HPR INC
10-K/A, 1997-09-08
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                       SECURITIES AND EXCHANGE COMMISSION
                              Washington, DC 20549

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

                                    FORM 10-K/A


                        FOR ANNUAL AND TRANSITION REPORTS
                     PURSUANT TO SECTIONS 13 OR 15(d) OF THE
                         SECURITIES EXCHANGE ACT OF 1934


(Mark One)

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

         For the fiscal year ended June 30, 1997

                                       OR

 TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE 
 ACT OF 1934


 For the transition period from _____________________ to________________________



                         Commission file number: 0-26348

                                    HPR INC.
             (Exact name of registrant as specified in its charter)

                               Delaware 04-2985551
                (State or other jurisdiction of (I.R.S. Employer
                incorporation or organization) Identification No)

                                245 First Street
                               Cambridge, MA 02142
                    (Address of principal executive offices)

                                 (617) 679-8000
              (Registrant's telephone number, including area code)



              Securities registered pursuant to 12(b) of the Act:

          Title of each class Name of each exchange on which registered

                   None _____________________________________

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


                          Common Stock, par value $0.01
                                (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 ___

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 voting stock held by stockholders who are not
affiliates of the  registrant was  approximately  $268 million based on the last
reported  sale price of the  registrant's  Common  Stock on the Nasdaq  National
Market on August 11, 1997.

As of  August  11,  1997,  there  were  outstanding  15,334,919  shares  of  the
registrant's Common Stock, $0.01 par value per share.

                       DOCUMENTS INCORPORATED BY REFERENCE

Certain of the  information  called for by Parts I through IV of this  report on
Form 10-K is  incorporated  by  reference  from  certain  portions  of the Proxy
Statement of the  registrant to be filed  pursuant to  Regulation  14A and to be
sent to stockholders in connection with the Annual Meeting of Stockholders to be
held on October 31, 1997.  Such Proxy  Statement,  except for the parts  therein
that have been  specifically  incorporated  herein  by  reference,  shall not be
deemed "filed" as part of this report on Form 10-K.




























                                     PART I

Item 1. Business

The Company

    The Company was  incorporated on September 28, 1987 in  Massachusetts  under
the name HPR, Inc. The Company re-incorporated in Delaware on December 20, 1991,
under the name Health  Payment  Review,  Inc. On July 24, 1995,  the name of the
Company  was  changed  to  HPR  Inc.  Unless  the  context  otherwise  requires,
references  herein to the  "Company"  and "HPR"  refer to HPR Inc.,  a  Delaware
corporation,  its  wholly-owned  subsidiaries  and HPR, Inc., its  Massachusetts
predecessor.  On June 3, 1992, Concurrent Review Technology,  Inc., a California
corporation, was merged into the Company's wholly- owned subsidiary,  Concurrent
Review Technology,  Inc., a Delaware corporation. On August 16, 1995 the Company
established a wholly-owned  subsidiary,  HPR Securities  Corp., a  Massachusetts
corporation.  On April 30, 1996, the Company acquired The Integrity Group, Inc.,
an Alabama corporation,  which became a wholly-owned subsidiary of HPR. On April
18, 1997 the Company established a wholly-owned  subsidiary,  HPR International,
Inc., a Barbados corporation. The Company's executive offices are located at 245
First Street,  Cambridge,  Massachusetts  02142.  Its telephone  number is (617)
679-8000.

General

    HPR  develops  and  markets  software  and  proprietary   database  products
incorporating  clinical knowledge that enable payors and providers of healthcare
services to better manage the  financial  risk  associated  with the delivery of
healthcare and the quality of care.  HPR products are used to manage  healthcare
costs  and  quality  of care by  clinically  evaluating  providers'  claims  for
payment;  measuring  efficiency,  quality,  and  medical  outcomes;  determining
appropriate  utilization of medical  services;  influencing  physician  referral
patterns and profiling practice patterns;  assisting in HEDIS(R) reporting;  and
managing and supporting the physician credentialing and accreditation processes.
The Company's  clinical  knowledge  bases are developed and maintained by a full
time medical staff in consultation with  board-certified  physicians  serving on
Company-organized panels.

    The  Company's  products are designed to meet the needs of parties  assuming
financial  risk for the  delivery of  healthcare.  HPR believes  that  providing
clinical  knowledge in usable form is essential  to its  customers.  The Company
believes  it can be  distinguished  from its  competitors  through the depth and
integrity of its "clinical  knowledge bases," as further described below. HPR is
currently marketing its CodeReview(R),  Medicare  CodeReview(TM),  ProMatch(TM),
Patterns  Review(R),  CRMS  Fundamentals(TM),   Episode  Profiler(TM),   Quality
Profiler(TM),   Referral   Profiler(TM),   Patterns   Profiler(TM),   HealthPlan
Reporter(TM),  Credentialer(TM),  and CCMS  Core(TM)  products.  HPR markets its
products  through a combination of a national direct sales force and third-party
marketing agreements.

     The Company was  incorporated in 1987. In 1988, the Company  introduced its
first product,  CodeReview. In 1992, the Company acquired the clinical knowledge
base for Patterns Review by means of a merger with Concurrent Review Technology,
Inc.,  and  shortly  thereafter  released  Patterns  Review.  In  1993  Medicare
CodeReview  was  released,  and in May 1995,  the  Company  released  its fourth
product,  Episode  Profiler.  In October  1995,  the Company  released its fifth
product,  Quality Profiler. With the acquisition of The Integrity Group, Inc. in
April  1996,  the  Company  acquired  and began  marketing  its  sixth  product,
Credentialer.  During fiscal 1997 the Company  introduced  four more products to
market:  Referral  Profiler in July 1996,  Patterns  Profiler in September 1996,
HealthPlan  Reporter in March 1997, and ProMatch in June 1997. The  introduction
of these four products  brings HPR's total  marketable  product count as of June
30, 1997 to ten. The Company released its eleventh product, CRMS Fundamentals in
July 1997 and is currently  developing its twelfth product,  CCMS Core that will
represent the first product the Clinical Care Management System product line.


Industry Background

The United  States  healthcare  industry is undergoing  rapid change.  In recent
years, healthcare expenditures have increased at approximately twice the rate of
inflation.  In 1997, healthcare expenses have increased to over $1 trillion. The
increase in  healthcare  expenditures  has forced payors and providers to change
the way they  operate.  As pressure to manage  healthcare  costs has  increased,
demand has intensified for healthcare information systems for use by the parties
assuming  financial risk.  These parties include  "payors," such as self-insured
employers;  managed care organizations ("HMOs and PPOs");  traditional indemnity
insurers and third party administrators ("TPAs"); and increasingly, "providers,"
such as physicians,  hospitals, and integrated healthcare delivery systems. This
environment  has caused  physicians  to form groups or networks and to affiliate
with hospitals,  and has provided an impetus for  consolidation  among hospitals
and the emergence of integrated healthcare delivery systems.

Increasingly, these parties are under growing pressure to provide greater levels
of  value - more  services  at a lower  price.  Market  factors  -  competition,
regulation - are trimming profit margins ever thinner and forcing  organizations
to seek out the  highest  levels of  efficiency  in order to achieve  every cost
savings possible while improving the delivery of healthcare to their members.

Historically,  cost  containment  efforts  have  been  hampered  by  a  lack  of
integrated  clinical  and  financial  information.  Payors  continue  to require
methods for cost  control to review and correct  healthcare  claims.  As managed
care  techniques are becoming more  sophisticated  and  responsibility  for cost
containment  is shared by payors and providers,  however,  these parties need to
manage risk by linking  information  from  analysis  and  reporting  software to
real-time care  management  tools.  Each of these goals requires the collection,
analysis,  and interpretation of clinical and financial  information  related to
the  delivery  of  healthcare,  intensifying  the  need for  integrated  medical
management solutions.

Today,  employers,  government  purchasers,  and consumers  are  demanding  more
services for less dollars, they are increasingly requiring verification that the
quality of care they are buying is not being compromised, and access to services
is not  diminished.  Reporting  requirements  like  HEDIS 3.0 and  accreditation
standards that demand  demonstrable  quality  management  initiatives are direct
outgrowths of these concerns.
These  factors  have  combined to create a new  emphasis in the market.  Today's
healthcare  environment  has evolved from pure cost  management to an integrated
medical  management  focus.  This  philosophy  is  more  member-focused  with an
objective of improving  the  effectiveness  of the  provider,  and improving the
quality  of care  received  by the  member -  maximizing  the value  that can be
derived from the available  healthcare premium dollars as measured by the health
of the members.


Strategy

    HPR  develops  and  markets  software  and  proprietary   database  products
incorporating  clinical  knowledge  that enable  payors and  providers to better
manage the  financial  risk in the delivery of  healthcare.  Key elements of the
Company's strategy are to:

    - Maintain  clinical  focus.  The Company has  established its reputation by
      focusing on the application of clinical  knowledge.  HPR plans to continue
      to develop and expand its clinical knowledge bases to deliver  information
      solutions  to its  customers.  The  Company  believes  that its ability to
      incorporate clinical expertise into its products is a key strategic asset.

    - Target  parties  assuming  financial  risk.  Historically,  the  Company's
      products have been used primarily by payors who traditionally have assumed
      most of the financial risk associated with the delivery of healthcare.  In
      response to the shifting of risk from payors to providers, the Company has
      developed  products  that  specifically  address the needs of providers as
      well as payors.

    - Expand product offering.  The Company plans to expand its product offering
      through  research and  development  and the  acquisitions of new products,
      technologies   and   businesses.   The  Company  is  currently   marketing
      CodeReview,   Medicare   CodeReview,   ProMatch,   Patterns  Review,  CRMS
      Fundamentals,  Episode  Profiler,  Quality  Profiler,  Referral  Profiler,
      Patterns Profiler, HealthPlan Reporter, Credentialer, and CCMS Core.

    - Leverage existing customer base. Through the introduction of new products,
      the Company can leverage its existing customer base by cross-selling.  The
      modular design of the Company's  products is intended to  accommodate  new
      products as they are introduced.

    - Generate  recurring  revenue.  The Company  generates  recurring  revenues
      through a combination of multi-year licenses and historically high renewal
      rates.  The Company  seeks to maintain  and  increase  recurring  revenues
      through  a  combination  of  regular  product  updates  and  comprehensive
      customer service.


Clinical Knowledge Bases

    HPR believes that providing  clinical  knowledge in usable form is essential
to  meeting  the  needs  of  its  customers.  The  Company  believes  it  can be
distinguished  from its  competitors  through  the  depth and  integrity  of its
"clinical  knowledge bases." Clinical knowledge bases represent the codification
of specific medical treatments,  protocols,  and "best treatment practices" from
within the medical  community.  These  practices are  represented as a series of
software  algorithms  or rules.  The rules  contained in the clinical  knowledge
bases  form  the  foundation  for  the  application  software  in the  Company's
products.  The  clinical  knowledge  bases are updated  continually  and refined
through the combined efforts of the Company's in-house clinical affairs staff of
ten  physicians  and nurses  and of the  board-certified  physicians  serving on
Company-organized  panels,  many of whom have been  associated  with the Company
since its inception.

    The Company's  application software and databases  incorporate diagnoses and
clinical procedures represented by numeric codes selected from industry-standard
coding  systems.   These   classification   systems  include  the  World  Health
Organization's  International  Classification of Diseases, 9th Edition ("ICD-9")
(diagnostic  codes);  the  American  Medical  Association's  Current  Procedural
Terminology,   4th  Edition  ("CPT-4")   (medical  procedure  codes);  and  U.S.
Healthcare  Financing  Administration  ("HCFA") Level I, II, and III HCFA Common
Procedure Coding System ("HCPCS") (codes for procedures or services that are not
incorporated  into  CPT-4).  These  coding  systems are updated each year by the
World  Health  Organization,   the  American  Medical  Association,   and  HCFA,
respectively.

    The Company develops clinical knowledge bases for new products and regularly
updates the  clinical  knowledge  bases for  existing  products.  In addition to
annual updates that incorporate the annual revisions to ICD-9,  HCPCS, and CPT-4
codes, the Company reviews its clinical knowledge bases approximately once every
two years to reflect  changes  in  medical  practice.  Focusing  on one  medical
specialty at a time, the clinical staff revises the rules  incorporated into the
clinical knowledge bases on the basis of clinical experience, changes in medical
practice, and reviews of current medical literature.

    Revisions  are  subjected  to  multiple  levels of review by the  physicians
serving on Company-organized panels. Participation on these panels is based upon
experience  with   utilization   review,   geography,   academic  and  practical
experience,  and  medical  specialty.  As a result  of the  level  of  physician
involvement in the  development of its clinical  knowledge  bases,  HPR believes
that  its  products  have  credibility  among  physicians  who  are  subject  to
reimbursement and payment constraints imposed by cost containment efforts.  This
"clinical  credibility"  allows  customers  using the  Company's  products to be
better able to influence physician practice patterns.

    - Consensus Panels.  The Company has organized sixteen "consensus panels" of
      between eight and 15 physicians.  The consensus panels identify changes in
      medical practice relevant to revising and enhancing the Company's clinical
      knowledge  bases.  Panelists are chosen for their  clinical  knowledge and
      practical  experience  within  a  medical  specialty.  There  are over 200
      board-certified physicians who are available to the Company for service on
      a consensus  panel.  Panel  membership  is rotated  regularly  to maintain
      balanced and diverse clinical  perspectives.  Each panelist is financially
      compensated.  Consensus panels convene approximately eight to 10 times per
      year.

    - Senior  Advisory  Panel.  The  "senior  advisory  panel" is  comprised  of
      approximately  10 physicians who each have at least 10 years of experience
      in  utilization  management  or managed  care and have  participated  in a
      consensus  panel.  The senior advisory panel reviews the work of consensus
      panels  and the  clinical  knowledge  base  updates  that  reflect  annual
      revisions  to  diagnostic  and  procedural  codes.  Members  of the senior
      advisory  panel are  financially  compensated.  The senior  advisory panel
      meets once or twice per year.

    - Specialty  Consultants.  Currently  more than 30 physicians  with clinical
      expertise  and  utilization  management  experience  serve  as  "specialty
      consultants."  The specialty  consultants  are retained by the Company for
      advice on specific clinical issues on an as-needed basis.


Software Development

    In addition to the clinical  knowledge  bases that form the  foundations for
its products,  HPR has developed  application software that enables customers to
access the clinical  knowledge  bases.  HPR's clinical and software  development
staff  collaborate  to develop  products  designed to be  responsive to customer
needs.  In  particular,  the products  generally  are  portable,  scaleable  and
customizable,  and support an open architecture. The Company's software has been
developed using commercially available technology.


Products

    HPR  is  currently  marketing  CodeReview,  Medicare  CodeReview,  ProMatch,
Patterns Review, CRMS Fundamentals, Episode Profiler, Quality Profiler, Referral
Profiler, Patterns Profiler, HealthPlan Reporter,  Credentialer,  and CCMS Core.
Each of these  products  is designed  to be used  individually  or as part of an
integrated  system (with the exception of ProMatch,  which can only be used with
CodeReview).

Current Products

    Clinical Payment Management System (CPMSTM)

    CPMS  includes  clinically  sophisticated  software  products  that  can  be
    integrated  into a user's  claims  processing  system to detect and  correct
    billing errors as well as identify potentially  inappropriate or unnecessary
    care before the  customers  pay for it. HPR's CPMS products are available on
    many industry standard hardware and operating systems.  The Clinical Payment
    Management  System  is  made  up  of  the  following  products:  CodeReview,
    ProMatch,  and Patterns  Review.  A  description  of each of these  products
    follows:



    - CodeReview

        CodeReview reduces healthcare claims costs by detecting, correcting, and
    documenting improper or erroneous numerical coding of physician claims under
    both the CPT-4 and HCPCS coding systems.  CodeReview makes no judgment about
    the necessity, clinical appropriateness,  or price of services rendered, but
    instead  reviews   medical   treatment  and  procedure  codes  submitted  by
    physicians  for  clinical  inconsistencies  and logical  errors.  CodeReview
    allows  payors to subject  physician  claims to a consistent  and  objective
    claims review prior to making payment. CodeReview is also used by payors and
    providers to standardize billing data to permit fair comparisons of practice
    patterns.

        Generally,  physicians  are  paid  by  payors  for  healthcare  services
    performed  according  to a fee  schedule  associated  with  CPT-4  or  HCPCS
    treatment  codes.  The coding systems used by physicians may allow a medical
    claim to be billed in various  ways  through  the  submission  of  different
    combinations of treatment codes. This may result in significantly  different
    reimbursement  for the claim.  For example,  the surgical  removal of a gall
    bladder  typically  involves a series of distinct  procedures to prepare the
    patient,  remove  the  gall  bladder,  complete  the  surgery,  and  monitor
    recovery.  The  surgery  may also  include  exploration  of the  abdomen and
    imaging  services.  However,  while  exploration  of  the  abdomen  and  the
    provision  of imaging  services  each has a unique  treatment  code,  proper
    billing  practice  requires coding the entire series as one procedure -- the
    removal of a gall bladder -- which generally reduces the payment due for the
    procedure.

        CodeReview screens each claim against its clinical knowledge base, which
    incorporates all of the  approximately  7,500 CPT-4 and 2,800 HCPCS Level II
    codes,  and applies  over 80,000  logical  rules for  detecting  improper or
    erroneous  coding to the claims submitted by providers.  If, for example,  a
    physician  files a claim with codes for both the  removal of a gall  bladder
    and the  exploration  of the  abdomen,  CodeReview  "re-bundles"  the claim,
    recoding  it to include  only  removal of a gall  bladder.  CodeReview  also
    detects  other  coding  errors,  such as  "upcoding,"  or billing for a more
    extensive procedure than actually was performed.

        CodeReview  can be customized to include  procedures  for which selected
    coverage policies may vary, or to account for regional variations in payment
    practices.  CodeReview  was  introduced in 1988 and developed  pursuant to a
    product  development  agreement with  Caterpillar,  Inc. There currently are
    more than 240  licensees  of  CodeReview,  each of which has entered  into a
    written  non-cancelable  license  agreement  for a term of  years  with  the
    Company  pursuant to which the  licensee  generally  agrees to pay an annual
    license fee for use of the product, maintain the product's  confidentiality,
    and use the product only for certain purposes.


    - ProMatch

        ProMatch is an add-on module to the CodeReview  claims editing  software
    application.  ProMatch  is  used  to  identify  inappropriate  and  miscoded
    procedure/diagnosis  combinations. The product is designed to share a single
    interface with CodeReview,  making it easy to implement and use. The savings
    realized  using  ProMatch  are in  addition  to those  savings  achieved  by
    CodeReview alone. There are currently 10 licenses of ProMatch.

    - Patterns Review

        Patterns Review evaluates physician practice patterns for both inpatient
    and outpatient services by comparing those patterns (determined on the basis
    of  codes  filed by the  physician)  with  accepted  medical  standards  for
    appropriateness,  frequency,  and  intensity.  A  "pattern"  is a  group  of
    diagnoses for which similar clinical management is appropriate. For example,
    there are separate  diagnostic codes for a wrist sprain and an ankle sprain,
    but the  appropriate  course  of  treatment  for  each is  similar,  so both
    diagnoses fall within the same pattern.

        The  clinical  knowledge  base for Patterns  Review  assigns each of the
    approximately  15,000 ICD-9  diagnostic  codes to one of  approximately  340
    treatment patterns. The clinical knowledge base for Patterns Review includes
    guidelines for clinical  appropriateness,  frequency, and intensity for each
    pattern.  Patterns  Review  matches  the  diagnostic  code of a claim to the
    appropriate  treatment  pattern and then  compares the pattern to the actual
    treatment rendered.

        Patterns  Review can be used by customers  both as a tool for consistent
    and objective  claims review prior to making  payment under a claim and as a
    management tool for post-payment  utilization  analysis.  When used prior to
    making payment, Patterns Review provides the clinical rationale for reducing
    payment. When used as a post-payment  utilization  management tool, Patterns
    Review  profiles  physician  practice  patterns  by  comparing  them  to the
    clinical  guidelines  incorporated  in the  clinical  knowledge  base.  This
    enables customers to identify inefficient or inappropriate practice patterns
    by specific provider.

        There currently are more than 116 licensees of Patterns Review,  each of
    which has entered into a written non-cancelable license agreement for a term
    of years with the Company pursuant to which the licensee generally agrees to
    pay an annual  license fee for use of the product,  maintain  the  product's
    confidentiality and use the product only for certain purposes.  In 1992, the
    Company merged with  Concurrent  Review  Technology,  Inc.  whose  principal
    product,  Patterns of Treatment, was a collection of clinical protocols. HPR
    incorporated  those  protocols  into the  application  software and clinical
    knowledge base for Patterns Review.

        CodeReview  and Patterns  Review are designed to function in conjunction
    with a customer's  claims  processing  system to evaluate claims each time a
    claim is  processed.  The  Company  has  developed  interfaces  that  enable
    CodeReview and Patterns Review to function with most commercially  available
    healthcare claims processing systems.

    Clinical Resource Management System (CRMS(TM))

         CRMS is a fully  integrated line of clinical  analysis  products,  each
    supported  by a  common  data  warehouse  and  a  flexible  Windows(R)-based
    analytic  workstation.  CRMS products enable users to assemble  information,
    access it quickly and  easily,  analyze it, and apply the results to provide
    users with the clinical knowledge to manage cost,  quality,  and outcomes of
    patient  care.  Each  CRMS  product  incorporates  a common  look and  feel,
    minimizing  the user  learning  curve  and  making  it easy to move from one
    application  to  another.  Information  is  presented  in both a numeric and
    graphic format for easy interpretation.

        The Clinical  Resource  Management  Systems is made up of the  following
    products:  Episode Profiler, Quality Profiler,  Referral Profiler,  Patterns
    Profiler,  HealthPlan  Reporter,  and CRMS Fundamentals.  The following is a
    description of the each of these products.

    - Episode Profiler

        Episode Profiler provides  comprehensive clinical and provider profiling
    using  "episode of care"  analysis.  An  "episode"  includes  all aspects of
    treatment,  starting with an initial  diagnosis and incorporates  inpatient,
    outpatient,  hospital,  and physician services.  The clinical knowledge base
    for  Episode  Profiler  assigns  each  of  the  approximately  15,000  ICD-9
    diagnostic  codes  to one of  approximately  560  episode  treatment  groups
    ("ETGs").  Each ETG describes an appropriate episode of care for the natural
    progression and treatment of a specific medical condition.

        Episode  Profiler can compare a provider's  costs on a per episode basis
    with  those of a  specified  comparison  group.  Customers  can use  Episode
    Profiler to create  profiles for an entire health plan, a specific  group of
    providers,  or  an  individual  provider,  adjusting  a  provider's  patient
    population for illness severity and accounting for  complications  and other
    medical conditions.

        The Company introduced Episode Profiler in May 1995. There currently are
    more than 60 licensees of Episode Profiler, each of which has entered into a
    written  non-cancelable  license  agreement  for a term of  years  with  the
    Company  pursuant to which the  licensee  generally  agrees to pay an annual
    license fee for use of the product,  maintain the product's  confidentiality
    and use the product only for certain purposes.  The software for the ETGs is
    licensed by the Company from Symmetry Health Data Systems, Inc.

- - Quality Profiler

        Quality  Profiler  evaluates  the quality of  healthcare  delivered  and
    identifies instances of healthcare providers delivering inadequate levels of
    medical care.  Quality Profiler is designed to screen for failure to provide
    preventive  care services and minimum  levels of care for specific acute and
    chronic  illnesses,  as  well  as to  identify  complications  that  may  be
    indicative of poor patient outcome.

        In  screening  for failures to provide  preventive  care  services,  the
    clinical  knowledge  base for Quality  Profiler  incorporates  the  clinical
    components  of the U.S.  Preventive  Task  Force  Guidelines  and the Health
    Employer Data Information Set (HEDIS) guidelines established by the National
    Committee  for Quality  Assurance  (NCQA).  Quality  Profiler is designed to
    compare  patient  data  (such as age and  gender)  to  claims  filed for the
    patient  over a  specific  period  of  time  to  look  for  the  absence  of
    appropriate codes for preventive  treatments that should have been performed
    under the guidelines. For example, for a 55-year old woman, Quality Profiler
    is designed to search over the prior 12 months for the CPT-4 code indicating
    the performance of a mammogram.

        Quality Profiler's  clinical knowledge base also incorporates  protocols
    for medical services associated with favorable outcomes for certain specific
    acute and chronic  illnesses as  identified  by members of the consensus and
    senior advisory  panels.  Quality Profiler is designed to compare the claims
    filed for a patient  diagnosed with one of these  illnesses to the protocols
    developed by HPR's  physician  consulting  network to identify  instances of
    under-utilization.  Quality Profiler tracks complications that indicate poor
    outcomes for specified  illnesses.  Quality Profiler is designed to generate
    both provider-specific and member-specific information.

        The Company  introduced  Quality  Profiler in October 1995 and there are
    currently  more than 48 licensees,  each of which has entered into a written
    non-cancelable  license  agreement  with the  Company  pursuant to which the
    licensee  generally  agrees  to pay an  annual  license  fee  for use of the
    product, maintain the product's confidentiality and use the product only for
    certain   purposes.   The  product  was  developed  with   assistance   from
    Healthsource, Inc., which has received a license to use the product.

- - Referral Profiler

        Referral  Profiler is expert  software  designed to analyze primary care
    work-ups  and  referral  patterns  to  specialists  in  relation to clinical
    guidelines.  Referral  Profiler  enables  users to manage  medical care more
    cost-effectively  by  identifying   redundant  testing  and  unnecessary  or
    inappropriate  services  associated  with the referral  management  process.
    Referral  Profiler  guidelines  specify  when  certain  tests and  specialty
    consultations are most effective in the diagnostic work-up.  Users can share
    the diagnosis-specific guideline and cost information with providers as part
    of ongoing educational or payment-related  programs to improve  performance,
    or use the  guidelines  as a reference  tool to provide  information  at the
    point of care for improved medical management.  With Referral Profiler,  end
    users generate clinically-detailed reports on the utilization of specialists
    for use in network management, quality and outcomes management,  utilization
    control, and physician selection.

        The  product  was  developed  with  assistance  from  United  Healthcare
    Corporation,  which has  received  a license  to use the  product.  Referral
    Profiler was released in July 1996 and currently has 17 licensees.


- - Patterns Profiler

        Using  clinical and  financial  results from Patterns  Review,  Patterns
    Profiler  is  designed to create  summary  and  detailed  reports for use in
    network management and provider  profiling.  Patterns Profiler provides peer
    comparisons of provider  performance  by specialty,  plan type, or employer,
    helping users to quickly identify  opportunities to reduce  inappropriate or
    unnecessary patient care.

        Patterns  Profiler was released in September  1996 and  currently has 46
licensees.


- - HealthPlan Reporter

        HealthPlan Reporter produces annual HEDIS reports. By design, HealthPlan
Reporter incorporates claims,  encounter,  provider and membership data into one
warehouse to produce all of the eight HEDIS domains. It supports random sampling
(hybrid  method) for those  applicable  measures and offers a utility to capture
and  incorporate  the  results  of the  medical  record  review.  Narrative  and
statistical   (provider   &  plan)   information   provided   by  the   plan  is
imported/entered  directly  into the  application,  thus  maintaining  a central
approach to HEDIS processing.

        HealthPlan  Reporter was released in March 1997 and  currently  has more
than 22 licensees.

CRMS Product Under Development

- - CRMS Fundamentals

CRMS  Fundamentals  is a  Windows-based,  client server  software that generates
per-member-per  month (PMPM) and  rates-per-1000  reports.  CRMS Fundamentals is
being  designed  to work with all sizes  and types of  healthcare  organizations
managing  financial risk and it will include an efficient user  interface.  CRMS
Fundamentals  will  facilitate  reporting  and  analysis  of  critical  cost and
utilization  trend  information.  Customers  will be able to  "slice  and  dice"
traditional  managed care statistics by more than a dozen  variables  including:
product lines,  employers,  providers,  procedure  groups,  diagnoses,  age, and
gender. With CRMS Fundamentals, users will be able to:

         o compare actual financial  performance to budget 
         o identify variations that impact the  financial  performance 
         o point to clinical  practices where targeted intervention and/or 
           education will improve the efficiency of the user's health care 
           delivery system

CRMS Fundamentals was released in July 1997 and currently has 2 licensees.


HPR's Credentialing Management System

     The   Credentialing   Management   System  supports  the  authorization  of
independently licensed health practitioners to deliver patient care services.




- - Credentialer

     Credentialer is a comprehensive provider network management tool. Providing
automated  workflow support to healthcare  organizations,  Credentialer  enables
users to  effectively  manage  credentialing  and  recredentialing  processes in
compliance with the NCQA guidelines for accreditation.  Credentialer provides an
infrastructure to collect, store, and report on a practitioner's credentials, as
well as their status within the network and basic  information  regarding  their
practice.   Additionally,   Credentialer  can  be  used  to  generate   provider
directories,  and to collect and analyze  provider-specific patient satisfaction
and complaints/grievances data.
       Credentialer  was  acquired  as  part  of  The  Integrity   Group,   Inc.
acquisition on April 30, 1996 and currently has over 75 licensees.

HPR's Clinical Care Management System (CCMS(TM))

     CCMS,  currently  under  development  and not  yet  available  for  general
release,  is designed  to be an  integrated  product  line of  clinically  based
workflow  software  applications  that  provides a  comprehensive  solution  for
member-centered  medical  management.   CCMS  provides  access  to  all  of  the
information necessary to effectively manage an individual member's care.


     CCMS  supports the next  generation  of medical  management,  enabling case
managers  to  perform  consistent,   "real  time"  evaluation  and  tracking  of
individual  patients as care is being delivered,  and also allows them to follow
patients with chronic diseases to help prevent acute episodes. CCMS incorporates
case  management  guidelines  based on a  comprehensive  foundation  of clinical
knowledge.  These  guidelines  allow for more effective,  medically  sound,  and
clinically appropriate case and medical management.

     CCMS Core, the first in the suite of CCMS products,  is being  developed in
conjunction with three co-development partners: Tufts Associated Health Plans of
Massachusetts,  Healthsource, Inc. of New Hampshire, and ChoiceCare Health Plans
of Ohio.

     Three  customers,   in  addition  to  Tufts  Associated  Health  Plans  and
Healthsource,  have  signed  license  agreements  to receive the  software  upon
general release, which the Company anticipates in the first half of fiscal 1998.


Product and Customer Support

    The  Company's  products  are  valuable to  customers  only if the  clinical
knowledge  bases embodied  therein are current and each customer can effectively
apply  the  clinical  knowledge  bases to its own  analytical  requirements.  In
addition to updates to incorporate  annual revisions to ICD-9,  HCPCS, and CPT-4
codes, the Company updates its clinical knowledge bases approximately once every
two years on the basis of clinical experience,  changes in medical practice, and
review of current medical literature.

    The Company  provides all its  customers  with toll free  telephone  hotline
support,  available  weekdays during business hours, to supply both clinical and
technical  assistance.  The Company  also works with  customers  on a consulting
basis to facilitate product installation and utilization.

    HPR invites its customers to participate in an annual conference.  The users
conference is a source of ideas and suggestions for current and future products,
as well as a forum on market and industry issues. This conference lasts three to
four days and over 200 people participate in sessions for analytical, technical,
and clinical  personnel.  The users  conference  is a valuable  resource for the
Company as well as its customers,  providing  feedback on products and marketing
opportunities to provide training and new product demonstrations.

    In addition to the annual users  conference,  for the past several years the
Company  has  convened a "medical  directors  forum."  This group  includes  the
medical directors from a number of HPR's clients,  and provides valuable insight
for the Company into its customers' ongoing and future product needs, from which
the Company can make plans for enhancement of existing  products and development
of new products.

Medical Advisory Board

     The Company's Medical Advisory Board, chaired by Dr. Richard H. Egdahl, was
formally  established  in  1995 to  serve  as an  important  resource  to  HPR's
management.  The Medical Advisory Board is composed of prominent  physicians who
first met in December 1995. The Medical Advisory Board meets approximately twice
annually and is otherwise  available to provide advice at the Company's  request
on clinical  issues and matters of overall  policy and direction of the Company.
Members of the Medical  Advisory  Board receive an  honorarium  for each meeting
attended.

Customers

     The Company has  approximately  360 customers.  Based upon discussions with
its customers,  the Company believes that, in the aggregate, its customers cover
approximately 70 million lives. Approximately 55% are managed care organizations
such as HMOs and PPOs, 20% are indemnity plans, 10% are TPAs and employers,  and
15% are providers.  

     The  Company  estimates  based on  industry  data and  surveys by  industry
analysts,  that in the  United  States  there are  currently  approximately  900
payors,  180 groups of  greater  than 50  physicians  and 6,000  hospitals  with
greater than 50 beds,  which are either  customers or potential  customers.  The
Company  believes  these  provider  groups  represent a relatively  unpenetrated
market for its products.  Additionally,  the emergence of integrated  healthcare
delivery systems may represent a significant  potential market opportunity.  The
Company  expects the mix of its  customers  to shift toward  providers  who will
assume more of the  financial  risk in the delivery of  healthcare.  There is no
assurance,  however, that the Company will be able to penetrate these relatively
new market  opportunities  with the same level of success that has been realized
in the payor market.

    Currently, 42% of the Company's customers use more than one of the Company's
products. The Company's customers include:


          Managed Care                        Indemnity
  Foundation Health Corporation       Blue Cross/Blue Shield of Arkansas,Inc.
  Healthsource, Inc.                  Blue Cross/Blue Shield of New Jersey, Inc.
  Kaiser Permanente                   Blue Cross/Blue Shield of Tennessee,Inc. 
  Oxford Health Plans, Inc.           Fortis Benefits Insurance Company  
  United HealthCare Corporation             

            Providers                    TPAs/Employers
  Monarch Health Systems              ACMG, Inc.
  Lovelace Health Systems             First Health Services Corporation
  Allina Health Plans                 Holy Cross Shared Services


Sales and Marketing

    HPR markets its products  through a combination  of a national  direct sales
force and third-party marketing agreements. Currently, the Company's sales force
consists  of  approximately  30 people,  operating  out of four  sales  offices.
Because the  Company's  products  represent a large capital  investment  for its
customers,  and due to the  length of the sales  cycle,  senior  management  and
clinical support staff take an active role in marketing and sales activities.

    Corporate  marketing  activities  conducted by the Company's marketing staff
include press  releases,  customer  testimonials,  the  development of corporate
product  literature,  presentations  at  industry  events  and  trade  shows and
advertising,  as  well as  communications  with  targeted  decision  makers  and
consultants in the healthcare community.

Research and Development

    Nearly  half  of  the   Company's   employees   are  involved  with  product
development.   In  addition,  the  Company's  over  200  physician  consultants,
organized into panels, contribute to product development.

    The  Company's  research  and  development  activities  include  new product
development,  product updates and enhancement of existing products.  Some of the
Company's  product  development  has been  accomplished  with support from third
party users of the products,  allowing the Company more  efficiently  to develop
products that are responsive to customer  needs.  A substantial  majority of the
Company's research and development  expenses are incurred in connection with new
product development.

     The Company's  research and development  expenses for fiscal 1995, 1996 and
1997 were $3,257,000, $3,891,000, and $7,011,000, respectively.

Competition

    The Company's competitors include healthcare information companies and large
data  processing  and  information  companies.  Many of these  competitors  have
substantial  installed customer bases in the healthcare industry and the ability
to fund significant  product  development and acquisition  efforts.  The Company
believes  that the  principal  competitive  factors in its  market are  clinical
credibility  and integrity and product  innovation.  These factors  address both
customer needs for cost containment tools and increasing industry concerns about
quality control.  Other important competitive factors include product reputation
and reliability,  system features,  client service, price, and the effectiveness
of marketing and sales  efforts.  Based on historical  performance,  the Company
believes it competes  favorably with respect to each of these factors.  However,
there can be no assurance that the Company will remain  competitive with respect
to any individual factor or combination thereof.

Governmental Regulations and Healthcare Reform

    The  healthcare  industry is subject to  changing  political,  economic  and
regulatory influences that may affect the procurement practices and operation of
healthcare organizations. The Company's products are designed to function within
the structure of the healthcare  financing and  reimbursement  system  currently
being used in the United States.  During the past several years,  the healthcare
industry has been subject to an increase in  governmental  regulation  of, among
other  things,  reimbursement  rates.  Certain  proposals  to  reform  the  U.S.
healthcare system are currently under consideration by the U.S. Congress.  These
programs  may  contain  proposals  to  increase   governmental   involvement  in
healthcare  and  otherwise  change the operating  environment  for the Company's
customers.  Healthcare  organizations  may  react  to  these  proposals  and the
uncertainty  surrounding such proposals by curtailing or deferring  investments,
including those for the Company's  products.  On the other hand,  changes in the
regulatory  environment  have in the past increased and may continue to increase
the needs of healthcare organizations for cost-effective  information management
and thereby enhance the  marketability  of the Company's  products and services.
The  Company  cannot  predict  with any  certainty  what  impact,  if any,  such
proposals  or  healthcare  reforms  might  have  on  the  Company's  results  of
operations, financial condition and business.



Intellectual Property

    HPR considers its methodologies, computer software and knowledge-bases to be
proprietary.  The Company seeks to protect its proprietary  information  through
nondisclosure  agreements  with its employees.  The Company's  policy is to have
employees enter into nondisclosure  agreements containing provisions prohibiting
the  disclosure  of  confidential  information  to anyone  outside the  Company,
requiring disclosure to the Company 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  secrets,  copyright and
trademark  laws,  contractual  provisions and technical  measures to protect its
rights in various  methodologies,  systems  and  products  and  knowledge-bases.
Except as described below, the Company has not filed any patent  applications or
copyrights   covering   its   software    technology.    Any   infringement   or
misappropriation   of  the   Company's   proprietary   software   and   clinical
knowledge-bases  would  disadvantage  the  Company in its  efforts to retain and
attract new customers in a highly competitive market and could cause the Company
to lose revenues or incur substantial litigation expense.

    HPR was awarded a U.S. patent (No. 5,253,164) in October 1993 for the system
and methodology embodied in CodeReview(R).  On January 23, 1995, the Company and
GMIS,  Inc.  ("GMIS")  entered into an  agreement  settling  certain  litigation
initiated by GMIS to declare the  Company's  patent  invalid and responded to by
the Company with a countersuit  for patent  infringement.  Under the  settlement
agreement,  the Company granted GMIS a  non-exclusive  license under the patent,
and GMIS  acknowledged the validity of the patent and made a one-time payment of
$7,200,000 to the Company.

    Due to the nature of its  application  software,  the Company  believes that
patent,  trade secret and copyright  protection  are less  significant  than the
Company's ability to further develop, enhance and modify its current products.

    Although  the Company  believes  that its  products  do not  infringe on the
intellectual  property  rights of others,  there can be no assurance that such a
claim will not be asserted against the Company in the future. If asserted,  such
a claim could cause the Company to lose revenues or incur substantial litigation
expense.

Employees

     As of June 30,  1997,  the Company  employed 179  individuals.  None of the
Company's  employees are represented by a union or other  collective  bargaining
group.  The  Company  believes  its  relationship   with  its  employees  to  be
satisfactory.

Executive Officers of the Registrant

    The executive  officers of the Company,  and their ages as of July 31, 1997,
are as follows:

                Name           Age                    Position
 Marcia J. Radosevich,Ph.D      44   Chairman of the Board, Chief Executive 
                                     Officer, President
 Brian D. Cahill                39   Chief Operating Officer and Chief Financial
                                     Officer
 George A. Abatjoglou           27   Treasurer and Controller
 Paul W. Brient                 29   Vice President, Product Marketing
 Andrew C. Garling, M.D.        52   Vice President, Clinical Affairs
 Joseph K. Jaeger               38   Vice President, Sales
 Matthew Ricketson              39   Vice President, Professional Services
 Steven J. Rosenberg            41   Senior Vice President,Software Development 
                                     and Services
 Thomas L. Saltonstall          49   Vice President, Human Resources and
                                     Corporate Administration
 James B. Stowe                 48   Vice President, Marketing
- --------------------------------------------------------------------------------




    Dr.  Radosevich has served as Chief Executive  Officer and a director of the
Company  since 1988 and was elected  Chairman of the Board of  Directors in June
1995.  From  1988  until  1992,  and  since  May 31,  1996 she also has held the
position of President of the Company.  She served as Vice  Chairman of the Board
from 1992 to June 1995.  Dr.  Radosevich is a director of Oxford Health Plans, a
health maintenance organization.

    Mr. Cahill joined the Company as Vice  President,  Finance,  Chief Financial
Officer,  Treasurer  and  Secretary in 1993 and was promoted to Chief  Operating
Officer in 1997.  From 1982 to 1992,  Mr.  Cahill held  various  accounting  and
finance positions at Epsilon Data Management, Inc., a database marketing company
which in 1990 became a subsidiary of American  Express Travel  Related  Services
Company,  Inc. He became Controller,  Treasurer and Secretary of Epsilon Data in
1987 and Vice President, Finance and Chief Financial Officer in 1990.

    Mr.  Abatjoglou,  CPA,  joined HPR in 1995 and was promoted to Treasurer and
Controller in 1997. He is responsible  for managing the daily  operations of the
finance department. Prior to joining HPR, Mr. Abatjoglou served three years as a
senior accountant at the public accounting firm of Coopers & Lybrand L.L.P., the
Company's independent accountants.

    Mr.  Brient,  who  joined  HPR  in  1995  as  the  manager  of  new  product
development,  was  promoted  to Vice  President,  Product  Management  in  1997.
Previously,  he served as a senior consultant at the Boston Consulting Group and
founded a successful practice management software business in Florida.

    Dr. Garling joined the Company as Vice President,  Clinical Affairs in 1997.
Previously  he  served as Vice  President  and  Corporate  Medical  Director  at
Advanced Health  Corporation,  a publicly held company which provides  physician
practice  management  services.  Prior to  Advanced  Health,  he  served as Vice
President of  Prudential  Health Care.  In addition he served eleven years as an
emergency room physician with Kaiser Permanente.

     Mr.  Jaeger joined the Company in 1993 and spent four years as the National
Director of Sales prior to his promotion to Vice President, Sales in 1997. Prior
to working for HPR, Mr. Jaeger held Regional Sales Manager  positions for Mozart
Systems  and On-Line  Software  in Chicago.  He also spent four years as a Sales
Representative for Pansophic  Systems,  Inc. Mr. Ricketson joined HPR in 1996 as
Vice  President,  Professional  Services.  He most  recently  worked  at  Marcam
Corporation, a producer of enterprise-wide software for manufacturers,  where he
oversaw the  Customer  Service  function  during a period when that company grew
from $20 million to $200 million in annual revenues.

    Mr. Rosenberg joined the Company as Vice President, Software Development and
Services  in 1994.  From  1992 to 1994,  he served  as Vice  President  of Sales
Technologies Inc., a sales force automation  company,  and from 1990 to 1992 was
Vice President of AICORP, Inc., a software company.

     Mr.  Saltonstall  joined  the  Company  in 1996 as  Vice  President,  Human
Resources and Corporate  Administration.  He comes to HPR from National  Medical
Care, Inc., an international healthcare company, where he was Vice President for
Human Resources.  

     Mr.  Stowe  joined the Company as Vice  President,  Marketing  and Business
Development in 1995.  From 1989 until joining the Company,  he was a partner and
practice  leader at  Charles  J.  Singer & Co.,  a  managed  care  research  and
consulting firm.

     Each officer serves at the discretion of the Board of Directors.  There are
no family relationships among any of the directors and executive officers of the
Company.

Item 2.   Properties

    The Company's executive and corporate offices comprise 48,000 square feet of
a facility at 245 First Street, Cambridge,  Massachusetts under lease agreements
that expire on August 31, 2003. The Company also  maintains  three sales offices
in Illinois,  Arizona and Nevada.  The Company  believes that its facilities are
adequate for its current operations.



Item 3.   Legal Proceedings

    From time to time, the Company is involved in litigation  relating to claims
arising out of its  operations in the normal course of business.  As of the date
of this  Annual  Report on Form  10-K,  the  Company is not a party to any legal
proceedings which, if decided adversely to the Company, in management's  opinion
would have a material  adverse effect on the Company's  results of operations or
financial position.

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

    There were no matters  submitted  to a vote of security  holders  during the
fourth quarter of fiscal 1997.



<PAGE>




                                     Part II

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

Market for Common Stock

The Company  effected its initial public  offering on August 10, 1995 at a price
of $8.00 per share  (adjusted to reflect a 2 for 1 stock split for  shareholders
of record as of April 26, 1996 effected in the form of a stock dividend).  Since
that date, the Company's  Common Stock has traded on the Nasdaq  National Market
under the symbol HPRI.  The following  table  represents  the high and low sales
prices for the  Company's  common stock for each quarter of fiscal 1997 and 1996
as reported by Nasdaq  National  Market.  All stock prices have been restated to
reflect a 2 for 1 stock  split to  shareholders  of record as of April 26,  1996
effected in the form of a stock dividend.



                                                             High         Low
                               Fiscal 1997
                  4th quarter ended June 30, 1997         $18.75       $ 10.75
                  3rd quarter ended March 31, 1997        $18.38       $ 10.13
                  2nd quarter ended December 31, 1996     $16.25       $ 11.50
                  1st quarter ended September 30, 1996    $22.00       $ 13.50

                               Fiscal 1996
                  4th quarter ended June 30, 1996         $25.63       $ 18.25
                  3rd quarter ended March 31, 1996        $21.75       $ 15.50
                  2nd quarter ended December 31, 1995     $18.13       $ 11.25
                  1st quarter ended September 30, 1995    $13.25       $  9.00



Holders of Record

    As of August 11,  1997  there  were 84  holders  of record of the  Company's
Common Stock.



Dividends

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


<PAGE>



Item 6.  Selected Financial Data

    The following  table contains  selected  consolidated  financial data of the
Company and is qualified by the more detailed Consolidated  Financial Statements
and Notes thereto  included in Item 8 hereof.  The statement of operations  data
for the fiscal  years ended June 30, 1995,  1996 and 1997 and the balance  sheet
data as of June 30, 1996 and 1997 have been derived from Consolidated  Financial
Statements,  which  statements  have been  audited by Coopers & Lybrand  L.L.P.,
independent  accountants,  and are  included  in Item 8 of this Form  10-K.  The
statement of  operations  data for the fiscal years ended June 30, 1993 and 1994
and the balance sheet data as of June 30, 1993, 1994, and 1995 have been derived
from the Company's Consolidated Financial Statements, which statements have been
audited by Coopers & Lybrand L.L.P. and are not included in this Form 10-K. This
data should be read in conjunction with  Consolidated  Financial  Statements and
Notes  thereto and "Item 7.  Management's  Discussion  and Analysis of Financial
Condition and Results of Operations."

<TABLE>



                                                 Fiscal Year Ended June 30,
                                         (in thousands, except per share data)
<CAPTION>

<S>                                     <C>        <C>        <C>         <C>         <C>    

                                        1993       1994        1995       1996(6)     1997
                                              
Statement of Operations Data:
Revenues.........................      $10,770     $14,065    $18,264     $28,310     $39,101
                                       -------     -------    -------     -------     -------
Expenses:
  Cost of revenues...............        2,277       3,452      4,235       7,348       7,900
  Marketing and sales............        3,529       4,016      4,664       6,328       8,672
  Research and development.......          598       1,499      3,257       3,892       7,011
  General and administrative.....        1,701       2,324      2,037       3,594       4,774
  Cost of acquisition (1) .......           --          --         --         336          --
                                            --          --         --         ---          --
    Total expenses...............        8,105      11,291     14,193      21,498      28,357
                                         -----      ------     ------      ------      ------
Operating income.................        2,665       2,774      4,071       6,812      10,744
Interest income (expense), net...        (105)          17        302         878       1,240
Gain on settlement of litigation(2)         --          --      5,800          --          --
                                            --          --      -----          --          --
Income before taxes..............        2,560       2,791     10,173       7,690      11,984
                                         -----       -----     ------       -----      ------
Provision for income taxes.......        1,059       1,160      4,106       3,168       4,973
                                         -----       -----      -----       -----       -----
Net income(2)....................       $1,501      $1,631     $6,067      $4,522      $7,011
                                        ======      ======     ======      ======      ======
Net income per share.............        $0.11       $0.12      $0.43       $0.29       $0.44
                                                                                   
1995 Pro forma net income(3).....                              $2,608
1995 Pro forma net income per                                   $0.18
share(3).........................
1996 Pro forma net income(4).....                                          $4,719
1996 Pro forma net income per                                               $0.30
share(4).........................
Weighted average common shares and
  equivalents (5)................       13,522      13,966     14,175      15,840      16,103

</TABLE>
<TABLE>
<CAPTION>
                                                            June 30,
                                       ----------------------------------------------------
                                                         (in thousands)
<S>                                     <C>         <C>        <C>         <C>        <C>    
  
                                         1993         1994       1995       1996(6)     1997
                                        -------     -------    -------     --------   -------
                                                          
Balance Sheet Data:
  Working capital...............        $2,192      $3,555     $11,130     $20,465     $31,881
  Total assets..................         7,915      10,805      17,988      34,603      47,531
  Long-term liabilities.........           367         601       1,931         882         559
  Stockholders' equity..........         3,377       5,055      11,282      27,915      38,269
Dividends per share.............             0           0           0           0           0

<FN>

(1)  In April 1996, the Company incurred costs related to the acquisition of The
     Integrity Group, Inc. which resulted in an expense of $336,000.
(2)  In January  1995,  GMIS,  Inc.  made a one-time  payment to the  Company in
     settlement of certain litigation, which payment was recorded as a gain, net
     of certain legal and other costs.
(3)  Reflects the fiscal 1995 net income on a pro forma basis by  excluding  the
     gain on  settlement  of  litigation  and its related  tax  effect.  Gain on
     settlement  of  litigation,  net  of  expenses,  was  $5,800,000,  less  an
     effective  tax rate of 40.4%  ($2,341,000),  which  results in an after tax
     gain of $3,459,000 on settlement of litigation.  Accordingly, net income of
     $6,067,000  less the  $3,459,000  after tax gain  results  in pro forma net
     income of $2,608,000.
(4)  Reflects the fiscal 1996 net income on a pro forma basis by  excluding  the
     costs  related to the  acquisition  of The  Integrity  Group,  Inc. and the
     related  tax  effect.  Costs  of the  acquisition  were  $336,000,  less an
     effective tax rate of 41.2%  ($138,000),  resulting in an after tax loss of
     $198,000 due to acquisition  costs.  Accordingly,  net income of $4,521,000
     plus the $198,000 after tax expenditures results in pro forma net income of
     $4,719,000.
(5)  All share and earnings per share  amounts have been restated to reflect the
     impact  of a stock  split  effected  in the form of a 100%  stock  dividend
     granted on May 6, 1996 to all shareholders of record on April 26, 1996.
(6)  The  acquisition  of The Integrity  Group was accounted for as a pooling of
     interests.  However,  due to the relative  immateriality of TIG's financial
     position with respect to HPR as of the date of  combination,  the merger of
     the equity  interests  was given  retroactive  effect to the  beginning  of
     fiscal 1996.  Accordingly,  TIG's assets,  liabilities,  and  shareholder's
     equity  were  brought  onto  the  Company's  consolidated  books  as of the
     beginning of the period as an adjustment to beginning equity.

</FN>

</TABLE>





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

Overview

    The  Company  licenses  its  products   primarily   pursuant  to  multi-year
non-cancellable agreements that, in general, provide for payment of equal annual
license fees over their  terms.  This type of  arrangement  provides the Company
with a significant  recurring  component to its revenues each year. Revenue from
software  license  agreements  is  recognized  upon  execution of a contract and
shipment of the software provided that no significant  vendor obligations remain
outstanding  and the related  receivable  is due within one year of the contract
date and  collection is deemed  probable by  management.  For recurring  license
fees,  revenues are  recognized on the contract  anniversary  date.  The Company
accrues  incidental  support costs  associated with these licenses when revenues
are  recognized.  Revenues  from services are  recognized  when the services are
delivered. There can be no assurance that the Company will be able to enter into
new license  agreements  at the current rate or to maintain the current  pricing
for its products.

     Prior to fiscal 1993,  the  Company's  revenues  were derived from a single
product,  CodeReview,  and between  July 1993 and May 1995 from three  products,
CodeReview,  Medicare  CodeReview and Patterns Review.  In May 1995, the Company
introduced its fourth product,  Episode Profiler, and in October 1995 introduced
its fifth product,  Quality  Profiler.  The acquisition of The Integrity  Group,
Inc. in April 1996  provided the Company with its sixth  product,  Credentialer.
During fiscal 1997 the Company introduced four more products to market: Referral
Profiler in July 1996, Patterns Profiler in September 1996,  HealthPlan Reporter
in March  1997,  and  ProMatch  in June  1997.  The  introduction  of these four
products  brings HPR's total  product  count to ten as of June 30, 1997. In July
1997, the Company released its eleventh product to market, CRMS Fundamentals. In
addition,  the Company has expended  significant  development  resources  during
fiscal 1997 towards the production of its twelfth product,  CCMS Core, the first
product  in the  CCMS  line.  The  Company  believes  that  as the  markets  for
CodeReview and Patterns Review mature,  the continued growth of the Company will
require the successful  introduction of new products and further enhancements to
its existing products.  There can be no assurance that the Company will continue
to design, develop, and release successful new product offerings in the future.
    
