
exercise  and payment of the Option  Price for the number of shares with respect
to which the Option is exercised,  the Company shall deliver to the Non-Employee
Director (or  following the  Non-Employee  Director's  death,  such other person
entitled to exercise the Option),  at the principal  office of the Company or at
such other  location as may be  acceptable  to the Company and the  Non-Employee
Director  (or  such  other  person),  one or  more  stock  certificates  for the
appropriate  number of shares of Common  Stock  issued in  connection  with such
exercise.  Such shares shall be fully paid and nonassessable and shall be issued
in the name of the Non-Employee Director (or such other person).

                  (f) Tax Withholding.  The Company shall have the right,  prior
to the  delivery of any  certificates  evidencing  shares of Common  Stock to be
issued  upon full or partial  exercise of an Option,  to require a  Non-Employee
Director to remit to the Company any amount  sufficient  to satisfy any Federal,
state  or local  tax  withholding  requirements.  The  Company  may  permit  the
Non-Employee  Director to satisfy, in whole or in part, such obligation to remit
taxes,  by directing  the Company to withhold  shares of Common Stock that would
otherwise be received by the  Non-Employee  Director,  pursuant to such rules as
the Committee may establish  from time to time.  The Company shall also have the
right to deduct from all cash payments  made  pursuant to or in connection  with
the Option any  Federal,  state or local  taxes  required  to be  withheld  with
respect to such payments.

                  (g)   Restrictions   on   Transfer.   An  Option  may  not  be
transferred,  pledged,  assigned, or otherwise disposed of, except by will or by
the laws of  descent  and  distribution  or  pursuant  to a  qualified  domestic
relations order as defined in the Code or Title I of ERISA ("QDRO").  The Option
shall be exercisable, during the Participant's lifetime, only by the Participant
or by the person to whom the Option has been transferred  pursuant to a QDRO. No
assignment  or  transfer of the Option,  or of the rights  represented  thereby,
whether  voluntary or involuntary,  by operation of law or otherwise,  except by
will or the laws of descent and  distribution or pursuant to a QDRO,  shall vest
in the  assignee  or  transferee  any  interest  or  right  in the  Option,  but
immediately  upon any  attempt to assign or  transfer  the Option the same shall
terminate and be of no force or effect.

                                      -7-

<PAGE>

                  (h)      Non-qualified  Status of Options.   Options   awarded
under the Plan are not  intended to qualify,  and shall not be  treated,  as  an
"incentive  stock  options"  within the  meaning of Section 422 of the  Internal
Revenue Code of 1986, as amended.

         9.       Notice of Award

                  The terms and  conditions  of each award of  Options  shall be
embodied in a notice of award  which  shall  contain  terms and  conditions  not
inconsistent  with the Plan and which shall  incorporate  the Plan by reference.
Each notice of award shall state the date on which the Options were granted, the
number  of shares  subject  to such  Option  and the per  share  exercise  price
therefor.

         10.      Effective Date; Term of the Plan

                  The  effective  date of the Plan shall be the  Offering  Date.
Unless earlier  terminated in accordance with Section 11 below,  the term of the
Plan shall  expire on the tenth  anniversary  of the Offering  Date.  After such
date, no further awards of Options may be made hereunder, but previously granted
awards shall remain outstanding subject to the terms hereof.

         11.      Amendments

                  The Board may at any time and from time to time alter,  amend,
suspend or terminate the Plan in whole or in part, provided, however, that in no
event may the  provisions of the Plan  respecting  eligibility to participate or
the timing or amount of awards be amended  more  frequently  than once every six
months,  other than to comport with  changes in the Code,  ERISA or any rules or
regulations  thereunder,  provided,  further, that any amendment which under the
requirements  of  applicable  law must be  approved by the  stockholders  of the
Company shall not be effective  unless and until such  stockholder  approval has
been  obtained in  compliance  with such law, and  provided,  further,  that any
amendment that must be approved by the  stockholders  of the Company in order to
maintain  the  continued  qualification  of the Plan under Rule 16b-3  under the
Exchange  Act, or any  successor  provision,  shall not be effective  unless and
until such stockholder  approval has been obtained in compliance with such rule.
No  termination  or  amendment  of the Plan  may,  without  the  consent  of the
Non-Employee  Director,  affect any such person's rights under the provisions of
the Plan with respect to awards of Options which were made prior to such action.

         12.      Adjustment of and Changes in Common Stock

                  In the event of any merger,  consolidation,  recapitalization,
reclassification,   stock  dividend,  distribution  of  property,  special  cash
dividend, or other change in corporate structure affecting the Common Stock, the
Committee  shall make such  adjustments,  if any, as it  considers  necessary or
appropriate  in the number and class of shares  subject to Options or authorized
to be awarded hereunder,  in order to prevent dilution or enlargement of rights.
Any new or additional

                                      -8-

<PAGE>

Options  awarded  pursuant to such  adjustments  shall be  subject to all of the
terms and conditions of the Plan.