The Company has  experienced a seasonal  pattern in its  operating  results,
with the fourth and second fiscal quarters typically having the highest revenues
and net income and the first and third fiscal  quarters  typically  having lower
revenues  and net income.  The timing of revenues is  influenced  by a number of
factors,  including  the timing of  individual  orders and  shipments,  seasonal
customer  buying  patterns  and  changes  in product  development  and sales and
marketing expenditures. The Company believes the seasonality of its revenues and
net income for the fourth  fiscal  quarter  can be  attributed  to due dates for
payment  obligations under multi-year license  agreements,  renewals of existing
agreements  and  the  Company's  sales  compensation  program,  which  is  based
significantly on fiscal year sales levels.  Furthermore,  the Company  typically
experiences  long sales cycles for new customers,  which may extend over several
quarters before a sale is consummated.  As a result,  the Company  believes that
quarterly  results of  operations  will  continue  to be subject to  significant
fluctuations  and that its results of operations for any  particular  quarter or
fiscal year may not be indicative of results of operations for future periods.

    The Company  believes that continued  investment in research and development
and  expansion of its  national  direct sales force are critical to its success.
The Company  believes  that the  aggregate  amount of research  and  development
expense will continue to increase,  if revenues increase as expected,  while the
level of research  and  development  expense as a  percentage  of revenues  will
remain relatively constant.

     For each of the last three fiscal years,  the Company has made  significant
investments in the direct sales force in anticipation  of new product  releases.
As the  Company  has  grown  from two  products  in fiscal  1994 to the  current
offering of three distinct product suites  encompassing 12 individual  products,
the  Company  has  continued  to invest in  quality  personnel  within the sales
organization.  The  Company  believes  that  the  national  sales  force is well
positioned to address the shift of financial risk  associated  with the delivery
of  healthcare  from payors to providers and  consequently,  will be prepared to
sell into this new market for the Company.  However,  there is no assurance that
the Company will be able to penetrate these relatively new market  opportunities
with the same level of success that has been realized in the payor market.

    The Company capitalizes  software costs for internally developed software in
accordance with FASB 86,  "Accounting  for the Costs of Computer  Software to be
Sold,  Leased or  Otherwise  Marketed."  These  costs  relate  primarily  to the
development  of new products and the extension of existing  applications  to new
markets or platforms using existing  technologies and programming  methods.  The
capitalized  costs are  amortized on a  straight-line  basis over the  estimated
useful life of the product (typically three years), commencing when each product
is available to the market.

Results of Operations

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


                                                   Fiscal Year Ended June 30,

                                                    1995       1996     1997
                                                   --------   -------- ------
                     Revenues......................    100 %     100%     100%
                     Expenses:
                      Cost of revenues............       23       26       20
                      Marketing and sales.........       26       22       22
                      Research and development....       18       14       18
                      General and administrative..       11       13       12
                      Cost of acquisition                --        1        0
                                                         --        -        -
                         Total expenses...........       78       76       72
                                                         --       --       --
                    Operating income..............       22       24       28
                    Interest income (expense),            2        3        3
                    net...........................
                    Gain on settlement of                32       --       --
                    litigation....................       --       --       --
                          
                    Income before taxes...........       56       27       31
                    Provision for income taxes....       23       11       13
                                                         --       --       --
                    Net income....................      33 %      16%      18%
                                                       ====      ===      ===


Fiscal Years Ended June 30, 1995, 1996 and 1997

    Revenues.  Revenues increased 55% from $18,264,000 in 1995 to $28,310,000 in
1996 and 38% to $39,101,000 in 1997. A major  contributor to this steady revenue
growth has been the successful release of new products to market. Over the three
year period from fiscal 1995 to fiscal 1997 the Company's  product  offering has
grown from three  products in fiscal 1995 to ten  products as of June 30,  1997.
The Company's first two products,  CodeReview and Patterns  Review,  continue to
show strong year over year performance both through new licenses and renewals of
existing licenses.

    Fiscal year 1996  revenues  reflect  revenues  from the  acquisition  of The
Integrity  Group,  Inc.  ("TIG") in April  1996,  which was  accounted  for as a
pooling of interests  incorporating  TIG's results of operations  for the entire
fiscal  year.  In  addition,  the  fiscal  1996  results  reflect a full year of
revenues related to the Company's Episode Profiler product,  initially  released
in the fourth  quarter of fiscal 1995,  as well as revenues  from the release of
Quality Profiler in October 1995.

    Fiscal 1997 revenues  include  contributions  from 4 new products:  Referral
Profiler, Patterns Profiler, HealthPlan Reporter, and ProMatch. In addition, the
Company  has  recognized  development  revenues  in  fiscal  1997 from CCMS Core
co-development  contracts with Tufts Associated  Health Plans and  Healthsource,
Inc.

    Cost of Revenues.  Cost of revenues increased 74% from $4,235,000 in 1995 to
$7,348,000  in 1996 and 8% to  $7,900,000  in 1997. As a percentage of revenues,
the cost of revenues  increased from 23% in 1995 to 26% in 1996 and decreased to
20% in 1997. The increase from 1995 to 1996 was primarily due to certain royalty
payments to third parties for software licensed by the Company for incorporation
into the  Company's  products and by increased  investment  in the technical and
clinical customer support  functions.  During fiscal 1997 significant  resources
were  dedicated to the  development  of three new products  released  during the
year, as well as HPR's newest products,  CCMS Core (currently under development)
and CRMS Fundamentals. As a result, there was a shift in personnel resources and
the related  expenses  from  application  maintenance  and other typical cost of
revenue  projects,  to  application  development.   Accordingly,   there  was  a
redistribution  of fiscal 1997  expense  classification  from cost of revenue to
research and development.  As the Company  finishes  development of CCMS Core in
fiscal 1998 it is  expected  that the cost of  revenues  will remain  relatively
constant or increase  slightly as a percentage of revenues as resources focus on
the maintenance of the Company's twelve existing products.

    Marketing and Sales.  Marketing and sales  increased 36% from  $4,664,000 in
1995 to  $6,328,000  in 1996 and 37% to  $8,672,000  in 1997. As a percentage of
revenues,  marketing  and  sales  decreased  from 26% in 1995 to 22% in 1996 and
remained flat in 1997.  The Company  invests in certain  promotional  activities
each  fiscal  year  which  include  trade  shows  and  seminars  as  well as the
development  of  collateral  materials  designed  to increase  awareness  of the
Company and its products.  In addition,  the Company spends significant time and
resources in  recruiting  quality  individuals  to be a part of the direct sales
force.  As the Company has continued to invest in marketing and sales  programs,
the  investment  has  contributed  to higher  revenues in each of the last three
fiscal years causing sales and marketing  expense to decrease as a percentage of
revenues  over that same  period.  The Company  expects  sales and  marketing to
remain relatively constant as a percentage of revenues.

    Research and  Development.  Research and development  efforts by the Company
are focused on developing new products and enhancing existing products. Research
and  development  costs  increased 19% from  $3,257,000 in 1995 to $3,892,000 in
1996 as a result of continued  research efforts on Quality Profiler and Referral
Profiler.  Research and  development  increased  80% from  $3,892,000 in 1996 to
$7,011,000 in 1997 as a result of development in connection  with the release of
four new  products to market in fiscal  1997.  In  addition,  in fiscal 1997 the
Company underwent one of its largest  development  efforts to date in the design
and  production of CCMS Core,  the first in a suite of Clinical Care  Management
System products. As a percentage of revenues, research and development decreased
from 18% in 1995 to 14% in 1996 and then  increased in 1997 to 18%. The decrease
in 1996 is a result of two factors:  the significant increase in revenue dollars
in 1996 over 1995 and the  release of Episode  Profiler in late 1995 and Quality
Profiler in October 1996, both of which were in development  during fiscal 1995.
The increase in fiscal 1997 is a by-product of the development efforts discussed
above. With the increase in development  activities on the Company's new product
lines,  management  expects that  research  and  development  expenditures  will
increase but remain  substantially the same or decrease slightly as a percentage
of revenue for the foreseeable future.

    General and  Administrative.  General and administrative  expenses increased
76% from $2,037,000 in 1995 to $3,594,000 in 1996 and 33% to $4,774,000 in 1997.
As a percentage of revenues,  general and administrative expenses increased from
11% in 1995 to 13% in 1996 and  decreased  slightly to 12% in fiscal  1997.  The
increased expenditures from 1995 to 1996 are due primarily to increased expenses
related to being a publicly-traded company, certain costs incurred in moving the
Company's  headquarters in August 1995, and an increase in the provision for bad
debt expenses in proportion to the increase in revenues.  During fiscal 1997 the
Company made significant  investments in infrastructure,  management information
systems,  and human  resources  to prepare  itself for the future.  Although the
increase in  expenditures  in fiscal 1997 is in line with the  Company's  growth
during the year,  the Company  believes that if revenues  increase,  general and
administrative  expenses  should  decrease  as a  percentage  of revenues in the
future.  However,  there can be no  assurance  that  general and  administrative
expenses will not increase at a rate faster than revenues in the future.

     Costs of  Acquisition.  In April 1996,  the Company  acquired The Integrity
Group, Inc. ("TIG"), an Alabama corporation, in a transaction accounted for as a
pooling  of  interests.  The  Company  incurred  one time  costs  related to the
acquisition  of $336,000  primarily  related to legal,  accounting,  and finders
fees.

    Interest  Income  (Expense),  Net. The Company  realized  interest income of
$302,000 in 1995,  $877,000 in 1996,  and  $1,240,000 in 1997.  Interest  income
represents  interest  earned on the Company's  excess cash  balances,  which are
generally  placed in short term  investments,  money market funds and government
securities.  The increase is due to the interest  earned on cash balances of the
Company  generated from  operations and the proceeds from the Company's  initial
public  offering  of its  common  stock  completed  in August  1995 and from the
follow-on offering completed in February 1996.

    Gain on Settlement of Litigation.  In January 1995, the Company  settled all
of the  outstanding  claims  between the Company and GMIS,  Inc.  related to the
Company's  patent for CodeReview.  Under the settlement  agreement,  the Company
granted GMIS a nonexclusive  license under the patent, and GMIS acknowledged the
validity  of the patent and made a one-time  payment,  net of legal and  certain
other costs, of $5,800,000 to the Company.

    Income Taxes.  The  Company's  effective tax rate was 40.4% in 1995 compared
with 41.2% in 1996 and 41.5% in 1997. The Integrity Group, Inc. was a Subchapter
S corporation  until its acquisition on April 30, 1996. As a result,  the former
shareholders  of TIG are  responsible for all taxes on profits made through that
date. The Company has recorded taxes for the final two months of the 1996 fiscal
year related to TIG's activity. The Company has no federal income tax loss carry
forwards.


Liquidity and Capital Resources

    During the period from  inception  through June 30, 1997, the Company raised
approximately  $15.9  million,  net of expenses,  through the issuance of equity
securities,  of which amount  approximately $7.2 million was raised in the first
quarter of fiscal 1996 in the Company's initial public offering and $4.2 million
was raised in the third  quarter of fiscal 1996 in the  Company's  second public
offering.  The Company  generated cash of $5.3 million from operations in fiscal
1995,  approximately  $4.5 million in fiscal 1996 and approximately $3.8 million
during fiscal 1997. At June 30, 1997, the Company had cash and cash  equivalents
of $13.9 million. The Company regularly invests excess funds in short-term money
market funds, government securities and commercial paper.

    On February 7, 1997, the Company  received an extension and  modification of
its  revolving  bank credit  facility  from  $5,000,000  to  $7,500,000  with an
expiration date of December 30, 1997. No borrowings have been made to date under
the facility.

    The Company believes that available funds and cash generated from operations
will be  sufficient to meet the Company's  operating  requirements,  assuming no
change in the operations of the Company's business, for the foreseeable future.

    To date inflation has not had a material  impact on the Company's  financial
results.  There can be no assurance,  however,  that inflation may not adversely
affect the Company's financial results in the future.

Impact of Recently Issued Accounting Pronouncements

    The FASB issued Statement No. 128 ("SFAS 128"),  "Earnings per Share," which
modifies  the  way in  which  earnings  per  share  ("EPS")  is  calculated  and
disclosed.  Currently,  the Company discloses primary EPS. Upon adoption of this
standard  for the fiscal  period  ending  June 30,  1998,  the  Company  will be
required  to  disclose  either  basic EPS or both basic and  dilutive  EPS.  The
principal difference being that common stock equivalents would not be considered
in the  computation of basic EPS. The impact of adoption of SFAS 128 has not yet
been determined.

    The  FASB  recently  issued  Statement  No.  130  ("SFAS  130"),  "Reporting
Comprehensive  Income".  This statement requires changes in comprehensive income
to be shown in a financial  statement that is displayed with the same prominence
as  other  financial  statements.  While  not  mandating  a  specific  financial
statement  format,  the  Statement  requires that an amount  representing  total
comprehensive  income be  reported.  Comprehensive  income  components  include:
unrealized gains and losses on available-for-sale investments in debt and equity
securities,  foreign  currency  translation  adjustments,  and  minimum  pension
liability  adjustments.  The  Statement  will become  effective for fiscal years
beginning after December 15, 1997.  Reclassification of financial statements for
earlier  periods is required  for  comparative  purposes.  The Company  does not
believe  that this  statement  will have a  material  impact on the  results  of
operations.

    In June 1997, the Financial  Accounting  Standard Board issued  Statement of
Financial  Accounting No. 131,  "Disclosures about Segments of an Enterprise and
Related  Information"  (SFAS No. 131). SFAS No. 131 specifies new guidelines for
determining  a  company's  operating  segments  and  related   requirements  for
disclosure. The Company does not believe that this statement will have an impact
on the presentation of the financial statements and the disclosures therein.

Risk Factors Relating to Forward-Looking Statements

    Statements  in this  report  concerning  the future  results of  operations,
financial condition and business of the Company are "forward-looking" statements
as defined in the  Securities  Act of 1933 and the  Securities  Exchange  Act of
1934.   Investors   are   cautioned   that   information   contained   in  these
forward-looking  statements is inherently uncertain, and that actual performance
and results may differ  materially  due to numerous risk factors,  including but
not limited to the following:

    Seasonality and Variable Operating Results.

    The Company has  experienced a seasonal  pattern in its  operating  results,
with the fourth and second fiscal quarters typically having the highest revenues
and net income and the first and third fiscal  quarters  typically  having lower
revenues  and net income.  The timing of revenues is  influenced  by a number of
factors,  including  the timing of  individual  orders and  shipments,  seasonal
customer  buying  patterns  and  changes  in product  development  and sales and
marketing expenditures. The Company believes the seasonality of its revenues and
net income for the fourth  fiscal  quarter  can be  attributed  to due dates for
payment  obligations under multi-year license  agreements,  renewals of existing
agreements  and  the  Company's  sales  compensation  program,  which  is  based
significantly on fiscal year sales levels.  The Company believes the seasonality
of its revenues and net income in the second fiscal quarter can be attributed to
the seasonal  purchasing  patterns of its  customers.  The Company most recently
reported a net loss in the first and third quarters of fiscal 1994 and there can
be no assurance that the Company will be profitable  during future quarters.  In
addition, although the Company has no present agreements or commitments to enter
into any major contracts, the signing of a major contract could generate a large
increase in revenues and net income for any given quarter or fiscal year,  which
increase may prove anomalous when compared to changes in revenues and net income
in other periods.  Furthermore,  the Company  typically  experiences  long sales
cycles for new customers,  which may extend over several  quarters before a sale
is  consummated.  As a result,  the Company  believes that quarterly  results of
operations will continue to be subject to significant  fluctuations and that its
results of  operations  for any  particular  quarter  or fiscal  year may not be
indicative of results of operations for future periods.

    Dependence Upon New Product Development, Acceptance and Enhancement.

    The  market  for  the   Company's   products  is   characterized   by  rapid
technological progress and changing customer needs. The Company believes that as
the markets for CodeReview and Pattern  Review mature,  the continued  growth of
the  Company  will  require  the  successful   introduction   of  new  products.
Accordingly,  the  Company's  future  success  will  depend  on its  ability  to
successfully develop and introduce new products,  including HealthPlan Reporter,
CCMS  Core,  and the  other  modules  of the  Clinical  Care  Management  System
("CCMS"),  and to enhance its existing products.  There can be no assurance that
the Company will be successful in developing, introducing on a timely basis, and
marketing  such  products or  enhancements  or that they will be accepted by the
market.  Significant  research and development  expenditures will be required in
the future.  There can be no assurance  that the Company's  expected new product
releases and product enhancements will adequately address customer  requirements
for performance and  functionality  or that its software will not contain "bugs"
that would delay product introduction or shipment.

    Dependence on Third Party for Component of Episode Profiler.

    A principal  component of Episode Profiler,  the "Episode  Treatment Groups"
product,  is licensed from a third-party  vendor,  Symmetry Health Data Systems,
Inc.  ("Symmetry"),  under  the  terms of a  63-month  license  which  commenced
November  17, 1994 and has a 24-month  renewal term which is  contingent  on the
Company meeting minimum royalty  requirements.  Symmetry has agreed,  subject to
certain conditions, that it will not license Episode Treatment Groups to certain
other companies which might be considered  competitors of the Company. While the
Company  believes  that the terms of such  license  are  adequate to protect the
Company's  investment in Episode  Profiler,  any factor adversely  affecting the
Company's  ability  to retain  the  benefits  of such  license  or to obtain the
updated  Episode  Treatment  Groups would have a material  adverse effect on the
Company's results of operations, financial condition and business.


    Risk of Inability to Grow Through Acquisitions.

    The Company has grown,  and  intends to  continue to grow,  in part  through
acquisitions of products,  technologies and businesses. The Company's ability to
expand successfully through acquisitions depends on many factors,  including the
successful   identification  and  acquisition  of  products,   technologies  and
businesses and management's ability to effectively integrate and operate the new
products,  technologies  or  businesses.  There is significant  competition  for
acquisition   opportunities  in  the  industry,   which  may  intensify  due  to
consolidation  in the industry,  increasing  the costs of  capitalizing  on such
opportunities.  The Company  competes for acquisition  opportunities  with other
companies that have significantly greater financial and management resources.

    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. 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 adversely
affect the Company's results of operations, financial condition or business.

     Inability  to  Retain  or  Attract   Customers  Due  to   Competition   and
          Consolidation.

    The market in which HPR's products are licensed is highly competitive.  Most
of the Company's  competitors have significantly  greater financial,  technical,
product  development  and marketing  resources  than the Company.  The Company's
potential competitors for customers include healthcare information companies and
large data  processing  and  information  companies  that may have more  diverse
product offerings covering a broader spectrum of the healthcare  industry.  Many
of these competitors have substantial installed customer bases in the healthcare
industry and the ability to fund significant product development and acquisition
efforts.  In addition,  the Company has noted a trend towards  consolidation  of
customers within its market.  While this consolidation  results in substantially
larger  potential  customers,  the Company also is faced with a risk of existing
customers  being  acquired  by entities  that use a  competitor's  product.  The
Company  continues  to believe  that the  principal  competitive  factors in its
market are clinical  credibility  and  integrity and product  innovation.  These
factors  address both customer needs for cost  containment  tools and increasing
industry  concerns about quality control.  Other important  competitive  factors
include product  reputation and reliability,  system  features,  client service,
price,  and the  effectiveness  of marketing and sales efforts.  There can be no
assurance that future competition will not have a material adverse effect on the
Company's results of operations, financial condition or business.

    Dependence on Proprietary Software and Clinical Knowledge-Bases.

    The Company's success is dependent to a significant extent on its ability to
maintain the proprietary and confidential software and clinical  knowledge-bases
incorporated in CodeReview, ProMatch, Patterns Review, Episode Profiler, Quality
Profiler,  Referral  Profiler,  HealthPlan  Reporter,  Patterns  Profiler,  CRMS
Fundamentals,  CCMS Core and other  products as they are  released.  The Company
relies on a  combination  of patent,  trade secret,  copyright  and  contractual
protections to establish and protect its proprietary rights. There can, however,
be no assurance  that the legal  protections  and the  precautions  taken by the
Company  will  be  adequate  to  prevent   misappropriation   of  the  Company's
technology.  Any infringement or misappropriation  of the Company's  proprietary
software  and clinical  knowledge-bases  would  disadvantage  the Company in its
efforts to retain and attract new customers in a highly competitive  market, and
could  cause  the  Company  to lose  revenues  or incur  substantial  litigation
expense.  In  addition,   these  protections  and  precautions  do  not  prevent
independent  third-party  development  of  competitive  technology  or products.
Further,  the  Company  depends  on  third-party  suppliers  to  license  to HPR
necessary  technology  that  is  incorporated  into  certain  of  the  Company's
products,  including  Episode  Profiler.  The  inability  of the Company for any
reason to continue  using or otherwise  acquire such  technology  could  prevent
distribution of such products, which would have a material adverse effect on the
Company's results of operations, financial condition or business.

    Dependence on Certain 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.  The  Company  does not have  employment  agreements  with any of its
officers or key employees  providing for their employment for any specific term.
The Company does not have "key person"  life  insurance on any of its  personnel
other than Marcia J.  Radosevich,  the  Company's  Chairman of the Board,  Chief
Executive Officer, and President.  The loss of key personnel or the inability to
hire or retain  qualified  personnel could have a material adverse effect on the
Company's results of operations, financial condition or business.

    Uncertainty in the Healthcare Industry.

    The  healthcare  industry is subject to  changing  political,  economic  and
regulatory influences that may affect the procurement practices and operation of
healthcare organizations. The Company's products are designed to function within
the structure of the current  national  healthcare  financing and  reimbursement
system currently being used in the United States.  The Company believes that the
commercial  value and appeal of its products  may be adversely  affected if that
system were to be materially changed.  During the past several years, the United
States  healthcare  industry  has been  subject to an increase  in  governmental
regulation of, among other things,  reimbursement rates. Proposals to reform the
United States healthcare system are from time to time under consideration by the
U.S.  Congress.  These  programs may contain  proposals  to increase  government
involvement in healthcare and otherwise change the operating environment for the
Company's customers.  Healthcare  organizations may react to these proposals and
the   uncertainty   surrounding   such  proposals  by  curtailing  or  deferring
investments  in  cost  containment  tools  and  related  technology  such as the
Company's products. The Company cannot predict what impact, if any, such factors
might have on its results of  operations,  financial  condition or business.  In
addition,  many  healthcare  providers are  consolidating  to create  integrated
healthcare  delivery  systems with greater  regional  market power. As a result,
these emerging systems could have greater  bargaining  power,  which may lead to
price erosion of the Company's products.  The failure of the Company to maintain
adequate  price levels  would have a material  adverse  effect on the  Company's
results of operations,  financial  condition or business.  Other  legislative or
market-driven  reforms could have unpredictable effects on the Company's results
of operations, financial condition or business.

    Risk of Product Liability Claims.

    The  Company's  products  provide  information  that  relates  to payment of
healthcare claims and to the  appropriateness of medical treatment in particular
cases and in general.  Any  failure by the  Company's  products to process  such
claims or to review such  treatments  accurately  could result in claims against
the Company by its customers.  Further, successful use of the Company's products
could  influence  the  treatments  rendered by providers and give rise to claims
against the Company by patients or providers. The Company maintains insurance to
protect  against  certain claims  associated  with the use of its products,  but
there can be no assurance that its insurance coverage would adequately cover any
claim  asserted  against the Company.  A successful  claim  brought  against the
Company in excess of, or excluded  from,  its  insurance  coverage  could have a
material  adverse  effect on the  Company's  results  of  operations,  financial
condition or business.  Even  unsuccessful  claims could result in the Company's
expenditure of funds in litigation and management  time and resources.  While to
date the Company has not  experienced any product  liability  claims against it,
the Company is aware of claims made  against  payors by  patients  for  coverage
decisions  which  adversely  influenced  medical  treatment.  There  can  be  no
assurance that the Company will not be subject to product liability claims, that
such claims will not result in  liability in excess of its  insurance  coverage,
that  the  Company's  insurance  will  cover  such  claims  or that  appropriate
insurance  will  continue  to be  available  to the  Company  in the  future  at
commercially  reasonable rates. In addition, if liability of the Company were to
be established, substantial revisions to its products could be required that may
cause the Company to incur  additional  unanticipated  research and  development
expenses.


    Possible Volatility of Stock Price.

     Prior to August 10, 1995,  there was no public market for the Common Stock,
and there can be no assurance that an active trading market will be sustained or
that the market  price of the Common  Stock will not  decline  below its current
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  could  also  be  subject  to  significant
fluctuations  in response to  variations  in  quarterly  results of  operations,
announcements of new products or acquisitions 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.  The market  price of the  Common  Stock may be
significantly  affected by factors such as  announcements of new products by the
Company's  competitors,  as well as variations  in the market  conditions in the
medical cost containment or software industries in general. The market price may
also be affected by movements in prices of equity securities in general.



<PAGE>




Item 8.  Financial Statements and Supplementary Data

                                                     HPR Inc.

                                    INDEX TO CONSOLIDATED FINANCIAL STATEMENTS


                                                                            Page
Report of Independent Accountants............................................29
Consolidated Balance Sheets as of June 30, 1996 and 1997 ....................30
Consolidated Statements of Operations for the fiscal years ended June 30,
1995, 1996 and 1997..........................................................31
Consolidated Statements of Stockholders' Equity for the fiscal years ended
June 30, 1995, 1996 and 1997.................................................32
Consolidated Statements of Cash Flows for the fiscal years ended June 30,
1995, 1996 and 1997..........................................................33
Notes to Consolidated Financial Statements...................................34


<PAGE>




                                         REPORT OF INDEPENDENT ACCOUNTANTS

To the Board of Directors and Stockholders of HPR Inc:

    We have audited the accompanying  consolidated balance sheets of HPR Inc. as
of  June  30,  1996  and  1997,  and  the  related  consolidated  statements  of
operations,  stockholders'  equity and cash flows for each of the three years in
the  period  ended  June  30,  1997.   These   financial   statements   are  the
responsibility of the Company's management.  Our responsibility is to express an
opinion on these financial statements based on our audits.

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

    In our opinion,  the financial  statements referred to above present fairly,
in all material respects,  the consolidated financial position of HPR Inc. as of
June 30, 1996 and 1997 and the  consolidated  results of its  operations and its
cash flows for each of the three  years in the period  ended June 30,  1997,  in
conformity with generally accepted accounting principles.







                                                        COOPERS & LYBRAND L.L.P.

Boston, Massachusetts
August 1, 1997


<PAGE>




                                    HPR Inc.

                           CONSOLIDATED BALANCE SHEETS

<TABLE>

                                                                      June 30,
                                                             ---------------------------
<CAPTION>

                                                            1996            1997
                                                        ------------    ------------
<S>                                                     <C>             <C>   

ASSETS:
Current Assets:
  Cash and cash equivalents (Note 2) ................   $  8,479,122    $ 13,943,693
  Investments in marketable securities  .............      9,016,146      10,842,696
  Accounts receivable, net of allowances for doubtful
    accounts of $603,000 and $651,500 for 1996 and ..      4,491,065       6,952,573
    1997
  Contract receivables ..............................      3,142,680       6,890,342
  Deferred income taxes (Note 6) ....................        415,149         698,022
  Prepaid expenses and other current assets .........        727,044       1,257,276
                                                        ------------    ------------
         Total current assets .......................     26,271,206      40,584,602
Investments in marketable securities ................      5,394,340       2,984,465
Property and equipment, net (Note 4) ................      1,964,164       2,509,775
Software development costs, net (Note 2) ............        873,427       1,347,654
Other assets ........................................        100,332         104,570
                                                        ------------    ------------
         Total assets ...............................   $ 34,603,469    $ 47,531,066
                                                        ============    ============
LIABILITIES AND STOCKHOLDERS' EQUITY:
Current Liabilities:
  Accounts payable ..................................   $    607,259    $    749,138
  Accrued royalties .................................        456,521       1,025,979
  Accrued expenses ..................................        581,524       1,181,450
  Accrued support costs .............................      1,425,191       1,792,584
  Accrued employee compensation and benefits ........      1,323,973       2,247,295
  Deferred revenue ..................................        698,029       1,498,147
  Income taxes payable ..............................        438,758            --
  Sales taxes payable ...............................        275,022         209,067
                                                        ------------    ------------
         Total current liabilities ..................      5,806,277       8,703,660
Deferred income taxes (Note 6) ......................        882,173         558,791
                                                        ------------    ------------
         Total liabilities ..........................      6,688,450       9,262,451
                                                        ------------    ------------
Commitments and contingencies (Note 5)
Stockholders' Equity:
  Convertible preferred stock, par value $0.10,
    3,000,000 shares authorized; zero shares 
    outstanding at June 30, 1996 and 1997.............            --              --
Common stock, par value $0.01, 35,000,000 shares
    authorized; 17,918,625 and 15,325,303 shares
    issued and 15,012,375 and 15,325,303 shares 
    outstanding at June 30, 1996 and 1997, respectively      179,185         153,253
  Additional paid-in capital ........................     15,972,680      18,335,055
  Less treasury stock, at cost: 2,906,250 and zero
    shares at June 30,1996 and 1997, respectively ..     (2,843,900)           --
  Retained earnings .................................     14,607,054      19,780,307
                                                        ------------    ------------
         Total stockholders' equity .................     27,915,019      38,268,615
                                                        ------------    ------------
         Total liabilities and stockholders' equity .   $ 34,603,469    $ 47,531,066
                                                        ============    ============
</TABLE>

         The accompanying notes are an integral part of the consolidated
                             financial statements.





                                                     HPR Inc.
                                       CONSOLIDATED STATEMENTS OF OPERATIONS



                                            Fiscal Year Ended June 30,
                                          1995          1996           1997
                                     ------------- -------------  ---------

Revenues.........................     $18,263,831    $28,310,272   $39,101,380
Expenses:
  Cost of revenues...............       4,234,427      7,348,354     7,900,286
  Marketing and sales............       4,664,362      6,328,282     8,672,199
  Research and development.......       3,257,268      3,891,381     7,010,839
  General and administrative.....       2,036,644      3,594,331     4,774,084
  Cost of acquisition (Note 10) .              --        335,544            --
                                               --        -------            --
Total expenses...................      14,192,701     21,497,892    28,357,408
                                       ----------     ----------    ----------
Operating income.................       4,071,130      6,812,380    10,743,972
Interest income (expense), net...         301,412        877,377     1,240,066
Gain on settlement of litigation
  (Note 9)......................       5,800,223             --            --
                                        ---------             --            --
Income before provision for income
  taxes..........................      10,172,765      7,689,757    11,984,038
Provision for income taxes.......       4,105,277      3,167,894     4,973,385
                                        ---------      ---------     ---------
Net income.......................      $6,067,488     $4,521,863    $7,010,653
                                       ==========     ==========    ==========

Net income per share.............           $0.43          $0.29         $0.44
Weighted average common shares and
  equivalents (1)................      14,175,000     15,840,000    16,103,000


(1)  All share and earnings per share  amounts have been restated to reflect the
     stock split effected in the form of a 100% stock dividend granted on May 6,
     1996 to all shareholders of record on April 26, 1996.





     The accompanying  notes are an integral part of the consolidated  financial
statements.



<PAGE>




                                    HPR Inc.
                 CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY
             For the Fiscal Year Ended June 30, 1995, 1996 and 1997



<TABLE>


<CAPTION>

                      Preferred                                                                                                  
                          Stock                  Common       Common  Additional                Treasury    Treasury          Total
                         Shares                   Stock        Stock     Paid-in    Retained       Stock       Stock   Stockholders'
                         Issued      Amount      Issued       Amount     Capital    Earnings      Shares      Amount         Equity
                    ----------- ----------- -----------  ----------- ----------- ----------- ----------- -----------    -----------
<S>                   <C>       <C>           <C>        <C>         <C>         <C>          <C>         <C>           <C>

Balance at June 30,   2,762,500 $   276,250   8,835,900  $    88,359 $ 3,606,576 $ 3,928,199  (2,906,250) $(2,843,900)  $ 5,055,484
1994 Issuance of      
common stock             25,000         250      16,000                                                                      16,250
  Options exercised   1,465,000      14,650     127,880                                                                     142,530
  Net income .......                                                               6,067,488                              6,067,488
                    ----------- -----------  -----------  ---------- ----------- ----------- -----------   -----------  -----------

Balance at June 30, 
1995 ..............   2,762,500     276,250   10,325,900     103,259   3,750,456   9,995,687 (2,906,250)   (2,843,900)    11,281,752
                    ----------- -----------  ----------- ----------- ----------- ----------- -----------   -----------   -----------
Pooling of interests 
 with The Integrity       
 Group, Inc. ..                                  260,001       2,600     119,900      89,504                                 212,004
Balance as restated   2,762,500     276,250   10,585,901     105,859   3,870,356  10,085,191 (2,906,250)   (2,843,900)    11,493,756
                    ----------- -----------  ----------- ----------- ----------- ----------- -----------   -----------   -----------
Conversion of     
preferred stock...  (2,762,500)   (276,250)    5,525,000      55,250     221,000                                                  --
  Issuance of common 
   stock in initial      
   public offering                             1,077,052      10,770   8,002,578                                           8,013,348
   
  Expenses related 
    to initial public      
    offering ......                                                    (858,896)                                           (858,896)
  Issuance of common
    stock in second                              288,596       2,886   4,645,545                                           4,648,431
    public offering
  Expenses related to
    second public ....                                                 (424,420)                                           (424,420)
    offering
  Options exercised ..                           442,076       4,420     164,632                                             169,052
  Tax benefits on stock
    options       
    exercised......                                                      351,885                                             351,885
  Net income ......                                                                4,521,863                               4,521,863
                    ----------- -----------  ----------- ----------- ----------- ----------- -----------   -----------   -----------
Conversion of     
Balance at June 30, 
1996 ..............         --           --   17,918,625     179,185  15,972,680  14,607,054 (2,906,250)   (2,843,900)    27,915,019
                    ----------- -----------  ----------- ----------- ----------- ----------- -----------   -----------   -----------
  Options exercised                              325,180       3,252     399,349                                             402,601
  Purchase of 
    Treasury Stock                                                                              (12,252)       (7,922)       (7,922)
  Tax benefits on 
    stock options                                                      2,948,264                                           2,948,264
   exercised
  Retirement of                              (2,918,502)    (29,184)   (985,238   (1,837,400)  2,918,502     2,851,822            --
    Treasury Stock

  Net income                                                                       7,010,653                               7,010,653
                    ----------- -----------  ----------- ----------- ----------- ----------- -----------   -----------   -----------
Balance at June 
  30, 1997 ........          -- $         0   15,325,303 $   153,253 $18,335,055 $19,780,307          --   $         0   $38,268,615
                    =========== ===========  =========== =========== =========== =========== ===========   ===========   ===========
</TABLE>

               The accompanying notes are an integral part of the
                       consolidated financial statements.



                                                     HPR Inc.

                                       CONSOLIDATED STATEMENTS OF CASH FLOWS

                                              Fiscal Year Ended June 30,
                                           1995          1996          1997
                                       ------------  ------------  --------

Cash flows from operating activities:
  Net income........................     $6,067,488    $4,521,863    $7,010,653
  Adjustments to reconcile net
income to
     cash provided by operating
activities:
     Depreciation and amortization..      1,074,491     1,254,119     1,467,972
     Provision for doubtful accounts        210,000       321,302       425,000
     Loss on disposal of equipment..        124,488            --            --
     Amortization of discount on
       investments..................             --     (114,242)     (203,353)
  Change in operating assets and
     liabilities:
     Accounts receivable............    (1,867,568)   (1,785,004)   (6,634,170)
     Prepaid expenses...............      (970,859)       490,502     (530,232)
     Other assets...................         76,191            --       (4,238)
     Accounts payable and other
     accrued  liabilities...........      1,130,196       322,411     2,601,978
     Sales taxes payable............      (123,944)       128,403      (65,955)
     Deferred revenue...............       (62,258)      (90,895)       800,118
     Deferred income taxes..........        373,364   (1,026,570)     (606,255)
     Income taxes payable...........      (705,401)       438,758     (438,758)
                                          ---------       -------     ---------
       Net cash provided by operating
          activities................      5,326,188     4,460,647     3,822,760
                                          ---------     ---------     ---------
Cash flows for investing activities:
  Capitalized software development
     costs..........................      (591,261)     (366,332)   (1,025,009)
  Capital expenditures..............      (664,330)   (1,732,624)   (1,462,801)
  Sale of marketable securities.....             --    15,276,906    18,763,596
  Purchase of marketable securities.             --  (29,573,130)  (17,976,918)
                                                 --  ------------  ------------
       Net cash used in investing
          activities................    (1,255,591)  (16,395,180)   (1,701,132)
                                        -----------  ------------   -----------
Cash flows from financing
  activities:
  Proceeds from initial public
     offering.......................             --     8,013,348            --
  Expenses related to initial public
     offering.......................             --     (858,896)            --
  Proceeds from second public
     offering.......................             --     4,648,431            --
  Expenses related to second public
     offering.......................             --     (424,420)            --
  Proceeds from sale of common stock         16,250            --            --
  Proceeds from exercise of stock
     options........................        142,530       169,052       402,601
  Payments to acquire treasury stock             --            --       (7,922)
  Payments on long-term debt........       (91,860)            --            --
  Tax benefits from exercise of stock
       options......................             --       351,885     2,948,264
                                                 --       -------     ---------
       Net cash provided by
          financing activities......         66,920    11,899,400     3,342,943
                                             ------    ----------     ---------
Net increase (decrease) in cash and
cash equivalents....................      4,137,517      (35,133)     5,464,571
                                          ---------      --------     ---------
  
Cash and cash equivalents, beginning
of period............................      4,348,545     8,486,062    8,479,122
  
Cash and cash equivalents provided
by the  acquisition of The Integrity              
Group, Inc. ........................             --        28,193            --
Adjusted cash and cash equivalents,
  beginning of period...............      4,348,545     8,514,255     8,479,122
                                          ---------     ---------     ---------
Cash and cash equivalents, end of
  period............................     $8,486,062    $8,479,122   $13,943,693
                                         ==========    ==========   ===========

The  accompanying  notes  are an  integral  part of the  consolidated  financial
statements





                                                     HPR Inc.

                                    NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(1) Description of Business

    HPR  develops  and  markets  software  and  proprietary   database  products
incorporating  clinical knowledge that enable payors and providers of healthcare
services to better manage the  financial  risk  associated  with the delivery of
healthcare and the quality of care.  HPR products are used to manage  healthcare
costs  and  quality  of care by  clinically  evaluating  providers'  claims  for
payment;  measuring  efficiency,  quality,  and  medical  outcomes;  determining
appropriate  utilization of medical  services;  influencing  physician  referral
patterns and profiling practice patterns;  assisting in HEDIS(R) reporting;  and
managing and supporting the physician credentialing and accreditation processes.
The Company's  clinical  knowledge  bases are developed and maintained by a full
time medical staff in consultation with  board-certified  physicians  serving on
Company-organized panels.

    The  Company's  products are designed to meet the needs of parties  assuming
financial  risk for the  delivery of  healthcare.  HPR believes  that  providing
clinical  knowledge in usable form is essential  to its  customers.  The Company
believes  it can be  distinguished  from its  competitors  through the depth and
integrity of its  "clinical  knowledge  bases.  HPR is currently  marketing  its
CodeReview(R),  Medicare CodeReview(TM),  ProMatch(TM), Patterns Review(R), CRMS
Fundamentals(TM),   Episode   Profiler(TM),   Quality   Profiler(TM),   Referral
Profiler(TM), Patterns Profiler(TM), HealthPlan Reporter(TM),  Credentialer(TM),
and CCMS Core(TM) products.  HPR markets its products through a combination of a
national direct sales force and third-party marketing agreements.

    The Company was  incorporated on September 28, 1987 in  Massachusetts  under
the name HPR, Inc. The Company re-incorporated in Delaware on December 20, 1991,
under the name Health  Payment  Review,  Inc. On July 24, 1995,  the name of the
Company  was  changed  to  HPR  Inc.  Unless  the  context  otherwise  requires,
references  herein to the  "Company"  and "HPR"  refer to HPR Inc.,  a  Delaware
corporation,  its  wholly-owned  subsidiaries  and HPR, Inc., its  Massachusetts
predecessor.  On June 3, 1992, Concurrent Review Technology,  Inc., a California
corporation,  was merged into the Company's wholly-owned subsidiary,  Concurrent
Review Technology,  Inc., a Delaware corporation. On August 16, 1995 the Company
established a wholly-owned  subsidiary,  HPR Securities  Corp., a  Massachusetts
corporation.  On April 30, 1996, the Company acquired The Integrity Group, Inc.,
an Alabama corporation,  which became a wholly-owned subsidiary of HPR. On April
18, 1997 the Company established a wholly-owned  subsidiary,  HPR International,
Inc., a Barbados corporation.


(2) Summary of Significant Accounting Policies

Principles of Consolidation

    The accompanying  financial  statements  include the accounts of the Company
and its  wholly-owned  subsidiaries,  Concurrent  Review  Technology,  Inc., HPR
Securities  Corp., The Integrity Group,  Inc., and HPR  International,  Inc. All
significant  intercompany  accounts and  transactions  have been  eliminated  in
consolidation.

Financial Statement Presentation

    On July 20, 1995, the stockholders of the Company approved a 2.5-for-1 stock
split of the Company's common stock and preferred stock and approved an increase
of the authorized  number of common shares to 35,000,000 and of preferred shares
to 3,000,000. On April 16, 1996, the Company announced a stock split effected in
the form of a 100% stock  dividend  to all  shareholders  of record on April 26,
1996. The stock dividend was granted on May 6, 1996. Accordingly,  all share and
per share  amounts have been adjusted to reflect the stock splits as though they
had occurred at the beginning of the initial period presented.

    Reclassification

    Certain   reclassifications   have  been  made  to  prior  year's  financial
statements to conform to the fiscal 1997 presentation.

Cash and Cash Equivalents

    The Company considers all highly liquid instruments  purchased with original
maturities  of  three  months  or less at the  time  of  acquisition  to be cash
equivalents.  Cash and cash equivalents include U.S. government  obligations and
U.S.  government  money market mutual funds used for temporary  cash  management
purposes.

Investments in Marketable Securities

    In  accordance  with  FAS  115,  the  Company   determines  the  appropriate
classification  of its investments in debt and equity  securities at the time of
purchase and  reevaluates  such  determination  at each balance sheet date. Debt
securities  which the Company has the intent or ability to hold to maturity  are
classified  as held to  maturity.  The  Company  held no  investments  in equity
securities at June 30, 1996 and 1997. Securities held to maturity are carried at
amortized  cost which  approximates  fair  market  value.  At June 30,  1997 the
Company had no investments  that qualified as trading or available for sale. The
Company  classifies  investments  that  mature  greater  than 12 months from the
balance sheet date as long term investments.

Concentration of Credit Risk

    Financial instruments which potentially expose the Company to concentrations
of credit risk consist primarily of cash, investments, and accounts and contract
receivables.  The  Company  places  its  temporary  cash  investments  in  three
financial  institutions.  The  Company has not  experienced  any losses on these
investments to date. The Company has not experienced  significant losses related
to  receivables  from  individual  customers  or  groups  of  customers  in  the
healthcare industry or by geographic area.

Property and Equipment

    Property and  equipment  are stated at cost.  Depreciation  is computed on a
straight-line  basis  over a two-to  five  year  estimated  useful  life for all
property and equipment with the exception of leasehold  improvements,  which are
amortized over the shorter of the life of the  improvement or the remaining life
of the lease.  Repairs and maintenance costs are charged to expense as incurred.
Upon  retirement  or sale,  the cost of the assets  disposed  of and the related
accumulated depreciation are removed from the accounts and any resulting gain or
loss is included in the determination of net income.

Software Development Costs

    The Company capitalizes  software costs for internally developed software in
accordance with Statement of Financial  Accounting Standards No. 86, "Accounting
for the Costs of Computer  Software to be Sold,  Leased or Otherwise  Marketed."
These costs relate  primarily to the  development  of new products and extending
existing  applications to new markets or platforms  using existing  technologies
and  programming  methods.   All  costs  incurred  to  establish   technological
feasibility are charged to expenses as incurred.  Internally  developed software
costs capitalized were $591,261,  $366,332 and $1,025,009 for fiscal years 1995,
1996,  and  1997,  respectively.  The  capitalized  costs  are  amortized  on  a
straight-line  basis over their estimated  useful lives (typically three years),
commencing  when each product is available to the market.  Amortization of these
software  development  costs is  included  in costs  of  revenues.  Amortization
expense for computer  software was $608,285,  $578,125 and $550,782 during 1995,
1996, and 1997,  respectively.  Accumulated amortization of software development
costs was  $1,438,254,  $2,016,379  and  $2,567,161 at June 30, 1995,  1996, and
1997, 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  products.  In
performing its evaluation, the Company must make estimates of anticipated future
gross  revenues as well as the  remaining  economic  life of the product.  It is
reasonably  possible that those estimates could be reduced in the near term as a
result of items such as competitive pressures.  As a result, the carrying amount
of the capitalized  software costs for a particular  product line may be reduced
materially in the near term.

Revenue Recognition

    The  Company  licenses  its  products   primarily   pursuant  to  multi-year
non-cancellable agreements that provide for payment of equal annual license fees
over their terms. The Company recognizes revenue in accordance with Statement of
Position  No.  91-1,  "Software  Revenue  Recognition,"  issued by the  American
Institute  of  Certified  Public  Accountants.  Revenue  from  software  license
agreements  is  recognized  upon  execution  of a contract  and  shipment of the
software provided that no significant  vendor obligations remain outstanding and
the  related  receivable  is due  within  one  year  of the  contract  date  and
collection  is deemed  probable  by  management.  For  recurring  license  fees,
revenues are  recognized  on the  contract  anniversary  date.  The Company also
accrues  incidental  support costs  associated with these licenses when revenues
are  recognized.  Revenues  from services are  recognized  when the services are
delivered.

    In fiscal 1995, the Company  retroactively changed its method of recognizing
renewal or recurring  revenue from the recognition of the annual contract amount
ratably  over the  renewal  period to the  recognition  of the entire  recurring
amount on the contract  anniversary date. The change was made in accordance with
the Accounting  Principles  Board Opinion No. 20 in  contemplation of an initial
public distribution of the financial  statements.  The financial  statements for
all periods  presented  have been restated to reflect the change in  accounting.
The effect of the  restatement  was an increase to revenue of $1,703,000 for the
year ended June 30, 1995. The effect of the  restatement  was an increase to net
income and net income per share of $987,000 or $0.07.

    Customer payment terms vary. Amounts billed in advance of satisfying revenue
recognition  criteria are  classified  in current and long term  liabilities  as
deferred  revenue  in  the  accompanying  balance  sheets.  Costs  and  earnings
recognized in advance of billing are  classified  in current  assets as contract
receivables.

Research and Development

    Research and development costs are charged to expense as incurred.

Income Taxes

    Under the liability  method  specified by SFAS No. 109, a deferred tax asset
or  liability  is  determined  based on the  difference  between  the  financial
statement  and tax basis of assets and  liabilities,  as measured by the enacted
tax rates expected to apply when these  differences  reverse.  SFAS No. 109 also
requires a valuation  allowance  against net  deferred tax assets if, based upon
the  available  evidence,  it is more  likely  than not that  some or all of the
deferred tax assets will not be realized.

Net Income Per Share

    Net income per share of common  stock is  computed  for each year based upon
the weighted  average number of common shares  outstanding  and dilutive  common
stock  equivalents.  For purposes of this calculation,  outstanding  options are
considered common stock equivalents (using the treasury stock method).  Pursuant
to Securities and Exchange  Commission Staff Accounting  Bulletin No. 83, common
and common equivalent shares issued during the 12 month period prior to the date
of the initial filing of the Company's Registration Statement have been included
in the calculation, using the treasury stock method, as if they were outstanding
for all periods presented. Fair market value for the purpose of this calculation
was assumed to be $6.75,  which is the midpoint of the initial  public  offering
price range.  The number of shares used in this calculation has been adjusted to
reflect a 2.5-for-1  stock split in July 1995 and a 2 for 1 stock split effected
in the form of a 100% stock dividend in May 1996.

Use of Estimates in the Preparation of the Financial Statements

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


(3) Line of Credit

    On February 1, 1997, the Company  received an extension and  modification of
its  revolving  bank credit  facility  from  $5,000,000  to  $7,500,000  with an
expiration   date  of  December  30,  1997.  The  $7,500,000  bank  line  is  an
uncollateralized  borrowing line. The current and prior  agreements  require the
Company to achieve certain levels of tangible net worth and to maintain  certain
financial  ratios.  Borrowings  under the new  agreement  bear interest at prime
rate,  8.50% at June 30,  1997.  During  1996  and 1997 the line of  credit  was
unused; therefore, no interest was paid.

 (4) Property and Equipment

    Property and equipment, at cost, consist of the following:


                                                  June 30,
                                                -------------------------
                                                    1996         1997
                    Computer equipment.........  $1,272,852   $2,112,785
                    Computer software..........     367,643      455,918
                    Furniture and fixtures.....     612,366      646,034
                    Office equipment...........     323,081      436,047
                    Leasehold improvements.....     433,576      811,354
                                                    -------      -------
                                                  3,009,518    4,462,138
                    Less accumulated            (1,045,354)  (1,952,363)
                    depreciation............... -----------  -----------
                                                 $1,964,164   $2,509,775

Depreciation expense was $332,624, $675,967 and $917,190 in 1995, 1996, and
1997 respectively.


(5) Commitments and Contingencies

The Company has entered into operating leases of office facilities, which expire
at various  dates through  2003.  Certain  leases  include  renewal  options and
escalation  clauses for increases in real estate taxes and  operating  expenses.
Future  minimum rental  payments under the operating  leases as of June 30, 1997
are as follows:

                                                    Minimum Lease
                                                     Payments Due
                             Year
                             1998                     $1,118,004
                             1999                      1,146,399
                             2000                      1,104,375
                             2001                      1,119,829
                             2002                      1,258,375
                             Thereafter                1,500,297

         Total  rent   expense   under   noncancelable   operating   leases  was
approximately  $437,000,  $667,000,  and $868,900  during 1995,  1996, and 1997,
respectively.

     The  Company's  Executive  Separation  Benefits Plan provides for severance
payments  to be made  to  members  of its  senior  management  in the  event  of
termination of the eligible employee's employment. The Plan provides for payment
for up to 24 months of annual base salary  upon  termination  by the Company for
reasons other than disability or "good cause" as defined therein.  The Company's
Non-Executive  Separation Benefits Plan for key contributors and other employees
as defined  therein  provides for payment of up to six months annual base salary
upon  termination  by the  Company for reasons  other than  disability  or "good
cause" as defined.

    The Company has also entered into non-competition agreements with certain of
its executive  officers.  These agreements provide that upon termination of such
officer's  employment by the Company,  he or she will refrain for a period of up
to 24  months,  to be  determined  by  the  Company,  from  certain  competitive
activities with respect to the Company.  If the Company  exercises its option to
restrain any such officer from  competitive  activity,  it will pay such officer
33% of his or her monthly salary as of termination  for each month for which the
executive officer agrees to refrain from competing with the Company.

    The Company has third party royalty and marketing  agreements for certain of
its  products.  The  agreements  call for the payment of  predetermined  royalty
amounts  over  the  life  of the  Company's  software  license  agreements  with
customers.  All amounts due under such  agreements  have been accrued as of June
30, 1997.


(6) Income Taxes

     The Company follows SFAS No. 109, "Accounting for Income Taxes". Under SFAS
109,  deferred tax assets and deferred tax liabilities  are recognized  based on
temporary  differences  between  the  basis  of  assets  and  liabilities  using
statutory rates.

                                                     June 30,    June 30,
                                                       1996        1997
                  Gross deferred tax assets:
                  Reserves and certain accrued     $995,566   $1,197,630
                  expenses....................     --------   ----------
                                 Subtotal......     995,566    1,197,630
                  Gross deferred tax liabilities:
                  Property and equipment           
                    depreciation..............      (13,762)     (20,537)
                  Deferred revenue............   (1,086,813)   (499,609)
                  Capitalized software 
                    amortization..............     (351,729)    (538,253)
                         Other................      (10,286)        -
                                                    --------    --------- 
                                 Subtotal.....   (1,462,590) (1,058,399)
                                                   ---------    ---------
                 Net deferred tax 
                  (liability)/asset.              $(467,024)     $139,231
                                                  ==========     ========



    The provision for income taxes consists of the following:

                                                 Fiscal Year Ended June 30,
                                              1995          1996          1997
                                            ----------  ------------  --------
           Current:
                Federal...............    $2,845,133    $3,276,743    $4,540,134
                State.................       886,780       917,722     1,039,506
                                             -------       -------     ---------
                                           3,731,913     4,194,465     5,579,640
           Deferred
                Federal...............       285,285     (784,396)     (644,925)
                State.................        88,079     (242,175)        38,670
                                              ------     ---------        ------
                                             373,364   (1,026,571)     (606,255)
                                             -------   -----------     ---------
              Provision for income        
               taxes..................    $4,105,277    $3,167,894    $4,973,385
                                           =========    ==========    ==========
                    .


    A reconciliation between the Company's effective rate and the U.S. statutory
rate is as follows:


                                                            Fiscal Year Ended
                                                                 June 30,
                                                         1995     1996    1997
                                                       -------- --------------
                        U.S. statutory rate...........   34.0%   34.0%      35%
                        State taxes, net of federal        6.3     5.9      5.0
                        benefit.......................
                        Goodwill......................     0.5      --       --
                        Other.........................     0.5     2.1      2.3
                        Research and development credits  (0.9)     --       --
                        Federal rate differential.....      --      --     (0.8)
                        Acquisition of The Integrity        --    (0.8)      --
                          Group, Inc.                     -----   -----    -----
                                                          40.4%   41.2%    41.5%
                                                          =====   =====    =====

    Total tax payments  made in the fiscal  years ended June 30, 1995,  1996 and
1997 were $4,708,000,  $3,187,000, and $3,390,000 respectively.  In fiscal years
ended June 30, 1996 and 1997, the Company recognized  $351,900 and $2,948,300 of
tax benefits associated with the exercise of employee stock options.


(7) Stockholders' Equity

Preferred Stock

    Holders  of  the  Company's  outstanding  convertible  preferred  stock  are
entitled  to  convert  each  share  into one share of common  stock,  subject to
certain antidilutive adjustments. In the event of liquidation of the Company the
holders of  preferred  stock are  entitled to receive,  before  distribution  to
common  stockholders,  $1.02 per  share.  There  were no  outstanding  shares of
preferred stock as of June 30, 1997.

Treasury Stock

    During  1997,  the Company  retired  2,918,502  common  stock shares held in
treasury.  The  excess  of cost over par value  was  charged  proportionally  to
Additional Paid in Capital and Retained Earnings.

Stock Option Plans

    1991 Stock  Plan.  The  Company's  1991 Stock Plan (the "1991  Stock  Plan")
provides for the grant of nonqualified  and incentive stock options to employees
and others to purchase up to 1,160,000  shares of the  Company's  common  stock.
Options  granted under the plan are  exercisable at the fair market value of the
stock at the date of grant, are exercisable in full at any time, vest over three
to four years and expire ten years from the date of grant.

     1995 Stock Plan.  The Company's 1995 Stock Plan (the "1995 Stock Plan") was
approved  by the  Board of  Directors  on June 26,  1995,  and by the  Company's
stockholders on July 20, 1995, and amended by the Board of Directors on July 22,
1996 and  approved  (as amended) by the  Company's  stockholders  on November 1,
1996.  The 1995 Stock  Plan  provides  for the grant or award of stock  options,
restricted stock, stock  appreciation  rights and other performance awards which
may or may not be  denominated  in shares of  Common  Stock or other  securities
(collectively,  the "Awards").  Stock options  granted under the 1995 Stock Plan
may be either incentive stock options or non-qualified  options.  The purpose of
the 1995 Stock Plan is to attract and retain  outstanding  employees through the
incentives of stock  ownership and monetary  payments.  Every regular  full-time
employee of the Company,  including officers but excluding directors who are not
officers, is eligible to receive awards.

    The 1995 Stock Plan is  administered  by the  Compensation  Committee of the
Board  of  Directors.  Subject  to the  provisions  of the 1995  Stock  Plan and
approval by the Board of Directors, the Compensation Committee has the authority
to  designate  participants,  determine  the types of Awards to be granted,  the
number of shares to be  covered by each  Award,  the time at which each Award is
exercisable  or may be  settled,  the method of payment  and any other terms and
conditions of the Awards. All Awards are evidenced by an Award Agreement between
the Company and the participant.

    While the Compensation  Committee determines the prices at which options and
other Awards may be exercised  under the 1995 Stock Plan, the exercise price per
share of an  incentive  stock  option  shall be at least 100% of the fair market
value  (as  determined  under the  terms of the 1995  Stock  Plan) of a share of
Common  Stock on the date of  grant.  The  aggregate  number of shares of Common
Stock  available  for awards under the Plan is  2,035,000.  The maximum term for
Awards  under the 1995 Stock Plan is ten years,  and no Awards may be made under
the 1995 Stock Plan after June 25, 2005.

    During 1996 employees of The Integrity  Group,  Inc. were granted options to
purchase  8,254  shares of common  stock at a price per share of $0.49 which was
below the fair market value at the date of the grant.  This  discount  from fair
market value has been recorded as deferred  compensation  and charged to expense
ratably over the four year vesting period of the options.

     1995 Eligible  Directors Stock Plan. The Company's 1995 Eligible  Directors
Stock Plan (the  "Directors  Stock Plan") was approved by the Board of Directors
on June 26,  1995,  and by the  Company's  stockholders  on July 20,  1995,  and
amended by the Board of Directors July 22, 1996 and approved (as amended) by the
Company's  stockholders on November 1, 1996.  Under the Directors Stock Plan and
subject to the approval by the Board of  Directors,  each director who is not an
officer or employee of the Company or any subsidiary of the Company (an "outside
director") will be granted,  upon first being elected to the Board of Directors,
an option to purchase  10,000 shares of Common Stock at an exercise  price equal
to the  fair  market  value  on  the  date  of  the  grant.  In  addition,  upon
re-election,  each outside  director  will be granted an option on the thirtieth
day following the date of each annual meeting of  stockholders to purchase 4,000
shares of Common  Stock at an exercise  price equal to the fair market  value on
the date of grant.  A total of 150,000  shares of Common Stock are available for
awards under the Directors  Stock Plan, as amended July 22, 1996 and approved by
shareholders  on November 1, 1996. The options granted under the Directors Stock
Plan will vest in five equal annual  installments  commencing one year after the
date of grant.  The maximum  term for Awards under the 1995  Eligible  Directors
Stock  Plan is ten  years,  and no Awards  may be made under the 1995 Stock Plan
after June 25, 2005.

     As of June 30, 1997,  the Company has reserved  3,345,000  shares of common
stock for issuance under all of its stock option plans.


<PAGE>



     A summary of the Company's  stock option activity as of June 30, 1995, 1996
and 1997 is presented below.

<TABLE>

                                  1995                          1996                          1997
                       ---------------------------    -------------------------    ---------------------------
 
<CAPTION>
                                          Weighted                     Weighted                        Weighted
                                           Average                      Average                         Average
                            Shares     Exercise Price     Shares     Exercise Price      Shares      Exercise Price
<S>                      <C>                <C>        <C>               <C>           <C>              <C>

Outstanding at
  beginning of year...     2,363,166        $0.13      1,878,366         $2.51         1,502,553        $3.64
Granted                    1,105,700         3.80         68,256         14.17         1,034,400        14.33
Exercised                (1,465,000)         0.10      (441,941)          0.38         (325,180)         1.24
Expired                    (125,500)         0.18        (2,128)          1.07         (234,398)         9.21
                           ---------         ----        -------          ----         ---------         ----
Outstanding at end
  of year................  1,878,366        $2.51      1,502,553         $3.64         1,977,375        $8.95
                           =========        =====      =========         =====         =========        =====

Options exercisable
  at year-end...........     408,630        $0.18        543,469         $1.75           512,328        $3.25
Weighted-average
  fair value of
options
  granted during the
  year...................  1,105,700        $3.80         68,256        $14.17         1,034,400       $14.33

</TABLE>

     The  following  table  summarizes  information  about the  Company's  stock
options plans at June 30, 1997:

<TABLE>

                                    Options Outstanding                              Options Exercisable
                   -------------------------------------------------------    ----------------------------------
<CAPTION>

Range of           Shares            Weighted-Average                         Shares
Exercise           Outstanding at    Remaining           Weighted-Average     Exercisable        Weighted-Average
Prices             June 30, 1997     Contractual Life    Exercise Price       at June 30 , 1997  Exercise Price
- ------             -------------     ----------------    --------------       -----------------  --------------
<S>                    <C>                  <C>                <C>                 <C>                 <C>  

$0.11 - $4.99          414,975              5.6                 $0.72              269,178             $0.57
$5.00 - $9.99          569,500              8.0                 $5.60              228,750             $5.60
$10.00 - $16.38        992,900              9.4                $16.10               14,400             $14.30

</TABLE>

     In October of 1995,  the FASB issued SFAS No.  123,  "Accounting  for Stock
Based Compensation," which is effective for periods beginning after December 15,
1995. SFAS 123 requires that companies either recognize compensation expense for
grants of stock, stock options and other equity instruments based on fair value,
or provide  pro forma  disclosure  of net income and  earnings  per share in the
notes of the financial statements. The Company adopted the disclosure provisions
of SFAS 123  effective  July 1, 1996 and has  applied APB Opinion 25 and related
interpretations in accounting for its plans.  Accordingly,  no compensation cost
has been  recognized for stock options issued to employees at fair market value.
Had  compensation  cost for the Company's  stock-based  compensation  plans been
determined  based  on the  fair  value  at the  grant  dates  as  calculated  in
accordance  with SFAS 123, the  Company's  net income and earnings per share for
the years ended June 30, 1996 and 1997 would have been adjusted to the pro forma
amounts indicated below:
<TABLE>

                                        1996                                       1997
                       ---------------------------------------    ---------------------------------------
<CAPTION>

                           As Reported           Pro Forma            As Reported            Pro Forma
<S>                        <C>                   <C>                   <C>                  <C>    

Net income                 $4,521,863            $4,494,140            $7,010,653           $6,542,563
Net income per share          $0.29                $0.28                 $0.44                 $0.41

</TABLE>


     The fair value of each stock option is estimated on the date of grant using
the  Black-Scholes  option-pricing  model  with the  following  weighted-average
assumptions for the years ended June 30, 1996 and 1997:


                                    1996                1997
                                    ----                ----
Risk-free interest rate            5.47%                6.36%
Expected life                     5 years              5 years
Expected volatility                 50%                  50%
Dividend yield                       0%                  0%

     The  effects  of  applying  SFAS 123 in this pro forma  disclosure  are not
likely to be  representative  of the effects on  reported  net income for future
years.  Additional  awards in future  years are  anticipated.  SFAS 123 does not
apply to awards prior to 1995.


(8) Employee Benefits

    The Health Payment Review,  Inc. 401(k) Plan is a defined  contribution plan
available  to  substantially  all  of  HPR's  employees.  The  401(k)  Plan  was
established  effective June 1, 1993 under section 401(k) of the Internal Revenue
Code.  Under the Plan,  employees may make  voluntary  contributions  based on a
percentage  of  their  pretax  earnings.  HPR  contributions  to  the  Plan  are
established  each year at the  discretion of the Board of Directors.  No Company
contributions  were made to the Plan in fiscal 1995, 1996, and 1997. The Company
paid administrative costs on behalf of the Plan of $6,500,  $12,500, and $15,000
in fiscal 1995, 1996 and 1997, respectively.


(9) Legal Proceedings

    On January 31,  1994,  a suit was filed in the U.S.  District  Court for the
Eastern  District of Pennsylvania by GMIS,  Inc.  ("GMIS")  against the Company,
alleging  that the  Company's  patent  relating  to its  CodeReview  product was
invalid,  not infringed,  and unenforceable.  GMIS also alleged that the Company
interfered  with the business  relationships  of GMIS and sued for damages of an
unspecified amount.

    The  Company  filed a patent  infringement  counterclaim  on March 25,  1994
alleging, among other things, that GMIS' product, ClaimCheck, infringed upon the
patent.

    On January 23, 1995 the Company settled all of its  outstanding  claims with
GMIS.  Pursuant  to the  settlement,  the terms of which were  undisclosed,  the
Company  granted  GMIS  a  nonexclusive  license  under  the  patent,  and  GMIS
acknowledged  the  validity  of the patent  and made a  one-time  payment to the
Company. The payment was recorded by the Company net of legal and other costs.

(10)      Acquisitions

     On April 30, 1996 the Company acquired The Integrity Group,  Inc.  ("TIG"),
an Alabama corporation, in a transaction accounted for as a pooling of interests
under which all of the capital stock of TIG was exchanged for 260,001  shares of
HPR Inc. common stock. TIG is a vendor of provider credentialing,  accreditation
support,  Healthcare  Employer Data  Information Set (HEDIS)  reporting and data
warehousing  tools and support for effective  provider network  management.  The
accompanying  financial  statements for periods prior to 1996 do not include the
amounts for this  acquisition  as they were deemed to be  immaterial.  Only 1996
financial information has been restated as if the transaction had occurred as of
July 1, 1995.

     TIG was a Subchapter S corporation for income tax purposes and,  therefore,
did not pay U.S.  federal  income taxes.  TIG has been included in the Company's
U.S. federal income tax return effective April 30, 1996.


(11)      Recent Accounting Pronouncements

         The FASB issued  Statement No. 128 ("SFAS 128"),  "Earnings per Share,"
     which  modifies the way in which  earnings per share  ("EPS") is calculated
     and disclosed.  Currently, the Company discloses primary EPS. Upon adoption
     of this standard for the fiscal  period  ending June 30, 1998,  the Company
     will be required to disclose  either  basic EPS or both basic and  dilutive
     EPS. The principal difference being that common stock equivalents would not
     be  considered in the  computation  of basic EPS. The impact of adoption of
     SFAS 128 has not yet been determined.

         The FASB recently  issued  Statement  No. 130 ("SFAS 130"),  "Reporting
     Comprehensive  Income".  This statement  requires  changes in comprehensive
     income to be shown in a financial statement that is displayed with the same
     prominence as other  financial  statements.  While not mandating a specific
     financial   statement  format,   the  Statement  requires  that  an  amount
     representing total comprehensive  income be reported.  Comprehensive income
     components  include:  unrealized  gains and  losses  on  available-for-sale
     investments in debt and equity  securities,  foreign  currency  translation
     adjustments,  and minimum pension liability adjustments. The Statement will
     become  effective  for fiscal  years  beginning  after  December  15, 1997.
     Reclassification  of financial  statements for earlier  periods is required
     for comparative purposes.  The Company does not believe that this will have
     a material impact on the results of operations.

         In June 1997, the Financial  Accounting Standard Board issued Statement
     of  Financial  Accounting  No.  131,  "Disclosures  about  Segments  of  an
     Enterprise and Related  Information" (SFAS No. 131). SFAS No. 131 specifies
     new guidelines for determining a company's  operating  segments and related
     requirements  for  disclosure.  The  Company  does not  believe  that  this
     statement  will  have  an  impact  on the  presentation  of  the  financial
     statements and the disclosures therein.

<PAGE>



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

None


                                                      PART II

Item 10.   Directors and Executive Officers of the Registrant

     The information  required by this item is incorporated  herein by reference
to the section entitled "Election of Directors"  included in the Company's Proxy
Statement for the Annual Meeting of Stockholders to be held on October 31, 1997,
which will be filed with the Securities and Exchange  Commission within 120 days
after the end of the  Company's  fiscal year to which this Annual Report on Form
10-K relates. Certain information concerning the registrant's executive officers
is included under the caption  "Executive  Officers of the  Registrant" at pages
14-15 following Part I, Item 1 of this report.

Item 11.   Executive Compensation

     The information  required by this item is incorporated  herein by reference
to the section entitled "Executive Compensation" included in the Company's Proxy
Statement for the Annual Meeting of Stockholders to be held on October 31, 1997,
which will be filed with the Securities and Exchange  Commission within 120 days
after the end of the  Company's  fiscal year to which this Annual Report on Form
10-K relates.

Item 12.   Security Ownership of Certain Beneficial Owners and Management

     The information  required by this item is incorporated  herein by reference
to the section  entitled  "Voting  Securities"  included in the Company's  Proxy
Statement for the Annual Meeting of Stockholders to be held on October 31, 1997,
which will be filed with the Securities and Exchange  Commission within 120 days
after the end of the  Company's  fiscal year to which this Annual Report on Form
10-K relates.

Item 13.   Certain Relationships and Related Transactions

    The information required by this item is incorporated herein by reference to
the  section  "Compensation  Committee  Interlocks,  Insider  Participation  and
Certain  Transactions"  included in the Company's Proxy Statement for the Annual
Meeting of Stockholders to be held on October 31, 1997, which will be filed with
the  Securities  and  Exchange  Commission  within 120 days after the end of the
Company's fiscal year to which this Annual Report on Form 10-K relates.




<PAGE>



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

    a.    (1)  Financial Statements

                  All financial statements are included in Item 8 hereof.

    a.    (2) Financial Statement Schedules

                  None

    a.    (3) Exhibits
<TABLE>
<CAPTION>

            Exhibit
            Number                             Description of Document
          <S>       <C>    
         
          3.1*      --  Amended and Restated Certificate of Incorporation of the Company
                        approved by the directors of the Company on June 26, 1995, as adopted by the
                        stockholders on July 20, 1995.
          3.2*      --  By-laws of the Company, as amended effective on August 16, 1995.
          4.1*      --  Article Fourth of the Certificate of Incorporation of the Company
                        (included in Exhibit 3.1).
          10.1*     --  Lease dated June 2, 1995, between Riverview Building Combined Limited
                        Partnership and the Company, for premises located at the Riverview
                        Complex, 245 First Street, Cambridge, Massachusetts.
          10.2          -- The Company's  1991 Stock Plan, as amended  effective
                        November  1, 1996,  and  related  forms of stock  option agreements.
          10.3          -- The Company's  1995 Stock Plan, as amended  effective November  1, 1996,  and  related  forms of stock
                        option agreements.
          10.4          -- The Company's 1995 Eligible  Directors Stock Plan, as amended effective  November 1, 1996, and related 
                        form of stock option agreement.
          10.5*     --  Software Development and License Agreement between the Company and
                        Caterpillar, Inc. dated August 15, 1988.
          10.6*+    --  Product License Agreement between the Company and Symmetry Health Data
                        Systems, Inc. dated as of November 17, 1994, as amended.
          10.7*     --  Stock Purchase Agreement for shares of Series A Convertible Preferred
                        Stock purchased by Greylock Limited Partnership dated December 20, 1991, as
                        amended on June 26, 1995.
          10.8*     --  Stock Purchase Agreements for shares of Series A Convertible Preferred
                        Stock purchased by Marcia J. Radosevich dated October 7, 1992 and November 2, 1992. 
          10.9*     --  Registration  Rights  Agreement  dated  as of June 3,  1992.
          10.10*    --  Noncompetition  Agreement between the Company and Dr. Robert D.Hertenstein, dated April 13, 1992,
                        as amended on June 2, 1995.
          10.11*    --  Letter Agreement between the Company and Marcia J. Radosevich dated
                        December 6, 1989, as amended on June 26, 1995.
          10.12*    --  Letter Agreement between the Company and Douglas R. Percy dated April 22, 1992.
          10.13*    --  Letter Agreement between the Company and Thomas M. McNamara dated November 2,1992.
          10.14*    --  Agreement Pertaining to Certain Activities between the Company and Marcia J.Radosevich dated December 20, 
                        1991.
          10.15*    --  Noncompetition agreements with Douglas R. Percy, Brian D. Cahill,Thomas M.
                        McNamara, Lawrence G. Miller, Steven J. Rosenberg and James B. Stowe.
          10.16*    --  Consulting Agreement between the Company and Richard H. Egdahl dated
                        January 1, 1992, as amended on June 26, 1995.
          10.17*    --  Form of Indemnification Agreement between the Company and its directors and executive officers
          10.18     --  Sublease dated April 17, 1997 between Open Market and the  Company,  for  premises  located  at the 
                        Riverview Complex, 245 First Street, Cambridge,Massachusettes.
          10.19     --  Lease dated April 17, 1997 between Beacon Management and the  Company,  for  premises  located  at the  
                        Riverview Complex, 245 First Street, Cambridge, Massachusettes.
          10.20     --  Executive Separation Benefits Plan dated January 1, 1997
          10.21     --  Non-Executive Separation Benefits Plan effective as of January 1, 1997
          10.22     --  Director Termination Benefits Plan effective as of January 1, 1997
          10.23     --  Second Amendment to Product License Agreement with Symmetry Health Data
                        Systems, Inc. dated December 12, 1996.
          11.1      --  Statement re computation of earnings per share.

          21.1      -- Subsidiaries of the Company.
          23.1      -- Consent of Coopers & Lybrand L.L.P., independent accountants
          27.1      -- Financial Data Schedule

<FN>


+  Confidential treatment has been requested and granted with respect to certain
   portions of this exhibit.  Omitted  portions have been filed  separately with
   the Securities and Exchange Commission.

*  Incorporated by reference from the Company's  registration  statement on Form
   S-1 No.  33-94132 filed with the  Securities and Exchange  Commission on June
   30, 1995, as amended on July 25, August 1 and August 7, 1995.

</FN>
</TABLE>

   
    Management Contracts and Compensatory Plans
 <TABLE>
 <CAPTION>   
          
          Exhibit        Description of Document
          Number
          <S>       <C>
          10.2      -- The Company's 1991 Stock Plan
          10.3      -- The Company's 1995 Stock Plan
          10.4      -- The Company's 1995 Eligible Directors Stock Plan
          10.11*    -- Letter Agreement between the Company and Marcia J. Radosevich
          10.12*    -- Letter Agreement between the Company and Douglas R. Percy
          10.13*    -- Letter Agreement between the Company and Thomas R. McNamara
          10.14*    -- Agreement pertaining to Certain Activities between the Company and Marcia J. Radosevich
          10.15*    -- Noncompetition agreements with Douglas R. Percy, Brian D. Cahill, Thomas M. McNamara,
                        Lawrence G. Miller, Steven J. Rosenberg and James B. Stowe
          10.16*    -- Consulting Agreement between the Company and Richard H. Egdahl dated January 1, 1992, as
                        amended on June 26, 1995
          10.17*    -- Form of Indemnification Agreement between the Company and its directors and executive officers
          10.20     -- Executive Separation Benefits Plan dated January 1, 1997
          10.21     -- Non-Executive Separation Benefits Plan effective as of January 1, 1997
          10.22     -- Director Termination Benefits Plan effective as of January 1, 1997

<FN>

*  Incorporated by reference from the Company's  registration  statement on Form
   S-1 No.  33-94132 filed with the  Securities and Exchange  Commission on June
   30, 1995, as amended on July 25, August 1 and August 7, 1995.

</FN>
</TABLE>
    
b.    Reports on Form 8-K

    None.




                                                    SIGNATURES


     Pursuant  to the  requirements  of the  Securities  Exchange  Act of  1934,
Section 13 or 15(d),  the registrant has duly caused this Amendment No. 1 to the
Annual  Report  on Form 10-K to be  signed  on its  behalf  by the  undersigned,
thereunto duly authorized.



                                                     HPR  INC.


Dated:  September 4, 1997                By:    /s/ Brian D. Cahill
                                                ------------------------
                                       Brian D. Cahill
                                       Chief  Operating Officer and Chief
                                       Financial Officer
                                                            



        


                                                                               


                                    HPR INC.

                    AMENDED AND RESTATED HPR 1991 STOCK PLAN



         1. Purpose.  The purpose of this HPR 1991 Stock Plan (the "Plan") is to
advance the interests of HPR Inc., a Delaware  corporation (the  "Company"),  by
strengthening  the ability of the Company to attract,  retain and  motivate  key
employees, consultants and other individual contributors of or to the Company or
any present or future parent or subsidiary of the Company (the "Company  Group")
by providing them with an opportunity to purchase or receive as bonuses stock of
the Company and thereby permitting them to share in the Company's success. It is
intended  that this  purpose will be effected by granting  (i)  incentive  stock
options ("Incentive Options") which are intended to qualify under the provisions
of Section 422 of the Internal Revenue Code of 1986, as heretofore and hereafter
amended (the "Code"), and non-statutory stock options  ("Nonqualified  Options")
which are not intended to meet the  requirements  of Section 422 of the Code and
which are  intended  to be taxed  under  Section 83 of the Code (both  Incentive
Options  and  Nonqualified   Options  shall  be  collectively   referred  to  as
"Options"),  (ii) stock purchase authorizations ("Purchase  Authorizations") and
(iii)  stock bonus  awards  ("Bonuses").  (Items (i)  through  (iii) above shall
collectively be referred to herein as "Awards".)

         2. Effective  Date.  This Plan was adopted by the Board of Directors of
the Company  (the  "Board") on December  17, 1991 (the  "effective  date" of the
Plan).  This Plan  retitles  and  replaces in its entirety the 1991 Stock Option
Plan of the Company,  which was amended and restated,  effective March 31, 1992,
the date of adoption of such amendment and  restatement  by the Board.  The Plan
was further  amended on April 7, 1995 and June 26, 1995.  This Plan  restates in
its  entirety  the HPR 1991 Stock Plan,  which was  amended and  restated by the
Board on July 22,  1996,  such  amendment  and  restatement  to be  effective on
November 1, 1996,  subject to approval by the stockholders on or before July 22,
1997.

         3. Stock  Covered by the Plan.  Subject to  adjustment  as  provided in
Sections 10 and 11 below,  the shares that may be made  subject to Awards  under
this Plan ("Shares")  shall not exceed in the aggregate  1,160,000 shares of the
common  stock,  $0.01 par value,  of the Company  ("Common  Stock").  Any Shares
subject to an Option or Purchase  Authorization  which for any reason expires or
is  terminated  unexercised  as to such Shares and any Shares  reacquired by the
Company  pursuant to forfeiture or a repurchase right hereunder may again be the
subject of an Award under the Plan.  The Shares  purchased  pursuant to Purchase
Authorizations  or the exercise of Options  under this Plan or issued as Bonuses
may, in whole or in part,  be either  authorized  but unissued  Shares or issued
Shares reacquired by the Company.

         4.  Administration.  This Plan  shall be  administered  by the Board of
Directors,  whose  construction  and  interpretation  of the  Plan's  terms  and
provisions shall be final and conclusive.  The Board shall have the authority to
delegate  to the  Compensation  Committee  of he  Board  (the  "Committee")  the
authority  to  administer  this  Plan  as set  forth  in this  Section  4 and to
recommend  that the Board grant Awards  hereunder.  Each member of the Committee
shall be, and shall have been at all times within the one-year  period ending on
the date of his or her appointment to the Committee,  a person who in opinion of
counsel to the Company is an "outside director" as such term is used in proposed
regulation 1.162-27(e)(3) under Section 162(m) of the Code. The Board shall have
authority,  subject to the express  provisions of the Plan, to construe the Plan
and the  respective  Awards and  related  agreements,  to  prescribe,  amend and
rescind rules and  regulations  relating to the Plan, to determine the terms and
provisions  of the  respective  Awards and related  agreements,  and to make all
other determinations in the judgment of the Board necessary or desirable for the
administration  of the Plan.  The Board may  correct  any  defect or supply  any
omission or reconcile any  inconsistency  in the Plan or in any Award or related
agreement  in the manner and to the extent it shall deem  expedient to carry the
Plan into effect,  and it shall be the sole and final judge of such  expediency.
No  member of the Board and no  delegate  of the Board  shall be liable  for any
action or determination  under the Plan made in good faith.  Notwithstanding the
foregoing,  the Board, or the Committee as its delegate, shall have authority to
establish  guidelines  for the grant of Awards to key  employees  of the Company
Group who are not  executive  officers  of the  Company  and to  delegate to the
Company's  Chief  Executive  Officer the authority to recommend to the Board the
grant of Awards,  within such  guidelines,  to such eligible  non-executive  key
employees.

         5.  Approval by Board of  Directors.  Notwithstanding  anything in this
Plan to the contrary,  including without  limitation the delegation of authority
to the  Committee,  all  grants  of  Awards  shall be  approved  by the Board of
Directors.

         6. Eligible  Recipients.  Awards may be granted to such key  employees,
consultants  or  other  individual  contributors  of or to  the  Company  Group,
including  without  limitation  members  of the  Board who are  employees  (but,
effective  July 1, 1995,  excluding  members of the Board who are not employees)
and members of any medical,  scientific  or technical  advisory  boards,  as are
selected  by the Board or  (except as to  employees  who are  Company  executive
officers) by the Board's delegate pursuant to section 4 above (a "Participant");
provided,  that only  employees of the Company Group shall be eligible for grant
of an Incentive Option.

         7. Duration of the Plan.  This Plan shall terminate ten (10) years from
the effective  date hereof,  unless  terminated  earlier  pursuant to Section 14
hereafter, and no Awards may be granted or made thereafter.

         8.  Terms  and  Conditions  of  Options,  Purchase  Authorizations  and
Bonuses. Awards granted or made under this Plan shall be evidenced by agreements
in such form and  containing  such  terms  and  conditions  as the  Board  shall
determine;  provided,  however,  that such agreements shall evidence among their
terms and conditions the following:

                  (a)  Price.  The  purchase  price per Share  payable  upon the
exercise of each Option or the purchase pursuant to each Purchase  Authorization
granted  or made  hereunder  shall be  determined  by the  Board at the time the
Option or Purchase Authorization is granted or made. Subject to the condition of
paragraph 8(j)(i), if applicable,  the purchase price per Share payable upon the
exercise of each Incentive  Option granted  hereunder shall not be less than one
hundred  percent  (100%) of the Market Price (as such term is defined below) per
Share  of  the  Common  Stock  on the  day  the  Incentive  Option  or  Purchase
Authorization  is  granted  or made.  The  purchase  price per Share  payable on
exercise of each Nonqualified  Option or upon the purchase of Shares pursuant to
each Purchase Authorization granted hereunder shall be not less than eighty-five
percent  (85%) of the Market  Price per Share of the Common Stock on the date of
the grant. Fair market value shall be determined by the Board in accordance with
applicable  provisions of the Code then in effect.  Bonus Shares shall be issued
in consideration of services previously rendered, which shall be valued for such
purposes  by the  Board.  No Share  shall be issued for less than its par value,
paid in cash,  property or services.  As used herein,  "Market Price" shall mean
the closing price of the Common Stock as reported on the Nasdaq  National Market
System for the  relevant  date (or, if such date is not a trading  date or if no
trades took place on such date,  then such closing  price for the last  previous
trading date or the last  previous date on which a trade  occurred,  as the case
may be);  provided  that if the Common  Stock is no longer  traded on the Nasdaq
National  Market System on the relevant  date,  then the Market Price as of such
date shall be  determined  by the Board  equal to the fair  market  value of the
Common  Stock in  accordance  with  applicable  provisions  of the Code  then in
effect.

                  (b) Number of Shares.  Each agreement shall specify the number
of Shares to which it pertains.

                  (c) Exercise of Options.  Each Option shall be exercisable for
the  full  amount  or for any  part  thereof  and at such  intervals  or in such
installments as the Board may determine or as the Committee may determine at the
time it recommends that the Board grant such Option; provided,  however, that no
Option shall be exercisable with respect to any Shares later than ten (10) years
after  the date of the  grant of such  Option  (or five (5) years in the case of
Incentive  Options to which  paragraph  8(j)(ii)  applies).  An Option  shall be
exercisable only by delivery of a written notice to the Company's Treasurer,  or
any other officer of the Company  designated by the Board to accept such notices
on its behalf, specifying the number of Shares for which the Option is exercised
and  accompanied  by either  (i)  payment  or (ii) if  permitted  by the  Board,
irrevocable  instructions  to a broker to promptly  deliver to the Company  full
payment in accordance with paragraph  8(d)(ii) below of the amount  necessary to
pay the  aggregate  exercise  price.  With respect to an Incentive  Option,  the
permission  of the Board  referred to in clause (ii) of the  preceding  sentence
must be granted at the time the Incentive Option is granted.

                  (d) Payment. Payment shall be made in full (i) at the time the
Option  is  exercised,   (ii)  promptly  after  the  Participant   forwards  the
irrevocable  instructions  referred  to  in  paragraph  8(c)(ii)  above  to  the
appropriate  broker,  if  exercise of an Option is made  pursuant  to  paragraph
8(c)(ii)  above,  or  (iii)  at the time the  purchase  pursuant  to a  Purchase
Authorization  is made.  Payment shall be made either (a) in cash, (b) by check,
(c) if  permitted  by the Board  (with  respect  to an  Incentive  Option,  such
permission to have been granted at the time of the Incentive  Option grant),  by
delivery  and  assignment  to the  Company of shares of Company  stock  having a
Market  Price (as  determined  by the Board)  equal to the  exercise or purchase
price,  (d) if permitted by the Board,  stated in the agreement  evidencing  the
Option or Purchase Authorization,  and to the extent permitted by any applicable
law, by the Participant's  recourse  promissory note, which note must be due and
payable  not more  than five (5) years  after  the date the  Option or  Purchase
Authorization is exercised, or (e) by a combination of (a), (b), (c) and/or (d).
If  shares  of  Company  stock  are to be used to pay the  exercise  price of an
Incentive  Option,  the Company  prior to such payment  must be  furnished  with
evidence  satisfactory  to it that the  acquisition  of such  shares  and  their
transfer in payment of the exercise  price satisfy the  requirements  of Section
422 of the Code and other applicable laws.  Notwithstanding  the foregoing,  the
purchase or exercise  price of an Option or  Purchase  Authorization  may not be
paid by delivery  and  assignment  to the Company of shares of Company  stock or
through  irrevocable  instructions  to a  broker  as  referred  to in  Paragraph
8(c)(ii)  above to the extent that such delivery and assignment or the execution
of such irrevocable  instructions would constitute a violation of the provisions
of any law  (including  without  limitation  Section 16 of the Exchange  Act) or
related  regulation  or  rule,  or any  agreement  or  policy  of  the  Company,
restricting the transfer or redemption of the Company's stock.

                  (e)  Withholding  Taxes;  Delivery  of Shares.  The  Company's
obligation  to  deliver  Shares  upon  exercise  of an Option  or upon  purchase
pursuant to a Purchase  Authorization  or issuance  pursuant to a Bonus shall be
subject to the Participant's  satisfaction of all applicable federal,  state and
local income and employment tax withholding  obligations.  Without  limiting the
generality  of the  foregoing,  the Company  shall have the right to deduct from
payments of any kind  otherwise  due to the  Participant  any federal,  state or
local  taxes of any kind  required  by law to be  withheld  with  respect to any
Shares  issued  upon  exercise  of Options or  purchased  or issued  pursuant to
Purchase  Authorizations  or Bonuses.  The Participant may elect to satisfy such
obligation(s), in whole or in part, by (i) delivering to the Company a check for
the amount  required to be withheld or (ii) if the Board in its sole  discretion
approves in any specific or general case,  having the Company withhold Shares or
delivering to the Company  already-owned  shares of Common Stock, having a value
equal to the amount required to be withheld, as determined by the Board.

                  (f)  Non-Transferability.  No Option or Purchase Authorization
shall be transferable  by the Participant  otherwise than by will or the laws of
descent or  distribution,  and each  Option or Purchase  Authorization  shall be
exercisable during the Participant's lifetime only by the Participant, provided,
however,  that the Board may permit a  Participant  to  transfer a Award if such
transfer is made  pursuant to uniformly  applied  criteria,  established  by the
Board prior to such transfer.

                  (g)  Termination  of  Options  and  Purchase   Authorizations.
Nothing in this Plan or in any agreement  representing  any Award shall restrict
the right of any member of the Company Group to terminate the  employment of any
Participant  at any  time  and for any  reason,  with or  without  notice.  Each
Purchase  Authorization  shall  terminate  and may no longer be exercised if the
Participant ceases for any reason to provide services to a member of the Company
Group.  Except to the extent the Board  provides  specifically  in an  agreement
evidencing an Option for a lesser period (or a greater period,  provided that in
the case of Incentive  Options such period shall not exceed three months),  each
Option shall terminate and may no longer be exercised if the Participant  ceases
for any  reason  to  provide  services  to a  member  of the  Company  Group  in
accordance with the following provisions:

     (i) if the Participant ceases to perform services for any reason other than
death  or  disability  (as  defined  in  Section  22(e)(3)  of  the  Code),  the
Participant may, at any time within a period of one month after the date of such
cessation of the performance of services, exercise the Option to the extent that
the  Option  was  exercisable  on  the  date  of  such  cessation;  

     (ii) if the Participant  ceases to perform  services  because of disability
(as defined in Section  22(e)(3) of the Code),  the Participant may, at any time
within  a  period  of six  months  after  the  date  of  such  cessation  of the
performance  of services,  exercise the Option to the extent that the Option was
exercisable on the date of such cessation; and

     (iii) if the Participant  ceases to perform  services because of death, the
Option,  to the extent that the  Participant  was entitled to exercise it on the
date of  death,  may be  exercised  within  a period  of six  months  after  the
Participant's  death by the person or persons to whom the  Participant's  rights
under  the  Option  pass by will or by the  laws  of  descent  or  distribution;
provided, however, that no Option, or Purchase Authorization may be exercised to
any extent by anyone after the date of its  expiration;  and provided,  further,
that Options and  Purchase  Authorizations  may be  exercised  only as to Vested
Shares (as defined in the applicable  agreement with the Participant)  after the
Participant has ceased to perform services for any member of the Company Group.

(h) Rights as Stockholder.  

A Participant  shall have no rights as a stockholder  with respect to any Shares
covered by an Award until the date of issuance of a stock  certificate,  if any,
in the Participant's name for such Shares.
                  
(i) Repurchase of Shares by the Company.  
     Any Shares  purchased or acquired upon exercise of an Option or pursuant to
a Purchase  Authorization or Bonus may in the discretion of the Board be subject
to  repurchase  by or  forfeiture to the Company if and to the extent and at the
repurchase  price, if any,  specifically set forth in the option,  purchase,  or
bonus  agreement  pursuant  to which the  Shares  were  purchased  or  acquired.
Certificates representing Shares subject to such repurchase or forfeiture may be
subject to such escrow and stock legending provisions as may be set forth in the
option, purchase, or bonus agreement pursuant to which the Shares were purchased
or acquired.

(j) 10%  Stockholder. 
     If any Participant to whom an Incentive  Option is granted  pursuant to the
provisions of the Plan is on the date of grant the owner of stock (as determined
under Section 424(d) of the Code) possessing more than 10% of the total combined
voting  power or value of all classes of stock of the  Company,  its parent,  if
any, or subsidiaries, then the following special provisions shall be applicable:

                            (i)     The exercise price per Share subject to such
                                    Option  shall  not be less  than 110% of the
                                    fair market  value of each Share on the date
                                    of grant; and

                           (ii)     The  Option  shall not have a term in excess
                                    of five years from the date of grant.

                  (k)   Confidentiality   Agreements.   Each  Participant  shall
execute,  prior to or  contemporaneously  with the grant of any Award hereunder,
the  Company's  then  standard form of agreement  relating to  nondisclosure  of
confidential information, assignment of inventions and related matters.

                  (l) Aggregate  Limitation.  The maximum  number of Shares with
respect  to which any Awards  may be  granted  under the Plan to any  individual
during each successive  twelve-month  period commencing on the effective date of
the Plan shall not exceed 500,000 shares.

         9. Restrictions on Incentive  Options.  Incentive Options granted under
this Plan shall be  specifically  designated as such and shall be subject to the
additional  restriction  that the aggregate  Market Price,  determined as of the
date the  Incentive  Option is  granted,  of the  Shares  with  respect to which
Incentive Options are exercisable for the first time by a Participant during any
calendar year shall not exceed  $100,000.  If an Incentive  Option which exceeds
the  $100,000  limitation  of this  paragraph 9 is granted,  the portion of such
Option  which is  exercisable  for shares in excess of the  $100,000  limitation
shall be treated as a  Nonqualified  Option  pursuant  to Section  422(d) of the
Code. In the event that such Participant is eligible to participate in any other
stock incentive plans of the Company,  its parent, if any, or a subsidiary which
are also intended to comply with the provisions of Section 422 of the Code, such
annual  limitation  shall  apply to the  aggregate  number of  shares  for which
options may be granted under all such plans.

         10.   Stock    Dividends;    Stock    Splits;    Stock    Combinations;
Recapitalizations.  Appropriate  adjustment  shall  be made by the  Board in the
maximum  number of  Shares  subject  to the Plan and in the  number,  kind,  and
exercise or purchase price of Shares covered by outstanding Options and Purchase
Authorizations  granted  hereunder to give effect to any stock dividends,  stock
splits, stock combinations,  recapitalizations  and other similar changes in the
capital structure of the Company after the effective date of the Plan.

         11.  Merger;  Sale of  Assets.  In the event of a change of the  Common
Stock resulting from a merger or similar  reorganization as to which the Company
is the surviving corporation, the number and kind of Shares which thereafter may
be purchased pursuant to an Option or Purchase  Authorization under the Plan and
the number and kind of Shares then subject to Options or Purchase Authorizations
granted  hereunder  and the  price  per  Share  thereof  shall be  appropriately
adjusted in such manner as the Board may deem  equitable to prevent  dilution or
enlargement of the rights  available or granted  hereunder.  Except as otherwise
determined by the Board, a merger or a similar  reorganization which the Company
does not  survive,  or a sale of all or  substantially  all of the assets of the
Company,  shall cause  every  Option and  Purchase  Authorization  hereunder  to
terminate, to the extent not then exercised,  unless any surviving entity agrees
to assume the obligations  hereunder;  provided,  however,  that, in the case of
such a merger or similar reorganization,  or such a sale of all or substantially
all of the assets of the Company, if there is no such assumption,  the Board may
provide  that some or all of the  unexercised  portion of any one or more of the
outstanding  Options or Purchase  Authorizations and some or all of the unvested
Shares  acquired  upon  exercise of any one or more of such  Options or Purchase
Authorizations or acceptance of any one or more of the outstanding Bonuses shall
be immediately  exercisable and vested or no longer subject to repurchase rights
as of such date prior to such merger,  similar  reorganization or sale of assets
as the Board determines.

         12. Investment Representations;  Transfer Restrictions. The Company may
require  Participants,  as a  condition  of  purchasing  Shares  pursuant to the
exercise of an Option or to a Purchase  Authorization  or receipt of shares as a
Bonus,  to give written  assurances  in substance and form  satisfactory  to the
Company  to the  effect  that  such  person  is  acquiring  the  Shares  for the
Participant's  own account for investment and not with any present  intention of
selling or otherwise  distributing the same,  unless there shall be an effective
registration  statement  under the Securities Act of 1933, as amended (the "1933
Act"),  with respect  thereto,  and to such other  effects as the Company  deems
necessary or appropriate  (including  without  limitation  confirmation that the
Participant is aware of any applicable  restrictions  on transfer of the Shares,
as specified in the by-laws of the Company or otherwise) in order to comply with
federal and applicable state securities laws.

         13.      Definitions.

                  (a) The term "employee" shall have, for purposes of this Plan,
the meaning  ascribed to "employee"  under  Section  3401(c) of the Code and the
regulations promulgated thereunder.

                  (b) The term "Exchange Act" shall mean the Securities Exchange
Act of 1934, as heretofore and hereafter amended.

                  (c) The term "parent"  shall have,  for purposes of this Plan,
the meaning  ascribed to it under Section 424(e) of the Code and the regulations
promulgated thereunder.

                  (d) The term  "subsidiary"  shall have, for all purposes under
this Plan,  the meaning  ascribed to it under Section 424(f) of the Code and the
regulations promulgated thereunder.

         14.  Termination  or  Amendment  of  Plan.  The  Board  may at any time
terminate  the Plan or make such changes in or additions to the Plan as it deems
advisable without further action on the part of the stockholders of the Company,
provided:

                  (a) that no such  termination  or  amendment  shall  adversely
affect or impair any then  outstanding  Award or related  agreement  without the
consent of the Participant holding such Award or related agreement; and

                  (b)  that no such  amendment  which,  pursuant  to the Code or
regulations thereunder,  requires action by the stockholders may be made without
obtaining, or being conditioned upon, stockholder approval.

         With the  consent  of the  Participant  affected,  the  Board may amend
outstanding  Awards or related  agreements in a manner not inconsistent with the
Plan. The Board shall have the right to amend or modify the terms and provisions
of the Plan and of any outstanding  Incentive  Options granted under the Plan to
the extent  necessary  to qualify  any or all such  Options  for such  favorable
federal income tax treatment  (including  deferral of taxation upon exercise) as
may be afforded incentive stock options under Section 422 of the Code.





                                                                Name of Optionee


                                                      HPR INC.

                                          INCENTIVE STOCK OPTION AGREEMENT
                                                (HPR 1991 Stock Plan)


         THIS  AGREEMENT  is entered  into by and between  HPR Inc.,  a Delaware
corporation  with  its  principal   office  at  245  First  Street,   Cambridge,
Massachusetts 02142 (hereinafter the "Company"), and the undersigned employee of
the Company (hereinafter the "Optionee").

         WHEREAS,  the Optionee renders important  services to the Company,  and
the Company desires to grant an incentive stock option to the Optionee;

         NOW,  THEREFORE,  in  consideration  of the  foregoing  and the  mutual
agreements herein contained, the parties hereto hereby agree as follows:


         1.  Grant, Exercisability and Term of Option.

         (a) The Company hereby grants to the Optionee  pursuant to the HPR 1991
Stock Plan (the  "Plan") the option to purchase  from the Company upon the terms
and conditions hereinafter set forth the number of shares ("Shares") of the $.01
par  value  common  stock  ("Common  Stock")  of the  Company  set  forth on the
signature  page below at the purchase  price per Share so set forth (the "Option
Price"). The date of grant of this option is the date set forth at the execution
page of this Agreement as the "Option Date."

         (b)  Subject  to the  provisions  of Section 5 hereof,  this  option is
exercisable in full or in part and shall remain  exercisable until it expires on
the tenth anniversary of the Option Date, unless the option is sooner terminated
as hereinafter  specified.  Only whole Shares may be purchased  pursuant to this
option.


         2.  Conditions and Limitations.

         (a) The option is granted on the condition  that the purchase of shares
hereunder  shall be for  investment  purposes  and not with a view to  resale or
distribution, except that such condition shall be inoperative if the offering of
Shares subject to the option is registered  under the Securities Act of 1933, as
amended,  or if in the  opinion of counsel  for the  Company  such Shares may be
resold  without  registration.  At the time of the exercise of the option or any
installment  thereof,  the Optionee will execute such further  agreements as the
Company may require to implement the foregoing  condition and to acknowledge the
Optionee's  familiarity  with  restrictions  on the resale of the  Shares  under
applicable  securities  laws,  and the  Company  may  stamp  such  legend on the
certificate  representing the Shares as may be necessary or appropriate in light
of the foregoing condition.

         (b) The Company will furnish upon request of the Optionee copies of the
certificate  of  incorporation  of the Company,  as amended,  and by-laws of the
Company, as amended, and such publicly available financial and other information
concerning  the Company and its  business  and  prospects  as may be  reasonably
requested by the Optionee in connection with exercise of this option.

         (c) The option shall not be  transferable  otherwise than by will or by
the laws of descent  and  distribution,  and except as provided in Section 4 the
option shall be exercisable  during the lifetime of the Optionee by the Optionee
only.  Notwithstanding the foregoing,  however, if the Optionee is determined to
be mentally  incompetent and a guardian or conservator (or other similar person)
is  appointed  by a court of  competent  jurisdiction  to manage the  Optionee's
affairs,  the guardian or conservator (or other similar person) may exercise the
option on behalf of the Optionee, provided that such exercise is made within the
time limits prescribed herein.

         (d) The  option  granted  in this  Agreement  is  subject to the terms,
conditions and definitions of the Plan, a copy of which is attached  hereto.  To
the extent that the terms,  conditions  and  definitions  of this  Agreement are
inconsistent  with those of the Plan, those of this Agreement shall govern.  The
Optionee  hereby accepts this option subject to all such  provisions of the Plan
and agrees that all decisions under, and  interpretations of, such provisions of
the  Plan  by the  Board  of  Directors  of the  Company  (the  "Board")  or the
Committee,  as defined in the Plan, shall be final,  binding and conclusive upon
the Optionee and his or her heirs.

         (e) In the event that the Company, upon the advice of counsel, deems it
necessary  to list upon  official  notice of  issuance  any  shares to be issued
pursuant to the Plan on a national  securities exchange or to register under the
Securities Act of 1933 or other  applicable  federal or state statute any shares
to be issued  pursuant to the Plan,  or to qualify any such shares for exemption
from the registration requirements of the Securities Act of 1933 under the rules
and  regulations  of the  Securities  and  Exchange  Commission  or for  similar
exemption  under state law,  then the Company  shall notify the Optionee to that
effect  and no Shares  shall be  issued  until  such  registration,  listing  or
exemption has been obtained.  The Company shall make prompt  application for any
such  registration,  listing or  exemption  pursuant  to federal or state law or
rules of such  securities  exchange  which it deems  necessary  and  shall  make
reasonable efforts to cause such registration,  listing,  or exemption to become
and remain effective.


         3.  Exercise of Option; Withholding Taxes.

         (a) Written  notice of the  exercise  of the option or any  installment
thereof shall be given to the Company  specifying the number of shares for which
the option is exercised and  accompanied by payment in full of the Option Price.
Payment  shall  be made  (a) in  cash,  (b) by  check,  (c) by  Immediate  Sales
Proceeds,  as defined  below,  (d) by delivery and  assignment to the Company of
shares of Company stock owned by the Optionee  (which shares have a Market Price
not less than the Option Price), or (e) by any combination of the foregoing.  As
used herein,  "Market Price" shall mean the closing price of the Common Stock as
reported on the Nasdaq  National  Market for the relevant date (or, if such date
is not a trading date or if no trades took place on such date, then such closing
price for the last  previous  trading date or the last  previous date on which a
trade  occurred,  as the case may be);  provided  that if the Common Stock is no
longer  traded on the Nasdaq  National  Market on the  relevant  date,  then the
Market  Price  as  of  such  date  shall  be   determined   by  the   Committee.
Notwithstanding the foregoing,  this option may not be exercised by delivery and
assignment  to the  Company of shares of Company  stock to the extent  that such
delivery and  assignment  would  constitute a violation of the provisions of any
law,  or  related  regulation  or rule,  or any  agreement  or  Company  policy,
restricting  the transfer or redemption of the Company's  stock. As used herein,
the term "Immediate Sales Proceeds" shall mean the assignment in form acceptable
to the Company of the proceeds of a sale of the Shares  acquired on the exercise
of this  option  pursuant to a procedure  approved by the  Company.  The Company
reserves  the right to decline to approve any such  procedure  in the  Company's
sole and absolute discretion.

         (b) The  Company's  obligation  to deliver  Shares upon  exercise of an
option  shall  be  subject  to the  Optionee's  satisfaction  of all  applicable
federal,  state and local income and  employment  tax  withholding  obligations.
Without  limiting the  generality of the  foregoing,  the Company shall have the
right to deduct from  payments of any kind  otherwise  due to the  Optionee  any
federal,  state or local taxes of any kind  required by law to be withheld  with
respect to any Shares issued upon exercise of the option.


         4.  Termination of Option.  In the event that the Optionee ceases to be
employed   by  the  Company  or  any  parent  or   subsidiary   of  the  Company
(collectively,  the  "Company  Group") at any time prior to the exercise of this
option  in  full,  this  option  shall  terminate  according  to  the  following
provisions:

         (a) If the  Optionee  ceases to be employed  for any reason  other than
death or disability (as defined in Section 22(e)(3) of the Internal Revenue Code
of 1986, as amended (the "Code")),  the Optionee may at any time within a period
of one (1) month after the date of such  cessation  of  employment  exercise the
option  to the  extent  that  the  option  was  exercisable  on the date of such
cessation;

         (b) If the Optionee  ceases to be employed  because of  disability  (as
defined in Section  22(e)(3) of the Code), the Optionee may at any time within a
period of six months after the date of such cessation of employment exercise the
option  to the  extent  that  the  option  was  exercisable  on the date of such
cessation; and

         (c) If the Optionee ceases to be employed because of death, the option,
to the extent  that the  Optionee  was  entitled  to  exercise it on the date of
death, may be exercised within a period of six months after the Optionee's death
by the person or persons to whom the  Optionee's  rights  under the option shall
pass by will or by the laws of descent and distribution;

provided, however, that this option may not be exercised to any extent by anyone
after the date of its expiration.


         5. Exercisability of Option. So long as Optionee remains an employee of
the Company, this Option may be exercised only as follows:

         (i)  commencing on the first anniversary hereof, only to the extent of 
one fifth of the Shares; and

         (ii) thereafter,  at the end of each subsequent  quarter, to the extent
of an additional five per cent of the Shares; less the number of Shares as to 
which this Option has been exercised.


6.

         A. "Market  Stand Off"  Agreement.  
    
     The Optionee,  if requested by the Company or any managing  underwriter  of
the  Company's  securities,  shall  agree not to sell or  otherwise  transfer or
dispose of any Shares of the Company held by the  Optionee  during the period up
to 180 days,  as requested  by the Company or such  underwriter,  following  the
effective  date of a  registration  statement  of the  Company  filed  under the
Securities Act of 1933 (except for any Company  securities  held by the Optionee
sold  pursuant  to such  registration  statement).  Such  agreement  shall be in
writing in form satisfactory to the Company or such underwriter. The Company may
impose  stop-transfer  instructions  with  respect to the Shares  subject to the
foregoing restriction until the end of such period.

         B. Exceptions for Transfers to Family. 
     
     The provisions  contained in this Section 6 shall not apply to any transfer
of Shares to or in trust for the sole benefit of the Optionee,  or any member of
the  immediate   family  of  the  Optionee,   including  for  this  purpose  the
undersigned's spouse, parents, parents-in-law, issue, nephews, nieces, brothers,
brothers-in-law,      sisters,      sisters-in-law,      children-in-law     and
grandchildren-in-law,  provided  that such  transferee  agrees in  writing to be
subject to the terms of Section 6.


         7. Notice of  Disposition  of Shares.  
     
     The Optionee  hereby agrees to notify the Company  promptly if the Optionee
disposes of any Shares within one (1) year after the date the Optionee exercises
all or part of this option or within two (2) years after the Option Date. At any
time during the one or two year periods set forth above, the Company may place a
legend on any certificate  representing Shares requesting the transfer agent for
the Company's  stock to notify the Company of any such transfer.  The obligation
of the  Optionee  to notify the  Company  of any such  transfer  shall  continue
notwithstanding that a legend has been placed on the certificate pursuant to the
preceding  sentence.  Optionees are urged to review the  description of the Plan
provided  by the  Company  for a more  detailed  discussion  of the  Federal tax
consequences  of such a  disposition  under  current law.  Additionally,  if the
Optionee is subject to Section 16(b) of the Securities  Exchange Act of 1934, as
amended, or the rules and regulations promulgated thereunder, any disposition by
the Optionee of the Optioned Shares purchased under the Option within six months
of the date of grant may  deprive  the  Optionee  of the  protection  from 16(b)
liability which the provisions of the Plan seek to provide.