         13.      No Right to Reelection

                  Nothing in the Plan  shall be deemed to create any  obligation
on the part of the Board to nominate  any of its members for  reelection  by the
Company's  stockholders,  nor confer upon any Non-Employee Director the right to
remain a member of the Board for any period of time, or at any  particular  rate
of compensation.

         14.      Governing Law

                  The Plan and all notices  issued or  agreements  entered  into
under the Plan shall be construed in accordance with and governed by the laws of
the State of Maryland.

         15.      No Restriction on Right of Company to Effect Corporate Changes

                  The Plan shall not affect in any way the right or power of the
Company  or its  stockholders  to  make  or  authorize  any or all  adjustments,
recapitalizations,  reorganizations  or other changes in the  Company's  capital
structure or its business, or any merger or consolidation of the Company, or any
issue of stock or of options,  warrants or rights to purchase stock or of bonds,
debentures, preferred or prior preference stocks whose rights are superior to or
affect the Common Stock or the rights thereof or which are  convertible  into or
exchangeable for Common Stock, or the dissolution or liquidation of the Company,
or any sale or  transfer  of all or any part of its assets or  business,  or any
other corporate act or proceeding, whether of a similar character or otherwise.





                                                                    Exhibit 11.1


                STATEMENT RE: COMPUTATION OF EARNINGS PER SHARE
                    (In Thousands Except Per Share Amounts)


                                                                      Fully
                                                          Primary   Diluted (1)

Year ended December 31, 1996

Weighted average shares outstanding....................      10,096
Effect of dilutive common stock equivalents(1).........          --     N/A
                                                           --------
Weighted average shares outstanding for EPS purposes...      10,096
Net loss...............................................    $(42,267)
                                                           --------
Net loss per share (2).................................    $  (4.19)
                                                           ========

(1)  As  of  December  31,  1996, options to purchase 1,464,377 shares of common
     stock were outstanding.

As the Company had a net loss for the year ended  December 31,  1996,  the fully
diluted earnings per share is not applicable.




                                                                    Exhibit 21.1

                        SUBSIDIARIES OF THE REGISTRANT



Response Healthcare Information Management, Inc.
Healthcare Knowledge Systems, Limited
CHKS Limited*
CHKS, S.A.
IASIST, S.A.
LBA Holdings, Inc.
LBA Health Care Solutions, Inc.**
HealthChex, Inc.
HCIA Holding (Germany) GmbH


*  CHKS Limited is 55% owned by Healthcare Knowledge  Systems,  Limited  and 45%
   owned directly by the Registrant.

** A wholly owned subsidiary of LBA Holdings, Inc.



                                                                    Exhibit 23.1

                    CONSENT OF INDEPENDENT PUBLIC ACCOUNTANTS


The Board of Directors
HCIA Inc.:

We consent to  incorporation  by reference in the  registration  statements (No.
33-98328 and No. 33-98330) on Form S-8 of HCIA Inc. of our reports dated January
23,  1997  relating  to  the  consolidated  balance  sheets  of  HCIA  Inc.  and
subsidiaries  as of  December  31,  1995 and 1996 and the  related  consolidated
statements of  operations,  changes in  stockholders'  equity and cash flows for
each of the years in the  three-year  period  ended  December  31,  1996 and the
related consolidated financial statement schedule,  which reports appear, or are
incorporated  by reference,  in the December 31, 1996 annual report on Form 10-K
of HCIA Inc.

                                       KPMG PEAT MARWICK LLP

Baltimore, Maryland
March 28, 1997


<TABLE> <S> <C>


<ARTICLE>                     5
       
<S>                             <C>
<PERIOD-TYPE>                   12-MOS
<FISCAL-YEAR-END>                              DEC-31-1996
<PERIOD-START>                                 JAN-01-1996
<PERIOD-END>                                   DEC-31-1996
<CASH>                                              13,302
<SECURITIES>                                           510
<RECEIVABLES>                                       32,122
<ALLOWANCES>                                             0
<INVENTORY>                                              0
<CURRENT-ASSETS>                                    55,480
<PP&E>                                              12,188
<DEPRECIATION>                                           0
<TOTAL-ASSETS>                                     223,196
<CURRENT-LIABILITIES>                               18,484
<BONDS>                                                  0
                                    0
                                              0
<COMMON>                                               118
<OTHER-SE>                                         249,591
<TOTAL-LIABILITY-AND-EQUITY>                       223,196
<SALES>                                             73,520
<TOTAL-REVENUES>                                    73,520
<CGS>                                                    0
<TOTAL-COSTS>                                      110,481
<OTHER-EXPENSES>                                         0
<LOSS-PROVISION>                                         0
<INTEREST-EXPENSE>                                    (580)
<INCOME-PRETAX>                                    (36,381)
<INCOME-TAX>                                         5,886
<INCOME-CONTINUING>                                      0
<DISCONTINUED>                                           0
<EXTRAORDINARY>                                          0
<CHANGES>                                                0
<NET-INCOME>                                       (42,267)
<EPS-PRIMARY>                                        (4.19)
<EPS-DILUTED>                                            0
        


</TABLE>


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