         8. $100,000  Limitation.  

     Under  Section 422 of the Code,  the  aggregate  Market Price of the shares
with  respect  to which  incentive  stock  options  granted by any member of the
Company Group first become  exercisable by an employee  during any calendar year
cannot exceed $100,000 (the "$100,000 limitation").  To the extent, if any, that
the $100,000  limitation is exceeded by reason of the grant of this option, this
option  shall be  deemed,  to the  maximum  extent  possible,  if any,  to be an
incentive  stock option,  and the portion of this option that is exercisable for
shares in excess of the $100,000  limitation shall be treated as a non-qualified
option pursuant to Section 422(d) of the Code.



         9.  Notices. 

     All notices or demands given pursuant to this Agreement shall be in writing
and shall be deemed to have been sufficiently given if delivered by hand or sent
by certified or registered mail,  postage  prepaid,  addressed to the Company at
its   principal   office  or  to  the   Optionee   (or  the   Optionee's   legal
representatives) at the address stated in the Optionee's (or their) notice or at
the Optionee's address appearing on the books of the Company.


         10. No Employment Commitment;  Tax Treatment.  

     Nothing herein  contained  shall be deemed to be or constitute an agreement
or  commitment  by the  Company  or any  other  member of the  Company  Group to
continue the Optionee in its employ.  Although the option  granted  hereunder is
intended to qualify as an incentive  stock option under Section 422 of the Code,
the Company makes no representation about the tax treatment to the Optionee with
respect to receipt or exercise of the option or acquiring,  holding or disposing
of the  Shares,  and the  Optionee  represents  that  the  Optionee  has had the
opportunity  to discuss such treatment  (including  the possible  application of
Section 83 of the Code) with the Optionee's tax adviser. The Optionee shall have
no rights as a  stockholder  with  respect to the  shares  subject to the option
until the exercise of the option and the issuance of a stock certificate for the
Shares with respect to which the option shall have been exercised.

         11. Adjustment in Shares, etc.

         (a)  Appropriate  adjustment  shall be made by the Committee in number,
kind, and exercise  price of Shares  covered by the option granted  hereunder to
give  effect  to  any  stock  dividends,   stock  splits,   stock  combinations,
recapitalizations  and other  similar  changes in the capital  structure  of the
Company after the Option Date.

         (b) In the  event of a change  of the  Common  Stock  resulting  from a
merger or  similar  reorganization  as to which  the  Company  is the  surviving
corporation,  the number and kind of Shares  which  thereafter  may be purchased
pursuant to the option granted hereunder, and the number and kind of Shares then
subject to the option granted hereunder and the price per Share thereof shall be
appropriately  adjusted in such manner as the  Committee  may deem  equitable to
prevent  dilution or enlargement of the rights  available or granted  hereunder.
Except  as  otherwise  determined  by  the  Committee,  a  merger  or a  similar
reorganization  which  the  Company  does  not  survive,  or a  sale  of  all or
substantially  all of the assets of the  Company,  shall  cause  this  option to
terminate, to the extent not then exercised,  unless any surviving entity agrees
to assume the obligations hereunder.


         12.  Miscellaneous.  

     This  Agreement  shall be  governed  by,  and  construed  and  enforced  in
accordance with, the laws of The Commonwealth of  Massachusetts.  This Agreement
shall  be  binding  upon  and  inure  to the  benefit  of the  heirs  and  legal
representatives  of the Optionee and the  successors and assigns of the Company,
but shall not be assigned by the Optionee at any time without the prior  written
permission of the Company, and any such attempted assignment shall be void.



                  IN WITNESS WHEREOF the parties have executed this Stock Option
Agreement as of the Option Date.


                               ----------------------------------
                               Optionee [Sign name]



                               [Print name]

                                Address: _________________________

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


                                Option Date:


                                No. of Shares:


                                Option Price:




Accepted,  as the  issuer of the  Shares,  in  accordance  with the terms of the
foregoing Option Agreement as of the foregoing Option Date.

                                              HPR INC.


                                              By:______________________________
                                                          Chairman of the Board






                                                                Name of Optionee


                                                      HPR INC.

                                        NON-QUALIFIED STOCK OPTION AGREEMENT
                                                (HPR 1991 Stock Plan)


         THIS  AGREEMENT  is entered  into by and between  HPR Inc.,  a Delaware
corporation  with  its  principal   office  at  245  First  Street,   Cambridge,
Massachusetts 02142 (hereinafter the "Company"),  and the undersigned consultant
of the Company (hereinafter the "Optionee").

         WHEREAS,  the Optionee renders important  services to the Company (such
services to be collectively  herein  referred to as "Service"),  and the Company
desires to grant a non-qualified stock option to the Optionee;

         NOW,  THEREFORE,  in  consideration  of the  foregoing  and the  mutual
agreements herein contained, the parties hereto hereby agree as follows:


         1.  Grant, Exercisability and Term of Option.

         (a) The Company hereby grants to the Optionee  pursuant to the HPR 1991
Stock Plan (the  "Plan") the option to purchase  from the Company upon the terms
and conditions hereinafter set forth the number of shares ("Shares") of the $.01
par  value  common  stock  ("Common  Stock")  of the  Company  set  forth on the
signature  page below at the purchase  price per Share so set forth (the "Option
Price"). The date of grant of this option is the date set forth at the execution
page of this Agreement as the "Option Date."

         (b)  Subject  to the  provisions  of Section 5 hereof,  this  option is
exercisable in full or in part and shall remain  exercisable until it expires on
the tenth anniversary of the Option Date, unless the option is sooner terminated
as hereinafter  specified.  Only whole Shares may be purchased  pursuant to this
option.


         2.  Conditions and Limitations.

         (a) The option is granted on the condition  that the purchase of shares
hereunder  shall be for  investment  purposes  and not with a view to  resale or
distribution, except that such condition shall be inoperative if the offering of
Shares subject to the option is registered  under the Securities Act of 1933, as
amended,  or if in the  opinion of counsel  for the  Company  such Shares may be
resold  without  registration.  At the time of the exercise of the option or any
installment  thereof,  the Optionee will execute such further  agreements as the
Company may require to implement the foregoing  condition and to acknowledge the
Optionee's  familiarity  with  restrictions  on the resale of the  Shares  under
applicable  securities  laws,  and the  Company  may  stamp  such  legend on the
certificate  representing the Shares as may be necessary or appropriate in light
of the foregoing condition.

         (b) The Company will furnish upon request of the Optionee copies of the
certificate  of  incorporation  of the Company,  as amended,  and by-laws of the
Company, as amended, and such publicly available financial and other information
concerning  the Company and its  business  and  prospects  as may be  reasonably
requested by the Optionee in connection with exercise of this option.

         (c) The option shall not be  transferable  otherwise than by will or by
the laws of descent  and  distribution,  and except as provided in Section 4 the
option shall be exercisable  during the lifetime of the Optionee by the Optionee
only.  Notwithstanding the foregoing,  however, if the Optionee is determined to
be mentally  incompetent and a guardian or conservator (or other similar person)
is  appointed  by a court of  competent  jurisdiction  to manage the  Optionee's
affairs,  the guardian or conservator (or other similar person) may exercise the
option on behalf of the Optionee, provided that such exercise is made within the
time limits prescribed herein.

         (d) The  option  granted  in this  Agreement  is  subject to the terms,
conditions and definitions of the Plan, a copy of which is attached  hereto.  To
the extent that the terms,  conditions  and  definitions  of this  Agreement are
inconsistent  with those of the Plan, those of this Agreement shall govern.  The
Optionee  hereby accepts this option subject to all such  provisions of the Plan
and agrees that all decisions under, and  interpretations of, such provisions of
the  Plan  by the  Board  of  Directors  of the  Company  (the  "Board")  or the
Committee,  as defined in the Plan, shall be final,  binding and conclusive upon
the Optionee and his or her heirs.

         (e) In the event that the Company, upon the advice of counsel, deems it
necessary  to list upon  official  notice of  issuance  any  shares to be issued
pursuant to the Plan on a national  securities exchange or to register under the
Securities Act of 1933 or other  applicable  federal or state statute any shares
to be issued  pursuant to the Plan,  or to qualify any such shares for exemption
from the registration requirements of the Securities Act of 1933 under the rules
and  regulations  of the  Securities  and  Exchange  Commission  or for  similar
exemption  under state law,  then the Company  shall notify the Optionee to that
effect  and no Shares  shall be  issued  until  such  registration,  listing  or
exemption has been obtained.  The Company shall make prompt  application for any
such  registration,  listing or  exemption  pursuant  to federal or state law or
rules of such  securities  exchange  which it deems  necessary  and  shall  make
reasonable efforts to cause such registration,  listing,  or exemption to become
and remain effective.


         3.  Exercise of Option; Withholding Taxes.

         (a) Written  notice of the  exercise  of the option or any  installment
thereof shall be given to the Company  specifying the number of shares for which
the option is exercised and  accompanied by payment in full of the Option Price.
Payment  shall  be made  (a) in  cash,  (b) by  check,  (c) by  Immediate  Sales
Proceeds,  as defined  below,  (d) by delivery and  assignment to the Company of
shares of Company stock owned by the Optionee  (which shares have a Market Price
not less than the Option Price), or (e) by any combination of the foregoing.  As
used herein,  "Market Price" shall mean the closing price of the Common Stock as
reported on the Nasdaq  National  Market for the relevant date (or, if such date
is not a trading date or if no trades took place on such date, then such closing
price for the last  previous  trading date or the last  previous date on which a
trade  occurred,  as the case may be);  provided  that if the Common Stock is no
longer  traded on the Nasdaq  National  Market on the  relevant  date,  then the
Market  Price  as  of  such  date  shall  be   determined   by  the   Committee.
Notwithstanding the foregoing,  this option may not be exercised by delivery and
assignment  to the  Company of shares of Company  stock to the extent  that such
delivery and  assignment  would  constitute a violation of the provisions of any
law,  or  related  regulation  or rule,  or any  agreement  or  Company  policy,
restricting  the transfer or redemption of the Company's  stock. As used herein,
the term "Immediate Sales Proceeds" shall mean the assignment in form acceptable
to the Company of the proceeds of a sale of the Shares  acquired on the exercise
of this  option  pursuant to a procedure  approved by the  Company.  The Company
reserves  the right to decline to approve any such  procedure  in the  Company's
sole and absolute discretion.

         (b) The  Company's  obligation  to deliver  Shares upon  exercise of an
option  shall  be  subject  to the  Optionee's  satisfaction  of all  applicable
federal,  state and local income and  employment  tax  withholding  obligations.
Without  limiting the  generality of the  foregoing,  the Company shall have the
right to deduct from  payments of any kind  otherwise  due to the  Optionee  any
federal,  state or local taxes of any kind  required by law to be withheld  with
respect to any Shares issued upon exercise of the option.


         4.  Termination  of Option.  In the event that the  Optionee  ceases to
perform  Service at any time prior to the exercise of this option in full,  this
option shall terminate according to the following provisions:

         (a) If the Optionee ceases to perform Service for any reason other than
death or disability (as defined in Section 22(e)(3) of the Internal Revenue Code
of 1986, as amended (the "Code")),  the Optionee may at any time within a period
of one (1) month after the date of such cessation of Service exercise the option
to the extent that the option was exercisable on the date of such cessation;

         (b) If the Optionee ceases to perform Service because of disability (as
defined in Section  22(e)(3) of the Code), the Optionee may at any time within a
period of six months after the date of such  cessation  of Service  exercise the
option  to the  extent  that  the  option  was  exercisable  on the date of such
cessation; and

         (c) If the Optionee  ceases to perform  Service  because of death,  the
option,  to the extent that the Optionee was entitled to exercise it on the date
of death,  may be exercised  within a period of six months after the  Optionee's
death by the person or persons to whom the  Optionee's  rights  under the option
shall pass by will or by the laws of descent and distribution;

provided, however, that this option may not be exercised to any extent by anyone
after the date of its expiration.


         5. Exercisability of Option. So long as Optionee performs Service, this
Option may be exercised only as follows:

         (i)  commencing on the first anniversary hereof,  only to the extent 
of one fifth of the Shares; and

         (ii) thereafter,  at the end of each subsequent  quarter, to the extent
of an additional five per cent of the Shares; less the number of Shares as 
to which this Option has been exercised.


6.
         A. "Market  Stand Off"  Agreement.  The  Optionee,  if requested by the
Company or any managing underwriter of the Company's securities, shall agree not
to sell or  otherwise  transfer or dispose of any Shares of the Company  held by
the  Optionee  during the period up to 180 days,  as requested by the Company or
such  underwriter,  following the effective date of a registration  statement of
the  Company  filed  under the  Securities  Act of 1933  (except for any Company
securities held by the Optionee sold pursuant to such  registration  statement).
Such agreement  shall be in writing in form  satisfactory to the Company or such
underwriter.  The Company may impose stop-transfer  instructions with respect to
the Shares subject to the foregoing restriction until the end of such period.

         B. Exceptions for Transfers to Family. The provisions contained in this
Section 6 shall not apply to any  transfer of Shares to or in trust for the sole
benefit of the Optionee,  or any member of the immediate family of the Optionee,
including for this purpose the undersigned's  spouse,  parents,  parents-in-law,
issue, nephews,  nieces,  brothers,  brothers-in-law,  sisters,  sisters-in-law,
children-in-law and  grandchildren-in-law,  provided that such transferee agrees
in writing to be subject to the terms of this Section 6.


         7.  Notices.  All notices or demands given  pursuant to this  Agreement
shall be in  writing  and shall be deemed  to have  been  sufficiently  given if
delivered by hand or sent by  certified or  registered  mail,  postage  prepaid,
addressed  to the Company at its  principal  office or to the  Optionee  (or the
Optionee's  legal  representatives)  at the address stated in the Optionee's (or
their)  notice  or at the  Optionee's  address  appearing  on the  books  of the
Company.


         8. No Service Commitment; Tax Treatment. Nothing herein contained shall
be deemed to be or  constitute  an agreement or commitment by the Company or any
other  member of the Company  Group to  continue  the  Optionee in Service.  The
option granted hereunder is not intended to qualify as an incentive stock option
under Section 422 of the Code, and the Company makes no representation about the
tax  treatment to the Optionee with respect to receipt or exercise of the option
or acquiring,  holding or disposing of the Shares. The Optionee  represents that
the  Optionee  has had the  opportunity  to  discuss  such  treatment  with  the
Optionee's tax adviser.  The Optionee shall have no rights as a stockholder with
respect to the shares subject to the option until the exercise of the option and
the  issuance of a stock  certificate  for the Shares with  respect to which the
option shall have been exercised.

         9. Adjustment in Shares, etc.

         (a)  Appropriate  adjustment  shall be made by the Committee in number,
kind, and exercise  price of Shares  covered by the option granted  hereunder to
give  effect  to  any  stock  dividends,   stock  splits,   stock  combinations,
recapitalizations  and other  similar  changes in the capital  structure  of the
Company after the Option Date.

         (b) In the  event of a change  of the  Common  Stock  resulting  from a
merger or  similar  reorganization  as to which  the  Company  is the  surviving
corporation,  the number and kind of Shares  which  thereafter  may be purchased
pursuant to the option granted hereunder, and the number and kind of Shares then
subject to the option granted hereunder and the price per Share thereof shall be
appropriately  adjusted in such manner as the  Committee  may deem  equitable to
prevent  dilution or enlargement of the rights  available or granted  hereunder.
Except  as  otherwise  determined  by  the  Committee,  a  merger  or a  similar
reorganization  which  the  Company  does  not  survive,  or a  sale  of  all or
substantially  all of the assets of the  Company,  shall  cause  this  option to
terminate, to the extent not then exercised,  unless any surviving entity agrees
to assume the obligations hereunder.


         10.  Miscellaneous.  This Agreement shall be governed by, and construed
and enforced in accordance with, the laws of The Commonwealth of  Massachusetts.
This  Agreement  shall be binding upon and inure to the benefit of the heirs and
legal  representatives  of the  Optionee and the  successors  and assigns of the
Company, but shall not be assigned by the Optionee at any time without the prior
written  permission of the Company,  and any such attempted  assignment shall be
void.

<PAGE>





                  IN WITNESS WHEREOF the parties have executed this Stock Option
Agreement as of the Option Date.


                                       ----------------------------------
                                       Optionee [Sign name]



                                       [Print name]

                                       Address: _________________________

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


                                       Option Date:


                                       No. of Shares:


                                       Option Price:



Accepted,  as the  issuer of the  Shares,  in  accordance  with the terms of the
foregoing Option Agreement as of the foregoing Option Date.

                                                     HPR INC.


                                                     By:_______________________
                                                          Chairman of the Board









                                                                  

                                    HPR INC.

                    AMENDED AND RESTATED HPR 1995 STOCK PLAN



         1. Purpose.  The purpose of this HPR 1995 Stock Plan (the "Plan") is to
advance the interests of HPR Inc., a Delaware  corporation (the  "Company"),  by
strengthening  the ability of the Company to attract,  retain and  motivate  key
employees, consultants and other individual contributors of or to the Company or
any present or future parent or subsidiary of the Company (the "Company  Group")
by providing them with an opportunity to purchase or receive as bonuses stock of
the Company and thereby permitting them to share in the Company's success. It is
intended  that this  purpose will be effected by granting  (i)  incentive  stock
options ("Incentive Options") which are intended to qualify under the provisions
of Section 422 of the Internal Revenue Code of 1986, as heretofore and hereafter
amended (the "Code"), and non-statutory stock options  ("Nonqualified  Options")
which are not intended to meet the  requirements  of Section 422 of the Code and
which are  intended  to be taxed  under  Section 83 of the Code (both  Incentive
Options  and  Nonqualified   Options  shall  be  collectively   referred  to  as
"Options"),  (ii) stock  purchase  authorizations  ("Purchase  Authorizations"),
(iii)  stock  bonus  awards  ("Bonuses")  and  (iv)  Stock  Appreciation  Rights
("SARs"). (Items (i) through (iv) above shall collectively be referred to herein
as "Awards".)

         2. Effective  Date.  This Plan was adopted by the Board of Directors of
the Company (the  "Board") on June 26, 1995 (the  "effective  date" of the Plan)
and approved by the  stockholders  on July 20,  1995.  This Plan was amended and
restated  by the  Board  of  Directors  on July 22,  1996,  such  amendment  and
restatement  to be  effective  on November  1, 1996,  subject to approval by the
stockholders on or before July 22, 1997.

         3. Stock  Covered by the Plan.  Subject to  adjustment  as  provided in
Sections 10 and 11 below,  the shares that may be made  subject to Awards  under
this Plan ("Shares")  shall not exceed in the aggregate  2,035,000 shares of the
common  stock,  $.01 par value,  of the  Company  ("Common  Stock").  Any Shares
subject to an Option, SAR or Purchase Authorization which for any reason expires
or is terminated  unexercised  as to such Shares,  any Shares  reacquired by the
Company pursuant to forfeiture or a repurchase  right hereunder,  and any Shares
subject to an SAR which are not issued upon exercise of the SAR may again be the
subject of an Award under the Plan.  The Shares  purchased  pursuant to Purchase
Authorizations  or the exercise of Options  under this Plan or issued as Bonuses
or pursuant to SARs may, in whole or in part, be either  authorized but unissued
Shares or issued Shares reacquired by the Company.

         4.  Administration.  This Plan  shall be  administered  by the Board of
Directors,  whose  construction  and  interpretation  of the  Plan's  terms  and
provisions shall be final and conclusive.  The Board shall have the authority to
delegate  to the  Compensation  Committee  of the Board  (the  "Committee")  the
authority  to  administer  this  Plan  as set  forth  in this  Section  4 and to
recommend  that the Board grant Awards.  Each member of the Committee  shall be,
and shall have been at all times within the one-year  period  ending on the date
of his or her  appointment  to the  Committee,  a person  who in the  opinion of
counsel to the Company is an "outside director" as such term is used in proposed
regulation 1.162-27(e)(3) under Section 162(m) of the Code. The Board shall have
authority,  subject to the express  provisions of the Plan, to construe the Plan
and the  respective  Awards and  related  agreements,  to  prescribe,  amend and
rescind rules and  regulations  relating to the Plan, to determine the terms and
provisions  of the  respective  Awards and related  agreements,  and to make all
other determinations in the judgment of the Board necessary or desirable for the
administration  of the Plan.  The Board may  correct  any  defect or supply  any
omission or reconcile any  inconsistency  in the Plan or in any Award or related
agreement  in the manner and to the extent it shall deem  expedient to carry the
Plan into effect,  and it shall be the sole and final judge of such  expediency.
No  member of the Board and no  delegate  of the Board  shall be liable  for any
action or determination  under the Plan made in good faith.  Notwithstanding the
foregoing,  the Board, or the Committee as its delegate, shall have authority to
establish  guidelines  for the grant of Awards to key  employees  of the Company
Group who are not  executive  officers  of the  Company  and to  delegate to the
Company's  Chief  Executive  Officer the authority to recommend to the Board the
grant of Awards,  within such  guidelines,  to such eligible  non-executive  key
employees.

         5.  Approval by Board of  Directors.  Notwithstanding  anything in this
Plan to the contrary,  including without  limitation the delegation of authority
to the  Committee,  all  grants  of  Awards  shall be  approved  by the Board of
Directors.

         6. Eligible  Recipients.  Awards may be granted to such key  employees,
consultants  or  other  individual  contributors  of or to  the  Company  Group,
including without  limitation members of the Board who are employees and members
of any medical  scientific or technical  advisory boards, as are selected by the
Board or (except as to  employees  who are Company  executive  officers)  by the
Board's delegate pursuant to section 4 above (a "Participant");  provided,  that
only  employees of the Company Group shall be eligible for grant of an Incentive
Option.

         7. Duration of the Plan.  This Plan shall terminate ten (10) years from
the effective  date hereof,  unless  terminated  earlier  pursuant to Section 14
hereafter, and no Awards may be granted or made thereafter.

         8. Terms and Conditions of Options,  Purchase Authorizations,  SARs and
Bonuses. Awards granted or made under this Plan shall be evidenced by agreements
in such form and  containing  such  terms  and  conditions  as the  Board  shall
determine;  provided,  however,  that such agreements shall evidence among their
terms and conditions the following:

                  (a)  Price.  The  purchase  price per Share  payable  upon the
exercise of each Option or the purchase pursuant to each Purchase  Authorization
granted  or made  hereunder  shall be  determined  by the  Board at the time the
Option or Purchase Authorization is granted or made. Subject to the condition of
paragraph 8(k)(i), if applicable,  the purchase price per Share payable upon the
exercise of each Incentive  Option granted  hereunder shall not be less than one
hundred  percent  (100%) of the Market Price (as such term is defined below) per
Share of the  Common  Stock on the day the  Incentive  Option  is  granted.  The
purchase price per Share payable on exercise of each Nonqualified Option or upon
the purchase of Shares pursuant to each Purchase Authorization granted hereunder
shall be not less than  eighty-five  percent (85%) of the Market Price per Share
of the Common  Stock on the date of the grant.  Bonus  Shares shall be issued in
consideration of services  previously  rendered,  which shall be valued for such
purposes  by the  Board.  No Share  shall be issued for less than its par value,
paid in cash,  property or services.  As used herein,  "Market Price" shall mean
the closing price of the Common Stock as reported on the Nasdaq  National Market
System for the  relevant  date (or, if such date is not a trading  date or if no
trades took place on such date,  then such closing  price for the last  previous
trading date or the last  previous date on which a trade  occurred,  as the case
may be);  provided  that if the Common  Stock is no longer  traded on the Nasdaq
National  Market System on the relevant  date,  then the Market Price as of such
date shall be  determined  by the Board  equal to the fair  market  value of the
Common  Stock in  accordance  with  applicable  provisions  of the Code  then in
effect.

                  (b) Stock Appreciation Rights. Stock Appreciation Rights shall
be grants  entitling a  Participant  to receive an amount in cash or Shares or a
combination  thereof  having a value  equal to or less  than the  excess  of the
Market  Price per share of the  Company's  Common  Stock on the date of exercise
over the Market  Price per share of the  Company's  Common  Stock on the date of
grant,  multiplied  by the number of Shares with  respect to which the SAR shall
have been exercised.

                  (c) Number of Shares.  Each agreement shall specify the number
of Shares to which it pertains.

                  (d) Exercise of Options.  Each Option shall be exercisable for
the  full  amount  or for any  part  thereof  and at such  intervals  or in such
installments as the Board may determine or as the Committee may determine at the
time it recommends that the Board grant such Option; provided,  however, that no
Option shall be exercisable with respect to any Shares later than ten (10) years
after  the date of the  grant of such  Option  (or five (5) years in the case of
Incentive  Options to which  paragraph  8(k)(ii)  applies).  An Option  shall be
exercisable only by delivery of a written notice to the Company's Treasurer,  or
any other officer of the Company  designated by the Board to accept such notices
on its behalf, specifying the number of Shares for which the Option is exercised
and  accompanied  by either  (i)  payment  or (ii) if  permitted  by the  Board,
irrevocable  instructions  to a broker to promptly  deliver to the Company  full
payment in accordance with paragraph  8(e)(ii) below of the amount  necessary to
pay the  aggregate  exercise  price.  With respect to an Incentive  Option,  the
permission  of the Board  referred to in clause (ii) of the  preceding  sentence
must be granted at the time the Incentive Option is granted.

                  (e) Payment. Payment shall be made in full (i) at the time the
Option  is  exercised,   (ii)  promptly  after  the  Participant   forwards  the
irrevocable  instructions  referred  to  in  paragraph  8(d)(ii)  above  to  the
appropriate  broker,  if  exercise of an Option is made  pursuant  to  paragraph
8(d)(ii)  above,  or  (iii)  at the time the  purchase  pursuant  to a  Purchase
Authorization  is made.  Payment shall be made either (a) in cash, (b) by check,
(c) if  permitted  by the Board  (with  respect  to an  Incentive  Option,  such
permission to have been granted at the time of the Incentive  Option grant),  by
delivery  and  assignment  to the  Company of shares of Company  stock  having a
Market  Price (as  determined  by the Board)  equal to the  exercise or purchase
price,  (d) if permitted by the Board,  stated in the agreement  evidencing  the
Option or Purchase Authorization,  and to the extent permitted by any applicable
law, by the Participant's  recourse  promissory note, which note must be due and
payable  not more  than five (5) years  after  the date the  Option or  Purchase
Authorization is exercised, or (e) by a combination of (a), (b), (c) and/or (d).
If  shares  of  Company  stock  are to be used to pay the  exercise  price of an
Incentive  Option,  the Company  prior to such payment  must be  furnished  with
evidence  satisfactory  to it that the  acquisition  of such  shares  and  their
transfer in payment of the exercise  price satisfy the  requirements  of Section
422 of the Code and other applicable laws.  Notwithstanding  the foregoing,  the
purchase or exercise  price of an Option or  Purchase  Authorization  may not be
paid by delivery  and  assignment  to the Company of shares of Company  stock or
through  irrevocable  instructions  to a  broker  as  referred  to in  Paragraph
8(d)(ii)  above to the extent that such delivery and assignment or the execution
of such irrevocable  instructions would constitute a violation of the provisions
of any law  (including  without  limitation  Section 16 of the Exchange  Act) or
related  regulation  or  rule,  or any  agreement  or  policy  of  the  Company,
restricting the transfer or redemption of the Company's stock.

                  (f)  Withholding  Taxes;  Delivery  of Shares.  The  Company's
obligation to deliver  Shares upon exercise of an Option or SAR or upon purchase
pursuant to a Purchase  Authorization  or issuance  pursuant to a Bonus shall be
subject to the Participant's  satisfaction of all applicable federal,  state and
local income and employment tax withholding  obligations.  Without  limiting the
generality  of the  foregoing,  the Company  shall have the right to deduct from
payments of any kind  otherwise  due to the  Participant  any federal,  state or
local  taxes of any kind  required  by law to be  withheld  with  respect to any
Shares issued upon  exercise of Options or SARs or purchased or issued  pursuant
to Purchase Authorizations or Bonuses. The Participant may elect to satisfy such
obligation(s), in whole or in part, by (i) delivering to the Company a check for
the amount  required to be withheld or (ii) if the Board in its sole  discretion
approves in any specific or general case,  having the Company withhold Shares or
delivering to the Company  already-owned  shares of Common Stock, having a value
equal to the amount required to be withheld, as determined by the Board.

                  (g)   Non-Transferability.   No   Option,   SAR  or   Purchase
Authorization shall be transferable by the Participant otherwise than by will or
the  laws  of  descent  or  distribution,  and  each  Option,  SAR  or  Purchase
Authorization shall be exercisable during the Participant's lifetime only by the
Participant,  provided,  however,  that the Board may  permit a  Participant  to
transfer  an  Award if such  transfer  is made  pursuant  to  uniformly  applied
criteria established by the Board prior to such transfer.

                  (h) Termination of Options, SARs and Purchase  Authorizations.
Nothing in this Plan or in any agreement  representing  any Award shall restrict
the right of any member of the Company Group to terminate the  employment of any
Participant  at any  time  and for any  reason,  with or  without  notice.  Each
Purchase Authorization and SAR shall terminate and may no longer be exercised if
the  Participant  ceases for any reason to provide  services  to a member of the
Company  Group.  Except to the  extent  the Board  provides  specifically  in an
agreement  evidencing  an  Option  for a lesser  period  (or a  greater  period,
provided  that in the case of  Incentive  Options  such period  shall not exceed
three months), each Option shall terminate and may no longer be exercised if the
Participant ceases for any reason to provide services to a member of the Company
Group in accordance with the following provisions:

     (i) if the Participant ceases to perform services for any reason other than
death  or  disability  (as  defined  in  Section  22(e)(3)  of  the  Code),  the
Participant may, at any time within a period of one month after the date of such
cessation of the performance of services, exercise the Option to the extent that
the Option was exercisable on the date of such cessation;

     (ii) if the Participant  ceases to perform  services  because of disability
(as defined in Section  22(e)(3) of the Code),  the Participant may, at any time
within  a  period  of six  months  after  the  date  of  such  cessation  of the
performance  of services,  exercise the Option to the extent that the Option was
exercisable on the date of such cessation;  and (iii) if the Participant  ceases
to  perform  services  because of death,  the  Option,  to the  extent  that the
Participant  was entitled to exercise it on the date of death,  may be exercised
within a period of six  months  after the  Participant's  death by the person or
persons to whom the Participant's rights under the Option pass by will or by the
laws of descent  or  distribution;  provided,  however,  that no Option,  SAR or
Purchase  Authorization  may be exercised to any extent by anyone after the date
of its  expiration;  and  provided,  further,  that  Options,  SARs and Purchase
Authorizations  may be  exercised  only as to Vested  Shares (as  defined in the
applicable  agreement with the Participant)  after the Participant has ceased to
perform services for any member of the Company Group.

                  (i) Rights as Stockholder.  A Participant shall have no rights
as a stockholder  with respect to any Shares  covered by an Award until the date
of issuance of a stock  certificate,  if any, in the Participant's name for such
Shares.

                  (j) Repurchase of Shares by the Company.  Any Shares purchased
or  acquired  upon  exercise  of an  Option  or SAR or  pursuant  to a  Purchase
Authorization  or  Bonus  may in the  discretion  of the  Board  be  subject  to
repurchase  by or  forfeiture  to the  Company  if and to the  extent and at the
repurchase price, if any, specifically set forth in the option, purchase, SAR or
bonus  agreement  pursuant  to which the  Shares  were  purchased  or  acquired.
Certificates representing Shares subject to such repurchase or forfeiture may be
subject to such escrow and stock legending provisions as may be set forth in the
option,  purchase,  SAR or bonus  agreement  pursuant  to which the Shares  were
purchased or acquired.

                  (k) 10%  Stockholder.  If any Participant to whom an Incentive
Option is granted pursuant to the provisions of the Plan is on the date of grant
the owner of stock (as determined  under Section 424(d) of the Code)  possessing
more than 10% of the total  combined  voting  power or value of all  classes  of
stock of the Company,  its parent,  if any, or subsidiaries,  then the following
special provisions shall be applicable:

                            (i)     The exercise price per Share subject to such
                                    Option  shall  not be less  than 110% of the
                                    fair market  value of each Share on the date
                                    of grant; and

                           (ii)     The  Option  shall not have a term in excess
                                    of five years from the date of grant.

                  (l)   Confidentiality   Agreements.   Each  Participant  shall
execute,  prior to or  contemporaneously  with the grant of any Award hereunder,
the  Company's  then  standard form of agreement  relating to  nondisclosure  of
confidential information, assignment of inventions and related matters.

                  (m) Aggregate  Limitation.  The maximum  number of Shares with
respect  to which any Awards  may be  granted  under the Plan to any  individual
during each successive  twelve-month  period commencing on the effective date of
the Plan shall not exceed 400,000 shares.

         9. Restrictions on Incentive  Options.  Incentive Options granted under
this Plan shall be  specifically  designated as such and shall be subject to the
additional  restriction  that the aggregate  Market Price,  determined as of the
date the  Incentive  Option is  granted,  of the  Shares  with  respect to which
Incentive Options are exercisable for the first time by a Participant during any
calendar year shall not exceed  $100,000.  If an Incentive  Option which exceeds
the  $100,000  limitation  of this  paragraph 9 is granted,  the portion of such
Option  which is  exercisable  for shares in excess of the  $100,000  limitation
shall be treated as a  Nonqualified  Option  pursuant  to Section  422(d) of the
Code. In the event that such Participant is eligible to participate in any other
stock incentive plans of the Company,  its parent, if any, or a subsidiary which
are also intended to comply with the provisions of Section 422 of the Code, such
annual  limitation  shall  apply to the  aggregate  number of  shares  for which
options may be granted under all such plans.

         10.   Stock    Dividends;    Stock    Splits;    Stock    Combinations;
Recapitalizations.  Appropriate  adjustment  shall  be made by the  Board in the
maximum  number of  Shares  subject  to the Plan and in the  number,  kind,  and
exercise or purchase price of Shares covered by  outstanding  Options,  SARs and
Purchase Authorizations granted hereunder to give effect to any stock dividends,
stock splits, stock combinations, recapitalizations and other similar changes in
the capital structure of the Company after the effective date of the Plan.

         11.  Merger;  Sale of  Assets.  In the event of a change of the  Common
Stock resulting from a merger or similar  reorganization as to which the Company
is the surviving corporation, the number and kind of Shares which thereafter may
be purchased pursuant to an Option, SAR or Purchase Authorization under the Plan
and the number and kind of Shares  then  subject to  Options,  SARs or  Purchase
Authorizations  granted  hereunder  and the  price per  Share  thereof  shall be
appropriately adjusted in such manner as the Board may deem equitable to prevent
dilution or enlargement of the rights available or granted hereunder.  Except as
otherwise  determined by the Board, a merger or a similar  reorganization  which
the  Company  does not  survive,  or a sale of all or  substantially  all of the
assets of the Company,  shall cause every Option, SAR and Purchase Authorization
hereunder to terminate,  to the extent not then exercised,  unless any surviving
entity agrees to assume the obligations hereunder;  provided,  however, that, in
the case of such a merger or  similar  reorganization,  or such a sale of all or
substantially all of the assets of the Company,  if there is no such assumption,
the Board may provide that some or all of the unexercised  portion of any one or
more of the outstanding Options, SARs or Purchase Authorizations and some or all
of the  unvested  Shares  acquired  upon  exercise  of any  one or  more of such
Options, SARs or Purchase Authorizations or acceptance of any one or more of the
outstanding  Bonuses shall be  immediately  exercisable  and vested or no longer
subject  to  repurchase  rights as of such date  prior to such  merger,  similar
reorganization or sale of assets as the Board determines.

         12. Investment Representations;  Transfer Restrictions. The Company may
require  Participants,  as a  condition  of  purchasing  Shares  pursuant to the
exercise of an Option or SAR or to a Purchase Authorization or receipt of shares
as a Bonus, to give written assurances in substance and form satisfactory to the
Company  to the  effect  that  such  person  is  acquiring  the  Shares  for the
Participant's  own account for investment and not with any present  intention of
selling or otherwise  distributing the same,  unless there shall be an effective
registration  statement  under the Securities Act of 1933, as amended (the "1933
Act"),  with respect  thereto,  and to such other  effects as the Company  deems
necessary or appropriate  (including  without  limitation  confirmation that the
Participant is aware of any applicable  restrictions  on transfer of the Shares,
as specified in the by-laws of the Company or otherwise) in order to comply with
federal and applicable state securities laws.

         13.      Definitions.

                  (a) The term "employee" shall have, for purposes of this Plan,
the meaning  ascribed to "employee"  under  Section  3401(c) of the Code and the
regulations promulgated thereunder.

                  (b) The term "Exchange Act" shall mean the Securities Exchange
Act of 1934, as heretofore and hereafter amended.

                  (c) The term "parent"  shall have,  for purposes of this Plan,
the meaning  ascribed to it under Section 424(e) of the Code and the regulations
promulgated thereunder.

                  (d) The term  "subsidiary"  shall have, for all purposes under
this Plan,  the meaning  ascribed to it under Section 424(f) of the Code and the
regulations promulgated thereunder.

         14.  Termination  or  Amendment  of  Plan.  The  Board  may at any time
terminate  the Plan or make such changes in or additions to the Plan as it deems
advisable without further action on the part of the stockholders of the Company,
provided:

                  (a) that no such  termination  or  amendment  shall  adversely
affect or impair any then  outstanding  Award or related  agreement  without the
consent of the Participant holding such Award or related agreement; and

                  (b)  that no such  amendment  which,  pursuant  to the Code or
regulations thereunder,  requires action by the stockholders may be made without
obtaining, or being conditioned upon, stockholder approval.

         With the  consent  of the  Participant  affected,  the  Board may amend
outstanding  Awards or related  agreements in a manner not inconsistent with the
Plan. The Board shall have the right to amend or modify the terms and provisions
of the Plan and of any outstanding  Incentive  Options granted under the Plan to
the extent  necessary  to qualify  any or all such  Options  for such  favorable
federal income tax treatment  (including  deferral of taxation upon exercise) as
may be afforded incentive stock options under Section 422 of the Code.







  Name of Optionee


                                    HPR INC.

                        INCENTIVE STOCK OPTION AGREEMENT
                   (Amended and Restated HPR 1995 Stock Plan)


         THIS  AGREEMENT  is entered  into by and between  HPR Inc.,  a Delaware
corporation  with  its  principal   office  at  245  First  Street,   Cambridge,
Massachusetts 02142 (hereinafter the "Company"), and the undersigned employee of
the Company (hereinafter the "Optionee").

         WHEREAS,  the Optionee renders important  services to the Company,  and
the Company desires to grant an incentive stock option to the Optionee;

         NOW,  THEREFORE,  in  consideration  of the  foregoing  and the  mutual
agreements herein contained, the parties hereto hereby agree as follows:

         1.  Grant, Exercisability and Term of Option.

         (a) The Company  hereby grants to the Optionee  pursuant to the Amended
and Restated  HPR 1995 Stock Plan (the  "Plan") the option to purchase  from the
Company upon the terms and conditions hereinafter set forth the number of shares
("Shares")  of the $.01 par value common stock  ("Common  Stock") of the Company
set forth on the  signature  page below at the  purchase  price per Share so set
forth (the  "Option  Price").  The date of grant of this  option is the date set
forth at the execution page of this Agreement as the "Option Date."

         (b)  Subject  to the  provisions  of Section 5 hereof,  this  option is
exercisable in full or in part and shall remain  exercisable until it expires on
the tenth anniversary of the Option Date, unless the option is sooner terminated
as hereinafter  specified.  Only whole Shares may be purchased  pursuant to this
option.

         2.  Conditions and Limitations.

         (a) The option is granted on the condition  that the purchase of shares
hereunder  shall be for  investment  purposes  and not with a view to  resale or
distribution, except that such condition shall be inoperative if the offering of
Shares subject to the option is registered  under the Securities Act of 1933, as
amended,  or if in the  opinion of counsel  for the  Company  such Shares may be
resold  without  registration.  At the time of the exercise of the option or any
installment  thereof,  the Optionee will execute such further  agreements as the
Company may require to implement the foregoing  condition and to acknowledge the
Optionee's  familiarity  with  restrictions  on the resale of the  Shares  under
applicable  securities  laws,  and the  Company  may  stamp  such  legend on the
certificate  representing the Shares as may be necessary or appropriate in light
of the foregoing condition.

         (b) The Company will furnish upon request of the Optionee copies of the
certificate  of  incorporation  of the Company,  as amended,  and by-laws of the
Company, as amended, and such publicly available financial and other information
concerning  the Company and its  business  and  prospects  as may be  reasonably
requested by the Optionee in connection with exercise of this option.

         (c) The option shall not be  transferable  otherwise than by will or by
the laws of descent  and  distribution,  and except as provided in Section 4 the
option shall be exercisable  during the lifetime of the Optionee by the Optionee
only.  Notwithstanding the foregoing,  however, if the Optionee is determined to
be mentally  incompetent and a guardian or conservator (or other similar person)
is  appointed  by a court of  competent  jurisdiction  to manage the  Optionee's
affairs,  the guardian or conservator (or other similar person) may exercise the
option on behalf of the Optionee, provided that such exercise is made within the
time limits prescribed herein.

         (d) The  option  granted  in this  Agreement  is  subject to the terms,
conditions and definitions of the Plan, a copy of which is attached  hereto.  To
the extent that the terms,  conditions  and  definitions  of this  Agreement are
inconsistent  with those of the Plan, those of this Agreement shall govern.  The
Optionee  hereby accepts this option subject to all such  provisions of the Plan
and agrees that all decisions under, and  interpretations of, such provisions of
the  Plan  by the  Board  of  Directors  of the  Company  (the  "Board")  or the
Committee,  as defined in the Plan, shall be final,  binding and conclusive upon
the Optionee and his or her heirs.

         (e) In the event that the Company, upon the advice of counsel, deems it
necessary  to list upon  official  notice of  issuance  any  shares to be issued
pursuant to the Plan on a national  securities exchange or to register under the
Securities Act of 1933 or other  applicable  federal or state statute any shares
to be issued  pursuant to the Plan,  or to qualify any such shares for exemption
from the registration requirements of the Securities Act of 1933 under the rules
and  regulations  of the  Securities  and  Exchange  Commission  or for  similar
exemption  under state law,  then the Company  shall notify the Optionee to that
effect  and no Shares  shall be  issued  until  such  registration,  listing  or
exemption has been obtained.  The Company shall make prompt  application for any
such  registration,  listing or  exemption  pursuant  to federal or state law or
rules of such  securities  exchange  which it deems  necessary  and  shall  make
reasonable efforts to cause such registration,  listing,  or exemption to become
and remain effective.

         3.  Exercise of Option; Withholding Taxes.

         (a) Written  notice of the  exercise  of the option or any  installment
thereof shall be given to the Company  specifying the number of shares for which
the option is exercised and  accompanied by payment in full of the Option Price.
Payment  shall  be made  (a) in  cash,  (b) by  check,  (c) by  Immediate  Sales
Proceeds,  as defined  below,  (d) by delivery and  assignment to the Company of
shares of Company stock owned by the Optionee  (which shares have a Market Price
not less than the Option Price), or (e) by any combination of the foregoing.  As
used herein,  "Market Price" shall mean the closing price of the Common Stock as
reported on the Nasdaq  National  Market for the relevant date (or, if such date
is not a trading date or if no trades took place on such date, then such closing
price for the last  previous  trading date or the last  previous date on which a
trade  occurred,  as the case may be);  provided  that if the Common Stock is no
longer  traded on the Nasdaq  National  Market on the  relevant  date,  then the
Market  Price  as  of  such  date  shall  be   determined   by  the   Committee.
Notwithstanding the foregoing,  this option may not be exercised by delivery and
assignment  to the  Company of shares of Company  stock to the extent  that such
delivery and  assignment  would  constitute a violation of the provisions of any
law,  or  related  regulation  or rule,  or any  agreement  or  Company  policy,
restricting  the transfer or redemption of the Company's  stock. As used herein,
the term "Immediate Sales Proceeds" shall mean the assignment in form acceptable
to the Company of the proceeds of a sale of the Shares  acquired on the exercise
of this  option  pursuant to a procedure  approved by the  Company.  The Company
reserves  the right to decline to approve any such  procedure  in the  Company's
sole and absolute discretion.

         (b) The  Company's  obligation  to deliver  Shares upon  exercise of an
option  shall  be  subject  to the  Optionee's  satisfaction  of all  applicable
federal,  state and local income and  employment  tax  withholding  obligations.
Without  limiting the  generality of the  foregoing,  the Company shall have the
right to deduct from  payments of any kind  otherwise  due to the  Optionee  any
federal,  state or local taxes of any kind  required by law to be withheld  with
respect to any Shares issued upon exercise of the option.

         4.  Termination of Option.  In the event that the Optionee ceases to be
employed   by  the  Company  or  any  parent  or   subsidiary   of  the  Company
(collectively,  the  "Company  Group") at any time prior to the exercise of this
option  in  full,  this  option  shall  terminate  according  to  the  following
provisions:

         (a) If the  Optionee  ceases to be employed  for any reason  other than
death or disability (as defined in Section 22(e)(3) of the Internal Revenue Code
of 1986, as amended (the "Code")),  the Optionee may at any time within a period
of one (1) month after the date of such  cessation  of  employment  exercise the
option  to the  extent  that  the  option  was  exercisable  on the date of such
cessation;

         (b) If the Optionee  ceases to be employed  because of  disability  (as
defined in Section  22(e)(3) of the Code), the Optionee may at any time within a
period of six months after the date of such cessation of employment exercise the
option  to the  extent  that  the  option  was  exercisable  on the date of such
cessation; and

         (c) If the Optionee ceases to be employed because of death, the option,
to the extent  that the  Optionee  was  entitled  to  exercise it on the date of
death, may be exercised within a period of six months after the Optionee's death
by the person or persons to whom the  Optionee's  rights  under the option shall
pass by will or by the laws of descent and distribution;

provided, however, that this option may not be exercised to any extent by anyone
after the date of its expiration.

         5. Exercisability of Option. So long as Optionee remains an employee of
the Company, this Option may be exercised only as follows:

         (i)  commencing on the first anniversary hereof, only to the extent 
of one fifth of the Shares; and

         (ii) thereafter,  at the end of each subsequent  quarter, to the extent
of an additional five per cent of the Shares;

less the number of Shares as to which this Option has been exercised.

         6. A. "Market Stand Off" Agreement.  The Optionee,  if requested by the
Company or any managing underwriter of the Company's securities, shall agree not
to sell or  otherwise  transfer or dispose of any Shares of the Company  held by
the  Optionee  during the period up to 180 days,  as requested by the Company or
such  underwriter,  following the effective date of a registration  statement of
the  Company  filed  under the  Securities  Act of 1933  (except for any Company
securities held by the Optionee sold pursuant to such  registration  statement).
Such agreement  shall be in writing in form  satisfactory to the Company or such
underwriter.  The Company may impose stop-transfer  instructions with respect to
the Shares subject to the foregoing restriction until the end of such period.

                  B.   Exceptions  for  Transfers  to  Family.   The  provisions
contained  in this  Section 6 shall not apply to any transfer of Shares to or in
trust for the sole  benefit  of the  Optionee,  or any  member of the  immediate
family of the  Optionee,  including for this purpose the  undersigned's  spouse,
parents,  parents-in-law,  issue, nephews,  nieces,  brothers,  brothers-in-law,
sisters, sisters-in-law, children-in-law and grandchildren-in-law, provided that
such transferee agrees in writing to be subject to the terms of Section 6.

         7. Notice of  Disposition  of Shares.  The  Optionee  hereby  agrees to
notify the Company  promptly if the Optionee  disposes of any Shares  within one
(1) year after the date the  Optionee  exercises  all or part of this  option or
within two (2) years  after the Option  Date.  At any time during the one or two
year periods set forth above,  the Company may place a legend on any certificate
representing  Shares  requesting the transfer  agent for the Company's  stock to
notify the  Company of any such  transfer.  The  obligation  of the  Optionee to
notify the Company of any such transfer  shall continue  notwithstanding  that a
legend has been placed on the  certificate  pursuant to the preceding  sentence.
Optionees  are urged to  review  the  description  of the Plan  provided  by the
Company for a more detailed discussion of the Federal tax consequences of such a
disposition under current law.

         8. $100,000  Limitation.  Under Section 422 of the Code,  the aggregate
Market Price of the shares with respect to which incentive stock options granted
by any member of the  Company  Group  first  become  exercisable  by an employee
during any calendar year cannot exceed $100,000 (the "$100,000 limitation").  To
the extent,  if any,  that the $100,000  limitation is exceeded by reason of the
grant of this  option,  this  option  shall be  deemed,  to the  maximum  extent
possible,  if any,  to be an  incentive  stock  option,  and the portion of this
option that is exercisable for shares in excess of the $100,000 limitation shall
be treated as a non-qualified option pursuant to Section 422(d) of the Code.

         9.  Notices.  All notices or demands given  pursuant to this  Agreement
shall be in  writing  and shall be deemed  to have  been  sufficiently  given if
delivered by hand or sent by  certified or  registered  mail,  postage  prepaid,
addressed  to the Company at its  principal  office or to the  Optionee  (or the
Optionee's  legal  representatives)  at the address stated in the Optionee's (or
their)  notice  or at the  Optionee's  address  appearing  on the  books  of the
Company.

         10. No Employment Commitment;  Tax Treatment.  Nothing herein contained
shall be deemed to be or constitute an agreement or commitment by the Company or
any other  member of the Company  Group to continue  the Optionee in its employ.
Although  the option  granted  hereunder  is intended to qualify as an incentive
stock option under Section 422 of the Code, the Company makes no  representation
about the tax  treatment to the Optionee  with respect to receipt or exercise of
the option or  acquiring,  holding or disposing of the Shares,  and the Optionee
represents  that the Optionee has had the  opportunity to discuss such treatment
(including  the  possible  application  of  Section  83 of the  Code)  with  the
Optionee's tax adviser.  The Optionee shall have no rights as a stockholder with
respect to the shares subject to the option until the exercise of the option and
the  issuance of a stock  certificate  for the Shares with  respect to which the
option shall have been exercised.

         11. Adjustment in Shares, etc.

         (a)  Appropriate  adjustment  shall be made by the Committee in number,
kind, and exercise  price of Shares  covered by the option granted  hereunder to
give  effect  to  any  stock  dividends,   stock  splits,   stock  combinations,
recapitalizations  and other  similar  changes in the capital  structure  of the
Company after the Option Date.

         (b) In the  event of a change  of the  Common  Stock  resulting  from a
merger or  similar  reorganization  as to which  the  Company  is the  surviving
corporation,  the number and kind of Shares  which  thereafter  may be purchased
pursuant to the option granted hereunder, and the number and kind of Shares then
subject to the option granted hereunder and the price per Share thereof shall be
appropriately  adjusted in such manner as the  Committee  may deem  equitable to
prevent  dilution or enlargement of the rights  available or granted  hereunder.
Except  as  otherwise  determined  by  the  Committee,  a  merger  or a  similar
reorganization  which  the  Company  does  not  survive,  or a  sale  of  all or
substantially  all of the assets of the  Company,  shall  cause  this  option to
terminate, to the extent not then exercised,  unless any surviving entity agrees
to assume the obligations hereunder.

         12.  Miscellaneous.  This Agreement shall be governed by, and construed
and enforced in accordance with, the laws of The Commonwealth of  Massachusetts.
This  Agreement  shall be binding upon and inure to the benefit of the heirs and
legal  representatives  of the  Optionee and the  successors  and assigns of the
Company, but shall not be assigned by the Optionee at any time without the prior
written  permission of the Company,  and any such attempted  assignment shall be
void.



IN WITNESS  WHEREOF the parties have executed this Stock Option  Agreement as of
the Option Date.


                                   ----------------------------------
                                   Optionee [Sign name]



                                   [Print name]

                                   Address: _________________________

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


                                   Option Date:


                                   No. of Shares:


                                   Option Price:



Accepted,  as the  issuer of the  Shares,  in  accordance  with the terms of the
foregoing Option Agreement as of the foregoing Option Date.

                                                     HPR INC.


                                                     By:_______________________
                                                          Chairman of the Board





                                                                Name of Optionee


                                    HPR INC.

                      NON-QUALIFIED STOCK OPTION AGREEMENT
                   (Amended and Restated HPR 1995 Stock Plan)


         THIS  AGREEMENT  is entered  into by and between  HPR Inc.,  a Delaware
corporation  with  its  principal   office  at  245  First  Street,   Cambridge,
Massachusetts 02142 (hereinafter the "Company"),  and the undersigned consultant
of the Company (hereinafter the "Optionee").

         WHEREAS,  the Optionee renders important  services to the Company (such
services to be collectively  herein  referred to as "Service"),  and the Company
desires to grant a non-qualified stock option to the Optionee;

         NOW,  THEREFORE,  in  consideration  of the  foregoing  and the  mutual
agreements herein contained, the parties hereto hereby agree as follows:

         1.  Grant, Exercisability and Term of Option.

         (a) The Company  hereby grants to the Optionee  pursuant to the Amended
and Restated  HPR 1995 Stock Plan (the  "Plan") the option to purchase  from the
Company upon the terms and conditions hereinafter set forth the number of shares
("Shares")  of the $.01 par value common stock  ("Common  Stock") of the Company
set forth on the  signature  page below at the  purchase  price per Share so set
forth (the  "Option  Price").  The date of grant of this  option is the date set
forth at the execution page of this Agreement as the "Option Date."

         (b)  Subject  to the  provisions  of Section 5 hereof,  this  option is
exercisable in full or in part and shall remain  exercisable until it expires on
the tenth anniversary of the Option Date, unless the option is sooner terminated
as hereinafter  specified.  Only whole Shares may be purchased  pursuant to this
option.

         2.  Conditions and Limitations.

         (a) The option is granted on the condition  that the purchase of shares
hereunder  shall be for  investment  purposes  and not with a view to  resale or
distribution, except that such condition shall be inoperative if the offering of
Shares subject to the option is registered  under the Securities Act of 1933, as
amended,  or if in the  opinion of counsel  for the  Company  such Shares may be
resold  without  registration.  At the time of the exercise of the option or any
installment  thereof,  the Optionee will execute such further  agreements as the
Company may require to implement the foregoing  condition and to acknowledge the
Optionee's  familiarity  with  restrictions  on the resale of the  Shares  under
applicable  securities  laws,  and the  Company  may  stamp  such  legend on the
certificate  representing the Shares as may be necessary or appropriate in light
of the foregoing condition.

         (b) The Company will furnish upon request of the Optionee copies of the
certificate  of  incorporation  of the Company,  as amended,  and by-laws of the
Company, as amended, and such publicly available financial and other information
concerning  the Company and its  business  and  prospects  as may be  reasonably
requested by the Optionee in connection with exercise of this option.

         (c) The option shall not be  transferable  otherwise than by will or by
the laws of descent  and  distribution,  and except as provided in Section 4 the
option shall be exercisable  during the lifetime of the Optionee by the Optionee
only.  Notwithstanding the foregoing,  however, if the Optionee is determined to
be mentally  incompetent and a guardian or conservator (or other similar person)
is  appointed  by a court of  competent  jurisdiction  to manage the  Optionee's
affairs,  the guardian or conservator (or other similar person) may exercise the
option on behalf of the Optionee, provided that such exercise is made within the
time limits prescribed herein.

         (d) The  option  granted  in this  Agreement  is  subject to the terms,
conditions and definitions of the Plan, a copy of which is attached  hereto.  To
the extent that the terms,  conditions  and  definitions  of this  Agreement are
inconsistent  with those of the Plan, those of this Agreement shall govern.  The
Optionee  hereby accepts this option subject to all such  provisions of the Plan
and agrees that all decisions under, and  interpretations of, such provisions of
the  Plan  by the  Board  of  Directors  of the  Company  (the  "Board")  or the
Committee,  as defined in the Plan, shall be final,  binding and conclusive upon
the Optionee and his or her heirs.

         (e) In the event that the Company, upon the advice of counsel, deems it
necessary  to list upon  official  notice of  issuance  any  shares to be issued
pursuant to the Plan on a national  securities exchange or to register under the
Securities Act of 1933 or other  applicable  federal or state statute any shares
to be issued  pursuant to the Plan,  or to qualify any such shares for exemption
from the registration requirements of the Securities Act of 1933 under the rules
and  regulations  of the  Securities  and  Exchange  Commission  or for  similar
exemption  under state law,  then the Company  shall notify the Optionee to that
effect  and no Shares  shall be  issued  until  such  registration,  listing  or
exemption has been obtained.  The Company shall make prompt  application for any
such  registration,  listing or  exemption  pursuant  to federal or state law or
rules of such  securities  exchange  which it deems  necessary  and  shall  make
reasonable efforts to cause such registration,  listing,  or exemption to become
and remain effective.

         3.  Exercise of Option; Withholding Taxes.

         (a) Written  notice of the  exercise  of the option or any  installment
thereof shall be given to the Company  specifying the number of shares for which
the option is exercised and  accompanied by payment in full of the Option Price.
Payment  shall  be made  (a) in  cash,  (b) by  check,  (c) by  Immediate  Sales
Proceeds,  as defined  below,  (d) by delivery and  assignment to the Company of
shares of Company stock owned by the Optionee  (which shares have a Market Price
not less than the Option Price), or (e) by any combination of the foregoing.  As
used herein,  "Market Price" shall mean the closing price of the Common Stock as
reported on the Nasdaq  National  Market for the relevant date (or, if such date
is not a trading date or if no trades took place on such date, then such closing
price for the last  previous  trading date or the last  previous date on which a
trade  occurred,  as the case may be);  provided  that if the Common Stock is no
longer  traded on the Nasdaq  National  Market on the  relevant  date,  then the
Market  Price  as  of  such  date  shall  be   determined   by  the   Committee.
Notwithstanding the foregoing,  this option may not be exercised by delivery and
assignment  to the  Company of shares of Company  stock to the extent  that such
delivery and  assignment  would  constitute a violation of the provisions of any
law,  or  related  regulation  or rule,  or any  agreement  or  Company  policy,
restricting  the transfer or redemption of the Company's  stock. As used herein,
the term "Immediate Sales Proceeds" shall mean the assignment in form acceptable
to the Company of the proceeds of a sale of the Shares  acquired on the exercise
of this  option  pursuant to a procedure  approved by the  Company.  The Company
reserves  the right to decline to approve any such  procedure  in the  Company's
sole and absolute discretion.

         (b) The  Company's  obligation  to deliver  Shares upon  exercise of an
option  shall  be  subject  to the  Optionee's  satisfaction  of all  applicable
federal,  state and local income and  employment  tax  withholding  obligations.
Without  limiting the  generality of the  foregoing,  the Company shall have the
right to deduct from  payments of any kind  otherwise  due to the  Optionee  any
federal,  state or local taxes of any kind  required by law to be withheld  with
respect to any Shares issued upon exercise of the option.

         4.  Termination  of Option.  In the event that the  Optionee  ceases to
perform  Service at any time prior to the exercise of this option in full,  this
option shall terminate according to the following provisions:

         (a) If the Optionee ceases to perform Service for any reason other than
death or disability (as defined in Section 22(e)(3) of the Internal Revenue Code
of 1986, as amended (the "Code")),  the Optionee may at any time within a period
of one (1) month after the date of such cessation of Service exercise the option
to the extent that the option was exercisable on the date of such cessation;

         (b) If the Optionee ceases to perform Service because of disability (as
defined in Section  22(e)(3) of the Code), the Optionee may at any time within a
period of six months after the date of such  cessation  of Service  exercise the
option  to the  extent  that  the  option  was  exercisable  on the date of such
cessation; and

         (c) If the Optionee  ceases to perform  Service  because of death,  the
option,  to the extent that the Optionee was entitled to exercise it on the date
of death,  may be exercised  within a period of six months after the  Optionee's
death by the person or persons to whom the  Optionee's  rights  under the option
shall pass by will or by the laws of descent and distribution;

provided, however, that this option may not be exercised to any extent by anyone
after the date of its expiration.

         5. Exercisability of Option. So long as Optionee performs Service, this
Option may be exercised only as follows:

         (i)  commencing on the first anniversary hereof,  only to the extent 
of one fifth of the Shares; and

         (ii) thereafter,  at the end of each subsequent  quarter, to the extent
of an additional five per cent of the Shares;less the number of Shares as to 
which this Option has been exercised.

         6. A. "Market Stand Off" Agreement.  The Optionee,  if requested by the
Company or any managing underwriter of the Company's securities, shall agree not
to sell or  otherwise  transfer or dispose of any Shares of the Company  held by
the  Optionee  during the period up to 180 days,  as requested by the Company or
such  underwriter,  following the effective date of a registration  statement of
the  Company  filed  under the  Securities  Act of 1933  (except for any Company
securities held by the Optionee sold pursuant to such  registration  statement).
Such agreement  shall be in writing in form  satisfactory to the Company or such
underwriter.  The Company may impose stop-transfer  instructions with respect to
the Shares subject to the foregoing restriction until the end of such period.

                  B.   Exceptions  for  Transfers  to  Family.   The  provisions
contained  in this  Section 6 shall not apply to any transfer of Shares to or in
trust for the sole  benefit  of the  Optionee,  or any  member of the  immediate
family of the  Optionee,  including for this purpose the  undersigned's  spouse,
parents,  parents-in-law,  issue, nephews,  nieces,  brothers,  brothers-in-law,
sisters, sisters-in-law, children-in-law and grandchildren-in-law, provided that
such transferee agrees in writing to be subject to the terms of this Section 6.

         7.  Notices.  All notices or demands given  pursuant to this  Agreement
shall be in  writing  and shall be deemed  to have  been  sufficiently  given if
delivered by hand or sent by  certified or  registered  mail,  postage  prepaid,
addressed  to the Company at its  principal  office or to the  Optionee  (or the
Optionee's  legal  representatives)  at the address stated in the Optionee's (or
their)  notice  or at the  Optionee's  address  appearing  on the  books  of the
Company.

         8. No Service Commitment; Tax Treatment. Nothing herein contained shall
be deemed to be or  constitute  an agreement or commitment by the Company or any
other  member of the Company  Group to  continue  the  Optionee in Service.  The
option granted hereunder is not intended to qualify as an incentive stock option
under Section 422 of the Code, and the Company makes no representation about the
tax  treatment to the Optionee with respect to receipt or exercise of the option
or acquiring,  holding or disposing of the Shares. The Optionee  represents that
the  Optionee  has had the  opportunity  to  discuss  such  treatment  with  the
Optionee's tax adviser.  The Optionee shall have no rights as a stockholder with
respect to the shares subject to the option until the exercise of the option and
the  issuance of a stock  certificate  for the Shares with  respect to which the
option shall have been exercised.

         9. Adjustment in Shares, etc.

         (a)  Appropriate  adjustment  shall be made by the Committee in number,
kind, and exercise  price of Shares  covered by the option granted  hereunder to
give  effect  to  any  stock  dividends,   stock  splits,   stock  combinations,
recapitalizations  and other  similar  changes in the capital  structure  of the
Company after the Option Date.

         (b) In the  event of a change  of the  Common  Stock  resulting  from a
merger or  similar  reorganization  as to which  the  Company  is the  surviving
corporation,  the number and kind of Shares  which  thereafter  may be purchased
pursuant to the option granted hereunder, and the number and kind of Shares then
subject to the option granted hereunder and the price per Share thereof shall be
appropriately  adjusted in such manner as the  Committee  may deem  equitable to
prevent  dilution or enlargement of the rights  available or granted  hereunder.
Except  as  otherwise  determined  by  the  Committee,  a  merger  or a  similar
reorganization  which  the  Company  does  not  survive,  or a  sale  of  all or
substantially  all of the assets of the  Company,  shall  cause  this  option to
terminate, to the extent not then exercised,  unless any surviving entity agrees
to assume the obligations hereunder.

         10.  Miscellaneous.  This Agreement shall be governed by, and construed
and enforced in accordance with, the laws of The Commonwealth of  Massachusetts.
This  Agreement  shall be binding upon and inure to the benefit of the heirs and
legal  representatives  of the  Optionee and the  successors  and assigns of the
Company, but shall not be assigned by the Optionee at any time without the prior
written  permission of the Company,  and any such attempted  assignment shall be
void.



                  IN WITNESS WHEREOF the parties have executed this Stock Option
Agreement as of the Option Date.


                                        ----------------------------------
                                        Optionee [Sign name]



                                        [Print name]

                                        Address: _________________

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


                                        Option Date:


                                        No. of Shares:


                                        Option Price:



Accepted,  as the  issuer of the  Shares,  in  accordance  with the terms of the
foregoing Option Agreement as of the foregoing Option Date.

                                                     HPR, INC.


                                                     By:_______________________
                                                          Chairman of the Board





                                                                    
                                                                               

                                    HPR INC.

                     HPR 1995 ELIGIBLE DIRECTORS STOCK PLAN



         1.  Purpose.  The purpose of this plan (the "Plan") is to grant options
to purchase shares of the common stock, $.01 par value (the "Common Stock"),  of
HPR Inc. (the  "Company") to Eligible  Directors (as defined in Section 5 of the
Plan) of the Company at market value on the date of grant.  The Company believes
that the  granting of such  options  (the  "Options")  will serve to enhance the
Company's ability to attract and retain the services of such persons, to provide
additional  incentives to them and to encourage the highest level of performance
by them by offering them a proprietary  interest in the Company's  success.  The
Company also  believes  that the Plan will  encourage  directors to make greater
equity  investment  in the Company,  more closely  aligning the interests of the
directors and the stockholders.

         2. Effective  Date.  This Plan was adopted by the Board of Directors of
the Company (the  "Board") on June 26, 1995 (the  "effective  date" of the Plan)
and approved by the  stockholders  on July 20, 1996 and amended July 22, 1996 to
be  effective  November 1, 1996,  subject to approval of such  amendment  by the
stockholders of the Company on or before July 22, 1997.

         3. Stock  Covered by the Plan.  Subject to the  adjustment  provided in
Section 8, the  aggregate  number of shares of Common  Stock which may be issued
and sold  pursuant to Options  granted  under the Plan shall not exceed  150,000
shares,  which may be either  authorized but unissued shares or treasury shares.
If any Option  granted  under the Plan shall  terminate or expire  without being
fully exercised,  the shares which have not been purchased thereunder will again
become available for purposes of the Plan.

         4.  Administration.  The Plan  shall be  administered  by the  Board of
Directors,  whose  construction  and  interpretation  of the  Plan's  terms  and
provisions shall be final and conclusive.  The Board shall have the authority to
delegate  to the  Compensation  Committee  of the Board  (the  "Committee")  the
authority  to  administer  this  Plan  as set  forth  in this  Section  4 and to
recommend that the Board grant Options. No members of the Board or the Committee
shall be held liable for any action or determination under the Plan made in good
faith with respect to the Plan or any Option granted thereunder.

         5.  Approval by Board of  Directors.  Notwithstanding  anything in this
Plan to the contrary,  including without  limitation the delegation of authority
to the Committee,  all grants of Options under the Plan shall be approved by the
Board of Directors.

         6. Option  Grants.  "Eligible  Directors"  shall mean  directors of the
Company who are directors on the date of grant, and who are not employees of the
Company. All Options granted under the Plan shall be non-statutory stock options
which are not intended to meet the  requirements  of Section 422 of the Internal
Revenue  Code of 1986 as amended (the "Code") and which are intended to be taxed
under Section 83 of the Code.

                  After June 30, 1996,  each  Eligible  Director on the 30th day
following the date on which the first Annual Meeting of the  Stockholders of the
Company  (the  "Annual  Meeting")  in which he is elected as a director  is held
shall, upon approval by the Board of Directors, be granted an Option to purchase
10,000 shares of Common Stock.  After June 30, 1996, each Eligible  Director who
is such on the 30th day  following  the date on  which  each  subsequent  Annual
Meeting  is held  during  the term of the  Plan  shall on such  30th  day,  upon
approval  by the Board of  Directors,  be  granted an Option to  purchase  4,000
shares of Common  Stock.  Each such  Option is  referred to herein as a "Regular
Option."

                  The date of grant of an Option to an Eligible  Director  under
the Plan shall be the applicable day referred to immediately above.

         7.  Option  Price.  The price per share at which  each  Regular  Option
granted under the Plan to an Eligible Director may be exercised ("Regular Option
Price")  shall be the Market  Price of the  Common  Stock as  determined  by the
closing price of such Common Stock as reported on the Nasdaq National Market for
the  relevant  date (or, if such date is not a trading date or if no trades took
place on such date,  then such closing price for the last previous  trading date
or the  last  previous  date on  which a trade  occurred,  as the  case may be);
provided  that if the Common  Stock is no longer  traded on the Nasdaq  National
Market on the  relevant  date,  then the  Market  Price as of such date shall be
determined by the Committee.

                  In no event  shall the  Option  Price per share for any Option
under the Plan be less than the par value per share.

         8. Terms and Conditions of Options.  Each Option granted under the Plan
shall be evidenced by and subject to the terms and conditions of an Option Grant
attached  hereto as Exhibit A. Each Option Grant  executed  and  delivered to an
Eligible Director shall contain the following terms and conditions:

                  (a)      Exercise of Options.  Each Option shall expire 10 
years from the date of grant of such Option.

                  (b)  Payment.  Each  Eligible  Director  to whom an  Option is
granted may exercise such Option from time to time, in whole or in part,  during
the period that it is exercisable,  by payment of the Option Price of each share
purchased,  in cash,  or by  delivery  to the  Company  of a number of shares of
Common Stock  having an  aggregate  Market Price of not less than the product of
the Option Price  multiplied by the number of shares the participant  intends to
purchase  upon  exercise of the Option on the date of delivery.  Notwithstanding
the  foregoing,  the exercise  price of an Option may not be paid by delivery to
the  Company of shares of Common  Stock to the extent that such  delivery  would
constitute  a  violation  of  the  provisions  of  any  law  (including  without
limitation Section 16 of the Act) or related regulation or rule.

                  (c) Transfer  Restrictions.  The shares of Common Stock issued
upon  exercise  of an  Option  granted  under  this Plan  will be  acquired  for
investment and not with a view to distribution  thereof unless there shall be an
effective  registration  statement  under the Securities Act of 1933, as amended
(the "1933 Act"), with respect thereto. In the event that the Company,  upon the
advice of counsel,  deems it necessary to list upon official  notice of issuance
shares to be issued pursuant to the Plan on a national securities exchange or to
register  under the 1933 Act or other  applicable  federal or state  statute any
shares to be issued  pursuant  to the Plan,  or to qualify  any such  shares for
exemption from the registration requirements of the 1933 Act under the Rules and
Regulations of the Securities and Exchange  Commission or for similar  exemption
under state law, then the Company  shall notify each  Eligible  Director to that
effect and no shares of Common Stock  subject to an Option shall be issued until
such  registration,  listing or exemption has been  obtained.  The Company shall
make prompt application for any such registration, listing or exemption pursuant
to  federal  or state law or rules of such  securities  exchange  which it deems
necessary and shall make reasonable efforts to cause such registration,  listing
or exemption to become and remain  effective.  The shares of Common Stock issued
on exercise of the Option shall be subject to any  restrictions on transfer then
in effect  pursuant  to the  Certificate  of  Incorporation  or  By-laws  of the
Company.

                  (d)  Non-Transferability.  No Option may be transferred by the
Optionee, other than by will or the laws of descent and distribution.  An Option
can be exercised during such individual's lifetime only by him or her, provided,
however, that the Board may permit an Eligible Director to transfer an Option if
such transfer is made pursuant to uniformly applied criteria  established by the
Board prior to such transfer.

                  (e)  Termination of  Directorship.  Nothing in this Plan or in
any Option Grant shall  confer upon any Eligible  Director the right to continue
as a director of the Company. An Eligible Director's right to participate in the
Plan shall automatically terminate if and when such Director becomes an employee
of the Company.  Each Option shall  terminate  and may no longer be exercised if
the Eligible  Director  ceases to provide  services to the Company in accordance
with the following provisions:

                            (i)     Options  granted  to  an  Eligible  Director
                                    shall  cease  to be  exercisable  12  months
                                    after the date such Director  ceases to be a
                                    director  for any reason  other than  death,
                                    but in no event after the  expiration of the
                                    Option.

                           (ii)     If  an  Eligible  Director  ceases  to  be a
                                    director on account of his death, any Option
                                    previously  granted  to him,  whether or not
                                    exercisable  at the  date of  death,  may be
                                    exercised by his executor,  administrator or
                                    the  person or  persons  to whom his  rights
                                    under the  Option  shall pass by will or the
                                    applicable laws of descent and distribution,
                                    at any time within 12 months  after the date
                                    of  death,   but  in  no  event   after  the
                                    expiration of the Option.

         9.    Stock    Dividends;    Stock    Splits;    Stock    Combinations;
Recapitalizations.  The aggregate  number and kind of shares  reserved under the
Plan,  the  maximum  number of shares as to which  Options may be granted to any
individual and the Option Price per share shall be appropriately adjusted by the
Committee in the event of any  recapitalization,  stock split,  stock  dividend,
combination  of shares,  or other similar  change in the  capitalization  of the
Company which occurs after the expiration date of the Plan, but no adjustment in
the Option  Price shall be made which would reduce the Option Price per share to
less than the par value per share.

         10.  Merger;  Sale of  Assets.  Prior  to a  dissolution,  liquidation,
merger,  consolidation,  or  reorganization  of the Company (the  "Event"),  the
Committee may decide to terminate each outstanding  Option.  If the Committee so
decides,  such Option shall terminate as of the effective date of the Event, but
the Committee shall suspend the exercise of all outstanding Options a reasonable
time  prior to the Event,  giving  each  Optionee  not less than  fourteen  days
written  notice  of the date of  suspension,  prior to  which  an  Optionee  may
purchase  in  whole  or in part the  shares  available  to him as of the date of
receipt of the notice. If the Event is not consummated,  the suspension shall be
removed and all Options shall  continue in full force and effect  subject to the
terms of their respective Option Grants.

         11. Termination or Amendment of Plan. The Committee may amend, suspend,
or terminate the Plan, including the form of Option Grant incorporated herein by
reference.   No  such  action,   however,  may  be  taken  without  approval  or
ratification  by the  stockholders  if such approval or ratification is required
under Section 162(m) of the Code. No such action may, without the consent of the
holder of the Option, alter or impair any Option previously granted.

                  In any event,  the Plan shall terminate 10 years from the date
of adoption by the Board of Directors,  or if earlier, from the date of approval
by the  stockholders.  Any  shares  remaining  under  the  Plan  at the  time of
termination  which are not subject to  outstanding  Options and any shares which
thereafter  become  available  because of the  expiration or  termination  of an
Option shall cease to be reserved for purposes of the Plan.






                                                                Name of Optionee


                                    HPR INC.
                         ELIGIBLE DIRECTORS OPTION GRANT

         THIS  AGREEMENT  is entered  into by and between  HPR Inc.,  a Delaware
corporation  with  its  principal   office  at  245  First  Street,   Cambridge,
Massachusetts   02142   (hereinafter   the   "Company"),   and  the  undersigned
non-employee director of the Company (hereinafter the "Optionee").

         WHEREAS,  the Optionee renders important  services to the Company (such
services to be collectively  herein  referred to as "Service"),  and the Company
desires to grant a non-qualified stock option to the Optionee;

         NOW,  THEREFORE,  in  consideration  of the  foregoing  and the  mutual
agreements herein contained, the parties hereto hereby agree as follows:


         1.  Grant, Exercisability and Term of Option.

         (a) The Company hereby grants to the Optionee  pursuant to the HPR 1995
Eligible  Directors  Stock Plan (the  "Plan")  the option to  purchase  from the
Company upon the terms and conditions hereinafter set forth the number of shares
("Shares")  of the $.01 par value common stock  ("Common  Stock") of the Company
set forth on the  signature  page below at the  purchase  price per Share so set
forth (the  "Option  Price").  The date of grant of this  option is the date set
forth at the execution page of this Agreement as the "Option Date."

         (b)  Subject  to the  provisions  of Section 5 hereof,  this  option is
exercisable in full or in part and shall remain  exercisable until it expires on
the tenth anniversary of the Option Date, unless the option is sooner terminated
as hereinafter  specified.  Only whole Shares may be purchased  pursuant to this
option.


         2.  Conditions and Limitations.

         (a) The option is granted on the condition  that the purchase of shares
hereunder  shall be for  investment  purposes  and not with a view to  resale or
distribution, except that such condition shall be inoperative if the offering of
Shares subject to the option is registered  under the Securities Act of 1933, as
amended,  or if in the  opinion of counsel  for the  Company  such Shares may be
resold  without  registration.  At the time of the exercise of the option or any
installment  thereof,  the Optionee will execute such further  agreements as the
Company may require to implement the foregoing  condition and to acknowledge the
Optionee's  familiarity  with  restrictions  on the resale of the  Shares  under
applicable  securities  laws,  and the  Company  may  stamp  such  legend on the
certificate  representing the Shares as may be necessary or appropriate in light
of the foregoing condition.

         (b) The Company will furnish upon request of the Optionee copies of the
certificate  of  incorporation  of the Company,  as amended,  and by-laws of the
Company, as amended, and such publicly available financial and other information
concerning  the Company and its  business  and  prospects  as may be  reasonably
requested by the Optionee in connection with exercise of this option.

         (c) The option shall not be  transferable  otherwise than by will or by
the laws of descent  and  distribution,  and except as provided in Section 4 the
option shall be exercisable  during the lifetime of the Optionee by the Optionee
only.  Notwithstanding the foregoing,  however, if the Optionee is determined to
be mentally  incompetent and a guardian or conservator (or other similar person)
is  appointed  by a court of  competent  jurisdiction  to manage the  Optionee's
affairs,  the guardian or conservator (or other similar person) may exercise the
option on behalf of the Optionee, provided that such exercise is made within the
time limits prescribed herein.

         (d) The  option  granted  in this  Agreement  is  subject to the terms,
conditions and definitions of the Plan, a copy of which is attached  hereto.  To
the extent that the terms,  conditions  and  definitions  of this  Agreement are
inconsistent  with those of the Plan, those of this Agreement shall govern.  The
Optionee  hereby accepts this option subject to all such  provisions of the Plan
and agrees that all decisions under, and  interpretations of, such provisions of
the  Plan  by the  Board  of  Directors  of the  Company  (the  "Board")  or the
Committee,  as defined in the Plan, shall be final,  binding and conclusive upon
the Optionee and his or her heirs.

         (e) In the event that the Company, upon the advice of counsel, deems it
necessary  to list upon  official  notice of  issuance  any  shares to be issued
pursuant to the Plan on a national  securities exchange or to register under the
Securities Act of 1933 or other  applicable  federal or state statute any shares
to be issued  pursuant to the Plan,  or to qualify any such shares for exemption
from the registration requirements of the Securities Act of 1933 under the rules
and  regulations  of the  Securities  and  Exchange  Commission  or for  similar
exemption  under state law,  then the Company  shall notify the Optionee to that
effect  and no Shares  shall be  issued  until  such  registration,  listing  or
exemption has been obtained.  The Company shall make prompt  application for any
such  registration,  listing or  exemption  pursuant  to federal or state law or
rules of such  securities  exchange  which it deems  necessary  and  shall  make
reasonable efforts to cause such registration,  listing,  or exemption to become
and remain effective.


         3.  Exercise of Option; Withholding Taxes.

         (a) Written  notice of the  exercise  of the option or any  installment
thereof shall be given to the Company  specifying the number of shares for which
the option is exercised and  accompanied by payment in full of the Option Price.
Payment shall be made (a) in cash, (b) check,  (c) by Immediate  Sales Proceeds,
as defined  below,  (d) by delivery and  assignment  to the Company of shares of
Company  stock owned by the Optionee  (which shares have a Market Price not less
than the Option Price);  or (e) by any  combination  of the  foregoing.  As used
herein,  "Market  Price"  shall mean the  closing  price of the Common  Stock as
reported on the Nasdaq  National  Market for the relevant date (or, if such date
is not a trading date or if no trades took place on such date, then such closing
price for the last  previous  trading date or the last  previous date on which a
trade  occurred,  as the case may be);  provided  that if the Common Stock is no
longer  traded on the Nasdaq  National  Market on the  relevant  date,  then the
Market  Price  as  of  such  date  shall  be   determined   by  the   Committee.
Notwithstanding the foregoing,  this option may not be exercised by delivery and
assignment  to the  Company of shares of Company  stock to the extent  that such
delivery and  assignment  would  constitute a violation of the provisions of any
law,  or  related  regulation  or rule,  or any  agreement  or  Company  policy,
restricting  the transfer or redemption of the Company's  stock. As used herein,
the term "Immediate Sales Proceeds" shall mean the assignment in form acceptable
to the Company of the proceeds of a sale of the Shares  acquired on the exercise
of this  option  pursuant to a procedure  approved by the  Company.  The Company
reserves  the right to decline to approve any such  procedure  in the  Company's
sole and absolute discretion.

         (b) The  Company's  obligation  to deliver  Shares upon  exercise of an
option  shall  be  subject  to the  Optionee's  satisfaction  of all  applicable
federal,  state and local income and  employment  tax  withholding  obligations.
Without  limiting the  generality of the  foregoing,  the Company shall have the
right to deduct from  payments of any kind  otherwise  due to the  Optionee  any
federal,  state or local taxes of any kind  required by law to be withheld  with
respect to any Shares issued upon exercise of the option.

         4. Termination of Option. In the event that the Optionee ceases to be a
director at any time prior to the  exercise of this option in full,  this option
shall terminate according to the following provisions:

         (a) If the  Optionee  ceases be a director  for any  reason  other than
death or disability (as defined in Section 22(e)(3) of the Internal Revenue Code
of 1986, as amended (the "Code")),  the Optionee may at any time within a period
of twelve  months  after the date of such  cessation  of  service  as a director
exercise the option to the extent that the option was exercisable on the date of
such cessation;

         (b) If the Optionee  ceases to be a director  because of disability (as
defined in Section  22(e)(3) of the Code), the Optionee may at any time within a
period of  twelve  months  after  the date of such  cessation  of  service  as a
director  exercise the option to the extent that the option was  exercisable  on
the date of such cessation; and

         (c) If the  Optionee  ceases to be a  director  because  of death,  the
option,  to the extent that the Optionee was entitled to exercise it on the date
of death, may be exercised within a period of twelve months after the Optionee's
death by the person or persons to whom the  Optionee's  rights  under the option
shall pass by will or by the laws of descent and distribution;

provided, however, that this option may not be exercised to any extent by anyone
after the date of its expiration.


         5.  Exercisability  of  Option.  So long  as  Optionee  is an  Eligible
Director, this Option may be exercised only as follows:

         (i)      commencing on the first anniversary hereof, only to the 
extent of one-fifth of the Shares; and

         (ii)     thereafter, at the end of each subsequent year, to the extent 
of an additional twenty per cent of the Shares; less the number of Shares as 
to which this Option has been exercised.


         6.

         A. "Market  Stand Off"  Agreement.  The  Optionee,  if requested by the
Company or any managing underwriter of the Company's securities, shall agree not
to sell or  otherwise  transfer or dispose of any Shares of the Company  held by
the  Optionee  during the period up to 180 days,  as requested by the Company or
such  underwriter,  following the effective date of a registration  statement of
the  Company  filed  under the  Securities  Act of 1933  (except for any Company
securities held by the Optionee sold pursuant to such  registration  statement).
Such agreement  shall be in writing in form  satisfactory to the Company or such
underwriter.  The Company may impose stop-transfer  instructions with respect to
the Shares subject to the foregoing restriction until the end of such period.

         B. Exceptions for Transfers to Family. The provisions contained in this
Section 6 shall not apply to any  transfer of Shares to or in trust for the sole
benefit of the Optionee,  or any member of the immediate family of the Optionee,
including for this purpose the undersigned's  spouse,  parents,  parents-in-law,
issue, nephews,  nieces,  brothers,  brothers-in-law,  sisters,  sisters-in-law,
children-in-law and  grandchildren-in-law,  provided that such transferee agrees
in writing to be subject to the terms of this Section 6.


         7.  Notices.  All notices or demands given  pursuant to this  Agreement
shall be in  writing  and shall be deemed  to have  been  sufficiently  given if
delivered by hand or sent by  certified or  registered  mail,  postage  prepaid,
addressed  to the Company at its  principal  office or to the  Optionee  (or the
Optionee's  legal  representatives)  at the address stated in the Optionee's (or
their)  notice  or at the  Optionee's  address  appearing  on the  books  of the
Company.


         8. No Service Commitment; Tax Treatment. Nothing herein contained shall
entitle the Optionee to remain a director of HPR or an Eligible  Director  under
the plan.  The  option  granted  hereunder  is not  intended  to  qualify  as an
incentive  stock option under Section 422 of the Code,  and the Company makes no
representation  about the tax  treatment to the Optionee with respect to receipt
or exercise of the option or acquiring,  holding or disposing of the Shares. The
Optionee  represents  that the Optionee has had the  opportunity to discuss such
treatment with the Optionee's tax adviser.  The Optionee shall have no rights as
a  stockholder  with  respect  to the shares  subject  to the  option  until the
exercise of the option and the  issuance of a stock  certificate  for the Shares
with respect to which the option shall have been exercised.

         9.       Adjustment in Shares, etc.

         (a)  Appropriate  adjustment  shall be made by the Committee in number,
kind, and exercise  price of Shares  covered by the option granted  hereunder to
give  effect  to  any  stock  dividends,   stock  splits,   stock  combinations,
recapitalizations  and other  similar  changes in the capital  structure  of the
Company after the Option Date.

         (b) In the  event of a change  in the  Common  Stock  resulting  from a
merger or  similar  reorganization  as to which  the  Company  is the  surviving
corporation,  the number and kind of Shares  which  thereafter  may be purchased
pursuant to the option granted hereunder, and the number and kind of Shares then
subject to the option granted hereunder and the price per Share thereof shall be
appropriately  adjusted in such manner as the  Committee  may deem  equitable to
prevent  dilution or enlargement of the rights  available or granted  hereunder.
Except  as  otherwise   determined  by  the  Committee,   a  merger  or  similar
reorganization  which  the  Company  does  not  survive,  or a  sale  of  all or
substantially  all of the assets of the  Company,  shall  cause  this  option to
terminate, to the extent not then exercised,  unless any surviving entity agrees
not to assume the obligations hereunder.


         10.  Miscellaneous.  This Agreement shall be governed by, and construed
and enforced in accordance with, the laws of The Commonwealth of  Massachusetts.
This  Agreement  shall be binding upon and inure to the benefit of the heirs and
legal  representatives  of the  Optionee and the  successors  and assigns of the
Company, but shall not be assigned by the Optionee at any time without the prior
written  permission of the Company,  and any such attempted  assignment shall be
void.





                  IN WITNESS WHEREOF the parties have executed this Stock Option
Agreement as of the Option Date.


                                                     ----------------------
                                                     Optionee [Sign name]



                                                         [Print name]

                                                     Address: _____________

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


                                                     Option Date:


                                                     No. of Shares:


                                                     Option Price:



Accepted,  as the  issuer of the  Shares,  in  accordance  with the terms of the
foregoing Option Agreement as of the foregoing Option Date.

                                                     HPR INC.


                                                     By:_______________________
                                                          Chairman of the Board





                                                                   
                                                    
                                    SUBLEASE

This  Sublease  (this  "Sublease")  is entered into as of the 11th day of April,
1997, by and between OPEN MARKET, INC., a Delaware corporation (the "Landlord"),
having a business address of 245 First Street,  Cambridge,  Massachusetts  02142
and HPR INC., a Delaware  corporation (the "Tenant"),  having a business address
of 245 First Street, Cambridge, Massachusetts 02142.

         1.  Premises:  Landlord  hereby  leases the  Premises  (as  hereinafter
defined) to Tenant,  and Tenant hereby rents from Landlord said  Premises,  upon
the  terms and  conditions  hereinafter  set  forth.  The  Premises  consist  of
approximately  20,069  square  feet  located  on the  third  (3rd)  floor of the
building commonly known as The Riverview Complex,  245 First Street,  Cambridge,
Massachusetts  (the "Building"),  which Premises are shown outlined on the floor
plan annexed hereto and made a part hereof by reference.

         Subject to and in accordance  with the terms and  provisions of Section
14.2 of the Prime Lease (as  hereinafter  defined),  as an  appurtenance  to the
Premises,  beginning  on the  Commencement  Date and  ending  as of the  Parking
Termination Date (as defined in the Prime Lease),  as and to the extent received
by the Landlord from the Prime Landlord,  Landlord shall provide to Tenant,  and
Tenant  agrees to pay for,  Garage  Parking  Permits  (as  defined in the Master
Lease) for twenty-eight  (28) automobiles in the parking garage of the Building.
The  obligation  of the  Landlord  to provide  such  Garage  Parking  Permits is
expressly  subject to the receipt of said Garage Parking  Permits from the Prime
Landlord in accordance with the terms and provisions of the Prime Lease. Without
limitation, Tenant shall pay the Parking Charges (as defined in the Prime Lease)
assessed with respect to each of the Garage Parking Permits  received by Tenant,
on a monthly basis, as additional  rent, in accordance with the requirements set
forth in  Section  14.2(b)  of the  Prime  Lease.  The use of the  garage by the
Tenant,  and the use of the Garage Parking  Permits,  shall be subject to and in
accordance with all of the terms, conditions,  and restrictions set forth in the
Prime  Lease,  including,  without  limitation,  the  provisions  of  Article 14
thereof.

         2. Sublease:  Reference is hereby made to that certain  Lease,  between
Riverview  Building  Combined  Limited  Partnership,  as  landlord  (the  "Prime
Landlord"), and Open Market, Inc., as tenant, originally dated March 9, 1995, as
modified by that certain Letter  Agreement,  dated March 14, 1995,  that certain
Letter  Agreement,  dated April 18, 1995, that certain Amendment No. 1 to Lease,
dated April 15, 1995 and that certain  Amendment  No. 2 to Lease,  dated October
__, 1995  (collectively,  the "Prime Lease").  The Premises subleased  hereunder
comprise a portion of the space leased to Landlord,  as tenant,  under the Prime
Lease.  Except as otherwise  expressly provided herein, this Sublease is subject
to all of the terms,  conditions and  provisions of the Prime Lease,  and Tenant
shall (a) be bound with respect to the  Premises by all of the terms,  covenants
and  conditions  of the  Prime  Lease  and (b)  assume  as to the  Premises  all
obligations  and  liabilities  of  Landlord,  as tenant,  under the Prime Lease,
including,  without  limitation,  all  obligations  of  maintenance,  repair and
indemnity.  Tenant  shall not do or permit  to be done  anything,  or omit to do
anything,  or permit to be  omitted to be done  anything,  which is, or with the
giving of notice or the  passage of time or both  would be, a default  under the
Prime Lease or could cause such a default. Tenant agrees to abide by and perform
all of the covenants and conditions of the Prime Lease as if the same were fully
set forth herein to the extent that said covenants and conditions pertain to the
Premises  and/or the occupancy and use thereof by Tenant.  Tenant  agrees,  with
respect to the  Premises,  to be bound by and to perform  and to comply with the
Prime Lease as if it were the "tenant"  thereunder  and as if the  "premises" as
demised under the Prime Lease were the Premises demised under this Sublease.  If
the Prime Lease  shall  terminate  for any reason  prior to the  termination  or
expiration of this Sublease,  this Sublease shall terminate as if such date were
the termination date of this Sublease.

         3. Term:  The term of this Sublease  shall  commence on April 15, 1997,
and,  unless  earlier  terminated as herein  provided,  shall end on January 31,
2001.

         4. Rent: During the term of this Sublease, commencing on July 15, 1997,
and thereafter throughout the term hereof, Tenant shall pay to Landlord, without
offset,  setoff or  deduction,  of any kind,  base rent at the per annum rate of
Four Hundred  Twenty-One  Thousand,  Four Hundred  Forty-Nine and 00/100 Dollars
($421,449.00), payable on the first day of each month in monthly installments of
Thirty-Five  Thousand,  One Hundred Twenty and 75/100 Dollars  ($35,120.75)  and
proportionately  at the  applicable  rate for any partial month during the term.
Commencing on the Commencement  Date and thereafter  throughout the term of this
Sublease,  Tenant  shall  also pay  Landlord,  on the first day of each month an
amount equal to Tenant's Share (as  hereinafter  defined) of amounts  payable by
Landlord to Prime Landlord pursuant to the Master Lease on account of additional
rent, including, without limitation, all amounts payable under Articles 5, 6 and
7 of the Prime Lease on account of Operating Costs and Taxes.

         As used in this Sublease,  the "Tenant's Share" is 24.77%, which is the
ratio that the  approximate  rentable area of the Premises bears to 81,020,  the
area leased by the Landlord, as tenant, pursuant to the Prime Lease.

         5. AS-IS CONDITION;  Construction: Tenant accepts the Premises in their
condition AS IS at the  commencement  of the term of this  Sublease and Landlord
shall have no obligation to prepare the  Premises,  or to make any  improvements
therein.  If Tenant  desires to make any additions,  alterations,  improvements,
installations,  demolition,  remodeling, repainting, decoration or other similar
activities  in or to the  Premises,  in each  instance it shall first obtain the
written  consent  of  Landlord  thereto,  such  consent  not to be  unreasonably
withheld. All such alterations,  additions and improvements shall conform to and
be governed by the provisions of the Prime Lease, including, without limitation,
the  provisions of Article 11 of the Prime Lease.  In  connection  with any work
performed  by  Tenant in the  Premises,  Tenant  shall  maintain  the  insurance
coverages  required  under  Section  12.1  of  the  Prime  Lease,  naming  as an
additional  insured party Landlord as well as Prime Landlord.  Tenant shall pay,
as additional  rent, one hundred  percent (l00%) of any increases in real estate
taxes  on  the  Building  which  may  result  from  alterations,   additions  or
improvements to the Premises made by Tenant.

         Tenant agrees to pay promptly when due the entire cost of any work done
on the Premises by Tenant, its agents,  employees or independent contractors and
not to cause or permit any liens for labor or  materials  performed or furnished
in connection therewith to attach to the Premises or the Building or the Project
(as said term is defined in the Prime Lease) and  immediately  to discharge  any
such liens which may so attach.

         6.  Use:  The  Premises  may be used  only  as  permitted  pursuant  to
Subsection  1(j) and  Article 9 of the Prime  Lease and for no other  purpose or
purposes.

         7. Utilities:  Tenant shall pay for all utilities consumed by it in the
Premises,  such  payments  to be made  directly  to the  utility  company if the
utility is metered separately to the Premises.  If not separately metered,  then
Tenant shall pay to Landlord on account of utilities, Tenant's Share of payments
made by  Landlord  to the  suppliers  of the  same,  or such  greater  or lesser
percentage as Landlord reasonably  determines to be appropriate if Tenant uses a
greater  or lesser  pro-rata  quantity  of  utilities  than  Landlord  and other
occupants of Landlord's premises.

         Landlord  shall not in any way be liable or  responsible  to Tenant for
any loss,  damage or expense  which  Tenant may sustain or incur if,  during the
term of this  Sublease,  either the quantity or the  character of the  utilities
servicing  the  Premises is changed or is no longer  available  or suitable  for
Tenant's  requirements due to a fact or cause beyond Landlord's control.  Tenant
at its expense shall purchase and install all lamps, tubes, bulbs,  starters and
ballasts on the Premises.

         8. HVAC  Charges:  Tenant  agrees to pay all  after-hours  HVAC charges
payable with respect to the  Premises  pursuant to Section  10.1(b) of the Prime
Lease.

         9.  Assignment  and  Subletting:  Tenant  shall not  assign,  sublease,
mortgage,  pledge,  encumber,  sell,  convey,  subject to a  security  interest,
license or otherwise transfer, whether voluntarily,  involuntarily, by operation
of law or otherwise,  the Premises,  this Sublease or the term and estate hereby
granted or any interest herein or therein,  in whole or in part, and neither the
Premises  nor any part  thereof will be used or occupied or permitted to be used
or occupied by anyone  other than Tenant or for any use or purpose  other than a
use which is permitted  hereunder or be offered or advertised  for assignment or
subletting without, in each instance,  having first received the express written
consent of Landlord  and Prime  Landlord,  such  consent by  Landlord  not to be
unreasonably withheld. The provisions of the foregoing sentence shall apply to a
transfer (by one or more  transfers) of  forty-nine  percent (49%) of the common
stock of Tenant as if such transfer of the Tenant's  stock were an assignment of
this  Sublease.   Whether  or  not  Prime  Landlord  or  Landlord  consents,  no
assignment,  sublease, etc. will release or alter the liability of Tenant to pay
rent and perform all of Tenant's  other  obligations  under this  Sublease.  The
acceptance of rent by Landlord from any person other than Tenant is not a waiver
by Landlord. Consent to one assignment,  sublease, etc. will not be deemed to be
consent to any subsequent assignment,  sublease,  etc. If Tenant or any assignee
or  sublessee,  defaults  under this  Sublease,  Landlord  may proceed  directly
against  the  Tenant  or said  assignee  or  sublessee,  without  proceeding  or
exhausting its remedies  against the other.  After any assignment,  Landlord may
consent to a subsequent  assignment,  sublease,  etc. of or  amendments  to this
Sublease,  without  notifying  Tenant or any  other  person,  without  obtaining
consent  thereto,  and without  relieving  Tenant of its liabilities  under this
Sublease.  As additional  rent,  Tenant shall  reimburse  Landlord  promptly for
reasonable legal and other expenses  incurred by Landlord in connection with any
requests by Tenant for consent to assignment or  subletting.  The  provisions of
Article  17 of the Prime  Lease are  hereby  made  expressly  applicable  to the
Tenant,  so that any assignment,  sublease or other transfer shall be subject to
the  conditions,  provisions and  requirements  of Article 17 and Landlord shall
have against  Tenant all the rights and remedies with respect to any  assignment
or subletting which are afforded to the Prime Landlord  pursuant to said Article
17.

         10.  Maintenance and Repairs:  It is understood that Prime Landlord has
certain  obligations to repair and maintain the Premises and the Building as set
forth in Section 10.1 and Articles 15 and 16 of the Prime Lease.  Landlord shall
have no obligation or liability to Tenant in the event that Prime Landlord fails
to perform any such  obligations.  Tenant  agrees that it will keep the Premises
neat and clean and maintain the  Premises in good order,  condition  and repair,
excepting only for ordinary wear and tear, and damage by fire and other casualty
and as a  consequence  of the  exercise of the power of eminent  domain.  Tenant
shall surrender the Premises and all  alterations,  improvements,  and additions
thereto at the end of the term of this  Sublease  in good order,  condition  and
repair,  first removing all goods and effects of Tenant and repairing any damage
caused by such  removal and  restoring  the  Premises and leaving them clean and
neat.  Tenant  shall  not  permit or  commit  any  waste,  and  Tenant  shall be
responsible  for the cost of repairs which may be necessary by reason of damages
to  common  areas  in  the  Building  or to  the  Project  by  Tenant,  Tenant's
contractors or Tenant's invitees.

         11.  Landlord's  Self-Help:  If Tenant shall at any time default in the
performance  of any  obligation  under this  Sublease,  Landlord  shall have the
right,  but shall not be  obligated,  to enter upon the  Premises and to perform
such obligation on behalf of the Tenant. In performing such obligation, Landlord
may make any  payment  of money or perform  any other  act.  All sums so paid by
Landlord  (together  with  interest at the per annum  interest rate of the prime
rate as set from time to time by The First  National  Bank of Boston  plus three
hundred (300) basis points) and all necessary  incidental  costs and expenses in
connection with the performance of any such act by Landlord,  shall be deemed to
be  additional  rent  under  this  Sublease  and shall be  payable  to  Landlord
immediately  on demand.  Landlord  may  exercise the  foregoing  rights  without
waiving any other of its rights or releasing  Tenant from any of its obligations
under this Sublease.

         12.  No  Damage:  Landlord  shall  not be  liable  to  Tenant  for  any
compensation or reduction of rent by reason of inconvenience or annoyance or for
loss of business  arising from the  necessity  of Landlord or Prime  Landlord or
their respective agents entering the Premises for any purpose in the Prime Lease
authorized,  or for  repairing  the  Premises  or any  portion of said  Building
however  the  necessity  may occur.  In case  Landlord  (or Prime  Landlord)  is
prevented or delayed from making any repairs,  alterations or  improvements,  or
furnishing any services or performing any other covenant or duty to be performed
on its  part,  by  reason of any cause  reasonably  beyond  Landlord's  control,
including,  without limitation,  strike, lockout, breakdown,  accident, order or
regulation  of or by any  Governmental  authority,  or  failure  of  supply,  or
inability by the exercise of reasonable  diligence to obtain supplies,  parts or
employees  necessary  to  furnish  such  services,  or  because  of war or other
emergency,  or for any cause  due to any act or  neglect  of Tenant or  Tenant's
servants,  agents,  employees,  licensees or any person  claiming by, through or
under  Tenant,  neither  Landlord nor Prime  Landlord  shall be liable to Tenant
therefor,  nor, except as expressly  otherwise provided in this Sublease,  shall
Tenant be entitled to any abatement or reduction of rent by reason thereof,  nor
shall  the same  give  rise to a claim  in  Tenant's  favor  that  such  failure
constitutes  actual  or  constructive,  total  or  partial,  eviction  from  the
Premises.

         13.      Indemnity and Insurance:

         13.1  To the  maximum  extent  this  agreement  may be  made  effective
according to law, Tenant agrees to indemnify and save harmless Landlord from and
against  all  claims  of  whatever  nature  arising  from any act,  omission  or
negligence of Tenant,  or Tenant's  contractors,  licensees,  invitees,  agents,
servants or employees, or arising from any accident, injury or damage whatsoever
caused to any person, or to the property of any person, occurring after the date
that  possession of the Premises is first  delivered to Tenant and until the end
of the Term of this Sublease and thereafter so long as Tenant is in occupancy of
any part of the Premises, in or about the Premises or arising from any accident,
injury or damage  occurring  outside the  Premises but within the Building or on
the Project,  where such accident,  injury or damage  results,  or is claimed to
have resulted,  from an act or omission on the part of Tenant or Tenant's agents
or employees, licensees, invitees or contractors.

         Without limiting the foregoing, Tenant will indemnify both Landlord and
Prime  Landlord,  and  hold  Landlord  and  Prime  Landlord  harmless  from  all
Liabilities (as defined in the Prime Lease) arising from or in connection  with:
acts or omissions of Tenant or its Affiliates (as defined in the Prime Lease) or
the conduct of Tenant's business;  injuries,  death or damage occurring in or on
the Premises (except if and to the extent caused directly by Landlord's or Prime
Landlord's  negligence  or  willful  misconduct  in  breach  of this  Sublease);
Tenant's  breach of or default  under this  Sublease;  claims  made by  Tenant's
Affiliates  against the  Landlord or Prime  Landlord if Tenant has waived  those
claims in this Sublease or Landlord or Prime  Landlord  would not be responsible
to Tenant for such  claims if such  claims  were made by Tenant  hereunder;  and
claims  made by or  Liabilities  to  Tenant's  Affiliates  or other  persons  if
Landlord or Prime Landlord, as applicable, declines to consent to any act, event
or  document  requiring  Landlord's  or  Prime  Landlord's  consent  under  this
Sublease.

         The  foregoing  indemnity and hold  harmless  agreements  shall include
indemnity  against  all  costs,  expenses  and  liabilities  incurred  in  or in
connection with any such claim or proceeding  brought  thereon,  and the defense
thereof with counsel acceptable to Landlord.

         l3.2  Tenant  agrees to maintain in full force from the date upon which
Tenant first enters the  Premises  for any reason,  throughout  the term of this
Sublease,  and thereafter,  so long as Tenant is in occupancy of any part of the
Premises, the policies of general liability and property damage insurance of the
type and in the  amounts  and subject to the  conditions  which are  required of
under  Section 12.1 of the Prime Lease which  policies  shall name  Landlord and
Prime Landlord as insured  parties.  Tenant agrees that, as a condition to first
entering  upon the  Premises,  Landlord  shall  be  furnished  with a  duplicate
original or  certificate  of the  insurance  required to be maintained by Tenant
under this Section 13.2.

         13.3 To the maximum  extent that this  agreement may be made  effective
according to law,  Tenant  agrees to use and occupy the Premises and to use such
other  portions of the Building and the common areas of the Project as Tenant is
here given the right to use at Tenant's  own risk;  and  Landlord  shall have no
responsibility  or  liability  for any loss of or  damage to  fixtures  or other
personal property of Tenant.  The provisions of this Section shall be applicable
from and after the  execution of this  Sublease and until the end of the term of
this  Sublease,  and  during  such  further  period as  Tenant  may use or be in
occupancy of any part of the Premises or of said Building.

         13.4 To the maximum  extent that this  agreement may be made  effective
according to law, Tenant agrees that Landlord shall not be responsible or liable
to Tenant,  or to those  claiming by,  through or under Tenant,  for any loss or
damage that may be  occasioned  by or through the acts or  omissions  of persons
occupying  adjoining  premises or any part of premises adjacent to or connecting
with the Premises or any part of said Building, or otherwise, or for any loss or
damage resulting to Tenant or those claiming by, through or under Tenant, or its
or their property, from the breaking,  bursting, stopping or leaking of electric
cables and wires,  and water,  gas, sewer or steam pipes.  Without  limiting the
foregoing,  the Tenant hereby agrees that all of the waivers,  limitations,  and
exculpations   set  forth  in  Section  13.2  of  the  Prime  Lease  are  hereby
incorporated herein, and are made by and on behalf of the Tenant as if fully and
completely set forth herein.

         14. Fire Damage and Taking:  If during the term hereof the  Premises or
the  Building  shall,  in whole or in part,  be damaged or  destroyed by fire or
other  casualty or taken by eminent  domain,  then Tenant may elect to terminate
this  Sublease  by notice to such  effect  given to Tenant  and  thereupon  this
Sublease  shall  terminate  as if the  date  of  termination  were  the  date of
expiration  hereof.  In  the  event  that  either  Prime  Landlord  or  Landlord
terminates the Prime Lease pursuant to Section 15.2 thereof, this Sublease shall
terminate as of the date of such termination of the Prime Lease. If, as a result
of any  damage  by fire or other  casualty  or  taking by  eminent  domain,  the
Premises are rendered untenantable in whole or in part, and this Sublease is not
terminated as aforesaid,  the base rent payable hereunder shall be equitably and
proportionately  abated to the extent the Premises are not useable by Tenant, it
being  understood  that  Landlord  has no  obligation  to make any  effort to so
restore. All proceeds,  income, rent, awards and interest in connection with any
Condemnation  will belong to Prime Landlord and/or Landlord,  whether awarded as
compensation  for  diminution  of value to the  leasehold  improvements,  or the
unexpired portion of this Lease, or otherwise.  Tenant waives all claims against
Prime  Landlord  and/or  Landlord  and the  condemning  authority  with  respect
thereto,  but nothing in this Section  prevents  Tenant from bringing a separate
action  against the  condemning  authority for moving costs or for lost goodwill
(as long as this  separate  action does not  diminish  Prime  Landlord's  and/or
Landlord's recovery).

         15. Default: If (a) Tenant shall fail to pay the fixed rent, additional
rent or other  charges for which  provision is made herein on or before the date
on which the same become due and payable,  and the same  continues  for five (5)
days after notice from Landlord thereof, or

         (b)  Landlord  having   rightfully   given  the  notice   specified  in
subdivision  (a) above  more than  twice in a period of 365 days,  Tenant  shall
thereafter  in the same  365-day  period fail to pay the fixed rent,  additional
rent or other  charges on or before the date on which the same  becomes  due and
payable, or

         (c)      Tenant shall cause a default under the Prime Lease, or

         (d)  Tenant  shall  fail to  perform  or  observe  any  other  terms or
condition  contained in this Sublease and Tenant shall not commence to cure such
failure  within  twelve (12)  business days after notice from Landlord to Tenant
thereof and promptly and diligently complete the curing of the same, or

         (e) The estate  hereby  created shall be taken on execution or by other
process of law and such taking shall not be discharged  within ten (10) days, or
if Tenant shall be insolvent,  or if any assignment or arrangement shall be made
of the  property  of Tenant for the  benefit  of  creditors,  or if a  receiver,
guardian,  conservator,  trustee in bankruptcy or other similar officer shall be
appointed to take charge of all or any substantial part of Tenant's  property by
a court of competent  jurisdiction  and such proceeding is not dismissed  within
sixty (60) days after such appointment,  or if a petition shall be filed for the
reorganization  of Tenant under any  provisions  of the  Bankruptcy  Code now or
hereafter  enacted and such  proceeding is not dismissed  within sixty (60) days
after it is begun,  or if Tenant shall file a petition for such  reorganization,
or for arrangements under any provisions of the Bankruptcy Code now or hereafter
enacted and providing a plan for a debtor to settle,  satisfy or extend the time
for payment of debts,

- -- then,  and in any of said  cases  (notwithstanding  any  license  of a former
breach of  covenant  or  waiver of the  benefit  hereof or  consent  in a former
instance),  Landlord  lawfully may,  immediately or at any time thereafter,  and
without  demand or notice,  enter into and upon the Premises or any part thereof
in the name of the whole and repossess the same as of Landlord's  former estate,
and expel  Tenant and those  claiming  through or under Tenant and remove its or
their  effects  without  being  guilty of any manner of  trespass,  and  without
prejudice to any remedies  which might  otherwise be used for arrears of rent or
preceding breach of covenant, and, upon entry as aforesaid,  Landlord shall have
the right, by suitable  notice to Tenant,  forthwith to terminate this Sublease;
and Tenant  covenants  and  agrees,  notwithstanding  any entry or  re-entry  by
Landlord, whether by summary proceedings,  termination, or otherwise, to pay and
be liable  for, on the days  originally  fixed  herein for the payment  thereof,
amounts equal to the several  installments of rent and other charges reserved as
would,  under the terms of this  Sublease,  become due if this  Sublease had not
been terminated or if Landlord had not entered or re-entered,  as aforesaid, and
whether the Premises be relet or remain  vacant,  in whole or in part,  or for a
period less than the remainder of the Term of this  Sublease,  and for the whole
thereof,  but, in the event the Premises be relet by  Landlord,  Tenant shall be
entitled  to a credit in the net amount of rent and other  charges  received  by
Landlord in reletting, after deduction of all expenses incurred in reletting the
Premises (including,  without limitation,  remodeling costs,  brokerage fees and
the like), and in collecting the rent in connection therewith,  in the following
manner:

         Amounts  received by Landlord  after  reletting  shall first be applied
against such Landlord's expenses,  until the same are recovered,  and until such
recovery,  Tenant  shall pay, as of the day when a payment  would fall due under
this  Sublease,  the amount  which Tenant is obligated to pay under the terms of
this Sublease (Tenant's  liability prior to any such reletting and such recovery
not in any way to be  diminished  as a result of the fact  that  such  reletting
might be for a rent higher than the rent  provided for in this  Sublease);  when
and if such expenses have been completely  recovered,  the amounts received from
reletting  by Landlord as have not  previously  been  applied  shall be credited
against Tenant's  obligations as of each day when a payment would fall due under
this Sublease,  and only the net amount  thereof shall be payable by Tenant.  No
credit of any kind shall be due for any  period  after the date when the term of
this Sublease is scheduled to expire according to its terms.

         As an alternative,  at the election of Landlord, Tenant will, upon such
termination,  pay to Landlord,  as liquidated damages, such a sum as at the time
of such  termination  represents the amount of the excess,  if any, of the fixed
rent and  additional  rent which  would  have  accrued  to  Landlord  under this
Sublease for the  remainder of the Term of this  Sublease if the Lease terms had
been fully  complied with by Tenant,  discounted at eight percent (8%) per annum
to the date of  termination,  over and  above  the then  cash  rental  value (in
advance) of the Premises for the balance of the term of this Sublease.

         Nothing  contained in this Sublease  shall limit or prejudice the right
of Landlord to prove for and obtain in proceedings  for bankruptcy or insolvency
by reason of the  termination of this  Sublease,  an amount equal to the maximum
allowed by any statute or rule of law in effect at the time when,  and governing
the  proceedings  in which,  the  damages  are to be proved,  whether or not the
amount be  greater,  equal to,  or less than the  amount of the loss or  damages
referred to above.

         16.      Miscellaneous.

         16.1  Failure  on the part of  Landlord  to  complain  of any action or
non-action on the part of Tenant no matter how long the same may continue, shall
never  be a  waiver  by  Landlord  of any of the  Landlord's  rights  hereunder.
Further, no waiver at any time of any of the provisions hereof by Landlord shall
be construed as a waiver of any of the other  provisions  hereof and a waiver at
any time of any of the  provisions  hereof shall not be construed as a waiver at
any subsequent time of the same provisions.  The consent or approval of Landlord
to or of any action by Tenant  requiring  such consent or approval  shall not be
construed to waive or render unnecessary Landlord's consent or approval to or of
any  subsequent  similar act by Tenant.  No payment by Tenant or  acceptance  by
Landlord of a lesser  amount than shall be due from Tenant to Landlord  shall be
treated  otherwise  than as a payment on  account.  Acceptance  by Landlord of a
check for a lesser amount with  endorsement  or statement  thereon,  or upon any
letter  accompanying  such check,  that such  lesser  amount is payment in full,
shall be given no effect,  and Landlord may accept such check without  prejudice
of any other rights or remedies which Landlord may have against Tenant.

         16.2 No act or thing done by Landlord  during the term of this Sublease
shall be deemed an acceptance of a surrender of the premises and no agreement to
accept such surrender shall be valid,  unless in writing signed by Landlord.  No
employee of Landlord or of  Landlord's  agent shall have any power to accept the
keys to the Premises  prior to  termination of the Lease and delivery of keys to
any  employee  or agent  shall  not  operate  as  termination  of the Lease or a
surrender of the Premises.

         16.3 Tenant  warrants and represents that Tenant has not dealt with any
Broker other than the Columbia Group in connection with this Sublease and hereby
agrees to indemnify  and hold  harmless  Landlord with respect to all claims for
brokerage  commissions  or fees arising out of or resulting  from this Sublease,
excepting only claims made by the Columbia Group.

         16.4 If any  term or  provision  of this  Sublease  or the  application
thereof to any person or circumstance  shall be invalid or  unenforceable to any
extent,  the  remainder  of this  Sublease  or the  application  of such term or
provision  to persons or  circumstances  other than those as to which it is held
invalid  or  unenforceable  shall  not be  affected  thereby  and each  term and
provision of this Sublease  shall be valid and be in force to the fullest extent
permitted by law.

         16.5 Tenant,  subject to the terms and  provisions of this Sublease and
to Tenant's  timely paying rent and  observing and keeping or performing  all of
the terms and provisions of this Sublease on Tenant's part to be observed,  kept
and performed,  shall  lawfully,  peaceably and quietly have,  hold,  occupy and
enjoy  the  Premises  during  the term of this  Sublease  without  hindrance  or
objection  by any  persons  claiming  under the  Landlord  to have  title to the
Premises  superior to Tenant. It is understood and agreed that this covenant and
any and all other  covenants  of Landlord  contained in this  Sublease  shall be
binding upon Landlord and  Landlord's  successors  only with respect to breaches
occurring during Landlord's and Landlord's  successor's  respective ownership of
Landlord's  interest  hereunder.  In no event shall  Landlord  ever be liable to
Tenant  for any loss of  business  or any other  direct,  indirect,  special  or
consequential damages suffered by Tenant for whatever cause.

         16.6 The obligations of this Sublease shall enure to the benefit of and
be binding  upon the  successors  and  assigns,  respectively,  of Landlord  and
Tenant.  Each term and each provision of this Sublease to be performed by Tenant
shall be construed to both a covenant and a condition.

         16.7 Notices  shall be deemed given when sent by  recognized  overnight
delivery  service such as Federal  Express,  or  registered  or certified  mail,
postage prepaid: if to the Landlord at:

                  245 First Street
                  Cambridge, Massachusetts 02142

         and if to the Tenant at:

                  245 First Street
                  Cambridge, Massachusetts 02142

         All such notices shall be effective  when  deposited with said delivery
services or in the United States mails within the continental United States.

         Either party may change the address to which  notices are to be sent to
it by notice to the other party given under this Section 16.7.

         16.8  Tenant  will  promptly  furnish to  Landlord,  or to anyone  whom
Landlord  designates  a  statement,  in  writing  of the  status  of any  matter
pertaining to this Sublease,  including without  limitation,  acknowledgment (to
the extent to which) each party is in compliance with its obligations  under the
terms of this Sublease.

         16.9 Any insurance carried by either party with respect to the Premises
or property therein or thereon shall if it can be so written without  additional
premium or with additional  premium which the other party agrees to pay, include
a clause or endorsement denying to the insurer rights of subrogation against the
other  party to the  extent  rights  have been  waived by the  insured  prior to
occurrence of injury or loss. Each party, notwithstanding any provisions of this
Sublease to the contrary, hereby waives any rights of recovery against the other
for injury or loss due to assets covered by such insurance.

         16.10 This Lease shall be governed exclusively by the provisions hereof
and by the law of the Commonwealth of  Massachusetts,  as the same may from time
to time exist.

         16.11 Any holding over by Tenant at the  expiration of the term of this
Sublease  shall be treated as a tenancy at  sufferance  at one hundred and fifty
percent  (150%)  of the rents and other  charges  herein  (pro  rated on a daily
basis)  and shall  otherwise  be on the terms and  conditions  set forth in this
Sublease as far as  applicable.  In the event that  Tenant  enters into a direct
agreement  with  Prime  Landlord  relating  to the  Premises  for a  term  which
commences on the next day following the expiration of the term of this Sublease,
then Tenant's  remaining in the Premises  shall not be considered a holding over
for purposes of this Section 16.11.

         16.12  Employees  or agents of Landlord  have no  authority  to make or
agree  to make a lease or any  other  agreement  or  undertaking  in  connection
herewith.  The submission of this document for examination and negotiation  does
not  constitute an offer to lease,  reservation  of, or option for the Premises.
This  document  shall become  effective  and binding only upon the execution and
delivery  hereof by both  Landlord  and  Tenant,  and if the  approval  of Prime
Landlord is necessary thereto, upon the approval of Prime Landlord.

         WITNESS the execution under seal as of this 11th day of April, 1997.


                  OPEN MARKET, INC.


                  By: /s/ Regina O. Sommer
                      Name: Regina O. Sommer
                  Its: Senior Vice President and Chief Financial Officer
                                                          
                            Hereunto duly authorized


                 HPR INC.


                 By: /s/ Brian D. Cahill
                     Brian D. Cahill
                 Its: Chief Operating Officer
                            
                            Hereunto duly authorized





                                                                   

                                               The Riverview Complex
                                                    Riverview I
                                                 245 First Street
                                             Cambridge, Massachusetts
                                                 ("the Building")

                                                 SECOND AMENDMENT
                                                  April 10, 1997

LANDLORD:   Beacon Properties, L.P., successor-in-interest to Riverview Building
            Combined Limited Partnership

TENANT:     HPR Inc., formerly known as Health Payment Review, Inc.

EXISTING
PREMISES:  Space on the fifth  (5th)  floor of the  Building,  agreed to contain
     18,578 square feet of rentable  area, and space on the sixth (6th) floor of
     the Building, agreed to contain 9,422 square feet of rentable area (both as
     shown in "Exhibit A" to the  Lease),  for a total of 28,000  square feet of
     rentable area, plus the mezzanine storage level between the fifth (5th) and
     sixth (6th) floors of the Building

LEASE
EXECUTION
DATE:      June 2, 1995

TERMINATION  DATE:  August 31, 2003 

PREVIOUS LEASE  AMENDMENTS:  Amendment #1 to Lease dated as of May 16, 1996
 
SECOND AMENDMENT ADDITIONAL PREMISES: 

The entire third (3rd) floor of the  Building,  agreed to contain  20,069 square
feet of rentable area,  substantially as shown on Exhibit A, Second Amendment, a
copy of which is attached hereto and incorporated by reference herein




<PAGE>



WHEREAS, the Second Amendment Additional Premises,  as well as other premises in
the Building, are presently leased by Open Market, Inc. ("Open Market") pursuant
to a lease  dated March 9, 1995,  as amended,  with  Landlord's  predecessor  in
interest;

         WHEREAS,  Tenant is presently  negotiating with Open Market to sublease
the Second  Amendment  Additional  Premises  for a term  expiring on January 31,
2001;

         WHEREAS,  Tenant  desires to  continue  to occupy the Second  Amendment
Additional  Premises  after the expiration of the term of its sublease with Open
Market; and

         WHEREAS,  Landlord is willing to lease the Second Amendment  Additional
Premises to Tenant on the terms and conditions hereinafter set forth;

         NOW THEREFORE,  the above-described  lease, as previously amended ("the
Lease"), is hereby further amended as follows:

         I .    DEMISE OF THE SECOND AMENDMENT ADDITIONAL PREMISES

         Landlord  hereby demises and leases to Tenant,  and Tenant hereby hires
and takes from Landlord,  the Second  Amendment  Additional  Premises for a term
commencing as of the Rent  Commencement  Date in respect of the Second Amendment
Additional Premises, as hereinafter defined, and expiring as of August 31, 2003.
Said demise of the Second Amendment Additional Premises shall be upon all of the
same terms and  conditions  of the Lease  applicable  to the  Existing  Premises
(including, without limitation, Tenant's obligation to pay utilities pursuant to
Article 8 of the Lease and Tenant's  extension  options as set forth in Addendum
#2 of the Lease) except as follows:

         A.       Rent Commencement Date.

The  Rent  Commencement  Date in  respect  of the  Second  Amendment  Additional
Premises shall be February 1, 2001,  provided  however,  that if, for any reason
the term of the Open Market Lease  terminates  prior to January 3 1, 2001,  then
the  Rent  Commencement  Date in  respect  of the  Second  Amendment  Additional
Premises  shall be the day  immediately  following the date as of which the Open
Market Lease terminates.

         B.     Annual Base Rent

         The Annual  Base Rent in respect  of the  Second  Amendment  Additional
Premises shall be as follows:







<PAGE>



                  (1) With  respect to the period of time (if any)  between  the
                  Rent  Commencement  Date in respect  of the  Second  Amendment
                  Additional  Premises and January 31, 2001 ("Early Term"),  the
                  Annual Base Rent in respect of the Second Amendment Additional
                  Premises  shall  be  Four  Hundred  Twenty-One  Thousand  Four
                  Hundred  Forty-Nine  and OO/100  ($421,449.00)  Dollars  (i.e.
                  monthly payments of $35,120.75).

                  (2) With  respect to the period of time  between  February  1,
                  2001 and August 31,  2003,  the Annual Base Rent in respect of
                  the Second Amendment Additional Premises shall be Five Hundred
                  Eighty-Seven   Thousand  Eighteen  and  25/100   ($587,018.25)
                  Dollars (i.e. monthly payments of $48,918.19).

         C.      Tenant's Percentage

         Tenant's  Percentage  in  respect of the  Second  Amendment  Additional
Premises  shall be 7.63%.  For the  purposes  of  Section  6.2(b) of the  Lease,
Tenant's Percentage in respect of the Second Amendment  Additional Premises will
be deemed to be 18.41 %.

         D.      Annual Operating Cost Stop

         With respect to the Early Term (if any), the Annual Operating Cost Stop
with  respect  to the Second  Amendment  Additional  Premises  shall be equal to
Tenant's share of Operating  Costs for the 1996 calendar  year.  With respect to
the period of time  between  February  1, 2001 and August 31,  2003,  the Annual
Operating Cost Stop in respect of the Second Amendment Additional Premises shall
be equal to Tenant's  share of Operating  Costs for the 1996  calendar  year, as
reconciled in accordance with the provisions of the Lease.

         E.      Annual Tax Stop

         With  respect  to the Early  Term (if any),  the  Annual  Tax Stop with
respect to the Second Amendment  Additional  Premises shall be equal to Tenant's
share of Taxes for the 1996  calendar  year.  With respect to the period of time
between  February 1, 2001 and August 31, 2003, the Annual Tax Stop in respect of
the Second  Amendment  Additional  Premises  shall be equal to Tenant's share of
Taxes  for the  1996  calendar  year,  as  reconciled  in  accordance  with  the
provisions of the Lease.

         F.      Base Building BVA C Service in Raised Floor Computer Area

         Landlord  shall  have no  obligation  to  provide  base  building  HVAC
services to the raised floor  computer area in the Second  Amendment  Additional
Premises.

         G.      Parking




<PAGE>



         Commencing  as of the Rent  Commencement  Date in respect of the Second
Amendment  Additional  Premises and ending on the Parking  Termination  Date, as
defined in Article 14.2 of the Lease,  Landlord  shall make available to Tenant,
and  Tenant  agrees  to pay for  twenty-right  (28)  additional  Garage  Parking
Permits.  The  monthly fee  payable by Tenant  with  respect to each  additional
Garage  Parking  Permits  shall be the same as the  monthly  fee for the  Garage
Parking Permits initially  granted to Tenant.  The provisions of Article 14.2 of
the Lease shall apply to Tenant's use of the Garage and said  additional  Garage
Parking Permits.

         H.      Extension Options

         For the  purposes of  Paragraph  5(c) of Addendum #2 of the Lease,  the
term  "fair  rental  value"  with  respect to the  Second  Amendment  Additional
Premises shall be computed as of the date in question at the then current annual
rental  charge  (i.e.,  the sum of Annual  Base Rent plus  escalation  and other
charges),  including  provisions for subsequent  increases and other adjustments
for leases or agreements to lease then currently being negotiated,  as evidenced
by signed  letters of intent,  or executed in  comparable  space  located in the
Building,  or if no  leases or  agreements  to lease  are then  currently  being
negotiated,  as  evidenced  by signed  letters of  intent,  or  executed  in the
Building,  the fair rental value shall be  determined  by reference to leases or
agreements to lease then currently  being  negotiated or executed for comparable
space located  elsewhere in first:-class  office buildings located in Cambridge.
In  determining  Fair Market Rental Value the following  factors,  among others,
shall be taken into account and given effect: size, location of premises,  lease
term, condition of building, and services provided by the Landlord.

         1.  In  the  event  that  any  of  the  provisions  of  the  Lease  are
inconsistent with this Amendment or the state of facts contemplated  hereby, the
provisions of this Amendment shall control.

         2.    CONDITION OF SECOND AMENDMENT ADDITIONAL PREMISES

                  Notwithstanding  anything  to the  contrary  herein  or in the
  Lease contained,  Tenant shall lease the Second Amendment  Additional Premises
  "as-is",  in the condition in which the Second Amendment  Additional  Premises
  are in as of February 1, 2001,  without any obligation on the part of Landlord
  to prepare or construct the Second Amendment  Additional Premises for Tenant's
  occupancy and without any warranty or  representation  on the part of Landlord
  as to the  condition  of the Second  Amendment  Additional  Premises.  Without
  limiting the foregoing, Paragraph 2 and Exhibit "B" of the Lease shall have no
  applicability to the Second Amendment Additional Premises.







<PAGE>



3.       INAPPLICABLE LEASE PROVISIONS

         Exhibit "C" of the Lease shall have no  applicability  to nor any force
         or effect in respect of the Second Amendment Additional Premises.

         4.       BROKER

         Tenant  represents and warrants that it has no dealings with any agent,
         broker,  finder  or  other  person  who is or might  be  entitled  to a
         commission or other fee from  Landlord in  connection  with this Second
         Amendment,  except for The Columbia Group, and will indemnify  Landlord
         and  hold  it  harmless  from  any   Liabilities  for  breach  of  this
         representation or warranty.  Tenant shall be solely responsible for any
         commissions or other fees due to The Columbia Group.

         5.       NOTICES

         For all  purposes of the Lease,  the notice  address for Landlord is as
follows:

                  Beacon Properties, L.P.
                  c/o Beacon Properties Corporation 50 Rowes Wharf
                  Boston, MA 02110
                  Attn:    General Partner

         6.       LANDLORD'S RIGHT TO RELOCATE SECOND AMENDMENT ADDITIONAL 
                  PREMISES

         During  the  term of the  Lease  in  respect  of the  Second  Amendment
Additional  Premises,  Landlord  shall  have the  right,  which  right  shall be
exercisable  upon written  notice to Tenant,  to relocate  the Second  Amendment
Additional  Premises to the  entirety of the fourth  (4th) floor of the Building
("Relocation  Premises").  If Landlord  exercises  such  relocation  right,  the
following provisions shall apply.

         A.       Landlord's Relocation Premises Work.

         Landlord  shall  perform  such work  ("Landlord's  Relocation  Premises
Work")  in the  Relocation  Premises  as is  necessary  to make  the  Relocation
Premises  substantially  equivalent,  in construction and finish,  to the Second
Amendment  Additional  Premises.  The  date as of  which  Landlord's  Relocation
Premises Work is  substantially  completed  shall be defined as the  Substantial
Completion  Date.  Landlord  shall give  Tenant  written  notice  setting  forth
Landlord's  good faith  estimate of when the  Substantial  Completion  Date will
occur at least thirty (30) days prior to the Substantial Completion Date. Tenant
shall  relocate on the date  ("Relocation  Date") as to which Landlord has given
Tenant thirty (30) days' advance notice, provided that the




<PAGE>



Substantial  Completion  Date has occurred prior to the Relocation  Date. On the
Relocation Date,  Tenant shall vacate the Second Amendment  Additional  Premises
and deliver them to Landlord and Tenant shall demise the Relocation  Premises in
lieu of the Second Amendment Additional Premises.

        B.        Landlord's Obligation to Reimburse Tenant for the Unamortized 
                  Portion of Tenant's Construction Costs.

       (1) Landlord  shall  reimburse  Tenant for the  Unamortized  Portion,  as
         hereinafter  defined,  of Tenant's  Construction  Costs, as hereinafter
         defined.- The Unamortized Portion of Tenant's  Construction Costs shall
         be applied to the cost of Landlord's  Relocation  Premises  Work.  Such
         application  shall be effected by check from  Landlord  made payable to
         Tenant and to Landlord jointly.  Tenant shall, within three (3) days of
         presentation  by Landlord  endorse  such check to  Landlord.  If Tenant
         fails  timely to endorse such check,  Landlord  shall have the right to
         cancel  the  submitted  check  and  apply the  Unamortized  Portion  of
         Tenant's  Construction  Costs without endorsing a joint check to Tenant
         as aforesaid.

       (2) If the Unamortized Portion of Tenant's Construction Costs exceeds the
       cost of  Landlord's  Relocation  Premises  Work,  then such excess may be
       applied to the costs  incurred by Tenant for Tenant's  Moving  Costs,  as
       hereinafter defined.

       (3) If the Unamortized Portion of Tenant's Construction Costs exceeds the
       sum of both the cost of Landlord's  Relocation Premises Work and Tenant's
       Moving Costs, then Landlord shall pay such excess to Tenant.

       (4) Any payment to Tenant under clause (3) of this  Subparagraph  B shall
       be made after Tenant has first taken occupancy of the Relocation Premises
       and the cost of Landlord's Relocation Premises Work has been determined.

         C.      Landlord's Obligation to Pay for Landlord's Relocation 
                 Premises Work and to Reimburse Tenant for Tenant's Moving Costs

         To the extent that the  Unamortized  Portion of  Tenant's  Construction
Costs  is  insufficient  to pay for the  entire  cost of  Landlord's  Relocation
Premises Work and/or Tenant's Moving Costs, Landlord shall pay such costs.

         D.       Definitions.

         (1) "Tenant's  Construction Costs" shall be equal to the lesser of. (x)
Five Hundred  Fifty-One  Thousand Eight Hundred  Ninety-Seven and 50/100 Dollars
($551,897.50), or (y) the cost of the leasehold improvements installed by Tenant
in the Second Amendment Additional Premises. Tenant shall, on or before December
31, 1997, deliver to Landlord paid invoices reasonably  satisfactory to Landlord
evidencing the amount of Tenant's  Construction Costs. If Tenant fails timely to
submit evidence of any such cost to Landlord, such cost shall not be included as
a Tenant Construction Cost.

                  (2)  "Unamortized  Portion"  shall be defined as the amount of
principal  which would remain unpaid as of the Relocation Date with respect to a
loan with a ten-n  running  from  July 1, 1997  through  August  31,  2003 in an
original  principal  amount  equal to Tenant's  Construction  Costs and which is
repaid in equal  monthly  payments of principal  and interest at the rate of ten
(IO%) percent per annum.

         (3) "Tenant's  Moving Costs" shall be defined as the reasonable cost of
physically  relocating  Tenant's personal property and equipment from the Second
Amendment  Additional  Premises  to  the  Relocation  Premises.  Landlord  shall
reimburse  Tenant  for  Tenant's  Moving  Costs  within  thirty  (30) days after
Landlord receives paid invoices from Tenant reasonably  satisfactory to Landlord
evidencing such costs.

         7.       CONDITION OF LANDLORDS EXECUTION

         The parties acknowledge that Landlord and Tenant are only willing to
enter into this  Second  Amendment  in the event  that  Tenant  enters  into the
Sublease  with Open  Market.  Therefore,  both  parties  shall  have the  right,
exercisable  upon  written  notice to the other party,  to render the  foregoing
Second  Amendment void and without force or effect,  unless all of the following
events occur:

        a.       Tenant executes and delivers this Second Amendment to Landlord;

        b.       Open Market enters into the Sublease with Tenant; and

        c.       Landlord grants its written consent to the Sublease.

         8. As herein amended, the Lease is ratified,  confirmed and approved in
all respects.









<PAGE>



WHEREFORE,  the parties  have  hereunto set their hands and seals as of the date
first written above.


LANDLORD:                                                     TENANT:
BEACON PROPERTIES, L.P.                                       HPR INC.

By: Beacon Properties Corporation,
    General Partner

By: /s/ Douglas S Mitchell                              By: /s/ Brian D. Cahill
Douglas S Mitchell                                      Brian D. Cahill
Senior Vice President                                   Chief Operating Officer

Date Signed: 4/11/97                                      Date Signed: 4/11/97









                                                                             
                                                                   






                                    HPR INC.





                       EXECUTIVE SEPARATION BENEFITS PLAN





                            Effective January 1, 1997







<PAGE>













                                    HPR INC.


                       EXECUTIVE SEPARATION BENEFITS PLAN



                                TABLE OF CONTENTS

                                                                              
SECTION 1 - GENERAL  INFORMATION
 
1.1 Adoption and Purpose of Plan 
1.2 Status of Plan 
1.3 Summary Plan Description 
1.4 Effective Date 
1.5 Plan Year

SECTION 2 - DEFINITIONS

   2.1 "Base Pay"
   2.2 "Board"
   2.3 "Change in Control"
   2.4 "Covered Termination"
   2.5 "Effective Date"
   2.6 "Eligible Employee"
   2.7 "Eligibility Conditions"
   2.8 "Company"
   2.9 "ERISA"
   2.10 "Good Cause"
   2.11 "Good Reason"
   2.12 "Participant"
   2.13  "Plan"
   2.14  "Plan Administrator"
   2.15  "Plan Year"
   2.16  "Separation Benefits Period"
   2.17  "Separation Pay"
   2.18 "Special CIC Benefits"
SECTION 3 -  BENEFITS  UNDER  THE PLAN 
3.1  Types of  Benefits
3.2  Eligibility Conditions;  No  Mitigation  
3.3  Amount of  Separation  Pay
3.4  Payment  of Benefit
3.5 Outplacement Assistance Benefits
3.6 Continued Eligibility For Benefit Programs
3.7 Effect of Certain Covered Terminations on Certain Stock Options
3.8 Individual Arrangements

SECTION 4 - PLAN AMENDMENT AND TERMINATION
   4.1 Employer's Right to Amend or Terminate Plan
   4.2 Method of Amendment or Termination

SECTION 5 - PLAN ADMINISTRATION
   5.1 Plan Administrator
   5.2 Records
   5.3 Reliance
   5.4 Indemnification

SECTION 6 - MISCELLANEOUS  MATTERS 
6.1  Information  Required 
6.2 No Guaranty of Employment  
6.3  Exclusive  Plan 
6.4 Sole Source for Payment of Benefits
6.5 Non-Alienation 6.6 No Vesting
6.7 Obligations to Withhold and Pay Taxes
6.8 Governing Law

SECTION 7 - CLAIMS PROCEDURE
7.1 Claim for Benefits
7.2 Appeals

SECTION 8 - ERISA RIGHTS
8.1 Participants' Rights
8.2 Fiduciary Duties
8.3 Enforcement of Rights






<PAGE>







                                          SECTION 1 - GENERAL INFORMATION





         1.1......Adoption  and Purpose of Plan. The Employer hereby adopts this
Executive  Separation  Benefits Plan to provide certain  separation  benefits to
Eligible Employees in accordance with the terms and conditions of the Plan.


         1.2......Status  of Plan.  The Plan and this  document  are intended to
comply with all applicable state and federal laws regarding severance pay plans,
specifically  Title I of ERISA.  The Plan is intended  to be a "welfare  benefit
plan," as defined in ERISA,  and not a "pension benefit plan." The Plan does not
provide any pension or retirement benefits of any nature to any person.


         1.3......Summary  Plan  Description.  The Plan  Administrator is hereby
authorized  to use  this  document  embodying  the  Plan,  as from  time to time
amended,  to satisfy all of the Plan's "summary plan  description"  requirements
pursuant to ERISA.


         1.4......Effective Date.  The Plan is effective as of January 1, 1997.
                  --------------


         1.5......Plan Year. For recordkeeping and reporting purposes,  the Plan
Year shall be the twelve-month period ending each December 31.


                                              SECTION 2 - DEFINITIONS


         2.1......"Base  Pay" means an Eligible  Employee's  highest annual base
salary rate paid during the twenty-four  months (or total  employment,  if less)
immediately  preceding termination of the employee's employment due to a Covered
Termination.  The term Base Pay shall exclude all other types of compensation or
remuneration to an employee, and shall exclude without limitation bonuses of any
kind, overtime pay and shift  differentials,  contributions (other than employee
salary-reduction  contributions)  to any  retirement or other  employee  benefit
plans,  commissions,  profit sharing payments,  incentive  payments of any kind,
special  payments of any kind (including  without  limitation  business  expense
reimbursements,   tuition   reimbursements   and   flexible   spending   account
reimbursements) and contingent compensation of any kind.


         2.2......"Board" means the Employer's Board of Directors.


         2.3......"Change  in Control" A Change In Control of the Employer  will
occur upon:


         .........(a) The acquisition by any individual, entity or group (within
the meaning of Sections  13(d)(3) or 14(d)(2) of the Securities  Exchange Act of
1934 (the  "Exchange  Act")) (a "Person") of  beneficial  ownership  (within the
meaning of Rule 13d-3  promulgated under the Exchange Act) of 50 percent or more
of either (i) the then  outstanding  shares of the Employer's  common stock (the
"Common Stock") or (ii) the combined voting power of the then outstanding voting
securities  of the  Employer  entitled to vote  generally in the election of the
directors (the "Outstanding  Employer Voting  Securities");  provided,  however,
that the following  acquisitions  shall not constitute a Change in Control:  (A)
any acquisition  directly from the Employer  (excluding an acquisition by virtue
of the exercise of a conversion privilege);  (B) any acquisition by the Employer
or by any  corporation  controlled by the Employer;  (C) any  acquisition by any
employee benefit plan (or related trust) sponsored or maintained by the Employer
or any  corporation  controlled by the Employer;  or (D) any  acquisition by any
corporation   pursuant  to  a  consolidation  or  merger,   if,  following  such
consolidation  or merger,  the  conditions  described in clauses (i) and (ii) of
paragraph (c) of this definition are satisfied; or


         .........(b)  Individuals who, as of the Effective Date, constitute the
Board (the  "Incumbent  Board")  ceasing for any reason to constitute at least a
majority  of the  Board;  provided,  however,  that any  individual  becoming  a
director  subsequent to the Effective  Date whose  election,  or nomination  for
election by the Employer's shareholders, was approved by a vote or resolution of
at least a majority of the directors then  comprising the Incumbent  Board shall
be considered as though such  individual  were a member of the Incumbent  Board,
but excluding, for this purpose, any such individual whose initial assumption of
office occurs as a result of either an actual or threatened election contest (as
such  terms are used in Rule  14a-11 of  Regulation  14A  promulgated  under the
Exchange Act) or other actual or threatened  solicitation of proxies or consents
by or on behalf of a Person other than the Board.


         .........(c)  Adoption  by  the  Board  of a  resolution  approving  an
agreement of  consolidation  of the Employer with or merger of the Employer into
another  corporation  or business  entity in each case,  unless,  following such
consolidation  or merger,  (i) more than 50 percent of,  respectively,  the then
outstanding  shares  of  common  stock of the  corporation  resulting  from such
consolidation or merger and/or the combined voting power of the then outstanding
voting  securities  of such  corporation  or  business  entity  entitled to vote
generally  in the  election of directors  (or other  persons  having the general
power to direct the affairs of such entity) is then beneficially owned, directly
or indirectly,  by all or substantially  all of the individuals and entities who
were the beneficial  owners,  respectively,  of the Common Stock and Outstanding
Employer Voting Securities  immediately prior to such consolidation or merger in
substantially the same proportions as their ownership, immediately prior to such
consolidation or merger, of the Common Stock and/or Outstanding  Employer Voting
Securities,  as the case may be and (ii) at least a majority  of the  members of
the board of directors  (or other group of persons  having the general  power to
direct the affairs of the corporation or other business  entity)  resulting from
such  consolidation or merger were members of the Incumbent Board at the time of
the  execution of the initial  agreement  providing  for such  consolidation  or
merger;  provided that any right which shall vest by reason of the action of the
Board pursuant to this paragraph (c) shall be divested, with respect to any such
right  not  already  exercised,  upon (A) the  rejection  of such  agreement  of
consolidation  or  merger  by the  stockholders  of  the  Employer  or  (B)  its
abandonment by either party thereto in accordance with its terms; or


         .........(d)  Adoption by the requisite majority of the whole Board, or
by the holders of such  majority of stock of the  Employer as is required by law
or by the  Certificate  of  Incorporation  or By-Laws of the Employer as then in
effect,  of  a  resolution  or  consent   authorizing  (i)  the  liquidation  or
dissolution  of the  Employer  or (ii) the sale or other  disposition  of all or
substantially all of the assets of the Employer,  other than to a corporation or
other  business  entity  with  respect  to which,  following  such sale or other
disposition,  (A) more than 50 percent of,  respectively,  the then  outstanding
shares of common stock of such  corporation  and/or the combined voting power of
the outstanding  voting  securities of such corporation or other business entity
entitled to vote generally in the election of directors (or other persons having
the  general  power to direct the affairs of such  entity) is then  beneficially
owned,  directly or indirectly,  by all or substantially  all of the individuals
and entities who were the beneficial owners,  respectively,  of the Common Stock
and Outstanding  Employer Voting  Securities  immediately  prior to such sale or
other  disposition in  substantially  the same  proportions as their  ownership,
immediately prior to such sale or other disposition,  of the Common Stock and/or
Outstanding  Employer Voting securities,  as the case may be, and (B) at least a
majority  of the  members of the board of  directors  (or other group of persons
having the  general  power to direct the  affairs of such  corporation  or other
entity) were members of the Incumbent  Board at the time of the execution of the
initial  agreement  or  action  of the  Board  providing  for such sale or other
disposition of assets of the Employer;  provided that any right which shall vest
by  reason  of the  action of the  Board or the  stockholders  pursuant  to this
paragraph  (d) shall be  divested,  with  respect to any such right not  already
exercised,  upon the  abandonment by the Employer of such  dissolution,  or such
sale or other disposition of assets, as the case may be.


         A Change in Control  shall not occur upon the mere  reincorporation  of
the Employer in another state.


         2.4......"Covered  Termination"  means the  termination  of an Eligible
Employee's employment (a) either (i) by the Eligible Employee for Good Reason or
(ii)  involuntarily  by the  Employer  (or its  successor  following a Change in
Control) for a reason other than Good Cause or disability and (b) in the case of
eligibility  for  Special  CIC  Benefits  only,  on or after the date on which a
Change in Control  occurs and on or before the second  anniversary of such date.
The term  Covered  Termination  shall not include the  transfer of the  Eligible
Employee's employment to the Employer's successor following a Change in Control,
provided that such transfer does not constitute or result in the employee having
Good Reason to resign.


         2.5......"Effective Date" means the date set forth in Subsection 1.4 
above.


         2.6......"Eligible  Employee"  means an  individual  who  either (a) is
designated on Appendix A to this Plan as of the date of a Covered Termination or
(b) was an officer of the Employer on the date of a Change in Control  occurring
within two years before the Covered Termination.


         2.7......"Eligibility  Conditions"  means the conditions on eligibility
for Separation Pay set forth in Subsection 3.2 below.


         2.8......"Employer"  means HPR Inc., a corporation  organized under the
laws of Delaware, and its subsidiaries.  To the extent required to carry out the
intent of this  Plan,  the term  Employer  shall  also  refer to the  Employer's
successor following a Change in Control.


         2.9......"ERISA" means the Employee Retirement Income Security Act of 
1974, as amended.


         2.10....."Good  Cause"  means an  Eligible  Employee's  (a) willful and
continuing  failure  substantially to perform duties assigned in good faith from
time to time by the  Employer  (provided  that such  failure  is not  solely the
result  of (i) a  disability  established  to the  satisfaction  of  either  the
Employer's Chairman or a majority of its Board or (ii) a leave of absence either
granted in writing by the Employer or guaranteed by applicable law or (iii) some
other  reason  agreed to in  advance  by either  the  Employer's  Chairman  or a
majority  of its  Board);  or (b)  willful  conduct  which is  demonstrably  and
materially  injurious  to the  Employer;  or (c)  conviction  of a  felony  or a
misdemeanor involving the theft, misappropriation or embezzlement of property of
the Employer.


         No termination of an Eligible  Employee's  employment shall be for Good
Cause unless: (a) notice of such Good Cause is provided to the employee by or on
behalf  of the  Board;  and (b) no valid  prior or  simultaneous  notice of Good
Reason has been given by the  employee;  and (c) the  employee  is  afforded  an
opportunity  to be heard  before the Board,  represented  by counsel;  and (d) a
majority of the Board then  determines that Good Cause exists for the employee's
termination;  and (e) only if and to the extent a cure-period is permitted under
any separate  agreement between the Employer and the employee,  the employee has
failed to timely cure such asserted Good Cause. The required hearing need not be
held before the Eligible Employee's termination occurs, but it must be within 30
days after the required  notice of asserted Good Cause is given to the Employee,
unless the employee agrees to a postponement.


         For purposes of this subsection, the term Board shall include the board
of  directors  (or body with a similar  function)  of the  Employer's  successor
following a Change in Control.


     .........2.11 "Good Reason" means an Eligible  Employee's  resignation from
his or her  employment  due  to:  (a) a  substantial  reduction  imposed  by the
Employer in the  responsibilities  of the employee's position with the Employer;
or (b) a  reduction  in the  employee's  Base  Pay;  or (c) the  elimination  or
impairment of the employee's  eligibility for compensation or benefits  programs
generally available to other Eligible Employees; or (d) a requirement imposed by
the Employer that the employee relocate to a new post at least 50 miles from his
or her  then-existing  post;  or (e)  only if so  provided  under  any  separate
agreement between the Employer and the Eligible  Employee,  the employee has not
been offered continued employment with the Employer or its successor following a
Change in Control on  substantially  the same terms and conditions of employment
as were in effect for the employee immediately prior to the Change in Control.


         No resignation by an Eligible Employee shall be for Good Reason unless:
(a) notice of such Good  Reason is  provided to the Board by or on behalf of the
Eligible  Employee and (b) the Employer  fails to cure such asserted Good Reason
within  thirty days after  receipt of such  notice;  provided  that the Employer
shall have the sole  discretion  to  determine  whether or not (i) to attempt or
complete such a cure or (ii) to dispute in good faith or accept the existence of
such Good Reason.


         For purposes of this subsection, the term Board shall include the board
of  directors  (or body with a similar  function)  of the  Employer's  successor
following a Change in Control.


         2.12....."Participant"  means an Eligible  Employee  who is entitled to
receive separation benefits under the terms and conditions of the Plan.


         2.13....."Plan" means the Employer's Executive Separation Benefits Plan
as set forth in this document and in any and all amendments  and  supplements to
this document.


         2.14....."Plan  Administrator" means the Employer or such other person,
entity or  committee  as may be  appointed  from time to time by the Employer to
administer the Plan.


         2.15....."Plan  Year" means the annual twelve-month period set forth in
Subsection 1.5 above.


         2.16....."Separation  Benefits Period" means, for any Participant,  the
period  equal  to the  number  of  months  of  Base  Pay to be  received  by the
Participant as Separation Pay; provided that a Participant's Separation Benefits
Period shall end earlier upon the Participant's  failure to continue  satisfying
all Eligibility Conditions.


         2.17....."Separation  Pay" means the  continuation  of a  Participant's
Base Pay  (salary)  during the  Separation  BenefitsPeriod  or the payment of an
equal amount in a lump sum in  accordance  with the terms and  conditions of the
Plan.


         2.18....."Special  CIC Benefits" means the benefits referred to as such
in  Section  3 and  payable  in the  event  of an  Eligible  Employee's  Covered
Termination pursuant to a Change in Control.


                                        SECTION 3 - BENEFITS UNDER THE PLAN


         3.1......Types of Benefits.  An Eligible Employee whose employment with
the  Employer  (or its  successor  following a Change in  Control)is  terminated
solely due to a Covered  Termination  and with  respect  to whom all  applicable
Eligibility  Conditions  set  forth in  Subsection  3.2  below  are met shall be
entitled under this Plan to the following types of separation benefits:


         .01......Separation Pay as determined under Subsection 3.3 below;


         .02......Outplacement assistance as determined under Subsection 3.5 
below;


         .03......Continued eligibility for certain employee benefit programs, 
as described in Subsection 3.6 below;


         .04......Certain stock option benefits for Covered Terminations
pursuant to a Change in Control, as described in Subsection 3.7 below.


         3.2......Eligibility   Conditions;   No   Mitigation.   Notwithstanding
anything else in this Plan,  separation  benefits  shall be provided  under this
Plan only to an employee  whose  employment  with the Employer (or its successor
following a Change in Control)  actually  terminates.  Furthermore,  no employee
shall be entitled to commence or continue  receiving  separation  benefits under
the Plan  unless  all of the  following  conditions  are met and (to the  extent
applicable) continue to be met at all times:


     .01......The  Eligible Employee must agree to and must sign and comply with
a separation letter  satisfactory to the Employer (or its successor  following a
Change in Control). The separation letter may include, without limitation: (a) a
comprehensive  release of all claims of any sort against the  Employer  (and its
present and former parents and subsidiaries and its successor following a Change
in Control  (collectively,  the  "Employer  Group")) and all agents,  employees,
advisors and other  representatives  of the Employer Group in a form  reasonably
satisfactory to the Employer and (b) an  acknowledgment  that any  then-existing
agreements  concerning  confidentiality  and/or  non-competition  binding on the
Eligible  Employee  will remain in effect in  accordance  with their terms,  but
separation  benefits under this Plan shall not otherwise be conditioned upon the
employee's agreement not to compete with the Employer Group or to solicit any of
the  Employer  Group's  customers or employees  during the  Separation  Benefits
Period.

         .02......If  not already fully paid or terminated for any other reason,
a Participant's Separation Pay and other benefits under this Plan shall cease as
of the first date of any breach or other failure if the Participant breaches the
terms of any separation  letter or  non-competition  agreement entered into with
the  Employer  pursuant  to the  requirements  of  clauses  .01 or .02  above or
otherwise  materially fails to satisfy any obligations of the Participant to the
Employer under this Plan.


         .03......If  not already fully paid or terminated for any other reason,
a Participant's Separation Pay and other benefits under this Plan shall cease as
of the  first  date of any  misconduct  if the  Employer  becomes  aware  of any
instance of the Participant's  misconduct that would have constituted Good Cause
for termination of the Participant's employment,  whether such misconduct occurs
prior to or following  the  Participant's  termination  of  employment  with the
Employer;  but provided  that the notice,  hearing and Board  majority  decision
requirements  of  Subsection  2.10  are  met  promptly  after  discovery  of the
misconduct.


         A Participant shall not be required to seek replacement employment as a
condition of receiving  separation  benefits and separation  benefits  otherwise
payable  under this Plan shall not be  reduced or  terminated  on account of any
employment  undertaken  by a Participant  during or after his or her  Separation
Benefits Period.


         3.3......Amount of Separation Pay.  Effective for Covered  Terminations
made on or after the  Effective  Date  while  this Plan  remains  in effect  and
subject to Subsection  3.2, each  Participant's  Separation  Pay shall equal the
amount determined under the applicable one of the following clauses:


     .01......Basic  Benefit: Except as otherwise provided in clause .02 of this
Subsection 3.3,  following his or her Covered  Termination,  a Participant shall
receive Separation Pay equal to twelve months of Base Pay.

     .02......Special  CIC Benefits:  In lieu of the benefit  provided in clause
 .01 of this  Subsection  3.3, the Separation Pay of a Participant  whose Covered
Termination  was on or after the date on which a Change in Control  occurred and
on or before  the  second  anniversary  of such date  shall be a lump sum amount
equal to twelve months of Base Pay or such greater amount,  if any, as is (as of
the date of the  Change in  Control)  either  provided  for  under any  separate
agreement  between  the  Employer  and  the  Participant  or  specified  for the
Participant in Appendix B to this Plan.

         3.4......Payment  of  Benefits.  Except  in the  case  of  Special  CIC
Benefits, Separation Pay shall be due and payable until paid in full at the rate
of the  Participant's  Base Pay on each of the  Participant's  regular  pay days
during the Separation  Benefits  Period.  If a Participant  has on file with the
Employer a direct deposit authorization, such authorization will apply to all or
a portion  of the  Participant's  Separation  Pay,  as  specified  in the direct
deposit  authorization.  To  the  extent  not  directly  deposited,  checks  for
Separation  Pay will be mailed to a  Participant's  most recent address of which
the Plan  Administrator  has received  notice in writing  from the  Participant.
Special CIC Benefits Separation Pay shall be paid to the Participant in one lump
sum at the time of (or as soon as  possible  after)  the  Participant's  Covered
Termination.  Notwithstanding the foregoing,  if the Plan Administrator receives
written notice that the Participant is mentally incompetent,  the Employer shall
pay the balance of the  Participant's  Separation Pay only to the  Participant's
duly appointed legal representative.


     3.5......Outplacement   Assistance  Benefits.   Individual  executive-level
outplacement  assistance provided by a contractor selected by the Employer shall
be provided to each Participant during his or her Separation Benefits Period.


         3.6......Continued   Eligibility  For  Benefit  Programs.   Subject  to
Subsection 3.2, during a Participant's Separation Benefits Period (or if sooner,
for such medical and dental plans as the  Participant  has  continuation  rights
under ERISA,  until the Participant and his or her covered  dependents  cease to
have such coverage  continuation  rights), the Participant shall be eligible for
continued  coverage by and  participation  in the same employee benefit programs
(including without  limitation,  the medical and dental plans) and with the same
amount of employer contributions as the Participant was eligible for on the date
of the Covered Termination,  but only to the extent that such programs allow for
continuation of coverage.  To the extent  continuation  coverage is not allowed,
the Employer (or its successor following a Change in Control) will pay an amount
of additional  Separation Pay during the applicable benefits continuation period
equal to the amount paid for the discontinued  benefits immediately prior to the
Participant's  Covered  Termination.  Payroll  deductions for the  Participant's
share of the cost of any contributory  benefits (at the rate in effect from time
to  time  for  active  executive  employees  of the  Employer  or its  successor
following  a  Change  in  Control)  shall  continue  to  be  deducted  from  the
Participant's  Separation Pay, provided that if the Separation Pay has been paid
in one lump sum, the  Participant  shall timely pay his or her share by personal
check to the Employer.


         Nothing in this Plan  shall  affect  the  Participant's  right (if any)
under ERISA to elect  continuation  coverage at the Participant's own expense in
the Employer's medical and dental plans after the end of the Separation Benefits
Period.


         3.7......Effect  of  Certain  Covered  Terminations  on  Certain  Stock
Options.  The following special provisions shall apply to all options to acquire
shares of the  Employer's  capital  stock held by a  Participant  whose  Covered
Termination  was on or after the date on which a Change in Control  occurred and
on or before the second  anniversary of such date,  notwithstanding  anything to
the contrary in the grant of such options or any agreement  with respect to such
options:


     .01......Accelerated Vesting. Fifty percent (or such greater percentage, if
any, as is--as of the date of the Change in  Control--either  provided for under
any separate agreement between the Employer and the Participant or specified for
the  Participant  in Appendix B to this Plan) of any such options  which are not
exercisable as of the date of the Participant's Covered Termination shall become
immediately  exercisable  on such  date or,  if  sooner,  on the  date  that the
Employer (or its successor  following a Change in Control) gives notice that any
such  non-exercisable  options will be terminated in accordance with their terms
pursuant to a Change in Control  without  replacement  by substitute  options of
reasonably equivalent value.


     .02......Grace  Period to  Exercise.  Subject  to  clause  .03  below,  all
exercisable  options  held by the  Participant  (including  those  which  become
exercisable  pursuant  to clause  .01  above) on the date of his or her  Covered
Termination  shall remain  exercisable  for a period of twelve months after such
date (and for any longer period that the options would have remained exercisable
in  accordance  with  their  terms or as  is--as  of the date of the  Change  in
Control--either  provided for under any separate  agreement between the Employer
and the Participant or specified for the Participant in Appendix B to this Plan.

     .03......Termination  of Grace  Period.  Notwithstanding  the grace  period
provided  under clause .02 above,  a  Participant's  options will  terminate and
cease to be exercisable pursuant to this Plan upon the earliest to occur of:


     .........(a)  The  date  that  such  options  would  have  expired  if  the
Participant had remained employed by the Employer throughout the grace period;

     .........(b) The dissolution of the Employer, but any substitute options in
the  securities  of another  company  shall not be  affected  by the  Employer's
dissolution; or

         .........(c)  The date set in any notice given that the options will be
terminated in accordance  with their terms pursuant to a Change in Control,  but
any  substitute  options  in the  securities  of  another  company  shall not be
affected by such termination and provided that such substitute  options shall be
provided under a good-faith  reasonable  conversion  formula if the Employer (or
its successor following a Change in Control) is reasonably able to do so.


         3.8......Individual  Arrangements.  Nothing in the Plan shall  preclude
the Employer from entering into individual  arrangements  with employees for the
payment of  severance  benefits in addition to the benefits  provided  under the
Plan.  No such  individual  arrangement  shall  entitle  any  person not a party
thereto to any benefits of any nature.


                   SECTION 4 - PLAN AMENDMENT AND TERMINATION


     4.1......Employer's  Right to Amend or  Terminate  Plan.  The  Employer may
amend or  terminate  the Plan  only as  provided  in the  applicable  one of the
following clauses:


     .01......During  the First Two  Years.  This Plan  shall not be  amended or
terminated on or before the second  anniversary  of the Effective Date except as
follows:


     .........(a) To Permit Pooling:  The Plan (including its Appendixes) may be
terminated  or amended as  necessary  pursuant  to a majority  vote of the Board
taken  consistently with an understanding  that failure to so terminate or amend
the  Plan  would  prevent  the  Employer  from  entering  into  a  then-proposed
transaction to be accounted for as a pooling of interests with one or more other
entities; provided that such understanding is based reasonably and in good faith
upon  information  provided  to the  Board  by any of  the  following:  (i)  the
independent accountants of the Employer; (ii) the independent accountants of any
other party to the proposed  transaction;  or (iii) the  Securities and Exchange
Commission.

     .........(b) To Comply with Law: The Plan (including its Appendixes) may be
amended as necessary pursuant to a majority vote of the Board taken consistently
with a  good-faith  opinion of counsel to either the  Employer or the Board that
such amendment is required by applicable  law;  provided that the Employer shall
thereupon  use its best  efforts  to  provide  the  Eligible  Employees  and the
Participants with the value of the benefits intended under this Plan immediately
prior to the effective date of the amendment.


     .........(c)  To Add  Eligible  Employees  and/or  Special CIC  Benefits in
Appendixes A and B:  Appendixes A and/or B may be amended as necessary  pursuant
to a majority  vote of the Board to add Eligible  Employees  and/or  Special CIC
Benefits.





     .02......After  the Second Year.  Following the second  anniversary  of the
Effective Date, the Employer may amend or terminate this Plan as follows:


     .........(a)  Prior to a Change in Control:  Prior to the  occurrence  of a
Change in Control and following the second  anniversary  of the then most recent
Change in Control, the Employer may amend the Plan (including its Appendixes) in
any manner at any time and from time to time and may  terminate  the Plan at any
time.

     .........(b) After a Change in Control: After the occurrence of a Change in
Control and until the second  anniversary  of such Change in Control,  this Plan
shall  not be  terminated  and  shall be  amended  only in  accordance  with the
provisions of clauses .01(b) or .01(c) of this Subsection 4.1.


         4.2......Method   of  Amendment  or   Termination.   Any  amendment  or
termination  of the Plan  shall be made by a  written  instrument  signed  by an
officer of the Employer upon due authorization by the Board.


                         SECTION 5 - PLAN ADMINISTRATION


         5.1......Plan  Administrator.  The Plan Administrator shall be a "named
fiduciary" for purposes of Section 402(a)(1) of ERISA, with authority to control
and manage the operation and  administration of the Plan, and shall be the agent
for service of process against the Plan. The Plan Administrator  shall have full
power to administer the Plan in all matters,  subject to applicable requirements
of law. For this purpose,  the Plan  Administrator's  power shall  include,  but
shall not be limited to the following authority, in addition to all other powers
provided by the Plan:


     .01......To  make  and  enforce  such  rules  and  regulations  as the Plan
Administrator deems necessary or proper for the efficient  administration of the
Plan,  including the establishment of any claims procedures that may be required
by applicable provisions of law;


     .02......To  appoint such agents,  counsel,  accountants,  consultants  and
other  persons  to  participate  in the  administration  of the Plan as the Plan
Administrator deems appropriate;

     .03......To   allocate  and  delegate  the  responsibilities  of  the  Plan
Administrator  and to  designate  other  persons  to  carry  out any of the Plan
Administrator's responsibilities;  provided that any such allocation, delegation
or  designation   shall  be  in  writing  and  in  accordance   with  applicable
requirements of law;


     .04......To sue or be sued on behalf of the Plan and to appoint  additional
agents for service of process; and


         .05......To the fullest extent permitted by law, the Plan Administrator
shall have the  exclusive  responsibility  and  discretion to decide all matters
relating to  eligibility,  coverage or benefits  under the Plan and to interpret
all  provisions  of the  Plan  and to  determine  all  matters  relating  to the
operation  and  administration  of the  Plan.  Any  determination  by  the  Plan
Administrator shall be final and binding, in the absence of clear and convincing
evidence that the Plan Administrator acted arbitrarily and capriciously.


         5.2......Records. The Plan Administrator shall maintain such records as
it deems  necessary to determine  benefits  and  eligibility  under the Plan and
shall make available to each  Participant such portions of the records under the
Plan as pertain to the  Participant,  for examination at reasonable times during
normal business hours.


         5.3......Reliance.  In administering  the Plan, the Plan  Administrator
shall be entitled to the extent  permitted  by law to rely  conclusively  on all
information (including without limitation all tables, valuations,  certificates,
opinions  and  reports)  which  is  furnished  by  or  in  accordance  with  the
instructions or recommendations of accountants,  counsel, actuaries, consultants
or other experts employed or engaged by the Plan Administrator.


         5.4......Indemnification.  Except as prohibited by law, any  individual
or  individuals  serving as Plan  Administrator  (or as a member of any board or
committee that serves as Plan Administrator) shall be indemnified in full by the
Employer against expenses,  including attorneys' fees, and against the amount of
any  judgment,  money  decree,  fine or  penalty,  or against  the amount of any
settlement deemed reasonable by the Board,  necessarily paid or incurred by such
individual or individuals  in connection  with or arising out of any claim made,
or any civil or criminal  action,  suit or proceeding of whatever nature brought
against such  individual,  or in which such  individual  is made a party,  or in
which such individual is otherwise  involved,  by reason of being or having been
such Plan  Administrator  (or any member of any such board or  committee).  Such
indemnification  shall apply to any such  individual  even though at the time of
such  claim,  action,  suit or  proceeding  such  individual  is no longer  Plan
Administrator (or a member of any such board or committee).


                                         SECTION 6 - MISCELLANEOUS MATTERS


         6.1......Information  Required.  Participants  and  Eligible  Employees
shall provide the Plan  Administrator  with such  information and evidence,  and
shall sign such documents, as may be requested from time to time for the purpose
of administering the Plan.


         6.2......No  Guaranty of Employment.  This Plan shall not be a contract
of employment  between the Employer and any employee.  Nothing  contained in the
Plan document nor any action taken in connection with the adoption, operation or
maintenance  of the Plan shall be construed as a contract of employment  between
the  Employer  and  any  employee  or as  consideration  or  inducement  for the
employment of any employee. Nothing in the Plan or in the adoption, operation or
maintenance  of the Plan  shall  give any  employee  the  right to remain in the
Employer's  employ,  nor shall it give the  Employer  the right to  require  any
employee to remain in its employ,  nor shall it  interfere  with the  employee's
right to  terminate  his or her  employment  at any time.  Without  limiting the
generality of the  foregoing,  the Employer shall have the right to terminate or
change the terms of employment of any employee, Eligible Employee or Participant
at any time and for any reason whatsoever, with or without cause or notice.


         6.3......Exclusive  Plan.  Except  to the  extent  otherwise  expressly
provided  herein or in any  separate  agreement  between  the  Employer  (or its
successor  following a Change in Control)  and an Eligible  Employee,  this Plan
shall  exclusively  govern any claims for any type of  severance  benefits  as a
result of any termination of employment due to a Covered Termination on or after
the  Effective  Date,  while the Plan  remains  in effect.  Any other  generally
applicable  severance  plans of any nature  maintained by the Employer  shall be
terminated  as of such  Effective  Date with respect to any claims for severance
benefits  as a result of any  Covered  Termination  occurring  on or after  such
Effective Date.


         6.4......Sole  Source for Payment of Benefits.  All  benefits  provided
under the Plan shall be paid  solely from the  general  assets of the  Employer.
Nothing  in the Plan shall be  construed  to require  the  Employer  or the Plan
Administrator  to maintain any fund or  segregate  any amount for the benefit of
any  Participant,  and no  Participant  or any other person shall have any claim
against,  right to, or security or other interest in, any fund, account or asset
of the Employer from which any payment  under the Plan may be made.  Neither the
Employer nor any director, officer, employee or agent or other representative of
the Employer shall be liable,  otherwise than as expressly provided in the Plan,
for payment of any benefits under the Plan or shall have any other  liability to
a Participant or to any other person.


         6.5......Non-Alienation.  No  benefit  payable  under the Plan shall be
subject in any manner  whatsoever to  alienation,  sale,  transfer,  assignment,
pledge,  attachment or  encumbrance  of any kind,  and each and every attempt to
alienate,  sell, transfer,  assign,  pledge, attach or encumber any such benefit
under the Plan shall be void and of no force and effect whatsoever.


         6.6......No Vesting. No person shall have any vested or non-forfeitable
interest at any time in any payment or other benefit provided under the Plan.


         6.7......Obligations  to Withhold and Pay Taxes. Each Participant shall
be liable for all tax  obligations,  if any, with respect to any sum received or
other benefit  provided  pursuant to the Plan and for  accurately  reporting all
such income and paying in full all such taxes to the appropriate federal,  state
and local authorities.  The Employer shall have the right to deduct and withhold
from  any  payment  due  under  the  Plan  or  from  other  amounts  owed to the
Participant all withholding taxes and other amounts required by law.



         6.8......Governing  Law.  The Plan and the rights of all persons  under
the Plan shall be construed in accordance with and under  applicable  provisions
of the laws of  Massachusetts,  except to the extent  federal laws pre-empt such
laws.


                                           SECTION 7 - CLAIMS PROCEDURE


         7.1......Claim  for Benefits.  Eligible Employees do not need to file a
claim for benefits  under the Plan. If an individual  believes that he or she is
eligible for severance  benefits even though no such benefits have been offered,
or if an Eligible Employee or Participant believes that his or her benefits have
been calculated  incorrectly or terminated prematurely or that the Plan has been
otherwise  violated,  the  aggrieved  individual  may file a claim with the Plan
Administrator.  The Plan Administrator shall advise the claimant either that the
claim is allowed,  or that the claim is denied,  or that the  claimant  needs to
submit additional  information.  If the claim is denied,  the Plan Administrator
shall  furnish the claimant  written  notice of such denial  within a reasonable
time after receipt of the claim, and such notice shall include:


         .01......the reason for the denial;


         .02......specific references to Plan provisions on which the denial is 
based; and


         .03......information as to how to submit the claim for review.


If no notice of denial is furnished within 90 days after receipt of the claim by
the Plan Administrator, the claim shall be deemed denied.


         7.2......Appeals.  If a claim filed under  Subsection 7.1 is denied (or
deemed  denied),  the  claimant  may file a  request  for  review  with the Plan
Administrator. The claimant shall be entitled to examine pertinent documents, to
submit  issues and comments in writing and to request a hearing  before the Plan
Administrator.  The appeal of any claim must be submitted  in writing  within 60
days after (a) the date that the claim was deemed  denied or (b) the  receipt of
notice  of  denial  by  the  claimant,   whichever  is   applicable.   The  Plan
Administrator  shall send the claimant a written decision  regarding the appeal.
Normally,  the  decision  will be made within 60 days after the appeal is filed,
but if the Plan  Administrator  determines  that  additional  time is reasonably
necessary,  up to 60  additional  days may be taken to resolve the  appeal.  The
decision of the Plan Administrator on such review shall be final.


                                             SECTION 8 - ERISA RIGHTS


         8.1......Participants'  Rights. ERISA guarantees each individual who is
a Participant  in the Plan certain  rights and  protections.  In summary,  ERISA
provides that all Participants are entitled to:


     .01......Examine,  without charge, at the Employer's benefits office and at
other specified work sites, the Plan document, including copies of all documents
filed in connection  with the Plan with the U.S.  Department  of Labor,  such as
detailed annual reports (if required by applicable law).

     .02......Obtain  copies of all Plan  documents  and other Plan  information
upon written request to the Employer's  benefits office. The benefits office may
make a reasonable charge for such copies.


     .03......Receive  a summary of the Plan's  financial report (if required by
applicable  law). The Employer's  benefits  office is required by law to furnish
each Participant with a copy of each required summary annual report.


         8.2......Fiduciary   Duties.   In  addition  to  creating   rights  for
Participants,  ERISA imposes duties upon the people who are  responsible for the
operation of employee  benefit  plans.  The people who operate the Plan,  called
"fiduciaries,"  have  a  duty  to  do  so  prudently  and  in  the  interest  of
Participants  and  beneficiaries.  No one,  including  the Employer or any other
person, may fire anyone or otherwise  discriminate  against anyone in any way to
prevent that  individual  from  obtaining a benefit or  exercising  rights under
ERISA.  If a claim  for a  benefit  is  denied  in whole or in part,  a  written
explanation  of the reason for the denial must be given.  Individuals  also have
the right to have the Plan Administrator review and reconsider a claim.


         8.3......Enforcement  of Rights.  Under ERISA, there are steps that any
person with rights under the Plan may take to enforce those rights. For example,
if a Participant requests materials from the Employer's benefits office and does
not receive them within 30 days, he or she may file suit in a federal court.  In
such case,  the court may require the Employer to provide the  materials  and to
pay up to $100 per day until the materials  are  provided,  unless the materials
were not provided because of reasons beyond the Employer's control.


         If a claim for  benefits is denied or ignored in whole or in part,  the
aggrieved individual may file suit in a state or federal court.


         If the  Plan  fiduciaries  misuse  the  Plan's  money,  or if the  Plan
discriminates  against an  individual  for  asserting  rights under  ERISA,  the
individual  may seek  assistance  from the U.S.  Department of Labor or may file
suit in federal court.  The court will decide who will pay court costs and legal
fees. If the  individual is  successful,  the court may order the person sued to
pay those costs and fees. If the individual is unsuccessful, the court may order
him or her to pay those costs and fees if, for example, it finds the claim to be
frivolous.


         Questions about the Plan should be directed to the Plan  Administrator.
Questions  about this  statement  or about an  individual's  rights  under ERISA
should be directed to the nearest Area Office of the U.S.
Labor-Management Services Administration, Department of Labor.


         IN WITNESS WHEREOF,  the Employer,  by its duly authorized officer, has
executed this document, under seal.

                                HPR INC.



                                By: /s/ Marcia J. Radosevich

                                Marcia J. Radosevich
                                Chairman, President and Chief Executive Officer


Plan Administrator:             Employer Identification No.:  04-2985551

HPR INC.                        Plan No.:  ____

c/o Thomas L. Saltonstall

245 First Street
Cambridge, MA 02142
Telephone:   (617) 679-8000



<PAGE>




                           APPENDIX A TO THE HPR INC.
                       EXECUTIVE SEPARATION BENEFITS PLAN



Designation of Eligible Employees as of January 1, 1997,  pursuant to Subsection
2.6:

1.       Marcia J. Radosevich, Chairman, President and Chief Executive Officer

2.       Brian D. Cahill, Chief Operating Officer and Chief Financial Officer

3.       Andrew C. Garling, M.D., Vice President and Chief Medical Officer*

4.       Thomas L. Saltonstall, Vice President, Human Resources and Corporate 
         Administration

5.       Joseph K. Jaeger, Vice President, Sales**

6.       James B. Stowe, Vice President, Marketing

7.       Matt Ricketson, Vice President, Professional Services

8.       Paul W. Brient, Vice President, Product Management***

9.       Steven J. Rosenberg, Vice President, Software Development




*Effective 3/3/97, contingent on appointment to this position.
**Effective 1/1/97, contingent on appointment to this position.
***Effective 4/14/97, contingent on appointment to this position.


<PAGE>



                           APPENDIX B TO THE HPR INC.
                       EXECUTIVE SEPARATION BENEFITS PLAN



Special CIC Benefits as of January 1, 1997, pursuant to Clause .02 of Subsection
3.3  (Separation  Pay) and Clauses .01 and .02 of  Subsection  3.7  (Accelerated
Vesting of Stock Options and Grace Period for Exercising Options):

Eligible Employee                                    Special CIC Benefits

1.       Marcia J. Radosevich       Twenty-four months of Base Pay and benefits
                                    Acceleration of one-hundred percent of
                                     unvested stock options
                                    Options remain exercisable until the end of
                                     their original terms







                                                                         

                                    HPR INC.





                     NON-EXECUTIVE SEPARATION BENEFITS PLAN





                            Effective January 1, 1997







<PAGE>




                                                     HPR INC.


                                      NON-EXECUTIVE SEPARATION BENEFITS PLAN


                                                 TABLE OF CONTENTS

                                                                            


SECTION 1 - GENERAL  INFORMATION  
1.1 Adoption and Purpose of Plan 
1.2 Status of Plan 
1.3 Summary Plan Description 
1.4 Effective Date 
1.5 Plan Year

SECTION 2 -  DEFINITIONS  
2.1 "Base Pay" 
2.2 "Board" 
2.3 "Change in Control"
2.4 "Covered  Termination"  
2.5  "Effective  Date" 
2.6  "Eligible  Employee"  
2.7  "Eligibility  Conditions"  
2.8  "Company"  
2.9 "ERISA" 
2.10 "Good Cause" 
2.11 "Key  Director  or  Contributor"  
2.12  "Participant"  
2.13 "Plan" 
2.14 "Plan Administrator"  
2.15 "Plan Year" 
2.16  "Separation  Pay" 
2.17 "Separation Pay Period" 
2.18 "Year of Service"

SECTION 3 -  BENEFITS  UNDER  THE PLAN 
3.1  Types of  Benefits  
3.2  Eligibility Conditions;  No  Mitigation  
3.3  Amount of  Separation  Pay 
3.4  Payment  of Benefits 
3.5 Outplacement Assistance Benefits
3.6 Continued Eligibility For Benefit Programs
3.7 Effect of Covered Terminations on Certain Stock Options
3.8 Individual Arrangements

SECTION 4 - PLAN AMENDMENT AND TERMINATION
4.1 Employer's Right to Amend or Terminate Plan
4.2 Method of Amendment or Termination

SECTION 5 - PLAN ADMINISTRATION
5.1 Plan Administrator
5.2 Records
5.3 Reliance
5.4 Indemnification

SECTION 6 - MISCELLANEOUS  MATTERS 
6.1 Information  Required 
6.2 No Guaranty of Employment 
6.3 Exclusive  Plan 
6.4 Sole Source for Payment of Benefits  
6.5 Non-Alienation 
6.6 No Vesting
6.7 Obligations to Withhold and Pay Taxes
6.8 Governing Law

SECTION 7 - CLAIMS PROCEDURE
7.1 Claim for Benefits
7.2 Appeals

SECTION 8 - ERISA RIGHTS
8.1 Participants' Rights
8.2 Fiduciary Duties
8.3 Enforcement of Rights



<PAGE>




SECTION 1 - GENERAL INFORMATION




         1.1......Adoption  and Purpose of Plan. The Employer hereby adopts this
Non-Executive Separation Benefits Plan to provide certain separation benefits to
Eligible Employees in accordance with the terms and conditions of the Plan.


         1.2......Status  of Plan.  The Plan and this  document  are intended to
comply with all applicable state and federal laws regarding severance pay plans,
specifically  Title I of ERISA.  The Plan is intended  to be a "welfare  benefit
plan," as defined in ERISA,  and not a "pension benefit plan." The Plan does not
provide any pension or retirement benefits of any nature to any person.


         1.3......Summary  Plan  Description.  The Plan  Administrator is hereby
authorized  to use  this  document  embodying  the  Plan,  as from  time to time
amended,  to satisfy all of the Plan's "summary plan  description"  requirements
pursuant to ERISA.


         1.4......Effective Date.  The Plan is effective as of January 1, 1997.
                  --------------


         1.5......Plan Year. For recordkeeping and reporting purposes,  the Plan
Year shall be the twelve-month period ending each December 31.


                             SECTION 2 - DEFINITIONS


         2.1......"Base  Pay" means that portion  which is considered to be base
pay  pursuant to the  Employer's  payroll  practices  of an  employee's  highest
compensation rate paid during the twenty-four  months (or total  employment,  if
less) immediately  preceding  termination of the employee's  employment due to a
Covered  Termination.  The term  Base  Pay  shall  exclude  all  other  types of
compensation  or  remuneration  to  an  employee,   and  shall  exclude  without
limitation  bonuses  of  any  kind,   overtime  pay  and  shift   differentials,
contributions   (other   than   employee   salary-reduction   or   base   hourly
wage-reduction contributions) to any retirement or other employee benefit plans,
commissions,  profit sharing payments,  incentive  payments of any kind, special
payments  of  any  kind   (including   without   limitation   business   expense
reimbursements,   tuition   reimbursements   and   flexible   spending   account
reimbursements) and contingent compensation of any kind.


         The  Base Pay  determined  on a weekly  basis  of a  salaried  Eligible
Employee shall be the weekly equivalent of the employee's  highest annual salary
rate received during the relevant  employment period under this subsection.  For
part-time  employees  the  relevant  salary  rate shall be the  highest net rate
received  after  adjusting the  equivalent  full-time rate pro rata based on the
employee's highest percentage of full-time  employment while the salary rate was
in effect.


         The Base Pay  determined on a weekly basis of an Eligible  Employee who
is paid hourly wages shall equal the applicable hourly rate times the employee's
greatest  number of  regularly  scheduled  work-week  hours  during the relevant
employment period under this subsection.


         2.2......"Board" means the Employer's Board of Directors.


         2.3......"Change  in Control" A Change In Control of the Employer  will
occur upon:


         .........(a) The acquisition by any individual, entity or group (within
the meaning of Sections  13(d)(3) or 14(d)(2) of the Securities  Exchange Act of
1934 (the  "Exchange  Act")) (a "Person") of  beneficial  ownership  (within the
meaning of Rule 13d-3  promulgated under the Exchange Act) of 50 percent or more
of either (i) the then  outstanding  shares of the Employer's  common stock (the
"Common Stock") or (ii) the combined voting power of the then outstanding voting
securities  of the  Employer  entitled to vote  generally in the election of the
directors (the "Outstanding  Employer Voting  Securities");  provided,  however,
that the following  acquisitions  shall not constitute a Change in Control:  (A)
any acquisition  directly from the Employer  (excluding an acquisition by virtue
of the exercise of a conversion privilege);  (B) any acquisition by the Employer
or by any  corporation  controlled by the Employer;  (C) any  acquisition by any
employee benefit plan (or related trust) sponsored or maintained by the Employer
or any  corporation  controlled by the Employer;  or (D) any  acquisition by any
corporation   pursuant  to  a  consolidation  or  merger,   if,  following  such
consolidation  or merger,  the  conditions  described in clauses (i) and (ii) of
paragraph (c) of this definition are satisfied; or


         .........(b)  Individuals who, as of the Effective Date, constitute the
Board (the  "Incumbent  Board")  ceasing for any reason to constitute at least a
majority  of the  Board;  provided,  however,  that any  individual  becoming  a
director  subsequent to the Effective  Date whose  election,  or nomination  for
election by the Employer's shareholders, was approved by a vote or resolution of
at least a majority of the directors then  comprising the Incumbent  Board shall
be considered as though such  individual  were a member of the Incumbent  Board,
but excluding, for this purpose, any such individual whose initial assumption of
office occurs as a result of either an actual or threatened election contest (as
such  terms are used in Rule  14a-11 of  Regulation  14A  promulgated  under the
Exchange Act) or other actual or threatened  solicitation of proxies or consents
by or on behalf of a Person other than the Board.


         .........(c)  Adoption  by  the  Board  of a  resolution  approving  an
agreement of  consolidation  of the Employer with or merger of the Employer into
another  corporation  or business  entity in each case,  unless,  following such
consolidation  or merger,  (i) more than 50 percent of,  respectively,  the then
outstanding  shares  of  common  stock of the  corporation  resulting  from such
consolidation or merger and/or the combined voting power of the then outstanding
voting  securities  of such  corporation  or  business  entity  entitled to vote
generally  in the  election of directors  (or other  persons  having the general
power to direct the affairs of such entity) is then beneficially owned, directly
or indirectly,  by all or substantially  all of the individuals and entities who
were the beneficial  owners,  respectively,  of the Common Stock and Outstanding
Employer Voting Securities  immediately prior to such consolidation or merger in
substantially the same proportions as their ownership, immediately prior to such
consolidation or merger, of the Common Stock and/or Outstanding  Employer Voting
Securities,  as the case may be and (ii) at least a majority  of the  members of
the board of directors  (or other group of persons  having the general  power to
direct the affairs of the corporation or other business  entity)  resulting from
such  consolidation or merger were members of the Incumbent Board at the time of
the  execution of the initial  agreement  providing  for such  consolidation  or
merger;  provided that any right which shall vest by reason of the action of the
Board pursuant to this paragraph (c) shall be divested, with respect to any such
right  not  already  exercised,  upon (A) the  rejection  of such  agreement  of
consolidation  or  merger  by the  stockholders  of  the  Employer  or  (B)  its
abandonment by either party thereto in accordance with its terms; or


         .........(d)  Adoption by the requisite majority of the whole Board, or
by the holders of such  majority of stock of the  Employer as is required by law
or by the  Certificate  of  Incorporation  or By-Laws of the Employer as then in
effect,  of  a  resolution  or  consent   authorizing  (i)  the  liquidation  or
dissolution  of the  Employer  or (ii) the sale or other  disposition  of all or
substantially all of the assets of the Employer,  other than to a corporation or
other  business  entity  with  respect  to which,  following  such sale or other
disposition,  (A) more than 50 percent of,  respectively,  the then  outstanding
shares of common stock of such  corporation  and/or the combined voting power of
the outstanding  voting  securities of such corporation or other business entity
entitled to vote generally in the election of directors (or other persons having
the  general  power to direct the affairs of such  entity) is then  beneficially
owned,  directly or indirectly,  by all or substantially  all of the individuals
and entities who were the beneficial owners,  respectively,  of the Common Stock
and Outstanding  Employer Voting  Securities  immediately  prior to such sale or
other  disposition in  substantially  the same  proportions as their  ownership,
immediately prior to such sale or other disposition,  of the Common Stock and/or
Outstanding  Employer Voting securities,  as the case may be, and (B) at least a
majority  of the  members of the board of  directors  (or other group of persons
having the  general  power to direct the  affairs of such  corporation  or other
entity) were members of the Incumbent  Board at the time of the execution of the
initial  agreement  or  action  of the  Board  providing  for such sale or other
disposition of assets of the Employer;  provided that any right which shall vest
by  reason  of the  action of the  Board or the  stockholders  pursuant  to this
paragraph  (d) shall be  divested,  with  respect to any such right not  already
exercised,  upon the  abandonment by the Employer of such  dissolution,  or such
sale or other disposition of assets, as the case may be.


         A Change in Control  shall not occur upon the mere  reincorporation  of
the Employer in another state.


         2.4......"Covered Termination" means the involuntary termination by the
Employer  (or its  successor  following  a Change  in  Control)  of an  Eligible
Employee's  employment  (a) for a reason other than Good Cause or disability and
(b) on or after the date on which a Change In  Control  occurs  and on or before
the second  anniversary  of such date.  The term Covered  Termination  shall not
include the transfer of the Eligible  Employee's  employment  to the  Employer's
successor following a Change in Control.


         2.5......"Effective Date" means the date set forth in Subsection 1.4 
above.


         2.6......"Eligible  Employee"  means  an  individual  (a)  who  is  not
eligible for participation in the Executive Separation Benefits Plan and (b) who
is classified by the Employer as a regular  employee with a regularly  scheduled
work  week of at  least 30 hours  as of the  date of a  Change  in  Control.  No
individual classified by the Employer as a temporary employee, a consultant,  or
an independent contractor shall be an Eligible Employee.


         2.7......"Eligibility  Conditions"  means the conditions on eligibility
for Separation Pay set forth in Subsection 3.2 below.


         2.8......"Employer"  means HPR Inc., a corporation  organized under the
laws of Delaware, and its subsidiaries.  To the extent required to carry out the
intent of this  Plan,  the term  Employer  shall  also  refer to the  Employer's
successor following a Change in Control.


         2.9......"ERISA" means the Employee Retirement Income Security Act of 
1974, as amended.


         2.10....."Good  Cause"  means an  Eligible  Employee's  (a) willful and
continuing  failure  substantially to perform duties assigned in good faith from
time to time by the  Employer  (provided  that such  failure  is not  solely the
result  of (i) a  disability  established  to the  satisfaction  of  either  the
Employer's Chairman or a majority of its Board or (ii) a leave of absence either
granted in writing by the Employer or guaranteed by applicable law or (iii) some
other  reason  agreed to in  advance  by either  the  Employer's  Chairman  or a
majority  of its  Board);  or (b)  willful  conduct  which is  demonstrably  and
materially  injurious  to the  Employer;  or (c)  conviction  of a  felony  or a
misdemeanor involving the theft, misappropriation or embezzlement of property of
the Employer.


         No termination of an Eligible  Employee's  employment shall be for Good
Cause unless: (a) notice of such Good Cause is provided to the employee by or on
behalf of the Board; and (b) the employee is afforded an opportunity to be heard
before the Board,  represented by counsel;  and (c) a majority of the Board then
determines that Good Cause exists for the employee's  termination.  The required
hearing need not be held before the Eligible Employee's  termination occurs, but
it must be within 30 days  after the notice of  asserted  Good Cause is given to
the employee, unless the employee agrees to a postponement.


         For purposes of this subsection, the term Board shall include the board
of  directors  (or body with a similar  function)  of the  Employer's  successor
following a Change in Control.


         2.11....."Key  Director or Contributor"  means an Eligible Employee who
is at  any  time  designated  as  such  by the  Board  after  nomination  by the
Employer's  Chairman (and provided that such designation has not been revoked by
a majority of the Board prior to the date on which a Change in Control  occurs).
No Eligible  Employee who has been  designated as a Key Director or  Contributor
shall have such designation  revoked during the period between the date on which
a Change in Control occurs and the second anniversary of such date.


         Key  Directors  and  Contributors  may be listed on  Appendix A to this
Plan,  which shall be amended as necessary to reflect  decisions of the Board to
add or delete Eligible Employees as Key Directors or Contributors, but only such
Board  action  shall  determine  an  employee's  status  as a  Key  Director  or
Contributor. Inclusion or omission of an employee's name on Appendix A shall not
determine or affect the employee's status as a Key Director or Contributor.


         2.12....."Participant"  means an Eligible  Employee  who is entitled to
receive separation benefits under the terms and conditions of the Plan.


         2.13....."Plan" means the Employer's  Non-Executive Separation Benefits
Plan as set forth in this document and in any and all amendments and supplements
to this document.


         2.14....."Plan  Administrator" means the Employer or such other person,
entity or  committee  as may be  appointed  from time to time by the Employer to
administer the Plan.


         2.15....."Plan  Year" means the annual twelve-month period set forth in
Subsection 1.5 above.


         2.16....."Separation  Pay" means the  continuation  of a  Participant's
Base Pay (wages or salary) during the  Separation Pay Period in accordance  with
the terms and conditions of the Plan.


         2.17....."Separation Pay Period" means, for any Participant, the period
equal to the number of weeks of Base Pay to be  received by the  Participant  as
Separation Pay;  provided that a  Participant's  Separation Pay Period shall end
earlier upon the  Participant's  failure to continue  satisfying all Eligibility
Conditions.


         2.18....."Year  of  Service"  means  each  twelve  full  months  of  an
employee's continuous employment with the Employer, measured from the employee's
first day of work for the  Employer and each  anniversary  of such date during a
continuous-employment period which ends due to a Covered Termination.  Except as
otherwise  required  by law,  service  during any leave of absence  shall not be
included in an employee's  continuous  service time for purposes of  determining
his or her  Separation Pay or other  separation  benefits.  However,  an absence
which does not extend beyond the length of a leave of absence  either granted in
writing by the Employer or required by law shall not break an employee's  period
of continuous  service for purposes of determining his or her number of Years of
Service.


                       SECTION 3 - BENEFITS UNDER THE PLAN


         3.1......Types of Benefits.  An Eligible Employee whose employment with
the  Employer  (or its  successor  following a Change in Control) is  terminated
solely due to a Covered  Termination  and with  respect  to whom all  applicable
Eligibility  Conditions  set  forth in  Subsection  3.2  below  are met shall be
entitled under this Plan to the following types of separation benefits:


         .01......Separation Pay as determined under Subsection 3.3 below;


         .02......Outplacement assistance as determined under Subsection 3.5
below;


         .03......Continued eligibility for certain employee benefit programs, 
as described in Subsection 3.6 below;


         .04......Certain stock option benefits for Participants who are Key 
Directors or Contributors, as described in Subsection 3.7 below.


         3.2......Eligibility   Conditions;   No   Mitigation.   Notwithstanding
anything else in this Plan,  separation  benefits  shall be provided  under this
Plan only to an employee  whose  employment  with the Employer (or its successor
following a Change in Control)  actually  terminates.  Furthermore,  no employee
shall be entitled to commence or continue  receiving  separation  benefits under
the Plan  unless  all of the  following  conditions  are met and (to the  extent
applicable) continue to be met at all times:


     .01......The  Eligible Employee must agree to and must sign and comply with
a separation letter  satisfactory to the Employer (or its successor  following a
Change in Control). The separation letter may include, without limitation: (a) a
comprehensive  release of all claims of any sort against the  Employer  (and its
present and former parents and subsidiaries and its successor following a Change
in Control  (collectively,  the  "Employer  Group")) and all agents,  employees,
advisors and other  representatives  of the Employer Group in a form  reasonably
satisfactory  to the Employer (or its  successor  following a Change in Control)
and  (b)  an  acknowledgment  that  any  then-existing   agreements   concerning
confidentiality  and/or  non-competition  binding on the Eligible  Employee will
remain in effect in accordance with their terms,  but separation  benefits under
this Plan shall not otherwise be conditioned  upon the employee's  agreement not
to compete  with the Employer  Group or to solicit any of the  Employer  Group's
customers or employees during the Separation Pay Period.


         .02......If  not already fully paid or terminated for any other reason,
a Participant's Separation Pay and other benefits under this Plan shall cease as
of the first date of any breach or other failure if the Participant breaches the
terms of any separation  letter  entered into with the Employer  pursuant to the
requirements  of clause .01 above or otherwise  materially  fails to satisfy any
obligations of the Participant to the Employer under this Plan.


         .03......If  not already fully paid or terminated for any other reason,
a Participant's Separation Pay and other benefits under this Plan shall cease as
of the  first  date of any  misconduct  if the  Employer  becomes  aware  of any
instance of the Participant's  misconduct that would have constituted Good Cause
for termination of the Participant's employment,  whether such misconduct occurs
prior to or following  the  Participant's  termination  of  employment  with the
Employer;  but provided  that the notice,  hearing and Board  majority  decision
requirements  of  Subsection  2.10  are  met  promptly  after  discovery  of the
misconduct.


         A Participant shall not be required to seek replacement employment as a
condition of receiving  separation  benefits and separation  benefits  otherwise
payable  under this Plan shall not be  reduced or  terminated  on account of any
employment undertaken by a Participant during or after his or her Separation Pay
Period.


         3.3......Amount of Separation Pay.  Effective for Covered  Terminations
made on or after the  Effective  Date  while  this Plan  remains  in effect  and
subject to Subsection  3.2, each  Participant's  Separation  Pay shall equal the
amount determined under the applicable one of the following clauses:


     .01......Non-Key  Directors  or  Contributors:  The  Separation  Pay  of  a
Participant  who was not designated as a Key Director or Contributor at the time
of his or her Covered  Termination  shall equal (a)  thirteen  weeks of Base Pay
plus (b) two weeks of Base Pay per Year of Service,  up to a maximum  benefit of
twenty-six weeks of Base Pay.


     .02......Key Directors or Contributors: The Separation Pay of a Participant
who was  designated as a Key Director or  Contributor  at the time of his or her
Covered Termination shall equal twenty-six weeks of Base Pay.

         3.4......Payment  of Benefits.  Separation Pay shall be due and payable
until  paid in full at the  rate of the  Participant's  Base  Pay on each of the
Participant's   regular  pay  days  during  the  Separation  Pay  Period.  If  a
Participant has on file with the Employer a direct deposit  authorization,  such
authorization  will  apply to all or a portion of the  Participant's  Separation
Pay,  as  specified  in the  direct  deposit  authorization.  To the  extent not
directly deposited,  checks for Separation Pay will be mailed to a Participant's
most  recent  address of which the Plan  Administrator  has  received  notice in
writing  from  the  Participant.  Notwithstanding  the  foregoing,  if the  Plan
Administrator   receives   written  notice  that  the  Participant  is  mentally
incompetent,  the Employer shall pay the balance of the Participant's Separation
Pay only to the Participant's duly appointed legal representative.


     3.5......Outplacement Assistance Benefits. Outplacement assistance shall be
provided to each  Participant  as  determined  under the  applicable  one of the
following clauses:

     .01......Non-Key  Directors  or  Contributors:  Participants  who  were not
designated  as Key  Directors  or  Contributors  at the  time of  their  Covered
Terminations shall receive group outplacement assistance .

     .02......Key Directors or Contributors: Each Participant who was designated
as a Key Director or Contributor  at the time of his or her Covered  Termination
shall  receive  individual  outplacement  assistance  provided  by a  contractor
selected by the Employer during his or her Separation Pay Period.


         3.6......Continued   Eligibility  For  Benefit   Programs.   Except  as
specifically  provided below or in a benefit program document or as specifically
required  by law,  no former  employee of the  Employer  will be eligible  after
termination of employment  with the Employer for any of the Employer's  employee
benefit programs.  Subject to Subsection 3.2, a Participant will be eligible for
continued  participation  in the Employer's  employee  benefit  programs only as
follows:


         .01......Medical and Dental Plans: Medical and dental plan coverage (as
in effect  and with the same  employer  contributions  as were made  immediately
prior to the  Participant's  termination  of  employment)  will remain in effect
through the Separation Pay Period (or if sooner,  until the  Participant and his
or her covered dependents cease to have coverage continuation rights pursuant to
ERISA),  but only to the  extent  that  such  plans  allow for  continuation  of
coverage. To the extent continuation coverage is not available, the Employer (or
its  successor  following a Change in Control)  will pay an amount of additional
Separation Pay during this benefits continuation period equal to the amount paid
for the discontinued  benefits  immediately prior to the  Participant's  Covered
Termination.  Payroll deductions for the Participant's share of premiums (at the
rate in effect from time to time for active  employees of the class of which the
Participant  was a member) shall continue to be deducted from the  Participant's
Separation Pay.  Nothing in this Plan shall affect the  Participant's  right (if
any) under ERISA to elect continuation coverage at the Participant's own expense
in the  Employer's  medical  and  dental  plans  after  the end of the  benefits
continuation period under this Subsection.


     .02......Vacation  Pay: This Plan does not change the  Employer's  vacation
policy,  which is a non-accrual  policy. No amount for unused vacation time will
be added to any Participant's Separation Pay.

Except as  required  by law, no  Participant  shall be  eligible  for any of the
Employer's  foregoing  benefit  programs  at a time when any of the  Eligibility
Conditions specified in Subsection 3.2 above is not met.


         3.7......Effect of Covered  Terminations on Certain Stock Options.  The
following special provisions shall apply to all options to acquire shares of the
Employer's  capital  stock held by a  Participant  who was  designated  as a Key
Director  or  Contributor  at  the  time  of his  or  her  Covered  Termination,
notwithstanding  anything to the  contrary  in the grant of such  options or any
agreement with respect to such options:


     .01......Accelerated  Vesting.  Fifty percent of any such options which are
not exercisable as of the date of the  Participant's  Covered  Termination shall
become immediately  exercisable on such date or, if sooner, on the date that the
Employer (or its successor  following a Change in Control) gives notice that any
such  non-exercisable  options will be terminated in accordance with their terms
pursuant to a Change in Control  without  replacement  by substitute  options of
reasonably equivalent value.


     .02......Grace  Period to  Exercise.  Subject  to  clause  .03  below,  all
exercisable  options  held by the  Participant  (including  those  which  become
exercisable  pursuant  to clause  .01  above) on the date of his or her  Covered
Termination  shall  remain  exercisable  for a period of three months after such
date.

     .03......Termination  of Grace  Period.  Notwithstanding  the grace  period
provided  under clause .02 above,  a  Participant's  options will  terminate and
cease to be exercisable pursuant to this Plan upon the earliest to occur of:


     .........(a)  The  date  that  such  options  would  have  expired  if  the
Participant had remained employed by the Employer throughout the grace period;

     .........(b) The dissolution of the Employer, but any substitute options in
the  securities  of another  company  shall not be  affected  by the  Employer's
dissolution; or

     .........(c)  The date set in any  notice  given that the  options  will be
terminated in accordance  with their terms pursuant to a Change in Control,  but
any  substitute  options  in the  securities  of  another  company  shall not be
affected by such termination and provided that such substitute  options shall be
provided under a good-faith  reasonable  conversion  formula if the Employer (or
its successor following a Change in Control) is reasonably able to do so.


         3.8......Individual  Arrangements.  Nothing in the Plan shall  preclude
the Employer from entering into individual  arrangements  with employees for the
payment of  severance  benefits in addition to the benefits  provided  under the
Plan.  No such  individual  arrangement  shall  entitle  any  person not a party
thereto to any benefits of any nature.


                   SECTION 4 - PLAN AMENDMENT AND TERMINATION


     4.1......Employer's  Right to Amend or  Terminate  Plan.  The  Employer may
amend or  terminate  the Plan  only as  provided  in the  applicable  one of the
following clauses:


     .01......During  the First Two  Years.  This Plan  shall not be  amended or
terminated on or before the second  anniversary  of the Effective Date except as
follows:

     .........(a)  To Permit  Pooling:  The Plan may be terminated or amended as
necessary  pursuant to a majority vote of the Board taken  consistently  with an
understanding  that failure to so terminate or amend the Plan would  prevent the
Employer from entering into a then-proposed transaction to be accounted for as a
pooling  of  interests  with one or more  other  entities;  provided  that  such
understanding is based reasonably and in good faith upon information provided to
the  Board  by any of the  following:  (i) the  independent  accountants  of the
Employer;  (ii) the  independent  accountants of any other party to the proposed
transaction; or (iii) the Securities and Exchange Commission.


     .........(b)  To Comply  with Law:  The Plan may be  amended  as  necessary
pursuant to a majority  vote of the Board taken  consistently  with a good-faith
opinion of counsel to either the  Employer or the Board that such  amendment  is
required by applicable  law;  provided that the Employer shall thereupon use its
best efforts to provide the Eligible  Employees  and the  Participants  with the
value  of the  benefits  intended  under  this  Plan  immediately  prior  to the
effective date of the amendment.





     .02......After  the Second Year.  Following the second  anniversary  of the
Effective Date, the Employer may amend or terminate this Plan as follows:


     .........(a)  Prior to a Change in Control:  Prior to the  occurrence  of a
Change in Control and following the second  anniversary  of the then most recent
Change in Control, the Employer may amend the Plan in any manner at any time and
from time to time and may terminate the Plan at any time.

     .........(b) After a Change in Control: After the occurrence of a Change in
Control and until the second  anniversary  of such Change in Control,  this Plan
shall  not be  terminated  and  shall be  amended  only in  accordance  with the
provisions of clause .01(b) of this Subsection 4.1.

         4.2......Method   of  Amendment  or   Termination.   Any  amendment  or
termination  of the Plan  shall be made by a  written  instrument  signed  by an
officer of the Employer upon due authorization by the Board.


                         SECTION 5 - PLAN ADMINISTRATION


         5.1......Plan  Administrator.  The Plan Administrator shall be a "named
fiduciary" for purposes of Section 402(a)(1) of ERISA, with authority to control
and manage the operation and  administration of the Plan, and shall be the agent
for service of process against the Plan. The Plan Administrator  shall have full
power to administer the Plan in all matters,  subject to applicable requirements
of law. For this purpose,  the Plan  Administrator's  power shall  include,  but
shall not be limited to the following authority, in addition to all other powers
provided by the Plan:


     .01......To  make  and  enforce  such  rules  and  regulations  as the Plan
Administrator deems necessary or proper for the efficient  administration of the
Plan,  including the establishment of any claims procedures that may be required
by applicable provisions of law;


     .02......To  appoint such agents,  counsel,  accountants,  consultants  and
other  persons  to  participate  in the  administration  of the Plan as the Plan
Administrator deems appropriate;

     .03......To   allocate  and  delegate  the  responsibilities  of  the  Plan
Administrator  and to  designate  other  persons  to  carry  out any of the Plan
Administrator's responsibilities;  provided that any such allocation, delegation
or  designation   shall  be  in  writing  and  in  accordance   with  applicable
requirements of law;


     .04......To sue or be sued on behalf of the Plan and to appoint  additional
agents for service of process; and


         .05......To the fullest extent permitted by law, the Plan Administrator
shall have the  exclusive  responsibility  and  discretion to decide all matters
relating to  eligibility,  coverage or benefits  under the Plan and to interpret
all  provisions  of the  Plan  and to  determine  all  matters  relating  to the
operation  and  administration  of the  Plan.  Any  determination  by  the  Plan
Administrator shall be final and binding, in the absence of clear and convincing
evidence that the Plan Administrator acted arbitrarily and capriciously.


         5.2......Records. The Plan Administrator shall maintain such records as
it deems  necessary to determine  benefits  and  eligibility  under the Plan and
shall make available to each  Participant such portions of the records under the
Plan as pertain to the  Participant,  for examination at reasonable times during
normal business hours.


         5.3......Reliance.  In administering  the Plan, the Plan  Administrator
shall be entitled to the extent  permitted  by law to rely  conclusively  on all
information (including without limitation all tables, valuations,  certificates,
opinions  and  reports)  which  is  furnished  by  or  in  accordance  with  the
instructions or recommendations of accountants,  counsel, actuaries, consultants
or other experts employed or engaged by the Plan Administrator.


         5.4......Indemnification.  Except as prohibited by law, any  individual
or  individuals  serving as Plan  Administrator  (or as a member of any board or
committee that serves as Plan Administrator) shall be indemnified in full by the
Employer against expenses,  including attorneys' fees, and against the amount of
any  judgment,  money  decree,  fine or  penalty,  or against  the amount of any
settlement deemed reasonable by the Board,  necessarily paid or incurred by such
individual or individuals  in connection  with or arising out of any claim made,
or any civil or criminal  action,  suit or proceeding of whatever nature brought
against such  individual,  or in which such  individual  is made a party,  or in
which such individual is otherwise  involved,  by reason of being or having been
such Plan  Administrator  (or any member of any such board or  committee).  Such
indemnification  shall apply to any such  individual  even though at the time of
such  claim,  action,  suit or  proceeding  such  individual  is no longer  Plan
Administrator (or a member of any such board or committee).


                        SECTION 6 - MISCELLANEOUS MATTERS


         6.1......Information  Required.  Participants  and  Eligible  Employees
shall provide the Plan  Administrator  with such  information and evidence,  and
shall sign such documents, as may be requested from time to time for the purpose
of administering the Plan.


         6.2......No  Guaranty of Employment.  This Plan shall not be a contract
of employment  between the Employer and any employee.  Nothing  contained in the
Plan document nor any action taken in connection with the adoption, operation or
maintenance  of the Plan shall be construed as a contract of employment  between
the  Employer  and  any  employee  or as  consideration  or  inducement  for the
employment of any employee. Nothing in the Plan or in the adoption, operation or
maintenance  of the Plan  shall  give any  employee  the  right to remain in the
Employer's  employ,  nor shall it give the  Employer  the right to  require  any
employee to remain in its employ,  nor shall it  interfere  with the  employee's
right to  terminate  his or her  employment  at any time.  Without  limiting the
generality of the  foregoing,  the Employer shall have the right to terminate or
change the terms of employment of any employee, Eligible Employee or Participant
at any time and for any reason whatsoever, with or without cause or notice.


         6.3......Exclusive  Plan. The Plan shall exclusively  govern any claims
for any type of severance  benefits as a result of any termination of employment
due to a Covered  Termination  on or after the  Effective  Date,  while the Plan
remains in effect.  Any other  severance  plans of any nature  maintained by the
Employer  shall be  terminated  as of such  Effective  Date with  respect to any
claims for severance benefits as a result of any Covered  Termination  occurring
on or after such Effective Date.


         6.4......Sole  Source for Payment of Benefits.  All  benefits  provided
under the Plan shall be paid  solely from the  general  assets of the  Employer.
Nothing  in the Plan shall be  construed  to require  the  Employer  or the Plan
Administrator  to maintain any fund or  segregate  any amount for the benefit of
any  Participant,  and no  Participant  or any other person shall have any claim
against,  right to, or security or other interest in, any fund, account or asset
of the Employer from which any payment  under the Plan may be made.  Neither the
Employer nor any director, officer, employee or agent or other representative of
the Employer shall be liable,  otherwise than as expressly provided in the Plan,
for payment of any benefits under the Plan or shall have any other  liability to
a Participant or to any other person.


         6.5......Non-Alienation.  No  benefit  payable  under the Plan shall be
subject in any manner  whatsoever to  alienation,  sale,  transfer,  assignment,
pledge,  attachment or  encumbrance  of any kind,  and each and every attempt to
alienate,  sell, transfer,  assign,  pledge, attach or encumber any such benefit
under the Plan shall be void and of no force and effect whatsoever.


         6.6......No Vesting. No person shall have any vested or non-forfeitable
interest at any time in any payment or other benefit provided under the Plan.


         6.7......Obligations  to Withhold and Pay Taxes. Each Participant shall
be liable for all tax  obligations,  if any, with respect to any sum received or
other benefit  provided  pursuant to the Plan and for  accurately  reporting all
such income and paying in full all such taxes to the appropriate federal,  state
and local authorities.  The Employer shall have the right to deduct and withhold
from  any  payment  due  under  the  Plan  or  from  other  amounts  owed to the
Participant all withholding taxes and other amounts required by law .


         6.8......Governing  Law.  The Plan and the rights of all persons  under
the Plan shall be construed in accordance with and under  applicable  provisions
of the laws of  Massachusetts,  except to the extent  federal laws pre-empt such
laws.


                                           SECTION 7 - CLAIMS PROCEDURE


         7.1......Claim  for Benefits.  Eligible Employees do not need to file a
claim for benefits  under the Plan. If an individual  believes that he or she is
eligible for severance  benefits even though no such benefits have been offered,
or if an Eligible Employee or Participant believes that his or her benefits have
been calculated  incorrectly or terminated prematurely or that the Plan has been
otherwise  violated,  the  aggrieved  individual  may file a claim with the Plan
Administrator.  The Plan Administrator shall advise the claimant either that the
claim is allowed,  or that the claim is denied,  or that the  claimant  needs to
submit additional  information.  If the claim is denied,  the Plan Administrator
shall  furnish the claimant  written  notice of such denial  within a reasonable
time after receipt of the claim, and such notice shall include:


         .01......the reason for the denial;


         .02......specific references to Plan provisions on which the denial is
based; and


         .03......information as to how to submit the claim for review.


If no notice of denial is furnished within 90 days after receipt of the claim by
the Plan Administrator, the claim shall be deemed denied.


         7.2......Appeals.  If a claim filed under  Subsection 7.1 is denied (or
deemed  denied),  the  claimant  may file a  request  for  review  with the Plan
Administrator. The claimant shall be entitled to examine pertinent documents, to
submit  issues and comments in writing and to request a hearing  before the Plan
Administrator.  The appeal of any claim must be submitted  in writing  within 60
days after (a) the date that the claim was deemed  denied or (b) the  receipt of
notice  of  denial  by  the  claimant,   whichever  is   applicable.   The  Plan
Administrator  shall send the claimant a written decision  regarding the appeal.
Normally,  the  decision  will be made within 60 days after the appeal is filed,
but if the Plan  Administrator  determines  that  additional  time is reasonably
necessary,  up to 60  additional  days may be taken to resolve the  appeal.  The
decision of the Plan Administrator on such review shall be final.


                                             SECTION 8 - ERISA RIGHTS


         8.1......Participants'  Rights. ERISA guarantees each individual who is
a Participant  in the Plan certain  rights and  protections.  In summary,  ERISA
provides that all Participants are entitled to:


     .01......Examine,  without charge, at the Employer's benefits office and at
other specified work sites, the Plan document, including copies of all documents
filed in connection  with the Plan with the U.S.  Department  of Labor,  such as
detailed annual reports (if required by applicable law).

     .02......Obtain  copies of all Plan  documents  and other Plan  information
upon written request to the Employer's  benefits office. The benefits office may
make a reasonable charge for such copies.

     .03......Receive  a summary of the Plan's  financial report (if required by
applicable  law). The Employer's  benefits  office is required by law to furnish
each Participant with a copy of each required summary annual report.


         8.2......Fiduciary   Duties.   In  addition  to  creating   rights  for
Participants,  ERISA imposes duties upon the people who are  responsible for the
operation of employee  benefit  plans.  The people who operate the Plan,  called
"fiduciaries,"  have  a  duty  to  do  so  prudently  and  in  the  interest  of
Participants  and  beneficiaries.  No one,  including  the Employer or any other
person, may fire anyone or otherwise  discriminate  against anyone in any way to
prevent that  individual  from  obtaining a benefit or  exercising  rights under
ERISA.  If a claim  for a  benefit  is  denied  in whole or in part,  a  written
explanation  of the reason for the denial must be given.  Individuals  also have
the right to have the Plan Administrator review and reconsider a claim.


         8.3......Enforcement  of Rights.  Under ERISA, there are steps that any
person with rights under the Plan may take to enforce those rights. For example,
if a Participant requests materials from the Employer's benefits office and does
not receive them within 30 days, he or she may file suit in a federal court.  In
such case,  the court may require the Employer to provide the  materials  and to
pay up to $100 per day until the materials  are  provided,  unless the materials
were not provided because of reasons beyond the Employer's control.


         If a claim for  benefits is denied or ignored in whole or in part,  the
aggrieved individual may file suit in a state or federal court.


         If the  Plan  fiduciaries  misuse  the  Plan's  money,  or if the  Plan
discriminates  against an  individual  for  asserting  rights under  ERISA,  the
individual  may seek  assistance  from the U.S.  Department of Labor or may file
suit in federal court.  The court will decide who will pay court costs and legal
fees. If the  individual is  successful,  the court may order the person sued to
pay those costs and fees. If the individual is unsuccessful, the court may order
him or her to pay those costs and fees if, for example, it finds the claim to be
frivolous.


         Questions about the Plan should be directed to the Plan  Administrator.
Questions  about this  statement  or about an  individual's  rights  under ERISA
should be directed to the nearest Area Office of the U.S.
Labor-Management Services Administration, Department of Labor.


         IN WITNESS WHEREOF,  the Employer,  by its duly authorized officer, has
executed this document, under seal.

                                         HPR INC.



                                         By: /s/ Marcia J. Radosevich
                                             Marcia J. Radosevich
                                             Chairman, President and
                                             Chief Executive Officer


Plan Administrator:                    Employer Identification No.:  04-2985551

HPR INC.                               Plan No.:  ____


c/o  Thomas L. Saltonstall

245 First Street
Cambridge, MA 02142
Telephone:   (617) 679-8000




<PAGE>






                           APPENDIX A TO THE HPR INC.
                     NON-EXECUTIVE SEPARATION BENEFITS PLAN
                  DESIGNATION OF KEY DIRECTORS AND CONTRIBUTORS
               as of January 1, 1997 (except as noted) pursuant to
                                 Subsection 2.11

Employee                                    Title

Ann C. Brady                                Director, Finance
Kristin Zaepfel                             Director, Staffing and Employee
                                                      Relations
George A. Abatjoglou                        Controller
Scott J. Seero                              Director, Sales Operations
Peter M. Henderson                          Director, Corporate Marketing
Kathryn S. Grosberg                         Director, Credentialing Products
James L. Merola                             Regional Support Manager
Sydney D. Smith                             Regional Support Manager
Skip Hart                                   Director, Software Development
Richard I. Lustig                           Director, Product Delivery
Steven Akillian                             Manager, Software Development
Jose M. Alea                                Manager, Software Development
Todd A. Cestari                             Manager, Software Development
Alfredo D. Zagaroli                         Project Leader
Eugene S. Spector                           Manager, Documentation
Stephen A. Insero                           Systems Architect
Thomas J. Boyle                             Manager, Audit/Quick Starts
Kevin G. Rhodes                             Project Leader
Denise Goldberg                             Manager, Product Management
Paul W. Brient*                             Director, New Product Development
Cynthia T. Egdahl                           Strategic Planning Consultant
David J. Rullo                              Director, Clinical Product
                                                      Information
Christopher F. O'Reilly                     Regional Sales Manager
Joanne M. Konrath                           Regional Sales Manger
Mark E. Biddle                              Regional Sales Manger
Robert M. Cook**                            Regional Sales Manager
Sean Tierney                                CCMS Sales
Ian Z. Chuang, M.D.***                      Director, Clinical Systems 
                                              Integration

* Through 4/13/97, contingent upon appointment as Vice President, 
  Product Management.
**Effective 4/1/97, contingent upon appointment to this position.
*** Effective 4/1/97, contingent upon appointment to this position.











                                                 
                                                                            

                                    HPR INC.





                       DIRECTOR TERMINATION BENEFITS PLAN





                            Effective January 1, 1997







<PAGE>






                                                     HPR INC.


                                        DIRECTOR TERMINATION BENEFITS PLAN




                                                 TABLE OF CONTENTS




SECTION 1 - GENERAL INFORMATION
   1.1 Adoption and Purpose of Plan
   1.2 Status of Plan
   1.3 Effective Date
   1.4 Plan Year
SECTION 2 - DEFINITIONS
   2.1 "Board"
   2.2 "Change in Control"
   2.3 "Company"
   2.4 "Covered Termination"
   2.5 "Effective Date"
   2.6 "Eligible Director"
   2.7 "ERISA"
   2.8 "Participant"
   2.9 "Plan"
   2.10  "Plan Administrator"
   2.11  "Plan Year"
SECTION 3 - BENEFITS UNDER THE PLAN
   3.1 Types of Benefits
   3.2 Effect of Covered Terminations on Stock Options
SECTION 4 - PLAN AMENDMENT AND TERMINATION
   4.1 Company's Right to Amend or Terminate Plan
   4.2 Method of Amendment or Termination
SECTION 5 - PLAN ADMINISTRATION
   5.1 Plan Administrator
   5.2 Records
   5.3 Reliance
   5.4 Indemnification
SECTION 6 - MISCELLANEOUS  MATTERS 
6.1  Information  Required 
6.2 No Guaranty of Board  Membership  
6.3  Exclusive  Plan  
6.4 Sole  Source  for  Benefits 
6.5 Non-Alienation 
6.6 No Vesting 
6.7 Obligations to Pay Taxes 
6.8 Governing Law




                         SECTION 1 - GENERAL INFORMATION





         1.1......Adoption  and Purpose of Plan.  The Company hereby adopts this
Director  Termination  Benefits Plan to provide certain  separation  benefits to
Eligible Directors in accordance with the terms and conditions of the Plan.


     1.2......Status  of Plan.  The Plan and this  document  do not  provide any
benefits that are subject to ERISA.


         1.3......Effective Date.  The Plan is effective as of January 1, 1997.
                
         1.4......Plan Year. For recordkeeping and reporting purposes,  the Plan
Year shall be the twelve-month period ending each December 31.


                             SECTION 2 - DEFINITIONS


         2.1......"Board" means the Company's Board of Directors.


         2.2......"Change  in Control" A Change In Control of the  Company  will
occur upon:


         .........(a) The acquisition by any individual, entity or group (within
the meaning of Sections  13(d)(3) or 14(d)(2) of the Securities  Exchange Act of
1934 (the  "Exchange  Act")) (a "Person") of  beneficial  ownership  (within the
meaning of Rule 13d-3  promulgated under the Exchange Act) of 50 percent or more
of either (i) the then  outstanding  shares of the  Company's  common stock (the
"Common Stock") or (ii) the combined voting power of the then outstanding voting
securities  of the Company  entitled to vote  generally  in the  election of the
directors (the "Outstanding Company Voting Securities"); provided, however, that
the following  acquisitions  shall not  constitute a Change in Control:  (A) any
acquisition directly from the Company (excluding an acquisition by virtue of the
exercise of a conversion  privilege);  (B) any  acquisition by the Company or by
any corporation  controlled by the Company;  (C) any acquisition by any employee
benefit plan (or related  trust)  sponsored or  maintained by the Company or any
corporation controlled by the Company; or (D) any acquisition by any corporation
pursuant to a  consolidation  or merger,  if,  following such  consolidation  or
merger,  the  conditions  described in clauses (i) and (ii) of paragraph  (c) of
this definition are satisfied; or


         .........(b)  Individuals who, as of the Effective Date, constitute the
Board (the  "Incumbent  Board")  ceasing for any reason to constitute at least a
majority  of the  Board;  provided,  however,  that any  individual  becoming  a
director  subsequent to the Effective  Date whose  election,  or nomination  for
election by the Company's shareholders,  was approved by a vote or resolution of
at least a majority of the directors then  comprising the Incumbent  Board shall
be considered as though such  individual  were a member of the Incumbent  Board,
but excluding, for this purpose, any such individual whose initial assumption of
office occurs as a result of either an actual or threatened election contest (as
such  terms are used in Rule  14a-11 of  Regulation  14A  promulgated  under the
Exchange Act) or other actual or threatened  solicitation of proxies or consents
by or on behalf of a Person other than the Board.


         .........(c)  Adoption  by  the  Board  of a  resolution  approving  an
agreement  of  consolidation  of the Company  with or merger of the Company into
another  corporation  or business  entity in each case,  unless,  following such
consolidation  or merger,  (i) more than 50 percent of,  respectively,  the then
outstanding  shares  of  common  stock of the  corporation  resulting  from such
consolidation or merger and/or the combined voting power of the then outstanding
voting  securities  of such  corporation  or  business  entity  entitled to vote
generally  in the  election of directors  (or other  persons  having the general
power to direct the affairs of such entity) is then beneficially owned, directly
or indirectly,  by all or substantially  all of the individuals and entities who
were the beneficial  owners,  respectively,  of the Common Stock and Outstanding
Company Voting Securities  immediately prior to such  consolidation or merger in
substantially the same proportions as their ownership, immediately prior to such
consolidation or merger, of the Common Stock and/or  Outstanding  Company Voting
Securities,  as the case may be and (ii) at least a majority  of the  members of
the board of directors  (or other group of persons  having the general  power to
direct the affairs of the corporation or other business  entity)  resulting from
such  consolidation or merger were members of the Incumbent Board at the time of
the  execution of the initial  agreement  providing  for such  consolidation  or
merger;  provided that any right which shall vest by reason of the action of the
Board pursuant to this paragraph (c) shall be divested, with respect to any such
right  not  already  exercised,  upon (A) the  rejection  of such  agreement  of
consolidation  or  merger  by  the  stockholders  of  the  Company  or  (B)  its
abandonment by either party thereto in accordance with its terms; or


         .........(d)  Adoption by the requisite majority of the whole Board, or
by the holders of such majority of stock of the Company as is required by law or
by the Certificate of Incorporation or By-Laws of the Company as then in effect,
of a resolution or consent authorizing (i) the liquidation or dissolution of the
Company or (ii) the sale or other disposition of all or substantially all of the
assets of the Company, other than to a corporation or other business entity with
respect to which,  following  such sale or other  disposition,  (A) more than 50
percent of,  respectively,  the then outstanding  shares of common stock of such
corporation   and/or  the  combined  voting  power  of  the  outstanding  voting
securities  of such  corporation  or  other  business  entity  entitled  to vote
generally  in the  election of directors  (or other  persons  having the general
power to direct the affairs of such entity) is then beneficially owned, directly
or indirectly,  by all or substantially  all of the individuals and entities who
were the beneficial  owners,  respectively,  of the Common Stock and Outstanding
Company Voting Securities immediately prior to such sale or other disposition in
substantially the same proportions as their ownership, immediately prior to such
sale or other disposition, of the Common Stock and/or Outstanding Company Voting
securities,  as the case may be, and (B) at least a majority  of the  members of
the board of directors  (or other group of persons  having the general  power to
direct the affairs of such  corporation  or other  entity)  were  members of the
Incumbent Board at the time of the execution of the initial  agreement or action
of the  Board  providing  for such  sale or other  disposition  of assets of the
Company; provided that any right which shall vest by reason of the action of the
Board or the stockholders pursuant to this paragraph (d) shall be divested, with
respect to any such right not already  exercised,  upon the  abandonment  by the
Company of such dissolution, or such sale or other disposition of assets, as the
case may be.


         A Change in Control  shall not occur upon the mere  reincorporation  of
the Company in another state.


         2.3......"Company"  means HPR Inc., a corporation  organized  under the
laws of Delaware, and its subsidiaries.  To the extent required to carry out the
intent  of this  Plan,  the term  Company  shall  also  refer  to the  Company's
successor following a Change in Control.


         2.4......"Covered Termination" means (a) the resignation of an Eligible
Director  or  (b)  the  involuntary  termination  by  action  of  the  Company's
shareholders of the Eligible Director's status as a director,  in either case as
a result of a pending,  simultaneous or completed Change in Control,  but in the
case of resignation by the Eligible  Director,  only if such resignation  either
(i) is requested or required by the acquiring or surviving entity as a condition
to the Change in  Control or (ii)  occurs  with the  substantially  simultaneous
resignation of substantially all other Eligible Directors.


         2.5......"Effective Date" means the date set forth in Subsection 1.3 
above.


         2.6......"Eligible  Director" means an individual who is a non-employee
member of the Incumbent  Board (as defined in Subsection  2.2) as of the date on
which a Change in Control occurs.


         2.7......"ERISA" means the Employee Retirement Income Security Act of
1974, as amended.





         2.8......"Participant"  means an Eligible  Director  who is entitled to
receive termination benefits under the terms and conditions of the Plan.


         2.9......"Plan"  means the Company's  Director  Termination Plan as set
forth in this document and in any and all  amendments  and  supplements  to this
document.


         2.10....."Plan  Administrator"  means the Company or such other person,
entity or  committee  as may be  appointed  from time to time by the  Company to
administer the Plan.


         2.11....."Plan  Year" means the annual twelve-month period set forth in
Subsection 1.4 above.


                                        SECTION 3 - BENEFITS UNDER THE PLAN


         3.1......Type  of  Benefits.  An Eligible  Director  whose  status as a
director is  terminated  solely due to a Covered  Termination  shall be entitled
under this Plan to the termination benefits specified in Subsection 3.2 below.


         3.2......Effect of Covered Terminations on Stock Options. The following
special provisions shall apply to all options to acquire shares of the Company's
capital  stock  held  by a  Participant  at the  time  of  his  or  her  Covered
Termination,  notwithstanding  anything  to the  contrary  in the  grant of such
options or any agreement with respect to such options:


     .01......Accelerated Vesting. One-hundred percent of any such options which
are not  exercisable  as of the date of the  Participant's  Covered  Termination
shall become  immediately  exercisable  on such date or, if sooner,  on the date
that the Company (or its successor  following a Change in Control)  gives notice
that any  non-exercisable  options will be terminated  in accordance  with their
terms pursuant to a Change in Control without  replacement by substitute options
of reasonably equivalent value.


     .02......Grace  Period to  Exercise.  Subject  to  clause  .03  below,  all
exercisable  options  held by the  Participant  (including  those  which  become
exercisable  pursuant  to clause  .01  above) on the date of his or her  Covered
Termination  shall remain  exercisable  for a period of twelve months after such
date (and for any longer period that the options would have remained exercisable
in accordance with their terms).


     .03......Termination  of Grace  Period.  Notwithstanding  the grace  period
provided  under clause .02 above,  a  Participant's  options will  terminate and
cease to be exercisable pursuant to this Plan upon the earliest to
occur of:


     .........(a)  The  date  that  such  options  would  have  expired  if  the
Participant  had retained his or her status as a director  throughout  the grace
period;


     .........(b) The dissolution of the Company,  but any substitute options in
the  securities  of  another  company  shall not be  affected  by the  Company's
dissolution; or

         .........(c)  The date set in any notice given that the options will be
terminated in accordance  with their terms pursuant to a Change in Control,  but
any  substitute  options  in the  securities  of  another  company  shall not be
affected by such termination and provided that such substitute  options shall be
provided under a good-faith reasonable conversion formula if the Company (or its
successor following a Change in Control) is reasonably able to do so.


                   SECTION 4 - PLAN AMENDMENT AND TERMINATION


     4.1......Company's  Right to Amend or Terminate Plan. The Company may amend
or terminate  the Plan only as provided in the  applicable  one of the following
clauses:


     .01......During  the First Two  Years.  This Plan  shall not be  amended or
terminated on or before the second  anniversary  of the Effective Date except as
follows:

     .........(a)  To Permit  Pooling:  The Plan may be terminated or amended as
necessary  pursuant to a majority vote of the Board taken  consistently  with an
understanding  that failure to so terminate or amend the Plan would  prevent the
Company from entering into a then-proposed  transaction to be accounted for as a
pooling  of  interests  with one or more  other  entities;  provided  that  such
understanding is based reasonably and in good faith upon information provided to
the  Board  by any of the  following:  (i) the  independent  accountants  of the
Company;  (ii) the  independent  accountants  of any other party to the proposed
transaction; or (iii) the Securities and Exchange Commission.


     .........(b)  To Comply  with Law:  The Plan may be  amended  as  necessary
pursuant to a majority  vote of the Board taken  consistently  with a good faith
opinion of counsel to either  the  Company or the Board that such  amendment  is
required by applicable  law;  provided that the Company shall  thereupon use its
best efforts to provide the Eligible  Directors  and the  Participants  with the
value  of the  benefits  intended  under  this  Plan  immediately  prior  to the
effective date of the amendment.


     .02......After  the Second Year.  Following the second  anniversary  of the
Effective Date, the Company may amend or terminate this Plan as follows:


     .........(a)  Prior to a Change in Control:  Prior to the  occurrence  of a
Change in Control and following the second  anniversary  of the then most recent
Change in Control,  the Company may amend the Plan in any manner at any time and
from time to time and may terminate the Plan at any time.

     .........(b) After a Change in Control: After the occurrence of a Change in
Control and until the second  anniversary  of such Change in Control,  this Plan
shall  not be  terminated  and  shall be  amended  only in  accordance  with the
provisions of clause .01(b) of this Subsection 4.1.


         4.2......Method   of  Amendment  or   Termination.   Any  amendment  or
termination  of the Plan  shall be made by a  written  instrument  signed  by an
officer of the Company upon due authorization by the Board.


                         SECTION 5 - PLAN ADMINISTRATION


         5.1......Plan Administrator.  The Plan Administrator have the authority
to control and manage the operation and administration of the Plan, and shall be
the agent for service of process against the Plan. The Plan Administrator  shall
have full power to  administer  the Plan in all matters,  subject to  applicable
requirements  of law. For this  purpose,  the Plan  Administrator's  power shall
include, but shall not be limited to the following authority, in addition to all
other powers provided by the Plan:


     .01......To  make  and  enforce  such  rules  and  regulations  as the Plan
Administrator deems necessary or proper for the efficient  administration of the
Plan,  including the establishment of any claims procedures that may be required
by applicable provisions of law;

     .02......To  appoint such agents,  counsel,  accountants,  consultants  and
other  persons  to  participate  in the  administration  of the Plan as the Plan
Administrator deems appropriate;


     .03......To   allocate  and  delegate  the  responsibilities  of  the  Plan
Administrator  and to  designate  other  persons  to  carry  out any of the Plan
Administrator's responsibilities;  provided that any such allocation, delegation
or  designation   shall  be  in  writing  and  in  accordance   with  applicable
requirements of law;


     .04......To sue or be sued on behalf of the Plan and to appoint  additional
agents for service of process; and


         .05......To the fullest extent permitted by law, the Plan Administrator
shall have the  exclusive  responsibility  and  discretion to decide all matters
relating to  eligibility,  coverage or benefits  under the Plan and to interpret
all  provisions  of the  Plan  and to  determine  all  matters  relating  to the
operation  and  administration  of the  Plan.  Any  determination  by  the  Plan
Administrator shall be final and binding, in the absence of clear and convincing
evidence that the Plan Administrator acted arbitrarily and capriciously.


         5.2......Records. The Plan Administrator shall maintain such records as
it deems  necessary to determine  benefits  and  eligibility  under the Plan and
shall make available to each  Participant such portions of the records under the
Plan as pertain to the  Participant,  for examination at reasonable times during
normal business hours.


         5.3......Reliance.  In administering  the Plan, the Plan  Administrator
shall be entitled to the extent  permitted  by law to rely  conclusively  on all
information (including without limitation all tables, valuations,  certificates,
opinions  and  reports)  which  is  furnished  by  or  in  accordance  with  the
instructions or recommendations of accountants,  counsel, actuaries, consultants
or other experts employed or engaged by the Plan Administrator.


         5.4......Indemnification.  Except as prohibited by law, any  individual
or  individuals  serving as Plan  Administrator  (or as a member of any board or
committee that serves as Plan Administrator) shall be indemnified in full by the
Company against expenses,  including  attorneys' fees, and against the amount of
any  judgment,  money  decree,  fine or  penalty,  or against  the amount of any
settlement deemed reasonable by the Board,  necessarily paid or incurred by such
individual or individuals  in connection  with or arising out of any claim made,
or any civil or criminal  action,  suit or proceeding of whatever nature brought
against such  individual,  or in which such  individual  is made a party,  or in
which such individual is otherwise  involved,  by reason of being or having been
such Plan  Administrator  (or any member of any such board or  committee).  Such
indemnification  shall apply to any such  individual  even though at the time of
such  claim,  action,  suit or  proceeding  such  individual  is no longer  Plan
Administrator (or a member of any such board or committee).


                        SECTION 6 - MISCELLANEOUS MATTERS


         6.1......Information  Required.  Participants  and  Eligible  Directors
shall provide the Plan  Administrator  with such  information and evidence,  and
shall sign such documents, as may be requested from time to time for the purpose
of administering the Plan.


     6.2......No Guaranty of Board Membership. This Plan shall not be a contract
for Board membership between the Company and any director.


         6.3......Exclusive  Plan. The Plan shall exclusively  govern any claims
for any type of  termination  benefits as a result of any  termination  of Board
membership due to a Covered  Termination on or after the Effective  Date,  while
the Plan remains in effect.


         6.4......Sole Source for Benefits. All benefits provided under the Plan
shall be provided  solely from the general  assets of the  Company.  Neither the
Company nor any director,  officer, employee or agent or other representative of
the Company shall be liable,  otherwise than as expressly  provided in the Plan,
for the  provision  of any  benefits  under  the  Plan or shall  have any  other
liability to a Participant or to any other person.


         6.5......Non-Alienation.  No benefit under the Plan shall be subject in
any  manner  whatsoever  to  alienation,  sale,  transfer,  assignment,  pledge,
attachment or  encumbrance  of any kind, and each and every attempt to alienate,
sell, transfer,  assign,  pledge,  attach or encumber any such benefit under the
Plan shall be void and of no force and effect whatsoever.


         6.6......No Vesting. No person shall have any vested or non-forfeitable
interest at any time in any benefit provided under the Plan.


         6.7......Obligations to Pay Taxes. Each Participant shall be liable for
all tax obligations,  if any, with respect to any benefit  provided  pursuant to
the Plan and for  accurately  reporting  all such  income and paying in full all
such taxes to the appropriate federal, state and local authorities.


         6.8......Governing  Law.  The Plan and the rights of all persons  under
the Plan shall be construed in accordance with and under  applicable  provisions
of the laws of  Massachusetts,  except to the extent  federal laws pre-empt such
laws.


         IN WITNESS WHEREOF,  the Company, by its duly authorized  officer,  has
executed this document, under seal.

                                         HPR INC.


                                         By: /s/ Marcia J. Radosevich
                                         Marcia J. Radosevich
                                         Chairman, President and
                                         Chief Executive Officer



<PAGE>


                                                                   Exhibit 10.23

                                                                            
                                         Agreement and Second Amendment to

                                             PRODUCT LICENSE AGREEMENT


         THIS AGREEMENT, dated as of the 12th day of December, 1996:

                   (i) further  amends the certain  Product  License  Agreement,
         dated as of the 17th day of  November  1994,  as  amended  by the First
         Amendment  to Product  License  Agreement,  dated as of the 28th day of
         June,  1995, by and between HPR Inc.  (formerly known as Health Payment
         Review, Inc.), a Delaware corporation ("HPR"), having an address at 245
         First Street, Cambridge,  Massachusetts 02142, and Symmetry Health Data
         Systems, Inc., an Arizona corporation  ("Symmetry"),  having an address
         at 9605 South 48th Street,  Suite 2015,  Phoenix,  Arizona  85044 (such
         Product License  Agreement,  as amended by such First Amendment,  to be
         herein referred to as the "Product License Agreement"); and

                  (ii) provides for certain actions to be taken by HPR following
the date of this Agreement.

         Any  capitalized  term not  otherwise  defined  herein  shall  have the
meaning set forth in the Product License Agreement.

         In consideration of the obligations herein set forth and for other good
and  valuable  consideration,  the  sufficiency  and receipt of which are hereby
acknowledged, Symmetry and HPR hereby agree as follows:

         1. Effective on the date of this Agreement,  Section 3.6 of the Product
License Agreement shall be amended to read in its entirety as follows:

         3.6  Usage  Data.  (a) HPR  will  make its best  efforts  to cause  all
         Prospective  Licensees  (as  hereinafter  defined)  to execute  the HPR
         License  Agreement in the form attached as Exhibit B hereto;  provided,
         that such  requirement of best efforts shall be deemed  satisfied as to
         any  Prospective  Licensee  if HPR,  directly  or through a third party
         reseller,  presents for execution the HPR License Agreement  containing
         the language of Exhibit 1 to said  Exhibit B, with any changes  therein
         approved  in  writing  by HPR  and  Symmetry  after  the  date  of this
         Agreement,  whether or not such Prospective Licensee executes the same;
         provided,  further, that any purported sublicense of ETG as part of the
         HPR Product shall be of no force or effect and the  requirement of best
         efforts shall not be deemed satisfied as to any such sublicense  unless
         the  executed  HPR License  Agreement  contains at least the  following
         provisions  (with any changes therein as are necessary to conform cross
         references or defined terminology or which Symmetry shall have approved
         in writing with respect to any specific HPR License Agreement):

                  Licensee  shall  retain full right and title to its claims and
                  the data contained therein  (exclusive of claims and encounter
                  data in a format containing ETG identifiers,  which claims and
                  encounter  data are subject to the  obligations of Licensee as
                  set forth in the following two paragraphs).

                  Except as otherwise required by law or by regulatory  agencies
                  or other  entities  with legal  authority to examine the Usage
                  Data,  Licensee  further agrees not to disclose,  permit to be
                  disclosed  or otherwise  resell or  transfer,  with or without
                  consideration,  all or any  portion  of the Usage  Data to any
                  third party,  except that Licensee may disclose the Usage Data
                  to its  consultants  or agents for the purpose of assisting or
                  advising   Licensee;   provided,   however,   that  Licensee's
                  consultant or agent shall execute a  nondisclosure  agreement,
                  in a form consistent  with Section 7 of this Agreement,  which
                  will prohibit  such  consultant or agent from using such Usage
                  Data  (other  than to  assist  or  advise  Licensee)  and from
                  disclosing   such   information  to  any  third  party.   Such
                  nondisclosure  agreement  must  provide  that HPR and Symmetry
                  shall be third party  beneficiaries  of the rights of Licensee
                  thereunder.

                  Licensee and HPR further  agree that, in addition to the other
                  rights  granted to Symmetry  herein,  Symmetry shall also be a
                  third party  beneficiary  of the rights of HPR with respect to
                  the  provisions of this  Agreement as they relate to the Third
                  Party  Software,  the  Proprietary  Information of HPR and the
                  Usage Data.  With respect to any period during which  Licensee
                  uses the  Software,  Symmetry  shall be expressly  entitled to
                  enforce its rights  pursuant to the provisions of the Software
                  License  Agreement as they relate to the Third Party  Software
                  and the Usage Data, regardless of any alleged or actual breach
                  or default  hereunder  by HPR,  claim of offset by Licensee or
                  any expiration or termination of this Agreement.

                  All  provisions  contained in this Section [7.2] shall survive
the termination of this Agreement.

         As used herein, the term "Prospective  Licensee" shall mean a person or
         entity  to which  HPR has  made,  on or after  September  16,  1996 and
         directly or through a third party  reseller,  a proposal for  licensing
         from HPR the HPR Product.

         (b) HPR will  make  its best  efforts  to  cause  licensees  of the HPR
         Product  to comply  with their  obligations,  if any,  pursuant  to the
         applicable  HPR License  Agreement,  to furnish HPR with Usage Data (as
         defined  in the  HPR  License  Agreement)  which  may be  delivered  to
         Symmetry for the  purposes  specified in Exhibit 1 to Exhibit B to this
         Agreement.  Without limiting the generality of the foregoing, HPR shall
         request  each  licensee  with an  obligation  to furnish  Usage Data to
         deliver  the same to HPR no less  often than  annually,  the first such
         request to be made no later than 15 months  after the  execution of the
         applicable HPR License Agreement (or February 28, 1997, if later).  HPR
         shall report to Symmetry no less often than  semiannually the status of
         such requests and deliveries,  including any delays anticipated by HPR,
         the reasons  therefor,  and, if  appropriate,  the steps being taken to
         assist the licensee to make the  delivery.  The sole remedy of Symmetry
         in the event of a breach or  alleged  breach by HPR of its  obligations
         contained  in the  preceding  three  sentences  shall be to pursue  its
         remedies  directly  against the licensee or  licensees in question,  as
         provided  in the  applicable  HPR  License  Agreement.  To  the  extent
         provided in the  applicable  HPR License  Agreement,  within 60 days of
         receipt  of such Usage Data from such a  licensee,  HPR will  deliver a
         copy of the same to Symmetry.

         (c)  Symmetry  shall have the right to  utilize  the Usage Data for the
         purposes  and in the  form  specified  in the  applicable  HPR  License
         Agreement.  HPR shall have the right to utilize  the Usage Data for the
         purpose of creating statistical norms only for use with or licensing to
         HPR customers which licensed the HPR Product;  provided,  however, that
         HPR  agrees  that it will  not  disclose,  permit  to be  disclosed  or
         otherwise  resell or  transfer  such Usage Data to any person or entity
         other than HPR  customers  that have licensed the HPR Product and other
         than to Symmetry as provided in the applicable HPR License Agreement.

         2.  Effective on the date of this  Agreement,  Exhibit B to the Product
License  Agreement  shall be  amended  to read in the form of  Schedule A hereto
(including  the new  language of Section 7.2 and an Exhibit  which  contains the
same language as Exhibit 1 to Schedule A).

         3. During the 45 day period  commencing with the business day after the
date of this Agreement (the "45-day period"), HPR shall undertake to obtain from
the  Episode  Profiler  licensees  listed in Schedule B to this  Agreement  (the
"Schedule  B  Licensees")  a  written   agreement  (a  "Usage  Data  Agreement")
substantially in the form of Schedule C to this Agreement,  it being agreed that
any  Usage  Data   Agreement   will  be  deemed   substantially   in  such  form
notwithstanding  a  modification  thereof  to permit  submission  of zip  codes,
contained in the Usage Data to be delivered thereunder, to be at the three-digit
level.  HPR shall keep Symmetry  informed in writing,  no less often than weekly
during  the  45-day  period,  of HPR's  progress  in  obtaining  such Usage Data
Agreements from the Schedule B Licensees.

         If, prior to the expiration of the 45-day  period,  HPR fails to obtain
Usage Data  Agreements from Schedule B Licensees with covered lives, as shown on
Schedule  B, of at least  2,335,973  in the  aggregate  (the  "50%  test") or to
present  copies  thereof  to  Symmetry  within 5  business  days  following  the
expiration of the 45-day period (the "5-day period"),  then HPR shall, within 15
business days thereafter, pay the sum of $40,000 to Symmetry. Whether or not HPR
obtains and furnishes Usage Data  Agreements  meeting the 50% test (but provided
that HPR makes the  foregoing  $40,000  payment if required  by the  immediately
preceding sentence),  Symmetry shall be deemed to have waived any and all claims
for alleged  breaches by HPR of the Product  License  Agreement based on acts or
omissions of HPR of the type described in letters from Symmetry's counsel to HPR
dated  August 16,  1996,  August 23, 1996 and August 30, 1996 and  occurring  or
allegedly occurring prior to the expiration of the 45-day period. HPR reasonably
believes  (but has not  independently  verified)  that the  aggregate  number of
covered lives shown on Schedule B is not overstated.


         4. During the 45-day period, HPR shall also undertake to obtain a Usage
Data  Agreement  from  Medical  Service  Association  of  Pennsylvania   t/d/b/a
Pennsylvania Blue Shield  ("Pennsylvania Blue Shield"). If within the applicable
45-day or 5-day periods HPR has failed to obtain and deliver to Symmetry a Usage
Data Agreement  from  Pennsylvania  Blue Shield,  then the royalties to Symmetry
with respect to the HPR License with Pennsylvania Blue Shield,  and any renewals
thereof,  shall be  increased,  with respect to HPR License fees received by HPR
from Pennsylvania  Blue Shield after the date of this Agreement,  to 175% of the
royalties  otherwise  determined  in  accordance  with  paragraphs 1, 2 and 3 of
Exhibit G to the Product License Agreement.

         5. With  respect to any  licensee  of the HPR  Product  (i) which first
becomes such a licensee after September 15, 1996 and (ii) which does not execute
an HPR License Agreement containing a requirement,  substantially as provided in
Section 7.2 and Exhibit 1 to Schedule A to this  Agreement (it being agreed that
any such Exhibit 1 will be deemed substantially as so provided notwithstanding a
modification  thereof to permit the  submission  of zip codes,  contained in the
Usage Data to be delivered thereunder, to be at the three-digit level), that the
licensee provide Usage Data to HPR, which in turn may provide it to Symmetry for
the  purposes  specified  in Exhibit 1 to Schedule A, the  royalties  payable to
Symmetry with respect to such license  shall be 150% of the royalties  otherwise
computed in  accordance  with  paragraphs 1, 2 and 3 of Exhibit G to the Product
License Agreement.

         6. Effective on the date of this Agreement, subparagraph (a) of Section
4.1 of the Product License Agreement shall be amended to read as follows:

         .........(a)  Use, copy,  manufacture,  market and distribute  ETG, the
Documentation and all Enhancements  thereto, as incorporated in the HPR Product;
provided,  however,  that  such  license  does not  extend to the  marketing  or
distribution  of  ETG,  the  Documentation  and  all  Enhancements   thereto  to
manufacturers  of  pharmaceutical  products or pharmacy  benefit managers (e.g.,
Merck/Medco,  PCS, etc.); provided,  further, that, as soon as practicable,  HPR
and  Symmetry  will  negotiate  in good  faith the terms  and  conditions  of an
agreement  whereby HPR may market to such  manufacturers  and  managers  the HPR
Product in  conjunction  with one or more of the  products  to be  developed  by
Symmetry containing either or both (i) Usage Data obtained by HPR from licensees
of the HPR Product,  and  delivered by HPR to Symmetry,  pursuant to HPR License
Agreements or (ii) similar usage data obtained by Symmetry from other sources.


         7.  Effective  on the date of this  Agreement,  the first  sentence  of
Section  4.2 of the  Product  License  Agreement  shall  be  amended  to read as
follows:

         Symmetry  agrees,  after the date of this Agreement,  not to enter into
         any  agreement to license ETG or any  Enhancements  thereof,  directly,
         through a third party reseller, or knowingly through any other indirect
         means,  to any of the  competitors  of HPR  listed  on  Exhibit  F (the
         "Competitors"). Notwithstanding the foregoing, if the proposed licensee
         is a legal entity  separate from the  Competitor,  Symmetry may license
         ETG  or  any   Enhancements   thereof  to  such  separate  entity  (the
         "Affiliate"),  provided that the license Agreement between Symmetry and
         the  Affiliate  shall  prohibit the  Affiliate  from  marketing  and/or
         licensing ETG or any Enhancements  thereof to or as the  representative
         of the  Competitor  and shall  prohibit the  disclosure of  proprietary
         information of Symmetry to the Competitor. Such license agreement shall
         further require the Affiliate to certify annually that the Affiliate is
         in compliance with the foregoing restrictions set forth in this Section
         4.2 and that the failure of the Affiliate to provide such certification
         shall be deemed  grounds for  termination  of the license  agreement by
         Symmetry;  and Symmetry will provide copies of such  certifications  to
         HPR   promptly   upon   HPR's   written   request   therefor.   Further
         notwithstanding  the  foregoing,  the  restrictions  set  forth in this
         Section  4.2  shall  not be  deemed  to  prohibit  the  Affiliate  from
         marketing  and/or  licensing ETG or any  Enhancements  thereof for such
         Affiliate's  own  account or to or for any person or entity  other than
         the   Competitors,   nor  shall  it  be  deemed  a  violation  of  such
         restrictions  in the event of a merger or other  combination  including
         such Affiliate and one or more of the Competitors;  provided,  however,
         that the Affiliate or some entity other than one of the  Competitors is
         the entity surviving such merger or other combination.  Symmetry hereby
         represents   that,  to  Symmetry's   actual   knowledge   (but  without
         independent  investigation),  it has  not,  prior  to the  date of this
         Agreement, licensed or entered into any agreement to license ETG or any
         Enhancements  thereof  to  any  Competitor  or  any  entity  which  has
         acquired,  or  agreed  to  acquire,  by  merger  or  otherwise,  all or
         substantially all of the capital stock or assets of any Competitor.


         8. Effective on the date of this Agreement,  Section 6.1 of the Product
License Agreement shall be amended to read as follows:

                  6.1  Symmetry   shall   prepare  and   distribute  to  HPR  an
         Enhancement within six (6) months after each annual release of new ICD9
         (i.e.,  International  Classification of Diseases,  9th Edition) codes,
         new CPT (i.e., Current Procedural Terminology) codes, or updates of any
         other codes with  respect to which ETG  functions  in the future.  From
         time to time,  Symmetry will  evaluate  HPR's  requests for  functional
         Enhancements to ETG which are in other competitive claims-based episode
         grouping  products in the  marketplace  and, as reasonably  practicable
         within  legal,   financial,   time,   technical  and  other  functional
         constraints,  provide  such  Enhancements  to HPR in a  timely  manner;
         provided, that the only remedy which HPR shall have with respect to any
         failure of Symmetry  to provide  such  Enhancements  to HPR in a timely
         manner following HPR's request shall be that HPR may develop or acquire
         such functionality (Section 4.3 notwithstanding).  Such Enhancements by
         Symmetry  pursuant to this Section 6.1 shall be furnished for inclusion
         in the HPR Product at no  additional  cost to HPR and shall become part
         of ETG and the Documentation for purposes of this Agreement.

         9.  Effective  on the date of this  Agreement,  the  list of  companies
contained in Exhibit F of the Product License Agreement shall be amended to read
as follows:

         .........GMIS, Inc.
         .........Electronic Data Systems
         .........Codman Research

         10.  Effective  on the date of this  Agreement,  the first  sentence of
paragraph 1 of Exhibit G to the Product  License  Agreement  shall be amended to
delete the words "other than PARS Licensees" at the end thereof.

         11.  Effective on the date of this Agreement,  paragraph 4 of Exhibit G
to the Product License Agreement shall be amended to read as follows:

         Should HPR, through one of its joint marketing  agreements with a third
         party software vendor,  including any of those organizations  listed on
         Exhibit F to this  Agreement,  license an HPR Product to a third party,
         then HPR will pay a royalty to Symmetry in accordance  with the formula
         in 1 through 3, above, applicable to direct customers of HPR.

         12. Effective on the date of this Agreement, Section 5.4 of the Product
License  Agreement  shall be deleted and paragraph 5 of Exhibit G to the Product
License Agreement shall be amended to read as follows:

                  5. HPR will  also pay to  Symmetry  $160,000  per year for the
         three year period  commencing  November 17, 1996. Such payments will be
         due on each November 17 during the  applicable  period,  whether or not
         this Agreement shall have terminated earlier, the first such payment to
         be made on or before  January 11,  1996.  If HPR is able to license the
         HPR Product to one or more PARS  licensees  listed on Exhibit E to this
         Agreement,  HPR shall pay to Symmetry annual royalties at the times and
         in the amounts  computed  accordance with paragraphs 1, 2 and 3 of this
         Exhibit G.

         13.  Except as amended  hereby,  the Product  License  Agreement  shall
remain in full force and effect in accordance with its terms.  The provisions of
Sections  14.9 and 14.12 of the Product  License  Agreement  shall apply to this
Agreement,  whether or not the portion or portions of this Agreement in question
purport to amend the Product License Agreement.

         IN WITNESS  WHEREOF,  the  parties  have caused  this  Agreement  to be
executed by their respective duly authorized representatives as set forth below.


       SYMMETRY HEALTH DATA                   HPR INC.
       SYSTEMS, INC.


By:    /s/ Dennis K. Dang                     By:         /s/ Brian D. Cahill

       Dennis K. Dang                         Brian D. Cahill
         President                            Vice President, Corporate Finance
                                              and Planning



<PAGE>






                                   SCHEDULE A

                     Standard HPR Software License Agreement

                                [to be inserted]


<PAGE>



                             SCHEDULE A (continued)


                RIDER 7.2 TO HPR INC. SOFTWARE LICENSE AGREEMENT



7.2  Licensee  understands  and  acknowledges  that a portion  (the "Third Party
Software") of the Software has been  licensed to HPR from  Symmetry  Health Data
Systems, Inc. ("Symmetry"), a third party proprietor. Licensee agrees to deliver
to HPR,  upon its request but not more often than  semiannually,  its claims and
encounter  data with ETG  identifiers  resulting from the use by Licensee of the
Software,  including the Third Party  Software (the "Usage Data") for use by HPR
in evaluating and improving the Software and for any other uses specified in the
Exhibit.  Notwithstanding  the foregoing sentence or any other provision of this
Agreement:

         Licensee  shall  retain full right and title to its claims and the data
         contained  therein  (exclusive of claims and encounter data in a format
         containing ETG identifiers, which claims and encounter data are subject
         to the  obligations  of  Licensee  as set  forth in the  following  two
         paragraphs).

         Except as otherwise required by law or by regulatory  agencies or other
         entities  with legal  authority  to examine  the Usage  Data,  Licensee
         further  agrees not to  disclose,  permit to be  disclosed or otherwise
         resell or transfer,  with or without consideration,  all or any portion
         of the Usage Data to any third party, except that Licensee may disclose
         the  Usage  Data  to its  consultants  or  agents  for the  purpose  of
         assisting or advising  Licensee;  provided,  however,  that  Licensee's
         consultant or agent shall execute a nondisclosure  agreement, in a form
         consistent with Section 7 of this  Agreement,  which will prohibit such
         consultant or agent from using such Usage Data (other than to assist or
         advise  Licensee) and from  disclosing  such  information  to any third
         party. Such nondisclosure  agreement must provide that HPR and Symmetry
         shall  be  third  party   beneficiaries   of  the  rights  of  Licensee
         thereunder.

         Licensee  and HPR further  agree that,  in addition to the other rights
         granted  to  Symmetry  herein,  Symmetry  shall  also be a third  party
         beneficiary of the rights of HPR with respect to the provisions of this
         Agreement as they relate to the Third Party  Software,  the Proprietary
         Information  of HPR and the Usage  Data.  With  respect  to any  period
         during which  Licensee uses the Software,  Symmetry  shall be expressly
         entitled  to  enforce  its rights  pursuant  to the  provisions  of the
         Software  License  Agreement as they relate to the Third Party Software
         and the Usage  Data,  regardless  of any  alleged  or actual  breach or
         default hereunder by HPR, claim of offset by Licensee or any expiration
         or termination of this Agreement.

         All  provisions  contained  in  this  Section  7.2  shall  survive  the
termination of this Agreement.


                EXHIBIT 1 TO HPR INC. SOFTWARE LICENSE AGREEMENT


Section 7 of the HPR  software  license  agreement  to which  this  Exhibit 1 is
attached (the "Software License Agreement") requires Licensee to deliver to HPR,
no less often than the intervals specified,  its Usage Data. Licensee authorizes
HPR to deliver a copy of the Usage  Data to  Symmetry  within 60 days  following
HPR's receipt thereof. The deliveries of Usage Data to HPR and to Symmetry shall
be subject to the following terms and conditions:

         (i) such Usage Data will be in the form of so-called  "flat" or similar
         files of Licensee,  but may, at the option of Licensee, be subject to a
         scrambling  algorithm  consistently applied within each data submission
         and  across  all  data   submissions   for  Licensee  to  preserve  the
         confidentiality   of  identification  of  the  patients  and  providers
         contained therein;  and, to the extent requested by Licensee,  HPR will
         provide reasonable amounts of assistance in effecting the scrambling;

         (ii)  notwithstanding  the  provisions  of  Section  7 of the  Software
         License  Agreement,  Symmetry shall have the right,  in Symmetry's sole
         and absolute discretion,  to sell, assign,  transfer or convey, with or
         without consideration,  the Usage Data received by Symmetry pursuant to
         the  Software  License  Agreement,  or any data,  service  or  products
         incorporating  or derived in whole or in part from such Usage Data,  to
         any one or more third parties; and

         (iii)  Licensee shall retain full right and title to its claims and the
         data  contained  therein  (exclusive of claims and encounter  data in a
         format containing ETG identifiers,  which claims and encounter data are
         subject to the obligations of Licensee to deliver Usage Data to HPR, to
         HPR's  rights  to  provide  such  Usage  Data  to  Symmetry  and to the
         obligations  of Licensee  as set forth in Section  7.2 of the  Software
         License Agreement).





<PAGE>


<TABLE>


                                                    SCHEDULE B

                                              USAGE DATA CLIENT LIST

<CAPTION>
<S>                                                            <C>                                 <C>

Licensee                                                       City/State                          Covered Lives

Aurora Health Care                                             Milwaukee, WI                              18,000
BCBS Arkansas                                                  Little Rock, AR                           500,000
BCBS North Dakota                                              Fargo, ND                                 360,000
BCBS Tennessee                                                 Chattanooga, TN                         1,000,000
Berkshire Health Plan                                          Wyomissing, PA                             60,000
Carolina Atlantic                                              Charleston, SC                              5,000
ChoiceCare Health Plans                                        Cincinnati, OH                            290,000
Consumer Health Network                                        Piscataway, NJ                            115,000
Cooperative Benefit Administrators                             Lincoln, NE                                61,300
Empire BCBS                                                    Albany, NY                                250,000
First Florida                                                  Macedonia, OH                              10,000
Health Care Plan                                               Buffalo, NY                               130,000
Health Services Corp. of Central NY                            Baldwinsville, NY                          97,755
Healthcare Oklahoma                                            Oklahoma City, OK                           7,000
Healthplan of the Redwoods                                     Santa Rosa, CA                            100,000
Holy Cross                                                     Notre Dame, IN                             25,000
Huron Valley                                                   Ann Arbor, MI                              85,000
In Health/Nationwide                                           Worthington, OH                            40,000
Independent Health                                             Buffalo, NY                               380,000
John Muir Medical                                              Walnut Creek, CA                           30,000
Key Benefit Administrators                                     Indianapolis, IN                           10,000
M-Care                                                         Ann Arbor, MI                             100,000
MD Health Plan                                                 North Haven, CT                           200,000
Memorial Sisters of Charity                                    Houston, TX                                25,000
Memphis Managed Care                                           Memphis, TN                                33,000
National Health Plans                                          Modesto, CA                                55,000
NCRIC PO                                                       Washington, DC                             10,000
Oregon Dental Service                                          Portland, OR                               26,000
Pacific Source Health Care                                     Eugene, OR                                 51,000
PHP Companies                                                  Knoxville, TN                             100,000
Rockford Health Plans                                          Rockford, IL                               44,000
Sagamore                                                       Carmel, IN                                 50,000
SelectCare                                                     Troy, MI                                  218,890
Sierra Health Care                                             Las Vegas, NV                             150,000
Welbourn HMO                                                   Evansville, IN                             35,000

     TOTAL PLAN MEMBERSHIP                                                                             4,671,945

     50% THRESHOLD                                                                                     2,335,973

</TABLE>




                                                    SCHEDULE C

                                               USAGE DATA AGREEMENT

                                    Amendment to HPR Software License Agreement

HPR  Inc.  and the  undersigned  Licensee  are  parties  to a  Software  License
Agreement  covering  one or more of the  software  products  of HPR and agree to
amend Section 7.2 of the Software License  Agreement to read per section I below
and to amend the Exhibit to the Software  License  Agreement to add the language
found in  section  II  below  (such  amendments  to be in  substitution  for any
inconsistent provisions of the Software License Agreement):

I.       7.2 Licensee  understands and  acknowledges  that a portion (the "Third
         Party Software") of the Software has been licensed to HPR from Symmetry
         Health Data  Systems,  Inc.  ("Symmetry"),  a third  party  proprietor.
         Licensee  agrees to deliver to HPR, upon its request but not more often
         than  semiannually,  its claims and encounter data with ETG identifiers
         resulting from the use by Licensee of the Software, including the Third
         Party  Software  (the "Usage  Data") for use by HPR in  evaluating  and
         improving the Software and for any other uses specified in the Exhibit.
         Notwithstanding  the foregoing  sentence or any other provision of this
         Agreement:

         Licensee  shall  retain full right and title to its claims and the data
         contained  therein  (exclusive of claims and encounter data in a format
         containing ETG identifiers, which claims and encounter data are subject
         to the  obligations  of  Licensee  as set  forth in the  following  two
         paragraphs).

         Except as otherwise required by law or by regulatory  agencies or other
         entities  with legal  authority  to examine  the Usage  Data,  Licensee
         further  agrees not to  disclose,  permit to be  disclosed or otherwise
         resell or transfer,  with or without consideration,  all or any portion
         of the Usage Data to any third party, except that Licensee may disclose
         the  Usage  Data  to its  consultants  or  agents  for the  purpose  of
         assisting or advising  Licensee;  provided,  however,  that  Licensee's
         consultant or agent shall execute a nondisclosure  agreement, in a form
         consistent with Section 7 of this  Agreement,  which will prohibit such
         consultant or agent from using such Usage Data (other than to assist or
         advise  Licensee) and from  disclosing  such  information  to any third
         party. Such nondisclosure  agreement must provide that HPR and Symmetry
         shall  be  third  party   beneficiaries   of  the  rights  of  Licensee
         thereunder.

         Licensee  and HPR further  agree that,  in addition to the other rights
         granted  to  Symmetry  herein,  Symmetry  shall  also be a third  party
         beneficiary of the rights of HPR with respect to the provisions of this
         Agreement as they relate to the Third Party  Software,  the Proprietary
         Information  of HPR and the Usage  Data.  With  respect  to any  period
         during which  Licensee uses the Software,  Symmetry  shall be expressly
         entitled  to  enforce  its rights  pursuant  to the  provisions  of the
         Software  License  Agreement as they relate to the Third Party Software
         and the Usage  Data,  regardless  of any  alleged  or actual  breach or
         default hereunder by HPR, claim of offset by Licensee or any expiration
         or termination of this Agreement.

         All  provisions  contained  in  this  Section  7.2  shall  survive  the
termination of this Agreement.





II.
                EXHIBIT 1 TO HPR INC. SOFTWARE LICENSE AGREEMENT


     Section 7 of the HPR software license  agreement to which this Exhibit 1 is
     attached (the "Software License Agreement") requires Licensee to deliver to
     HPR, no less often than the intervals  specified,  its Usage Data. Licensee
     authorizes  HPR to deliver a copy of the Usage Data to  Symmetry  within 60
     days following HPR's receipt  thereof.  The deliveries of Usage Data to HPR
     and to Symmetry shall be subject to the following terms and conditions:

     (i) such  Usage  Data will be in the form of  so-called  "flat" or  similar
     files of  Licensee,  but may,  at the option of  Licensee,  be subject to a
     scrambling  algorithm  consistently applied within each data submission and
     across all data submissions for Licensee to preserve the confidentiality of
     identification of the patients and providers contained therein; and, to the
     extent  requested  by  Licensee,  HPR will  provide  reasonable  amounts of
     assistance in effecting the scrambling;

     (ii)  notwithstanding  the provisions of Section 7 of the Software  License
     Agreement,  Symmetry shall have the right,  in Symmetry's sole and absolute
     discretion,   to  sell,  assign,   transfer  or  convey,  with  or  without
     consideration, the Usage Data received by Symmetry pursuant to the Software
     License  Agreement,  or any data,  service  or  products  incorporating  or
     derived in whole or in part from such Usage Data,  to any one or more third
     parties; and

     (iii) Licensee shall retain full right and title to its claims and the data
     contained  therein  (exclusive  of claims  and  encounter  data in a format
     containing ETG identifiers,  which claims and encounter data are subject to
     the obligations of Licensee to deliver


<PAGE>



UsageData to HPR, to HPR's  rights to provide such Usage Data to Symmetry and to
     the  obligations  of Licensee  as set forth in Section 7.2 of the  Software
     License Agreement).


Date of HPR Software  License  Agreement or applicable  exhibit thereto to which
this Amendment relates:

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







                                                                   

               STATEMENT RE COMPUTATION OF EARNINGS PER SHARE (1)
                                    HPR INC.


Type of security
<TABLE>
<S>                                                                                             <C>    

For the year period June 30, 1997,
  Common stock outstanding, beginning of period................................................ 15,012,000
  Weighted average common stock issued during the period.......................................    180,000
  Assumed exercise of common share options.....................................................  1,230,000
  Purchase of common stock under the treasury stock method...................................    (319,000)
  Weighted average number of common shares and common equivalent shares outstanding............ 16,103,000

For the year period June 30, 1996,
  Common stock outstanding, beginning of period................................................  7,680,000
    ...........................................................................................
  Weighted average common stock issued during the period.......................................  1,235,000
  Conversion of Series A Convertible Preferred Stock to Common Stock upon the
  Initial Public Offering (3)..................................................................  5,525,000
  Assumed exercise of common share options.....................................................  1,548,000
  Purchase of common stock under the treasury stock method.....................................  (148,000)
  Weighted average number of common shares and common equivalent shares outstanding............ 15,840,000

For the year period June 30, 1995,
  Common stock outstanding, beginning of period................................................  5,930,000
  Weighted average cheap stock outstanding during the period (2)...............................    436,000
  Weighted average common stock issued during the period ......................................    542,000
  Assumed conversion of Series A Convertible Preferred Stock  as a Common
    Stock Equivalent...........................................................................  5,525,000
  Assumed exercise of common share options ....................................................  1,779,000
  Purchase of common stock under the treasury stock method.....................................   (37,000)
  Weighted average number of common shares and common equivalent shares outstanding............ 14,175,000
<FN>

(1)  All share and earnings per share  amounts have been restated to reflect the
     stock split effected in the form of a 100% stock dividend granted on May 6,
     1996 to all  shareholders of record on April 26, 1996, a 2.5-for-1  capital
     stock split in 1995 and a 10-for-1 capital stock split in 1993.

(2)  In accordance with the Securities and Exchange  Commission Staff Accounting
     Bulletin No. 83, issuances of common stock and equivalents  within one year
     prior to the initial  filing  date of the  registration  statement  for the
     initial  public  offering,  at share prices less than the  mid-point of the
     estimated  initial  public  offering  price  for  which  this  registration
     statement  was  prepared,   are   considered   "cheap  stock"  as  defined.
     Accordingly,  these are shown as equity issued and  outstanding,  using the
     treasury  stock  method,  for all  periods  presented  prior to the initial
     public offering.

(3)  Series  A  Convertible  Preferred  Stock  was  considered  a  common  stock
     equivalent prior to the initial public offering.

</FN>
</TABLE>





                                                                   Exhibit 21.1

Subsidiaries of the Company

    The Company's  subsidiaries are as follows:  Concurrent  Review  Technology,
Inc., a Delaware corporation, HPR Securities Corp., a Massachusetts corporation,
The Integrity Group, Inc., an Alabama corporation, and HPR International,  Inc.,
a Barbados corporation.






                                                                    Exhibit 23.1

                                        CONSENT OF INDEPENDENT ACCOUNTANTS


    We consent to the incorporation by reference in the registration  statements
of HPR Inc. on Forms S-8 (File Nos.  033-80141,  033-80143,  and  033-80145) and
Form S-3 (File No.  333-12749) of our report dated August 1, 1997, on our audits
of the  consolidated  financial  statements  of HPR Inc. as of June 30, 1997 and
1996 and for the years ended June 30,  1997,  1996,  and 1995,  which  report is
included in the Annual  Report on Form 10-K for the year ended June 30, 1997. We
also consent to the reference to our firm under Item 6, Selected Financial Data.



                                                        COOPERS & LYBRAND L.L.P.


Boston, Massachusetts
August 21, 1997

<TABLE> <S> <C>


<ARTICLE>                     5
                               
       
<S>                                            <C>
<PERIOD-TYPE>                                  12-MOS
<FISCAL-YEAR-END>                              JUN-30-1997
<PERIOD-START>                                 JUL-01-1996
<PERIOD-END>                                   JUN-30-1997
<CASH>                                         13,943,693
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